BR122021003286B1 - TYROSINE KINASE INHIBITOR COMPOUNDS, THEIR USES AND PHARMACEUTICAL COMPOSITION - Google Patents
TYROSINE KINASE INHIBITOR COMPOUNDS, THEIR USES AND PHARMACEUTICAL COMPOSITION Download PDFInfo
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- BR122021003286B1 BR122021003286B1 BR122021003286-6A BR122021003286A BR122021003286B1 BR 122021003286 B1 BR122021003286 B1 BR 122021003286B1 BR 122021003286 A BR122021003286 A BR 122021003286A BR 122021003286 B1 BR122021003286 B1 BR 122021003286B1
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- hydrochloride
- acid
- inhibitors
- compound
- sodium
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- 229940121358 tyrosine kinase inhibitor Drugs 0.000 title claims abstract 4
- 239000005483 tyrosine kinase inhibitor Substances 0.000 title claims abstract 3
- -1 TYROSINE KINASE INHIBITOR COMPOUNDS Chemical class 0.000 title claims description 137
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Abstract
A presente revelação fornece compostos que são inibidores de tirosina quinase, em particular, inibidores de tirosina quinase de Bruton ("BTK") e, portanto, são úteis para o tratamento de doenças tratáveis pela inibição de BTK tais como, câncer, doenças autoimunes, inflamatórias e tromboembólicas. Também são fornecidas composições farmacêuticas que contêm tais compostos e processos para preparar tais compostos.The present disclosure provides compounds that are tyrosine kinase inhibitors, in particular Bruton's tyrosine kinase ("BTK") inhibitors, and therefore are useful for treating diseases treatable by BTK inhibition such as cancer, autoimmune diseases, inflammatory and thromboembolic. Also provided are pharmaceutical compositions containing such compounds and processes for preparing such compounds.
Description
[001] O presente pedido reivindica o benefício do pedido provisó rio no de série U.S. 62/170.547, depositado em 3 de junho de 2015 e pedido provisório no de série U.S. 62/271.689 depositado em 28 de dezembro de 2015, cada um dos quais está incorporado ao presente documento a título de referência, em sua totalidade.[001] The present application claims the benefit of provisional application serial U.S. 62/170,547, filed June 3, 2015, and provisional application serial U.S. 62/271,689 filed December 28, 2015, each of which is incorporated into this document by reference in its entirety.
[002] A presente revelação fornece compostos que são inibidores da tirosina quinase, em particular inibidores da tirosina quinase de Bruton ("BTK", do inglês "Bruton’s tyrosine kinase") e são, portanto, úteis para o tratamento de doenças como câncer, doenças autoimunes, inflamatórias e tromboembólicas. Também são fornecidas composições farmacêuticas que contêm tais compostos e processos para preparação de tais compostos.[002] The present disclosure provides compounds that are inhibitors of tyrosine kinase, in particular inhibitors of Bruton's tyrosine kinase ("BTK") and are therefore useful for the treatment of diseases such as cancer, autoimmune, inflammatory and thromboembolic diseases. Also provided are pharmaceutical compositions containing such compounds and processes for preparing such compounds.
[003] A BTK, um membro da família Tec de tirosina quinases não receptoras, é essencial para a sinalização das células B a jusante do receptor das células B. É expressa nas células B e em outras células hematopoiéticas, tais como monócitos, macrófagos e mastócitos. Funciona em vários aspectos da função das células B que mantêm o repertório de células B (ver Gauld S. B. et al., B cell antigen receptor signaling: roles in cell development and disease. Science, 296:1.641 a 1.642. 2002.) As células B desempenham uma função em artrite reu- matoide (ver Perosa F., et al., CD20-depleting therapy in autoimmune diseases: from basic research to the clinic. J Intern Med. 267:260 a 277. 2010 e Dorner T, et al. Targeting B cells in immune-mediated in-flammatory disease: a comprehensive review of mechanisms of action and identification of biomarkers. Pharmacol Ther. 125:464 a 475. 2010 e Honigberg, L., et. al., The selective BTK inhibitor PCI-32765 blocks B cell and mast cell activation and prevents mouse collagen indiced arthritis. Clin. Immunol. 127 S1:S111. 2008) e em outras doenças autoimunes, como lúpus eritematoso sistêmico e cânceres (ver Shlomchik M. J., et. al., The role of B cells in lpr/lpr-induced autoimmunity.[003] BTK, a member of the Tec family of non-receptor tyrosine kinases, is essential for B cell signaling downstream of the B cell receptor. It is expressed on B cells and other hematopoietic cells, such as monocytes, macrophages and mast cells. It functions in several aspects of B cell function that maintain the B cell repertoire (see Gauld S. B. et al., B cell antigen receptor signaling: roles in cell development and disease. Science, 296:1641 to 1642. 2002.) B play a role in rheumatoid arthritis (see Perosa F., et al., CD20-depleting therapy in autoimmune diseases: from basic research to the clinic. J Intern Med. 267:260 to 277. 2010 and Dorner T, et al. Targeting B cells in immune-mediated inflammation: a comprehensive review of mechanisms of action and identification of biomarkers Pharmacol Ther. inhibitor PCI-32765 blocks B cell and mast cell activation and prevents mouse collagen indices Clin. , The role of B cells in lpr/lpr-induced autoimmunity.
[004] J. Exp Med. 180:1.295 a 1.306. 1994; Honigberg L. A., The Bruton tyrosine kinase inhibitor PCI-32765 blocks B-cell activation and is efficacious in models of autoimmune disease and B-cell malignancy. Proc. Natl. Acad. Sci. 107:13.075 a 13.080. 2010; e Mina-Osorio P, et al., Suppression of glomerulonephritis in lupus-prone NZB x NZW mice by RN486, a selective inhibitor of Bruton's tyrosine kinase. Arthritis Rheum. 65: 2.380 a 2.391. 2013).[004] J. Exp Med. 180:1,295 to 1,306. 1994; Honigberg L. A., The Bruton tyrosine kinase inhibitor PCI-32765 blocks B-cell activation and is effective in models of autoimmune disease and B-cell malignancy. Proc. Natl. Academic. Sci. 107:13,075 to 13,080. 2010; and Mina-Osorio P, et al., Suppression of glomerulonephritis in lupus-prone NZB x NZW mice by RN486, a selective inhibitor of Bruton's tyrosine kinase. Arthritis Rheum. 65: 2,380 to 2,391. 2013).
[005] Existe também potencial para inibidores da BTK para tratamento de doenças alérgicas (ver Honigberg, L., et. al., The selective BTK inhibitor PCI-32765 blocks B cell and mast cell activation and prevents mouse collagen indiced arthritis. Clin. Immunol. 127 S1:S111. 2008). Foi observado que o inibidor irreversível suprime a anafilaxia cutânea passiva (PCA) induzida por complexo de antígeno de IgE em camundongos. Essas descobertas estão de acordo com aquelas notadas com mastócitos e camundongos knockout mutantes quanto à BTK e sugerem que os inibidores da BTK podem ser úteis para o tratamento de asma, uma doença alérgica da via respiratória dependente de IgE.[005] There is also potential for BTK inhibitors to treat allergic diseases (see Honigberg, L., et. al., The selective BTK inhibitor PCI-32765 blocks B cell and mast cell activation and prevents mouse collagen indices arthritis. Clin. Immunol. 127 S1:S111. The irreversible inhibitor was observed to suppress IgE antigen complex-induced passive cutaneous anaphylaxis (PCA) in mice. These findings are in line with those noted with mast cells and BTK mutant knockout mice and suggest that BTK inhibitors may be useful for the treatment of asthma, an IgE-dependent allergic airway disease.
[006] Consequentemente, os compostos que inibem BTK seriam úteis no tratamento para doenças, como doenças autoimunes, doenças inflamatórias e câncer.[006] Consequently, compounds that inhibit BTK would be useful in the treatment of diseases such as autoimmune diseases, inflammatory diseases and cancer.
[007] Em um primeiro aspecto, esta revelação está direcionada a um composto de Fórmula (I): [007] In a first aspect, this disclosure is directed to a compound of Formula (I):
[008] em que:[008] where:
[009] R1 e R2 são independentemente hidrogênio, alquila, alcóxi, haloalquila ou halo;[009] R1 and R2 are independently hydrogen, alkyl, alkoxy, haloalkyl or halo;
[0010] X é -O-, -CONR-, -NRCO- ou -NR-CO-NR' em que R e R' são[0010] X is -O-, -CONR-, -NRCO- or -NR-CO-NR' where R and R' are
[0011] independentemente hidrogênio ou alquila;[0011] independently hydrogen or alkyl;
[0012] Ar é heteroarila ou fenila em que heteroarila e fenila são opcionalmente substituídas por um, dois ou três substituintes independentemente selecionados dentre alquila, halo, haloalquila, alcóxi e hidróxi;[0012] Ar is heteroaryl or phenyl in which heteroaryl and phenyl are optionally substituted by one, two or three substituents independently selected from alkyl, halo, haloalkyl, alkoxy and hydroxy;
[0013] A é -N- ou -CR3- em que R3 é hidrogênio, alquila, ciclopropila, halo, haloalquila, haloalcóxi, alcóxi ou ciano;[0013] A is -N- or -CR3- where R3 is hydrogen, alkyl, cyclopropyl, halo, haloalkyl, haloalkoxy, alkoxy or cyano;
[0014] Y é ligação ou alquileno;[0014] Y is bond or alkylene;
[0015] O anel Z é heterocicloamino opcionalmente substituído por um ou dois substituintes independentemente selecionados dentre alquila, hidróxi, alcóxi e flúor;[0015] The Z ring is heterocycloamino optionally substituted by one or two substituents independently selected from alkyl, hydroxy, alkoxy and fluorine;
[0016] R5 é um grupo de fórmula (i), (ii), (iii) ou (iv): [0016] R5 is a group of formula (i), (ii), (iii) or (iv):
[0017] em que:[0017] where:
[0018] Ra é hidrogênio, flúor ou ciano; desde que quando Ra for ciano, então Rb seja hidrogênio e Rc não seja hidrogênio;[0018] Ra is hydrogen, fluorine or cyano; provided that when Ra is cyan, then Rb is hydrogen and Rc is not hydrogen;
[0019] Rb é hidrogênio ou alquila; e[0019] Rb is hydrogen or alkyl; It is
[0020] Rc é hidrogênio, hidroxialquila, alcoxialquila, alquila (opcionalmente substituído por um ou dois substituintes independentemente selecionados dentre hidróxi, hidroxialquila, heteroarila (opcionalmente substituído por um ou dois substituintes independentemente selecionados dentre alquila e heterociclila em que heterociclila é opcionalmente substituída por um ou dois substituintes independentemente selecionados dentre halo e alquila), e[0020] Rc is hydrogen, hydroxyalkyl, alkoxyalkyl, alkyl (optionally substituted by one or two substituents independently selected from hydroxy, hydroxyalkyl, heteroaryl (optionally substituted by one or two substituents independently selected from alkyl and heterocyclyl in which heterocyclyl is optionally substituted by a or two substituents independently selected from halo and alkyl), and
[0021] -CONR9R10 (em que R9 e R10 são independentemente hidrogênio ou alquila ou R9 e R10 junto com o átomo de nitrogênio ao qual os mesmos são ligados formam uma heterociclila opcionalmente substituída por um ou dois substituintes selecionados dentre alquila e heterociclila)), cicloalquila (opcionalmente substituída por um ou dois substituintes independentemente selecionados dentre halo, alquila, alcoxialquila e arila; ou em que dois substituintes adjacentes da cicloalquila junto com os átomos de carbono ao qual os mesmos são ligados formam um grupo heterociclila), heterociclilalquila, heterociclila (em que heterociclila e heterociclila em heterociclilalquila são opcionalmente substituídas por um, dois ou três substituintes em que dois dos substituintes opcionais são independentemente selecionados dentre alquila, alcóxi, hidróxi, halo, amino e oxo, e um dos substituintes opcionais é alquila, hidroxialquila, alcóxi, alcoxialquila, acila, haloalquila, alquilsulfonila, alcoxicarbonila ou heterociclila, em que a heterociclila é substituída por um ou dois substituintes independentemente selecionados dentre hidrogênio, alquila, halo, hidróxi, e alcóxi), ou -(alquileno)-NR6R7 (em que R6 e R7 são independentemente hidrogênio, alquila, haloalquila, hidroxialquila, alcoxialquila, cicloalquila ou heterociclila, em que a heterociclila é opcionalmente substituída por um ou dois substituintes independentemente selecionados dentre alquila, halo, hidróxi, hidroxialquila, alcoxialquila, acila e alcoxicarbonila; ou R6 e R7 junto com o átomo de nitrogênio ao qual os mesmos são ligados formam [0021] -CONR9R10 (wherein R9 and R10 are independently hydrogen or alkyl or R9 and R10 together with the nitrogen atom to which they are attached form a heterocyclyl optionally substituted by one or two substituents selected from alkyl and heterocyclyl)), cycloalkyl (optionally substituted by one or two substituents independently selected from halo, alkyl, alkoxyalkyl and aryl; or wherein two adjacent cycloalkyl substituents together with the carbon atoms to which they are attached form a heterocyclyl group), heterocyclylalkyl, heterocyclyl ( wherein heterocyclyl and heterocyclyl in heterocyclylalkyl are optionally substituted by one, two or three substituents wherein two of the optional substituents are independently selected from alkyl, alkoxy, hydroxy, halo, amino and oxo, and one of the optional substituents is alkyl, hydroxyalkyl, alkoxy , alkoxyalkyl, acyl, haloalkyl, alkylsulfonyl, alkoxycarbonyl or heterocyclyl, wherein the heterocyclyl is substituted by one or two substituents independently selected from hydrogen, alkyl, halo, hydroxy, and alkoxy), or -(alkylene)-NR6R7 (wherein R6 and R7 are independently hydrogen, alkyl, haloalkyl, hydroxyalkyl, alkoxyalkyl, cycloalkyl or heterocyclyl, wherein the heterocyclyl is optionally substituted by one or two substituents independently selected from alkyl, halo, hydroxy, hydroxyalkyl, alkoxyalkyl, acyl and alkoxycarbonyl; or R6 and R7 together with the nitrogen atom to which they are attached form
[0022] em que um ou dois dentre X1, X2 e X3 são nitrogênio e o resto é carbono e o anel é opcionalmente substituído por um ou dois substituintes independentemente selecionados dentre alquila, haloalquila e halo); e/ou[0022] wherein one or two of X1, X2 and X3 are nitrogen and the rest are carbon and the ring is optionally replaced by one or two substituents independently selected from alkyl, haloalkyl and halo); and/or
[0023] um sal farmaceuticamente aceitável dos mesmos desde que:[0023] a pharmaceutically acceptable salt thereof provided that:
[0024] quando A for -N-, então, Ra seja ciano e Rc seja heterocicloaminoalquila, em que o heterocicloamino em heterocicloaminoalquila é opcionalmente substituído por um ou dois substituintes independentemente selecionados dentre alquila, alcóxi, hidróxi, halo, amino e oxo, e o átomo de nitrogênio de heterocicloamino é substituído por heterociclila, em que a heterociclila é substituída por um ou dois substituintes independentemente selecionados dentre hidrogênio, alquila, halo, hidróxi e alcóxi.[0024] when A is -N-, then Ra is cyano and Rc is heterocycloaminoalkyl, wherein the heterocycloamino in heterocycloaminoalkyl is optionally substituted by one or two substituents independently selected from alkyl, alkoxy, hydroxy, halo, amino and oxo, and the heterocycloamino nitrogen atom is replaced by heterocyclyl, wherein the heterocyclyl is replaced by one or two substituents independently selected from hydrogen, alkyl, halo, hydroxy and alkoxy.
[0025] Em uma modalidade, quando R5 nos compostos de Fórmu la (I) e/ou um sal farmaceuticamente aceitável dos mesmos (e quaisquer modalidades dos mesmos reveladas no presente documento) for um grupo de fórmula (i), (ii) ou (iii), em que Ra é ciano, os compostos da revelação são inibidores covalentes reversíveis de BTK, isto é, podem formar uma ligação covalente reversível com um grupo tiol de um resíduo de cisteína, em particular, com Cys481 de BTK.[0025] In one embodiment, when R5 in the compounds of Formula (I) and/or a pharmaceutically acceptable salt thereof (and any embodiments thereof disclosed herein) is a group of formula (i), (ii) or (iii), where Ra is cyano, the compounds of the disclosure are reversible covalent inhibitors of BTK, that is, they can form a reversible covalent bond with a thiol group of a cysteine residue, in particular, with Cys481 of BTK.
[0026] [8] Em uma outra modalidade, quando R5 nos compostos de Fórmula (I) e/ou um sal farmaceuticamente aceitável dos mesmos (e quaisquer modalidades dos mesmos reveladas no presente documento) for um grupo de fórmula (i), (ii) ou (iii) em que Ra é hidrogênio ou flúor ou R5 é[0026] [8] In another embodiment, when R5 in the compounds of Formula (I) and/or a pharmaceutically acceptable salt thereof (and any embodiments thereof disclosed herein) is a group of formula (i), ( ii) or (iii) where Ra is hydrogen or fluorine or R5 is
[0027] um grupo de fórmula (iv), os compostos da revelação são inibidores covalentes reversíveis de BTK, isto é, podem formar uma ligação covalente reversível com um grupo tiol de um resíduo de cisteína, em particular com Cys481 de BTK.[0027] a group of formula (iv), the compounds of the disclosure are reversible covalent inhibitors of BTK, that is, they can form a reversible covalent bond with a thiol group of a cysteine residue, in particular with Cys481 of BTK.
[0028] Em um segundo aspecto, esta revelação está direcionada a uma composição farmacêutica que compreende um composto da Fórmula (I), (ou qualquer uma dentre as modalidades do mesmo descritas no presente documento), e/ou um sal farmaceuticamente aceitável do mesmo; e um excipiente farmaceuticamente aceitável. (a)Na modalidade (a) do segundo aspecto, a formulação é uma formulação oral sólida que compreende: (i)um composto de Fórmula (I) e/ou um sal farmaceutica- mente aceitável do mesmo (ou qualquer modalidade do mesmo divulgada no presente documento): e (ii)meios para a liberação do dito composto e/ou um sal farmaceuticamente aceitável do mesmo no intestino. (b) Na modalidade (b) do segundo aspecto, a formulação é uma formulação oral sólida que compreende meios para a liberação de uma quantidade terapeuticamente eficaz de um composto de Fórmula (I) e/ou um sal farmaceuticamente aceitável do mesmo (ou qualquer modalidade do mesmo revelada no presente documento) a partir da dita formulação oral no intestino.[0028] In a second aspect, this disclosure is directed to a pharmaceutical composition comprising a compound of Formula (I), (or any of the embodiments thereof described herein), and/or a pharmaceutically acceptable salt thereof. ; and a pharmaceutically acceptable excipient. (a) In embodiment (a) of the second aspect, the formulation is a solid oral formulation comprising: (i) a compound of Formula (I) and/or a pharmaceutically acceptable salt thereof (or any embodiment thereof disclosed herein): and (ii) means for releasing said compound and/or a pharmaceutically acceptable salt thereof in the intestine. (b) In embodiment (b) of the second aspect, the formulation is a solid oral formulation comprising means for delivering a therapeutically effective amount of a compound of Formula (I) and/or a pharmaceutically acceptable salt thereof (or any modality thereof disclosed herein) from said oral formulation in the intestine.
[0029] Dentro da modalidade (a) ou (b), em uma modalidade, o composto de Fórmula (I) e/ou um sal farmaceuticamente aceitável do mesmo (ou qualquer modalidade do mesmo revelada no presente do-cumento) é liberado no intestino delgado.[0029] Within embodiment (a) or (b), in one embodiment, the compound of Formula (I) and/or a pharmaceutically acceptable salt thereof (or any embodiment thereof disclosed in the present document) is released into the small intestine.
[0030] Em ainda outra modalidade da modalidade (a) ou (b) e mo dalidades contidas nas mesmas, em que (i) o composto de Fórmula (I) e/ou um sal farmaceuticamente aceitável do mesmo (ou modalidades do mesmo reveladas no presente documento); e/ou (ii) a forma de dosagem que compreende um composto de Formula (I) (ou modalidades do mesmo reveladas no presente documento); e/ou um sal farmaceuticamente aceitável do mesmo; é revestido com pelo menos um revestimento, em que o dito revestimento é independentemente escolhido a partir de (quando mais de um revestimento está presente) revestimento entérico e um revestimento de liberação retardada não entérico, preferencialmente, o revestimento é um ou mais revestimentos entéricos.[0030] In yet another embodiment of modality (a) or (b) and modalities contained therein, wherein (i) the compound of Formula (I) and/or a pharmaceutically acceptable salt thereof (or modalities thereof disclosed in this document); and/or (ii) the dosage form comprising a compound of Formula (I) (or embodiments thereof disclosed herein); and/or a pharmaceutically acceptable salt thereof; is coated with at least one coating, wherein said coating is independently chosen from (when more than one coating is present) enteric coating and a non-enteric delayed release coating, preferably, the coating is one or more enteric coatings.
[0031] Em uma modalidade, quando o composto de Fórmula (I) e/ou um sal farmaceuticamente aceitável do mesmo (ou modalidades do mesmo reveladas no presente documento) e/ou a forma de dosagem que compreende o composto de Fórmula (I) e/ou um sal farma- ceuticamente aceitável do mesmo (ou modalidades do mesmo reveladas no presente documento) é revestido com um revestimento entérico, o revestimento entérico é um polímero. Em uma outra modalidade, quando o composto de Fórmula (I) e/ou um sal farmaceuticamente aceitável do mesmo e/ou a forma de dosagem que compreende o composto de Fórmula (I) e/ou um sal farmaceuticamente aceitável do mesmo é revestido com um revestimento entérico, o revestimento entérico é um polímero aniônico selecionado a partir de polimetacrilatos (por exemplo, poli(ácido metacrílico, metacrilato), poli(ácido metacríli- co, metacrilato de metila)); polímeros à base de celulose (por exemplo, acetato ftalato de celulose CAP, acetato trimelitato de celulose CAT, acetato succinato de celulose CAS, ftalato de hidroxipropilmetil- celulose HPMCP, acetato succinato de hidroxipropilmetilcelulose HPMCAS) e derivados de polivinila como acetato ftalato de polivinila PVAP. Em ainda outra modalidade, o revestimento entérico se desgasta no trato gastrointestinal que tem um pH de cerca de 4,5 a cerca de 7 ou de cerca de 5 ou 5,5 a cerca de 7 para liberar o composto de Fórmula (I) e/ou um sal farmaceuticamente aceitável do mesmo (ou modalidades do mesmo reveladas no presente docu- mento).[0031] In one embodiment, when the compound of Formula (I) and/or a pharmaceutically acceptable salt thereof (or modalities thereof disclosed herein) and/or the dosage form comprising the compound of Formula (I) and/or a pharmaceutically acceptable salt thereof (or embodiments thereof disclosed herein) is coated with an enteric coating, the enteric coating is a polymer. In another embodiment, when the compound of Formula (I) and/or a pharmaceutically acceptable salt thereof and/or the dosage form comprising the compound of Formula (I) and/or a pharmaceutically acceptable salt thereof is coated with an enteric coating, the enteric coating is an anionic polymer selected from polymethacrylates (e.g., poly(methacrylic acid, methacrylate), poly(methacrylic acid, methyl methacrylate)); cellulose-based polymers (e.g., cellulose acetate phthalate CAP, cellulose acetate trimellitate CAT, cellulose acetate succinate CAS, hydroxypropylmethylcellulose acetate phthalate HPMCP, hydroxypropylmethylcellulose acetate succinate HPMCAS) and polyvinyl derivatives such as polyvinyl acetate phthalate PVAP . In yet another embodiment, the enteric coating wears off in the gastrointestinal tract which has a pH of about 4.5 to about 7 or of about 5 or 5.5 to about 7 to release the compound of Formula (I) and /or a pharmaceutically acceptable salt thereof (or embodiments thereof disclosed herein).
[0032] Quando um revestimento não entérico é empregado, as formas de dosagem de liberação retardada não entéricas podem ser administradas no estado em jejum e o revestimento de liberação retar-dada pode ser projetado para se desgastar, romper ou se tornar alta-mente permeável em cerca de 0,3 a cerca de 3 horas ou em cerca de 0,5 a cerca de 2 horas após a administração para liberar o composto de Fórmula (I) (ou modalidades do mesmo reveladas no presente do-cumento) e/ou um sal farmaceuticamente aceitável do mesmo.[0032] When a non-enteric coating is employed, non-enteric delayed-release dosage forms can be administered in the fasted state and the delayed-release coating can be designed to wear off, rupture or become highly permeable. in about 0.3 to about 3 hours or in about 0.5 to about 2 hours after administration to release the compound of Formula (I) (or embodiments thereof disclosed herein) and/or a pharmaceutically acceptable salt thereof.
[0033] Em um terceiro aspecto, esta revelação está direcionada a um método para tratar uma doença tratável por inibição de BTK em um mamífero com necessidade do mesmo, tal método compreende admi-nistrar ao mamífero com necessidade do mesmo, uma composição farmacêutica que compreende uma quantidade terapeuticamente eficaz de um composto de Fórmula (I) (ou qualquer uma das modalidades do mesmo descritas no presente documento) e/ou um sal farma- ceuticamente aceitável do mesmo, e um excipiente farmaceuticamente aceitável. Em uma modalidade, a doença é câncer, doenças autoimu- nes, inflamatórias ou tromboembólicas. Em uma modalidade, a doença é leucoencefalite hemorrágica necrosante, encefalomielite disseminada aguda, doença de Addison, agamaglobulinemia, alopécia areata, alopécia universal, amiloidose, espondilite anquilosante, nefrite anti- GBM/Anti-TBM, síndrome antifosfolípidica (SAF), síndrome dos anticorpos antifosfolipídicos, anemia aplástica, artrite, angioedema autoi- mune, disautonomia autoimune, hepatite autoimune, hiperlipidemia autoimune, imunodeficiência autoimune, doença autoimune do ouvido interno (AIED), miocardite autoimune, ooforite autoimune, pancreatite autoimune, retinopatia autoimune, púrpura trombocitopênica autoimune (ATP), doença da tiroide autoimune, urticária autoimune, anemia hemolítica autoimune, neuropatias axonal e neuronal, doença de Baló, doença de Behcet, penfigoide bolhoso, cardiomiopatia, doença de Castleman, doença celíaca, doença de Chagas, síndrome de fadiga crônica, polineuropatia desmielinizante inflamatória crônica (CIDP), osteomielite crônica multifocal recorrente (CRMO), síndrome de Churg- Strauss, penfigoide cicatricial/penfigoide mucoso benigno, doença celíaca, síndrome de Cogans, doença de aglutinina fria, bloqueio cardíaco congênito, miocardite por Coxsackie, doença CREST, doença de Crohn, neuropatias desmielinizantes, dermatite herpetiforme, dermatomiosite, doença de Devic (neuromielite óptica), diabetes, lúpus discoide, síndrome de Dressler, olho seco, disautonomia, endometriose, esofagite eosinofílica, fasciite eosinofílica, eritema nodoso, crioglobulinemia mista essencial, síndrome de Evans, encefalomielite alérgica experimental, fibromialgia , alveolite fibrosante, arterite de células gigantes (arterite temporal), miocardite de células gigantes, glomerulonefrite, síndrome de Goodpasture, granulomatose com poliangiite (GPA) (anteriormente chamada de granulomatose de Wegener), doença de Graves, síndrome de Guillain- Barre, tiroidite de Hashimoto, anemia hemolítica, púrpura de Henoch- Schonlein, herpes gestacional, hipogamaglobulinemia, fibrose pulmonar idiopática, púrpura trombocitopênica idiopática (ITP), nefropatia de IgA, doença esclerosante associada a IgG4, lipoproteínas imunorreguladoras, miosite de corpos de inclusão, doença inflamatória intestinal, cistite intersticial, artrite juvenil, diabetes juvenil (diabetes tipo 1), miosite juvenil, síndrome de Kawasaki, síndrome de Lambert-Eaton, vasculite leucocitoclástica, líquen plano, líquen escleroso, conjuntivite lenhosa, doença por IgA linear (LAD), lúpus (SLE), lúpus incluindo nefrite lúpica, doença de Lyme, doença de Meniere crônica, poliangeíte microscópica, doença mista do tecido conjuntivo (MCTD), úlcera de Mooren, doença de Mucha-Habermann, penfigóide da membrana mucosa, esclerose múltipla, miastenia grave, miosite, narcolepsia, neuromiotonia, neutropenia, penfigoide cicatricial ocular, síndrome de opsoclonus-myoclonus, neurite ótica, tiroidite de Ord, osteoartrite, reumatismo palindrômico, PANDAS (distúrbios neuropsiquiátricos autoimunes pediátricos associados a estreptococos), degeneração cerebelar paraneoplásica, hemoglobinúria paroxística noturna (PNH), síndrome de Parry Romberg, pars planitis (uveíte periférica), síndrome de Parsonnage-Turner, neuropatia periférica, encefalomielite perivenosa, anemia perniciosa, pênfigo, como pênfigo vulgar, pênfigo foliáceo, síndrome de POEMS, poliarterite nodosa, polimialgia reumática, polimiosite, síndrome pós-infarto do miocárdio, síndrome pós-pericardiotomia, cirrose biliar primária, colangite esclerosante primária, cirrose biliar primária, dermatite à progesterona, psoríase, artrite psoriásica, psoriaticartrite, aplasia pura de células vermelhas, pioderma gangrenoso, fenômeno de Raynaud, artrite reativa, distrofia simpático reflexa, síndrome de Reiter, policondrite recorrente, síndrome das pernas inquietas, fibrose retroperitoneal, febre reumática, artrite reumatoide, sarcoidose, síndrome de Schmidt, esclerite, escleroderma, síndrome de Sjogren, autoimunidade de esperma e testicular, síndrome da pessoa rígida, doença de Still, endocardite bacteriana subaguda (SBE), síndrome de Susac, oftalmia simpática, arterite de Takayasu, arterite temporal/arterite de células gigantes, púrpura trombocitopênica (TTP), síndrome de Tolosa- Hunt, mielite transversa, síndromes poliglandulares autoimunes Tipo I, II e III, colite ulcerativa, doença de tecido conjuntivo não diferenciado (UCTD), uveíte, vasculite, dermatose vesicobolhosa, vitiligo, vulvodínia ou lúpus.[0033] In a third aspect, this disclosure is directed to a method for treating a disease treatable by inhibition of BTK in a mammal in need thereof, such method comprising administering to the mammal in need thereof, a pharmaceutical composition comprising a therapeutically effective amount of a compound of Formula (I) (or any of the embodiments thereof described herein) and/or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable excipient. In one embodiment, the disease is cancer, autoimmune, inflammatory or thromboembolic diseases. In one embodiment, the disease is necrotizing hemorrhagic leukoencephalitis, acute disseminated encephalomyelitis, Addison's disease, agammaglobulinemia, alopecia areata, alopecia universalis, amyloidosis, ankylosing spondylitis, anti-GBM/Anti-TBM nephritis, antiphospholipid syndrome (APS), antibody syndrome antiphospholipids, aplastic anemia, arthritis, autoimmune angioedema, autoimmune dysautonomia, autoimmune hepatitis, autoimmune hyperlipidemia, autoimmune immunodeficiency, autoimmune inner ear disease (AIED), autoimmune myocarditis, autoimmune oophoritis, autoimmune pancreatitis, autoimmune retinopathy, autoimmune thrombocytopenic purpura (ATP ), autoimmune thyroid disease, autoimmune urticaria, autoimmune hemolytic anemia, axonal and neuronal neuropathies, Baló's disease, Behcet's disease, bullous pemphigoid, cardiomyopathy, Castleman's disease, celiac disease, Chagas disease, chronic fatigue syndrome, demyelinating polyneuropathy chronic inflammatory disease (CIDP), chronic recurrent multifocal osteomyelitis (CRMO), Churg-Strauss syndrome, cicatricial pemphigoid/benign mucous pemphigoid, celiac disease, Cogans syndrome, cold agglutinin disease, congenital heart block, Coxsackie myocarditis, CREST disease, Crohn's disease, demyelinating neuropathies, dermatitis herpetiformis, dermatomyositis, Devic's disease (neuromyelitis optica), diabetes, discoid lupus, Dressler's syndrome, dry eye, dysautonomia, endometriosis, eosinophilic esophagitis, eosinophilic fasciitis, erythema nodosum, essential mixed cryoglobulinemia, syndrome of Evans, experimental allergic encephalomyelitis, fibromyalgia, fibrosing alveolitis, giant cell arteritis (temporal arteritis), giant cell myocarditis, glomerulonephritis, Goodpasture syndrome, granulomatosis with polyangiitis (GPA) (formerly called Wegener's granulomatosis), Graves' disease , Guillain-Barre syndrome, Hashimoto's thyroiditis, hemolytic anemia, Henoch-Schonlein purpura, herpes gestativa, hypogammaglobulinemia, idiopathic pulmonary fibrosis, idiopathic thrombocytopenic purpura (ITP), IgA nephropathy, IgG4-associated sclerosing disease, immunoregulatory lipoproteins, myositis of inclusion bodies, inflammatory bowel disease, interstitial cystitis, juvenile arthritis, juvenile diabetes (type 1 diabetes), juvenile myositis, Kawasaki syndrome, Lambert-Eaton syndrome, leukocytoclastic vasculitis, lichen planus, lichen sclerosus, ligneous conjunctivitis, Linear IgA (LAD), lupus (SLE), lupus including lupus nephritis, Lyme disease, chronic Meniere's disease, microscopic polyangiitis, mixed connective tissue disease (MCTD), Mooren's ulcer, Mucha-Habermann disease, membrane pemphigoid mucosa, multiple sclerosis, myasthenia gravis, myositis, narcolepsy, neuromyotonia, neutropenia, ocular cicatricial pemphigoid, opsoclonus-myoclonus syndrome, optic neuritis, Ord's thyroiditis, osteoarthritis, palindromic rheumatism, PANDAS (pediatric autoimmune neuropsychiatric disorders associated with streptococci), degeneration paraneoplastic cerebellar disease, paroxysmal nocturnal hemoglobinuria (PNH), Parry Romberg syndrome, pars planitis (peripheral uveitis), Parsonnage-Turner syndrome, peripheral neuropathy, perivenous encephalomyelitis, pernicious anemia, pemphigus such as pemphigus vulgaris, pemphigus foliaceus, POEMS syndrome, polyarteritis nodosa, polymyalgia rheumatica, polymyositis, post-myocardial infarction syndrome, post-pericardiotomy syndrome, primary biliary cirrhosis, primary sclerosing cholangitis, primary biliary cirrhosis, progesterone dermatitis, psoriasis, psoriatic arthritis, psoriaticarthritis, pure red cell aplasia, pyoderma gangrenous, Raynaud's phenomenon, reactive arthritis, reflex sympathetic dystrophy, Reiter's syndrome, recurrent polychondritis, restless legs syndrome, retroperitoneal fibrosis, rheumatic fever, rheumatoid arthritis, sarcoidosis, Schmidt's syndrome, scleritis, scleroderma, Sjogren's syndrome, autoimmunity of sperm and testicular, stiff person syndrome, Still's disease, subacute bacterial endocarditis (SBE), Susac syndrome, sympathetic ophthalmia, Takayasu arteritis, temporal arteritis/giant cell arteritis, thrombocytopenic purpura (TTP), Tolosa-Hunt syndrome , transverse myelitis, autoimmune polyglandular syndromes Type I, II and III, ulcerative colitis, undifferentiated connective tissue disease (UCTD), uveitis, vasculitis, vesicobullous dermatosis, vitiligo, vulvodynia or lupus.
[0034] Em uma modalidade do terceiro aspecto, o mamífero está sofrendo de uma doença autoimune, por exemplo, doença inflamatória intestinal, artrite, lúpus, incluindo nefrite lúpica, artrite reumatoide, artri te psoriática, osteoartrite, doença de Still, artrite juvenil, diabetes, mi- astenia grave, granulomatose com poliangeíte, tiroidite de Hashimoto, tiroidite de Ord, doença de Graves, síndrome de Sjogren, olho seco (incluindo olho seco de Sjogren e olho seco não-Sjogren), esclerose múltipla, síndrome de Guillain-Barre, encefalomielite disseminada aguda, doença de Addison, síndrome de opsoclonus-mioclonus, espondili- te anquilosante, síndrome do anticorpo antifosfolipídico, anemia aplás- tica, hepatite autoimune, doença celíaca, síndrome de Goodpasture, púrpura trombocitopênica idiopática, neurite ótica, escleroderma, cirrose biliar primária, síndrome de Reiter, artrite de Takayasu, artrite temporal, anemia hemolítica autoimune, granulomatose de Wegener, pso- ríase, alopecia universal, doença de Behcet, fadiga crônica, disauto- nomia, endometriose, cistite intersticial, neuromiotonia, escleroderma, pênfigo, como pênfigo vulgar e/ou foliáceo, penfigoide bolhoso, degeneração macular relacionada à idade (úmida e seca), edema macular diabético, transplante de córnea, aneurisma da aorta abdominal, penfi- goide da membrana mucosa ou vulvodínia.[0034] In an embodiment of the third aspect, the mammal is suffering from an autoimmune disease, for example, inflammatory bowel disease, arthritis, lupus, including lupus nephritis, rheumatoid arthritis, psoriatic arthritis, osteoarthritis, Still's disease, juvenile arthritis, diabetes, myasthenia gravis, granulomatosis with polyangiitis, Hashimoto's thyroiditis, Ord's thyroiditis, Graves' disease, Sjogren's syndrome, dry eye (including Sjogren's dry eye and non-Sjogren's dry eye), multiple sclerosis, Guillain's syndrome Barre, acute disseminated encephalomyelitis, Addison's disease, opsoclonus-myoclonus syndrome, ankylosing spondylitis, antiphospholipid antibody syndrome, aplastic anemia, autoimmune hepatitis, celiac disease, Goodpasture syndrome, idiopathic thrombocytopenic purpura, optic neuritis, scleroderma, primary biliary cirrhosis, Reiter's syndrome, Takayasu's arthritis, temporal arthritis, autoimmune hemolytic anemia, Wegener's granulomatosis, psoriasis, alopecia universalis, Behcet's disease, chronic fatigue, dysautonomia, endometriosis, interstitial cystitis, neuromyotonia, scleroderma, pemphigus, such as pemphigus vulgaris and/or foliaceus, bullous pemphigoid, age-related macular degeneration (wet and dry), diabetic macular edema, corneal transplant, abdominal aortic aneurysm, mucous membrane pemphigoid or vulvodynia.
[0035] Em uma outra modalidade, a doença autoimune é lúpus, pênfigo vulgar, miastenia grave, síndrome de Sjogren, olho seco, es-clerose múltipla, granulomatose de Wegener, anemia hemolítica au- toimune, púrpura trombocitopênica idiopática, granulomatose com po- liangeíte ou artrite reumatoide.[0035] In another modality, the autoimmune disease is lupus, pemphigus vulgaris, myasthenia gravis, Sjogren's syndrome, dry eye, multiple sclerosis, Wegener's granulomatosis, autoimmune hemolytic anemia, idiopathic thrombocytopenic purpura, granulomatosis with po- liangitis or rheumatoid arthritis.
[0036] Em uma outra modalidade do terceiro aspecto, o mamífero está sofrendo de uma doença ou afecção heteroimune, por exemplo, doença do enxerto contra o hospedeiro, transplantação, transfusão, anafilaxia, alergia, hipersensibilidade do tipo I, conjuntivite alérgica, rinite alérgica e dermatite atópica. Em uma outra modalidade, a doença é dermatite atópica.[0036] In another embodiment of the third aspect, the mammal is suffering from a heteroimmune disease or condition, for example, graft-versus-host disease, transplantation, transfusion, anaphylaxis, allergy, type I hypersensitivity, allergic conjunctivitis, allergic rhinitis and atopic dermatitis. In another embodiment, the disease is atopic dermatitis.
[0037] Em ainda outra modalidade do terceiro aspecto, o mamífero está sofrendo de uma doença inflamatória, por exemplo, asma, apen- dicite, blefarite, bronquiolite, bronquite, bursite, cervicite, colangite, co- lecistite, colite, conjuntivite, cistite, dacrioadenite, dermatite, dermato- miosite, encefalite, endocardite, endometrite, enterite, enterocolite, epicondilite, epididimite, fasciite, fibrosite, gastrite, gastroenterite, he-patite, hidradenite supurativa, laringite, mastite, meningite, mielite mio- cardite, miosite, nefrite, ooforite, orquite, osteite, otite, pancreatite, pa- rotite, pericardite, peritonite, faringite, pleurite, flebite, pneumonite, pneumonia, proctite, prostatite, pielonefrite, rinite, salpingite, sinusite, estomatite, sinovite, tendonite, tonsilite, uveíte, vaginite, vasculite ou vulvite. Em outra modalidade deste aspecto, o mamífero está sofrendo de doença inflamatória da pele que inclui, a título de exemplo, dermatite, dermatite de contato, eczema, urticária, rosácea e lesões psoriáti- cas cicatrizantes na pele, articulações ou em outros tecidos ou órgãos. Em uma outra modalidade, a doença inflamatória é asma ou dermatite.[0037] In yet another embodiment of the third aspect, the mammal is suffering from an inflammatory disease, for example, asthma, appendicitis, blepharitis, bronchiolitis, bronchitis, bursitis, cervicitis, cholangitis, cholecystitis, colitis, conjunctivitis, cystitis , dacryoadenitis, dermatitis, dermatomyositis, encephalitis, endocarditis, endometritis, enteritis, enterocolitis, epicondylitis, epididymitis, fasciitis, fibrositis, gastritis, gastroenteritis, hepatitis, hidradenitis suppurativa, laryngitis, mastitis, meningitis, myelitis myocarditis, myositis , nephritis, oophoritis, orchitis, osteitis, otitis, pancreatitis, parotitis, pericarditis, peritonitis, pharyngitis, pleuritis, phlebitis, pneumonitis, pneumonia, proctitis, prostatitis, pyelonephritis, rhinitis, salpingitis, sinusitis, stomatitis, synovitis, tendonitis, tonsillitis , uveitis, vaginitis, vasculitis or vulvitis. In another embodiment of this aspect, the mammal is suffering from an inflammatory skin disease that includes, by way of example, dermatitis, contact dermatitis, eczema, urticaria, rosacea and scarring psoriatic lesions on the skin, joints or other tissues or organs. . In another embodiment, the inflammatory disease is asthma or dermatitis.
[0038] Em ainda outra modalidade do terceiro aspecto, o mamífero está sofrendo de doença inflamatória e/ou autoimune, incluindo doença autoimune e/ou inflamatória aguda, em que a terapia de corticoes- teroide é usada como a terapia de primeira ou segunda linha ou terapia de manutenção de primeira ou segunda linha. Em uma modalidade, o composto de Fórmula (I) (ou quaisquer modalidades do mesmo reveladasno presente documento) é usado para o tratamento de:[0038] In yet another embodiment of the third aspect, the mammal is suffering from inflammatory and/or autoimmune disease, including acute autoimmune and/or inflammatory disease, in which corticosteroid therapy is used as the first or second line therapy. or first- or second-line maintenance therapy. In one embodiment, the compound of Formula (I) (or any embodiments thereof disclosed herein) is used for the treatment of:
[0039] Distúrbios Endócrinos: Insuficiência adrenocortical primária ou secundária (hidrocortisona ou cortisona é a primeira escolha: análogos sintéticos podem ser usados em conjunto com mineralocorti- coides onde aplicável; em suplementação de mineralocorticoide da infância é de importância particular); hiperplasia adrenal congênita; tireoidite não supurativa; hipercalcemia associada a câncer.[0039] Endocrine Disorders: Primary or secondary adrenocortical insufficiency (hydrocortisone or cortisone is the first choice: synthetic analogues can be used in conjunction with mineralocorticoids where applicable; in childhood mineralocorticoid supplementation is of particular importance); congenital adrenal hyperplasia; non-suppurative thyroiditis; hypercalcemia associated with cancer.
[0040] Distúrbios Reumáticos: Como Terapia Adjunta Para Adminis Tração A Curto Prazo (Para O Paciente Suportar Uma Exacerbação Ou Episódio Agudo) Em: Artrite Psoriática, Artrite Reumatoide, Incluindo Ar- trite Reumatoide Juvenil (Casos Selecionados Podem Exigir Terapia De Manutenção De Dose Baixa), Espondilite Anquilosante, Bursite Aguda E Subaguda, Tenosinovite Aguda Não Específica, Gota, Artrite Gotosa Aguda, Osteoartrite Pós-traumática, Sinovite De Osteoartrite, Epicondilite.[0040] Rheumatic Disorders: As Adjunct Therapy for Short-Term Traction Management (For the Patient to Endure an Exacerbation or Acute Episode) In: Psoriatic Arthritis, Rheumatoid Arthritis, Including Juvenile Rheumatoid Arthritis (Selected Cases May Require Dose Maintenance Therapy Low), Ankylosing Spondylitis, Acute And Subacute Bursitis, Acute Non-Specific Tenosynovitis, Gout, Acute Gouty Arthritis, Post-traumatic Osteoarthritis, Osteoarthritis Synovitis, Epicondylitis.
[0041] Doenças de Colágeno: Durante uma exacerbação ou como terapia de manutenção em casos selecionados de: lúpus eritematoso sistêmico, dermatomiosite sistêmico (polimiosite), cardite reumática aguda.[0041] Collagen Diseases: During an exacerbation or as maintenance therapy in selected cases of: systemic lupus erythematosus, systemic dermatomyositis (polymyositis), acute rheumatic carditis.
[0042] Doenças dermatológicas: Pênfigo; dermatite herpetiforme bolhosa; eritema multiforme severo (síndrome de Stevens-Johnson); dermatite esfoliativa; micose fungoide; psoríase severa; dermatite se- borreica severa.[0042] Dermatological diseases: Pemphigus; bullous herpetiform dermatitis; severe erythema multiforme (Stevens-Johnson syndrome); exfoliative dermatitis; mycosis fungoides; severe psoriasis; severe seborrheic dermatitis.
[0043] Estados alérgicos: Controle de condições alérgicas incapa- citantes ou severas intratáveis para adequar testes de tratamento con-vencional: rinite alérgica perene ou sazonal; asma brônquica; dermatite de contato; dermatite atópica; doença sérica; reações de hipersen- sibilidade a fármaco.[0043] Allergic states: Control of disabling or severe intractable allergic conditions to adapt conventional treatment tests: perennial or seasonal allergic rhinitis; bronchial asthma; contact dermatitis; atopic dermatitis; serum disease; drug hypersensitivity reactions.
[0044] Doenças oftálmicas: Os processos inflamatórios e alérgicos crônicos e agudos severos que envolvem o olho e seu anexo, como: úlceras marginais da córnea alérgicas, herpes-zóster oftálmico, infla-mação de segmento anterior, uveíte posterior difusa e coroidite, oftal- mia simpática, conjuntivite alérgica, ceratite, corioretinite, neurite ótica, irite e iridociclite.[0044] Ophthalmic diseases: Severe chronic and acute inflammatory and allergic processes involving the eye and its annex, such as: allergic marginal corneal ulcers, ophthalmic herpes zoster, anterior segment inflammation, diffuse posterior uveitis and choroiditis, ophthalmic - sympathetic mia, allergic conjunctivitis, keratitis, chorioretinitis, optic neuritis, iritis and iridocyclitis.
[0045] Doenças respiratórias: Sarcoidose sintomática; síndrome de Loeffler não gerenciável por outros meios; beriliose; pneumonite por aspiração, tuberculose pulmonar disseminada ou fulminante quando usado simultaneamente com quimioterapia antituberculose adequada[0045] Respiratory diseases: Symptomatic sarcoidosis; Loeffler syndrome not manageable by other means; berylliosis; aspiration pneumonitis, disseminated or fulminant pulmonary tuberculosis when used simultaneously with appropriate antituberculosis chemotherapy
[0046] Distúrbios hematológicos: Púrpura trombocitopênica idiopá- tica em adultos; trombocitopenia secundária em adultos; anemia he- molítica adquirida (autoimune); eritroblastopenia (anemia RBC); ane mia hipoplásica congênita (eritroide).[0046] Hematological disorders: Idiopathic thrombocytopenic purpura in adults; secondary thrombocytopenia in adults; acquired hemolytic anemia (autoimmune); erythroblastopenia (RBC anemia); congenital hypoplastic anemia (erythroid).
[0047] Doenças neoplásicas: Para gerenciamento paliativo de: leucemias e linfomas em adultos, leucemia aguda da infância.[0047] Neoplastic diseases: For palliative management of: leukemias and lymphomas in adults, acute childhood leukemia.
[0048] Estados edematosos: Para induzir uma diurese ou remis são de proteinúria na síndrome nefrótica, sem uremia, do tipo idiopáti- co ou aquele devido ao lúpus eritematoso.[0048] Edematous states: To induce diuresis or remission of proteinuria in nephrotic syndrome, without uremia, of the idiopathic type or that due to lupus erythematosus.
[0049] Doenças gastrointestinais: Para o paciente suportar um pe ríodo crítico da doença em: colite ulcerativa, enterite regional.[0049] Gastrointestinal diseases: For the patient to endure a critical period of the disease in: ulcerative colitis, regional enteritis.
[0050] Diversos: Meningite tuberculosa com bloco subaracnoide ou bloco iminente quando usado simultaneamente com quimioterapia antituberculose adequada; triquinose com envolvimento do miocárdio ou neurológico.[0050] Miscellaneous: Tuberculous meningitis with subarachnoid block or imminent block when used simultaneously with appropriate anti-tuberculosis chemotherapy; trichinosis with myocardial or neurological involvement.
[0051] O composto de Fórmula (I) e/ou um sal farmaceuticamente aceitável do mesmo pode ser usado para o tratamento das doenças listadas acima opcionalmente em combinação com um corticosteroide, agentes não corticosteroidais, imunossupressores e/ou anti- inflamatórios. Em uma modalidade, o agente imunossuppressor é se-lecionado a partir de interferon alfa, interferon gama, ciclofosfamida, tacrolimus, micofenolato mofetil, metotrexato, dapsona, sulfasalazina, azatioprina, um agente anti- CD20 (como rituximabe, ofatumumabe, obinutuzumabe ou veltuzumabe ou uma versão biologicamente similar dos mesmos), agente anti-TNFalfa (como entanercepte, infliximabe, golilumabe, adalimumabe ou certolizumabe pegol ou uma versão biologicamente dos mesmos), agente anti-IL6 em direção a ligante ou seus receptores (como tocilizumabe, sarilumabe, oloquizumabe, elsililumabe ou siltuximabe), agente anti-IL17 para ligante ou seus receptores (como secuquinumabe, ustequinumabe, brodalumabe ou ixequizumabe), agente anti-IL1 para ligante ou seus receptores (como rilonacepte, canaquinumabe ou anakinra), agente anti-IL2 para ligante ou seus receptores (como basiliximabe ou daclizumabe), agente anti- CD2, como alefacepte, agente anti-CD3 como muromonabe- cd3, agente anti-CD80/86 como abatacepte ou belatacepte, agente de receptor anti-esfingosina-1-fosfato como fingolimode, agente anti-C5 como eculizumabe, agente anti-integrina alfa 4 como natalizumabe, agente anti- α4β7 como vedolizumabe, agente anti-mTOR como sirolimus ou everolimus, agente anti-calcineurina como tacrolimus, e agente anti-BAFF/BlyS (como belimumabe, VAY736 ou blisibimod), leflunomida e teriflunomida. De preferência, o agente imunossuppressor é rituximabe, ofatumumabe, obinutuzumabe ou veltuzumabe ou uma versão biologicamente similar dos mesmos.[0051] The compound of Formula (I) and/or a pharmaceutically acceptable salt thereof can be used for the treatment of the diseases listed above optionally in combination with a corticosteroid, non-corticosteroid agents, immunosuppressants and/or anti-inflammatories. In one embodiment, the immunosuppressive agent is selected from interferon alpha, interferon gamma, cyclophosphamide, tacrolimus, mycophenolate mofetil, methotrexate, dapsone, sulfasalazine, azathioprine, an anti-CD20 agent (such as rituximab, ofatumumab, obinutuzumab or veltuzumab or a biologically similar version thereof), anti-TNFalpha agent (such as entanercept, infliximab, golilumab, adalimumab or Certolizumab pegol or a biologically similar version thereof), anti-IL6 agent targeting the ligand or its receptors (such as tocilizumab, sarilumab, olokizumab , elsililumab, or siltuximab), anti-IL17 agent for ligand or its receptors (such as secukinumab, ustekinumab, brodalumab, or ixekizumab), anti-IL1 agent for ligand or its receptors (such as rilonacept, canakinumab, or anakinra), anti-IL2 agent for ligand or its receptors (such as basiliximab or daclizumab), anti-CD2 agent such as alefacept, anti-CD3 agent such as muromonab-cd3, anti-CD80/86 agent such as abatacept or belatacept, anti-sphingosine-1-phosphate receptor agent such as fingolimod , anti-C5 agent such as eculizumab, anti-alpha 4 integrin agent such as natalizumab, anti-α4β7 agent such as vedolizumab, anti-mTOR agent such as sirolimus or everolimus, anti-calcineurin agent such as tacrolimus, and anti-BAFF/BlyS agent (such as belimumab , VAY736 or blisibimod), leflunomide and teriflunomide. Preferably, the immunosuppressive agent is rituximab, ofatumumab, obinutuzumab or veltuzumab or a biologically similar version thereof.
[0052] Em ainda outra modalidade do terceiro aspecto, o mamífero está sofrendo de um câncer. Em uma modalidade, o câncer é um dis-túrbio proliferativo das células B, por exemplo, linfoma difuso de células B grandes, linfoma folicular, linfoma linfocítico crônico (LLC), leucemia linfocítica crônica, leucemia mieloide crônica, leucemia linfoblás- tica aguda de células B (LLA-B), LLA-B positivo para cromossomo Filadélfia, leucemia prolinfocítica das células B, linfoma linfocítico pequeno (LLP), mieloma múltiplo, linfoma não-Hodgkin de células B, lin- foma linfoplasmacítico/macroglobulinemia de Waldenstrom, linfoma esplênico da zona marginal, mieloma de células do plasma, plasma- citoma, linfoma de células B da zona marginal extranodal, linfoma de células B da zona marginal nodal, linfoma de células do manto, linfoma mediastínico (tímico) de células B grandes, linfoma intravascular de células B grandes, linfoma de efusão primária, linfoma/leucemia de burkitt, ou granulomatose linfomatoide.[0052] In yet another embodiment of the third aspect, the mammal is suffering from cancer. In one embodiment, the cancer is a B-cell proliferative disorder, e.g., diffuse large B-cell lymphoma, follicular lymphoma, chronic lymphocytic lymphoma (CLL), chronic lymphocytic leukemia, chronic myeloid leukemia, acute lymphoblastic leukemia of B-cell (B-ALL), Philadelphia chromosome-positive B-ALL, B-cell prolymphocytic leukemia, small lymphocytic lymphoma (SLL), multiple myeloma, B-cell non-Hodgkin's lymphoma, lymphoplasmacytic lymphoma/Waldenstrom's macroglobulinemia, lymphoma splenic marginal zone, plasma cell myeloma, plasma cytoma, extranodal marginal zone B-cell lymphoma, nodal marginal zone B-cell lymphoma, mantle cell lymphoma, mediastinal (thymic) large B-cell lymphoma, lymphoma intravascular large B cell, primary effusion lymphoma, Burkitt's lymphoma/leukemia, or lymphomatoid granulomatosis.
[0053] Em ainda outra modalidade, o mamífero está sofrendo de um distúrbio tromboembólico, por exemplo, infarte do miocárdio, angina de peito, reoclusão após angioplastia, retenose após angioplastia, reoclusão após bypass aortocoronário, restenose após bypass aorto- coronário, acidente vascular cerebral, isquemia transitória, um distúr- bio oclusivo de artéria periférica, embolia pulmonar ou trombose venosa profunda.[0053] In yet another embodiment, the mammal is suffering from a thromboembolic disorder, for example, myocardial infarction, angina pectoris, reocclusion after angioplasty, retenosis after angioplasty, reocclusion after aortocoronary bypass, restenosis after aortocoronary bypass, stroke cerebral, transient ischemia, a peripheral artery occlusive disorder, pulmonary embolism or deep vein thrombosis.
[0054] Em um quarto aspecto, a revelação está direcionada a um composto de Fórmula (I) (e quaisquer modalidades do mesmo descritas no presente documento) e/ou um sal farmaceuticamente aceitável do mesmo para uso como um medicamento. Em uma modalidade, o uso do composto de Fórmula (I) e/ou um sal farmaceuticamente aceitável do mesmo é para o tratamento de uma doença mediada por BTK, por exemplo, a doença é uma doença inflamatória, doença autoimune, câncer ou doenças tromboembólicas descritas no terceiro aspecto e modalidades no mesmo.[0054] In a fourth aspect, the disclosure is directed to a compound of Formula (I) (and any embodiments thereof described herein) and/or a pharmaceutically acceptable salt thereof for use as a medicament. In one embodiment, the use of the compound of Formula (I) and/or a pharmaceutically acceptable salt thereof is for the treatment of a BTK-mediated disease, e.g., the disease is an inflammatory disease, autoimmune disease, cancer, or thromboembolic diseases. described in the third aspect and modalities therein.
[0055] Em um quinto aspecto está o uso de um composto de Fórmula (I) (ou qualquer uma das modalidades do mesmo descritas no presente documento) e/ou um sal farmaceuticamente aceitável do mesmo, na fabricação de um medicamento para tratar uma doença em um mamífero em que BTK contribui para a patologia e/ou sintomas da doença. Em uma modalidade desse aspecto, a doença é câncer, doença autoimune, inflamatória ou tromboembólica descrita no terceiro aspecto e modalidades no mesmo.[0055] In a fifth aspect is the use of a compound of Formula (I) (or any of the modalities thereof described herein) and/or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament to treat a disease in a mammal in which BTK contributes to the pathology and/or symptoms of the disease. In one embodiment of this aspect, the disease is cancer, autoimmune, inflammatory or thromboembolic disease described in the third aspect and embodiments thereof.
[0056] Em qualquer dos aspectos anteriormente mencionados que envolvem o tratamento de câncer, estão modalidades adicionais que compreendem administrar o composto de Fórmula (I) (ou qualquer uma das modalidades do mesmo descritas no presente documento) e/ou um sal farmaceuticamente aceitável do mesmo, em combinação com um agente anticâncer. Quando a terapia de combinação é usada, os agentes podem ser administrados simultaneamente (como um produto farmacêutico de combinação fixo) ou sequencialmente.[0056] In any of the aforementioned aspects involving the treatment of cancer, there are additional modalities that comprise administering the compound of Formula (I) (or any of the modalities thereof described herein) and/or a pharmaceutically acceptable salt of the even in combination with an anticancer agent. When combination therapy is used, the agents can be administered simultaneously (as a fixed combination pharmaceutical product) or sequentially.
[0057] Em um sexto aspecto, esta revelação está direcionada a um intermediário da Fórmula (II): [0057] In a sixth aspect, this revelation is directed to an intermediary of Formula (II):
[0058] em que:[0058] where:
[0059] R1, R2, R3, X, Ar, Y e anel Z são conforme definido no primeiro aspecto acima;[0059] R1, R2, R3, X, Ar, Y and Z ring are as defined in the first aspect above;
[0060] ou um sal do mesmo.[0060] or a salt thereof.
[0061] Em um sétimo aspecto, é fornecido um processo para pre parar: (1). um composto de Fórmula (I) em que Ra é ciano, A é -CR3- e outros grupos são conforme definido acima: ou um sal farmaceuticamente aceitável do mesmo; compreendendo: (a) reagir um composto de Fórmula (II): [0061] In a seventh aspect, a process for preparing is provided: (1). a compound of Formula (I) wherein Ra is cyano, A is -CR3- and other groups are as defined above: or a pharmaceutically acceptable salt thereof; comprising: (a) reacting a compound of Formula (II):
[0062] em que:[0062] where:
[0063] R1, R2, R3, X, Ar, Y e anel Z são conforme definido no primeiro aspecto acima;[0063] R1, R2, R3, X, Ar, Y and Z ring are as defined in the first aspect above;
[0064] com um aldeído de Fórmula RcCHO em que Rc é conforme definido no primeiro aspecto acima; ou (b)reagir um composto de Fórmula (III): [0064] with an aldehyde of Formula RcCHO wherein Rc is as defined in the first aspect above; or (b) react a compound of Formula (III):
[0065] em que:[0065] where:
[0066] R1, R2, R3, X, Ar, Y e Z são conforme definido no primeiro aspecto acima; com um composto de Fórmula RcCH=C(CN)COL em que L é um grupo de saída sob condições de reação de acilação, em que Rc é conforme definido no primeiro aspecto acima; ou[0066] R1, R2, R3, X, Ar, Y and Z are as defined in the first aspect above; with a compound of Formula RcCH=C(CN)COL wherein L is a leaving group under acylation reaction conditions, wherein Rc is as defined in the first aspect above; or
[0067] (2). um composto de Fórmula (I) em que Ra é hidrogênio, A é -CR3- e outros grupos são conforme definido no primeiro aspecto acima; ou um sal farmacêutico do mesmo; que compreende reagir um composto de Fórmula (III): [0067] (2). a compound of Formula (I) wherein Ra is hydrogen, A is -CR3- and other groups are as defined in the first aspect above; or a pharmaceutical salt thereof; which comprises reacting a compound of Formula (III):
[0068] em que:[0068] where:
[0069] R1, R2, R3, X, Ar, Y e anel Z são conforme definido no primeiro aspecto acima;[0069] R1, R2, R3, X, Ar, Y and Z ring are as defined in the first aspect above;
[0070] com um composto de Fórmula RcRbC=CHCOL em que L é um grupo de saída sob condições de reação de acilação, em que Rb e Rc são conforme definido no primeiro aspecto acima; (c) opcionalmente produzir um sal de adição ácido de um composto obtido a partir da Etapa (1) ou (2) acima; (d) opcionalmente produzir uma base livre de um composto obtido a partir da Etapa (1) ou (2) acima.[0070] with a compound of Formula RcRbC=CHCOL in which L is a leaving group under acylation reaction conditions, in which Rb and Rc are as defined in the first aspect above; (c) optionally producing an acid addition salt of a compound obtained from Step (1) or (2) above; (d) optionally producing a free base of a compound obtained from Step (1) or (2) above.
[0071] A não ser que indicado de outro modo, os termos usados no relatório descritivo e nas reivindicações a seguir são definidos para os propósitos desta revelação e têm o seguinte significado:[0071] Unless otherwise indicated, the terms used in the following specification and claims are defined for the purposes of this disclosure and have the following meaning:
[0072] "Alquila" significa um radical hidrocarboneto monovalente saturado linear de um a seis átomos de carbono ou um radical hidro- carboneto monovalente saturado ramificado de três a seis átomos de carbono, por exemplo, metila, etila, propila, 2-propila, butila (incluindo todas as formas isoméricas), pentila (incluindo todas as formas isomé- ricas) e similares.[0072] "Alkyl" means a linear saturated monovalent hydrocarbon radical of one to six carbon atoms or a branched saturated monovalent hydrocarbon radical of three to six carbon atoms, for example, methyl, ethyl, propyl, 2-propyl, butyl (including all isomeric forms), pentyl (including all isomeric forms) and the like.
[0073] "Alquileno" significa um radical hidrocarboneto divalente saturado linear de um a seis átomos de carbono ou um radical hidro- carboneto divalente saturado ramificado de três a seis átomos de carbono a não ser que indicado de outro modo, por exemplo, metileno, etileno, propileno, 1-metilpropileno, 2-metilpropileno, butileno, pentileno, e similares.[0073] "Alkylene" means a linear saturated divalent hydrocarbon radical of one to six carbon atoms or a branched saturated divalent hydrocarbon radical of three to six carbon atoms unless otherwise indicated, for example, methylene, ethylene, propylene, 1-methylpropylene, 2-methylpropylene, butylene, pentylene, and the like.
[0074] "Alquilsulfonila" significa um radical -SO2R em que R é al quila como definido acima, por exemplo, metilsulfonila, etilsulfonila e similares.[0074] "Alkylsulfonyl" means a -SO2R radical in which R is alkyl as defined above, for example, methylsulfonyl, ethylsulfonyl and the like.
[0075] "Amino" significa um -NH2.[0075] "Amino" means a -NH2.
[0076] "Alcóxi" significa um radical -OR em que R é alquila como definido acima, por exemplo, metóxi, etóxi, propóxi, ou 2-propóxi, n-, iso- ou terc-butóxi e similares.[0076] "Alkoxy" means an -OR radical in which R is alkyl as defined above, for example, methoxy, ethoxy, propoxy, or 2-propoxy, n-, iso- or tert-butoxy and the like.
[0077] "Alcoxialquila" significa um radical hidrocarboneto monova lente linear de um a seis átomos de carbono ou um radical hidrocarbo- neto monovalente ramificado de três a seis carbonos substituído por um grupo alcóxi (em uma modalidade, um ou dois grupos alcóxi), como definido acima, por exemplo, 2-metoxietila, 1-, 2- ou 3- metoxipropila, 2-etoxietila e similares.[0077] "Alkoxyalkyl" means a linear monovalent hydrocarbon radical of one to six carbon atoms or a branched monovalent hydrocarbon radical of three to six carbons substituted by an alkoxy group (in one embodiment, one or two alkoxy groups), as defined above, for example, 2-methoxyethyl, 1-, 2- or 3-methoxypropyl, 2-ethoxyethyl and the like.
[0078] "Alcoxicarbonila" significa um radical -C(O)OR em que R é alquila como definido acima, por exemplo, metoxicarbonila, etoxicar- bonila e similares.[0078] "Alkoxycarbonyl" means a -C(O)OR radical in which R is alkyl as defined above, for example, methoxycarbonyl, ethoxycarbonyl and the like.
[0079] "Acila" significa um radical -COR em que R é alquila, halo- alquila ou cicloalquila, por exemplo, acetila, propionila, ciclopropilcar- bonila e similares. Quando R é alquila, o radical é também referido aqui como alquilcarbonila.[0079] "Acyl" means a -COR radical in which R is alkyl, haloalkyl or cycloalkyl, for example, acetyl, propionyl, cyclopropylcarbonyl and the like. When R is alkyl, the radical is also referred to herein as alkylcarbonyl.
[0080] "Cicloalquila" significa um radical hidrocarboneto monova lente saturado cíclico de três a dez átomos de carbono em que um ou dois átomos de carbono podem ser substituídos por um grupo oxo, por exemplo, ciclopropila, ciclobutila, ciclopentila ou ciclo-hexila, e similares.[0080] "Cycloalkyl" means a cyclic saturated monovalent hydrocarbon radical of three to ten carbon atoms in which one or two carbon atoms may be replaced by an oxo group, for example, cyclopropyl, cyclobutyl, cyclopentyl or cyclohexyl, and similar.
[0081] "Carbóxi" significa -COOH.[0081] "Carboxy" means -COOH.
[0082] "Halo" significa flúor, cloro, bromo ou iodo; em uma modali dade, flúor ou cloro.[0082] "Halo" means fluorine, chlorine, bromine or iodine; in one embodiment, fluorine or chlorine.
[0083] "Haloalquila" significa radical alquila conforme definido aci ma, que é substituído por um ou um a cinco átomos de halogênio (em uma modalidade, flúor ou cloro) incluindo aqueles substituídos por ha- logênios diferentes, por exemplo, -CH2Cl, -CF3, -CHF2, -CH2CF3, -CF2CF3, -CF(CH3)2, e similares. Quando a alquila é substituída somente por flúor, a mesma pode ser mencionada nesta revelação como fluoroalquila.[0083] "Haloalkyl" means alkyl radical as defined above, which is substituted by one or one to five halogen atoms (in one embodiment, fluorine or chlorine) including those substituted by different halogens, for example, -CH2Cl, -CF3, -CHF2, -CH2CF3, -CF2CF3, -CF(CH3)2, and the like. When the alkyl is replaced only by fluorine, it may be referred to in this disclosure as fluoroalkyl.
[0084] "Haloalcóxi" significa um radical -OR em que R é haloalqui- la conforme definido acima, por exemplo, -OCF3, -OCHF2 e similares. Quando R é haloalquila em que a alquila é substituída apenas por flúor, o mesmo pode ser mencionado nesta revelação como fluoroalcóxi.[0084] "Haloalkoxy" means a -OR radical in which R is haloalkyl as defined above, for example, -OCF3, -OCHF2 and the like. When R is haloalkyl in which the alkyl is replaced only by fluorine, it may be referred to in this disclosure as fluoroalkoxy.
[0085] "Hidroxialquila" significa um radical hidrocarboneto monova lente linear de um a seis átomos de carbono ou um radical hidrocarbo- neto monovalente ramificado de três a seis carbonos substituído por um ou dois grupos hidróxi, desde que se dois grupos hidróxi estiverem presentes não estejam ambos no mesmo átomo de carbono. Os exemplos representativos incluem, mas não estão limitados a, hidro- ximetila, 2- hidroxietila, 2-hidroxipropila, 3-hidroxipropila, 1- (hidroximetil)-2-metilpropila, 2-hidroxibutila, 3-hidroxibutila, 4- hidroxibutila, 2,3-di-hidroxipropila, 1- (hidroximetil)-2-hidroxietila, 2,3-di- hidroxibutila, 3,4-di-hidroxibutila e 2- (hidroximetil)-3-hidroxipropila. Os exemplos adicionais incluem, mas não se limitam a, 2-hidroxietila, 2,3- di-hidroxipropila e 1-(hidroximetil)-2-hidroxietila.[0085] "Hydroxyalkyl" means a linear monovalent hydrocarbon radical of one to six carbon atoms or a branched monovalent hydrocarbon radical of three to six carbons substituted by one or two hydroxy groups, provided that if two hydroxy groups are present not are both on the same carbon atom. Representative examples include, but are not limited to, hydroxymethyl, 2-hydroxyethyl, 2-hydroxypropyl, 3-hydroxypropyl, 1-(hydroxymethyl)-2-methylpropyl, 2-hydroxybutyl, 3-hydroxybutyl, 4-hydroxybutyl, 2 ,3-dihydroxypropyl, 1-(hydroxymethyl)-2-hydroxyethyl, 2,3-dihydroxybutyl, 3,4-dihydroxybutyl and 2-(hydroxymethyl)-3-hydroxypropyl. Additional examples include, but are not limited to, 2-hydroxyethyl, 2,3-dihydroxypropyl and 1-(hydroxymethyl)-2-hydroxyethyl.
[0086] "Heterociclila" significa um grupo bicíclico ou monocíclico monovalente saturado ou insaturado (bicíclico fundido ou bicíclico em ponte) de 4 a 10 átomos de anel, em que um ou dois átomos de anel são heteroátomos selecionados de N, O ou S(O)n, em que n é um número inteiro de 0 a 2, sendo que os átomos de anel restantes são C. Adicionalmente, um ou dois átomos de carbono de anel no anel de heterociclila podem ser opcionalmente substituídos por um grupo -CO. Mais especificamente, o termo heterociclila inclui, mas não se limita a, oxetanila, pirrolidino, piperidino, homopiperidino, 2-oxopirrolidinila, 2- oxopiperidinila, morfolino, piperazino, tetra-hidropiranila, tiomorfolino, hexa- hidropirrolo[1,2-a]pirazin-6(2H)-ona-ila, tetra-hidro-1H- oxazolo[3,4-a]pirazin- 3(5H)-ona-ila, 5,6,7,8-tetra-hidro- [1,2,4]triazolo[4,3-a]pirazina-ila, 3-oxa-8- azabiciclo[3.2.1]octano-ila e similares. Quando o anel de heterociclila é insaturado, o mesmo pode conter uma ou duas ligações duplas de anel desde que o anel não seja aromático.[0086] "Heterocyclyl" means a saturated or unsaturated monovalent bicyclic or monocyclic group (fused bicyclic or bridged bicyclic) of 4 to 10 ring atoms, wherein one or two ring atoms are heteroatoms selected from N, O or S( O)n, where n is an integer from 0 to 2, with the remaining ring atoms being C. Additionally, one or two ring carbon atoms in the heterocyclyl ring may be optionally replaced by a -CO group. More specifically, the term heterocyclyl includes, but is not limited to, oxetanyl, pyrrolidino, piperidino, homopiperidino, 2-oxopyrrolidinyl, 2-oxopiperidinyl, morpholino, piperazino, tetrahydropyranyl, thiomorpholino, hexahydropyrrolo[1,2-a] pyrazin-6(2H)-one-yl, tetrahydro-1H-oxazolo[3,4-a]pyrazin-3(5H)-one-yl, 5,6,7,8-tetrahydro-[1 ,2,4]triazolo[4,3-a]pyrazine-yl, 3-oxa-8-azabicyclo[3.2.1]octane-yl and the like. When the heterocyclyl ring is unsaturated, it may contain one or two ring double bonds as long as the ring is non-aromatic.
[0087] "Heterociclilalquila" significa um radical -(alquileno)-R em que R[0087] "Heterocyclylalkyl" means a radical -(alkylene)-R in which R
[0088] é um anel de heterociclila como definido acima; por exemplo, tetra- hidrofuranilmetila, piperazinilmetila, morfoliniletila e similares.[0088] is a heterocyclyl ring as defined above; for example, tetrahydrofuranylmethyl, piperazinylmethyl, morpholinylethyl and the like.
[0089] "Heterocicloamino" significa um grupo monocíclico monova lente saturado ou insaturado de 4 a 8 átomos de anel no em que um ou dois átomos de anel são heteroátomos selecionados de N, O ou S(O)n, em que n é um número inteiro de 0 a 2, sendo que os átomos de anel restantes são C desde que pelo menos um dos átomos de anel seja N. Adicionalmente, um ou dois átomos de carbono de anel no anel de heterocicloamino podem ser opcionalmente substituídos por um grupo -CO-[0089] "Heterocycloamino" means a saturated or unsaturated monovalent monocyclic group of 4 to 8 ring atoms in which one or two ring atoms are heteroatoms selected from N, O or S(O)n, wherein n is a integer from 0 to 2, with the remaining ring atoms being C as long as at least one of the ring atoms is N. Additionally, one or two ring carbon atoms in the heterocycloamino ring may be optionally substituted by a group - CO-
[0090] Quando o anel de heterocicloamino é insaturado, o mesmo pode conter uma ou duas ligações duplas de anel desde que o anel não seja aromático.[0090] When the heterocycloamino ring is unsaturated, it may contain one or two ring double bonds as long as the ring is not aromatic.
[0091] "Heterocicloaminoalquila" significa um radical -(alquileno)-R em que R é heterocicloamino conforme descrito acima.[0091] "Heterocycloaminoalkyl" means a radical -(alkylene)-R where R is heterocycloamino as described above.
[0092] "Heteroarila" significa um radical aromático monocíclico ou bicíclico monovalente de 5 a 10 átomos de carbono em que um ou mais (em uma modalidade, um, dois ou três) átomos de anel são he- teroátomos selecionados de N, O e S, sendo que os átomos de anel restantes são carbono. Exemplos representativos incluem, mas não estão limitados a, pirrolila, tienila, tiazolila, imidazolila, furanila, indolila, isoindolila, oxazolila, isoxazolila, benzotiazolila, benzoxazolila, quinolinila, isoquinolinila, piridinila, pirimidinila, pirazinila, piridazinila, triazolila, tetrazolila, e similares.[0092] "Heteroaryl" means a monocyclic or monovalent bicyclic aromatic radical of 5 to 10 carbon atoms in which one or more (in one embodiment, one, two or three) ring atoms are heteroatoms selected from N, O and S, with the remaining ring atoms being carbon. Representative examples include, but are not limited to, pyrrolyl, thienyl, thiazolyl, imidazolyl, furanyl, indolyl, isoindolyl, oxazolyl, isoxazolyl, benzothiazolyl, benzoxazolyl, quinolinyl, isoquinolinyl, pyridinyl, pyrimidinyl, pyrazinyl, pyridazinyl, triazolyl, tetrazolyl, and the like. .
[0093] "Mamífero", para uso no presente documento, significa animais domésticos (como cães, gatos e cavalos) e seres humanos. Em uma modalidade, o mamífero é um ser humano.[0093] "Mammal", for use herein, means domestic animals (such as dogs, cats and horses) and humans. In one embodiment, the mammal is a human being.
[0094] A presente revelação inclui também os pró-fármacos de compostos de Fórmula (I) (ou qualquer uma das modalidades dos mesmos descritas no presente documento) e/ou um sal farmaceutica- mente aceitável dos mesmos. O termo pró-fármaco se destina a repre-sentar transportadores covalentemente ligados que têm capacidade para liberar o ingrediente ativo da Fórmula (I) (ou qualquer uma das modalidades do mesmo descritas no presente documento), quando o pró-fármaco é administrado a um sujeito mamífero. A liberação do in-grediente ativo ocorre in vivo. Os pró-fármacos podem ser preparados por técnicas conhecidas de um versado na arte. Essas técnicas modi-ficam geralmente grupos funcionais apropriados em um dado composto. Esses grupos funcionais apropriados regeneram no entanto grupos funcionais originais in vivo ou por manipulação de rotina. Os pró- fármacos de compostos da Fórmula (I) (ou qualquer uma das modali-dades dos mesmos descritas no presente documento) incluem com-postos em que um grupo hidróxi, amino, carboxílico ou similar é modi-ficado. Os exemplos de pró-fármacos incluem, mas não se limitam a, ésteres (por exemplo, derivados de acetato, formato e benzoato), car- bamatos (por exemplo, N,N-dimetilaminocarbonila) de grupos funcionais hidroxila ou amino em compostos da Fórmula (I), amidas (por exemplo, trifluoroacetilamino, acetilamino e similares) e similares. Os pró-fármacos de compostos da Fórmula (I) (ou qualquer uma das modalidades dos mesmos descritas no presente documento) também são abrangidos pelo escopo desta revelação.[0094] The present disclosure also includes prodrugs of compounds of Formula (I) (or any of the modalities thereof described herein) and/or a pharmaceutically acceptable salt thereof. The term prodrug is intended to represent covalently linked carriers that have the capacity to release the active ingredient of Formula (I) (or any of the embodiments thereof described herein), when the prodrug is administered to a mammal subject. The release of the active ingredient occurs in vivo. Prodrugs can be prepared by techniques known to one skilled in the art. These techniques generally modify appropriate functional groups in a given compound. Such appropriate functional groups however regenerate original functional groups in vivo or by routine manipulation. Prodrugs of compounds of Formula (I) (or any of the embodiments thereof described herein) include compounds in which a hydroxy, amino, carboxylic or similar group is modified. Examples of prodrugs include, but are not limited to, esters (e.g., acetate, formate, and benzoate derivatives), carbamates (e.g., N,N-dimethylaminocarbonyl) of hydroxyl or amino functional groups in compounds of the Formula (I), amides (for example, trifluoroacetylamino, acetylamino and the like) and the like. Prodrugs of compounds of Formula (I) (or any of the embodiments thereof described herein) are also within the scope of this disclosure.
[0095] A presente revelação inclui também formas polimórficas (amorfas, bem como cristalinas) e formas deuteradas de compostos da Fórmula (I) (ou qualquer uma das modalidades dos mesmos descritas no presente documento) e/ou um sal farmaceuticamente aceitável dos mesmos.[0095] The present disclosure also includes polymorphic (amorphous as well as crystalline) forms and deuterated forms of compounds of Formula (I) (or any of the modalities thereof described herein) and/or a pharmaceutically acceptable salt thereof.
[0096] Um "sal farmaceuticamente aceitável" de um composto sig nifica um sal que é farmaceuticamente aceitável e que possui a atividade farmacológica desejada do composto progenitor. Tais sais incluem:[0096] A "pharmaceutically acceptable salt" of a compound means a salt that is pharmaceutically acceptable and that has the desired pharmacological activity of the parent compound. Such salts include:
[0097] sais de adição ácida, formados com ácidos inorgânicos tais como ácido clorídrico, ácido bromídrico, ácido sulfúrico, ácido nítrico, ácido fosfórico, e similares; ou formados com ácidos orgânicos tais como ácido fórmico, ácido acético, ácido propiônico, ácido hexanoico, ácido ciclopentanopropiônico, ácido glicólico, ácido pirúvico, ácido láctico, ácido malônico, ácido succínico, ácido málico, ácido maleico, ácido fumárico, ácido tartárico, ácido cítrico, ácido benzoico, ácido 3-(4- hidroxibenzoil)benzoico, ácido cinâmico, ácido mandélico, ácido metanossulfônico, ácido etanossulfônico, ácido 1,2- etanodissulfônico, ácido 2-hidroxietanossulfônico, ácido benzenossulfônico, ácido 4- clorobenzenossulfônico, ácido 2-naftalenossulfônico, ácido 4- toluenossulfônico, ácido camforsulfônico, ácido glico-heptônico, ácido 4,4'- metilenobis-(3-hidroxi-2-eno-1-carboxílico), ácido 3- fenilpropiónico, ácido trimetilacético, ácido butilacético terciário, ácido sulfúrico de laurila, ácido glucônico, ácido glutâmico, ácido hidroxinaftoico, ácido salicílico, ácido esteárico, ácido mucônico e similares; ou[0097] acid addition salts, formed with inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, and the like; or formed with organic acids such as formic acid, acetic acid, propionic acid, hexanoic acid, cyclopentanopropionic acid, glycolic acid, pyruvic acid, lactic acid, malonic acid, succinic acid, malic acid, maleic acid, fumaric acid, tartaric acid, acid citric acid, benzoic acid, 3-(4-hydroxybenzoyl)benzoic acid, cinnamic acid, mandelic acid, methanesulfonic acid, ethanesulfonic acid, 1,2-ethanedisulfonic acid, 2-hydroxyethanesulfonic acid, benzenesulfonic acid, 4-chlorobenzenesulfonic acid, 2- naphthalenesulfonic acid, 4-toluenesulfonic acid, camphorsulfonic acid, glycoheptonic acid, 4,4'-methylenebis-(3-hydroxy-2-ene-1-carboxylic acid), 3-phenylpropionic acid, trimethylacetic acid, tertiary butylacetic acid, acid lauryl sulfuric acid, gluconic acid, glutamic acid, hydroxynaphthoic acid, salicylic acid, stearic acid, muconic acid and the like; or
[0098] sais formados quando um próton ácido presente no composto progenitor é substituído por um íon de metal, por exemplo, um íon de metal alcalino, um íon alcalinoterroso, ou um íon de alumínio; ou se coordena com uma base orgânica como etanolamina, dietanolamina, trietanolamina, trometamina, N- metilglucamina e similares. Se entende que os sais farmaceuticamente aceitáveis são não tóxicos. Informação adicional sobre sais farmaceuticamente aceitáveis adequados pode ser encontrada em Remington's Pharmaceutical Sciences, 17a ed., Mack Publishing Company, Easton, PA, 1985, o qual é incorporado aqui por referência.[0098] salts formed when an acidic proton present in the parent compound is replaced by a metal ion, for example, an alkali metal ion, an alkaline earth ion, or an aluminum ion; or coordinates with an organic base such as ethanolamine, diethanolamine, triethanolamine, tromethamine, N-methylglucamine and the like. It is understood that pharmaceutically acceptable salts are non-toxic. Additional information on suitable pharmaceutically acceptable salts can be found in Remington's Pharmaceutical Sciences, 17th ed., Mack Publishing Company, Easton, PA, 1985, which is incorporated herein by reference.
[0099] Os compostos da presente revelação podem ter centros assimétricos. Os compostos da presente revelação que contêm um átomo assimetricamente substituído podem ser isolados em formas oticamente ativas ou racêmicas. É bem conhecido na técnica como preparar formas oticamente ativas, tal como por resolução de materiais. Todas as formas quirais, diastereoméricas, racêmicas, como formas individuais e misturas das mesmas, estão dentro do escopo desta revelação, a não ser que a estereoquímica ou forma isomérica específica seja especificamente indicada.[0099] The compounds of the present disclosure may have asymmetric centers. Compounds of the present disclosure that contain an asymmetrically substituted atom can be isolated in optically active or racemic forms. It is well known in the art how to prepare optically active forms, such as by resolving materials. All chiral, diastereomeric, racemic forms, as individual forms and mixtures thereof, are within the scope of this disclosure, unless the specific stereochemistry or isomeric form is specifically indicated.
[00100] Certos compostos da Fórmula (I) (ou qualquer uma das modalidades dos mesmos descritas no presente documento) e/ou sal farmaceuticamente aceitável dos mesmos podem existir também como tautômeros e/ou isômeros geométricos. Todos os possíveis tautôme- ros e isômeros cis e trans, bem como formas individuais e misturas dos mesmos, estão dentro do escopo desta revelação. Adicionalmente, como usado aqui, o termo alquila inclui todas as possíveis formas isoméricas do referido grupo alquila embora somente alguns exemplos sejam apresentados. Adicionalmente, quando os grupos cíclicos como heteroarila, heterociclila são substituídos, os mesmos incluem todos os isômeros posicionais embora apenas alguns exemplos sejam apresen-tados. Adicionalmente, todas as formas de hidrato de um composto da Fórmula (I) (ou qualquer uma das modalidades dos mesmos descritas no presente documento) e/ou um sal farmaceuticamente aceitável do mesmo são abrangidas pelo escopo desta revelação.[00100] Certain compounds of Formula (I) (or any of the modalities thereof described herein) and/or pharmaceutically acceptable salt thereof may also exist as tautomers and/or geometric isomers. All possible cis and trans tautomers and isomers, as well as individual forms and mixtures thereof, are within the scope of this disclosure. Additionally, as used herein, the term alkyl includes all possible isomeric forms of said alkyl group although only a few examples are presented. Additionally, when cyclic groups such as heteroaryl, heterocyclyl are substituted, they include all positional isomers although only a few examples are presented. Additionally, all hydrate forms of a compound of Formula (I) (or any of the embodiments thereof described herein) and/or a pharmaceutically acceptable salt thereof are encompassed within the scope of this disclosure.
[00101] "Oxo" ou "carbonila" significa grupo =(O).[00101] "Oxo" or "carbonyl" means group =(O).
[00102] "Opcional" ou "opcionalmente" significa que o evento ou circunstância subsequentemente descrito pode mas não necessita ocorrer, e que a descrição inclui casos onde o evento ou circunstância ocorre e casos nos quais não ocorre. Por exemplo, "grupo heterociclila opcionalmente substituído por um grupo alquila" significa que a alquila pode mas não necessita estar presente, e que a descrição inclui situa-ções onde o grupo heterociclila é substituído por um grupo alquila e situações onde o grupo heterociclila não é substituído por alquila.[00102] "Optional" or "optionally" means that the subsequently described event or circumstance may but need not occur, and that the description includes cases where the event or circumstance occurs and cases in which it does not occur. For example, "heterocyclyl group optionally substituted by an alkyl group" means that the alkyl may but need not be present, and that the description includes situations where the heterocyclyl group is replaced by an alkyl group and situations where the heterocyclyl group is not replaced by alkyl.
[00103] Um "transportador ou excipiente farmaceuticamente aceitável" significa um transportador ou um excipiente que é útil na preparação de uma composição farmacêutica que é geralmente seguro, não tóxico nem biologicamente ou de outro modo indesejável, e inclui um transportador ou um excipiente que é aceitável para uso veterinário bem como uso farmacêutico humano. Um "transportador/excipiente farmaceuticamente aceitável" como usado no relatório descritivo e nas reivindicações inclui um ou mais que um tal excipiente.[00103] A "pharmaceutically acceptable carrier or excipient" means a carrier or an excipient that is useful in the preparation of a pharmaceutical composition that is generally safe, non-toxic or biologically or otherwise undesirable, and includes a carrier or an excipient that is acceptable for veterinary use as well as human pharmaceutical use. A "pharmaceutically acceptable carrier/excipient" as used in the specification and claims includes one or more than one such excipient.
[00104] A frase "em que dois dos substituintes opcionais são inde-pendentemente selecionados dentre alquila, alcóxi, hidróxi, halo e oxo, e um dos substituintes opcionais é alquila, cicloalquila, hidroxialquila, alcoxialquila, acila, haloalquila, alquilsulfonila, alcoxicarbonila ou hete- rociclila" na definição de heterociclila para Rc na Fórmula (I) (e frases similares em outro lugar na reivindicação e/ou no relatório descritivo) significa que quando a heterociclila é substituída por um substituinte, o substituinte pode ser qualquer um dos substituintes opcionais listados. Quando o anel heterociclila é substituído por dois substituintes, então, ambos os substituintes podem ser selecionados de alquila, alcóxi, hidróxi, halo e oxo ou um dos dois substituintes é selecionado de alquila, alcóxi, hidróxi, halo e oxo e o outro substituinte é selecionado de alquila, cicloalquila, hidroxialquila, alcoxialquila, acila, haloalquila, alquilsulfonila, alcoxicarbonila e heterociclila. E quando o anel heterociclila é substituído por três substituintes, então, dois substituintes são selecionados de alquila, alcóxi, hidróxi, halo e oxo e o terceiro substituinte é selecionado de alquila, cicloalquila, hidroxialquila, alcoxialquila, acila, haloalquila, alquilsulfonila, alcoxicarbonila e heterociclila.[00104] The phrase "wherein two of the optional substituents are independently selected from alkyl, alkoxy, hydroxy, halo and oxo, and one of the optional substituents is alkyl, cycloalkyl, hydroxyalkyl, alkoxyalkyl, acyl, haloalkyl, alkylsulfonyl, alkoxycarbonyl or heterocyclyl" in the definition of heterocyclyl for Rc in Formula (I) (and similar phrases elsewhere in the claim and/or specification) means that when the heterocyclyl is replaced by a substituent, the substituent may be any of the substituents options listed. When the heterocyclyl ring is substituted by two substituents, then either both substituents may be selected from alkyl, alkoxy, hydroxy, halo and oxo or one of the two substituents is selected from alkyl, alkoxy, hydroxy, halo and oxo and the other substituent is selected from alkyl, cycloalkyl, hydroxyalkyl, alkoxyalkyl, acyl, haloalkyl, alkylsulfonyl, alkoxycarbonyl and heterocyclyl. And when the heterocyclyl ring is replaced by three substituents, then two substituents are selected from alkyl, alkoxy, hydroxy, halo and oxo and the third substituent is selected from alkyl, cycloalkyl, hydroxyalkyl, alkoxyalkyl, acyl, haloalkyl, alkylsulfonyl, alkoxycarbonyl and heterocyclyl.
[00105] "Tratar" ou "tratamento" de uma doença inclui: (1) prevenção da doença, isto é, fazer com que os sintomas clínicos da doença não se desenvolvam em um mamífero que possa ser exposto à ou estar predisposto para a doença mas que não expe- riencie ou exiba ainda sintomas da doença; (2) inibição da doença, isto é, interrupção ou redução do desenvolvimento da doença ou seus sintomas clínicos; ou (3) alívio da doença, ou seja, causando regressão da doença ou dos seus sintomas clínicos.[00105] "Treating" or "treatment" of a disease includes: (1) preventing the disease, that is, causing the clinical symptoms of the disease not to develop in a mammal that may be exposed to or predisposed to the disease but who does not yet experience or exhibit symptoms of the disease; (2) disease inhibition, that is, stopping or reducing the development of the disease or its clinical symptoms; or (3) alleviating the disease, i.e., causing regression of the disease or its clinical symptoms.
[00106] Uma "quantidade terapeuticamente eficaz" significa a quantidade de um composto da Fórmula (I) (ou qualquer uma das modalidades do mesmo descritas no presente documento) que, quando administrada a um mamífero para o tratamento de uma doença, é suficiente para efetuar tal tratamento para a doença. A "quantidade terapeu- ticamente eficaz" variará dependendo do composto, da doença e da sua gravidade e da idade, peso, etc., do mamífero a ser tratado.[00106] A "therapeutically effective amount" means the amount of a compound of Formula (I) (or any of the embodiments thereof described herein) that, when administered to a mammal for the treatment of a disease, is sufficient to carry out such treatment for the disease. The "therapeutically effective amount" will vary depending on the compound, the disease and its severity, and the age, weight, etc., of the mammal being treated.
[00107] Nas modalidades 1 a 24 abaixo e modalidades ou submo- dalidades contidas nas mesmas, a presente revelação inclui: 1. Um composto de Fórmula (I), conforme definido na pri-meira modalidade do primeiro aspecto acima, incluindo um isômero E ou Z do mesmo e/ou um sal farmaceuticamente aceitável do mesmo. 2. O composto da modalidade 1 e/ou um sal farmaceutica- mente aceitável do mesmo, em que: R1 e R2 são independentemente hidrogênio, alquila, alcóxi, haloalquila ou halo;[00107] In embodiments 1 to 24 below and modalities or submodalities contained therein, the present disclosure includes: 1. A compound of Formula (I), as defined in the first embodiment of the first aspect above, including an E isomer or Z thereof and/or a pharmaceutically acceptable salt thereof. 2. The compound of embodiment 1 and/or a pharmaceutically acceptable salt thereof, wherein: R1 and R2 are independently hydrogen, alkyl, alkoxy, haloalkyl or halo;
[00108] X é -O-, -CONR-, -NRCO- ou -NR-CO-NR' em que R e R' são[00108] X is -O-, -CONR-, -NRCO- or -NR-CO-NR' where R and R' are
[00109] independentemente hidrogênio ou alquila;[00109] independently hydrogen or alkyl;
[00110] Ar é heteroarila ou fenila em que heteroarila e fenila são opcionalmente substituídas por um, dois ou três substituintes independentemente selecionados dentre alquila, halo, haloalquila, alcóxi e hidróxi;[00110] Ar is heteroaryl or phenyl in which heteroaryl and phenyl are optionally substituted by one, two or three substituents independently selected from alkyl, halo, haloalkyl, alkoxy and hydroxy;
[00111] A é -N- ou -CR3- em que R3 é hidrogênio, alquila, ciclopropila, halo, haloalquila, haloalcóxi, alcóxi ou ciano;[00111] A is -N- or -CR3- where R3 is hydrogen, alkyl, cyclopropyl, halo, haloalkyl, haloalkoxy, alkoxy or cyano;
[00112] Y é ligação ou alquileno;[00112] Y is bond or alkylene;
[00113] O anel Z é heterocicloamino opcionalmente substituído por um ou dois substituintes independentemente selecionados dentre alquila, hidróxi, alcóxi e flúor;[00113] The Z ring is heterocycloamino optionally substituted by one or two substituents independently selected from alkyl, hydroxy, alkoxy and fluorine;
[00114] R5 é um grupo de fórmula (i), (ii), (iii) ou (iv): [00114] R5 is a group of formula (i), (ii), (iii) or (iv):
[00115] em que:[00115] where:
[00116] Ra é hidrogênio, flúor ou ciano; desde que quando Ra for ciano, então Rb seja hidrogênio e Rc não seja hidrogênio;[00116] Ra is hydrogen, fluorine or cyano; provided that when Ra is cyan, then Rb is hydrogen and Rc is not hydrogen;
[00117] Rb é hidrogênio ou alquila; e[00117] Rb is hydrogen or alkyl; It is
[00118] Rc é hidrogênio, alquila opcionalmente substituída por um ou dois substituintes independentemente selecionados dentre OH, heteroarila (opcionalmente substituído por um ou dois substituintes independentemente selecionados dentre alquila e heterociclila em que a heterociclila é opcionalmente substituída por um ou dois substituintes independentemente selecionados dentre halo e alquila), e -CONR9R10 (em que R9 e R10 são independentemente hidrogênio ou alquila ou R9 e R10 junto com o átomo de nitrogênio ao qual os mesmos são ligados formam uma heterociclila opcionalmente substituída por um ou dois substituintes selecionados dentre alquila e heterociclila),[00118] Rc is hydrogen, alkyl optionally substituted by one or two substituents independently selected from OH, heteroaryl (optionally substituted by one or two substituents independently selected from alkyl and heterocyclyl in which the heterocyclyl is optionally substituted by one or two substituents independently selected from among halo and alkyl), and -CONR9R10 (where R9 and R10 are independently hydrogen or alkyl or R9 and R10 together with the nitrogen atom to which they are attached form a heterocyclyl optionally substituted by one or two substituents selected from alkyl and heterocyclyl ),
[00119] cicloalquila opcionalmente substituída por um ou dois substituintes independentemente selecionados dentre halo, alquila e arila,[00119] cycloalkyl optionally substituted by one or two substituents independently selected from halo, alkyl and aryl,
[00120] hidroxialquila, alcoxialquila,[00120] hydroxyalkyl, alkoxyalkyl,
[00121] heterociclilalquila, heterociclila (em que heterociclila e heterociclila em heterociclilalquila são opcionalmente substituídas por um, dois ou três substituintes em que dois dos substituintes opcionais são independentemente selecionados dentre alquila, alcóxi, hidróxi, halo, amino e oxo, e um dos substituintes opcionais é alquila, hidroxialquila, alcóxi, alcoxialquila, acila, haloalquila, alquilsulfonila, alcoxicarbonila ou heterociclila, em que a heterociclila é substituída por um ou dois substituintes independentemente selecionados dentre hidrogênio, alquila, halo, hidróxi e alcóxi), ou[00121] heterocyclylalkyl, heterocyclyl (wherein heterocyclyl and heterocyclyl in heterocyclylalkyl are optionally substituted by one, two or three substituents wherein two of the optional substituents are independently selected from alkyl, alkoxy, hydroxy, halo, amino and oxo, and one of the substituents optional is alkyl, hydroxyalkyl, alkoxy, alkoxyalkyl, acyl, haloalkyl, alkylsulfonyl, alkoxycarbonyl or heterocyclyl, wherein the heterocyclyl is replaced by one or two substituents independently selected from hydrogen, alkyl, halo, hydroxy and alkoxy), or
[00122] -(alquileno)-NR6R7 (em que R6 e R7 são independentemente hidrogênio, alquila, haloalquila, hidroxialquila, alcoxialquila, cicloalquila ou heterociclila, em que a heterociclila é opcionalmente substituída por um ou dois substituintes independentemente selecionados dentre alquila, halo, hidróxi, hidroxialquila, alcoxialquila, acila e alcoxicarbonila; ou R6 e R7 junto com o átomo de nitrogênio ao qual os mesmos são ligados formam [00122] -(alkylene)-NR6R7 (wherein R6 and R7 are independently hydrogen, alkyl, haloalkyl, hydroxyalkyl, alkoxyalkyl, cycloalkyl or heterocyclyl, wherein the heterocyclyl is optionally substituted by one or two substituents independently selected from alkyl, halo, hydroxy, hydroxyalkyl, alkoxyalkyl, acyl and alkoxycarbonyl; or R6 and R7 together with the nitrogen atom to which they are attached form;
[00123] em que um ou dois dentre X1, X2 e X3 são nitrogênio e[00123] wherein one or two of X1, X2 and X3 are nitrogen and
[00124] o resto é carbono e o anel é opcionalmente substituído por um ou dois substituintes independentemente selecionados dentre alquila, haloalquila e halo);[00124] the remainder is carbon and the ring is optionally substituted by one or two substituents independently selected from alkyl, haloalkyl and halo);
[00125] e/ou um sal farmaceuticamente aceitável dos mesmos, desde que:[00125] and/or a pharmaceutically acceptable salt thereof, provided that:
[00126] quando A for -N-, então, Ra seja ciano e Rc seja heterocicloaminoalquila em que o heterocicloamino em heterocicloaminoalquila é opcionalmente substituído por um ou dois substituintes independentemente selecionados dentre alquila, alcóxi, hidróxi, halo, amino e oxo, e o átomo de nitrogênio de heterocicloamino é substituído por heterociclila em que a heterociclila é substituída por um ou dois substituintes independentemente selecionados dentre hidrogênio, alquila, halo, hidróxi e alcóxi. 3. O composto das modalidades 1 a 2 e/ou um sal farma- ceuticamente aceitável do mesmo, em que A é -N-. 4. O composto das modalidades 1 a 2 e/ou um sal farma- ceuticamente aceitável do mesmo em que A é -CR3-. Em uma modali-dade da modalidade 4, R3 é hidrogênio, metila, etila, isopropila, flúor ou cloro. Em uma segunda modalidade da modalidade 3, R3 é hidro- gênio. 5. O composto de qualquer uma das modalidades 1 a 4 e modalidades contidas nas mesmas e/ou um sal farmaceuticamente aceitável do mesmo, em que -X-Ar é fixado a carbono na posição 4 do anel de fenila, sendo que o carbono do anel de fenila fixado a N do anel de ureia cíclico está na posição 1. 6. O composto de qualquer uma das modalidades 1 a 5 e modalidades contidas nas mesmas e/ou um sal farmaceuticamente aceitável do mesmo,[00126] when A is -N-, then Ra is cyano and Rc is heterocycloaminoalkyl wherein the heterocycloamino in heterocycloaminoalkyl is optionally substituted by one or two substituents independently selected from alkyl, alkoxy, hydroxy, halo, amino and oxo, and the heterocycloamino nitrogen atom is replaced by heterocyclyl wherein the heterocyclyl is replaced by one or two substituents independently selected from hydrogen, alkyl, halo, hydroxy and alkoxy. 3. The compound of embodiments 1 to 2 and/or a pharmaceutically acceptable salt thereof, wherein A is -N-. 4. The compound of embodiments 1 to 2 and/or a pharmaceutically acceptable salt thereof wherein A is -CR3-. In one embodiment of embodiment 4, R3 is hydrogen, methyl, ethyl, isopropyl, fluorine or chlorine. In a second embodiment of embodiment 3, R3 is hydrogen. 5. The compound of any of embodiments 1 to 4 and embodiments contained therein and/or a pharmaceutically acceptable salt thereof, wherein -X-Ar is attached to carbon at position 4 of the phenyl ring, the carbon of which is phenyl ring attached to N of the cyclic urea ring is in position 1. 6. The compound of any one of embodiments 1 to 5 and embodiments contained therein and/or a pharmaceutically acceptable salt thereof,
[00127] em que X é -O-. Dentro da modalidade 6, em uma quarta modalidade, Ar é heteroarila ou fenila, em que heteroarila e fenila são opcionalmente substituídas por um, dois ou três substituintes independentemente selecionados dentre alquila, halo, haloalquila, alcóxi e hidróxi. Dentro da modalidade 6, em uma quinta modalidade, Ar é piridinila, pirimidinila, tienila ou pirazinila, opcionalmente substituída por um, dois ou três substituintes independentemente selecionados dentre alquila, halo, haloalquila, alcóxi e hidróxi. Dentro da modalidade 6, em uma sexta modalidade, Ar é fenila em que fenila é opcionalmente substituída por um, dois ou três substituintes independentemente selecionados dentre alquila, halo, haloalquila, alcóxi e hidróxi, preferencialmente, substituída por um ou dois flúor. 7. O composto de qualquer uma das modalidades 1 a 6 e modalidades contidas nas mesmas e/ou um sal farmaceuticamente aceitável do mesmo em que X é -CONR- ou-NRCO-. Dentro da moda-lidade 6, em uma quarta modalidade, Ar é heteroarila ou fenila, em que heteroarila e fenila são opcionalmente substituídas por um, dois ou três substituintes independentemente selecionados dentre alquila, halo, haloalquila, alcóxi e hidróxi. Dentro da modalidade 7, em uma quinta modalidade, Ar é piridinila, pirimidinila, tienila ou pirazinila, opcionalmente substituída por um, dois ou três substituintes independente- mente selecionados dentre alquila, halo, haloalquila, alcóxi e hidróxi. Dentro da modalidade 7, em uma sexta modalidade, Ar é fenila em que fenila é opcionalmente substituída por um, dois ou três substituin- tes independentemente selecionados dentre alquila, halo, haloalquila, alcóxi e hidróxi, preferencialmente, um ou dois flúor. 8. O composto de qualquer uma das modalidades 1 a 7 e modalidades contidas nas mesmas e/ou um sal farmaceuticamente aceitável do mesmo, em que R1 e R2 são independentemente hidrogênio ou halo, preferencialmente, hidrogênio ou flúor, mais preferencialmente, R1 e R2 são hidrogênio ou R1 é hidrogênio e R2 é flúor. 9. O composto de qualquer uma das modalidades 1 a 8 e modalidades contidas nas mesmas e/ou um sal farmaceuticamente aceitável do mesmo, em que Y é alquileno e anel Z é pirrolidinila, e em uma modalidade, pirrolidin-2-ila ou azetidin-3-ila. Dentro da modalidade 9, em uma modalidade, Y é metileno. Dentro da modalidade 9, em uma segunda modalidade, o anel de pirrolidinila fixado em C2 e a este- reoquímica em carbono do anel de pirrolidinila fixado a Y é (R) ou (S). Dentro da modalidade 9, está uma outra modalidade, em que R5 é um grupo de fórmula (i) ou (iv). 10. O composto de qualquer uma das modalidades 1 a 9 e modalidades contidas nas mesmas e/ou um sal farmaceuticamente aceitável do mesmo, em que Y é uma ligação e anel Z é pirrolidinila ou piperidinila e é fixado ao nitrogênio de ureia cíclica no carbono C-3, o átomo de nitrogênio de pirrolidinila ou piperidinila está na posição C-1. Em uma modalidade, a estereoquímica em carbono da pirrolidinila ou piperidinila fixada ao nitrogênio de ureia cíclica é (R). 11. O composto de qualquer uma das modalidades 1 a 10 e modalidades contidas nas mesmas e/ou um sal farmaceuticamente aceitável do mesmo, em que Ra é hidrogênio. Dentro da modalidade 11, em uma modalidade, R5 é um grupo de fórmula (i). Dentro da modalidade 11, em uma segunda modalidade, R5 é um grupo de fórmula (ii) ou (iii). Dentro da modalidade 11, em uma terceira modalidade, R5 é um grupo de fórmula (iv). Dentro das modalidades um a três na modalidade 11, em uma submodalidade, Rb e Rc são hidrogênio. Dentro das modalidades um a três na modalidade 11, em uma outra submo- dalidade, Rb é hidrogênio e Rc é alquila ou -(alquileno)- NR6R7 (em que R6 e R7 são independentemente hidrogênio, alquila, haloalquila, hidroxialquila, alcoxialquila, cicloalquila ou heterociclila, em que o anel de heterociclila é opcionalmente substituído por um ou dois substituintes independentemente selecionados dentre alquila, halo, hidróxi, hidroxialquila, alcoxialquila, acila e alcoxicarbonila), preferencialmente, R6 e R7 são independentemente hidrogênio ou alquila. 12. O composto de qualquer uma das modalidades 1 a 11 e modalidades contidas nas mesmas ou um sal farmaceuticamente acei-tável do mesmo, em que Ra é ciano. Dentro da modalidade 12, em uma modalidade, R5 é um grupo de fórmula (i). Dentro da modalidade 12, em uma segunda modalidade, R5 é um grupo de fórmula (ii) ou (iii). (a) Dentro das modalidades um e dois na modalidade 12, em uma submodalidade, Rc é cicloalquila, que é opcionalmente substituída por um ou dois substituintes independentemente selecionados dentre halo, alquila, alcoxialquila e arila; ou em que dois substituintes adjacentes da cicloalquila junto com os átomos de carbono aos quais os mesmos são ligados formam um grupo heterociclila. Em uma modalidade, Rc é ciclopropila, 1- metilciclobutila, 1-fenilciclopropila, 1-metilciclopropila, 2,2-difluorociclopropila, (b) . Dentro das modalidades um e dois na modalidade 12, em uma segunda submodalidade, Rc é alquila não substituída. Em uma modalidade, Rc é isopropila ou terc-butila. (c) . Dentro das modalidades um e dois na modalidade 11, em uma submodalidade, Rc é -(alquileno)-NR6R7 (em que R6 e R7 são independentemente hidrogênio, alquila, haloalquila, hidroxialquila, alcoxialquila, cicloalquila ou heterociclila. Em uma outra submodalida- de, Rc é -C(CH3)2NH2, -C(CH3)2NHCH3, -C(CH3)2N(CH3)2, - C(CH3)2NHCH2CH3, -C(CH3)2NHCH(CH3)2, -C(CH3)2NHciclopropila, - C(CH3)2NH(CH2)2OCH3, -C(CH3)2OCH2CH3, - C(CH3)2N(CH2CH3)(oxetan-3-il), -C(CH3)2N(CH3)(oxetan-3-il) ou - C(CH3)2NH(oxetan-3-il). (d) Dentro das modalidades um e dois na modalidade 12, em uma outra submodalidade, Rc é heterociclilalquila em que a heterociclila em heterociclilalquila é opcionalmente substituída por um, dois ou três substituintes em que dois dos substituintes opcionais são independentemente selecionados dentre alquila, alcóxi, hidróxi, halo, amino e oxo, e um dos substituintes opcionais é alquila, hidroxialquila, alcoxialquila, acila, haloalquila, alquilsulfonila, alcoxicarbonila ou heterociclila, em que a heterociclila é opcionalmente substituída por um ou dois substituintes independentemente selecionados dentre alquila, halo, hidróxi e alcóxi.[00127] where X is -O-. Within embodiment 6, in a fourth embodiment, Ar is heteroaryl or phenyl, wherein heteroaryl and phenyl are optionally substituted by one, two or three substituents independently selected from alkyl, halo, haloalkyl, alkoxy and hydroxy. Within modality 6, in a fifth modality, Ar is pyridinyl, pyrimidinyl, thienyl or pyrazinyl, optionally substituted by one, two or three substituents independently selected from alkyl, halo, haloalkyl, alkoxy and hydroxy. Within embodiment 6, in a sixth embodiment, Ar is phenyl in which phenyl is optionally substituted by one, two or three substituents independently selected from alkyl, halo, haloalkyl, alkoxy and hydroxy, preferably substituted by one or two fluorines. 7. The compound of any one of embodiments 1 to 6 and embodiments contained therein and/or a pharmaceutically acceptable salt thereof wherein X is -CONR- or -NRCO-. Within embodiment 6, in a fourth embodiment, Ar is heteroaryl or phenyl, in which heteroaryl and phenyl are optionally substituted by one, two or three substituents independently selected from alkyl, halo, haloalkyl, alkoxy and hydroxy. Within modality 7, in a fifth modality, Ar is pyridinyl, pyrimidinyl, thienyl or pyrazinyl, optionally substituted by one, two or three substituents independently selected from alkyl, halo, haloalkyl, alkoxy and hydroxy. Within modality 7, in a sixth modality, Ar is phenyl in which phenyl is optionally substituted by one, two or three substituents independently selected from alkyl, halo, haloalkyl, alkoxy and hydroxy, preferably, one or two fluorine. 8. The compound of any one of embodiments 1 to 7 and embodiments contained therein and/or a pharmaceutically acceptable salt thereof, wherein R1 and R2 are independently hydrogen or halo, preferably hydrogen or fluorine, more preferably R1 and R2 are hydrogen or R1 is hydrogen and R2 is fluorine. 9. The compound of any one of embodiments 1 to 8 and embodiments contained therein and/or a pharmaceutically acceptable salt thereof, wherein Y is alkylene and ring Z is pyrrolidinyl, and in one embodiment, pyrrolidin-2-yl or azetidin -3-ila. Within embodiment 9, in one embodiment, Y is methylene. Within modality 9, in a second modality, the pyrrolidinyl ring fixed at C2 and the carbon stereochemistry of the pyrrolidinyl ring fixed at Y is (R) or (S). Within modality 9, there is another modality, in which R5 is a group of formula (i) or (iv). 10. The compound of any one of embodiments 1 to 9 and embodiments contained therein and/or a pharmaceutically acceptable salt thereof, wherein Y is a bond and ring Z is pyrrolidinyl or piperidinyl and is fixed to the cyclic urea nitrogen on the carbon C-3, the pyrrolidinyl or piperidinyl nitrogen atom is in the C-1 position. In one embodiment, the carbon stereochemistry of pyrrolidinyl or piperidinyl fixed to cyclic urea nitrogen is (R). 11. The compound of any one of embodiments 1 to 10 and embodiments contained therein and/or a pharmaceutically acceptable salt thereof, wherein Ra is hydrogen. Within embodiment 11, in one embodiment, R5 is a group of formula (i). Within embodiment 11, in a second embodiment, R5 is a group of formula (ii) or (iii). Within embodiment 11, in a third embodiment, R5 is a group of formula (iv). Within modalities one through three in modality 11, in a submodality, Rb and Rc are hydrogen. Within modalities one to three in modality 11, in another submodality, Rb is hydrogen and Rc is alkyl or -(alkylene)- NR6R7 (wherein R6 and R7 are independently hydrogen, alkyl, haloalkyl, hydroxyalkyl, alkoxyalkyl, cycloalkyl or heterocyclyl, wherein the heterocyclyl ring is optionally substituted by one or two substituents independently selected from alkyl, halo, hydroxy, hydroxyalkyl, alkoxyalkyl, acyl and alkoxycarbonyl), preferably, R6 and R7 are independently hydrogen or alkyl. 12. The compound of any one of modalities 1 to 11 and modalities contained therein or a pharmaceutically acceptable salt thereof, wherein Ra is cyano. Within embodiment 12, in one embodiment, R5 is a group of formula (i). Within embodiment 12, in a second embodiment, R5 is a group of formula (ii) or (iii). (a) Within embodiments one and two in embodiment 12, in a submodality, Rc is cycloalkyl, which is optionally substituted by one or two substituents independently selected from halo, alkyl, alkoxyalkyl and aryl; or wherein two adjacent cycloalkyl substituents together with the carbon atoms to which they are attached form a heterocyclyl group. In one embodiment, Rc is cyclopropyl, 1-methylcyclobutyl, 1-phenylcyclopropyl, 1-methylcyclopropyl, 2,2-difluorocyclopropyl, (B) . Within modalities one and two in modality 12, in a second submodality, Rc is unsubstituted alkyl. In one embodiment, Rc is isopropyl or tert-butyl. (w) . Within embodiments one and two in embodiment 11, in one submodality, Rc is -(alkylene)-NR6R7 (wherein R6 and R7 are independently hydrogen, alkyl, haloalkyl, hydroxyalkyl, alkoxyalkyl, cycloalkyl or heterocyclyl. In another submodality , Rc is -C(CH3)2NH2, -C(CH3)2NHCH3, -C(CH3)2N(CH3)2, - C(CH3)2NHCH2CH3, -C(CH3)2NHCH(CH3)2, -C(CH3 )2NHcyclopropyl, - C(CH3)2NH(CH2)2OCH3, -C(CH3)2OCH2CH3, - C(CH3)2N(CH2CH3)(oxetan-3-yl), -C(CH3)2N(CH3)(oxetan- 3-yl) or - C(CH3)2NH(oxetan-3-yl). (d) Within embodiments one and two in embodiment 12, in another submodality, Rc is heterocyclylalkyl in which the heterocyclyl in heterocyclylalkyl is optionally substituted by one, two or three substituents wherein two of the optional substituents are independently selected from alkyl, alkoxy, hydroxy, halo, amino and oxo, and one of the optional substituents is alkyl, hydroxyalkyl, alkoxyalkyl, acyl, haloalkyl, alkylsulfonyl, alkoxycarbonyl or heterocyclyl, wherein the heterocyclyl is optionally substituted by one or two substituents independently selected from alkyl, halo, hydroxy and alkoxy.
[00128] Em uma submodalidade da submodalidade (d), Rc é - C(CH3)2morfolina-4-ila, -C(CH3)2-4-(2,2,2-trifluoroetil)piperazin-1- ila, -C(CH3)2-4-(1-metil)piperidin-1-ila, , - C(CH3)2- 4-etila-3-oxopiperazin -1-ila, C(CH3)2tetra-hidropiran-4-ila, - C(CH3)2-4- metoxicarbonilpiperazin-1-ila, -C(CH3)2-4-(oxetan-4- il)piperazin-1-ila, - C(CH3)2-4-(3-metiloxetan-4-il)piperazin-1-ila, -C(CH3)2-4-t- butoxicarbonilpiperazin-1-ila, -C(CH3)2-4- acetilpiperazin-1-ila, -C(CH3)2-4- metoxicarbonilpiperazin-1-ila, , - C(CH3)2-piperazin-1-ila, , -C(CH3)2-3,3- difluoropirrolidin-1-ila, , - C(CH3)2-(S)-3-metoxipirrolidin-1-ila, -C(CH3)2-(R)-3- metoxipirrolidin-1- ila, -C(CH3)2-(S)-2-(metoximetil)pirrolidin-1-ila, -C(CH3)2-(R)-2- (metoximetil)pirrolidin-1-ila,, - C(CH3)2-4- metilpiperazin-1-ila, -C(CH3)2-4-etilpiperazin- 1-ila, -C(CH3)2-4- isopropilpiperazin-1-ila, - C(CH3)2-4-(2-metoxietil)piperazin-1-ila, -C(CH3)2-4- acetilpiperazin-1- ila, -C(CH3)2-4-(3R,5S)-3,4,5-trimetilpiperazin-1-ila, - C(CH3)2-4- (3R,5S)-3,5-dimetilpiperazin-1-ila, -C(CH3)2-4-(3R,5S)- dimetilmorfolin-4-ila, -C(CH3)2-piperidin-1-ila, -C(CH3)2-pirrolidin-1-ila, - C(CH3)2-3-oxo-piperazin-1-ila ou -C(CH3)2-(3-oxo-4-metilpiperazin-1-il). Em uma segunda submodalidade da submodalidade (d), Rc é heterociclilalquila, em que a heterociclila em heterociclilalquila é substituída por uma outra heterociclila, em que a outra heterociclila é substituída por alquila em um carbono da outra heterociclila. (e) . Dentro das modalidades um e dois na modalidade 12, em ainda outra submodalidade, Rc é heterociclila opcionalmente substituída por um, dois ou três substituintes, em que dois dos substituintes opcionais são independentemente selecionados dentre alquila, alcóxi, hidróxi, halo, amino e oxo, e um dos substituintes opcionais é alquila, hidroxialquila, alcoxialquila, acila ou heterociclila. Em uma submoda- lidade da submodalidade (e), Rc é 3-metiloxetan-3-ila, 3-etiloxetan-3- ila, 3-fluoro- oxetan-3-ila, 3-amino-oxetan-3-ila, 4-metilpiperidin-4-ila, 3- metilazetidin-3- ila, 1-metilazetidin-3-ila, 4-metil-4-tetra-hidropiranila ou 1,3-dimetilazetidin-3-ila. Em uma outra submodalidade (f), Rc é (g) Em uma outra submodalidade da modalidade 12, Rc é alquila que é opcionalmente substituída por um ou dois substituintes indepen-dentemente selecionados dentre hidróxi, hidroxialquila, e heteroarila que é substituída por um ou dois substituintes independentemente selecionados dentre alquila e heterociclila, em que a heterociclila é opcionalmente substituída por um ou dois substituintes independentemente selecionados dentre halo e alquila. Em uma outra modalidade, Rc é alquila que é substituída por um ou dois substituintes hidróxi. Em uma outra modalidade, Rc é [00128] In a submodality of submodality (d), Rc is - C(CH3)2morpholine-4-yl, -C(CH3)2-4-(2,2,2-trifluoroethyl)piperazin-1-yl, -C(CH3)2-4-(1-methyl)piperidin- 1-ila, , - C(CH3)2- 4-ethyl-3-oxopiperazin -1-yl, C(CH3)2tetrahydropyran-4-yl, - C(CH3)2-4- methoxycarbonylpiperazin-1-yl, -C( CH3)2-4-(oxetan-4-yl)piperazin-1-yl, - C(CH3)2-4-(3-methyloxetan-4-yl)piperazin-1-yl, -C(CH3)2- 4-t-butoxycarbonylpiperazin-1-yl, -C(CH3)2-4- acetylpiperazin-1-yl, -C(CH3)2-4- methoxycarbonylpiperazin-1-yl, , -C(CH3)2-piperazin- 1-yl, , -C(CH3)2-3,3- difluoropyrrolidin-1-yl, , - C(CH3)2-(S)-3-methoxypyrrolidin-1-yl, -C(CH3)2-( R)-3- methoxypyrrolidin-1-yl, -C(CH3)2-(S)-2-(methoxymethyl)pyrrolidin-1-yl, -C(CH3)2-(R)-2- (methoxymethyl)pyrrolidin -1-ila, , - C(CH3)2-4- methylpiperazin-1-yl, -C(CH3)2-4-ethylpiperazin-1-yl, -C(CH3)2-4- isopropylpiperazin-1-yl, - C(CH3 )2-4-(2-methoxyethyl)piperazin-1-yl, -C(CH3)2-4-acetylpiperazin-1-yl, -C(CH3)2-4-(3R,5S)-3,4, 5-trimethylpiperazin-1-yl, -C(CH3)2-4- (3R,5S)-3,5-dimethylpiperazin-1-yl, -C(CH3)2-4-(3R,5S)- dimethylmorpholin- 4-yl, -C(CH3)2-piperidin-1-yl, -C(CH3)2-pyrrolidin-1-yl, - C(CH3)2-3-oxo-piperazin-1-yl or -C( CH3)2-(3-oxo-4-methylpiperazin-1-yl). In a second submodality of submodality (d), Rc is heterocyclylalkyl, in which the heterocyclyl in heterocyclylalkyl is replaced by another heterocyclyl, in which the other heterocyclyl is replaced by alkyl on a carbon of the other heterocyclyl. (It is) . Within embodiments one and two in embodiment 12, in yet another submodality, Rc is heterocyclyl optionally substituted by one, two or three substituents, wherein two of the optional substituents are independently selected from alkyl, alkoxy, hydroxy, halo, amino and oxo, and one of the optional substituents is alkyl, hydroxyalkyl, alkoxyalkyl, acyl or heterocyclyl. In a submodality of submodality (e), Rc is 3-methyloxetan-3-yl, 3-ethyloxetan-3-yl, 3-fluoro-oxetan-3-yl, 3-amino-oxetan-3-yl, 4 -methylpiperidin-4-yl, 3-methylazetidin-3-yl, 1-methylazetidin-3-yl, 4-methyl-4-tetrahydropyranyl or 1,3-dimethylazetidin-3-yl. In another submodality (f), Rc is (g) In another submodality of embodiment 12, Rc is alkyl that is optionally substituted by one or two substituents independently selected from hydroxy, hydroxyalkyl, and heteroaryl that is substituted by one or two substituents independently selected from alkyl and heterocyclyl, in that the heterocyclyl is optionally substituted by one or two substituents independently selected from halo and alkyl. In another embodiment, Rc is alkyl that is substituted by one or two hydroxy substituents. In another embodiment, Rc is
[00129] Em uma submodalidade, Rc é alquila que é substituída por uma heteroarila que é opcionalmente substituída por um ou dois subs- tituintes independentemente selecionados dentre alquila e heterocicli- la, em que a heterociclila é opcionalmente substituída por um ou dois substituintes independentemente selecionados dentre halo e alquila. Dentro dessa submodalidade, em uma outra modalidade, Rc é [00129] In a submodality, Rc is alkyl that is substituted by a heteroaryl that is optionally substituted by one or two substituents independently selected from alkyl and heterocyclyl, wherein the heterocyclyl is optionally substituted by one or two independently selected substituents between halo and alkyl. Within this submodality, in another modality, Rc is
[00130] Em uma outra submodalidade, Rc é alquila que é substituída por -CONR9R10, em que R9 e R10 são independentemente hidrogênio ou alquila ou R9 e R10 junto com o átomo de nitrogênio ao qual os mesmos são ligados formam uma heterociclila opcionalmente substituída por um ou dois substituintes selecionados dentre alquila e hetero- ciclila. Dentro dessa submodalidade está uma modalidade em que R9 e R10 são ambos hidrogênio ou alquila. Em uma outra modalidade, Rc é -C(CH3)2-CONH2 ou -C(CH3)2-CON(CH3)2.[00130] In another submodality, Rc is an alkyl that is substituted by -CONR9R10, in which R9 and R10 are independently hydrogen or alkyl or R9 and R10 together with the nitrogen atom to which they are attached form a heterocyclyl optionally substituted by one or two substituents selected from alkyl and heterocyclyl. Within this submodality is a modality in which R9 and R10 are both hydrogen or alkyl. In another embodiment, Rc is -C(CH3)2-CONH2 or -C(CH3)2-CON(CH3)2.
[00131] Em uma outra submodalidade, Rc é alquila que é substituída por -CONR9R10, em que R9 e R10 junto com o átomo de nitrogênio ao qual os mesmos são ligados formam uma heterociclila opcionalmente substituída por um ou dois substituintes selecionados dentre alquila e heterociclila. Dentro dessa submodalidade está uma modalidade em que a heterociclila formada por R9 e R10 junto com o átomo de nitrogênio ao qual os mesmos são ligados é 4-metilpiperazinila ou 4-(oxetan-3-il)piperazin-1-ila. 13. Os compostos de qualquer uma das modalidades 3, 5, 6 e 8 a 10 (isto é, A é -N-; -X-Ar é fixado ao carbono na posição 4 do anel de fenila, o carbono do anel de fenila fixado a N do anel de ureia cíclico está na posição 1; X é O; Y é uma ligação; anel Z é pirrolidinila ou piperidinila e é fixado ao nitrogênio de ureia cíclica no carbono C-3, sendo que o átomo de nitrogênio de pirrolidinila ou piperidinila é C-1; sendo que a estereoquímica em carbono da pirrolidinila ou piperidinila fixada ao nitrogênio cíclico é (R)), em que R5 é um grupo de fórmula (i), Ra é ciano, Rb é hidrogênio e Rc é heterociclilalquila, em que a he- terociclila em heterociclilalquila é opcionalmente substituída por um, dois ou três substituintes em que dois dos substituintes opcionais são independentemente selecionados dentre alquila, alcóxi, hidróxi, halo, amino e oxo, e um dos substituintes opcionais é alquila, hidroxialquila, alcóxi, alcoxialquila, acila, haloalquila, alquilsulfonila, alcoxicarbonila ou heterociclila, em que a heterociclila é substituída por um ou dois substituintes independentemente selecionados dentre hidrogênio, alquila, halo, hidróxi e alcóxi.[00131] In another submodality, Rc is an alkyl that is substituted by -CONR9R10, in which R9 and R10 together with the nitrogen atom to which they are attached form a heterocyclyl optionally substituted by one or two substituents selected from alkyl and heterocyclyl . Within this submodality is a modality in which the heterocyclyl formed by R9 and R10 together with the nitrogen atom to which they are attached is 4-methylpiperazinyl or 4-(oxetan-3-yl)piperazin-1-yl. 13. The compounds of any of embodiments 3, 5, 6 and 8 to 10 (i.e., A is -N-; -X-Ar is attached to the carbon at position 4 of the phenyl ring, the carbon of the phenyl ring attached to the N of the cyclic urea ring is in position 1; or piperidinyl is C-1; the carbon stereochemistry of pyrrolidinyl or piperidinyl fixed to cyclic nitrogen is (R)), where R5 is a group of formula (i), Ra is cyano, Rb is hydrogen and Rc is heterocyclylalkyl , wherein the heterocyclyl in heterocyclylalkyl is optionally substituted by one, two or three substituents wherein two of the optional substituents are independently selected from alkyl, alkoxy, hydroxy, halo, amino and oxo, and one of the optional substituents is alkyl, hydroxyalkyl , alkoxy, alkoxyalkyl, acyl, haloalkyl, alkylsulfonyl, alkoxycarbonyl or heterocyclyl, wherein the heterocyclyl is replaced by one or two substituents independently selected from hydrogen, alkyl, halo, hydroxy and alkoxy.
[00132] Em uma submodalidade dessa modalidade, Rc é [00132] In a submodality of this modality, Rc is
[00133] Os compostos representativos são listados na Tabela I abaixo: Tabela I [00133] Representative compounds are listed in Table I below: Table I
[00134] O isômero E ou Z de qualquer um dos compostos da Tabela 1 e/ou um sal farmaceuticamente aceitável de qualquer um desses compostos também estão incluídos no escopo da presente invenção.[00134] The E or Z isomer of any of the compounds in Table 1 and/or a pharmaceutically acceptable salt of any of these compounds are also included within the scope of the present invention.
[00135] A presente invenção também está direcionada aos seguintes compostos: 4-amino-1-((3S)-1-(oxirane-2-carbonil)piperidin-3-il)-3-(4- fenoxifenil)-1H- imidazo[4,5-c]piridin-2(3H)-ona; 4-amino-1-((3S)-1-(2,3-di-hidroxipropanoil)piperidin-3-il)-3-(4- fenoxifenil)- 1H-imidazo[4,5-c]piridin-2(3H)-ona; 4-amino-1-((3S)-1-(2-hidroxipropanoil)piperidin-3-il)-3-(4- fenoxifenil)-1H- imidazo[4,5-c]piridin-2(3H)-ona; (S)-4-amino-1-(1-(3-hidroxipropanoil)piperidin-3-il)-3-(4- fenoxifenil)-1H- imidazo[4,5-c]piridin-2(3H)-ona; 4-amino-1-(((2R)-1-(oxirano-2-carbonil)pirrolidin-2-il)metil)-3-(4- fenoxifenil)- 1H-imidazo[4,5-c]piridin-2(3H)-ona; 4-amino-1-(((2R)-1-(2,3-di-hidroxipropanoil)pirrolidin-2-il)metil)- 3-(4- fenoxifenil)-1H-imidazo[4,5-c]piridin-2(3H)-ona; 4-amino-1-(((2R)-1-(2-hidroxipropanoil)pirrolidin-2-il)metil)-3-(4- fenoxifenil)- 1H-imidazo[4,5-c]piridin-2(3H)-ona; e (R)-4-amino-1-((1-(3-hidroxipropanoil)pirrolidin-2-il)metil)-3-(4- fenoxifenil)- 1H-imidazo[4,5-c]piridin-2(3H)-ona; e/ou um sal farmaceuticamente aceitável do mesmo.[00135] The present invention is also directed to the following compounds: 4-amino-1-((3S)-1-(oxirane-2-carbonyl)piperidin-3-yl)-3-(4-phenoxyphenyl)-1H- imidazo[4,5-c]pyridin-2(3H)-one; 4-amino-1-((3S)-1-(2,3-dihydroxypropanoyl)piperidin-3-yl)-3-(4-phenoxyphenyl)- 1H-imidazo[4,5-c]pyridin-2 (3H)-one; 4-amino-1-((3S)-1-(2-hydroxypropanoyl)piperidin-3-yl)-3-(4-phenoxyphenyl)-1H-imidazo[4,5-c]pyridin-2(3H)- onea; (S)-4-amino-1-(1-(3-hydroxypropanoyl)piperidin-3-yl)-3-(4-phenoxyphenyl)-1H-imidazo[4,5-c]pyridin-2(3H)- onea; 4-amino-1-(((2R)-1-(oxirane-2-carbonyl)pyrrolidin-2-yl)methyl)-3-(4-phenoxyphenyl)- 1H-imidazo[4,5-c]pyridin- 2(3H)-one; 4-amino-1-(((2R)-1-(2,3-dihydroxypropanoyl)pyrrolidin-2-yl)methyl)- 3-(4-phenoxyphenyl)-1H-imidazo[4,5-c] pyridin-2(3H)-one; 4-amino-1-(((2R)-1-(2-hydroxypropanoyl)pyrrolidin-2-yl)methyl)-3-(4-phenoxyphenyl)- 1H-imidazo[4,5-c]pyridin-2( 3H)-one; and (R)-4-amino-1-((1-(3-hydroxypropanoyl)pyrrolidin-2-yl)methyl)-3-(4-phenoxyphenyl)- 1H-imidazo[4,5-c]pyridin-2 (3H)-one; and/or a pharmaceutically acceptable salt thereof.
[00136] Esses compostos podem ser preparados de acordo com o Esquema 4 apresentado abaixo e têm a mesma utilidade que os com-postos da Fórmula (I).[00136] These compounds can be prepared according to Scheme 4 presented below and have the same usefulness as the compounds of Formula (I).
[00137] Os compostos desta revelação podem ser feitos pelos métodos ilustrados nos esquemas de reação mostrados abaixo.[00137] The compounds of this disclosure can be made by the methods illustrated in the reaction schemes shown below.
[00138] Os materiais de partida e reagentes usados na preparação destes compostos estão disponíveis de fornecedores comerciais como Aldrich Chemical Co., (Milwaukee, Wis.), Bachem (Torrance, Calif.), ou Sigma (St. Louis, Mo.) ou são preparados por métodos conhecidos daqueles versados na técnica seguindo procedimentos estabelecidos em referências como Fieser e Fieser's Reagents for Organic Synthesis, Volumes 1 a 17 (John Wiley e Sons, 1991); Rodd's Chemistry of Carbon Compounds, Volumes 1 a 5 e Suplementos (Elsevier Science Publishers, 1989); Organic Reactions, Volumes 1 a 40 (John Wiley e Sons, 1991), March's Advanced Organic Chemistry, (John Wiley e Sons, 4a Edição) e Larock's Comprehensive Organic Transformations (VCH Publishers Inc., 1989). Estes esquemas são meramente ilustrativos de alguns métodos pelos quais os compostos desta revelação podem ser sintetizados, e várias modificações a estes esquemas podem ser feitas e serão sugeridas a um versado na técnica tendo referido esta revelação. Os materiais de partida e os intermediários, e os produtos finais da reação podem ser isolados e purificados se desejado usando técnicas convencionais, incluindo mas não se limitando a filtração, destilação, cristalização, cromatografia e similares. Tais materiais podem ser caracterizados usando meios convencionais, incluindo constantes físicas e dados dos espetros.[00138] The starting materials and reagents used in the preparation of these compounds are available from commercial suppliers such as Aldrich Chemical Co., (Milwaukee, Wis.), Bachem (Torrance, Calif.), or Sigma (St. Louis, Mo.) or are prepared by methods known to those skilled in the art following procedures set forth in references such as Fieser and Fieser's Reagents for Organic Synthesis, Volumes 1 to 17 (John Wiley and Sons, 1991); Rodd's Chemistry of Carbon Compounds, Volumes 1 to 5 and Supplements (Elsevier Science Publishers, 1989); Organic Reactions, Volumes 1 to 40 (John Wiley and Sons, 1991), March's Advanced Organic Chemistry, (John Wiley and Sons, 4th Edition) and Larock's Comprehensive Organic Transformations (VCH Publishers Inc., 1989). These schemes are merely illustrative of some methods by which the compounds of this disclosure may be synthesized, and various modifications to these schemes may be made and will be suggested to one skilled in the art having referred to this disclosure. Starting materials and intermediates, and final reaction products can be isolated and purified if desired using conventional techniques, including but not limited to filtration, distillation, crystallization, chromatography and the like. Such materials can be characterized using conventional means, including physical constants and spectral data.
[00139] A não ser que especificado de outro modo, as reações descritas no presente documento ocorrem em pressão atmosférica em uma faixa de temperaturas de cerca de -78 °C a cerca de 150 °C, de cerca de 0°C a cerca de 125°C ou em cerca da temperatura ambiente (do meio ambiente), por exemplo, cerca de 20 °C.[00139] Unless otherwise specified, the reactions described herein occur at atmospheric pressure over a temperature range from about -78°C to about 150°C, from about 0°C to about 125°C or at about ambient (ambient) temperature, for example about 20°C.
[00140] Os compostos de Fórmula (I) em que R5 é um grupo de fórmula (i) e outros grupos conforme definido no Sumário, podem ser preparados conforme ilustrado e descrito no Esquema 1 abaixo. Esquema 1 [00140] Compounds of Formula (I) in which R5 is a group of formula (i) and other groups as defined in the Summary, can be prepared as illustrated and described in Scheme 1 below. Scheme 1
[00141] A reação de um composto de di-halo-heteroarila, como 4,6- dicloro-5-nitropirimidina, com uma amina da Fórmula NH(PG)2 em que PG é um grupo protetor de amino adequado, como benzila, fornece um composto da Fórmula 1. A reação é realizada em um solvente orgânico adequado, como dioxano, diclorometano e similares. O deslocamento do segundo grupo halo por um composto de amino da Fór- mula 2, em que Y e anel Z são conforme definido no Sumário e PG1 é um grupo protetor de amino adequado, como Boc, rende um composto da Fórmula 3. A reação é realizada em diclorometano, dioxano, tetra- hidrofurano e similares com base adicional como trietilamina. Os com-postos da Fórmula 2, como (R)- terc-butil 3-aminopiperidina-1- carboxilato, (S)-terc-butil 3-aminopiperidina-1-carboxilato, (R)-terc-butil 3-(aminometil)pirrolidina-1-carboxilato, (S)-terc- butil 3- (aminometil)pirrolidina-1-carboxilato, (R)-terc-butil 2- (aminometil)azetidina-1-carboxilato, e (S)-terc-butil 2- (aminometil)azetidina- 1-carboxilato, estão comercialmente disponíveis ou podem ser preparados por métodos bem conhecidos na técnica. O grupo nitro de compostos da Fórmula 3 pode ser reduzido com reagentes como Zn e cloreto de amônio em EtOAc ou com Fe ou SnCl em um solvente, como ácido acético em EtOH, para produzir compostos da Fórmula 4.[00141] The reaction of a dihaloheteroaryl compound, such as 4,6-dichloro-5-nitropyrimidine, with an amine of Formula NH(PG)2 in which PG is a suitable amino protecting group, such as benzyl, provides a compound of Formula 1. The reaction is carried out in a suitable organic solvent, such as dioxane, dichloromethane and the like. Displacement of the second halo group by an amino compound of Formula 2, where Y and Z ring are as defined in the Summary and PG1 is a suitable amino protecting group, such as Boc, yields a compound of Formula 3. The reaction it is carried out in dichloromethane, dioxane, tetrahydrofuran and the like with an additional base such as triethylamine. The compounds of Formula 2, such as (R)-tert-butyl 3-aminopiperidine-1-carboxylate, (S)-tert-butyl 3-aminopiperidine-1-carboxylate, (R)-tert-butyl 3-(aminomethyl )pyrrolidine-1-carboxylate, (S)-tert-butyl 3-(aminomethyl)pyrrolidine-1-carboxylate, (R)-tert-butyl 2-(aminomethyl)azetidine-1-carboxylate, and (S)-tert- butyl 2-(aminomethyl)azetidine-1-carboxylate, are commercially available or can be prepared by methods well known in the art. The nitro group of compounds of Formula 3 can be reduced with reagents such as Zn and ammonium chloride in EtOAc or with Fe or SnCl in a solvent such as acetic acid in EtOH to produce compounds of Formula 4.
[00142] Os compostos da Fórmula 4 podem ser ciclizados para formar as benzimidazolonas de Fórmula 5 por meio do aquecimento 4 em um solvente orgânico, como dicloroetano e similares, com carbonil di-imidazol, fosgênio ou um equivalente de fosgênio (por exemplo, di- fosgênio ou trifosgênio), na presença de uma base como trietilamina, di-isopropiletil amina e similares. A remoção do grupo protetor de amino PG fornece o composto de Fórmula 6. As condições de reação usadas têm por base a natureza do grupo protetor de amino. Por exemplo, quando PG é um grupo benzila o mesmo pode ser removido através de hidrogenação com o uso de um catalisador de Pd/C e similares com um aditivo, como ácido acético, para produzir um composto de Fórmula 6. A reação de 6 com um ácido aril borônico de Fórmula 7, em que R1, R2, Ar e X são conforme definido no sumário, através de um acoplamento mediado por cobre (acoplamento de Chan-Lam) com o uso, por exemplo, de Cu(OAc)2 como um catalisador em um solven- te, como DCM, com um aditivo como TEMP ou oxigênio e uma base como piridina ou trietilamina, produz um composto de Fórmula 8. Os compostos de Fórmula 7, por exemplo, ácido (4-fenoxifenil)borônico, 2-[4- (3-fluorofenoxi)-fenil]-4,4,5,5-tetrametil-1,3,2-dioxaborolano, ácido 4-(4- fluorofenoxi)fenilborônico, ácido 4-(3-fluorofenoxi)fenilborônico, ácido 4- (3,5-difluorofenoxi)-fenilborônico, ácido 4-(4-cloro-2- fluorofenoxi)fenil-borônico e ácido 4-(3-(trifluorometil)fenoxi)fenil borônico são comercialmente disponíveis ou podem ser preparados a partir do haleto de fenila por meio de troca de halogênio de lítio e arrefecimento brusco com borato de tri-isopropila.[00142] The compounds of Formula 4 can be cyclized to form the benzimidazolones of Formula 5 by heating 4 in an organic solvent, such as dichloroethane and the like, with carbonyl diimidazole, phosgene or a phosgene equivalent (for example, di - phosgene or triphosgene), in the presence of a base such as triethylamine, diisopropylethyl amine and the like. Removal of the PG amino protecting group provides the compound of Formula 6. The reaction conditions used are based on the nature of the amino protecting group. For example, when PG is a benzyl group it can be removed by hydrogenation using a Pd/C catalyst and the like with an additive such as acetic acid to produce a compound of Formula 6. The reaction of 6 with an aryl boronic acid of Formula 7, wherein R1, R2, Ar and X are as defined in the summary, through a copper-mediated coupling (Chan-Lam coupling) using, for example, Cu(OAc)2 as a catalyst in a solvent such as DCM, with an additive such as TEMP or oxygen and a base such as pyridine or triethylamine, produces a compound of Formula 8. Compounds of Formula 7, for example, (4-phenoxyphenyl)boronic acid , 2-[4-(3-fluorophenoxy)-phenyl]-4,4,5,5-tetramethyl-1,3,2-dioxaborolane, 4-(4-fluorophenoxy)phenylboronic acid, 4-(3-fluorophenoxy) )phenylboronic acid, 4-(3,5-difluorophenoxy)-phenylboronic acid, 4-(4-chloro-2-fluorophenoxy)phenyl-boronic acid and 4-(3-(trifluoromethyl)phenoxy)phenyl boronic acid are commercially available or can be prepared from phenyl halide by lithium halogen exchange and quenching with triisopropyl borate.
[00143] Alternativamente, o composto 8 pode ser preparado por meio da reação do composto 5 primeiramente com ácido borônico 7, seguido da remoção do grupo protetor de amino sob condições descritas acima. A remoção do grupo protetor de amino PG1 no composto 8 fornece o composto de Fórmula 9. As condições de reação usadas têm por base a natureza do grupo protetor de amino. Por exemplo, quando PG1 é Boc, o mesmo pode ser removido sob condições de reação de hidrólise ácida como o tratamento com um ácido como TFA, HCl e similares.[00143] Alternatively, compound 8 can be prepared by reacting compound 5 first with boronic acid 7, followed by removal of the amino protecting group under conditions described above. Removal of the PG1 amino protecting group in compound 8 provides the compound of Formula 9. The reaction conditions used are based on the nature of the amino protecting group. For example, when PG1 is Boc, it can be removed under acid hydrolysis reaction conditions such as treatment with an acid such as TFA, HCl and the like.
[00144] O composto 9 pode ser, então, convertido em um composto de Fórmula (I) por meio de métodos bem conhecidos na técnica. Por exemplo, os compostos de Fórmula (I) podem ser preparados por meio do acoplamento de composto 9 com um ácido de Fórmula 10 ou um derivado de ácido do composto 10, como cloreto de ácido, em que Ra, Rb e Rc são conforme descrito no Sumário, para gerar um composto de Fórmula (I). Quando o composto 10 é usado, a reação é realizada sob condições de acoplamento de amida padrão, como na presença de HATU, DCC, di- imidazol de carbono (CDI) e similares. Os compostos de Fórmula 10 ou derivados de cloreto de ácido dos mesmos estão comercialmente disponíveis (por exemplo, cloreto de acriloíla) ou po- dem ser preparados por métodos bem conhecidos na técnica, como o produto da condensação de ácido cianoacético e um aldeído, como isobutiraldeído ou pivaldeído.[00144] Compound 9 can then be converted into a compound of Formula (I) using methods well known in the art. For example, compounds of Formula (I) can be prepared by coupling compound 9 with an acid of Formula 10 or an acid derivative of compound 10, such as acid chloride, wherein Ra, Rb and Rc are as described. in the Summary, to generate a compound of Formula (I). When compound 10 is used, the reaction is carried out under standard amide coupling conditions, such as in the presence of HATU, DCC, carbon diimidazole (CDI) and the like. Compounds of Formula 10 or acid chloride derivatives thereof are commercially available (e.g., acryloyl chloride) or can be prepared by methods well known in the art, as the condensation product of cyanoacetic acid and an aldehyde, such as isobutyraldehyde or pivaldehyde.
[00145] O composto de Fórmula (I) em que Ra é ciano também pode ser preparado primeiramente condensando-se o composto 9 com ácido 2- cianoacético sob condições de acoplamento de amida padrão, como di-imidazol de carbono (CDI) e similares para gerar um composto de Fórmula 11. A condensação de um composto de Fórmula 11 com um aldeído de fórmula RcCHO em que Rc é conforme definido acima no Sumário, sob condições de condensação padrão, como com o uso de uma base como piperidina e similares, na presença ou ausência de ácido acético e similares, em solventes como etanol e similares a temperaturas que se situam na faixa de temperatura ambiente a refluxo fornece, então, um composto de Fórmula (I). Os compostos de Fórmula RcCHO estão comercialmente disponíveis ou podem ser preparados por métodos bem conhecidos na técnica, por exemplo, acetaldeído, ciclopropilaldeído, isobutiraldeído, 3-metiloxetano-3- carbaldeído, 2-(dimetilamino)-2-metilpropanal, 2-metil-2-(1- piperidil)propanal, (2S)-2-formilpirrolidina-1- carboxilato de terc-butila e 2-metil-2-(morfolin-4-il)propanal estão comercialmente disponíveis. O etoxi-2-metilpropanal foi preparado a partir de isobutiraldeído conforme descrito no pedido internacional PCT 2007142576. Os compostos RCCHO em que Rc é -(alquileno)-NR6R7 podem ser preparados por meio do tratamento de isobutrialdeído com bromo para formar bromoisobutiraldeído seguido do deslocamento do bromo por meio da adição de HNR6R7.[00145] The compound of Formula (I) in which Ra is cyano can also be prepared by first condensing compound 9 with 2-cyanoacetic acid under standard amide coupling conditions, such as carbon diimidazole (CDI) and the like. to generate a compound of Formula 11. The condensation of a compound of Formula 11 with an aldehyde of formula RcCHO wherein Rc is as defined above in the Summary, under standard condensation conditions, such as with the use of a base such as piperidine and the like, in the presence or absence of acetic acid and the like, in solvents such as ethanol and similar at temperatures in the ambient temperature range, reflux then provides a compound of Formula (I). Compounds of Formula RcCHO are commercially available or can be prepared by methods well known in the art, for example, acetaldehyde, cyclopropylaldehyde, isobutyraldehyde, 3-methyloxane-3-carbaldehyde, 2-(dimethylamino)-2-methylpropanal, 2-methyl- Tert-butyl 2-(1-piperidyl)propanal, (2S)-2-formylpyrrolidine-1-carboxylate and 2-methyl-2-(morpholin-4-yl)propanal are commercially available. Ethoxy-2-methylpropanal was prepared from isobutyraldehyde as described in international application PCT 2007142576. RCCHO compounds in which Rc is -(alkylene)-NR6R7 can be prepared by treating isobutyraldehyde with bromine to form bromoisobutyraldehyde followed by displacement of bromine through the addition of HNR6R7.
[00146] Alternativamente, o composto 11 também pode ser condensado com um grupo precursor de RcCHO e, então, convertido em um composto de Fórmula (I). Por exemplo, o composto 11 pode ser condensado com 2-metil-1-oxopropan-2-ilcarbamato de terc-butila se-guido da remoção do grupo protetor de amino para gerar um composto de Fórmula (I) em que Rc é 2-aminopropan-2-ila. A reação de condensação também pode ser realizada por meio da adição do aldeído desejado RcCHO com uma base como pirrolidina ou piperidina com ou sem clorotrimetilsilano em diclorometano ou outro solvente adequado (por exemplo, dioxano e etanol). Os compostos de Fórmula (I) em que R5 é um grupo de fórmula (ii) a (iv) podem ser preparados conforme descrito no Esquema 2. Seguindo-se o procedimento descrito acima e substituindo-se o composto 9 por materiais de partida adequados, como ácido 2-butinoico, cloreto de vinilsulfonila, cloreto de (E)-prop-1- eno-1-sulfonila, cloreto de 1-propina-1-sulfonila, os compostos de Fórmula (I) podem ser obtidos.[00146] Alternatively, compound 11 can also be condensed with a RcCHO precursor group and then converted into a compound of Formula (I). For example, compound 11 can be condensed with tert-butyl 2-methyl-1-oxopropan-2-ylcarbamate followed by removal of the amino protecting group to generate a compound of Formula (I) in which Rc is 2- aminopropan-2-yl. The condensation reaction can also be carried out by adding the desired aldehyde RcCHO with a base such as pyrrolidine or piperidine with or without chlorotrimethylsilane in dichloromethane or other suitable solvent (e.g. dioxane and ethanol). Compounds of Formula (I) wherein R5 is a group of formula (ii) to (iv) can be prepared as described in Scheme 2. By following the procedure described above and replacing compound 9 with suitable starting materials , such as 2-butynoic acid, vinylsulfonyl chloride, (E)-prop-1-ene-1-sulfonyl chloride, 1-propyne-1-sulfonyl chloride, compounds of Formula (I) can be obtained.
[00147] Alternativamente, para preparar os compostos de Fórmula (I) em que R5 é um grupo de fórmula (ii), os compostos de Fórmula 11 podem ser reagidos com cloreto de cianometano sulfonila, disponível comercialmente, para produzir uma cianometilsulfonamida que pode ser condensada com aldeídos de Fórmula 12 com TMSCl e pirrolidina para produzir estruturas de Fórmula (I). Esquema 2 [00147] Alternatively, to prepare the compounds of Formula (I) in which R5 is a group of formula (ii), the compounds of Formula 11 can be reacted with commercially available cyanomethane sulfonyl chloride to produce a cyanomethylsulfonamide that can be condensed with aldehydes of Formula 12 with TMSCl and pyrrolidine to produce structures of Formula (I). Scheme 2
[00148] Os compostos de Fórmula (I) em que A=CH podem ser preparados conforme descrito no Esquema 3. 2,4-dicloro-3- nitropiridina pode ser primeiramente reagido com um composto de amino de Fórmula 2, em que Y e anel Z são conforme definido no Sumário e PG1 é um grupo protetor de amino adequado, como Boc. A reação subsequente com uma amina de Fórmula NH(PG)2 em que PG é um grupo protetor de amino adequado, como 4-metoxibenzila, em um solvente como DMF produz um composto de Fórmula 14. A redução do grupo nitro por meio da hidrogenação com Pd/C ou por meio da redução com Zn, Fe ou SnCl sob condições padrão, produz um composto de Fórmula 15. A condensação com carbonildi-imidazol ou um equivalente de fosgênio produz a ureia cíclica 16. O acoplamento de Chan-Lam pode ser realizado nesse estágio e as sínteses de compostos (I) concluídas conforme descrito no Esquema 1.[00148] Compounds of Formula (I) in which A=CH can be prepared as described in Scheme 3. 2,4-dichloro-3-nitropyridine can first be reacted with an amino compound of Formula 2, in which Y and Z ring are as defined in the Summary and PG1 is a suitable amino protecting group such as Boc. Subsequent reaction with an amine of Formula NH(PG)2 where PG is a suitable amino protecting group, such as 4-methoxybenzyl, in a solvent such as DMF produces a compound of Formula 14. Reduction of the nitro group through hydrogenation with Pd/C or through reduction with Zn, Fe or SnCl under standard conditions, produces a compound of Formula 15. Condensation with carbonyldiimidazole or a phosgene equivalent produces cyclic urea 16. Chan-Lam coupling can be carried out at this stage and the syntheses of compounds (I) completed as described in Scheme 1.
[00149] Alternativamente, o composto 17 pode ser preparado tratando- se primeiramente com um ácido, como TFA, para remover ambos os grupos protetores e subsequentemente instalando-se o grupo PG1 (por exemplo, Boc). O tratamento subsequente com dimetilfor- mamida dimetil acetal produz um composto de Fórmula 18. A reação sob condições de Chan-Lam, conforme descrito acima, então, produz o composto 19. A desproteção subsequente por meio do tratamento de 19 com um ácido como HCl ou TFA em solventes como diclorometano, dioxano, MeOH ou EtOH produz um composto de Fórmula 20. A preparação de compostos de Fórmula (I) é, então, preparada no modo análogo aos métodos descritos nos Esquemas 1 e 2. Esquema 3 O esquema 4 abaixo mostra a preparação dos compostos de Fórmula 21, 22, 24 e 25. O acoplamento de um ácido comercialmente disponível como ácido 3-hidroxipropanoico ou ácido 2- hidroxipropanoico (como um racemato ou como o isômero (S) ou (R)) com o composto 20 a partir do Esquema 2 com o uso de um reagente, como HATU em um solvente, como DMF, produz os compostos de Fórmula 21 e 22, respectivamente. O cloreto de acriloíla pode ser adicionado ao composto 20 em um solvente, como DMF, com uma base como trimetilamina ou di-isopropiletilamina para produzir um composto de Fórmula 23. A oxidação com reagentes, como tetróxido de ósmio e óxido de N-metil morfolina (NMO) em uma mistura de acetona e água produz dióis de Fórmula 24. O composto 25 pode ser preparado a partir de um composto de Fórmula 23 por meio da oxidação com um oxidante, como mCPBA em um solvente como tolueno ou diclorometano ou por peróxido de terc-butil hidrogênio (TBHP) e um catalisador de alcaloide de quina (epoxidação de Sharpless). Esquema 4 [00149] Alternatively, compound 17 can be prepared by first treating with an acid, such as TFA, to remove both protecting groups and subsequently installing the PG1 group (e.g., Boc). Subsequent treatment with dimethylformamide dimethyl acetal produces a compound of Formula 18. Reaction under Chan-Lam conditions as described above then produces compound 19. Subsequent deprotection by treatment of 19 with an acid such as HCl or TFA in solvents such as dichloromethane, dioxane, MeOH or EtOH produces a compound of Formula 20. The preparation of compounds of Formula (I) is then prepared in a manner analogous to the methods described in Schemes 1 and 2. Scheme 3 Scheme 4 below shows the preparation of compounds of Formula 21, 22, 24 and 25. Coupling a commercially available acid such as 3-hydroxypropanoic acid or 2-hydroxypropanoic acid (as a racemate or as the (S) or (R) isomer )) with compound 20 from Scheme 2 using a reagent such as HATU in a solvent such as DMF produces compounds of Formula 21 and 22, respectively. Acryloyl chloride can be added to compound 20 in a solvent such as DMF with a base such as trimethylamine or diisopropylethylamine to produce a compound of Formula 23. Oxidation with reagents such as osmium tetroxide and N-methyl morpholine oxide (NMO) in a mixture of acetone and water produces diols of Formula 24. Compound 25 can be prepared from a compound of Formula 23 by oxidation with an oxidant such as mCPBA in a solvent such as toluene or dichloromethane or by peroxide of tert-butyl hydrogen (TBHP) and a cinchona alkaloid catalyst (Sharpless epoxidation). Scheme 4
[00150] Alguns outros compostos podem ser preparados com o uso do método geral mostrado abaixo. [00150] Some other compounds can be prepared using the general method shown below.
[00151] Em um frasco de fundo redondo de 100 ml purgado e mantido com uma atmosfera de O2, colocou-se o ácido arilborônico (1,0 equiv.), TEA (4,0 equiv.), Cu(OAc)2 (0,50 equiv.), TEMPO (1,10 equiv.) e peneiras moleculares (4A) (500 mg) em diclorometano (0,1 mM). A solução resultante foi agitada durante 30 min. e, então, o ácido aril- borônico (2,00 equiv.) foi adicionado. A solução resultante foi agitada durante a noite em rt. A mistura resultante foi concentrada sob vácuo. O resíduo foi aplicado em uma coluna de gel de sílica eluindo com di- clorometano/metanol para produzir o produto desejado A.[00151] In a 100 ml round bottom flask purged and maintained with an O2 atmosphere, arylboronic acid (1.0 equiv.), TEA (4.0 equiv.), Cu(OAc)2 ( 0.50 equiv.), TEMPO (1.10 equiv.) and molecular sieves (4A) (500 mg) in dichloromethane (0.1 mM). The resulting solution was stirred for 30 min. and then arylboronic acid (2.00 equiv.) was added. The resulting solution was stirred overnight at rt. The resulting mixture was concentrated under vacuum. The residue was applied to a silica gel column eluting with dichloromethane/methanol to produce the desired product A.
[00152] A uma solução de A (1,0 equiv.) em dioxano adicionou-se cloreto de hidrogênio (12 M). A solução resultante foi agitada durante 3 h a 85°C em um banho de óleo. A reação foi, então, arrefecida bruscamente por meio da adição de bicarbonato de sódio (sat.). A solução resultante foi extraída com DCM/MeOH (10:1) e as camadas orgânicas combinadas. A mistura resultante foi lavada com cloreto de sódio saturado. A mistura foi seca sobre sulfato de sódio anidro e concentrada sob vácuo. Isso resultou em 360 mg (100%) de B.[00152] To a solution of A (1.0 equiv.) in dioxane was added hydrogen chloride (12 M). The resulting solution was stirred for 3 h at 85°C in an oil bath. The reaction was then cooled abruptly by adding sodium bicarbonate (sat.). The resulting solution was extracted with DCM/MeOH (10:1) and the organic layers combined. The resulting mixture was washed with saturated sodium chloride. The mixture was dried over anhydrous sodium sulfate and concentrated in vacuo. This resulted in 360 mg (100%) of B.
[00153] Em um frasco de fundo redondo de 50 ml, colocou-se B (1,0 equiv.), ácido 2-cianoacético (1,0 equiv.), HATU (1,5 equiv.), TEA (3,0 equiv.) e N,N-dimetilformamida (0,1 mMol). A solução resultante foi agitada durante 2 h em rt. A solução resultante foi extraída com di- clorometano e as camadas orgânicas combinadas. A mistura resultante foi lavada com 6 x 100 ml de água. A mistura foi seca sobre sulfato de sódio anidro e concentrada sob vácuo. O resíduo foi aplicado em uma coluna de gel de sílica com diclorometano/metanol para produzir o composto C.[00153] In a 50 ml round bottom flask, B (1.0 equiv.), 2-cyanoacetic acid (1.0 equiv.), HATU (1.5 equiv.), TEA (3. 0 equiv.) and N,N-dimethylformamide (0.1 mMol). The resulting solution was stirred for 2 h at rt. The resulting solution was extracted with dichloromethane and the organic layers combined. The resulting mixture was washed with 6 x 100 ml of water. The mixture was dried over anhydrous sodium sulfate and concentrated in vacuo. The residue was applied to a silica gel column with dichloromethane/methanol to produce compound C.
[00154] Em um frasco de fundo redondo, colocou-se C (1,0 equiv.) que foi dissolvido em DCM a uma concentração de 0,2 M. A solução foi resfriada a 0°C, e o aldeído (3,0 equiv.) foi adicionado seguido de pirrolidina (6,0 equiv.) e TMSCl (4,0 equiv.). A reação foi aquecida até rt e agitada durante 3 h ou até que o sm fosse consumido. A água foi adicionada e as camadas separadas. A camada orgânica foi seca com sulfato de sódio, filtrada e o solvente removido sob vácuo. A purificação por cromatografia em gel de sílica ou HPLC preparatória produziu os compostos D desejados. Os aldeídos foram adquiridos comercialmente, por meio do método mostrado abaixo ou por métodos conhecidos na literatura (isto é, oxidação de um álcool através de condições de Swern ou com um oxidante como PCC ou periodinano DessMartin). Método Geral B Preparação de aldeídos a partir de isobutiraldeído [00154] In a round bottom flask, C (1.0 equiv.) was placed and dissolved in DCM at a concentration of 0.2 M. The solution was cooled to 0°C, and the aldehyde (3. 0 equiv.) was added followed by pyrrolidine (6.0 equiv.) and TMSCl (4.0 equiv.). The reaction was heated to rt and stirred for 3 h or until the sm was consumed. Water was added and the layers separated. The organic layer was dried with sodium sulfate, filtered and the solvent removed in vacuo. Purification by silica gel chromatography or preparative HPLC yielded the desired compounds D. Aldehydes were purchased commercially, using the method shown below or by methods known in the literature (i.e., oxidation of an alcohol through Swern conditions or with an oxidant such as PCC or DessMartin periodinane). General Method B Preparation of aldehydes from isobutyraldehyde
[00155] A uma solução de 2-metilpropanal (1,0 equiv.) em DCM (0,2 M) resfriada com um banho de gelo adicionou-se bromo (1,0 equiv.) por gotejamento. Após 1 h, a maior parte de solvente foi removida da solução de 2-bromo-2-metilpropanal resultante em vácuo. Esse material foi diluído em DCM (8 ml) em rt e amina (2,0 equiv.) foi adicionada. Após a agitação durante a noite, a mistura foi diluída com salmoura (30 ml) e as camadas separadas. A camada orgânica é seca (MgSO4), filtrada e concentrada para isolar o aldeído desejado que é usado diretamente na próxima etapa ou purificado por cromatografia em gel de sílica antes do uso.[00155] To a solution of 2-methylpropanal (1.0 equiv.) in DCM (0.2 M) cooled with an ice bath, bromine (1.0 equiv.) was added dropwise. After 1 h, most of the solvent was removed from the resulting 2-bromo-2-methylpropanal solution under vacuum. This material was diluted in DCM (8 ml) at rt and amine (2.0 equiv.) was added. After stirring overnight, the mixture was diluted with brine (30 ml) and the layers separated. The organic layer is dried (MgSO4), filtered and concentrated to isolate the desired aldehyde which is used directly in the next step or purified by silica gel chromatography before use.
[00156] A atividade inibitória de BTK, tempo de permanência do complexo ligado a BTK inibidor e a capacidade dos compostos da presente revelação para formar uma ligação covalente irreversível ou uma ligação covalente reversível com Cys 481 (UniprotKB ID de sequência Q06187) de BTK podem ser testados com o uso dos ensaios in vitro e/ou in vivo descritos em Exemplos biológicos abaixo.[00156] The BTK inhibitory activity, residence time of the inhibitory BTK-bound complex, and the ability of the compounds of the present disclosure to form an irreversible covalent bond or a reversible covalent bond with Cys 481 (UniprotKB sequence ID Q06187) of BTK may be tested using the in vitro and/or in vivo assays described in Biological Examples below.
[00157] A atividade inibitória de BTK do composto de Fórmula (I) e/ou um sal farmaceuticamente aceitável do mesmo da presente revelação pode ser testada com o uso dos ensaios in vitro e/ou in vivo descritos em Exemplos biológicos 1, 3, 4 e 5 abaixo. Uma determinação de atividade inibitória de quinase por meio de qualquer um desses ensaios é considerada como sendo atividade inibitória de quinase dentro do âmbito da presente revelação mesmo se algum ou todos os outros ensaios não resultem em uma determinação de atividade inibitória de quinase.[00157] The BTK inhibitory activity of the compound of Formula (I) and/or a pharmaceutically acceptable salt thereof of the present disclosure can be tested using the in vitro and/or in vivo assays described in Biological Examples 1, 3, 4 and 5 below. A determination of kinase inhibitory activity by any of these assays is considered to be kinase inhibitory activity within the scope of the present disclosure even if any or all of the other assays do not result in a determination of kinase inhibitory activity.
[00158] Sem se ater a qualquer teoria mecanística específica, naquelas modalidades em que o composto da presente revelação é um inibidor covalente reversível, acredita-se que o grupo sulfidrila de cisteína e um átomo de carbono que formam parte de uma ligação dupla de carbono- carbono no grupo R5 em um composto de Fórmula (I), em que R5 é um grupo de fórmula (i), (ii) ou (iii) em que Ra é ciano, (consulte a Fórmula (I)) podem formar uma ligação covalente reversível, isto é, lábil, como em que Cys 481 de BTK ataca um átomo de carbono deficiente de elétron da ligação dupla de carbono-carbono nos grupos R5 listados acima no composto da presente revelação para formar um aduto tiol.[00158] Without being bound by any specific mechanistic theory, in those embodiments in which the compound of the present disclosure is a reversible covalent inhibitor, it is believed that the cysteine sulfhydryl group and a carbon atom that form part of a carbon double bond - carbon in the R5 group in a compound of Formula (I), where R5 is a group of formula (i), (ii) or (iii) where Ra is cyano, (see Formula (I)) can form a reversible, i.e., labile, covalent bond, as in which Cys 481 of BTK attacks an electron-deficient carbon atom of the carbon-carbon double bond in the R5 groups listed above in the compound of the present disclosure to form a thiol adduct.
[00159] Em algumas modalidades, o átomo de carbono deficiente de elétrons da olefina é distal ao carbono fixado ao grupo Ra (em que Ra é ciano) isto é, o átomo de carbono fixado ao grupo Rb e Rc (consulte a Fórmula (I) nos compostos da presente revelação). Portanto, a combinação do grupo Ra (em que Ra é ciano) e as porções químicas "- N-CO-, -NSO2 ou -N-SO-" e a porção química olefínica a qual são ligados nos compostos da presente revelação pode aumentar a reatividade da olefina para formar um aduto tiol com o resíduo de cisteína de sítio ativo em BTK.[00159] In some embodiments, the electron-deficient carbon atom of the olefin is distal to the carbon attached to the Ra group (where Ra is cyano) that is, the carbon atom attached to the Rb and Rc group (see Formula (I ) in the compounds of the present disclosure). Therefore, the combination of the Ra group (where Ra is cyano) and the "-N-CO-, -NSO2 or -N-SO-" chemical moieties and the olefinic chemical moiety to which they are attached in the compounds of the present disclosure can increase the reactivity of the olefin to form a thiol adduct with the active site cysteine residue in BTK.
[00160] Os compostos da presente revelação que são inibidores covalentes reversíveis podem se ligar com BTK de duas maneiras dife-rentes. Além da ligação covalente lábil discutida acima, acredita-se que os mesmos formem também uma ligação não covalente (por exemplo, através de ligação van der Waals, ligação de hidrogênio, ligação hidrofóbica, ligação hidrofílica e/ou ligação por carga eletrostática) com BTK, sendo a ligação não covalente suficiente para inibir pelo menos parcialmente a atividade de quinase da BTK.[00160] The compounds of the present disclosure that are reversible covalent inhibitors can bind with BTK in two different ways. In addition to the labile covalent bond discussed above, they are also believed to form a non-covalent bond (e.g., via van der Waals bond, hydrogen bond, hydrophobic bond, hydrophilic bond, and/or electrostatic charge bond) with BTK. , the non-covalent bond being sufficient to at least partially inhibit the kinase activity of BTK.
[00161] Conforme revelado no presente documento, a ligação covalente lábil ocorre entre a olefina no inibidor e a cadeia lateral de tiol de resíduo de cisteína 481 no ou próximo ao local em que o inibidor tem a ligação não covalente mencionada anteriormente com a BTK.[00161] As disclosed herein, the labile covalent bond occurs between the olefin in the inhibitor and the thiol side chain of cysteine residue 481 at or near the site where the inhibitor has the previously mentioned non-covalent bond with BTK.
[00162] Como é evidente, os compostos da presente revelação que são inibidores covalentes reversíveis apresentam tanto ligação covalente mediada por cisteína como ligação não covalente com a BTK. Isso é diferente dos inibidores reversíveis não covalentes que inibem a BTK apenas por ligação não covalente e não apresentam a ligação covalente mediada por cisteína.[00162] As is evident, the compounds of the present disclosure that are reversible covalent inhibitors present both cysteine-mediated covalent binding and non-covalent binding to BTK. This is different from non-covalent reversible inhibitors that inhibit BTK only by non-covalent binding and do not feature cysteine-mediated covalent binding.
[00163] A ligação dos compostos da presente revelação com BTK das duas maneiras diferentes mencionadas acima fornece um inibidor covalente reversível que tem uma taxa de dissociação lenta e uma du-ração de ação prolongada, em alguns casos comparáveis com um ini-bidor covalente irreversível sem formação de adutos proteicos irrever-síveis permanentes. A diferença entre inibidores covalentes irreversíveis e reversíveis, particularmente os compostos revelados no presente documento, pode ser determinada utilizando-se os ensaios revelados no presente documento.[00163] Binding the compounds of the present disclosure with BTK in the two different ways mentioned above provides a reversible covalent inhibitor that has a slow dissociation rate and a prolonged duration of action, in some cases comparable to an irreversible covalent inhibitor without formation of permanent irreversible protein adducts. The difference between irreversible and reversible covalent inhibitors, particularly the compounds disclosed herein, can be determined using the assays disclosed herein.
[00164] Em geral, a ligação envolveu um inibidor que forma uma ligação covalente reversível com BTK que é estável quando a BTK está em certas configurações e é suscetível a ser rompida quando a BTK está em configurações diferentes (em ambos os casos, sob condições fisiológicas), enquanto que a interação entre um inibidor que forma uma ligação covalente irreversível com BTK é estável sob condições fisiológicas mesmo quando a BTK está em configurações diferentes.[00164] In general, the bond involved an inhibitor that forms a reversible covalent bond with BTK that is stable when BTK is in certain configurations and is susceptible to disruption when BTK is in different configurations (in both cases, under conditions physiological conditions), whereas the interaction between an inhibitor that forms an irreversible covalent bond with BTK is stable under physiological conditions even when BTK is in different configurations.
[00165] Uma ligação covalente reversível muitas vezes confere propriedades únicas relacionadas ao tempo de permanência do composto dentro do sítio de ligação contendo a cisteína. Nesse contexto, o tempo de permanência se refere à duração temporal do complexo composto-alvo em diferentes condições (consulte Copeland RA, Pom- pliano DL, Meek TD. Drug-target residence time and its implications for lead optimization. Nat. Rev. Drug Discov. 5(9), 730 a 739 (2006).[00165] A reversible covalent bond often confers unique properties related to the compound's residence time within the cysteine-containing binding site. In this context, residence time refers to the temporal duration of the target compound complex under different conditions (see Copeland RA, Pompliano DL, Meek TD. Drug-target residence time and its implications for lead optimization. Nat. Rev. Drug Discov. 5(9), 730 to 739 (2006).
[00166] A presença de uma ligação covalente reversível em um inibidor covalente reversível como revelado no presente documento pode resultar em um tempo de permanência prolongado em comparação a um composto que não forma uma ligação covalente com BTK. Em uma modalidade revelada no presente documento, os compostos da presente revelação que são inibidores covalentes reversíveis têm um tempo de permanência de pelo menos cerca de 1 h. O tempo de per-manência pode ser medido com o uso de um ensaio de ocupação em um ambiente bioquímico ou celular (consulte o Exemplo Biológico 2 e 9 abaixo). Adicionalmente, o tempo de permanência pode ser medido usando um ensaio funcional após um determinado período de eliminação.[00166] The presence of a reversible covalent bond in a reversible covalent inhibitor as disclosed herein may result in an extended residence time compared to a compound that does not form a covalent bond with BTK. In one embodiment disclosed herein, compounds of the present disclosure that are reversible covalent inhibitors have a residence time of at least about 1 h. Residence time can be measured using an occupancy assay in a biochemical or cellular environment (see Biological Example 2 and 9 below). Additionally, residence time can be measured using a functional assay after a certain washout period.
[00167] Os compostos que formam uma ligação covalente irreversível em um inibidor covalente irreversível compartilham essas propriedades de tempo de permanência prolongado, mas podem, no entanto, ser diferenciados de um inibidor covalente reversível com o uso de um ensaio de reversibilidade. A capacidade do composto da revelação para formar ligação covalente reversível ou irreversível com Cys481 de BTK pode ser determinada pelos ensaios descritos nos Exemplos biológicos 2, 6 a 8 abaixo. A determinação da reversibilidade de ligação da ligação covalente entre o resíduo de cisteína e a ligação olefínica do composto da revelação por qualquer um dos Exemplos Biológicos 2, 6 a 8 abaixo é considerada como ligação reversível dentro do escopo desta revelação mesmo se um ou ambos dentre os outros métodos não resultem em uma determinação de reversibilidade de ligação.[00167] Compounds that form an irreversible covalent bond in an irreversible covalent inhibitor share these extended residence time properties, but can, however, be differentiated from a reversible covalent inhibitor using a reversibility assay. The ability of the compound of disclosure to form reversible or irreversible covalent bond with Cys481 of BTK can be determined by the assays described in Biological Examples 2, 6 to 8 below. Determination of the binding reversibility of the covalent bond between the cysteine residue and the olefinic bond of the compound of the disclosure by any of Biological Examples 2, 6 to 8 below is considered reversible binding within the scope of this disclosure even if one or both of the other methods do not result in a determination of binding reversibility.
[00168] Em geral, os compostos da presente revelação serão admi-nistrados em uma quantidade terapeuticamente eficaz por qualquer um dos modos aceitos de administração para agentes que servem utilidades similares. Quantidades terapeuticamente eficazes de compostos da Fórmula (I) podem se situar na faixa de cerca de 0,01 a cerca de 500 mg por kg de peso corporal do paciente por dia, que podem ser administrados em doses únicas ou múltiplas. Em uma modalidade, o nível de dosagem será de cerca de 0,1 a cerca de 250 mg/kg por dia. Em uma outra modalidade, o nível de dosagem será de cerca de 0,5 a cerca de 100 mg/kg por dia. Uma dosagem adequada pode ser cerca de 0,01 a cerca de 250 mg/kg por dia, cerca de 0,05 a cerca de 100 mg/kg por dia, ou cerca de 0,1 a cerca de 50 mg/kg por dia. Dentro desta gama a dosagem pode ser cerca de 0,05 a cerca de 0,5, cerca de 0,5 a cerca de 5 ou cerca de 5 a cerca de 50 mg/kg por dia. Para administração oral, as composições podem ser fornecidas na forma de comprimidos que contêm cerca de 1,0 a cerca de 1.000 miligramas do ingrediente ativo, particularmente cerca de 1,0, 5,0, 10, 15, 20, 25, 50, 75, 100, 150, 200, 250, 300, 400, 500, 600, 750, 800, 900 e 1.000 miligramas do ingrediente ativo. A quantidade real do composto desta revelação, isto é, o ingrediente ativo, dependerá de numerosos fatores como a gravidade da doença a ser tratada, a idade e saúde relativa do sujeito, a potência do composto sendo utilizado, a rota e forma de administração, e outros fatores.[00168] In general, the compounds of the present disclosure will be administered in a therapeutically effective amount by any of the accepted modes of administration for agents that serve similar utilities. Therapeutically effective amounts of compounds of Formula (I) can range from about 0.01 to about 500 mg per kg of patient body weight per day, which can be administered in single or multiple doses. In one embodiment, the dosage level will be from about 0.1 to about 250 mg/kg per day. In another embodiment, the dosage level will be from about 0.5 to about 100 mg/kg per day. A suitable dosage may be about 0.01 to about 250 mg/kg per day, about 0.05 to about 100 mg/kg per day, or about 0.1 to about 50 mg/kg per day. . Within this range the dosage may be about 0.05 to about 0.5, about 0.5 to about 5, or about 5 to about 50 mg/kg per day. For oral administration, the compositions may be provided in the form of tablets containing about 1.0 to about 1,000 milligrams of the active ingredient, particularly about 1.0, 5.0, 10, 15, 20, 25, 50, 75, 100, 150, 200, 250, 300, 400, 500, 600, 750, 800, 900 and 1,000 milligrams of the active ingredient. The actual amount of the compound of this disclosure, that is, the active ingredient, will depend on numerous factors such as the severity of the disease being treated, the age and relative health of the subject, the potency of the compound being used, the route and form of administration, and other factors.
[00169] Em geral, os compostos desta revelação serão administrados como composições farmacêuticas por qualquer uma das seguintes vias: administração oral, sistêmica (por exemplo, transdérmica, intranasal ou por supositórios), ou parenteral (por exemplo, intramuscular, intravenosa ou subcutânea). A maneira de administração preferencial é oral usando um regime de dosagem diária adequado, que pode ser ajustado de acordo com o grau de sofrimento. As composições podem tomar a forma de comprimidos, pílulas, cápsulas, semissólidos, pós, formulações de liberação controlada, soluções, suspensões, elixires, aerossóis, ou quaisquer outras composições adequadas.[00169] In general, the compounds of this disclosure will be administered as pharmaceutical compositions by any of the following routes: oral, systemic (e.g., transdermal, intranasal or suppository) administration, or parenteral (e.g., intramuscular, intravenous or subcutaneous) administration. . The preferred mode of administration is oral using an appropriate daily dosage regimen, which can be adjusted according to the degree of suffering. The compositions may take the form of tablets, pills, capsules, semisolids, powders, controlled-release formulations, solutions, suspensions, elixirs, aerosols, or any other suitable compositions.
[00170] A escolha da formulação depende de vários fatores tais como o modo de administração do fármaco (por exemplo, para administração oral, são preferenciais formulações na forma de comprimidos, pílulas ou cápsulas), e a biodisponibilidade da substância do fár- maco. Recentemente, foram desenvolvidas formulações farmacêuticas especialmente para fármacos que mostram fraca biodisponibilidade com base no princípio de que a biodisponibilidade pode ser aumentada por aumento da área superficial, ou seja, diminuição do tamanho das partículas. Por exemplo, a Patente dos E.U.A. no 4.107.288 descreve uma formulação farmacêutica tendo partículas na gama de tamanhos de 10 a 1.000 nm nas quais o material ativo está apoiado em uma matriz reticulada de macromoléculas. A Patente dos E.U.A. no 5.145.684 descreve a produção de uma formulação farmacêutica na qual a substância do fármaco é pulverizada em nanopartículas (tamanho de partículas médio de 400 nm) na presença de um modificador de superfície e depois dispersa em um meio líquido para dar uma for-mulação farmacêutica que exiba biodisponibilidade marcadamente elevada. A biodisponibilidade de fármacos que decompõem em pH de estômago pode ser aumentada mediante a administração de tais fár- macos em uma formulação que libera o fármaco de maneira intraduo- denal.[00170] The choice of formulation depends on several factors such as the mode of administration of the drug (for example, for oral administration, formulations in the form of tablets, pills or capsules are preferred), and the bioavailability of the drug substance. Recently, pharmaceutical formulations have been developed especially for drugs that show poor bioavailability based on the principle that bioavailability can be increased by increasing surface area, i.e., decreasing particle size. For example, U.S. Patent No. 4,107,288 describes a pharmaceutical formulation having particles in the size range of 10 to 1,000 nm in which the active material is supported in a cross-linked matrix of macromolecules. U.S. Patent No. 5,145,684 describes the production of a pharmaceutical formulation in which the drug substance is pulverized into nanoparticles (average particle size 400 nm) in the presence of a surface modifier and then dispersed in a liquid medium to give a pharmaceutical formulation that exhibits markedly high bioavailability. The bioavailability of drugs that decompose at stomach pH can be increased by administering such drugs in a formulation that releases the drug intraduodenally.
[00171] As composições são compreendidas, em geral, de um composto de Fórmula (I) e/ou um sal farmaceuticamente aceitável do mesmo em combinação com um excipiente farmaceuticamente aceitável, como aglutinantes, tensoativos, diluentes, agentes tamponantes, antiaderentes, deslizantes, polímeros hidrofílicos ou hidrofóbicos, retardadores, agentes estabilizantes ou estabilizadores, desintegradores ou superdesintegradores, antioxidantes, agentes antiespumantes, cargas, aromatizantes, corantes, lubrificantes, sorventes, conservantes, plastificantes ou adoçantes ou misturas dos mesmos, que facilitam o processamento do composto de Fórmula (I) (ou modalidades do mesmo reveladas no presente documento) e/ou um sal farmaceuticamente aceitável do mesmo em preparações que podem ser usadas farmaceuticamente. Qualquer um dentre as técnicas bem conhecidas e excipientes podem ser usados conforme adequado e conforme compreendido na arte, consulte, por exemplo, Remington: The Science and Practice of Pharmacy, Vigésima primeira edição, (Pharmaceutical Press, 2005); Liberman, H. A., Lachman, L., e Schwartz, J.B. Eds., Pharmaceutical Dosage Forms, Volume 1 e 2 Taylor & Francis 1990; e R.I. Mahato, Ansel's Pharmaceutical Dosage Forms and Drug Delivery Systems, Segunda edição (Taylor & Francis, 2012).[00171] The compositions are comprised, in general, of a compound of Formula (I) and/or a pharmaceutically acceptable salt thereof in combination with a pharmaceutically acceptable excipient, such as binders, surfactants, diluents, buffering agents, non-stick agents, glidants, hydrophilic or hydrophobic polymers, retardants, stabilizing or stabilizing agents, disintegrators or superdisintegrators, antioxidants, antifoaming agents, fillers, flavorings, dyes, lubricants, sorbents, preservatives, plasticizers or sweeteners or mixtures thereof, which facilitate the processing of the compound of Formula ( I) (or embodiments thereof disclosed herein) and/or a pharmaceutically acceptable salt thereof in preparations that can be used pharmaceutically. Any of the well-known techniques and excipients may be used as appropriate and as understood in the art, see, for example, Remington: The Science and Practice of Pharmacy, Twenty-first edition, (Pharmaceutical Press, 2005); Liberman, H. A., Lachman, L., and Schwartz, J. B. Eds., Pharmaceutical Dosage Forms, Volume 1 and 2 Taylor & Francis 1990; and R.I. Mahato, Ansel's Pharmaceutical Dosage Forms and Drug Delivery Systems, Second edition (Taylor & Francis, 2012).
[00172] Em certas modalidades, as formulações podem incluir um ou mais agentes de ajuste de pH ou agentes tamponantes, por exemplo, ácidos como, ácido acético, bórico, cítrico, fumárico, maleico, tar- tárico, málico, lático, fosfórico e clorídrico; bases como hidróxido de sódio, fosfato de sódio, borato de sódio, citrato de sódio, acetato de sódio, lactato de sódio e tris-hidroximetilaminometano; e tampões, como citrato/dextrose, bicarbonato de sódio, cloreto de amônio e similares. Tais tampões usados como bases podem ter outros contraíons além de sódio, por exemplo, potássio, magnésio, cálcio, amônio ou outros contraíons. Tais ácidos, bases e tampões estão incluídos em uma quantidade necessária para manter o pH da composição em uma faixa aceitável.[00172] In certain embodiments, the formulations may include one or more pH-adjusting agents or buffering agents, for example, acids such as acetic, boric, citric, fumaric, maleic, tartaric, malic, lactic, phosphoric and hydrochloric; bases such as sodium hydroxide, sodium phosphate, sodium borate, sodium citrate, sodium acetate, sodium lactate and tris-hydroxymethylaminomethane; and buffers, such as citrate/dextrose, sodium bicarbonate, ammonium chloride and the like. Such buffers used as bases may have counterions other than sodium, for example, potassium, magnesium, calcium, ammonium or other counterions. Such acids, bases and buffers are included in an amount necessary to maintain the pH of the composition in an acceptable range.
[00173] Em certas modalidades, as formulações também podem incluir um ou mais sais em uma quantidade para levar a osmolalidade da composição para uma faixa aceitável. Tais sais incluem aqueles que têm cátions de sódio, potássio ou amônio e ânions de cloreto, citrato, ascorbato, borato, fosfato, bicarbonato, sulfato, tiossulfato ou bissulfeto; sais adequados incluem cloreto de sódio, cloreto de potássio, tiossulfato de sódio, bissulfeto de sódio e sulfato de amônio.[00173] In certain embodiments, the formulations may also include one or more salts in an amount to bring the osmolality of the composition to an acceptable range. Such salts include those having sodium, potassium, or ammonium cations and chloride, citrate, ascorbate, borate, phosphate, bicarbonate, sulfate, thiosulfate, or bisulfide anions; Suitable salts include sodium chloride, potassium chloride, sodium thiosulfate, sodium bisulfide and ammonium sulfate.
[00174] Em certas modalidades, as formulações também podem incluir um ou mais agentes antiespumantes para reduzir a formação de espuma durante o processamento que pode resultar em coagulação de dispersões aquosas, bolhas no filme acabado ou em geral prejudicam o processamento. Os agentes antiespumantes exemplificadores incluem emulsões de silício ou sesquoleato de sorbitano.[00174] In certain embodiments, the formulations may also include one or more antifoaming agents to reduce foaming during processing that can result in coagulation of aqueous dispersions, bubbles in the finished film or generally impair processing. Exemplary defoaming agents include silicon emulsions or sorbitan sesquoleate.
[00175] Em certas modalidades, as formulações também podem incluir um ou mais antioxidantes, como antioxidantes de não tiol, por exemplo, hidroxitolueno butilado (BHT), ascorbato de sódio, ácido as- córbico ou seu derivado, e tocoferol ou seus derivados. Em certas modalidades, os antioxidantes aprimoram a estabilidade química onde for necessário. Outros agentes, como ácido cítrico ou sais de citrato ou EDTA também podem ser adicionados para desacelerar a oxidação.[00175] In certain embodiments, the formulations may also include one or more antioxidants, such as non-thiol antioxidants, for example, butylated hydroxytoluene (BHT), sodium ascorbate, ascorbic acid or its derivative, and tocopherol or its derivatives. In certain embodiments, antioxidants enhance chemical stability where necessary. Other agents such as citric acid or citrate salts or EDTA can also be added to slow down oxidation.
[00176] Em certas modalidades, as formulações também podem incluir um ou mais conservantes para inibir a atividade microbiana. Os conservantes adequados incluem substâncias que contêm mercúrio, como merfeno e tiomersal; dióxido de cloro estabilizado; e compostos quaternários de amônio, como cloreto de benzalcônio, brometo de ce- tiltrimetilamônio e cloreto de cetilpiridínio.[00176] In certain embodiments, the formulations may also include one or more preservatives to inhibit microbial activity. Suitable preservatives include mercury-containing substances such as merfen and thiomersal; stabilized chlorine dioxide; and quaternary ammonium compounds such as benzalkonium chloride, cetyltrimethylammonium bromide and cetylpyridinium chloride.
[00177] Em certas modalidades, as formulações também podem incluir um ou mais aglutinantes. Os aglutinantes conferem qualidades coesivas e incluem, por exemplo, ácido algínico e sais do mesmo; derivados de celulose, como carboximetilcelulose, metilcelulose (por exemplo, Methocel®), hidroxipropilmetilcelulose, hidroxietilcelulose, hidroxipropilcelulose (por exemplo, Klucel®), etilcelulose (por exemplo, Ethocel®), e celulose microcristalina (por exemplo, Avicel®); dextrose microcristalina; amilose; silicato de magnésio e alumínio; ácidos de polissacarídeo; bentonitas; gelatina; copolímero de polivinilpirrolidona/acetato de vinila; crospovidona; povidona; amido; amido pré-gelatinizado; tragacanto, dextrina, um açúcar, como sacarose (por exemplo, Dipac®), glicose, dextrose, melaços, manitol, sorbitol, xilitol (por exemplo, Xylitab®), e lactose; uma goma natural ou sintética, como acácia, tragacanto, mucilagem de goma ghatti de cascas de isapol, polivinilpirrolidona (por exemplo, Polyvidone® CL, Kollidon® CL, Polyplasdone® XL-10), arabogalactano de larício, Veegum®, polietilenoglicol, óxido de polietileno, ceras, alginato de sódio e similares.[00177] In certain embodiments, the formulations may also include one or more binders. Binders impart cohesive qualities and include, for example, alginic acid and salts thereof; cellulose derivatives, such as carboxymethylcellulose, methylcellulose (e.g., Methocel®), hydroxypropylmethylcellulose, hydroxyethylcellulose, hydroxypropylcellulose (e.g., Klucel®), ethylcellulose (e.g., Ethocel®), and microcrystalline cellulose (e.g., Avicel®); microcrystalline dextrose; amylose; magnesium and aluminum silicate; polysaccharide acids; bentonites; gelatin; polyvinylpyrrolidone/vinyl acetate copolymer; crospovidone; povidone; starch; pregelatinized starch; Tragacanth, dextrin, a sugar such as sucrose (e.g., Dipac®), glucose, dextrose, molasses, mannitol, sorbitol, xylitol (e.g., Xylitab®), and lactose; a natural or synthetic gum such as acacia, tragacanth, ghatti gum mucilage from isapol bark, polyvinylpyrrolidone (e.g., Polyvidone® CL, Kollidon® CL, Polyplasdone® XL-10), larch arabogalactan, Veegum®, polyethylene glycol, oxide polyethylene, waxes, sodium alginate and the like.
[00178] Em certas modalidades, as formulações também podem incluir agentes de dispersão e/ou agentes de modulação de viscosidade. Os agentes de dispersão e/ou agentes de modulação de viscosidade incluem materiais que controlam a difusão e homogeneidade de um fármaco através de meios líquidos ou um método de granulação ou método de mistura. Em algumas modalidades, esses agentes também facilitam a eficácia de uma matriz de corrosão ou revestimento. Os agentes de dispersão/facilitadores de difusão exemplificadores incluem, por exemplo, polímeros hidrofílicos, eletrólitos, Tween®60 ou 80, PEG, polivinilpirrolidona (PVP; comercialmente conhecido como Plas- done®) e os agentes de dispersão à base de carboidrato como, por exemplo, hidroxipropil celuloses (por exemplo, HPC, H-PC-SL e HPCL), hidroxipropil metilceluloses (por exemplo, HPMC K100, RPMC K4M, HPMC K15M, e HPMC K100M), carboximetilcelulose sódica, me- tilcelulose, hidroxietil-celulose, hidroxipropil- celulose, ftalato de hidro- xipropilmetilcelulose, acetato estearato de hidroxipropil-metilcelulose (HPMCAS), celulose não cristalina, óxidos de polietileno, silicato de magnésio e alumínio, trietanolamina, álcool polivinílico (PVA), copolímero de vinil pirrolidona/acetato de vinila (S630), polímero de 4- (1,1,3,3-tetrametilbutil)-fenol com óxido de etileno e formaldeído (também conhecido como tiloxapol), poloxâmeros (por exemplo, Pluronics F68®, F88®., e F10®8, que são copolímeros de bloco de óxido de etileno e óxido de propileno); e poloxaminas (por exemplo, Tetronic 908®, também conhecido como Poloxamina 908®, que é um copolímero de bloco tetrafuncional derivado da adição sequencial de óxido de propileno e óxido de etileno a etilenodiamina (BASF Corporation, Parsippany, N.J.)), polivinilpirrolidona K12, polivinilpirrolidona K17, polivinilpirrolidona K25 ou polivinilpirrolidona K30, copolímero de polivinilpirrolidona/acetato de vinila (S-630), polietilenoglicol, por exemplo, o polietilenoglicol pode ter um peso molecular de cerca de 300 a cerca de 6.000 ou cerca de 3.350 a cerca de 4.000 ou cerca de 7.000 a 5.400, carboximetilcelulose sódica, metilcelulose, polissorbato-80, alginato de sódio, gomas, como, por exemplo, goma tragacanto e goma acácia, goma guar, xantanas, incluindo goma xantana, açúcares, materiais celulósicos, como, por exemplo, carboximetilcelulose sódica, metilcelulose, carboximetilcelulose sódica, polissorbato-80, alginato de sódio, monolaurato de sorbitano polietoxilado, povidona, carbômeros, álcool polivinílico (PVA), alginatos, quitosanos e combinações dos mesmos. Os plastificantes como celulose ou trietil celulose também podem ser usados como agentes de dispersão. Os agentes de dispersão particularmente úteis em dispersões lipossômicas e dispersões de autoemulsificação são dimiristoil fosfatidil colina, fosfatidil colina natural a partir de ovos, fosfatidil glicerol natural a partir de ovos, colesterol e miristato de isopropila. Em geral, os níveis de aglutinante de cerca de 10 a cerca de 70% são usados em formulações de cápsula de gelatina preenchida com pó. O nível de uso de aglutinante em formulações de comprimido varia se compressão direta, granulação úmida, compactação de cilindro ou uso de outros excipi- entes como cargas que por si mesmo podem agir como aglutinante moderado. Os formuladores versados na técnica podem determinar o nível de aglutinante para as formulações, mas o nível de uso de aglutinante de até 90% e mais tipicamente até 70% em formulações de comprimido é mais comum.[00178] In certain embodiments, the formulations may also include dispersing agents and/or viscosity modulating agents. Dispersing agents and/or viscosity modulating agents include materials that control the diffusion and homogeneity of a drug through liquid media or a granulation method or mixing method. In some embodiments, these agents also facilitate the effectiveness of an etching matrix or coating. Exemplary dispersing agents/diffusion facilitators include, for example, hydrophilic polymers, electrolytes, Tween®60 or 80, PEG, polyvinylpyrrolidone (PVP; commercially known as Plasdone®), and carbohydrate-based dispersing agents such as, for example, hydroxypropyl celluloses (e.g., HPC, H-PC-SL, and HPCL), hydroxypropyl methylcelluloses (e.g., HPMC K100, RPMC K4M, HPMC K15M, and HPMC K100M), sodium carboxymethylcellulose, methylcellulose, hydroxyethyl cellulose , hydroxypropyl cellulose, hydroxypropyl methylcellulose phthalate, hydroxypropyl methylcellulose acetate stearate (HPMCAS), non-crystalline cellulose, polyethylene oxides, magnesium aluminum silicate, triethanolamine, polyvinyl alcohol (PVA), vinyl pyrrolidone/aluminum acetate copolymer vinyl (S630), polymer of 4-(1,1,3,3-tetramethylbutyl)-phenol with ethylene oxide and formaldehyde (also known as tyloxapol), poloxamers (e.g., Pluronics F68®, F88®., and F10 ®8, which are block copolymers of ethylene oxide and propylene oxide); and poloxamines (e.g., Tetronic 908®, also known as Poloxamine 908®, which is a tetrafunctional block copolymer derived from the sequential addition of propylene oxide and ethylene oxide to ethylenediamine (BASF Corporation, Parsippany, N.J.)), polyvinylpyrrolidone K12 , polyvinylpyrrolidone K17, polyvinylpyrrolidone K25 or polyvinylpyrrolidone K30, polyvinylpyrrolidone/vinyl acetate (S-630) copolymer, polyethylene glycol, for example, polyethylene glycol may have a molecular weight of about 300 to about 6,000 or about 3,350 to about 4,000 or about 7,000 to 5,400, sodium carboxymethylcellulose, methylcellulose, polysorbate-80, sodium alginate, gums, such as gum tragacanth and acacia gum, guar gum, xanthans, including xanthan gum, sugars, cellulosic materials, such as, for example, sodium carboxymethylcellulose, methylcellulose, sodium carboxymethylcellulose, polysorbate-80, sodium alginate, polyethoxylated sorbitan monolaurate, povidone, carbomers, polyvinyl alcohol (PVA), alginates, chitosans and combinations thereof. Plasticizers such as cellulose or triethyl cellulose can also be used as dispersing agents. Particularly useful dispersing agents in liposomal dispersions and self-emulsification dispersions are dimyristoyl phosphatidyl choline, natural phosphatidyl choline from eggs, natural phosphatidyl glycerol from eggs, cholesterol and isopropyl myristate. In general, binder levels of about 10 to about 70% are used in powder-filled gelatin capsule formulations. The level of binder use in tablet formulations varies whether direct compression, wet granulation, cylinder compaction or use of other excipients such as fillers which themselves can act as a moderate binder. Formulators skilled in the art can determine the binder level for formulations, but binder usage level of up to 90% and more typically up to 70% in tablet formulations is more common.
[00179] Em certas modalidades, as formulações também podem incluir um ou mais diluentes que se referem a compostos químicos que são usados para diluir o composto de interesse antes da entrega. Os diluentes também podem ser usados para estabilizar os compostos devido ao fato de que os mesmos podem fornecer um ambiente mais estável. Os sais dissolvidos em soluções tamponadas (que também fornecem manutenção ou controle de pH) são utilizados como diluen- tes na técnica, incluindo, porém sem limitação, uma solução salina tamponada com fosfato. Em certas modalidades, os diluentes aumentam o volume da composição para facilitar a compressão ou criar volume suficiente para a mistura homogênea para o preenchimento de cápsula. Tais compostos incluem, por exemplo, lactose, amido, mani- tol, sorbitol, dextrose, celulose microcristalina como Avicel®.; fosfato de cálcio dibásico, di-hidrato de fosfato dicálcico; fosfato de tricálcio, fosfato de cálcio; lactose anidra, lactose seca por aspersão; amido pré- gelatinizado, açúcar comprimível, como Di-Pac® (Amstar); hidroxipro- pil-metilcelulose, acetato estearato de hidroxipropilmetilcelulose, dilu- entes à base de sacarose, açúcar de confeiteiro; mono-hidrato de sulfato de cálcio monobásico, di-hidrato de sulfato de cálcio; tri-hidrato de lactato de cálcio, dextratos; sólidos de cereal hidrolisados, amilose; celulose em pó, carbonato de cálcio; glicina, caulim; manitol, cloreto de sódio; inositol, bentonita e similares.[00179] In certain embodiments, the formulations may also include one or more diluents that refer to chemical compounds that are used to dilute the compound of interest prior to delivery. Diluents can also be used to stabilize compounds due to the fact that they can provide a more stable environment. Salts dissolved in buffered solutions (which also provide pH maintenance or control) are used as diluents in the art, including, but not limited to, a phosphate buffered saline solution. In certain embodiments, the diluents increase the volume of the composition to facilitate compression or create sufficient volume for the homogeneous mixture for capsule filling. Such compounds include, for example, lactose, starch, mannitol, sorbitol, dextrose, microcrystalline cellulose such as Avicel®.; dibasic calcium phosphate, dicalcium phosphate dihydrate; tricalcium phosphate, calcium phosphate; anhydrous lactose, spray dried lactose; pre-gelatinized starch, compressible sugar, such as Di-Pac® (Amstar); hydroxypropyl methylcellulose, hydroxypropyl methylcellulose acetate stearate, sucrose-based diluents, icing sugar; monobasic calcium sulfate monohydrate, calcium sulfate dihydrate; calcium lactate trihydrate, dextrates; hydrolyzed cereal solids, amylose; cellulose powder, calcium carbonate; glycine, kaolin; mannitol, sodium chloride; inositol, bentonite and the like.
[00180] Em certas modalidades, as formulações podem incluir também um ou mais desintegradores que incluem tanto a dissolução como a dispersão da forma de dosagem quando colocados em contato com fluidos gastrointestinais. Os agentes de desintegração ou desintegra- dores facilitam a ruptura ou desintegração de uma substância. Os exemplos de agentes de desintegração incluem um amido, por exemplo, um amido natural como amido de milho ou amido de batata, um amido pré-gelatinizado como National 1551 ou glicolato de amido de sódio como Promogel® ou Explotab®, uma celulose como um produto de madeira, celulose microcristalina, por exemplo, Avicel®, Avicel® PH101, Avicel® PH 102, Avicel® PH105, Elceme® P100, Emcocel®, Vivacel®, e Solka-Floc®, metilcelulose, croscarmelose ou uma celulo- se reticulada, como carboximetilcelulose sódica reticulada (Ac-Di- Sol®), carboximetilcelulose reticulada ou croscarmelose reticulada, um amido reticulado como glicolato de amido de sódio, um polímero reticulado como crospovidona, uma polivinilpirrolidona reticulada, alginato como ácido algínico ou um sal de ácido algínico, como alginato de sódio, uma argila como Veegum® HV (silicato de magnésio e alumínio), uma goma como agar, guar, alfarroba, Karaya, pectina ou tragacanto, glicolato de amido de sódio, bentonita, uma esponja natural, um ten- soativo, uma resina como uma resina de troca catiônica, polpa cítrica, lauril sulfato de sódio, lauril sulfato de sódio em combinação com amido e similares.[00180] In certain embodiments, the formulations may also include one or more disintegrators that include both dissolving and dispersing the dosage form when placed in contact with gastrointestinal fluids. Disintegrating agents or disintegrators facilitate the rupture or disintegration of a substance. Examples of disintegrating agents include a starch, for example, a natural starch such as corn starch or potato starch, a pregelatinized starch such as National 1551 or sodium starch glycolate such as Promogel® or Explotab®, a cellulose such as a wood product, microcrystalline cellulose, for example, Avicel®, Avicel® PH101, Avicel® PH 102, Avicel® PH105, Elceme® P100, Emcocel®, Vivacel®, and Solka-Floc®, methylcellulose, croscarmellose or a cellulose cross-linked, such as cross-linked sodium carboxymethyl cellulose (Ac-Di-Sol®), cross-linked carboxymethyl cellulose or cross-linked croscarmellose, a cross-linked starch such as sodium starch glycolate, a cross-linked polymer such as crospovidone, a cross-linked polyvinylpyrrolidone, alginate such as alginic acid or an acid salt alginine, such as sodium alginate, a clay such as Veegum® HV (magnesium aluminum silicate), a gum such as agar, guar, carob, Karaya, pectin or tragacanth, sodium starch glycolate, bentonite, a natural sponge, a ten - soactive, a resin such as a cation exchange resin, citrus pulp, sodium lauryl sulfate, sodium lauryl sulfate in combination with starch and the like.
[00181] Em certas modalidades, as formulações podem incluir também facilitadores de erosão. Os facilitadores de erosão incluem materiais que controlam a erosão de um material particular em fluidos gastrointestinais. Os facilitadores de erosão são geralmente conhecidos dos versados na técnica. Os facilitadores de erosão exemplificadores incluem, por exemplo, polímeros hidrofílicos, eletrólitos, proteínas, peptídeos e aminoácidos.[00181] In certain embodiments, the formulations may also include erosion facilitators. Erosion facilitators include materials that control erosion of a particular material in gastrointestinal fluids. Erosion facilitators are generally known to those skilled in the art. Exemplary erosion facilitators include, for example, hydrophilic polymers, electrolytes, proteins, peptides and amino acids.
[00182] Em certas modalidades, as formulações podem incluir também um ou mais agentes de preenchimento que incluem compostos, como lactose, carbonato de cálcio, fosfato de cálcio, fosfato dibásico de cálcio, sulfato de cálcio, celulose microcristalina, pó de celulose, dextrose, dextratos, dextrano, amidos, amido pré-gelatinizado, sacarose, xilitol, lactitol, manitol, sorbitol, cloreto de sódio, polietilenoglicol e similares.[00182] In certain embodiments, the formulations may also include one or more fillers that include compounds such as lactose, calcium carbonate, calcium phosphate, dibasic calcium phosphate, calcium sulfate, microcrystalline cellulose, cellulose powder, dextrose , dextrates, dextran, starches, pregelatinized starch, sucrose, xylitol, lactitol, mannitol, sorbitol, sodium chloride, polyethylene glycol and the like.
[00183] Em certas modalidades, as formulações podem incluir também um ou mais agentes flavorizantes e/ou adoçantes, por exemplo, xarope de acácia, acessulfame K, alitame, anis, maçã, aspartame, banana, creme bávaro, groselha negra, caramelo de manteiga, citrato de cálcio, cânfora, caramelo, cereja, chocolate de creme de cereja, cane- la, chiclete, cítrico, bebida cítrica, creme cítrico, algodão doce, cacau, cola, cereja fresca, cítrico fresco, ciclamato, cilamato, dextrose, euca-lipto, eugenol, frutose, bebida de fruta, gengibre, glicirretinato, xarope de glicirriza (alcaçuz), uva, toranja, mel, isomalte, limão, lima, creme de limão, glirrizinato de monoamômio, maltol, manitol, bordo, marshmallow, mentol, creme de menta, cereja mista, neo-hesperidina DC, neotame, laranja, pera, pêssego, hortelã-pimenta, creme de hortelã- pimenta, pó, framboesa, refrigerante root beer, rum, sacarina, safrole, sorbitol, hortelã, creme de hortelã, morango, creme de morango, stevia, sucralose, sacarose, sacarina sódica, sacarina, aspartame, aces- sulfame potássico, manitol, talin, silitol, sucralose, sorbitol, creme suíço, tagatose, tangerina, taumatina, tutti frutti, baunilha, noz, melancia, cereja selvagem, wintergreen, xilitol ou qualquer combinação desses agentes flavorizantes, por exemplo, anis-mentol, cereja-anis, canela- laranja, cereja-canela, chocolate-menta, mel-limão, limão-lima, limão- menta, mentol-eucalipto, laranja-creme, baunilha-menta e misturas dos mesmos.[00183] In certain embodiments, the formulations may also include one or more flavoring and/or sweetening agents, for example, acacia syrup, acesulfame K, alitame, anise, apple, aspartame, banana, Bavarian cream, black currant, caramel. butter, calcium citrate, camphor, caramel, cherry, cherry cream chocolate, cinnamon, chewing gum, citrus, citrus drink, citrus cream, cotton candy, cocoa, cola, fresh cherry, fresh citrus, cyclamate, cilamate, dextrose , euca-lipto, eugenol, fructose, fruit drink, ginger, glycyrrhetinate, glycyrrhiza syrup (licorice), grape, grapefruit, honey, isomalt, lemon, lime, cream of lemon, monoammonium glyrrhizinate, maltol, mannitol, maple, marshmallow, menthol, creme de menthe, mixed cherry, neohesperidin DC, neotame, orange, pear, peach, peppermint, peppermint cream, powder, raspberry, root beer, rum, saccharin, safrole, sorbitol, mint, cream of peppermint, strawberry, strawberry cream, stevia, sucralose, sucrose, sodium saccharin, saccharin, aspartame, aces-sulfame potassium, mannitol, talin, silitol, sucralose, sorbitol, Swiss cream, tagatose, tangerine, thaumatin, tutti frutti, vanilla, walnut, watermelon, wild cherry, wintergreen, xylitol or any combination of these flavoring agents, e.g., anise-menthol, cherry-anise, cinnamon-orange, cherry-cinnamon, chocolate-mint, honey-lemon, lemon- lime, lemon-mint, menthol-eucalyptus, orange-cream, vanilla-mint and mixtures thereof.
[00184] Em certas modalidades, as formulações podem incluir também um ou mais lubrificantes e deslizantes que são compostos que impedem, reduzem ou inibem a adesão ou atrito de materiais. Os lubrificantes exemplificadores incluem, por exemplo, ácido esteárico, hidróxido de cálcio, talco, estearil lumerato de sódio, um hidrocarboneto como óleo mineral ou óleo vegetal hidrogenado como óleo de soja hi- drogenado, ácidos graxos superiores e seus sais de metal alcalino e metal alcalino terroso, como alumínio, cálcio, magnésio, zinco, ácido esteárico, estearatos de sódio, glicerol, talco, ceras, ácido bórico, ben- zoato de sódio, acetato de sódio, cloreto de sódio, leucina, um polieti- lenoglicol (por exemplo, PEG4000) ou um metoxipolietilenoglicol como Carbowax®, oleato de sódio, benzoato de sódio, beenato de glicerila, polietilenoglicol, lauril sulfato de magnésio ou sódio, sílica coloidal co mo Syloid®, Cab-O-Sil®, um amido como amido de milho, óleo de sili-cone, um tensoativo e similares.[00184] In certain embodiments, the formulations may also include one or more lubricants and glidants that are compounds that prevent, reduce or inhibit the adhesion or friction of materials. Exemplary lubricants include, for example, stearic acid, calcium hydroxide, talc, sodium stearyl lumerate, a hydrocarbon such as mineral oil or hydrogenated vegetable oil such as hydrogenated soybean oil, higher fatty acids and their alkali metal and metal salts. alkaline earth, such as aluminum, calcium, magnesium, zinc, stearic acid, sodium stearates, glycerol, talc, waxes, boric acid, sodium benzoate, sodium acetate, sodium chloride, leucine, a polyethylene glycol (e.g. example, PEG4000) or a methoxypolyethylene glycol such as Carbowax®, sodium oleate, sodium benzoate, glyceryl benate, polyethylene glycol, magnesium or sodium lauryl sulfate, colloidal silica such as Syloid®, Cab-O-Sil®, a starch such as starch corn, silicone oil, a surfactant and the like.
[00185] Em certas modalidades, as formulações podem incluir também um ou mais plastificantes que são compostos usados para suavizar os revestimentos de liberação retardada ou entéricos para torná- los menos frágeis. Os plastificantes adequados incluem, por exemplo, polietilenoglicóis como PEG 300, PEG 400, PEG 600, PEG 1450, PEG 3350, e PEG 800, ácido esteárico, propilenoglicol, ácido oleico, citrato de trietila, sebacato de dibutila, trietil celulose e triacetina. Em algumas modalidades, os plastificantes podem funcionar também como agentes de dispersão ou agentes umectantes.[00185] In certain embodiments, the formulations may also include one or more plasticizers which are compounds used to soften delayed-release or enteric coatings to make them less fragile. Suitable plasticizers include, for example, polyethylene glycols such as PEG 300, PEG 400, PEG 600, PEG 1450, PEG 3350, and PEG 800, stearic acid, propylene glycol, oleic acid, triethyl citrate, dibutyl sebacate, triethyl cellulose and triacetin. In some embodiments, plasticizers may also function as dispersing agents or wetting agents.
[00186] Em certas modalidades, as formulações podem incluir também um ou mais solubilizantes que incluem compostos como triacetina, trietilcitrato, oleato de etila, caprilato de etila, lauril sulfato de sódio, docusato de sódio, vitamina E TPGS, dimetilacetamida, N- metilpirrolidona, N-hidroxietilpirrolidona, polivinilpirrolidona, hidroxipro- pilmetil celulose, hidroxipropil ciclodextrinas, por exemplo, Captisol®, etanol, n-butanol, álcool isopropílico, colesterol, sais biliares, polietilenoglicol 200 a 600, glicofurol, transcutol, propilenoglicol, e dimetil isossorbida e similares. Em uma modalidade, o solubilizante é vitamina E TPGS e/ou Captisol® ou β- hidroxipropilciclodextrina.[00186] In certain embodiments, the formulations may also include one or more solubilizers that include compounds such as triacetin, triethylcitrate, ethyl oleate, ethyl caprylate, sodium lauryl sulfate, sodium docusate, vitamin E TPGS, dimethylacetamide, N-methylpyrrolidone , N-hydroxyethylpyrrolidone, polyvinylpyrrolidone, hydroxypropylmethyl cellulose, hydroxypropyl cyclodextrins, e.g., Captisol®, ethanol, n-butanol, isopropyl alcohol, cholesterol, bile salts, polyethylene glycol 200 to 600, glycofurol, transcutol, propylene glycol, and dimethyl isosorbide and similar. In one embodiment, the solubilizer is vitamin E TPGS and/or Captisol® or β-hydroxypropylcyclodextrin.
[00187] Em certas modalidades, as formulações podem incluir também um ou mais agentes de suspensão que incluem compostos, como polivinilpirrolidona, por exemplo, polivinilpirrolidona K112, polivinilpirro- lidona K17, polivinilpirrolidona K25 ou polivinilpirrolidona K30, copolí- mero de vinil pirrolidona/acetato de vinila (S630), polietilenoglicol, por exemplo, o polietilenoglicol pode ter um peso molecular de cerca de 300 a cerca de 6.000 ou cerca de 3.350 a cerca de 4.000 ou cerca de 7.000 a cerca de 5.400, carboximetilcelulose sódica, metilcelulose, hidroxipropilmetilcelulose, acetato estearato de hidroximetilcelulose, polissorbato-80, hidroxietilcelulose, alginato de sódio, gomas, como, por exemplo, goma tragacanto e goma acácia, goma guar, xantanas, incluindo goma xantana, açúcares, materiais celulósicos, como, por exemplo, carboximetilcelulose sódica, metilcelulose, carboximetilcelulose sódica, hidroxipropilmetilcelulose, hidroxietilcelulose, polissorbato-80, alginato de sódio, monolaurato de sorbitano polietoxilado, monoleato de sorbitano polietoxilado, povidona e similares.[00187] In certain embodiments, the formulations may also include one or more suspending agents that include compounds such as polyvinylpyrrolidone, for example, polyvinylpyrrolidone K112, polyvinylpyrrolidone K17, polyvinylpyrrolidone K25 or polyvinylpyrrolidone K30, vinyl pyrrolidone/acetate copolymer vinyl (S630), polyethylene glycol, for example, polyethylene glycol may have a molecular weight of about 300 to about 6,000 or about 3,350 to about 4,000 or about 7,000 to about 5,400, sodium carboxymethylcellulose, methylcellulose, hydroxypropylmethylcellulose, hydroxymethylcellulose acetate stearate, polysorbate-80, hydroxyethylcellulose, sodium alginate, gums, such as gum gum tragacanth and acacia gum, guar gum, xanthans, including xanthan gum, sugars, cellulosic materials, such as sodium carboxymethylcellulose, methylcellulose, sodium carboxymethylcellulose, hydroxypropylmethylcellulose, hydroxyethylcellulose, polysorbate-80, sodium alginate, polyethoxylated sorbitan monolaurate, polyethoxylated sorbitan monoleate, povidone and the like.
[00188] Em certas modalidades, as formulações podem incluir também um ou mais tensoativos que incluem compostos como lauril sulfato de sódio, docusato de sódio, Tween 20, 60 ou 80, triacetina, vitamina E TPGS, mono-oleato de sorbitano, mono-oleato de polioxietileno sorbitano, monolaurato de polioxietileno sorbitano, polissorbatos, pola- xômeros, sais biliares, monoestearato de glicerila, copolímeros de óxido de etileno e óxido de propileno, por exemplo, Pluronic® (BASF) e similares. Alguns outros tensoativos incluem glicerídeos de ácido graxo de polioxietileno e óleos vegetais, por exemplo, óleo de rícino hidrogenado de polioxietileno (60); e alquil éteres de polioxietileno e alquilfenil éteres, por exemplo, octoxinol 10, octoxinol 40. Em algumas modalidades, os tensoativos podem ser incluídos para aprimorar a estabilidade física ou para outros propósitos.[00188] In certain embodiments, the formulations may also include one or more surfactants that include compounds such as sodium lauryl sulfate, sodium docusate, Tween 20, 60 or 80, triacetin, vitamin E TPGS, sorbitan monooleate, mono- polyoxyethylene sorbitan oleate, polyoxyethylene sorbitan monolaurate, polysorbates, polaxomeres, bile salts, glyceryl monostearate, copolymers of ethylene oxide and propylene oxide, for example, Pluronic® (BASF) and the like. Some other surfactants include polyoxyethylene fatty acid glycerides and vegetable oils, for example, polyoxyethylene hydrogenated castor oil (60); and polyoxyethylene alkyl ethers and alkylphenyl ethers, e.g., octoxynol 10, octoxynol 40. In some embodiments, surfactants may be included to enhance physical stability or for other purposes.
[00189] Em certas modalidades, as formulações podem incluir também um ou mais agentes acentuadores de viscosidade que incluem, por exemplo, metil celulose, goma xantana, carboximetilcelulose, hi- droxipropilcelulose, hidroxipropilmetilcelulose, acetato estearato de hi- droxipropilmetilcelulose, ftalato de hidroxipropilmetilcelulose, carbôme- ro, alginatos de álcool polivinílico, acácia, quitosanos e combinações dos mesmos.[00189] In certain embodiments, the formulations may also include one or more viscosity enhancing agents that include, for example, methyl cellulose, xanthan gum, carboxymethylcellulose, hydroxypropylcellulose, hydroxypropylmethylcellulose, hydroxypropylmethylcellulose acetate stearate, hydroxypropylmethylcellulose phthalate, carbomer, polyvinyl alcohol alginates, acacia, chitosans and combinations thereof.
[00190] Em certas modalidades, as formulações podem incluir também um ou mais agentes umectantes que incluem compostos como ácido oleico, monoestearato de glicerila, mono-oleato de sorbitano, monolaurato de sorbitano, oleato de trietanolamina, mono-oleato de polioxietileno sorbitano, monolaurato de polioxietileno sorbitano, docu- sato de sódio, oleato de sódio, lauril sulfato de sódio, docusato de sódio, triacetina, Tween 80, vitamina E TPGS, sais de amônio e similares.[00190] In certain embodiments, the formulations may also include one or more wetting agents that include compounds such as oleic acid, glyceryl monostearate, sorbitan monooleate, sorbitan monolaurate, triethanolamine oleate, polyoxyethylene sorbitan monooleate, sorbitan monolaurate polyoxyethylene sorbitan, sodium docusate, sodium oleate, sodium lauryl sulfate, sodium docusate, triacetin, Tween 80, vitamin E TPGS, ammonium salts and the like.
[00191] As preparações farmacêuticas reveladas no presente documento podem ser obtidas por meio da mistura de um ou mais exci- pientes sólidos como transportador, aglutinante, agente de preenchimento, agente de suspensão, agente flavorizante, agente adoçante, agente de desintegração, agente de dispersão, tensoativo, lubrificante, corante, diluente, solubilizante, agente de umidificação, plastificante, estabilizante, acentuador de penetração, agente umectante, agente antiespumante, antioxidante, conservante ou uma ou mais combinações dos mesmos com um ou mais compostos descritos no presente documento, opcionalmente triturando-se a mistura resultante, e processando-se a mistura de grânulos, após a adição de excipientes adequados, se for desejado, para obter comprimidos.[00191] The pharmaceutical preparations disclosed in this document can be obtained by mixing one or more solid excipients such as carrier, binder, filling agent, suspending agent, flavoring agent, sweetening agent, disintegrating agent, dispersion, surfactant, lubricant, colorant, diluent, solubilizer, wetting agent, plasticizer, stabilizer, penetration enhancer, wetting agent, antifoam agent, antioxidant, preservative or one or more combinations thereof with one or more compounds described herein, optionally grinding the resulting mixture, and processing the granule mixture, after addition of suitable excipients, if desired, to obtain tablets.
[00192] As preparações farmacêuticas reveladas no presente documento incluem também cápsulas produzidas a partir de gelatina, bem como cápsulas vedadas macias produzidas a partir de gelatina e um plastificante, como glicerol ou sorbitol. As cápsulas podem ser também produzidas a partir de polímeros como hipromelose. As cápsulas podem conter os ingredientes ativos em mistura por adição com carga como lactose, aglutinantes como amidos e/ou lubrificantes como talco ou estearato de magnésio e, opcionalmente, estabilizantes. Em cápsulas macias, os compostos ativos podem ser dissolvidos ou suspensos em líquidos adequados, como óleos graxos, parafina líquida, lipídios, solubilizantes ou polietilenoglicóis líquidos. Além disso, os es- tabilizantes podem ser adicionados. Todas as formulações para admi- nistração oral deveriam ser em dosagens adequadas para tal adminis-tração.[00192] The pharmaceutical preparations disclosed herein also include capsules produced from gelatin, as well as soft sealed capsules produced from gelatin and a plasticizer, such as glycerol or sorbitol. Capsules can also be produced from polymers such as hypromellose. The capsules may contain the active ingredients in mixture by addition with filler such as lactose, binders such as starches and/or lubricants such as talc or magnesium stearate and, optionally, stabilizers. In soft capsules, the active compounds can be dissolved or suspended in suitable liquids, such as fatty oils, liquid paraffin, lipids, solubilizers or liquid polyethylene glycols. Additionally, stabilizers can be added. All formulations for oral administration should be in dosages suitable for such administration.
[00193] Essas formulações podem ser fabricadas por técnicas far-macológicas convencionais. As técnicas farmacológicas convencionais incluem, por exemplo, um ou uma combinação de métodos: (1) mistura a seco, (2) compressão direta, (3) moagem, (4) granulação seca ou não aquosa, (5) granulação úmida, (6) fusão ou (7) extrusão. Consulte, por exemplo, Lachman et al., The Theory and Practice of Industrial Pharmacy, 3a edição (1986). Outros métodos incluem, por exemplo, secagem por aspersão, revestimento múltiplo, granulação de fusão, granulação, revestimento ou secagem por aspersão de leito fluidizado (por exemplo, revestimento de wurster), revestimento tangencial, as-persão de topo, formação de comprimidos, extrusão, extru- são/esferonização e similares.[00193] These formulations can be manufactured by conventional pharmacological techniques. Conventional pharmacological techniques include, for example, one or a combination of methods: (1) dry mixing, (2) direct compression, (3) milling, (4) dry or nonaqueous granulation, (5) wet granulation, ( 6) fusion or (7) extrusion. See, for example, Lachman et al., The Theory and Practice of Industrial Pharmacy, 3rd edition (1986). Other methods include, for example, spray drying, multiple coating, melt granulation, granulation, coating or fluidized bed spray drying (e.g., wurster coating), tangential coating, top spraying, tableting, extrusion, extrusion/spheronization and the like.
[00194] Deve-se observar que existe uma sobreposição considerável entre excipientes usados nas formas de dosagem sólidas descritas no presente documento. Dessa forma, os aditivos listados acima deveriam ser tomados como meramente exemplificadores, e não limitadores, dos tipos de excipiente que podem ser incluídos nas formas de dosagem sólidas descritas no presente documento. O tipo e quantidades de tal excipiente podem ser prontamente determinados por um elemento versado na técnica, de acordo com as propriedades particulares desejadas.[00194] It should be noted that there is considerable overlap between excipients used in the solid dosage forms described herein. Therefore, the additives listed above should be taken as merely exemplifying, and not limiting, the types of excipient that can be included in the solid dosage forms described herein. The type and amounts of such excipient can be readily determined by one skilled in the art, according to the particular properties desired.
[00195] Em algumas modalidades, as formas de dosagem sólidas descritas no presente documento são formas de dosagem orais com revestimento entérico, isto é, como uma forma de dosagem oral de uma composição farmacêutica, conforme descrito no presente documento, que utiliza um revestimento entérico para efetuar a liberação do composto no intestino do trato gastrointestinal. Um comprimido e/ou fármaco "entericamente revestido" se refere a um fármaco e/ou com- primido que é revestido com uma substância que permanece intata no estômago, mas se dissolve e libera o fármaco uma vez que o intestino (em uma modalidade, intestino delgado) é alcançado. Para uso no presente documento, "revestimento entérico", é um material, como um material ou materiais poliméricos que envolvem o núcleo de agente terapeuticamente ativo como uma forma de dosagem ou como partículas. Tipicamente, uma quantidade substancial de ou todo o material para revestimento entérico é dissolvido antes de o agente terapeuti- camente ativo ser liberado a partir da forma de dosagem, a fim de alcançar a dissolução retardada do núcleo de agente terapeuticamente ativo ou partículas no intestino delgado e/ou grosso. Os revestimentos entéricos são discutidos, por exemplo, em Loyd, V. Allen, Remington: The Science and Practice of Pharmacy, Vigésima primeira edição, (Pharmaceutical Press, 2005; e P.J. Tarcha, Polymers for Controlled Drug Delivery, capítulo 3, CRC Press, 1991. Os métodos para a aplicação de revestimentos entéricos a composições farmacêuticas são bem conhecidos na técnica e incluem, por exemplo, publicação de patente no U.S. 2006/0045822.[00195] In some embodiments, the solid dosage forms described herein are enteric-coated oral dosage forms, that is, as an oral dosage form of a pharmaceutical composition, as described herein, that utilizes an enteric coating. to effect the release of the compound in the intestine of the gastrointestinal tract. An "enterically coated" tablet and/or drug refers to a drug and/or tablet that is coated with a substance that remains intact in the stomach, but dissolves and releases the drug once the intestine (in one embodiment, small intestine) is reached. For use herein, "enteric coating", is a material, such as a polymeric material or materials that surround the therapeutically active agent core as a dosage form or as particles. Typically, a substantial amount of or all of the enteric coating material is dissolved before the therapeutically active agent is released from the dosage form in order to achieve delayed dissolution of the therapeutically active agent core or particles in the small intestine. and/or thick. Enteric coatings are discussed, for example, in Loyd, V. Allen, Remington: The Science and Practice of Pharmacy, Twenty-first edition, (Pharmaceutical Press, 2005; and P.J. Tarcha, Polymers for Controlled Drug Delivery, chapter 3, CRC Press , 1991. Methods for applying enteric coatings to pharmaceutical compositions are well known in the art and include, for example, U.S. patent publication 2006/0045822.
[00196] A forma de dosagem com revestimento entérico pode ser um comprimido extrudado, moldado ou compactado (revestido ou não revestido) que contêm grânulos, pó, péletes, microesferas ou partículas do composto de Fórmula (I) (ou quaisquer modalidades do mesmo) e/ou um sal farmaceuticamente aceitável do mesmo e/ou outros exci- pientes, que são por si mesmos revestidos ou não revestidos desde que pelo menos o comprimido ou o composto de Fórmula (I) seja revestido. A forma de dosagem oral com revestimento entérico pode ser também uma cápsula (revestida ou não revestida) que contém péletes, microesferas ou grânulos do composto de Fórmula (I) (ou quaisquer modalidades do mesmo) e/ou um sal farmaceuticamente aceitável do mesmo e/ou outros excipientes, que são por si mesmos revestidos ou não revestidos desde que pelo menos um dos mesmos seja revestido. Alguns exemplos de revestimentos que foram originalmente usados como revestimentos entéricos são cera de abelha e monoestearato de glicerila; cera de abelha, goma-laca e celulose; e álcool cetílico, al- mécega e goma-laca, bem como goma-laca e ácido esteárico (patente n° U.S. 2.809.918); acetato de polivinila e etil celulose (patente no U.S. 3.835.221). Mais recentemente, os revestimentos usados são copolímeros neutros de ésteres de ácido polimetacrílico (Eudragit L30D). (F. W. Goodhart et al, Pharm. Tech., páginas 64 a 71, abril de 1984); copolímeros de ácido metacrílico e éster metílico de ácido metacrílico (Eudragit S) ou um copolímero neutro de ésteres de ácido metacrílico que contêm estearatos metálicos (Mehta et al, patentes no U.S. 4.728.512 e no-U.S. 4.794.001), acetato succinato de celulose e ftalato de hipromelose.[00196] The enteric-coated dosage form may be an extruded, molded or compressed tablet (coated or uncoated) containing granules, powder, pellets, microspheres or particles of the compound of Formula (I) (or any modalities thereof) and/or a pharmaceutically acceptable salt thereof and/or other excipients, which are themselves coated or uncoated provided that at least the tablet or compound of Formula (I) is coated. The enteric-coated oral dosage form may also be a capsule (coated or uncoated) containing pellets, microspheres or granules of the compound of Formula (I) (or any embodiments thereof) and/or a pharmaceutically acceptable salt thereof and /or other excipients, which are themselves coated or uncoated provided that at least one of them is coated. Some examples of coatings that were originally used as enteric coatings are beeswax and glyceryl monostearate; beeswax, shellac and cellulose; and cetyl alcohol, algae and shellac, as well as shellac and stearic acid (U.S. patent no. 2,809,918); polyvinyl acetate and ethyl cellulose (U.S. patent 3,835,221). More recently, the coatings used are neutral copolymers of polymethacrylic acid esters (Eudragit L30D). (F. W. Goodhart et al, Pharm. Tech., pages 64 to 71, April 1984); copolymers of methacrylic acid and methacrylic acid methyl ester (Eudragit S) or a neutral copolymer of methacrylic acid esters containing metal stearates (Mehta et al, patents in U.S. 4,728,512 and U.S. 4,794,001), acetate succinate cellulose and hypromellose phthalate.
[00197] Qualquer polímero aniônico que exibe um perfil de solubilidade dependente de pH pode ser usado como um revestimento entérico nos métodos e composições descritos no presente documento para alcançar a entrega até o intestino. Em uma modalidade, a entrega até o intestino delgado. Em uma outra modalidade, a entrega até o duodeno. Em algumas modalidades, os polímeros descritos no presente documento são polímeros carboxílicos aniônicos. Em outras modalidades, os polímeros e misturas compatíveis dos mesmos, e algumas de suas propriedades incluem, porém sem limitação:[00197] Any anionic polymer that exhibits a pH-dependent solubility profile can be used as an enteric coating in the methods and compositions described herein to achieve delivery to the intestine. In one embodiment, delivery to the small intestine. In another modality, delivery to the duodenum. In some embodiments, the polymers described herein are anionic carboxylic polymers. In other embodiments, compatible polymers and mixtures thereof, and some of their properties include, but are not limited to:
[00198] Também chamada de laca purificada, é um produto refinado obtido a partir da secreção resinosa de um inseto. Esse revestimento se dissolve em meios de pH>7;[00198] Also called purified lacquer, it is a refined product obtained from the resinous secretion of an insect. This coating dissolves in media with a pH>7;
[00199] O desempenho de polímeros acrílicos (principalmente sua solubilidade em fluidos biológicos) pode variar com base no grau e tipo de substituição. Os exemplos de polímeros acrílicos adequados incluem copolímeros de ácido metacrílico e copolímeros de metacrilato de amônio. As séries de Eudragit L, S e RS (fabricado por Rohm Pharma e conhecido como Evonik®) estão disponíveis como solubilizadas em solvente orgânico, dispersão aquosa ou pós secos. As séries de Eu- dragit RL, NE e RS são insolúveis no trato gastrointestinal, mas são permeáveis e são usadas principalmente para direcionamento colôni- co. As séries de Eudragit L, L- 30D e S são insolúveis no estômago e se dissolvem no intestino e podem ser selecionadas e formuladas para dissolver em um valor de pH maior que 5,5 ou no mínimo maior que 5 ou no máximo maior que 7.[00199] The performance of acrylic polymers (primarily their solubility in biological fluids) can vary based on the degree and type of substitution. Examples of suitable acrylic polymers include methacrylic acid copolymers and ammonium methacrylate copolymers. The Eudragit L, S and RS series (manufactured by Rohm Pharma and known as Evonik®) are available as solubilized in organic solvent, aqueous dispersion or dry powders. The Eudragit RL, NE and RS series are insoluble in the gastrointestinal tract but are permeable and are used primarily for colonic targeting. Eudragit L, L-30D and S series are insoluble in the stomach and dissolve in the intestine and can be selected and formulated to dissolve at a pH value greater than 5.5 or at a minimum greater than 5 or at a maximum greater than 7 .
[00200] Os exemplos de derivados de celulose adequados são: etil celulose; misturas de reação de ésteres de acetato parciais de celulose com anidrido ftálico. O desempenho pode variar com base no grau e tipo de substituição. O ftalato acetato de celulose (CAP) se dissolve em pH>6. Aquateric (FMC) é um sistema com base aquosa e é um pseudo-látex CAP seco por aspersão com partículas <1 μm. Outros componentes em Aquateric podem incluir pluronics, Tweens e mono- glicerídeos acetilados. Outros derivados de celulose adequados incluem; acetato trimetilato de celulose (Eastman); metilcelulose (Pharmacoat, Methocel); ftalato de hidroxipropilmetil celulose (HPMCP); succi- nato de hidroxipropilmetil celulose (HPMCS); e acetato succinato de hidroxipropilmetilcelulose (HPMCAS, por exemplo, AQOAT (Shin Et- su)). O desempenho pode variar com base no grau e tipo de substituição. Por exemplo, HPMCP como, classes HP-50, HP-55, HP-55S, HP- 55F são adequados. O desempenho pode variar com base no grau e tipo de substituição. Por exemplo, as classes de acetato succinato de hidroxipropilmetilcelulose incluem, porém sem limitação, AS-LG (LF), que se dissolve em pH 5, AS-MG (MF), que se dissolve em pH 5,5, e AS-HG (HF), que se dissolve em pH maior. Esses polímeros são ofe-recidos como grânulos ou como pós finos para dispersões aquosas;[00200] Examples of suitable cellulose derivatives are: ethyl cellulose; reaction mixtures of partial acetate esters of cellulose with phthalic anhydride. Performance may vary based on degree and type of replacement. Cellulose acetate phthalate (CAP) dissolves at pH>6. Aquateric (FMC) is a water-based system and is a spray-dried CAP pseudo-latex with particles <1 μm. Other components in Aquateric may include pluronics, Tweens and acetylated monoglycerides. Other suitable cellulose derivatives include; cellulose trimethylate acetate (Eastman); methylcellulose (Pharmacoat, Methocel); hydroxypropylmethyl cellulose phthalate (HPMCP); hydroxypropylmethyl cellulose succinate (HPMCS); and hydroxypropylmethylcellulose acetate succinate (HPMCAS, e.g. AQOAT (Shin Etsu)). Performance may vary based on degree and type of replacement. For example, HPMCP like, classes HP-50, HP-55, HP-55S, HP-55F are suitable. Performance may vary based on degree and type of replacement. For example, classes of hydroxypropylmethylcellulose acetate succinate include, but are not limited to, AS-LG (LF), which dissolves at pH 5, AS-MG (MF), which dissolves at pH 5.5, and AS-HG (HF), which dissolves at higher pH. These polymers are offered as granules or as fine powders for aqueous dispersions;
[00201] PVAP se dissolve em pH>5, e é muito menos permeável em vapor de água e fluidos gástricos. A descrição detalhada dos polímeros acima e de sua solubilidade dependente de pH pode ser encontrada no artigo intitulado "Enteric coated hard gelatin capsules" por Professor Karl Thoma e Karoline Bechtold em http://pop.www.capsugel.com/media/library/enteric-coated-hard- gelatin- capsules.pdf. Em algumas modalidades, o revestimento pode conter, e normalmente contém, um plastificante e possivelmente outros excipientes de revestimento como corantes, talco e/ou estearato de magnésio, que são bem conhecidos na técnica. Os plastificantes adequados incluem citrato de trietila (Citroflex 2), triacetina (triacetato de glicerila), acetil trietil citrato (Citroflec A2), Carbowax 400 (polietilenoglicol 400), ftalato de dietila, citrato de tributila, monoglicerídeos acetilados, glicerol, ésteres de ácido acético, propilenoglicol e ftalato de dietila. Em particular, os polímeros acrílicos carboxílicos aniônicos normalmente irão conter 10 a 25% em peso de um plastificante, especialmente ftalato de dibutila, polietilenoglicol, citrato de trietila e triacetina. As técnicas convencionais de revestimento como revestidores Wurster ou de leito fluido ou revestimento múltiplo ou por aspersão são empregadas para aplicar revestimentos. A espessura do revestimento precisa ser suficiente para garantir que a forma de dosagem oral permaneça intata até que o local desejado de entrega tópica no trato intestinal seja alcançado.[00201] PVAP dissolves at pH>5, and is much less permeable in water vapor and gastric fluids. Detailed description of the above polymers and their pH-dependent solubility can be found in the article entitled "Enteric coated hard gelatin capsules" by Professor Karl Thoma and Karoline Bechtold at http://pop.www.capsugel.com/media/library/ enteric-coated-hard-gelatin-capsules.pdf. In some embodiments, the coating can, and usually does, contain a plasticizer and possibly other coating excipients such as dyes, talc and/or magnesium stearate, which are well known in the art. Suitable plasticizers include triethyl citrate (Citroflex 2), triacetin (glyceryl triacetate), acetyl triethyl citrate (Citroflec A2), Carbowax 400 (polyethylene glycol 400), diethyl phthalate, tributyl citrate, acetylated monoglycerides, glycerol, acid esters acetic acid, propylene glycol and diethyl phthalate. In particular, anionic carboxylic acrylic polymers will typically contain 10 to 25% by weight of a plasticizer, especially dibutyl phthalate, polyethylene glycol, triethyl citrate and triacetin. Conventional coating techniques such as Wurster or fluid bed coaters or multiple or spray coating are employed to apply coatings. The thickness of the coating needs to be sufficient to ensure that the oral dosage form remains intact until the desired site of topical delivery in the intestinal tract is reached.
[00202] Os corantes, tensoativos, agentes antiadesão, agentes an- tiespumantes, lubrificantes (por exemplo, cera de carnaúba ou PEG) e outros aditivos podem ser adicionados aos revestimentos além de plastificantes para solubilizar ou dispersar o material de revestimento, e para aperfeiçoar o desempenho de revestimento e o produto revestido.[00202] Colorants, surfactants, anti-adhesion agents, anti-foaming agents, lubricants (e.g., carnauba wax or PEG) and other additives can be added to coatings in addition to plasticizers to solubilize or disperse the coating material, and to perfect the coating performance and the coated product.
[00203] Para acelerar a dissolução do revestimento entérico, um revestimento duplo com metade da espessura de polímero entérico (por exemplo, Eudragit L30 D-55) pode ser aplicado e o revestimento entérico interno pode ter um tampão até pH 6,0 na presença de ácido cítrico a 10%, seguido de uma camada final de Eudragit L 30 D-55 padrão. A aplicação de duas camadas de revestimento entérico, cada metade da espessura de um revestimento entérico típico, Liu e Basit tiveram capacidade para acelerar a dissolução de revestimento entérico em comparação com um sistema de revestimento similar aplicado, não tamponado, como uma camada única (Liu, F. e Basit, A. Journal of Controlled Release. 147 (2010) 242 a 245.)[00203] To accelerate the dissolution of the enteric coating, a double coating of half the thickness of enteric polymer (e.g., Eudragit L30 D-55) can be applied and the inner enteric coating can be buffered up to pH 6.0 in the presence of 10% citric acid, followed by a final layer of standard Eudragit L 30 D-55. By applying two layers of enteric coating, each half the thickness of a typical enteric coating, Liu and Basit were able to accelerate the dissolution of enteric coating compared to a similar coating system applied, unbuffered, as a single layer (Liu , F. and Basit, A. Journal of Controlled Release 147 (2010) 242 to 245.)
[00204] A integridade do revestimento entérico pode ser medida, por exemplo, pela degradação do fármaco dentro dos micropéletes. As formas de dosagem com revestimento entérico ou péletes podem ser testadas em teste de dissolução primeiramente no fluido gástrico e se-paradamente em fluido intestinal, conforme descrito em USP para de-terminar sua função.[00204] The integrity of the enteric coating can be measured, for example, by the degradation of the drug within the micropellets. Enteric-coated dosage forms or pellets may be tested in a dissolution test primarily in gastric fluid and separately in intestinal fluid as described in USP to determine their function.
[00205] A formulação de cápsulas e comprimidos com revestimento entérico que contêm os compostos revelados podem ser produzidos por métodos bem conhecidos na técnica. Por exemplo, os comprimidos que contêm um composto revelado no presente documento podem ser entericamente revestidos com uma solução de revestimento que contém Eudragit®, ftalato de dietila, álcool isopropílico, talco e água com o uso de uma drageadeira com ventilação lateral (Freund Hi- Coater).[00205] The formulation of enteric-coated capsules and tablets containing the disclosed compounds can be produced by methods well known in the art. For example, tablets containing a compound disclosed herein can be enteric coated with a coating solution containing Eudragit®, diethyl phthalate, isopropyl alcohol, talc and water using a side-vented dragee (Freund Hi- Coater).
[00206] Alternativamente, uma forma de dosagem de múltiplas unidades que compreende péletes com revestimento entérico que podem ser incorporados em um comprimido ou em uma cápsula pode ser preparada conforme exposto a seguir.[00206] Alternatively, a multiple unit dosage form comprising enteric-coated pellets that can be incorporated into a tablet or capsule can be prepared as set out below.
[00207] O material de núcleo para os péletes em camadas de re-vestimento entérico individualmente pode ser constituído de acordo com princípios diferentes. As sementes em camadas com o agente ativo (isto é, o composto de Fórmula (I) (incluindo modalidades reveladas no presente documento) e/ou um sal farmaceuticamente aceitável do mesmo), opcionalmente misturadas com substâncias alcalinas ou tampão, podem ser usadas como o material de núcleo para o proces-samento adicional. As sementes que devem ser dispostas em camadas com o agente ativo podem ser sementes insolúveis em água que compreendem diferentes óxidos, celuloses, polímeros orgânicos e outros materiais, isoladamente ou em misturas, ou sementes solúveis em água que compreendem diferentes sais inorgânicos, açúcares, pérolas de açúcar e outros materiais, isoladamente ou em misturas. Adicionalmente, as sementes podem compreender o agente ativo na forma de cristais, aglomerados, compactos, etc. O tamanho das sementes não é essencial para a presente invenção, mas pode variar entre aproximadamente 0,1 e 2 mm. As sementes em camadas com o agente ativo são produzidas por formação de camadas por suspensão/solução ou pó com o uso, por exemplo, de equipamento de formação de camadas de revestimento por aspersão ou granulação.[00207] The core material for the individually enteric-coated layered pellets can be constituted according to different principles. Seeds layered with the active agent (i.e., the compound of Formula (I) (including embodiments disclosed herein) and/or a pharmaceutically acceptable salt thereof), optionally mixed with alkaline substances or buffer, can be used as the core material for further processing. The seeds that are to be layered with the active agent may be water-insoluble seeds comprising different oxides, celluloses, organic polymers and other materials, alone or in mixtures, or water-soluble seeds comprising different inorganic salts, sugars, pearls of sugar and other materials, alone or in mixtures. Additionally, the seeds may comprise the active agent in the form of crystals, agglomerates, compacts, etc. The size of the seeds is not essential to the present invention, but can vary between approximately 0.1 and 2 mm. Seeds layered with the active agent are produced by suspension/solution or powder layering using, for example, spray or granulation coating layering equipment.
[00208] Antes de as sementes serem dispostas em camadas, o agente ativo pode ser misturado com componentes adicionais. Tais componentes podem ser aglutinantes, tensoativos, cargas, agentes de desintegração, aditivos alcalinos ou outros e/ou ingredientes farmaceu- ticamente aceitáveis isoladamente ou em misturas. Os aglutinantes são, por exemplo, polímeros como hidroxipropil metilcelulose (HPMC), hidroxipropil-celulose (HPC), carboximetilcelulose sódica, polivinilpirro- lidona (PVP) ou açúcares, amidos ou outras substâncias farmaceuti- camente aceitáveis com propriedades coesivas. Os tensoativos ade-quados são encontrados nos grupos de tensoativos iônicos ou não iô- nicos farmaceuticamente aceitáveis como, por exemplo, lauril sulfato de sódio.[00208] Before the seeds are layered, the active agent can be mixed with additional components. Such components may be binders, surfactants, fillers, disintegrating agents, alkaline or other additives and/or pharmaceutically acceptable ingredients alone or in mixtures. Binders are, for example, polymers such as hydroxypropyl methyl cellulose (HPMC), hydroxypropyl cellulose (HPC), sodium carboxymethyl cellulose, polyvinylpyrrolidone (PVP) or sugars, starches or other pharmaceutically acceptable substances with cohesive properties. Suitable surfactants are found in the groups of pharmaceutically acceptable ionic or non-ionic surfactants such as, for example, sodium lauryl sulfate.
[00209] Alternativamente, o agente ativo opcionalmente misturado com constituintes adequados pode ser formulado em um material de núcleo. O dito material de núcleo pode ser produzido por extru- são/esferonização, formação de bola ou compressão com o uso de equipamento de processo convencional. O tamanho do material de núcleo formulado é aproximadamente entre 0,1 e 4 mm e, por exemplo, entre 0,1 e 2 mm. O material de núcleo fabricado pode ser adicionalmente disposto em camadas com ingredientes adicionais que compreendem o agente ativo e/ou serem usados para processamento adicional.[00209] Alternatively, the active agent optionally mixed with suitable constituents can be formulated into a core material. Said core material can be produced by extrusion/spheronization, ball forming or compression using conventional process equipment. The size of the formulated core material is approximately between 0.1 and 4 mm and, for example, between 0.1 and 2 mm. The manufactured core material may be further layered with additional ingredients comprising the active agent and/or used for further processing.
[00210] O agente ativo é misturado com constituintes farmacêuticos para obter propriedades de processamento e manuseio preferenciais e uma concentração adequada do agente ativo na preparação final. Os constituintes farmacêuticos como cargas, aglutinantes, lubrificantes, agentes de desintegração, tensoativos e outros aditivos farmaceutica- mente aceitáveis podem ser usados.[00210] The active agent is mixed with pharmaceutical constituents to obtain preferred processing and handling properties and a suitable concentration of the active agent in the final preparation. Pharmaceutical constituents such as fillers, binders, lubricants, disintegrating agents, surfactants and other pharmaceutically acceptable additives can be used.
[00211] Alternativamente, o material de núcleo mencionado anteriormente pode ser preparado com o uso de técnica de secagem por aspersão ou congelamento por aspersão.[00211] Alternatively, the aforementioned core material can be prepared using spray drying or spray freezing techniques.
[00212] Antes da aplicação da camada (ou camadas) de revestimento entérico sobre o material de núcleo na forma de péletes individuais, os péletes podem ser opcionalmente cobertos com uma ou mais camadas de separação que compreendem excipientes farmacêuticos que incluem opcionalmente compostos alcalinos como compostos de tamponamento de pH. Essa camada (ou camadas) de separação se- para o material de núcleo das camadas externas que são a camada (ou camadas) de revestimento entérico. Essa camada (ou camadas) de separação que protege o material de núcleo de agente ativo deveria ser solúvel em água ou rapidamente desintegrante em água.[00212] Prior to applying the enteric coating layer (or layers) onto the core material in the form of individual pellets, the pellets may optionally be covered with one or more separating layers comprising pharmaceutical excipients which optionally include alkaline compounds as compounds. pH buffering. This separation layer (or layers) separates the core material from the outer layers which are the enteric coating layer (or layers). This separation layer (or layers) that protects the active agent core material should be water-soluble or rapidly disintegrating in water.
[00213] Uma camada (ou camadas) de separação pode ser opcio-nalmente aplicada ao material de núcleo por meio de procedimentos de revestimento ou disposição de camadas em equipamentos adequados como drageadeira, granulador de revestimento ou em um aparelho de leito fluidizado com o uso de água e/ou solventes orgânicos para o processo de revestimento. Como uma alternativa, a camada (ou camadas) de separação pode ser aplicada ao material de núcleo com o uso de técnicas de revestimento de pó. Os materiais para as camadas de separação são compostos farmaceuticamente aceitáveis como, por exemplo, açúcar, polietilenoglicol, polivinilpirrolidona, álcool polivinílico, acetato de polivinila, hidroxipropil celulose, metilcelulose, etilcelulose, hidroxipropil metil celulose, carboximetilcelulose sódica, sais solúveis em água de polímeros de revestimento entérico e outros, usados isoladamente ou em misturas. Os aditivos como plastificantes, corantes, pigmentos, cargas, agentes antiestáticos e antiaderentes, como, por exemplo, estearato de magnésio, dióxido de titânio, talco e outros aditivos também podem ser incluídos na camada (ou camadas) de separação.[00213] A separation layer (or layers) may optionally be applied to the core material through coating or layering procedures in suitable equipment such as a dragee, coating granulator or in a fluidized bed apparatus using of water and/or organic solvents for the coating process. As an alternative, the separation layer (or layers) can be applied to the core material using powder coating techniques. Materials for the separating layers are pharmaceutically acceptable compounds such as, for example, sugar, polyethylene glycol, polyvinylpyrrolidone, polyvinyl alcohol, polyvinyl acetate, hydroxypropyl cellulose, methyl cellulose, ethyl cellulose, hydroxypropyl methyl cellulose, sodium carboxymethyl cellulose, water-soluble salts of polymers of enteric coating and others, used alone or in mixtures. Additives such as plasticizers, dyes, pigments, fillers, anti-static and non-stick agents, such as magnesium stearate, titanium dioxide, talc and other additives can also be included in the separation layer (or layers).
[00214] Quando a camada de separação opcional é aplicada ao material de núcleo, a mesma pode constituir uma espessura variável. A espessura máxima da camada (ou camadas) de separação é normalmente apenas limitada pelas condições de processamento. A camada de separação pode servir como uma barreira de difusão e pode agir como uma zona de tamponamento de pH. A camada (ou camadas) de separação opcionalmente aplicada não é essencial para a invenção. Entretanto, a camada (ou camadas) de separação pode aper- feiçoar a estabilidade química da substâncias ativa e/ou as propriedades físicas da forma de dosagem em comprimido de múltipla unidade inovadora.[00214] When the optional separation layer is applied to the core material, it may constitute a variable thickness. The maximum thickness of the separation layer (or layers) is normally only limited by the processing conditions. The separation layer can serve as a diffusion barrier and can act as a pH buffer zone. The optionally applied separation layer (or layers) is not essential to the invention. However, the separating layer (or layers) may improve the chemical stability of the active substance and/or the physical properties of the innovative multiple unit tablet dosage form.
[00215] Alternativamente, a camada de separação pode ser formada in situ por uma reação entre uma camada de polímero de revestimento entérico aplicada sobre o material de núcleo e um composto de reação alcalina no material de núcleo. Dessa forma, a camada de separação formada compreende um sal solúvel em água formado entre o polímero (ou polímeros) de camada de revestimento entérico e um composto de reação alcalina que está na posição para formar um sal[00215] Alternatively, the separation layer can be formed in situ by a reaction between an enteric coating polymer layer applied to the core material and an alkaline reaction compound in the core material. In this way, the separating layer formed comprises a water-soluble salt formed between the enteric coating layer polymer (or polymers) and an alkaline reaction compound that is in position to form a salt.
[00216] Uma ou mais camadas de revestimento entérico são aplicadas sobre o material de núcleo ou sobre o material de núcleo coberto com camada (ou camadas) de separação com o uso de uma técnica de revestimento adequada. O material de camada de revestimento entérico pode ser disperso ou dissolvido em água ou em solventes orgânicos adequados. Como os polímeros de camada de revestimento entérico, um ou mais, separadamente ou em combinação, dentre os seguintes podem ser usados, por exemplo, soluções ou dispersões de copolímeros de ácido metacrílico, ftalato acetato de celulose, ftalato de hidroxipropil metilcelulose, succinato acetato de hidroxipropil metilcelu- lose, ftalato acetato de polivinila, trimetilato acetato de celulose, carbo- ximetiletilcelulose, goma-laca ou outro polímero (ou polímeros) de re-vestimento entérico adequado.[00216] One or more enteric coating layers are applied to the core material or to the core material covered with separation layer (or layers) using a suitable coating technique. The enteric coating layer material can be dispersed or dissolved in water or suitable organic solvents. As the enteric coating layer polymers, one or more, separately or in combination, of the following may be used, for example, solutions or dispersions of copolymers of methacrylic acid, cellulose acetate phthalate, hydroxypropyl methylcellulose phthalate, cellulose acetate succinate. hydroxypropyl methylcellulose, polyvinyl acetate phthalate, cellulose acetate trimethylate, carboxymethyl ethyl cellulose, shellac or other suitable enteric coated polymer (or polymers).
[00217] As camadas de revestimento entérico contêm plastificantes farmaceuticamente aceitáveis para obter as propriedades mecânicas desejadas, como flexibilidade e dureza das camadas de revestimento entérico. Tais plastificantes são, por exemplo, porém sem limitação, triacetina, ésteres de ácido cítrico, ésteres de ácido ftálico, sebacato de dibutila, álcool cetílico, polietilenoglicóis, polissorbatos ou outros plastificantes.[00217] The enteric coating layers contain pharmaceutically acceptable plasticizers to obtain the desired mechanical properties, such as flexibility and hardness of the enteric coating layers. Such plasticizers are, for example, but without limitation, triacetin, citric acid esters, phthalic acid esters, dibutyl sebacate, cetyl alcohol, polyethylene glycols, polysorbates or other plasticizers.
[00218] A quantidade de plastificante é otimizada para cada fórmula de camada de revestimento entérico, em relação ao polímero (ou polímeros) de camada de revestimento entérico selecionado, plastificante (ou plastificantes) selecionado e à quantidade aplicada do dito polímero (ou polímeros), de tal maneira que as propriedades mecânicas, isto é, flexibilidade e dureza da camada (ou camadas) de revestimento entérico, por exemplo, exemplificada como dureza Vickers, sejam ajustadas de modo que, se um comprimido for desejado, a resistência ácida dos péletes cobertos com camada (ou camadas) de revestimento entérico não diminui significativamente durante a compressão de péletes em comprimidos. A quantidade de plastificante é normalmente acima de 5% em peso do polímero (ou polímeros) de camada de revestimento entérico, como 15 a 50% e adicionalmente como 20 a 50%. Os aditivos como dispersantes, corantes, pigmentos, polímeros, por exemplo, poli(acrilato de etila, metacrilato de metila), agente antiespumantes e antiaderentes também podem ser incluídos na camada (ou camadas) de revestimento entérico. Outros compostos podem ser adicionados para aumentar a espessura do filme e para diminuir a difusão de sucos gástricos ácidos no material suscetível a ácido. A espessura máxima do revestimento entérico aplicado é normalmente apenas limitada por condições de processamento e pelo perfil de dissolução desejado.[00218] The amount of plasticizer is optimized for each enteric coating layer formula, in relation to the selected enteric coating layer polymer (or polymers), selected plasticizer (or plasticizers) and the applied amount of said polymer (or polymers). , such that the mechanical properties, i.e., flexibility and hardness of the enteric coating layer (or layers), e.g., exemplified as Vickers hardness, are adjusted so that, if a tablet is desired, the acid resistance of the pellets covered with enteric coating layer (or layers) does not decrease significantly during compression of pellets into tablets. The amount of plasticizer is normally above 5% by weight of the enteric coating layer polymer (or polymers), such as 15 to 50% and additionally such as 20 to 50%. Additives such as dispersants, dyes, pigments, polymers, for example, poly(ethyl acrylate, methyl methacrylate), antifoaming agents and nonstick agents may also be included in the enteric coating layer (or layers). Other compounds can be added to increase film thickness and to decrease the diffusion of acidic gastric juices into the acid-susceptible material. The maximum thickness of the applied enteric coating is normally only limited by processing conditions and the desired dissolution profile.
[00219] Os péletes cobertos com camada (ou camadas) de revestimento entérico podem ser opcional e adicionalmente cobertos com uma ou mais camadas de revestimento externo. A camada (ou camadas) de revestimento externo deveria ser solúvel em água ou rapidamente desintegrante em água. A camada (ou camadas) de revestimento externo pode ser aplicada aos péletes em camadas de revestimento entérico por meio de procedimentos de revestimento ou dispo- sição de camadas em equipamentos adequados como drageadeira, granulador de revestimento ou em um aparelho de leito fluidizado com o uso de água e/ou solventes orgânicos para o processo de disposição em camadas ou revestimento. Os materiais para camadas de revestimento externo são escolhidos entre compostos farmaceuticamente aceitáveis como, por exemplo, açúcar, polietilenoglicol, polivinilpirroli- dona, álcool polivinílico, acetato de polivinila, hidroxipropil celulose, metilcelulose, etilcelulose, hidroxipropil metil celulose, carboximetilce- lulose sódica e outros, usados isoladamente ou em misturas. Os aditivos como plastificantes, corantes, pigmentos, cargas, agentes antiestáticos e antiaderentes, como, por exemplo, estearato de magnésio, dióxido de titânio, talco e outros aditivos também podem ser incluídos na camada (ou camadas) de revestimento externo. A camada de revestimento externo pode, ainda, impedir a aglomeração potencial de péletes em camadas de revestimento entérico, adicionalmente, pode proteger a camada de revestimento entérico contra rachadura durante o processo de compactação e aprimorar o processo de formação de comprimidos. A espessura máxima da camada (ou camadas) de revestimento externo aplicada é normalmente apenas limitada por condições de processamento e pelo perfil de dissolução desejado. A camada de revestimento externo também pode ser usada como uma camada de revestimento de filme de comprimido.[00219] Pellets covered with an enteric coating layer (or layers) can optionally be additionally covered with one or more layers of external coating. The outer coating layer (or layers) should be water-soluble or rapidly disintegrating in water. The outer coating layer (or layers) may be applied to the enteric coated layered pellets through coating or layering procedures in suitable equipment such as a dragee, coating granulator or in a fluidized bed apparatus using of water and/or organic solvents for the layering or coating process. Materials for outer coating layers are chosen from pharmaceutically acceptable compounds such as sugar, polyethylene glycol, polyvinylpyrrolidone, polyvinyl alcohol, polyvinyl acetate, hydroxypropyl cellulose, methyl cellulose, ethyl cellulose, hydroxypropyl methyl cellulose, sodium carboxymethyl cellulose and others. , used alone or in mixtures. Additives such as plasticizers, dyes, pigments, fillers, anti-static and non-stick agents, such as magnesium stearate, titanium dioxide, talc and other additives may also be included in the outer coating layer (or layers). The outer coating layer can further prevent potential agglomeration of pellets in enteric coated layers, additionally, it can protect the enteric coated layer from cracking during the compaction process and enhance the tableting process. The maximum thickness of the applied outer coating layer (or layers) is normally only limited by processing conditions and the desired dissolution profile. The outer coating layer can also be used as a tablet film coating layer.
[00220] O revestimento entérico de cápsulas de gelatina macia pode conter uma emulsão, óleo, microemulsão, sistema de autoemulsifi- cação, lipídio, triglicerídeos, polietilenoglicol, tensoativos, outros solubi- lizantes e similares, e combinações dos mesmos, para solubilizar o agente ativo. A flexibilidade da cápsula de gelatina macia é mantida pela água e plastificante residuais. Ademais, para cápsulas de gelatina, a gelatina pode ser dissolvida em água de modo que a aspersão precisa ser realizada em uma taxa com umidade relativa relativamente baixa, como pode ser realizado em um leito fluido ou Wurster. Além disso, a secagem deveria ser realizada sem a remoção de água ou plastificante residual que causa rachadura do invólucro da cápsula. As mesclas comercialmente disponíveis otimizadas para revestimento en-térico de cápsulas de gelatina macia, como Instamodel EPD (dispersão polimérica entérica), disponível junto à Ideal Cures, Pvt. Ltd. (Mumbai, India). Em uma escala laboratorial, as cápsulas com revestimento entérico podem ser preparadas por meio de: a) rotação de cápsulas em um frasco ou imersão de cápsulas em uma solução do material para revestimento entérico delicadamente aquecido com plastificante na temperatura mais baixa possível ou b) em um aspersor/leito fluido de escala laboratorial e, então, secagem.[00220] The enteric coating of soft gelatin capsules may contain an emulsion, oil, microemulsion, self-emulsification system, lipid, triglycerides, polyethylene glycol, surfactants, other solubilizers and the like, and combinations thereof, to solubilize the agent active. The flexibility of the soft gelatin capsule is maintained by residual water and plasticizer. Furthermore, for gelatin capsules, the gelatin can be dissolved in water so that spraying needs to be carried out at a rate with relatively low relative humidity, as can be carried out in a fluid bed or Wurster. Furthermore, drying should be carried out without removing water or residual plasticizer that causes cracking of the capsule shell. Commercially available blends optimized for enteric coating of soft gelatin capsules, such as Instamodel EPD (enteric polymeric dispersion), available from Ideal Cures, Pvt. Ltd. (Mumbai, India). On a laboratory scale, enteric-coated capsules can be prepared by: a) rotating capsules in a vial or immersing capsules in a solution of enteric-coated material gently heated with plasticizer at the lowest possible temperature or b) in a laboratory scale spray/fluid bed and then drying.
[00221] Para agentes ativos aquosos, pode ser especialmente desejável incorporar o fármaco na fase aquosa de uma emulsão. Tal emulsão de "água em óleo" fornece um ambiente biofísico adequado para o fármaco e pode fornecer uma interface de óleo em água que pode proteger o fármaco contra efeitos adversos de pH ou enzimas que podem degradar o fármaco. Adicionalmente, tais formulações de água em óleo podem fornecer uma camada de lipídio, que pode interagir favoravelmente com lipídios em células do corpo, e pode aumentar a divisão da formulação sobre as membranas das células. Tal divisão pode aumentar a absorção de fármacos em tais formulações na circulação e, portanto, pode aumentar a biodisponibilidade do fármaco.[00221] For aqueous active agents, it may be especially desirable to incorporate the drug into the aqueous phase of an emulsion. Such a "water-in-oil" emulsion provides a suitable biophysical environment for the drug and can provide an oil-in-water interface that can protect the drug against adverse pH effects or enzymes that can degrade the drug. Additionally, such water-in-oil formulations can provide a lipid layer, which can interact favorably with lipids in body cells, and can increase the partitioning of the formulation onto cell membranes. Such splitting can increase the absorption of drugs in such formulations into the circulation and, therefore, can increase the bioavailability of the drug.
[00222] Em algumas modalidades, a emulsão de água em óleo contém uma fase oleosa composta de ácidos carboxílicos de cadeia longa ou média ou ésteres ou álcoois dos mesmos, um tensoativo ou um agente ativo de superfície, e uma fase aquosa que contém principalmente água e o agente ativo.[00222] In some embodiments, the water-in-oil emulsion contains an oily phase composed of long- or medium-chain carboxylic acids or esters or alcohols thereof, a surfactant or a surface active agent, and an aqueous phase that contains primarily water and the active agent.
[00223] Os ácidos carboxílicos de cadeia longa e média são aque- les que se situam na faixa de C8 a C22 com até três ligações insatura- das (também ramificação). Os exemplos de ácidos de cadeia linear saturados são ácido n-dodecanoico, ácido n-tetradecanoico, ácido n- hexadecanoico, ácido caproico, ácido caprílico, ácido cáprico, ácido láurico, ácido mirístico, ácido palmítico, ácido esteárico, ácido araquí- dico, ácido beênico, ácido montânico e ácido melíssico. Também são úteis os ácidos monocarboxílicos de cadeia linear mono-olefínicos in- saturados. Os exemplos desses são ácido oleico, ácido gadoleico e ácido erúcico. Também são úteis os ácidos monocarboxílicos de cadeia linear (poliolefínicos) insaturados. Os exemplos desses são ácido linoleico, ácido ricinoleico, ácido linolênico, ácido araquidônico e ácido beenólico. Os ácidos ramificados úteis incluem, por exemplo, ácido diacetil tartárico. As cadeias olefínicas insaturadas também podem ser hidroxiladas ou etoxiladas para impedir a oxidação ou para alterar as propriedades de superfície.[00223] Long and medium chain carboxylic acids are those that lie in the range of C8 to C22 with up to three unsaturated bonds (also branching). Examples of saturated straight-chain acids are n-dodecanoic acid, n-tetradecanoic acid, n-hexadecanoic acid, caproic acid, caprylic acid, capric acid, lauric acid, myristic acid, palmitic acid, stearic acid, arachidic acid, behenic acid, montanic acid and melissic acid. Also useful are unsaturated monoolefin straight-chain monocarboxylic acids. Examples of these are oleic acid, gadoleic acid and erucic acid. Also useful are unsaturated straight-chain monocarboxylic acids (polyolefinic acids). Examples of these are linoleic acid, ricinoleic acid, linolenic acid, arachidonic acid and behenolic acid. Useful branched acids include, for example, diacetyl tartaric acid. Unsaturated olefin chains can also be hydroxylated or ethoxylated to prevent oxidation or to alter surface properties.
[00224] Os exemplos de ésteres de ácido carboxílico de cadeia longa incluem, porém sem limitação, aqueles a partir do grupo de: mo- noestearatos de glicerila; monopalmitatos de glicerila; misturas de mo- noestearato de glicerila e monopalmitato de glicerila; monolinoleata de glicerila; mono-oleato de glicerila; misturas de monopalmitato de glice- rila, monoestearato de glicerila, mono-oleato de glicerila e monolino- leato de glicerila; monolinolenato de glicerila; monogadoleato de glice- rila; misturas de monopalmitato de glicerila, monoestearato de glicerila, mono-oleato de glicerila, monolinoleato de glicerila, monolinolenato de glicerila e monogadoleato de glicerila; glicerídeos acetilados como mo- noglicerídeos acetilados destilados; misturas de monoésteres de propi- lenoglicol, monoglicerídeos destilados, esteroil lactilato de sódio e dióxido de silício; d- alfa tocoferol polietilenoglicol 1000 succinato; misturas de ésteres de mono- e di-glicerídeo como Atmul; estearoil lactilato de cálcio; mono- e di- glicerídeos etoxilados; mono- e di-glicerídeos lactados; éster de ácido lactilato carboxílico de glicerol e propilenogli- col; ésteres lactílicos de ácidos carboxílicos de cadeia longa; poliglice- rol ésteres de ácidos carboxílicos de cadeia longa, propilenoglicol mono- e di-ésteres de ácidos carboxílicos de cadeia longa; estearoil lacti- lato de sódio; monostearato de sorbitano; mono- oleato de sorbitano; outros ésteres de sorbitano de ácidos carboxílicos de cadeia longa; monoglicerídeos succinilados; monogliceril citrato de estearila; heptanoato de estearila; ésteres cetílicos de ceras; octanoato de estearila; ésteres de C8-C30 colesterol/lavosterol; e ésteres de ácido carboxílico de cadeia longa de sacarose. Os exemplos dos ésteres de ácido carboxílico de cadeia longa de autoemulsificação incluem aqueles a partir dos grupos de estearatos, pamitatos, ricinoleatos, oleatos, beenatos, ricinolenatos, miristatos, lauratos, caprilatos e caproatos. Em algumas modalidades, a fase oleosa pode compreender uma combinação de 2 ou mais dentre os ácidos carboxílicos de cadeia longa, ésteres ou álcoois dos mesmos. Em algumas modalidades, os tensoativos de cadeia média podem ser usados e a fase de óleo pode compreender uma mistura de triglicerídeo capríli- co/cáprico e C8/C 10 mono-/di-glicerídeos de ácido caprílico, caprilato de glicerila ou monocaprilato de propilenoglicol ou suas misturas.[00224] Examples of long-chain carboxylic acid esters include, but are not limited to, those from the group of: glyceryl monostearates; glyceryl monopalmitates; mixtures of glyceryl monostearate and glyceryl monopalmitate; glyceryl monolinoleate; glyceryl monooleate; mixtures of glyceryl monopalmitate, glyceryl monostearate, glyceryl monooleate and glyceryl monolinoleate; glyceryl monolinolenate; glyceryl monogadoleate; mixtures of glyceryl monopalmitate, glyceryl monostearate, glyceryl monooleate, glyceryl monolinoleate, glyceryl monolinolenate and glyceryl monogadoleate; acetylated glycerides such as distilled acetylated monoglycerides; mixtures of propylene glycol monoesters, distilled monoglycerides, sodium steryl lactylate and silicon dioxide; d- alpha tocopherol polyethylene glycol 1000 succinate; mixtures of mono- and di-glyceride esters such as Atmul; calcium stearoyl lactylate; ethoxylated mono- and di-glycerides; lactated mono- and di-glycerides; lactylate carboxylic acid ester of glycerol and propylene glycol; lactyl esters of long-chain carboxylic acids; polyglycerol esters of long-chain carboxylic acids, propylene glycol mono- and di-esters of long-chain carboxylic acids; sodium stearoyl lactylate; sorbitan monostearate; sorbitan monooleate; other sorbitan esters of long chain carboxylic acids; succinylated monoglycerides; stearyl monoglyceryl citrate; stearyl heptanoate; cetyl esters of waxes; stearyl octanoate; C8-C30 cholesterol/lavosterol esters; and sucrose long-chain carboxylic acid esters. Examples of self-emulsifying long-chain carboxylic acid esters include those from the groups of stearates, pamitates, ricinoleates, oleates, behenates, ricinolenates, myristates, laurates, caprylates and caproates. In some embodiments, the oil phase may comprise a combination of 2 or more of long-chain carboxylic acids, esters or alcohols thereof. In some embodiments, medium chain surfactants may be used and the oil phase may comprise a mixture of caprylic/capric triglyceride and C8/C10 caprylic acid mono-/di-glycerides, glyceryl caprylate or propylene glycol monocaprylate. or mixtures thereof.
[00225] Os álcoois que podem ser usados são exemplificados pelas formas de hidroxila dos ácidos carboxílicos exemplificados acima e também álcool estearílico.[00225] The alcohols that can be used are exemplified by the hydroxyl forms of the carboxylic acids exemplified above and also stearyl alcohol.
[00226] Os agentes ativos de superfície ou tensoativos são moléculas de cadeia longa que podem se acumular em interfaces hidrofíli- cas/hidrofóbicas (água/óleo) e reduzir a tensão superficial na interface. Como resultado, podem estabilizar uma emulsão. Em algumas moda-lidades desta invenção, o tensoativo pode compreender: A família Tween® (sorbato de polioxietileno) de tensoativos, família Span® (és-teres de ácido carboxílico de cadeia longa de sorbitano) de tensoati- vos, família Pluronic® (copolímeros em bloco de óxidos de etileno ou de propileno) de tensoativos, famílias Labrasol®, Labrafil® e Labrafac® (cada um glicerídeos poliglicolizados) de tensoativos, ésteres de sorbi- tano de oleato, estearato, laurato ou outros ácidos carboxílicos de cadeia longa, poloxâmeros (copolímeros em bloco de polietileno- polipropilenoglicol ou Pluronic®.), outros ésteres de ácido carboxílico de cadeia longa de sorbitano ou sacarose, mono e diglicerídeos, derivados de PEG de triglicerídeos caprílicos/cápricos e misturas dos mesmos ou mistura de dois ou mais dos mencionados acima. Em algumas modalidades, a fase de tensoativo pode compreender uma mistura de mono-oleato de Polioxietileno sorbitano (20) (Tween 80®) e mono-oleato de sorbitano (Span 80®).[00226] Surface active agents or surfactants are long-chain molecules that can accumulate at hydrophilic/hydrophobic interfaces (water/oil) and reduce surface tension at the interface. As a result, they can stabilize an emulsion. In some embodiments of this invention, the surfactant may comprise: The Tween® (polyoxyethylene sorbate) family of surfactants, Span® family (long-chain sorbitan carboxylic acid esters) of surfactants, Pluronic® family ( block copolymers of ethylene or propylene oxides) of surfactants, Labrasol®, Labrafil® and Labrafac® families (each polyglycolized glycerides) of surfactants, sorbitan esters of oleate, stearate, laurate or other long-chain carboxylic acids , poloxamers (block copolymers of polyethylene-polypropylene glycol or Pluronic®.), other long-chain carboxylic acid esters of sorbitan or sucrose, mono- and diglycerides, PEG derivatives of caprylic/capric triglycerides and mixtures thereof or mixture of two or more of those mentioned above. In some embodiments, the surfactant phase may comprise a mixture of Polyoxyethylene sorbitan (20) monooleate (Tween 80®) and sorbitan monooleate (Span 80®).
[00227] A fase aquosa pode, opcionalmente, compreender o agente ativo suspenso em água e um tampão.[00227] The aqueous phase may optionally comprise the active agent suspended in water and a buffer.
[00228] Em algumas modalidades, tais emulsões são emulsões grossas, microemulsões e emulsões de cristal líquido. Em outras modalidades, tal emulsão pode compreender opcionalmente um acentua- dor de permeação. Em outras modalidades, podem ser usadas nano- partículas, micropartículas ou dispersões secas por aspersão que contêm microemulsão encapsulada, emulsão grossa ou cristal líquido.[00228] In some embodiments, such emulsions are thick emulsions, microemulsions and liquid crystal emulsions. In other embodiments, such emulsion may optionally comprise a permeation enhancer. In other embodiments, nanoparticles, microparticles, or spray-dried dispersions containing encapsulated microemulsion, thick emulsion, or liquid crystal may be used.
[00229] Em algumas modalidades, as formas de dosagem sólidas descritas no presente documento são formas de dosagem de liberação retardada não entéricas. O termo "liberação retardada não entérica", para uso no presente documento, se refere à entrega de modo que a liberação do fármaco possa ser realizada em algum local geralmente previsível no trato intestinal mais distal àquele que teria sido realizado se não houvesse alterações de liberação retardada. Em algumas modalidades, o método para o retardamento da liberação é um revestimento que se torna permeável, se dissolve, rompe e/ou não está mais intato após uma duração projetada. O revestimento nas formas de do- sagem de liberação retardada pode ter um tempo fixo para erosão depois que o fármaco é liberado (revestimento adequado inclui revestimento polimérico como HPMC, PEO e similares) ou tem um núcleo que compreende um agente (ou agentes) superdesintegrante, agente (ou agentes) osmótico ou atrativo de água como um sal, polímero hidrofílico, tipicamente óxido de polietileno ou uma alquilcelulose, sais como cloreto de sódio, cloreto de magnésio, acetato de sódio, citrato de sódio, açúcar, como glicose, lactose ou sacarose ou similares, que retiram água através de uma membrana semipermeável ou um agente de geração de gás como ácido cítrico e bicarbonato de sódio, com ou sem um ácido como ácido cítrico ou qualquer um dos ácidos mencionados anteriormente incorporados nas formas de dosagem. A membrana semipermeável, embora predominantemente não permeável ao fármaco nem ao agente osmótico, é permeável em água que penetra em uma taxa quase constante para entrar na forma de dosagem para aumentar a pressão e se rompe depois que a pressão de inchamento excede um certo limiar durante um tempo de retardo desejado. A permeabilidade através dessa membrana do fármaco deveria ser menor que 1/10 em relação à água e em uma modalidade menor que 1/100 da permeabilidade da água. Alternativamente, uma membrana poderia se tornar porosa por meio da lixiviação de um extrato aquoso durante um tempo de retardo desejado.[00229] In some embodiments, the solid dosage forms described herein are non-enteric delayed-release dosage forms. The term "non-enteric delayed release" for use herein refers to delivery such that release of the drug can be accomplished at some generally predictable location in the intestinal tract more distal to that which would have been accomplished if there had been no alterations in release. retarded. In some embodiments, the method for delaying release is a coating that becomes permeable, dissolves, ruptures and/or is no longer intact after a designed duration. The coating on delayed-release dosage forms may have a fixed time for erosion after the drug is released (suitable coatings include polymeric coatings such as HPMC, PEO and the like) or have a core comprising a superdisintegrating agent (or agents). , osmotic or water attracting agent (or agents) such as a salt, hydrophilic polymer, typically polyethylene oxide or an alkylcellulose, salts such as sodium chloride, magnesium chloride, sodium acetate, sodium citrate, sugar such as glucose, lactose or sucrose or the like, which remove water through a semipermeable membrane or a gas generating agent such as citric acid and sodium bicarbonate, with or without an acid such as citric acid or any of the aforementioned acids incorporated into the dosage forms. The semipermeable membrane, although predominantly non-permeable to drug nor osmotic agent, is permeable to water which penetrates at a nearly constant rate to enter the dosage form to increase pressure and ruptures after the swelling pressure exceeds a certain threshold during a desired delay time. The permeability through this drug membrane should be less than 1/10 of water and in one embodiment less than 1/100 of water permeability. Alternatively, a membrane could be made porous by leaching an aqueous extract during a desired delay time.
[00230] As formas de dosagem osmóticas foram descritas em Theeuwes US 3.760.984, e uma forma de dosagem de ruptura osmóti- ca é descrita em Baker US 3.952.741. Essa forma de dosagem de ruptura osmótica pode fornecer um pulso único de liberação ou múltiplos pulsos se diferentes dispositivos com temporizações diferentes forem empregados. A temporização da ruptura osmótica pode ser controlada pela escolha de polímero e da espessura ou da área da membrana semipermeável que circunda o núcleo que contém tanto o fármaco como o agente osmótico ou atrativo. À medida que a pressão na forma de dosagem aumenta com a água permeada adicional, a membrana se alonga até seu ponto de ruptura e, então, o fármaco é liberado. Alternativamente, podem ser criadas áreas específicas de ruptura na membrana tendo uma área mais fraca e mais fina na membrana ou adicionando-se um material mais fraco a uma área da membrana de revestimento. Alguns polímeros preferenciais com permeabilidade em água alta que podem ser usados como membranas semipermeáveis são acetato de celulose, acetato butirato de celulose, nitrato de celulose, álcool polivinílico reticulado, poliuretanos, náilon 6, náilon 6.6 e náilon aromático. O acetato de celulose é um polímero especialmente preferencial.[00230] Osmotic dosage forms have been described in Theeuwes US 3,760,984, and an osmotic breakthrough dosage form is described in Baker US 3,952,741. This osmotic breakthrough dosage form can provide a single pulse of release or multiple pulses if different devices with different timings are employed. The timing of osmotic disruption can be controlled by the choice of polymer and the thickness or area of the semipermeable membrane surrounding the core containing both the drug and the osmotic or attractant agent. As the pressure in the dosage form increases with additional permeate water, the membrane stretches to its breaking point and then the drug is released. Alternatively, specific areas of rupture in the membrane can be created by having a weaker, thinner area in the membrane or by adding a weaker material to an area of the coating membrane. Some preferred polymers with high water permeability that can be used as semipermeable membranes are cellulose acetate, cellulose acetate butyrate, cellulose nitrate, cross-linked polyvinyl alcohol, polyurethanes, nylon 6, nylon 6.6 and aromatic nylon. Cellulose acetate is an especially preferred polymer.
[00231] Em uma outra modalidade, o revestimento retardado que começa seu retardamento para liberar o fármaco depois que o revestimento entérico é pelo menos parcialmente dissolvido é compreendido de polímeros hidrofílicos passíveis de erosão que mediante o contato com água começa a erosão gradualmente ao longo do tempo. Os exemplos de tais polímeros incluem polímeros de celulose e seus derivados que incluem, porém sem limitação, hidroxialquil celuloses, hi- droximetil celulose, hidroxietil celulose, hidroxipropil celulose, hidroxi- propilmetil celulose, carboximetilcelulose, celulose microcristalina; po- lissacarídeos e seus derivados; óxidos de polialquileno, como óxido de polietileno ou polietilenoglicóis, particularmente polietilenoglicóis de peso molecular alto; quitosano; poli(álcool vinílico); goma xantana; co- polímeros de anidrido maleico; poli(vinil pirrolidona); amido e polímeros à base de amido; maltodextrinas; poli (2-etil-2-oxazolina); po- li(etilenoimina); poliuretano; hidrogéis; ácidos poliacrílicos reticulados; e combinações ou mesclas de qualquer um dentre os mencionados anteriormente.[00231] In another embodiment, the delayed coating that begins its delay to release the drug after the enteric coating is at least partially dissolved is comprised of erodible hydrophilic polymers that upon contact with water begin to erode gradually along the time. Examples of such polymers include cellulose polymers and derivatives thereof which include, but are not limited to, hydroxyalkyl celluloses, hydroxymethyl cellulose, hydroxyethyl cellulose, hydroxypropyl cellulose, hydroxypropylmethyl cellulose, carboxymethyl cellulose, microcrystalline cellulose; polysaccharides and their derivatives; polyalkylene oxides, such as polyethylene oxide or polyethylene glycols, particularly high molecular weight polyethylene glycols; chitosan; poly(vinyl alcohol); xanthan gum; maleic anhydride copolymers; poly(vinyl pyrrolidone); starch and starch-based polymers; maltodextrins; poly(2-ethyl-2-oxazoline); poly(ethyleneimine); polyurethane; hydrogels; cross-linked polyacrylic acids; and combinations or mixtures of any of those mentioned above.
[00232] Alguns polímeros hidrofílicos passíveis de erosão preferen- ciais adequados para a formação do revestimento passível de erosão são poli(óxido de etileno), hidroxipropil metil celulose, e combinações de poli(óxido de etileno) e hidroxipropil metil celulose. O poli(óxido de etileno) é usado no presente documento para se referir a um polímero linear de óxido de etileno não substituído. O peso molecular dos polímeros de poli(óxido de etileno) pode situar-se na faixa de cerca de 105 Daltons a cerca de 107 Daltons. Uma faixa preferencial de peso molecular de polímeros de poli(óxido de etileno) é a partir de cerca de 2 vezes 105 a 2 vezes 106 Daltons e está disponível comercialmente junto à Dow Chemical Company (Midland, Mich.) mencionados como resinas solúveis em água SENTRYR POLYOX™, classificação NF (National Formulary). Quando pesos moleculares maiores de óxido de polietileno são usados, outros agentes hidrofílicos, como sais ou açúcares, como glicose, sacarose ou lactose, que promovem a erosão ou desintegração desse revestimento, também estão incluídos.[00232] Some preferred hydrophilic erodible polymers suitable for forming the erodible coating are poly(ethylene oxide), hydroxypropyl methyl cellulose, and combinations of poly(ethylene oxide) and hydroxypropyl methyl cellulose. Poly(ethylene oxide) is used herein to refer to a linear unsubstituted ethylene oxide polymer. The molecular weight of poly(ethylene oxide) polymers may range from about 105 Daltons to about 107 Daltons. A preferred molecular weight range of poly(ethylene oxide) polymers is from about 2 times 105 to 2 times 106 Daltons and is commercially available from the Dow Chemical Company (Midland, Mich.) referred to as water-soluble resins. SENTRYR POLYOX™, NF (National Formulary) classification. When higher molecular weights of polyethylene oxide are used, other hydrophilic agents such as salts or sugars such as glucose, sucrose or lactose, which promote erosion or disintegration of this coating, are also included.
[00233] A forma de dosagem retardada pode ser uma pílula mecânica como uma cápsula Enterion® ou cápsula sensível a pH que pode liberar o fármaco após um tempo pré-programado ou quando o mesmo recebe um sinal que pode ser transmitido ou uma vez que a mesma sai do estômago.[00233] The delayed dosage form can be a mechanical pill such as an Enterion® capsule or pH-sensitive capsule that can release the drug after a pre-programmed time or when it receives a signal that can be transmitted or once the it comes out of the stomach.
[00234] A quantidade do composto da revelação em uma formulação pode variar dentro da faixa completa empregada por aqueles versados na técnica. Tipicamente, a formulação conterá, em uma base de porcentagem em peso (% em peso), de cerca de 0,01 a 99,99% em peso de um composto de Fórmula (I) com base na formulação total, sendo que o resto é um ou mais excipientes farmacêuticos adequados. Em uma modalidade, o composto está presente a um nível de cerca de 1 a 80% em peso.[00234] The amount of the disclosure compound in a formulation can vary within the full range employed by those skilled in the art. Typically, the formulation will contain, on a weight percentage (wt%) basis, from about 0.01 to 99.99% by weight of a compound of Formula (I) based on the total formulation, with the remainder is one or more suitable pharmaceutical excipients. In one embodiment, the compound is present at a level of about 1 to 80% by weight.
[00235] Os compostos da presente revelação podem ser usados em combinação com um ou mais fármacos no tratamento de doenças ou condições para as quais os compostos da presente revelação ou os outros fármacos podem ter utilidade, onde a combinação dos fármacos em conjunto é mais segura ou maus eficaz do que qualquer dos fármacos sozinho. Tal outro fármaco (ou fármacos) pode ser administrado por uma via e em uma quantidade comumente usada para tal, contemporaneamente ou sequencialmente com um composto da presente revelação. Quando um composto da presente revelação é usado contemporaneamente com um ou mais outros fármacos, é preferencial uma composição farmacêutica na forma de dosagem unitária que contém tais outros fármacos e o composto da presente revelação. No entanto, a terapia de combinação pode também incluir terapias nas quais o composto da presente revelação e um ou mais outros fármacos são administrados em diferentes horários sobrepostos. É também contemplado que quando usados em combinação com um ou mais outros ingredientes ativos, os compostos da presente revelação e os outros ingredientes ativos podem ser usados em doses menores do que quando cada um é usado singularmente.[00235] The compounds of the present disclosure can be used in combination with one or more drugs in the treatment of diseases or conditions for which the compounds of the present disclosure or other drugs may be useful, where the combination of the drugs together is safer or less effective than either drug alone. Such other drug (or drugs) may be administered by a route and in an amount commonly used therefor, contemporaneously or sequentially with a compound of the present disclosure. When a compound of the present disclosure is used contemporaneously with one or more other drugs, a pharmaceutical composition in unit dosage form containing such other drugs and the compound of the present disclosure is preferred. However, combination therapy may also include therapies in which the compound of the present disclosure and one or more other drugs are administered at different overlapping schedules. It is also contemplated that when used in combination with one or more other active ingredients, the compounds of the present disclosure and the other active ingredients may be used in smaller doses than when each is used singularly.
[00236] Consequentemente, as composições farmacêuticas da presente revelação também incluem aquelas que contêm um ou mais outros ingredientes ativos, adicionalmente a um composto da presente revelação.[00236] Consequently, the pharmaceutical compositions of the present disclosure also include those that contain one or more other active ingredients, in addition to a compound of the present disclosure.
[00237] As combinações acima incluem combinações de um composto da presente revelação não apenas com um outro composto ativo, mas também com dois ou mais outros compostos ativos. Do mesmo modo, os compostos da presente revelação podem ser usados em combinação com outros fármacos que são usados na prevenção, tratamento, controle, melhora ou redução do risco das doenças ou condições para as quais os compostos da presente revelação são úteis. Tais outros fármacos podem ser administrados por uma via e em uma quantidade comumente usada, contemporaneamente ou sequencial- mente com um composto da presente revelação. Quando um composto da presente revelação é usado contemporaneamente com um ou mais outros fármacos, é preferencial uma composição farmacêutica, como um produto farmacêutico de combinação fixo, que contém tais outros fármacos adicionalmente ao composto da presente revelação. Consequentemente, as composições farmacêuticas da presente revelação também incluem aquelas que também contêm um ou mais outros ingredientes ativos, adicionalmente a um composto da presente revelação. A razão de pesos do composto da presente revelação em relação ao segundo ingrediente ativo pode ser variada e dependerá da dose eficaz de cada ingrediente. Geralmente, será usada uma dose eficaz de cada um.[00237] The above combinations include combinations of a compound of the present disclosure not only with another active compound, but also with two or more other active compounds. Likewise, the compounds of the present disclosure can be used in combination with other drugs that are used in the prevention, treatment, control, improvement or reduction of the risk of diseases or conditions for which the compounds of the present disclosure are useful. Such other drugs can be administered by a route and in a commonly used amount, contemporaneously or sequentially with a compound of the present disclosure. When a compound of the present disclosure is used contemporaneously with one or more other drugs, a pharmaceutical composition, such as a fixed combination pharmaceutical product, which contains such other drugs in addition to the compound of the present disclosure is preferred. Accordingly, the pharmaceutical compositions of the present disclosure also include those that also contain one or more other active ingredients, in addition to a compound of the present disclosure. The weight ratio of the compound of the present disclosure in relation to the second active ingredient can be varied and will depend on the effective dose of each ingredient. Generally, an effective dose of each will be used.
[00238] Em que o sujeito está sofrendo de ou em risco de sofrer de uma doença autoimune, uma doença inflamatória ou uma doença de alergia, um composto de Fórmula (I) e/ou um sal farmaceuticamente aceitável do mesmo pode ser usado com um ou mais dos seguintes agentes terapêuticos em qualquer combinação: imunossupressores (por exemplo, tacrolimo, ciclosporina, rapamicina, metotrexato, ciclo- fosfamida, azatioprina, mercaptopurina, micofenolato, ou FTY720), glucocorticoides (por exemplo, prednisona, acetato de cortisona, pred- nisolona, metilprednisolona, dexametasona, betametasona, triamcino- lona, beclometasona, acetato de fludrocortisona, acetato de deoxicorti- costerona, aldosterona), fármacos anti-inflamatórios não esteroides (por exemplo, salicilatos, ácidos arilalcanoicos, ácidos 2- arilpropiônicos, ácidos N- arilantranílicos, oxicamos, coxibs, ou sulfo- nanilidas), inibidores específicos de Cox-2 (por exemplo, valdecoxib, celecoxib, ou rofecoxib), leflunomida, tioglucose de ouro, tiomalato de outro, aurofina, sulfasalazina, hidroxicloroquinina, minociclina, proteínas de ligação de TNF-.alfa. (por exemplo, infliximab, etanercept, ou adalimumabe), abatacept, anaquinra, interferon-.beta., interferon- .gama., interleucina-2, vacinas de alergia, anti- histaminas, antileuco- trienos, beta-agonistas, teofilina, ou anticolinérgicos.[00238] Where the subject is suffering from or at risk of suffering from an autoimmune disease, an inflammatory disease or an allergy disease, a compound of Formula (I) and/or a pharmaceutically acceptable salt thereof can be used with a or more of the following therapeutic agents in any combination: immunosuppressants (e.g., tacrolimus, cyclosporine, rapamycin, methotrexate, cyclophosphamide, azathioprine, mercaptopurine, mycophenolate, or FTY720), glucocorticoids (e.g., prednisone, cortisone acetate, prednisone, nisolone, methylprednisolone, dexamethasone, betamethasone, triamcinolone, beclomethasone, fludrocortisone acetate, deoxycortisone acetate, aldosterone), non-steroidal anti-inflammatory drugs (e.g. salicylates, arylalkanoic acids, 2-arylpropionic acids, N- arylanthranilic acids, oxicams, coxibs, or sulfonanilides), specific Cox-2 inhibitors (e.g., valdecoxib, celecoxib, or rofecoxib), leflunomide, gold thioglucose, gold thiomalate, aurofin, sulfasalazine, hydroxychloroquinine, minocycline, binding of TNF-.alpha. (e.g., infliximab, etanercept, or adalimumab), abatacept, anakinra, interferon-beta, interferon-gamma, interleukin-2, allergy shots, antihistamines, antileukotrienes, beta-agonists, theophylline, or anticholinergics.
[00239] Em que o sujeito está sofrendo de ou em risco de sofrer de um distúrbio proliferativo de células B (por exemplo, mieloma da célula do plasma), o sujeito pode ser tratado com um composto de Fórmula (I) e/ou um sal farmaceuticamente aceitável do mesmo em qualquer combinação com um ou mais outros agentes anticâncer. Em algumas modalidades, um ou mais dos agentes anticâncer são agentes pró- apoptóticos. Os exemplos de agentes anticâncer incluem, mas não estão limitados a, qualquer um dentre os seguintes: gossifol, genasen- so, polifenol E, Clorofusina, ácido todo-trans-retinoico (ATRA), briosta- tina, ligando indutor da apoptose relacionado ao fator de necrose tumoral (TRAIL), 5-aza-2'-deoxicitidina, ácido todo-trans retinoico, doxor- rubicina, vincristina, etoposídeo, gemcitabina, imatinib (GleevecTM), geldanamicina, 17-N-Alilamino-17- Demetoxigeldanamicina (17-AAG), flavopiridol, LY294002, bortezomib, trastuzumab, BAY 11-7082, PKC412, ou PD184352, TaxolTM, também referido como "paclitaxel", o qual é um fármaco anticâncer bem conhecido que atua por intensificação e estabilização da formação de microtúbulos, e análogos de Taxo- lTM, tais como TaxotereTM. Se tem mostrado também que compostos que têm o esqueleto de taxano básico como uma característica estrutural comum têm a capacidade de reter as células nas fases G2-M devido a microtúbulos estabilizados e podem ser úteis para tratamento do câncer em combinação com os compostos descritos no presente documento.[00239] Where the subject is suffering from or at risk of suffering from a B cell proliferative disorder (e.g., plasma cell myeloma), the subject can be treated with a compound of Formula (I) and/or a pharmaceutically acceptable salt thereof in any combination with one or more other anticancer agents. In some embodiments, one or more of the anticancer agents are pro-apoptotic agents. Examples of anticancer agents include, but are not limited to, any of the following: gossifol, genasense, polyphenol E, Chlorofusin, all-trans-retinoic acid (ATRA), bryostatin, apoptosis-inducing ligand related to tumor necrosis factor (TRAIL), 5-aza-2'-deoxycytidine, all-trans retinoic acid, doxorubicin, vincristine, etoposide, gemcitabine, imatinib (GleevecTM), geldanamycin, 17-N-Allylamino-17- Demethoxygeldanamycin ( 17-AAG), flavopiridol, LY294002, bortezomib, trastuzumab, BAY 11-7082, PKC412, or PD184352, TaxolTM, also referred to as "paclitaxel", which is a well-known anticancer drug that acts by enhancing and stabilizing microtubule formation , and Taxo-lTM analogues, such as TaxotereTM. It has also been shown that compounds that have the basic taxane skeleton as a common structural feature have the ability to retain cells in the G2-M phases due to stabilized microtubules and may be useful for treating cancer in combination with the compounds described herein. document.
[00240] Os exemplos adicionais de agentes anticâncer para uso em combinação com um composto de Fórmula (I) e/ou um sal farmaceuti- camente aceitável do mesmo incluem inibidores da sinalização de qui- nase proteica ativada por mitógeno, por exemplo, U0126, PD98059, PD184352, PD0325901, ARRY-142886, SB239063, SP600125, BAY 43-9006, wortmanina, ou LY294002; inibidores de Syk; inibidores de mTOR; e anticorpos (por exemplo, rituxan).[00240] Additional examples of anticancer agents for use in combination with a compound of Formula (I) and/or a pharmaceutically acceptable salt thereof include inhibitors of mitogen-activated protein kinase signaling, for example, U0126, PD98059, PD184352, PD0325901, ARRY-142886, SB239063, SP600125, BAY 43-9006, wortmannin, or LY294002; Syk inhibitors; mTOR inhibitors; and antibodies (e.g., rituxan).
[00241] Outros agentes anticâncer que podem ser empregados em combinação com um composto de Fórmula (I) e/ou um sal farmaceuti- camente aceitável do mesmo incluem Adriamicina, Dactinomicina, Bleomicina, Vimblastina, Cisplatina, acivicina; aclarubicina; cloridrato de acodazol; acronina; adozelesina; aldesleucina; altretamina; ambo- micina; acetato de ametantrona; aminoglutetimida; ansacrina; anastro- zol; antramicina; asparaginase; asperlina; azacitidina; azetepa; azoto- micina; batimastate; benzodepa; bicalutamida; cloridrato de bisantreno; dimesilato de bisnafida; bizelesina; sulfato de bleomicina; brequinar sódico; bropirimina; bussulfano; cactinomicina; calusterona; caracemi- da; carbetimer; carboplatina; carmustina; cloridrato de carubicina; car- zelesina; cedefingol; clorambucila; cirolemicina; cladribina; mesilato de crisnatol; ciclofosfamida; citarabina; dacarbazina; cloridrato de daunor- rubicina; decitabina; dexormaplatina; dezaguanina; mesilato de deza- guanina; diaziquona; doxorrubicina; cloridrato de doxorrubicina; dro- loxifeno; citrato de droloxifeno; propionato de dromostanolona; duazo- micina; edatrexato; cloridrato de eflornitina; elsamitrucina; enloplatina; empromato; epipropidina; cloridrato de epirrubicina; erbulozol; cloridra- to de esorrubicina; estramustina; fosfato sódico de estramustina; eta- nidazol; etoposídeo; fosfato de etoposídeo; etoprina; cloridrato de fa- drozol; fazarabina; fenretinida; floxuridina; fosfato de fludarabina; fluo- rouracila; flurocitabina; fosquidona; fostriecina sódica; gencitabina; clo- ridrato de gencitabina; hidroxiureia; cloridrato de idarrubicina; ifosfami- da; ilmofosina; interleucina II (incluindo interleucina recombinante II, ou rIL2), interferon alfa-2a; interferon alfa-2b; interferon alfa-n1; interferon alfa-n3; interferon beta-1a; interferon gama-1 b; iproplatina; cloridrato de irinotecano; acetato de lanreótido; letrozol; acetato de leuprolida; cloridrato de liarozol; lometrexol sódico; lomustina; cloridrato de losoxantrona; masoprocol; maitansina; cloridrato de mecloretamina; acetato de megestrol; acetato de melengestrol; melfalano; menogarila; mercaptopurina; metotrexato; metotrexato sódico; metoprina; meturedepa; mitindomida; mitocarcina; mitocromina; mitogilina; mitomalcina; mitomicina; mitosper; mitotano; cloridrato de mitoxantrona; ácido micofenólico; nocodazol; nogalamicina; ormaplatina; oxisurano; pegaspargase; peliomicina; pentamustina; sulfato de peplomicina; perfosfamida; pipobromano; pipossulfano; cloridrato de piroxantrona; plicamicina; plomestano; porfimer sódico; porfiromicina; prednimustina; cloridrato de procarbazina; puromicina; cloridrato de puromicina; pirazofurina; riboprina; rogletimida; safingol; cloridrato de safingol; semustina; sintrazeno; esparfosato sódico; esparsomicina; cloridrato de espirogermânio; espiromustina; espiroplatina; estreptonigrina; estreptozocina; sulofenur; talisomicina; tecogalano sódico; tegafur; cloridrato de teloxantrona; temoporfina; teniposídeo; teroxirona; testolactona; tiamiprina; tioguanina; tiotepa; tiazofurina; tirapazamina; citrato de toremifeno; acetato de trestolona; fosfato de triciribina; trimetrexato; glucuronato de trimetrexato; triptorelina; cloridrato de tubulozol; mostarda de uracila; uredepa; vapreotídeo; verteporfina; sulfato de vimblastina; sulfato de vincristina; vindesina; sulfato de vindesina; sulfato de vinepidina; sulfato de vinglicinato; sulfato de vinleurosina; tartarato de vinorelbina; sulfato de vinrosidina; sulfato de vinzolidina; vorozol; zeniplatina; zinostatina; cloridrato de zorrubicina.[00241] Other anticancer agents that can be employed in combination with a compound of Formula (I) and/or a pharmaceutically acceptable salt thereof include Adriamycin, Dactinomycin, Bleomycin, Vinblastine, Cisplatin, acivicin; aclarubicin; acodazole hydrochloride; acronin; adozelesin; aldesleukin; altretamine; ambomycin; amethantron acetate; aminoglutethimide; ansacrine; anastrozole; anthramycin; asparaginase; asperline; azacitidine; azetepa; nitrogen-mycin; batimastat; benzodepa; bicalutamide; bisantrene hydrochloride; bisnafide dimesylate; bizelesin; bleomycin sulfate; sodium brequinar; bropyrimine; busulfan; cactinomycin; calusterone; characemid; carbetimer; carboplatin; carmustine; carubicin hydrochloride; - carzelesin; cedefingol; chlorambucil; cirolemycin; cladribine; chrysnatol mesylate; cyclophosphamide; cytarabine; dacarbazine; daunorubicin hydrochloride; decitabine; dexormaplatin; dezaguanine; dezaguanine mesylate; diaziquone; doxorubicin; doxorubicin hydrochloride; droloxifene; droloxifene citrate; dromostanolone propionate; duazomycin; edatrexate; eflornithine hydrochloride; elsamitrucin; enloplatin; empromate; epipropidine; epirubicin hydrochloride; erbulozole; esorubicin hydrochloride; estramustine; estramustine sodium phosphate; ethanidazole; etoposide; etoposide phosphate; etoprine; fadrozole hydrochloride; fazarabin; fenretinide; floxuridine; fludarabine phosphate; fluororouracil; flurocitabine; phosquidone; fostriecin sodium; gemcitabine; gemcitabine hydrochloride; hydroxyurea; idarubicin hydrochloride; ifosfamide-; ilmofosine; interleukin II (including recombinant interleukin II, or rIL2), interferon alfa-2a; interferon alfa-2b; alpha-n1 interferon; alpha-n3 interferon; interferon beta-1a; interferon gamma-1 b; iproplatin; irinotecan hydrochloride; lanreotide acetate; letrozole; leuprolide acetate; liarozole hydrochloride; lometrexol sodium; lomustine; losoxantrone hydrochloride; masoprocol; maytansine; mechlorethamine hydrochloride; megestrol acetate; melengestrol acetate; melphalan; menogaril; mercaptopurine; methotrexate; methotrexate sodium; metoprine; meturedepa; mitindomide; mitocarcin; mitochromin; mitogillin; mitomalcin; mitomycin; mitosper; mitotane; mitoxantrone hydrochloride; mycophenolic acid; nocodazole; nogalamycin; ormaplatin; oxysuran; pegaspargase; peliomycin; pentamustine; peplomycin sulfate; perfosphamide; pipobroman; poposulfan; pyroxantrone hydrochloride; plicamycin; plomestane; porfimer sodium; porphyromycin; prednimustine; procarbazine hydrochloride; puromycin; puromycin hydrochloride; pyrazofurin; riboprin; rogletimide; safingol; safingol hydrochloride; semustina; syntrazene; sodium sparfosate; sparsomycin; spirogermanium hydrochloride; spiromustine; spiroplatin; streptonigrin; streptozocin; sulofenur; talisomycin; sodium tecogalan; tegafur; teloxantrone hydrochloride; temoporfin; teniposide; teroxirone; testolactone; thiamiprine; thioguanine; thiotepa; thiazofurin; tirapazamine; toremifene citrate; trestolone acetate; triciribine phosphate; trimetrexate; trimetrexate glucuronate; triptorelin; tubulozole hydrochloride; uracil mustard; uredepa; vapreotide; verteporfin; vinblastine sulfate; vincristine sulfate; vindesina; vindesine sulfate; vinepidine sulfate; vinglicinate sulfate; vinleurosine sulfate; vinorelbine tartrate; vinrosidine sulfate; vinzolidine sulfate; vorozole; zeniplatin; zinostatin; zorubicin hydrochloride.
[00242] Outros agentes anticâncer que podem ser empregados em combinação com um composto da Fórmula (I) e/ou um sal farmaceuti- camente aceitável do mesmo incluem: 20-epi-1, 25 di-hidroxi vitamina D3; 5-etiniluracila; abiraterona; aclarrubicina; acilfulveno; adecipenol; adozelesina; aldesleucina; antagonistas de ALL-TK; altretamina; ambamustina; amidox; amifostina; ácido aminolevulínico; anrrubicina; ansacrina; anagrelida; anastrozol; andrografolida; inibidores da angiogênese; antagonista D; antagonista G; antarelix; proteína-1 morfogenética antidorsalização; carcinoma prostático antiandrogênio; antiestrogênio; antineoplaston; oligonucleotídeos antissenso; glicinato de afidicolina; moduladores de genes de apoptose; reguladores da apoptose; ácido apurínico; ara-CDP-DL- PTBA; arginina deaminase; asulacrina; atamestano; atrimustina; axinastatina 1; axinastatina 2; axinastatina 3; azasetrona; azatoxina; azatirosina; derivados de bacatina III; balanol; batimastate; antagonistas de BCR/ABL; benzoclorinas; benzoilstaurosporina; derivados de beta lactamo; beta-aletina; betaclamicina B; ácido betulínico; inibidor de bFGF; bicalutamida; bisantreno; bisaziridinilspermina; bisnafida; bistrateno A; bizelesina; breflato; bropirimina; budotitano; sulfoximina de butionina; calcipotriol; calfostina C; derivados de camptotecina; canaripox IL-2; capecitabina; carboxamida-amino-triazol; carboxiamidotriazol; CaRest M3; CARN 700; inibidor derivado da cartilagem; carzelesina; inibidores da quinase da caseína (ICOS); castanospermina; cecropina B; cetrorelix; clorinas; sulfonamida de cloroquinoxalina; cicaprost; cis-porfirina; cladribina; análogos de clomifeno; clotrimazol; colismicina A; colismicina B; combretastatina A4; análogo de combretastatina; conagenina; crambescidina 816; crisnatol; criptoficina 8; derivados de criptoficina A; curacina A; ciclopentantraquinonas; cicloplatam; cipemicina; octofosfato de citarabina; fator citolítico; citostatina; dacliximabe; decitabina; desidrodidemnina B; deslorelina; dexametasona; dexifosfamida; dexrazoxano; dexverapamila; diaziquona; didemnina B; didox; dietilnorspermina; di-hidro-5-azacitidina; 9-dioxamicina; espiromustina de difenila; docosanol; dolasetrona; doxifluridina; droloxifeno; dronabinol; duocarmicina SA; ebseleno; ecomustina; edelfosina; edrecolomabe; eflomitina; elemeno; emitefur; epirrubicina; epristerida; análogo de estramustina; agonistas de estrogênio; antagonistas de estrogênio; etanidazol; fosfato de etoposídeo; exemestano; fadrozol; fazarabina; fenretinida; filgrastim; fmasterida; flavopiridol; flezelastina; fluasterona; fludarabina; cloridrato de fluorodaunorrunicina; forfenimex; formestano; fostriecina; fotemustina; texafirina de gadolínio; nitrato de gálio; galocitabina; ganirelix; inibidores de gelatinase; gencitabina; inibidores de glutationa; hepsulfam; heregulina; bisacetamida de hexametileno; hipericina; ácido ibandrônico; idarrubicina; idoxifeno; idramantona; ilmofosina; ilomastate; imidazoacridonas; imiquimode; peptídeos imunoestimu- lantes; inibidor do receptor do fator de crescimento tipo insulina 1; agonistas de interferon; interferons; interleucinas; iobenguano; iododoxorrubicina; ipomeanol, 4-; iroplact; irsogladina; isobengazol; iso- homo-halicondrina B; itasetrona; jasplaquinolida; kahalalide F; triacetato de lamelarina-N; lanreotida; leinamicina; lenograstim; sulfato de lentinano; leptolstatina; letrozol; fator inibidor da leucemia; interferon alfa de leucócito; leuprolida+estrogênio+progesterona; leuprorrelina; levamisol; liarozol; análogo de poliamina linear; peptídeo de dissacarídeo lipofílico; compostos de platina lipofílicos; lissoclinamida 7; lobaplatina; lombricina; lometrexol; lonidamina; losoxantrona; lovastatina; loxoribina; lurtotecano; texafirina de lutécio; lisofilina; peptídeos líticos; maitansina; manostatina A; marimastate; masoprocol; maspina; inibidores de matrilisina; inibidores de metaloproteinase de matriz; menogarila; merbarona; meterelina; metioninase; metoclopramida; inibidor de MIF; mifepristona; miltefosina; mirimostim; RNA de fita dupla não correspondente; mitoguazona; mitolactol; análogos de mitomicina; mitonafida; fator de crescimento de fibroblastos de mitotoxina-saporina; mitoxantrona; mofaroteno; molgramostim; anticorpo monoclonal, gonadotrofina coriônica humana; lípido A+ de monofosforila esq parede celular de miobactéria; mopidamol; inibidor de gene de resistência a múltiplos fármacos; terapia baseada em supressor tumoral múltiplo 1; agente anticâncer de mostarda; micaperóxido B; extrato de parede celular micobacteriano; miriaporona; N-acetildinalina; benzamidas N- substituídas; nafarelina; nagrestip; naloxona+pentazocina; napavina; nafterpina; nartograstim; nedaplatina; nemorrubicina; ácido neridrônico; endopeptidase neutra; nilutamida; nisamicina; moduladores do ácido nítrico; antioxidante de nitróxido; nitrulina; O6- benzilguanina; octreotídeo; oquicenona; oligonucleotídeos; onapristona; ondansetrona; ondansetrona; oracina; indutor de citocina oral; ormaplatina; osaterona; oxaliplatina; oxaunomicina; palauamina; palmitoilrizoxina; ácido pamidrônico; panaxitriol; panomifeno; parabactina; pazeliptina; pegaspargase; peldesina; polissulfato pentosano de sódio; pentostatina; pentrozol; perflubrona; perfosfamida; álcool perilílico; fenazinomicina; fenilacetato; inibidores da fosfatase; picibanila; cloridrato de pilocarpina; pirarrubicina; piritrexim; placetina A; placetina B; inibidor de ativador de plasminogênio; complexo de platina; compostos de platina; complexo de platina-triamina; porfimer sódico; porfiromicina; prednisona; bis- acridona de propila; prostaglandina J2; inibidores do proteasoma; modulador imune baseado em proteína A; inibidor da quinase proteica C; inibidores da quinase proteica C, microalgas; inibidores da tirosina fosfatase proteica; inibidores da fosforilase de nucleosídeo de purina; purpurinas; pirazoloacridina; conjugado de hemoglobina e polioxietileno piridoxilado; antagonistas de raf; raltitrexed; ramosetrona; inibidores da transferase proteica de farnesila ras; inibidores de ras; inibidor de ras-GAP; reteliptina demetilada; etidronato de rênio Re 186; rizoxina; ribozimas; retinamida R.sub.11; rogletimida; roituquina; romurtida; roquinimex; rubiginona B1; ruboxila; safingol; saintopina; SarCNU; sarcofitol A; sargramostim; miméticos de Sdi 1; semustina; derivado de senescência 1; oligonucleotídeo senso; inibidores do sinal de transdução; moduladores do sinal de transdução; proteína de ligação a antígeno de cadeia única; sizofurano; sobuzoxano; borocaptato de sódio; fenilacetato de sódio; solverol; proteína de ligação à somatomedina; sonermina; ácido esparfósico; espicamicina D; espiromustina; esplenopentina; espongistatina 1; esqualamina; inibidor de célula-tronco; inibidores da divisão de célula-tronco; estipiamida; inibidores da estromelisina; sulfinosina; antagonista do peptídeo intestinal vasoativo superativo; suradista; suramina; swainsonina; glicosaminoglicanos sintéticos; talimustina; metiodeto de tamoxifeno; tauromustina; tazaroteno; sódio de tecogalano; tegafur; telurapirílio; inibidores da telomerase; temoporfina; temozolomida; teniposídeo; tetraclorodecaóxido; tetrazomina; taliblastina; tiocoralina; trombopoietina; mimético da trombopoietina; timalfasina; agonista do receptor da timopoietina; timotrinano; hormônio estimulador da tireoide; etiopurpurina de etila de estanho; tirapazamina; bicloreto de titanoceno; topsentina; toremifeno; fator de célula-tronco totipotente; inibidores da tradução; tretinoína; triacetiluridina; triciribina; trimetrexato; triptorelina; tropisetrona; turosterea; inibidores de tirosina quinase; tirfostinas; inibidores de UBC; ubenimex; fator inibidor de crescimento derivado do seio urogenital; antagonistas do receptor da uroquinase; vapreotídeo; variolina B; sistema de vetor, terapia de gene de eritrócitos; velaresol; veramina; verdins; verteporfina; vinorelbina; vinxaltina; vitaxina; vorozol; zanoterona; zeniplatina; zilascorbe; e estimalâmero da zinostatina.[00242] Other anticancer agents that can be employed in combination with a compound of Formula (I) and/or a pharmaceutically acceptable salt thereof include: 20-epi-1, 25 dihydroxy vitamin D3; 5-ethynyluracil; abiraterone; aclarrubicin; acylfulvene; adecipenol; adozelesin; aldesleukin; ALL-TK antagonists; altretamine; ambamustine; amidox; amifostine; aminolevulinic acid; anrubicin; ansacrine; anagrelide; anastrozole; andrographolide; angiogenesis inhibitors; antagonist D; G antagonist; antarelix; antidorsalization morphogenetic protein-1; antiandrogen prostate carcinoma; antiestrogen; antineoplaston; antisense oligonucleotides; aphidicolin glycinate; apoptosis gene modulators; apoptosis regulators; apurinic acid; ara-CDP-DL-PTBA; arginine deaminase; asulacrine; atamestane; atrimustine; axinastatin 1; axinastatin 2; axinastatin 3; azasetron; azatoxin; azatyrosine; baccatin III derivatives; balanol; batimastat; BCR/ABL antagonists; benzochlorins; benzoylstaurosporine; beta lactam derivatives; beta-aletin; betaclamycin B; betulinic acid; bFGF inhibitor; bicalutamide; bisantrene; bisaziridinylspermine; bisnafida; bistratene A; bizelesin; breflate; bropyrimine; budotitan; buthionine sulfoximine; calcipotriol; calphostin C; camptothecin derivatives; canaripox IL-2; capecitabine; carboxamide-amino-triazole; carboxyamidotriazole; CaRest M3; MEAT 700; cartilage-derived inhibitor; carzelesin; casein kinase inhibitors (ICOS); castanospermine; cecropin B; cetrorelix; chlorins; chloroquinoxaline sulfonamide; cicaprost; cis-porphyrin; cladribine; clomiphene analogues; clotrimazole; colismycin A; colimycin B; combretastatin A4; combretastatin analogue; conagenin; crambescidin 816; chrysnatol; cryptophycin 8; cryptophycin A derivatives; curacin A; cyclopentantraquinones; cycloplatam; cypemycin; cytarabine octophosphate; cytolytic factor; cytostatin; dacliximab; decitabine; dehydrodidemnin B; deslorelin; dexamethasone; dexiphosphamide; dexrazoxane; dexverapamil; diaziquone; didemnin B; didox; diethylnorspermine; dihydro-5-azacytidine; 9-dioxamycin; diphenyl spiromustine; docosanol; dolasetron; doxifluridine; droloxifene; dronabinol; duocarmycin SA; ebselene; ecomustina; edelfosine; edrecolomab; eflomitin; element; emitefur; epirubicin; epristeride; estramustine analogue; estrogen agonists; estrogen antagonists; ethanidazole; etoposide phosphate; exemestane; fadrozole; fazarabin; fenretinide; filgrastim; fmasteride; flavopiridol; flezelastine; fluasterone; fludarabine; fluorodaunorunicin hydrochloride; forfenimex; formestane; fostriecin; fotemustine; gadolinium texaphyrin; gallium nitrate; gallocitabine; ganirelix; gelatinase inhibitors; gemcitabine; glutathione inhibitors; hepsulfan; heregulin; hexamethylene bisacetamide; hypericin; ibandronic acid; idarubicin; idoxifen; idramantone; ilmofosine; ilomastat; imidazoacridones; imiquimod; immunostimulating peptides; insulin-like growth factor 1 receptor inhibitor; interferon agonists; interferons; interleukins; iobenguane; iododoxorubicin; ipomeanol, 4-; iroplatt; irsogladine; isobengazole; iso-homohalychondrin B; itasetron; jasplaquinolide; kahalalide F; lamellarin-N triacetate; lanreotide; leinamycin; lenograstim; lentinan sulfate; leptolstatin; letrozole; leukemia inhibitory factor; leukocyte interferon alpha; leuprolide+estrogen+progesterone; leuprorelin; Levamisole; liarozole; linear polyamine analogue; lipophilic disaccharide peptide; lipophilic platinum compounds; lissoclinamide 7; lobaplatin; lumbricin; lometrexol; lonidamine; losoxantrone; lovastatin; loxoribine; lurtotecan; lutetium texaphyrin; lysophilin; lytic peptides; maytansine; mannostatin A; marimastate; masoprocol; maspine; matrilysin inhibitors; matrix metalloproteinase inhibitors; menogaril; merbarone; meterelin; methioninase; metoclopramide; MIF inhibitor; mifepristone; miltefosine; mirimostim; mismatched double-stranded RNA; mitoguazone; mitolactol; mitomycin analogues; mitonafida; mitotoxin-saporin fibroblast growth factor; mitoxantrone; mofarotene; molgramostim; monoclonal antibody, human chorionic gonadotropin; monophosphoryl lipid A+ left myobacterium cell wall; mopidamol; multidrug resistance gene inhibitor; multiple tumor suppressor-based therapy 1; mustard anticancer agent; micaperoxide B; mycobacterial cell wall extract; myriaporone; N-acetyldinaline; N-substituted benzamides; nafarelin; nagrestip; naloxone+pentazocine; napavine; nafterpine; nartograstim; nedaplatin; nemorubicin; neridronic acid; neutral endopeptidase; nilutamide; nisamycin; nitric acid modulators; nitroxide antioxidant; nitrulin; O6- benzylguanine; octreotide; oquicenone; oligonucleotides; onapristone; ondansetron; ondansetron; oracin; oral cytokine inducer; ormaplatin; osaterone; oxaliplatin; oxaunomycin; palauamine; palmitoylrhizoxin; pamidronic acid; panaxytriol; panomifene; parabactin; Pazeliptin; pegaspargase; peldesine; sodium pentosan polysulfate; pentostatin; pentrozole; perflubrone; perfosphamide; perillyl alcohol; phenazinomycin; phenylacetate; phosphatase inhibitors; picibanil; pilocarpine hydrochloride; pyrarubicin; pyritrexim; placetin A; placetin B; plasminogen activator inhibitor; platinum complex; platinum compounds; platinum-triamine complex; porfimer sodium; porphyromycin; prednisone; propyl bis-acridone; prostaglandin J2; proteasome inhibitors; protein A-based immune modulator; protein kinase C inhibitor; protein kinase C inhibitors, microalgae; protein tyrosine phosphatase inhibitors; purine nucleoside phosphorylase inhibitors; glitter; pyrazoloacridine; pyridoxylated hemoglobin and polyoxyethylene conjugate; raf antagonists; raltitrexed; ramosetron; farnesyl ras protein transferase inhibitors; ras inhibitors; ras-GAP inhibitor; demethylated reteliptin; rhenium etidronate Re 186; rhizoxin; ribozymes; retinamide R.sub.11; rogletimide; roituchin; ruptured; roquinimex; rubiginone B1; ruboxyl; safingol; saintopine; SarCNU; sarcophytol A; sargramostim; Sdi 1 mimetics; semustina; senescence derivative 1; sense oligonucleotide; signal transduction inhibitors; transduction signal modulators; single-chain antigen-binding protein; sizofuran; sobuzoxane; sodium borocaptate; sodium phenylacetate; solverol; somatomedin binding protein; sonermine; sparphosic acid; spicamycin D; spiromustine; splenopentin; spongistatin 1; squalamine; stem cell inhibitor; stem cell division inhibitors; stipiamide; stromelysin inhibitors; sulfosine; superactive vasoactive intestinal peptide antagonist; suradist; suramin; swainsonine; synthetic glycosaminoglycans; talimustine; tamoxifen methiodide; tauromustine; tazarotene; tecogalan sodium; tegafur; tellurapyrylium; telomerase inhibitors; temoporfin; temozolomide; teniposide; tetrachlorodecaoxide; tetrazomine; taliblastin; thiocoralin; thrombopoietin; thrombopoietin mimetic; thymalfasin; thymopoietin receptor agonist; timotrinan; thyroid-stimulating hormone; tin ethyl etiopurpurin; tirapazamine; titanocene bichloride; topsentin; toremifene; totipotent stem cell factor; translation inhibitors; tretinoin; triacetyluridine; triciribine; trimetrexate; triptorelin; tropisetron; turosterea; tyrosine kinase inhibitors; tyrphostins; UBC inhibitors; ubenimex; urogenital sinus-derived growth inhibitory factor; urokinase receptor antagonists; vapreotide; variolin B; vector system, erythrocyte gene therapy; candlelight; veramine; greens; verteporfin; vinorelbine; vinxaltine; vitaxin; vorozole; zanoterone; zeniplatin; zilascorb; and zinostatin estimamer.
[00243] Ainda outros agentes anticâncer que podem ser empregados em combinação com um composto da Fórmula (I) e/ou um sal farmaceuticamente aceitável do mesmo incluem agentes alquilantes, antimetabólitos, produtos naturais ou hormônios, por exemplo, mostardas de nitrogênio (por exemplo, mecloroetamina, ciclofosfamida, clorambucila, etc.), sulfonatos de alquila (por exemplo, bussulfano), nitrosoureias (por exemplo, carmustina, lomusitna, etc.), ou triazenos (decarbazina, etc.). Exemplos de antimetabolitos incluem mas não estão limitados a análogo de ácido fólico (por exemplo, metotrexato), ou análogos de pirimidina (por exemplo, Citarabina), análogos de purina (por exemplo, mercaptopurina, tioguanina, pentostatina).[00243] Still other anticancer agents that may be employed in combination with a compound of Formula (I) and/or a pharmaceutically acceptable salt thereof include alkylating agents, antimetabolites, natural products or hormones, for example, nitrogen mustards (e.g. , mechloroethamine, cyclophosphamide, chlorambucil, etc.), alkyl sulfonates (e.g. busulfan), nitrosoureas (e.g. carmustine, lomusitne, etc.), or triazenes (decarbazine, etc.). Examples of antimetabolites include but are not limited to folic acid analogues (e.g. methotrexate), or pyrimidine analogues (e.g. Cytarabine), purine analogues (e.g. mercaptopurine, thioguanine, pentostatin).
[00244] Os exemplos de produtos naturais úteis em combinação com um composto da Fórmula (I) e/ou um sal farmaceuticamente acei-tável do mesmo incluem, mas não estão limitados a, alcalóides vinca (por exemplo, vimbastina, vincristina), epipodofilotoxinas (por exemplo, etoposídeo), antibióticos (por exemplo, daunorrubicina, doxorrubicina, bleomicina), enzimas (por exemplo, L-asparaginase) ou modificadores da resposta biológica (por exemplo, interferon alfa).[00244] Examples of natural products useful in combination with a compound of Formula (I) and/or a pharmaceutically acceptable salt thereof include, but are not limited to, vinca alkaloids (e.g., vimbastine, vincristine), epipodophyllotoxins (e.g., etoposide), antibiotics (e.g., daunorubicin, doxorubicin, bleomycin), enzymes (e.g., L-asparaginase), or biological response modifiers (e.g., alpha interferon).
[00245] Os exemplos de agentes alquilantes que podem ser empregados em combinação com um composto da Fórmula (I) e/ou um sal farmaceuticamente aceitável do mesmo incluem, mas não estão limitados a, mostardas de nitrogênio (por exemplo, mecloroetamina, ciclofosfamida, clorambucila, melfalano, etc.), etilenimina e metilmela- minas (por exemplo, hexametilmelamina, tiotepa), sulfonatos de alquila (por exemplo, bussulfano), nitrosoureias (por exemplo, carmustina, lo- musitna, semustina, estreptozocina, etc.) ou triazenos (decarbazina, etc.). Os exemplos de antimetabólitos incluem, mas não estão limitados a, análogo do ácido fólico (por exemplo, metotrexato), ou análogos de pirimidina (por exemplo, fluorouracila, floxuridina, Citarabina), análogos de purina (por exemplo, mercaptopurina, tioguanina, pentostati- na.[00245] Examples of alkylating agents that can be employed in combination with a compound of Formula (I) and/or a pharmaceutically acceptable salt thereof include, but are not limited to, nitrogen mustards (e.g., mechloroethamine, cyclophosphamide, chlorambucil, melphalan, etc.), ethylenimine and methylmelamines (e.g. hexamethylmelamine, thiotepa), alkyl sulfonates (e.g. busulfan), nitrosoureas (e.g. carmustine, lomusitne, semustine, streptozocin, etc.) or triazenes (decarbazine, etc.). Examples of antimetabolites include, but are not limited to, folic acid analogues (e.g., methotrexate), or pyrimidine analogues (e.g., fluorouracil, floxuridine, Cytarabine), purine analogues (e.g., mercaptopurine, thioguanine, pentostatin - at.
[00246] Os exemplos de hormônios e antagonistas úteis em combinação com um composto da Fórmula (I) e/ou um sal farmaceuticamen- te aceitável do mesmo incluem, mas não estão limitados a, adrenocor- ticosteroides (por exemplo, prednisona), progestinas (por exemplo, ca- proato de hidroxiprogesterona, acetato de megestrol, acetato de me- droxiprogesterona), estrogênios (por exemplo, dietilestilbestrol, estradiol de etinila), antiestrogênio (por exemplo, tamoxifeno), androgênios (por exemplo, propionato de testosterona, fluoximesterona), antiandro- gênio (por exemplo, flutamida), análogo de hormônio liberador de go- nadotropina (por exemplo, leuprolida). Outros agentes que podem ser usados nos métodos e composições descritos no presente documento para o tratamento ou prevenção de câncer incluem complexos de co-ordenação de platina (por exemplo, cisplatina, carboplatina), antrace- nodiona (por exemplo, mitoxantrona), ureia substituída (por exemplo, hidroxiureia), derivado de metil-hidrazina (por exemplo, procarbazina), supressor andrenocortical (por exemplo, mitotano, aminoglutetimida).[00246] Examples of hormones and antagonists useful in combination with a compound of Formula (I) and/or a pharmaceutically acceptable salt thereof include, but are not limited to, adrenocorticosteroids (e.g., prednisone), progestins (e.g., hydroxyprogesterone caproate, megestrol acetate, medroxyprogesterone acetate), estrogens (e.g., diethylstilbestrol, ethinyl estradiol), antiestrogens (e.g., tamoxifen), androgens (e.g., testosterone propionate, fluoxymesterone), antiandrogen (e.g. flutamide), gonadotropin-releasing hormone analogue (e.g. leuprolide). Other agents that can be used in the methods and compositions described herein for the treatment or prevention of cancer include platinum coordination complexes (e.g., cisplatin, carboplatin), anthracenedione (e.g., mitoxantrone), substituted urea (e.g., hydroxyurea), methylhydrazine derivative (e.g., procarbazine), andrenocortical suppressant (e.g., mitotane, aminoglutethimide).
[00247] Exemplos de agentes anticâncer que agem por retenção das células nas fases G2-M devido a microtúbulos estabilizados e que podem ser usados em combinação com um composto inibidor da BTK da revelação incluem sem limitação os seguintes fármacos comercializados e fármacos em desenvolvimento: Erbulozol (também conhecido como R-55104), Dolastatina 10 (também conhecido como DLS-10 e NSC-376128), isetionato de mivobulina (também conhecido como CI980), vincristina, NSC-639829, Discodermolida (também conhecido como NVP-XX-A-296), ABT-751 (Abbott, também conhecido como E- 7010), Altorirtinas (como Altorirtina A e Altorirtina C), espongistatinas (como espongistatina 1, espongistatina 2, espongistatina 3, espongis- tatina 4, espongistatina 5, espongistatina 6, espongistatina 7, espon- gistatina 8 e espongistatina 9), cloridrato de cemadotina (também conhecido como LU-103793 e NSC-D- 669356), epotilonas (como epotilona A, epotilona B, epotilona C (também conhecido como desoxiepotilona A ou dEpoA), epotilona D (também mencionado como KOS-862, dEpoB e desoxiepotilona B), epotilona E, epotilona F, epotilona B N-óxido, epotilona A N-óxido, 16-aza-epotilona B, 21- aminoepotilona B (também conhecido como BMS-310705), 21- hidroxiepotilona D (também conhecido como Desoxiepotilona F e dEpoF), 26-fluoroepotilona), Auristatina PE (também conhecido como NSC-654663), Soblidotina (também conhecido como TZT-1027), LS- 4559-P (Pharmacia, também conhecido como LS-4577), LS-4578 (Pharmacia, também conhecido como LS-477-P), LS-4477 (Pharmacia), LS-4559 (Pharmacia), RPR-112378 (Aventis), sulfato de vincristina, DZ-3358 (Daiichi), FR-182877 (Fujisawa, também conhecido como WS-9885B), GS-164 (Takeda), GS-198 (Takeda), KAR-2 (Hungarian Academy of Sciences), BSF-223651 (BASF, também conhecido como ILX-651 e LU-223651), SAH-49960 (Lilly/Novartis), SDZ-268970 (Lilly/Novartis), AM-97 (Armad/Kyowa Hakko), AM-132 (Armad), AM-138 (Armad/Kyowa Hakko), IDN-5005 (Indena), Criptoficina 52 (também conhecido como LY-355703), AC- 7739 (Ajinomoto, também conhecido como AVE-8063A e CS-39.HCl), AC-7700 (Ajinomoto, também conhecido como AVE-8062, AVE- 8062A, CS-39-L-Ser.HCl, e RPR- 258062A), Vitilevuamida, Tubulisina A, Canadensol, Centaureidina (também conhecido como NSC- 106969), T-138067 (Tularik, também conhecido como T-67, TL-138067 e TI-138067), COBRA-1 (Parker Hughes Institute, também conhecido como DDE-261 e WHI-261), H10 (Kansas State University), H16 (Kansas State University), Oncocidina A1 (também conhecido como BTO-956 e DIME), DDE-313 (Parker Hughes Institute), Fijianolide B. Laulimalide, SPA-2 (Parker Hughes Institute), SPA-1 (Parker Hughes Institute, também conhecido como SPIKET-P), 3-IAABU (Cytoskeleton/Mt. Escola Mt. Sinai de Medicina, também conhecido como MF-569), Narcosina (também conhecida como NSC-5366), Nascapina, D- 24851 (Asta Medica), A-105972 (Abbott), Hemiasterlina, 3-BAABU (Cytoskeleton/ Escola Mt. Sinai de Medicina, também conhecida como MF- 191), TMPN (Universidade Estatal do Arizona), acetilacetonato de Vanadoceno, T-138026 (Tularik), Monsatrol, Inanocina (também conhecida como NSC-698666), 3-1AABE (Cytoskeleton/ Escola Mt. Sinai de Medicina), A-204197 (Abbott), T- 607 (Tuiarik, também conhecido por T- 900607), RPR-115781 (Aventis), Eleuterrobinas (tais como Desmetileleuterrobina, Desaetileleuterrobina, Isoeleuterrobina A, e Z- Eleuterrobina), Caribaeosídeo, Caribaeolina, Halicondrina B, D-64131 (Asta Medica), D-68144 (Asta Medica), Diazonamida A, A-293620 (Abbott), NPI- 2350 (Nereus), Tacalonolida A, TUB-245 (Aventis), A-259754 (Abbott), Diozostatina, (-)-Fenil-histina (também conhecida por NSCL-96F037), D- 68838 (Asta Medica), D-68836 (Asta Medica), Mioseverina B, D43411 (Zentaris, também conhecido por D-81862), A-289099 (Abbott), A-318315 (Abbott), HTI-286 (também conhecido por SPA-110, sal de trifluoroacetato) (Wyeth), D-82317 (Zentaris), D-82318 (Zentaris), SC- 12983 (NCI), sódio de fosfato de Resverastatina, BPR-OY-007 (National Health Research Institutes) e SSR-250411 (Sanofi).[00247] Examples of anticancer agents that act by retaining cells in the G2-M phases due to stabilized microtubules and that can be used in combination with a BTK inhibitor compound of the disclosure include without limitation the following marketed drugs and drugs in development: Erbulozole (also known as R-55104), Dolastatin 10 (also known as DLS-10 and NSC-376128), Mivobulin Isethionate (also known as CI980), Vincristine, NSC-639829, Discodermolide (also known as NVP-XX-A -296), ABT-751 (Abbott, also known as E-7010), Altorirtins (such as Altorirtin A and Altorirtin C), spongistatins (such as spongistatin 1, spongistatin 2, spongistatin 3, spongistatin 4, spongistatin 5, spongistatin 6 , spongistatin 7, spongistatin 8 and spongistatin 9), cemadotin hydrochloride (also known as LU-103793 and NSC-D-669356), epothilones (such as epothilone A, epothilone B, epothilone C (also known as deoxyepothilone A or dEpoA ), epothilone D (also mentioned as KOS-862, dEpoB and deoxyepothilone B), epothilone E, epothilone F, epothilone B N-oxide, epothilone A N-oxide, 16-aza-epothilone B, 21-aminoepothilone B (also known as BMS-310705), 21-hydroxyepothilone D (also known as Desoxyepothilone F and dEpoF), 26-fluoroepothilone), Auristatin PE (also known as NSC-654663), Soblidotin (also known as TZT-1027), LS- 4559- P (Pharmacia, aka LS-4577), LS-4578 (Pharmacia, aka LS-477-P), LS-4477 (Pharmacia), LS-4559 (Pharmacia), RPR-112378 (Aventis), sulfate of vincristine, DZ-3358 (Daiichi), FR-182877 (Fujisawa, also known as WS-9885B), GS-164 (Takeda), GS-198 (Takeda), KAR-2 (Hungarian Academy of Sciences), BSF- 223651 (BASF, also known as ILX-651 and LU-223651), SAH-49960 (Lilly/Novartis), SDZ-268970 (Lilly/Novartis), AM-97 (Armad/Kyowa Hakko), AM-132 (Armad) , AM-138 (Armad/Kyowa Hakko), IDN-5005 (Indena), Cryptoficina 52 (aka LY-355703), AC- 7739 (Ajinomoto, aka AVE-8063A and CS-39.HCl), AC -7700 (Ajinomoto, also known as AVE-8062, AVE- 8062A, CS-39-L-Ser.HCl, and RPR- 258062A), Vitilevuamide, Tubulysin A, Canadensol, Centaureidine (also known as NSC- 106969), T -138067 (Tularik, aka T-67, TL-138067 and TI-138067), COBRA-1 (Parker Hughes Institute, aka DDE-261 and WHI-261), H10 (Kansas State University), H16 ( Kansas State University), Oncocidin A1 (also known as BTO-956 and DIME), DDE-313 (Parker Hughes Institute), Fijianolide B. Laulimalide, SPA-2 (Parker Hughes Institute), SPA-1 (Parker Hughes Institute, also known as SPIKET-P), 3-IAABU (Cytoskeleton/Mt. Mt. Sinai School of Medicine, also known as MF-569), Narcosine (also known as NSC-5366), Nascapine, D- 24851 (Asta Medica), A-105972 (Abbott), Hemiasterlina, 3-BAABU (Cytoskeleton/ Mt. Sinai School of Medicine, also known as MF-191), TMPN (Arizona State University), Vanadocene Acetylacetonate, T-138026 (Tularik), Monsatrol, Inanocin (also known as NSC-698666), 3-1AABE ( Cytoskeleton/ Mt. Sinai School of Medicine), A-204197 (Abbott), T- 607 (Tuiarik, also known as T- 900607), RPR-115781 (Aventis), Eleutherobins (such as Desmethyleleutherobin, Desmethyleleutherobin, Isoeleutherobin A, and Z- Eleutherobin), Caribaeoside, Caribaeolin, Halicondrin B, D-64131 (Asta Medica), D-68144 (Asta Medica), Diazonamide A, A-293620 (Abbott), NPI- 2350 (Nereus), Tacalonolid A, TUB- 245 (Aventis), A-259754 (Abbott), Diozostatin, (-)-Phenylhistine (also known as NSCL-96F037), D- 68838 (Asta Medica), D-68836 (Asta Medica), Mioseverin B, D43411 (Zentaris, aka D-81862), A-289099 (Abbott), A-318315 (Abbott), HTI-286 (alias SPA-110, trifluoroacetate salt) (Wyeth), D-82317 (Zentaris) , D-82318 (Zentaris), SC-12983 (NCI), Resverastatin phosphate sodium, BPR-OY-007 (National Health Research Institutes), and SSR-250411 (Sanofi).
[00248] Em que um sujeito está sofrendo de ou em risco de sofrer de um distúrbio tromboembólico (por exemplo, acidente vascular cerebral), o sujeito pode ser tratado com um composto da Fórmula (I) em qualquer combinação com um ou mais outros agentes antitromboem- bólicos. Exemplos de agentes antitromboembólicos incluem, mas não estão limitados a qualquer um dos seguintes: agentes trombolíticos (por exemplo, alteplase anistreplase, estreptoquinase, uroquinase, ou ativador do plasminogênio do tecido), heparina, tinzaparina, warfarina, dabigatrano (por exemplo, etexilato de dabigatrano), inibidores do fator Xa (por exemplo, fondaparinux, draparinux, rivaroxabano, DX-9065a, otamixabano, LY517717, ou YM150), ticlopidina, clopidogrel, CS-747 (prasugrel, LY640315), ximelagatrano, ou BIBR 1048.[00248] Where a subject is suffering from or at risk of suffering from a thromboembolic disorder (e.g., stroke), the subject can be treated with a compound of Formula (I) in any combination with one or more other agents antithromboembolic drugs. Examples of antithromboembolic agents include, but are not limited to, any of the following: thrombolytic agents (e.g., alteplase, anistreplase, streptokinase, urokinase, or tissue plasminogen activator), heparin, tinzaparin, warfarin, dabigatran (e.g., dabigatran), factor
[00249] As preparações de compostos da Fórmula (I) e intermediários (Referências) a seguir são dadas para permitir que aqueles versados na técnica entendam mais claramente e pratiquem a presente revelação. As mesmas não deverão ser consideradas como limitando o escopo da revelação, mas meramente como sendo ilustrativas e representativas da mesma. A linha no carbono do alceno, nos compostos abaixo, denota que os compostos são isolados como uma mistura indefinida de isômeros (E) e (Z).[00249] The following preparations of compounds of Formula (I) and intermediates (References) are given to enable those skilled in the art to more clearly understand and practice the present disclosure. They should not be considered as limiting the scope of the disclosure, but merely as being illustrative and representative thereof. The line on the alkene carbon in the compounds below denotes that the compounds are isolated as an undefined mixture of (E) and (Z) isomers.
[00250] Síntese de (R,E)-3-(4-(((dimetilamino)metileno)amino)-2- oxo- 2,3-di-hidro-1H-imidazo[4,5-c]piridin-1-il)piperidina-1-carboxilato de terc- butila Etapa 1 [00250] Synthesis of (R,E)-3-(4-(((dimethylamino)methylene)amino)-2-oxo-2,3-dihydro-1H-imidazo[4,5-c]pyridin- tert-butyl 1-yl)piperidine-1-carboxylate Step 1
[00251] Em um frasco de fundo redondo de 100 ml, colocou-se 2,4- dicloro-3-nitropiridina (8 g, 41,45 mmol, 1,00 equiv.), N,N- dimetilformamida (50 ml), (R)-3-aminopiperidina-1-carboxilato de terc- butila (8,3 g, 41,44 mmol, 1,00 equiv.) e TEA (6,29 g, 62,16 mmol, 1,50 equiv.). A solução resultante foi agitada durante a noite a 25°C. A solução resultante foi diluída com H2O, extraída com acetato de etila e as camadas orgânicas foram combinadas. A mistura resultante foi lavada com cloreto de sódio saturado e seca com sulfato de sódio anidro e concentrada. O resíduo foi aplicado em uma coluna de gel de sílica e eluído com acetato de etila/éter de petróleo (1:1) para gerar 8 g (51%) de (R)-3-((2-cloro-3-nitropiridin-4- il)amino)piperidina-1-carboxilato de terc-butila como um óleo amarelo. Etapa 2 [00251] In a 100 ml round bottom flask, 2,4-dichloro-3-nitropyridine (8 g, 41.45 mmol, 1.00 equiv.), N,N-dimethylformamide (50 ml) were placed. , tert-butyl (R)-3-aminopiperidine-1-carboxylate (8.3 g, 41.44 mmol, 1.00 equiv.) and TEA (6.29 g, 62.16 mmol, 1.50 equiv. .). The resulting solution was stirred overnight at 25°C. The resulting solution was diluted with H2O, extracted with ethyl acetate and the organic layers were combined. The resulting mixture was washed with saturated sodium chloride and dried over anhydrous sodium sulfate and concentrated. The residue was applied to a silica gel column and eluted with ethyl acetate/petroleum ether (1:1) to generate 8 g (51%) of (R)-3-((2-chloro-3-nitropyridin tert-butyl -4-yl)amino)piperidine-1-carboxylate as a yellow oil. Step 2
[00252] Em um frasco de fundo redondo de 250 ml, colocou-se (R)- 3- ((2-cloro-3-nitropiridin-4-il)amino)piperidina-1-carboxilato de terc- butila (8 g, 22,42 mmol, 1,00 equiv.), i-propanol (100 ml), bis[(4- metoxifenol)metil]amina (5,78 g, 22,46 mmol, 1,00 equiv.) e TEA (2,955 g, 29,20 mmol, 1,30 equiv.). A solução resultante foi agitada durante a noite a 95 °C. A mistura de reação foi resfriada e concentrada sob vácuo. Isto resultou em 12 g (92%) de (R)-3-((2- (bis(4-metoxibenzil)amino)-3- nitropiridin-4-il)amino)piperidina-1- carboxilato de terc-butila como um óleo amarelo. Etapa 3 [00252] In a 250 ml round bottom flask, tert-butyl (R)-3-((2-chloro-3-nitropyridin-4-yl)amino)piperidine-1-carboxylate (8 g) was placed , 22.42 mmol, 1.00 equiv.), i-propanol (100 ml), bis[(4-methoxyphenol)methyl]amine (5.78 g, 22.46 mmol, 1.00 equiv.) and TEA (2.955 g, 29.20 mmol, 1.30 equiv.). The resulting solution was stirred overnight at 95°C. The reaction mixture was cooled and concentrated under vacuum. This resulted in 12 g (92%) of tert-butyl (R)-3-((2-(bis(4-methoxybenzyl)amino)-3-nitropyridin-4-yl)amino)piperidine-1-carboxylate as a yellow oil. Step 3
[00253] Em um frasco de fundo redondo de 250 ml, colocou-se (R)- 3- ((2-(bis(4-metoxibenzil)amino)-3-nitropiridin-4-il)amino)piperidina-1- carboxilato de terc-butila (10 g, 17,31 mmol, 1,00 equiv.), AcOH/MeOH (1:1.100 ml), e Fe (9,69 g, 173,04 mmol, 10,00 equiv.). A solução re-sultante foi agitada durante a noite a 25 °C e, então, concentrada sob vácuo. O valor de pH da solução foi ajustado para 8,0 a 9,0 com bicar-bonato de sódio. A solução resultante foi extraída com diclorometano e as camadas orgânicas foram lavadas com bicarbonato de sódio, filtradas e secas com sulfato de sódio anidro, então, concentradas sob vácuo para gerar 8,8 g (92,8%) de (R)-3-((3-amino-2-(bis(4- metoxibenzil)-amino)piridin-4-il)amino)piperidina-1- carboxilato de terc- butila como óleo amarelo. Etapa 4 [00253] In a 250 ml round bottom flask, (R)- 3- ((2-(bis(4-methoxybenzyl)amino)-3-nitropyridin-4-yl)amino)piperidine-1- tert-butyl carboxylate (10 g, 17.31 mmol, 1.00 equiv.), AcOH/MeOH (1:1,100 ml), and Fe (9.69 g, 173.04 mmol, 10.00 equiv.) . The resulting solution was stirred overnight at 25°C and then concentrated under vacuum. The pH value of the solution was adjusted to 8.0 to 9.0 with sodium bicarbonate. The resulting solution was extracted with dichloromethane and the organic layers were washed with sodium bicarbonate, filtered and dried over anhydrous sodium sulfate, then concentrated in vacuo to give 8.8 g (92.8%) of (R)-3 tert-butyl -((3-amino-2-(bis(4-methoxybenzyl)-amino)pyridin-4-yl)amino)piperidine-1-carboxylate as yellow oil. Step 4
[00254] Em um frasco de fundo redondo de 250 ml, colocou-se (R)- 3- ((3-amino-2-(bis(4-metoxi-benzil)amino)piridin-4-il)amino)piperidina- 1- carboxilato de terc-butila (12 g, 19,72 mmol, 1,00 equiv., 90%), CH3CN (100 ml), e CDI (5,336 g, 32,91 mmol, 1,50 equiv). A solução resultante foi agitada durante a noite a 80 °C. A mistura de reação foi resfriada e concentrada. O resíduo foi aplicado em uma coluna de gel de sílica e eluído com acetato de etila/éter de petróleo (1:5) para gerar 11 g (89%) de (R)-3- (4-[bis[(4-metoxi-fenil)metil]-amino]-2-oxo- 1H,2H,3H-imidazo[4,5-c]piridin-1- il)piperidina-1-carboxilato de terc- butila como um óleo sólido amarelo. Etapa 5 [00254] In a 250 ml round bottom flask, (R)- 3- ((3-amino-2-(bis(4-methoxy-benzyl)amino)pyridin-4-yl)amino)piperidine was placed - 1- tert-butyl carboxylate (12 g, 19.72 mmol, 1.00 equiv., 90%), CH3CN (100 ml), and CDI (5.336 g, 32.91 mmol, 1.50 equiv). The resulting solution was stirred overnight at 80°C. The reaction mixture was cooled and concentrated. The residue was applied to a silica gel column and eluted with ethyl acetate/petroleum ether (1:5) to generate 11 g (89%) of (R)-3- (4-[bis[(4- tert-butyl methoxy-phenyl)methyl]-amino]-2-oxo-1H,2H,3H-imidazo[4,5-c]pyridin-1-yl)piperidine-1-carboxylate as a yellow solid oil. Step 5
[00255] Em um frasco de fundo redondo de 50 ml colocou-se (R)-3- (4- [bis[(4-metoxifenil)-metil]amino]-2-oxo-1H,2H,3H-imidazo[4,5- c]piridin-1- il)piperidina-1-carboxilato de terc-butila (1,5 g, 2,61 mmol, 1,00 equiv.), diclorometano (30 ml), e ácido trifluoroacético (30 ml). A solução resultante foi agitada durante 4 h a 50°C. O valor de pH da solução foi ajustado para 9 com bicarbonato de sódio. A solução resultante foi extraída com diclorometano e as camadas orgânicas combinadas e secas com sulfato de sódio anidro. A mistura resultante foi concentrada sob vácuo para gerar 0,45 g (73,7%) de (R)-4-amino- 1-(piperidin-3-il)-1,3-di-hidro-2H-imidazo[4,5- c]piridin-2-ona como um sólido amarelo claro. Etapa 6 [00255] In a 50 ml round bottom flask, (R)-3- (4- [bis[(4-methoxyphenyl)-methyl]amino]-2-oxo-1H,2H,3H-imidazo[ tert-butyl 4,5-c]pyridin-1-yl)piperidine-1-carboxylate (1.5 g, 2.61 mmol, 1.00 equiv.), dichloromethane (30 ml), and trifluoroacetic acid (30 ml). The resulting solution was stirred for 4 h at 50°C. The pH value of the solution was adjusted to 9 with sodium bicarbonate. The resulting solution was extracted with dichloromethane and the organic layers combined and dried over anhydrous sodium sulfate. The resulting mixture was concentrated in vacuo to give 0.45 g (73.7%) of (R)-4-amino-1-(piperidin-3-yl)-1,3-dihydro-2H-imidazo[ 4,5- c]pyridin-2-one as a light yellow solid. Step 6
[00256] Em um frasco de fundo redondo de 100 ml colocou-se (R)- 4- amino-1-(piperidin-3-il)-1,3-di-hidro-2H-imidazo[4,5-c]piridin-2-ona (1 g, 4,29 mmol, 1,00 equiv.), 1,4-dioxano/H2O (1:1, 50 ml), Boc2O (1,03 g, 4,72 mmol, 1,03 equiv) e carbonato de sódio (1,5 g, 14,15 mmol, 1,50 equiv.). A solução resultante foi agitada durante 1 h a 25 °C, então, extraída com diclorometano e as camadas orgânicas foram combinadas. A camada orgânica resultante foi lavada com água e cloreto de sódio saturado e, então, concentrada sob vácuo. O resíduo foi aplicado em uma coluna de gel de sílica e eluído com diclorometa- no/metanol (30:1) para gerar 1,2 g (84%) de (R)-3-(4-amino-2-oxo-2,3- di-hidro-1H-imidazo[4,5-c]piridin-1-il)piperidina- 1-carboxilato de terc- butila como um sólido amarelo claro. Etapa 7 [00256] In a 100 ml round bottom flask, place (R)-4-amino-1-(piperidin-3-yl)-1,3-dihydro-2H-imidazo[4,5-c ]pyridin-2-one (1 g, 4.29 mmol, 1.00 equiv.), 1,4-dioxane/H2O (1:1, 50 ml), Boc2O (1.03 g, 4.72 mmol, 1.03 equiv) and sodium carbonate (1.5 g, 14.15 mmol, 1.50 equiv.). The resulting solution was stirred for 1 h at 25°C, then extracted with dichloromethane and the organic layers were combined. The resulting organic layer was washed with water and saturated sodium chloride and then concentrated in vacuo. The residue was applied to a silica gel column and eluted with dichloromethane/methanol (30:1) to generate 1.2 g (84%) of (R)-3-(4-amino-2-oxo- tert-butyl 2,3-dihydro-1H-imidazo[4,5-c]pyridin-1-yl)piperidine-1-carboxylate as a light yellow solid. Step 7
[00257] Em um frasco de fundo redondo de 100 ml, colocou-se (R)-3- (4-amino-2-oxo-2,3-di-hidro-1H-imidazo[4,5-c]piridin-1-il)piperidina-1- carboxilato de terc-butila (6,5 g, 19,50 mmol, 1,00 equiv.) e DMF-DMA (50 ml). A solução resultante foi agitada durante 1 h a 40 °C e, então, concentrada sob vácuo. A mistura resultante foi, então, dissolvida com CH2Cl2 e lavada com salmoura. As camadas orgânicas combinadas e concentradas sob vácuo e lavadas com hexano. Os sólidos foram co-letados por filtração para gerar 5,0289 g (66%) de (R,E)-3-(4- (((dimeti- lamino)metileno)amino)-2-oxo-2,3-di-hidro-1H-imidazo[4,5-c]piridin- 1- il)piperidina-1-carboxilato de terc-butila como um sólido. LC-MS m/z: 389,2 (M+1)[00257] In a 100 ml round bottom flask, (R)-3- (4-amino-2-oxo-2,3-dihydro-1H-imidazo[4,5-c]pyridine was placed tert-butyl -1-yl)piperidine-1-carboxylate (6.5 g, 19.50 mmol, 1.00 equiv.) and DMF-DMA (50 ml). The resulting solution was stirred for 1 h at 40 °C and then concentrated under vacuum. The resulting mixture was then dissolved with CH2Cl2 and washed with brine. The organic layers combined and concentrated under vacuum and washed with hexane. The solids were collected by filtration to generate 5.0289 g (66%) of (R,E)-3-(4-(((dimethylamino)methylene)amino)-2-oxo-2,3- tert-butyl dihydro-1H-imidazo[4,5-c]pyridin-1-yl)piperidine-1-carboxylate as a solid. LC-MS m/z: 389.2 (M+1)
[00258] Síntese de 4-amino-3-(4-fenoxifenil)-1-[(3R)- piperidin-3-il]- 1H,2H,3H-imidazo[4,5-c]piridin-2-ona [00258] Synthesis of 4-amino-3-(4-phenoxyphenyl)-1-[(3R)-piperidin-3-yl]- 1H,2H,3H-imidazo[4,5-c]pyridin-2-one
[00259] Em um frasco de fundo redondo de 250 ml, colocou-se (R)- 3- (4-[bis[(4-metoxifenil)-metil]amino]-2-oxo-1H,2H,3H-imidazo[4,5- c]piridin-1- il)piperidina-1-carboxilato de terc-butila (10 g, 17,43 mmol, 1,00 equiv.), diclorometano (100 ml), ácido (4-fenoxifenil)borônico (7,5 g, 35,04 mmol, 2,00 equiv.), TEMPO (3 g, 19,20 mmol, 1,10 equiv) e TEA (7 g, 69,18 mmol, 4,00 equiv.), Cu(OAc)2 (1,6 g, 8,81 mmol, 0,50 equiv.). A solução resultante foi agitada durante a noite a 25°C sob atmosfera de oxigênio de pressão ambiente. O ácido (4- fenoxifenil)borônico (7,5 g, 35,04 mmol, 2,00 equiv.) foi adicionado e a solução resultante foi deixada reagir durante a noite a 25°C. O resíduo foi aplicado em uma coluna de gel de sílica e eluída com acetato de etila/éter de petróleo (1:3) para gerar 1,5 g (12%) de (R)-3-(4- [bis[(4- metoxifenil)metil]amino]-2-oxo-3-(4-fenoxifenil)-1H,2H,3H- imidazo[4,5- c]piridin-1-il)piperidina-1-carboxilato de terc-butila como um sólido amarelo. Etapa 6 [00259] In a 250 ml round bottom flask, (R)- 3- (4-[bis[(4-methoxyphenyl)-methyl]amino]-2-oxo-1H,2H,3H-imidazo was placed tert-butyl [4,5-c]pyridin-1-yl)piperidine-1-carboxylate (10 g, 17.43 mmol, 1.00 equiv.), dichloromethane (100 ml), (4-phenoxyphenyl) acid boronic (7.5 g, 35.04 mmol, 2.00 equiv.), TEMPO (3 g, 19.20 mmol, 1.10 equiv.) and TEA (7 g, 69.18 mmol, 4.00 equiv. ), Cu(OAc)2 (1.6 g, 8.81 mmol, 0.50 equiv.). The resulting solution was stirred overnight at 25°C under ambient pressure oxygen atmosphere. (4-phenoxyphenyl)boronic acid (7.5 g, 35.04 mmol, 2.00 equiv.) was added and the resulting solution was allowed to react overnight at 25°C. The residue was applied to a silica gel column and eluted with ethyl acetate/petroleum ether (1:3) to generate 1.5 g (12%) of (R)-3-(4-[bis[( tert-butyl 4-methoxyphenyl)methyl]amino]-2-oxo-3-(4-phenoxyphenyl)-1H,2H,3H-imidazo[4,5-c]pyridin-1-yl)piperidine-1-carboxylate as a yellow solid. Step 6
[00260] Em um frasco de fundo redondo de 250 ml, colocou-se (R)- 3- (4-[bis[(4-metoxifenil)-metil]amino]-2-oxo-3-(4-fenoxifenil)-1H,2H,3H- imidazo[4,5-c]piridin-1-il)piperidina-1-carboxilato de terc-butila (5 g, 6,07 mmol, 1,00 equiv., 90%), diclorometano (80 ml), e ácido trifluoro- acético (80 ml). A solução resultante foi agitada durante 5 h a 50°C. A mistura resultante foi concentrada sob vácuo. O valor de pH da solução foi ajustado para 9 com bicarbonato de sódio. A solução resultante foi extraída com diclorometano e as camadas orgânicas combinadas e secas com sulfato de sódio anidro. O resíduo foi aplicado em uma coluna de gel de sílica e eluído com diclorometano/metanol (30:1) para gerar 1 g (41%) de 4-amino-3-(4- fenoxifenil)-1-[(3R)-piperidin-3-il]- 1H,2H,3H-imidazo[4,5-c]piridin-2-ona como um sólido amarelo claro.[00260] In a 250 ml round bottom flask, (R)- 3- (4-[bis[(4-methoxyphenyl)-methyl]amino]-2-oxo-3-(4-phenoxyphenyl) was placed tert-butyl -1H,2H,3H-imidazo[4,5-c]pyridin-1-yl)piperidine-1-carboxylate (5 g, 6.07 mmol, 1.00 equiv., 90%), dichloromethane (80 ml), and trifluoroacetic acid (80 ml). The resulting solution was stirred for 5 h at 50°C. The resulting mixture was concentrated under vacuum. The pH value of the solution was adjusted to 9 with sodium bicarbonate. The resulting solution was extracted with dichloromethane and the organic layers combined and dried over anhydrous sodium sulfate. The residue was applied to a silica gel column and eluted with dichloromethane/methanol (30:1) to generate 1 g (41%) of 4-amino-3-(4-phenoxyphenyl)-1-[(3R)- piperidin-3-yl]-1H,2H,3H-imidazo[4,5-c]pyridin-2-one as a light yellow solid.
[00261] Síntese de (R)-2-(3-(4-amino-2-oxo-3-(4-fenoxifenil)- 2,3-di- hidroimidazo[4,5-c]piridin-1-il)piperidina-1-carbonil)-4,4- dimetilpent-2- enonitrila Etapa 1 [00261] Synthesis of (R)-2-(3-(4-amino-2-oxo-3-(4-phenoxyphenyl)- 2,3-dihydroimidazo[4,5-c]pyridin-1-yl )piperidine-1-carbonyl)-4,4-dimethylpent-2-enonitrile Step 1
[00262] Em um frasco de fundo redondo de 10 ml colocou-se 4- amino- 3-(4-fenoxifenil)-1-[(3R)-piperidin-3-il]-1H,2H,3H-imidazo[4,5- c]piridin-2-ona (79 mg, 0,20 mmol, 1,00 equiv.), N,N-dimetilformamida (2 ml), TEA (0,082 ml, 1,50 equiv.), HATU (113 mg, 0,30 mmol, 1,50 equiv.), e ácido 2-ciano- 4,4-dimetilpent-2-enoico (46 mg, 0,30 mmol, 3,00 equiv.). A solução resultante foi agitada durante 2,5 h à temperatura ambiente e, então, arrefecida bruscamente com a adição de água. A solução resultante foi extraída com diclorometano e as camadas or-gânicas combinadas e concentradas sob vácuo. O produto bruto foi purificado por Prep-HPLC com as condições a seguir (2#- AnalyseHPLC-SHIMADZU(HPLC-10)): Coluna, Gemini-NX C18 AXAI de recheio, 21,2 x150 mm 5 um 11 nm; fase móvel, Água com TFA a 0,05% e ACN (ACN a 20,0% até 50,0% em 8 min.); Detector, 254 nm para gerar 50 mg (47%) do composto do título como um sólido branco. LC-MS m/z: 537,2 (M+1)[00262] In a 10 ml round bottom flask, 4-amino-3-(4-phenoxyphenyl)-1-[(3R)-piperidin-3-yl]-1H,2H,3H-imidazo[4 ,5-c]pyridin-2-one (79 mg, 0.20 mmol, 1.00 equiv.), N,N-dimethylformamide (2 ml), TEA (0.082 ml, 1.50 equiv.), HATU ( 113 mg, 0.30 mmol, 1.50 equiv.), and 2-cyano-4,4-dimethylpent-2-enoic acid (46 mg, 0.30 mmol, 3.00 equiv.). The resulting solution was stirred for 2.5 h at room temperature and then quenched with the addition of water. The resulting solution was extracted with dichloromethane and the organic layers combined and concentrated under vacuum. The crude product was purified by Prep-HPLC with the following conditions (2#- AnalyseHPLC-SHIMADZU(HPLC-10)): Column, Gemini-NX C18 AXAI packing, 21.2 x150 mm 5 µm 11 nm; mobile phase, Water with 0.05% TFA and ACN (20.0% ACN up to 50.0% in 8 min.); Detector, 254 nm to generate 50 mg (47%) of the title compound as a white solid. LC-MS m/z: 537.2 (M+1)
[00263] Síntese de (R)-2-(3-(4-amino-2-oxo-3-(4-fenoxifenil)- 2,3-di- hidroimidazo[4,5-c]piridin-1-il)piperidina-1-carbonil)-4-metil-4-(4- (oxetan-3- il)piperazin-1-il)pent-2-enonitrila Etapa 1 [00263] Synthesis of (R)-2-(3-(4-amino-2-oxo-3-(4-phenoxyphenyl)- 2,3-dihydroimidazo[4,5-c]pyridin-1-yl )piperidine-1-carbonyl)-4-methyl-4-(4-(oxetan-3-yl)piperazin-1-yl)pent-2-enonitrile Step 1
[00264] Em um frasco de fundo redondo de 50 ml, colocou-se (R,E)-3- (4-(((dimetilamino)-metileno)amino)-2-oxo-2,3-di-hidro-1H- imidazo[4,5- c]piridin-1-il)piperidina-1-carboxilato de terc-butila (200 mg, 0,51 mmol, 1,00 equiv.), diclorometano (20 ml), TEA (208 mg, 2,06 mmol, 4,00 equiv.), TEMPO (88,5 mg, 0,57 mmol, 1,10 equiv.), e Cu(OAc)2 (46,7 mg, 0,26 mmol, 0,50 equiv.). A solução resultante foi agitada durante 0,5 h a 25°C. O ácido (4- fenoxifenil)borônico (220 mg, 1,03 mmol, 2,00 equiv.) foi adicionado e a solução resultante foi deixada reagir durante a noite a 25 °C. O resíduo foi aplicado em uma coluna de gel de sílica e eluído com diclorometano/acetato de etila (5:1) para gerar 150 mg (52%) de (R)-3- [4-[(E)-[(dimetilamino)metilideno]amino]-2-oxo-3-(4-fenoxifenil)- 1H,2H,3H-imidazo[4,5-c]piridin-1-il]piperidina-1-carboxilato de terc- butila como um sólido amarelo claro. Etapa 2 [00264] In a 50 ml round bottom flask, (R,E)-3- (4-(((dimethylamino)-methylene)amino)-2-oxo-2,3-dihydro- tert-butyl 1H-imidazo[4,5-c]pyridin-1-yl)piperidine-1-carboxylate (200 mg, 0.51 mmol, 1.00 equiv.), dichloromethane (20 ml), TEA (208 mg, 2.06 mmol, 4.00 equiv.), TEMPO (88.5 mg, 0.57 mmol, 1.10 equiv.), and Cu(OAc)2 (46.7 mg, 0.26 mmol, 0.50 equiv.). The resulting solution was stirred for 0.5 h at 25°C. (4-phenoxyphenyl)boronic acid (220 mg, 1.03 mmol, 2.00 equiv.) was added and the resulting solution was allowed to react overnight at 25 °C. The residue was applied to a silica gel column and eluted with dichloromethane/ethyl acetate (5:1) to generate 150 mg (52%) of (R)-3-[4-[(E)-[(dimethylamino tert-butyl)methylidene]amino]-2-oxo-3-(4-phenoxyphenyl)-1H,2H,3H-imidazo[4,5-c]pyridin-1-yl]piperidine-1-carboxylate as a solid light yellow. Step 2
[00265] Em um frasco de fundo redondo de 25 ml colocou-se (3R)-3- [4- [(E)-[(dimetilamino)-metilideno]-amino]-2-oxo-3-(4-fenoxifenil)- 1H,2H,3H- imidazo[4,5-c]piridin-1-il]piperidina-1-carboxilato de terc- butila (150 mg, 0,27 mmol, 1,00 equiv.), 1,4-dioxano (6 ml) e cloreto de hidrogênio (3 ml). A solução resultante foi agitada durante a noite a 50°C. A mistura de reação foi arrefecida bruscamente com água. O pH da solução foi ajustado para 9 com bicarbonato de sódio. A solução resultante foi extraída com diclorometano:CH3OH=10:1 e as camadas orgânicas foram combinadas. A mistura resultante foi lavada com cloreto de sódio e as camadas orgânicas foram combinadas, secas com sulfato de sódio anidro e concentradas sob vácuo. O resíduo foi aplicado em uma coluna de gel de sílica e eluído com diclorometa- no/metanol (30:1) para gerar 80 mg (74%) de 4-amino-3-(4-fenoxifenil)- 1-[(3R)-piperidin-3-il]-1H,2H,3H-imidazo[4,5-c]piridin-2-ona como um sólido amarelo claro. Etapa 3 [00265] In a 25 ml round bottom flask, place (3R)-3- [4- [(E)-[(dimethylamino)-methylidene]-amino]-2-oxo-3-(4-phenoxyphenyl )- tert-butyl 1H,2H,3H-imidazo[4,5-c]pyridin-1-yl]piperidine-1-carboxylate (150 mg, 0.27 mmol, 1.00 equiv.), 1.4 -dioxane (6 ml) and hydrogen chloride (3 ml). The resulting solution was stirred overnight at 50°C. The reaction mixture was quenched with water. The pH of the solution was adjusted to 9 with sodium bicarbonate. The resulting solution was extracted with dichloromethane:CH3OH=10:1 and the organic layers were combined. The resulting mixture was washed with sodium chloride and the organic layers were combined, dried over anhydrous sodium sulfate and concentrated in vacuo. The residue was applied to a silica gel column and eluted with dichloromethane/methanol (30:1) to generate 80 mg (74%) of 4-amino-3-(4-phenoxyphenyl)- 1-[(3R )-piperidin-3-yl]-1H,2H,3H-imidazo[4,5-c]pyridin-2-one as a light yellow solid. Step 3
[00266] Em um frasco de fundo redondo de 50 ml colocou-se 4- amino- 3-(4-fenoxifenil)-1-[(3R)-piperidin-3-il]-1H,2H,3H-imidazo[4,5- c]piridin-2-ona (2 g, 4,98 mmol, 1,00 equiv.), N,N-dimetilformamida (20 ml), ácido 2- cianoacético (402,5 mg, 4,73 mmol, 0,95 equiv.), HATU (2,84 g, 7,47 mmol, 1,50 equiv.) e TEA (1,51 g, 14,92 mmol, 3,00 equiv.). A solução resultante foi agitada durante 1 h à temperatura ambiente e, então, arrefecida bruscamente com água. A solução resultante foi extraída com acetato de etila e as camadas orgânicas combinadas. A camada orgânica foi lavada com cloreto de sódio saturado, se- ca com sulfato de sódio anidro e concentrada sob vácuo. O resíduo foi aplicado em uma coluna de gel de sílica com diclorometano/metanol (30:1) para gerar 1,3 g (56%) de 3-[(3R)- 3-[4-amino-2-oxo-3-(4- fenoxifenil)-1H,2H,3H-imidazo[4,5-c]piridin-1- il]piperidin-1-il]-3- oxopropanonitrila como um sólido amarelo claro. Etapa 4 [00266] In a 50 ml round bottom flask, 4-amino-3-(4-phenoxyphenyl)-1-[(3R)-piperidin-3-yl]-1H,2H,3H-imidazo[4 ,5-c]pyridin-2-one (2 g, 4.98 mmol, 1.00 equiv.), N,N-dimethylformamide (20 ml), 2-cyanoacetic acid (402.5 mg, 4.73 mmol , 0.95 equiv.), HATU (2.84 g, 7.47 mmol, 1.50 equiv.) and TEA (1.51 g, 14.92 mmol, 3.00 equiv.). The resulting solution was stirred for 1 h at room temperature and then quenched with water. The resulting solution was extracted with ethyl acetate and the organic layers combined. The organic layer was washed with saturated sodium chloride, dried over anhydrous sodium sulfate and concentrated in vacuo. The residue was applied to a silica gel column with dichloromethane/methanol (30:1) to generate 1.3 g (56%) of 3-[(3R)- 3-[4-amino-2-oxo-3 -(4-phenoxyphenyl)-1H,2H,3H-imidazo[4,5-c]pyridin-1-yl]piperidin-1-yl]-3-oxopropanenitrile as a light yellow solid. Step 4
[00267] Em um frasco de fundo redondo de 50 ml colocou-se 3- [(3R)-3- [4-amino-2-oxo-3-(4-fenoxifenil)-1H,2H,3H-imidazo[4,5- c]piridin-1- il]piperidin-1-il]-3-oxopropanonitrila (800 mg, 1,71 mmol, 1,00 equiv.), diclorometano (20 ml), 2-metil-2-[4-(oxetan-3- il)piperazin-1-il]propanal (1,0875 g, 5,12 mmol, 3,00 equiv.), TMSCl (922 mg, 8,49 mmol, 4,97 equiv.) e pirrolidina (0,607 g). A solução resultante foi agitada durante 1 h à temperatura ambiente. A mistura resultante foi concentrada sob vácuo. O produto bruto foi purificado por Prep- TLC, então, purificado por Prep-HPLC sob as seguintes condi ções (2#-AnalyseHPLC-SHIMADZU(HPLC-10)): Coluna, Gemini-NX C18 AXAI de recheio, 21,2 x 150 mm 5 um 11 nm; fase móvel, água com TFA a 0,05% e ACN (ACN a 20,0% até 40,0% em 10 min.); Detector, uv 254 nm para gerar 0,478 mg (42%) do composto do título como um sólido amarelo claro. LC-MS m/z: 663,3 (M+1).[00267] In a 50 ml round bottom flask, 3-[(3R)-3-[4-amino-2-oxo-3-(4-phenoxyphenyl)-1H,2H,3H-imidazo[4 ,5-c]pyridin-1-yl]piperidin-1-yl]-3-oxopropanenitrile (800 mg, 1.71 mmol, 1.00 equiv.), dichloromethane (20 ml), 2-methyl-2-[ 4-(oxetan-3-yl)piperazin-1-yl]propanal (1.0875 g, 5.12 mmol, 3.00 equiv.), TMSCl (922 mg, 8.49 mmol, 4.97 equiv.) and pyrrolidine (0.607 g). The resulting solution was stirred for 1 h at room temperature. The resulting mixture was concentrated under vacuum. The crude product was purified by Prep-TLC, then purified by Prep-HPLC under the following conditions (2#-AnalyseHPLC-SHIMADZU(HPLC-10)): Column, Gemini-NX C18 AXAI packing, 21.2 x 150 mm 5 um 11 nm; mobile phase, water with 0.05% TFA and ACN (20.0% ACN up to 40.0% in 10 min.); Detector, UV 254 nm to generate 0.478 mg (42%) of the title compound as a light yellow solid. LC-MS m/z: 663.3 (M+1).
[00268] Síntese de (R)-1-(1-acriloilpiperidin-3-il)-4-amino-3-(4- fenoxi- fenil)-1H-imidazo[4,5-c]piridin-2(3H)-ona [00268] Synthesis of (R)-1-(1-acryloylpiperidin-3-yl)-4-amino-3-(4-phenoxyphenyl)-1H-imidazo[4,5-c]pyridin-2(3H )-one
[00269] Em um frasco de fundo redondo de 100 ml, colocou-se (R)- 4- amino-3-(4-fenoxifenil)-1-(piperidin-3-il)-1H-imidazo[4,5-c]piridin- 2(3H)-ona (150 mg, 0,37 mmol, 1,00 equiv.), DCM-CH3OH (6 ml), TEA (113 mg, 1,12 mmol, 3,00 equiv.). Isto foi seguido da adição de cloreto de prop-2-enoila (40,1 mg, 0,44 mmol, 1,20 equiv.) por gotejamento com agitação a 0°C em 5 min. A solução resultante foi agitada durante 2 h a 0 °C. A mistura resultante foi concentrada sob vácuo. O resíduo foi aplicado em uma coluna de sílica gel com diclorometano/metanol (30:1). O produto bruto (100 mg) foi purificado por Prep-HPLC com as condições a seguir (Coluna, XBridge Prep C18 OBD Coluna, 5 um,19*150 mm; fase móvel, água com TFA a 0,05% e ACN (25,0% de ACN até 45,0% em 8 min.). 54,5 mg de produto de (R)-1-(1- acriloilpiperidin-3-il)-4-amino-3-(4-fenoxifenil)-1H-imidazo[4,5- c]piridin- 2(3H)-ona foram obtidos como um sólido branco. LC-MS m/z: 465,2 (M+1)[00269] In a 100 ml round bottom flask, (R)- 4-amino-3-(4-phenoxyphenyl)-1-(piperidin-3-yl)-1H-imidazo[4,5- c]pyridin-2(3H)-one (150 mg, 0.37 mmol, 1.00 equiv.), DCM-CH3OH (6 ml), TEA (113 mg, 1.12 mmol, 3.00 equiv.) . This was followed by addition of prop-2-enoyl chloride (40.1 mg, 0.44 mmol, 1.20 equiv.) dropwise with stirring at 0°C in 5 min. The resulting solution was stirred for 2 h at 0°C. The resulting mixture was concentrated under vacuum. The residue was applied to a silica gel column with dichloromethane/methanol (30:1). The crude product (100 mg) was purified by Prep-HPLC with the following conditions (Column, XBridge Prep C18 OBD Column, 5 µm.19*150 mm; mobile phase, water with 0.05% TFA and ACN (25 .0% ACN to 45.0% in 8 min.) 54.5 mg of (R)-1-(1-acryloylpiperidin-3-yl)-4-amino-3-(4-phenoxyphenyl) product -1H-imidazo[4,5- c]pyridin-2(3H)-one were obtained as a white solid LC-MS m/z: 465.2 (M+1)
[00270] Síntese de (R)-4-amino-1-(1-(but-2-inoil)piperidin-3-il)- 3-(4- fenoxifenil)-1H-imidazo[4,5-c]piridin-2(3H)-ona [00270] Synthesis of (R)-4-amino-1-(1-(but-2-inoyl)piperidin-3-yl)-3-(4-phenoxyphenyl)-1H-imidazo[4,5-c] pyridin-2(3H)-one
[00271] Em um frasco de fundo redondo de 100 ml, colocou-se (R)- 4- amino-3-(4-fenoxifenil)-1-(piperidin-3-il)-1H-imidazo[4,5-c]piridin- 2(3H)-ona (150 mg, 0,37 mmol, 1,00 equiv.), N,N-dimetilformamida (15 ml), ácido but- 2-inoico (31,42 mg, 0,37 mmol, 1,00 equiv.), HATU (213,2 mg, 0,56 mmol, 1,50 equiv), TEA (113,4 mg, 1,12 mmol, 3,00 equiv.). A solução resultante foi agitada durante 2 horas à temperatura ambiente. A reação foi, então, arrefecida bruscamente com a adição de 50 ml de água. A solução resultante foi extraída com 3 x 50 ml de diclorometano e as camadas orgânicas combinadas. A mistura resultante foi lavada com 50 ml de salmoura. A mistura foi seca sobre sulfato de sódio anidro e concentrada sob vácuo. O resíduo foi aplicado em uma coluna de sílica gel com diclorometano/metanol (30:1). O produto bruto (100 mg) foi purificado por Prep-HPLC conforme descrito no Exemplo 3, para obter 86,5 mg (50%) de (R)-4-amino-1-(1-(but-2- inoil)piperidin-3-il)-3-(4-fenoxifenil)-1H-imidazo[4,5- c]piridin-2(3H)-ona como um sólido branco. LC-MS m/z: 468,2 (M+1).[00271] In a 100 ml round bottom flask, (R)- 4-amino-3-(4-phenoxyphenyl)-1-(piperidin-3-yl)-1H-imidazo[4,5- c]pyridin-2(3H)-one (150 mg, 0.37 mmol, 1.00 equiv.), N,N-dimethylformamide (15 ml), but-2-inoic acid (31.42 mg, 0. 37 mmol, 1.00 equiv.), HATU (213.2 mg, 0.56 mmol, 1.50 equiv.), TEA (113.4 mg, 1.12 mmol, 3.00 equiv.). The resulting solution was stirred for 2 hours at room temperature. The reaction was then cooled quickly with the addition of 50 ml of water. The resulting solution was extracted with 3 x 50 ml of dichloromethane and the organic layers combined. The resulting mixture was washed with 50 ml of brine. The mixture was dried over anhydrous sodium sulfate and concentrated in vacuo. The residue was applied to a silica gel column with dichloromethane/methanol (30:1). The crude product (100 mg) was purified by Prep-HPLC as described in Example 3, to obtain 86.5 mg (50%) of (R)-4-amino-1-(1-(but-2-inoyl) piperidin-3-yl)-3-(4-phenoxyphenyl)-1H-imidazo[4,5-c]pyridin-2(3H)-one as a white solid. LC-MS m/z: 468.2 (M+1).
[00272] Síntese de (R)-2-(3-(4-amino-2-oxo-3-(4-fenoxifenil)- 2,3-di- hidro-1H-imidazo[4,5-c]piridin-1-il)piperidina-1-carbonil)-4-metil- 4-(1- metilpiperidin-4-il)pent-2-enonitrila [00272] Synthesis of (R)-2-(3-(4-amino-2-oxo-3-(4-phenoxyphenyl)-2,3-dihydro-1H-imidazo[4,5-c]pyridine -1-yl)piperidin-1-carbonyl)-4-methyl-4-(1-methylpiperidin-4-yl)pent-2-enonitrile
[00273] Em um frasco de fundo redondo de 3 bocas de 250 ml, colocou-se cloridrato de metil 2-(piperidin-4-il)acetato (10 g, 51,63 mmol, 1,00 equiv.), diclorometano (100 ml). A solução resultante foi agitada durante 30 min a 0 °C. Em seguida adicionou-se trietilamina (15,65 g, 154,66 mmol, 3 equiv.), Boc2O (12,4 g, 56,82 mmol, 1,1 equiv.). A so-lução resultante foi deixada reagir, com agitação, durante 14 h adicionais a 25 °C. O valor de pH da solução foi ajustado para 7,0 com ácido cítrico (3%). A mistura resultante foi lavada com 2 x 100 ml de água e 2 x 100 ml de água salgada saturada. O resíduo foi aplicado em uma coluna de sílica gel com acetato de etila/éter de petróleo (1:10). Isto resultou em 10 g (75,2%) de 4- (2-metoxi-2-oxoetil)piperidina-1- carboxilato de terc-butila como óleo incolor.[00273] In a 250 ml 3-neck round-bottom flask, place methyl 2-(piperidin-4-yl)acetate hydrochloride (10 g, 51.63 mmol, 1.00 equiv.), dichloromethane ( 100ml). The resulting solution was stirred for 30 min at 0°C. Then triethylamine (15.65 g, 154.66 mmol, 3 equiv.), Boc2O (12.4 g, 56.82 mmol, 1.1 equiv.) was added. The resulting solution was allowed to react, with stirring, for an additional 14 h at 25 °C. The pH value of the solution was adjusted to 7.0 with citric acid (3%). The resulting mixture was washed with 2 x 100 ml of water and 2 x 100 ml of saturated brine. The residue was applied to a silica gel column with ethyl acetate/petroleum ether (1:10). This resulted in 10 g (75.2%) of tert-butyl 4-(2-methoxy-2-oxoethyl)piperidine-1-carboxylate as colorless oil.
[00274] Em um frasco de fundo redondo de 3 bocas de 250 ml, colocou-se LDA (46,7 ml, 3,00 equiv.), tetra-hidrofurano (80 ml), 4-(2- metoxi-2-oxoetil)piperidina-1-carboxilato de terc-butila (8 g, 31,1 mmol, 1,00 equiv.). A solução resultante foi agitada durante 30 min. a -78°C. Então, CH3I (22 g, 155 mmol, 5,00 equiv.) foi adicionado. A solução resultante foi deixada reagir, com agitação, durante 1 h adicional a - 78°C. LDA adicional (46,7 ml, 3,00 equiv.) foi adicionado a -78°C e, após 0,5 h, CH3I (22 g, 155 mmol, 5,00 equiv.) foi adicionado. A reação foi agitada 16 h em r.t. A reação foi, então, arrefecida bruscamente com a adição de 200 ml de NH4Cl. A solução resultante foi extraída com 2 x 200 ml de acetato de etila e as camadas orgânicas combinadas. A mistura resultante foi lavada com 2 x 200 ml de água e 2 x 200 ml de cloreto de sódio saturado. O resíduo foi purificado por cromatografia em gel de sílica com o uso de acetato de etila/éter de petróleo (1:35). Isto resultou em 6 g (68%) de 4-(1-metoxi-2- metil-1- oxopropan-2-il)piperidina-1-carboxilato de terc-butila como óleo amarelo claro.[00274] In a 250 ml 3-neck round bottom flask, LDA (46.7 ml, 3.00 equiv.), tetrahydrofuran (80 ml), 4-(2-methoxy-2- tert-butyl oxoethyl)piperidine-1-carboxylate (8 g, 31.1 mmol, 1.00 equiv.). The resulting solution was stirred for 30 min. at -78°C. Then, CH3I (22 g, 155 mmol, 5.00 equiv.) was added. The resulting solution was allowed to react, with stirring, for an additional 1 h at -78°C. Additional LDA (46.7 ml, 3.00 equiv.) was added at -78°C and, after 0.5 h, CH3I (22 g, 155 mmol, 5.00 equiv.) was added. The reaction was stirred 16 h at r.t. The reaction was then cooled quickly with the addition of 200 ml of NH4Cl. The resulting solution was extracted with 2 x 200 ml of ethyl acetate and the organic layers combined. The resulting mixture was washed with 2 x 200 ml of water and 2 x 200 ml of saturated sodium chloride. The residue was purified by silica gel chromatography using ethyl acetate/petroleum ether (1:35). This resulted in 6 g (68%) of tert-butyl 4-(1-methoxy-2-methyl-1-oxopropan-2-yl)piperidine-1-carboxylate as light yellow oil.
[00275] Em um frasco de fundo redondo de 3 bocas de 100 ml, colocou-se LiAlH4 (1,6 g, 42,2 mmol, 4,00 equiv.), tetra-hidrofurano (50 ml), 4-(1-metoxi-2-metil-1-oxopropan-2-il)piperidina-1-carboxilato de terc-butila (3 g, 10,5 mmol, 1,00 equiv.). A solução resultante foi agitada durante 3 h a -78 °C. A mistura de reação foi aquecida até 0 °C. A reação foi, então, arrefecida bruscamente com a adição de 1,6 ml de água, então, 1,6 ml de NaOH a 15% foi adicionado seguido de 4,8 ml de H2O. Os sólidos foram filtrados para produzir 1,5 g (83%) de 2- metil-2-(1-metilpiperidin-4-il)propan- 1-ol como um óleo rosa.[00275] In a 100 ml 3-neck round bottom flask, LiAlH4 (1.6 g, 42.2 mmol, 4.00 equiv.), tetrahydrofuran (50 ml), 4-(1 tert-butyl-methoxy-2-methyl-1-oxopropan-2-yl)piperidine-1-carboxylate (3 g, 10.5 mmol, 1.00 equiv.). The resulting solution was stirred for 3 h at -78°C. The reaction mixture was heated to 0 °C. The reaction was then quenched with the addition of 1.6 ml of water, then 1.6 ml of 15% NaOH was added followed by 4.8 ml of H2O. The solids were filtered to yield 1.5 g (83%) of 2-methyl-2-(1-methylpiperidin-4-yl)propan-1-ol as a pink oil.
[00276] Em um frasco de fundo redondo de 100 ml, colocou-se di- cloreto oxálico (440 mg, 3,47 mmol, 1,20 equiv.), diclorometano (50 ml), a -78°C colocado em DMSO (684 mg, 8,75 mmol, 3,00 equiv.), 2-metil-2-(1-metilpiperidin-4-il)propan-1-ol (500 mg, 2,92 mmol, 1,00 equiv.), TEA (1,48 g, 14,6 mmol, 5,00 equiv.). A solução resultante foi agitada durante 30 min. a -78°C. A solução resultante foi deixada reagir, com agitação, durante 2 h adicional a 25°C. A reação foi, então, arrefecida bruscamente com a adição de água. A solução resultante foi extraída com diclorometano e as camadas orgânicas combinadas e secas com sulfato de sódio anidro e concentradas sob vácuo. Isto resultou em 385 mg (88%) de 2-metil-2-(1- metilpiperidin-4- il)propanal como óleo amarelo.[00276] In a 100 ml round bottom flask, oxalic dichloride (440 mg, 3.47 mmol, 1.20 equiv.), dichloromethane (50 ml) was placed at -78°C placed in DMSO (684 mg, 8.75 mmol, 3.00 equiv.), 2-methyl-2-(1-methylpiperidin-4-yl)propan-1-ol (500 mg, 2.92 mmol, 1.00 equiv. ), TEA (1.48 g, 14.6 mmol, 5.00 equiv.). The resulting solution was stirred for 30 min. at -78°C. The resulting solution was allowed to react, with stirring, for an additional 2 h at 25°C. The reaction was then cooled abruptly with the addition of water. The resulting solution was extracted with dichloromethane and the organic layers combined and dried over anhydrous sodium sulfate and concentrated in vacuo. This resulted in 385 mg (88%) of 2-methyl-2-(1-methylpiperidin-4-yl)propanal as yellow oil.
[00277] Em um frasco de fundo redondo de 100 ml, colocou-se (R)- 3- (3-(4-amino-2-oxo-3-(4-fenoxifenil)-2,3-di-hidro-1H-imidazo[4,5- c]piridin-1- il)piperidin-1-il)-3-oxopropanonitrila (100 mg, 0,19 mmol, 1,00 equiv., 90%), diclorometano (50 ml), 2-metil-2-(1-metilpiperidin-4- il)propanal (108 mg, 0,57 mmol, 3,00 equiv.), TMSCl (115 mg, 1,01 mmol, 5,00 equiv., 95%), pirrolidina (75,8 mg, 1,01 mmol, 5,00 equiv., 95%). A solução resultante foi agitada durante 16 h em rt. O produto bruto foi purificado por Prep-HPLC com as condições a seguir (Coluna, Gemini-NX C18 AXAI de recheio, 21,2 x 150 mm 5 um 11 nm; fase móvel, água com TFA a 0,05% e ACN (ACN a 20,0% até 50,0% em 8 mi.n); Detector, 254 nm. Isto resultou em 15,5 mg (12%) de (R)- 2-(3-(4-amino-2-oxo-3-(4-fenoxifenil)-2,3-di-hidro-1H- imidazo[4,5- c]piridin-1-il)piperidina-1-carbonil)-4-metil-4-(1-metilpiperidin-4- il)pent- 2-enonitrila como um sólido amarelo claro. LC-MS m/z: 620,3 (M+1). Exemplo 6 [00277] In a 100 ml round bottom flask, (R)- 3- (3-(4-amino-2-oxo-3-(4-phenoxyphenyl)-2,3-dihydro- 1H-imidazo[4,5-c]pyridin-1-yl)piperidin-1-yl)-3-oxopropanenitrile (100 mg, 0.19 mmol, 1.00 equiv., 90%), dichloromethane (50 ml) , 2-methyl-2-(1-methylpiperidin-4-yl)propanal (108 mg, 0.57 mmol, 3.00 equiv.), TMSCl (115 mg, 1.01 mmol, 5.00 equiv., 95 %), pyrrolidine (75.8 mg, 1.01 mmol, 5.00 equiv., 95%). The resulting solution was stirred for 16 h at rt. The crude product was purified by Prep-HPLC with the following conditions (Column, Gemini-NX C18 AXAI packing, 21.2 x 150 mm 5 µm 11 nm; mobile phase, water with 0.05% TFA and ACN ( 20.0% ACN to 50.0% in 8 min); Detector, 254 nm. This resulted in 15.5 mg (12%) of (R)-2-(3-(4-amino-2). -oxo-3-(4-phenoxyphenyl)-2,3-dihydro-1H-imidazo[4,5-c]pyridin-1-yl)piperidine-1-carbonyl)-4-methyl-4-(1 -methylpiperidin-4-yl)pent-2-enonitrile as a light yellow solid LC-MS m/z: 620.3 (M+1).
[00278] Síntese de (R)-2-(3-(4-amino-2-oxo-3-(4-fenoxifenil)-2,3-di- hidro-1H-imidazo[4,5-c]piridin-1-il)piperidina-1-carbonil)-6-hidroxi-4-(2- hidroxietil)hex-2-enonitrila[00278] Synthesis of (R)-2-(3-(4-amino-2-oxo-3-(4-phenoxyphenyl)-2,3-dihydro-1H-imidazo[4,5-c]pyridine -1-yl)piperidine-1-carbonyl)-6-hydroxy-4-(2-hydroxyethyl)hex-2-enonitrile
[00279] Em um frasco de fundo redondo de 3 bocas de 250 ml purgado e mantido com uma atmosfera inerte de nitrogênio, HMPA (6,0 ml) e LDA (16,8 mmol) em THF seco (20 ml) a -78 °C foi tratado com acetonitrila (690 mg, 16,8 mmol). A solução foi agitada durante 30 min. e (2- bromoetoxi)(terc-butil)dimetilsilano (3,4 g, 14,3 mmol) em THF (15 ml) foi adicionado por gotejamento. A agitação continuou durante 2 h, depois que uma segunda porção de LDA (16,8 mmol em 20 ml de THF) foi adicionada. A solução foi agitada durante 30 min. e (2- bromoetoxi)(terc- butil)dimetilsilano (3,4 g, 14,3 mmol) em THF (15 ml) foi adicionado por gotejamento. A reação foi deixada prosseguir durante 2 h. NH4Cl aquoso saturado foi adicionado e a mistura foi deixada alcançar a temperatura ambiente. Éter dietílico foi adicionado, as fases foram separadas e a camada aquosa foi extraída com éter dietílico. As fases orgânicas combinadas foram lavadas com salmoura, secas com Na2SO4 e concentradas. A cromatografia de coluna [sílica, éter de pe-tróleo] produziu um óleo incolor (3,2 g, 53%).[00279] In a 250 ml 3-neck round bottom flask purged and maintained with an inert nitrogen atmosphere, HMPA (6.0 ml) and LDA (16.8 mmol) in dry THF (20 ml) at -78 °C was treated with acetonitrile (690 mg, 16.8 mmol). The solution was stirred for 30 min. and (2-bromoethoxy)(tert-butyl)dimethylsilane (3.4 g, 14.3 mmol) in THF (15 ml) was added dropwise. Stirring continued for 2 h, after which a second portion of LDA (16.8 mmol in 20 ml of THF) was added. The solution was stirred for 30 min. and (2-bromoethoxy)(tert-butyl)dimethylsilane (3.4 g, 14.3 mmol) in THF (15 ml) was added dropwise. The reaction was allowed to proceed for 2 h. Saturated aqueous NH4Cl was added and the mixture was allowed to reach room temperature. Diethyl ether was added, the phases were separated and the aqueous layer was extracted with diethyl ether. The combined organic phases were washed with brine, dried over Na2SO4 and concentrated. Column chromatography [silica, petroleum ether] produced a colorless oil (3.2 g, 53%).
[00280] Em um frasco de fundo redondo de 3 bocas de 250 ml purgado e mantido com uma atmosfera inerte de nitrogênio, colocou-se 4- [(terc- butildimetilsilil)oxi]-2-[2-[(terc-butildimetilsilil)oxi]etil]butanonitrila (1 g, 2,80 mmol, 1,00 equiv.) em tolueno (15 ml). DIBAL-H (1M) (3,36 ml, 1,20 equiv) foi adicionado a -78°C e a solução resultante foi agitada durante 1 h a -78°C em um banho de nitrogênio líquido. A água (0,7 ml) foi adicionada e a mistura foi deixada alcançar RT. NaOH aquoso (0,7 ml, 4 M) foi adicionado e a agitação continuou durante 15 min. A água (2,1 ml) foi adicionada e a suspensão foi agitada durante 15 min. adicionais. A mistura foi seca com Na2SO4 e concentrada sob vácuo. O resíduo foi purificado por coluna de gel de sílica com PE/EA (20:1). Isto resultou em 900 mg (89%) de 4-[(terc- butildimetilsilil)oxi]-2- [2-[(terc-butildimetilsilil)oxi]etil]butanal como óleo incolor.[00280] In a 250 ml 3-neck round bottom flask purged and maintained with an inert nitrogen atmosphere, 4-[(tert-butyldimethylsilyl)oxy]-2-[2-[(tert-butyldimethylsilyl) was placed oxy]ethyl]butanenitrile (1 g, 2.80 mmol, 1.00 equiv.) in toluene (15 ml). DIBAL-H (1M) (3.36 ml, 1.20 equiv) was added at -78°C and the resulting solution was stirred for 1 h at -78°C in a liquid nitrogen bath. Water (0.7 ml) was added and the mixture was allowed to reach RT. Aqueous NaOH (0.7 ml, 4 M) was added and stirring continued for 15 min. Water (2.1 ml) was added and the suspension was stirred for 15 min. additional. The mixture was dried with Na2SO4 and concentrated in vacuo. The residue was purified by silica gel column with PE/EA (20:1). This resulted in 900 mg (89%) of 4-[(tert-butyldimethylsilyl)oxy]-2-[2-[(tert-butyldimethylsilyl)oxy]ethyl]butanal as colorless oil.
[00281] Em um frasco de 8 ml, colocou-se 3-[(3R)-3-[4-amino-2- oxo-3- (4-fenoxifenil)-1H,2H,3H-imidazo[4,5-c]piridin-1-il]piperidin-1-il]- 3- oxopropanonitrila (150 mg, 0,32 mmol, 1,00 equiv.), 4-[(terc- butildimetilsilil)oxi]-2-2-[(terc-butildimetilsilil)oxi]etilbutanal (346 mg, 0,96 mmol, 3,00 equiv.), TMSCl (173 mg, 1,59 mmol, 5,00 equiv.), pir- rolidina (114 mg, 1,61 mmol, 5,00 equiv.), diclorometano (2 ml). A solução resultante foi agitada durante 3 h em rt. A mistura resultante foi concentrada sob vácuo. O resíduo foi aplicado em uma coluna de sílica gel com diclorometano/metanol (30:1). Isto resultou em 120 mg (46%) de 2-[[(3R)-3- [4-amino-2-oxo-3-(4-fenoxifenil)-1H,2H,3H- imidazo[4,5-c]piridin-1-il]piperidin-1-il]carbonil]-6-[(terc- butildimetilsilil)oxi]-4-[2-[(terc- butildimetilsilil)oxi]etil]hex-2-enonitrila como um sólido amarelo.[00281] In an 8 ml vial, 3-[(3R)-3-[4-amino-2-oxo-3-(4-phenoxyphenyl)-1H,2H,3H-imidazo[4,5 -c]pyridin-1-yl]piperidin-1-yl]- 3- oxopropanenitrile (150 mg, 0.32 mmol, 1.00 equiv.), 4-[(tert-butyldimethylsilyl)oxy]-2-2- [(tert-butyldimethylsilyl)oxy]ethylbutanal (346 mg, 0.96 mmol, 3.00 equiv.), TMSCl (173 mg, 1.59 mmol, 5.00 equiv.), pyrrolidine (114 mg, 1 .61 mmol, 5.00 equiv.), dichloromethane (2 ml). The resulting solution was stirred for 3 h at rt. The resulting mixture was concentrated under vacuum. The residue was applied to a silica gel column with dichloromethane/methanol (30:1). This resulted in 120 mg (46%) of 2-[[(3R)-3-[4-amino-2-oxo-3-(4-phenoxyphenyl)-1H,2H,3H-imidazo[4,5-c ]pyridin-1-yl]piperidin-1-yl]carbonyl]-6-[(tert-butyldimethylsilyl)oxy]-4-[2-[(tert-butyldimethylsilyl)oxy]ethyl]hex-2-enonitrile as a solid yellow.
[00282] Em um frasco de fundo redondo de 25 ml, colocou-se 2- [[(3R)- 3-[4-amino-2-oxo-3-(4-fenoxifenil)-1H,2H,3H-imidazo[4,5- c]piridin-1- il]piperidin-1-il]carbonil]-6-[(terc-butildimetilsilil)oxi]-4-[2- [(terc- butildimetilsilil)oxi]etil]hex-2-enonitrila (120 mg, 0,15 mmol, 1,00 equiv.), ácido trifluoroacético (1 ml), diclorometano (5 ml). A solução resultante foi agitada durante 2 h em rt. A reação foi, então, arrefecida bruscamente com a adição de bicarbonato de sódio saturado. A solução resultante foi extraída com 3 x 20 ml de DCM/MeOH (10:1) e as camadas orgânicas combinadas. A mistura resultante foi lavada com cloreto de sódio saturado. A mistura foi seca sobre sulfato de sódio anidro e concentrada sob vácuo. O resíduo foi purificado por Prep- TLC com DCM/MeOH (15:1). O produto bruto foi purificado por Prep- HPLC com as condições a seguir (Atlantis Prep T3 OBD Coluna, 19*150 mm 5 um 10 nm; fase móvel, água com FA a 0,1% e MeCN (MeCN a 20,0% até 50,0% em 10 min.); Detector, 254 nm. Isto resultou em 7,9 mg (9%) de (R)-2-(3-(4-amino-2-oxo-3-(4-fenoxifenil)- 2,3-di-hidro-1H- imidazo[4,5-c]piridin-1-il)piperidina-1-carbonil)-6- hidroxi-4-(2-hidroxietil)hex- 2-enonitrila como um sólido branco. LC-MS m/z: 583,2 (M+1). Exemplo 7 [00282] In a 25 ml round bottom flask, 2- [[(3R)- 3-[4-amino-2-oxo-3-(4-phenoxyphenyl)-1H,2H,3H-imidazo was placed [4,5-c]pyridin-1-yl]piperidin-1-yl]carbonyl]-6-[(tert-butyldimethylsilyl)oxy]-4-[2-[(tert-butyldimethylsilyl)oxy]ethyl]hex- 2-enonitrile (120 mg, 0.15 mmol, 1.00 equiv.), trifluoroacetic acid (1 ml), dichloromethane (5 ml). The resulting solution was stirred for 2 h at rt. The reaction was then quenched with the addition of saturated sodium bicarbonate. The resulting solution was extracted with 3 x 20 ml of DCM/MeOH (10:1) and the organic layers combined. The resulting mixture was washed with saturated sodium chloride. The mixture was dried over anhydrous sodium sulfate and concentrated in vacuo. The residue was purified by Prep-TLC with DCM/MeOH (15:1). The crude product was purified by Prep-HPLC with the following conditions (Atlantis Prep T3 OBD Column, 19*150 mm 5 µm 10 nm; mobile phase, water with 0.1% FA and MeCN (20.0% MeCN up to 50.0% in 10 min.); Detector, 254 nm This resulted in 7.9 mg (9%) of (R)-2-(3-(4-amino-2-oxo-3-(4). -phenoxyphenyl)- 2,3-dihydro-1H-imidazo[4,5-c]pyridin-1-yl)piperidine-1-carbonyl)-6-hydroxy-4-(2-hydroxyethyl)hex- 2- enonitrile as a white solid. LC-MS m/z: 583.2 (M+1).
[00283] Síntese de (R)-2-(3-(4-amino-3-(4-(2,6-difluorofenoxi)fenil)- 2- oxo-2,3-di-hidro-1H-imidazo[4,5-c]piridin-1-il)piperidina-1-carbonil)-4- metil-4- (4-(oxetan-3-il)piperazin-1-il)pent-2-enonitrila[00283] Synthesis of (R)-2-(3-(4-amino-3-(4-(2,6-difluorophenoxy)phenyl)-2-oxo-2,3-dihydro-1H-imidazo[ 4,5-c]pyridin-1-yl)piperidin-1-carbonyl)-4-methyl-4-(4-(oxetan-3-yl)piperazin-1-yl)pent-2-enonitrile
[00284] Em um frasco de fundo redondo de 250 ml purgado e mantido com uma atmosfera de O2, colocou-se Cu(OAc)2 (6,96 g, 38,3 mmol, 1,00 equiv.), piridina (15,2 g, 192 mmol, 5,00 equiv.) e peneiras moleculares 4A (5 g) em diclorometano (100 ml). A solução resultante foi agitada durante 30 min. e, então, 2,6-difluorofenol (5 g, 38,4 mmol, 1,00 equiv.) e ácido (4- bromofenil)borônico (15,4 g, 76,6 mmol, 2,00 equiv.) foram adicionados. A solução resultante foi agitada durante a noite em rt. A mistura resultante foi concentrada sob vácuo. O resíduo foi aplicado em uma coluna de gel de sílica e eluído com éter de petróleo. Isto resultou em 5,5 g (50%) de 2-(4- bromofenoxi)-1,3- difluorobenzeno como óleo amarelo.[00284] In a 250 ml round bottom flask purged and maintained with an O2 atmosphere, Cu(OAc)2 (6.96 g, 38.3 mmol, 1.00 equiv.), pyridine (15 .2 g, 192 mmol, 5.00 equiv.) and 4A molecular sieves (5 g) in dichloromethane (100 ml). The resulting solution was stirred for 30 min. and then 2,6-difluorophenol (5 g, 38.4 mmol, 1.00 equiv.) and (4-bromophenyl)boronic acid (15.4 g, 76.6 mmol, 2.00 equiv.) were added. The resulting solution was stirred overnight at rt. The resulting mixture was concentrated under vacuum. The residue was applied to a silica gel column and eluted with petroleum ether. This resulted in 5.5 g (50%) of 2-(4-bromophenoxy)-1,3-difluorobenzene as yellow oil.
[00285] Em um frasco de fundo redondo de 3 bocas de 250 ml purgado e mantido com uma atmosfera inerte de nitrogênio, colocou-se 2(4- bromofenoxi)-1,3-difluorobenzeno (5,5 g, 19,3 mmol, 1,00 equiv.) em tetra- hidrofurano (100 ml). Uma solução a 2,5 M de nBuLi em hexano (11,6 ml, 1,50 equiv.) foi adicionada a -78 °C e a solução resultante foi agitada durante 30 min. e, então, borato de trimetila (4,03 g, 38,8 mmol, 2,00 equiv.) foi adicionado. A reação foi deixada aquecer até RT e a solução resultante foi agitada durante 3 h em rt. A reação foi, então, arrefecida bruscamente com a adição de cloreto de hidrogênio (2 M). A solução resultante foi extraída com 3 x 150 ml de éter e as camadas orgânicas combinadas. A mistura resultante foi lavada com 1 x 200 ml de cloreto de sódio (saturado). A mistura foi seca sobre sulfato de sódio anidro e concentrada sob vácuo. O resíduo foi aplicado em uma coluna de sílica gel com diclorometano/metanol (50:1). Isto resultou em 2,15 g (45%) de ácido [4- (2,6- difluorofenoxi)fenil]borônico como um sólido marrom.[00285] In a 250 ml 3-neck round bottom flask purged and maintained with an inert nitrogen atmosphere, 2(4-bromophenoxy)-1,3-difluorobenzene (5.5 g, 19.3 mmol) was placed , 1.00 equiv.) in tetrahydrofuran (100 ml). A 2.5 M solution of nBuLi in hexane (11.6 ml, 1.50 equiv.) was added at -78°C and the resulting solution was stirred for 30 min. and then trimethyl borate (4.03 g, 38.8 mmol, 2.00 equiv.) was added. The reaction was allowed to warm to RT and the resulting solution was stirred for 3 h at RT. The reaction was then quenched with the addition of hydrogen chloride (2 M). The resulting solution was extracted with 3 x 150 ml of ether and the organic layers combined. The resulting mixture was washed with 1 x 200 ml of sodium chloride (saturated). The mixture was dried over anhydrous sodium sulfate and concentrated in vacuo. The residue was applied to a silica gel column with dichloromethane/methanol (50:1). This resulted in 2.15 g (45%) of [4-(2,6-difluorophenoxy)phenyl]boronic acid as a brown solid.
[00286] Em um frasco de fundo redondo de 100 ml purgado e mantido com uma atmosfera de O2, colocou-se 3-(4- (((dimetilami- no)metileno)amino)-2-oxo-2,3-di-hidro-1H-imidazo[4,5-c]piridin- 1- il)piperidina-1-carboxilato de (R,E)-terc-butila (500 mg, 1,29 mmol, 1,00 equiv.), TEA (521 mg, 5,15 mmol, 4,00 equiv.), Cu(OAc)2 (117 mg, 0,64 mmol, 0,50 equiv), TEMPO (221 mg, 1,41 mmol, 1,10 equiv) e Ms(4A) (500 mg) em diclorometano (50 ml). A solução resultante foi agitada durante 30 min. e, então, ácido [4-(2,6- difluorofenoxi)fenil]borônico (644 mg, 2,58 mmol, 2,00 equiv.) foi adicionado. A solução resultante foi agitada durante a noite à temperatura ambiente. A mistura resultante foi concentrada sob vácuo. O resíduo foi aplicado em uma coluna de sílica gel com diclorometano/metanol (30:1).Isto resultou em 490 mg de 3-(4- (((dimetilamino)metileno)amino)-2-oxo-3-(4-fenoxifenil)-2,3-di-hidro-1H- imidazo[4,5-c]piridin-1-il)piperidina-1-carboxilato de (R,E)-terc-butila como um sólido marrom.[00286] In a 100 ml round bottom flask purged and maintained with an O2 atmosphere, 3-(4-(((dimethylamino)methylene)amino)-2-oxo-2,3-di was placed (R,E)-tert-butyl-hydro-1H-imidazo[4,5-c]pyridin-1-yl)piperidine-1-carboxylate (500 mg, 1.29 mmol, 1.00 equiv.), TEA (521 mg, 5.15 mmol, 4.00 equiv.), Cu(OAc)2 (117 mg, 0.64 mmol, 0.50 equiv), TEMPO (221 mg, 1.41 mmol, 1.10 equiv) and Ms(4A) (500 mg) in dichloromethane (50 ml). The resulting solution was stirred for 30 min. and then [4-(2,6-difluorophenoxy)phenyl]boronic acid (644 mg, 2.58 mmol, 2.00 equiv.) was added. The resulting solution was stirred overnight at room temperature. The resulting mixture was concentrated under vacuum. The residue was applied to a silica gel column with dichloromethane/methanol (30:1). This resulted in 490 mg of 3-(4- (((dimethylamino)methylene)amino)-2-oxo-3-(4- (R,E)-tert-butyl phenoxyphenyl)-2,3-dihydro-1H-imidazo[4,5-c]pyridin-1-yl)piperidine-1-carboxylate as a brown solid.
[00287] A uma solução de 3-(4-(((dimetilamino)metileno)amino)-2- oxo- 3-(4-fenoxifenil)-2,3-di-hidro-1H-imidazo[4,5-c]piridin-1- il)piperidina-1- carboxilato de (R,E)-terc-butila (490 mg, 0,83 mmol, 1,00 equiv.) em 30 ml de dioxano foram adicionados 15 ml de cloreto de hidrogênio (12 M). A solução resultante foi agitada durante 3 h a 85°C em um banho de óleo. A reação foi, então, arrefecida bruscamente por meio da adição de bicarbonato de sódio (sat.). A solução resultante foi extraída com 3 x 100 ml de DCM/MeOH (10:1) e as camadas orgânicas combinadas. A mistura resultante foi lavada com 1 x 100 ml de cloreto de sódio (sat.). A mistura foi seca sobre sulfato de sódio anidro e concentrada sob vácuo. Isto resultou em 360 mg (100%) de 4-amino-3-[4-(2,6-difluorofenoxi)fenil]-1-[(3R)- piperidin-3-il]- 1H,2H,3H-imidazo[4,5-c]piridin-2-ona como um sólido marrom.[00287] To a solution of 3-(4-(((dimethylamino)methylene)amino)-2-oxo-3-(4-phenoxyphenyl)-2,3-dihydro-1H-imidazo[4,5- c]pyridin-1-yl)piperidine-1-(R,E)-tert-butyl carboxylate (490 mg, 0.83 mmol, 1.00 equiv.) in 30 ml of dioxane were added 15 ml of chloride hydrogen (12 M). The resulting solution was stirred for 3 h at 85°C in an oil bath. The reaction was then cooled abruptly by adding sodium bicarbonate (sat.). The resulting solution was extracted with 3 x 100 ml of DCM/MeOH (10:1) and the organic layers combined. The resulting mixture was washed with 1 x 100 ml of sodium chloride (sat.). The mixture was dried over anhydrous sodium sulfate and concentrated in vacuo. This resulted in 360 mg (100%) of 4-amino-3-[4-(2,6-difluorophenoxy)phenyl]-1-[(3R)-piperidin-3-yl]-1H,2H,3H-imidazo [4,5-c]pyridin-2-one as a brown solid.
[00288] Em um frasco de fundo redondo de 50 ml, colocou-se 4- amino- 3-[4-(2,6-difluorofenoxi)fenil]-1-[(3R)-piperidin-3-il]-1H,2H,3H- imidazo[4,5- c]piridin-2-ona (360 mg, 0,82 mmol, 1,00 equiv.), ácido 2- cianoacético (70 mg, 0,82 mmol, 1,00 equiv.), HATU (470 mg, 1,24 mmol, 1,50 equiv.), TEA (250 mg, 2,47 mmol, 3,00 equiv.), N,N- dimetilformamida (10 ml). A solução resultante foi agitada durante 2 h em rt. A solução resultante foi extraída com diclorometano e as camadas orgânicas combinadas. A mistura resultante foi lavada com 6 x 100 ml de água. A mistura foi seca sobre sulfato de sódio anidro e concentrada sob vácuo. O resíduo foi aplicado em uma coluna de sílica gel com diclorometano/metanol (30:1). Isto resultou em 260 mg (63%) de (R)-3-(3-(4-amino-3-(4-(2,6-difluorofenoxi)fenil)-2-oxo- 2,3-di- hidro-1H-imidazo[4,5-c]piridin-1-il)piperidin-1-il)-3-oxopropanonitrila como um sólido marrom.[00288] In a 50 ml round bottom flask, 4-amino-3-[4-(2,6-difluorophenoxy)phenyl]-1-[(3R)-piperidin-3-yl]-1H was placed ,2H,3H-imidazo[4,5-c]pyridin-2-one (360 mg, 0.82 mmol, 1.00 equiv.), 2-cyanoacetic acid (70 mg, 0.82 mmol, 1.00 equiv.), HATU (470 mg, 1.24 mmol, 1.50 equiv.), TEA (250 mg, 2.47 mmol, 3.00 equiv.), N,N-dimethylformamide (10 ml). The resulting solution was stirred for 2 h at rt. The resulting solution was extracted with dichloromethane and the organic layers combined. The resulting mixture was washed with 6 x 100 ml of water. The mixture was dried over anhydrous sodium sulfate and concentrated in vacuo. The residue was applied to a silica gel column with dichloromethane/methanol (30:1). This resulted in 260 mg (63%) of (R)-3-(3-(4-amino-3-(4-(2,6-difluorophenoxy)phenyl)-2-oxo-2,3-dihydro -1H-imidazo[4,5-c]pyridin-1-yl)piperidin-1-yl)-3-oxopropanenitrile as a brown solid.
[00289] O acompanhamento do protocolo na etapa 4 do Exemplo 2 produziu (R)-2-(3-(4-amino-3-(4-(2,6-difluorofenoxi)fenil)-2-oxo-2,3-di- hidro- 1H-imidazo[4,5-c]piridin-1-il)piperidina-1-carbonil)-4-metil-4-(4- (oxetan-3- il)piperazin-1-il)pent-2-enonitrila. LC-MS m/z: 699,2 (M+1) Exemplo 8 [00289] Following the protocol in step 4 of Example 2 produced (R)-2-(3-(4-amino-3-(4-(2,6-difluorophenoxy)phenyl)-2-oxo-2,3 -dihydro- 1H-imidazo[4,5-c]pyridin-1-yl)piperidin-1-carbonyl)-4-methyl-4-(4-(oxetan-3-yl)piperazin-1-yl) pent-2-enenitrile. LC-MS m/z: 699.2 (M+1) Example 8
[00290] Síntese de (R)-2-(3-(4-amino-3-(4-(2,3-difluorofenoxi)fenil)- 2- oxo-2,3-di-hidro-1H-imidazo[4,5-c]piridin-1-il)piperidina-1-carbonil)-4- metil-4- (4-(oxetan-3-il)piperazin-1-il)pent-2-enonitrila[00290] Synthesis of (R)-2-(3-(4-amino-3-(4-(2,3-difluorophenoxy)phenyl)-2-oxo-2,3-dihydro-1H-imidazo[ 4,5-c]pyridin-1-yl)piperidin-1-carbonyl)-4-methyl-4-(4-(oxetan-3-yl)piperazin-1-yl)pent-2-enonitrile
[00291] Em um frasco de fundo redondo de 250 ml purgado e mantido com uma atmosfera de O2, colocou-se Cu(OAc)2 (6,96 g, 38,3 mmol, 1,00 equiv.), piridina (15,2 g, 192 mmol, 5,00 equiv.) e peneiras moleculares 4A (5 g) em diclorometano (100 ml). A solução resultante foi agitada durante 30 min. e, então, 2,3-difluorofenol (5 g, 38,43 mmol, 1,00 equiv.) e ácido (4- bromofenil)borônico (15,4 g, 76,6 mmol, 2,00 equiv.) foram adicionados. A solução resultante foi agitada durante a noite em rt. A mistura resultante foi concentrada sob vácuo. O resíduo foi aplicado em uma coluna de gel de sílica com éter de petróleo. Isto resultou em 3,17 g (29%) de 1-(4- bromofenoxi)-2,3-difluorobenzeno como óleo incolor.[00291] In a 250 ml round bottom flask purged and maintained with an O2 atmosphere, Cu(OAc)2 (6.96 g, 38.3 mmol, 1.00 equiv.), pyridine (15 .2 g, 192 mmol, 5.00 equiv.) and 4A molecular sieves (5 g) in dichloromethane (100 ml). The resulting solution was stirred for 30 min. and then 2,3-difluorophenol (5 g, 38.43 mmol, 1.00 equiv.) and (4-bromophenyl)boronic acid (15.4 g, 76.6 mmol, 2.00 equiv.) were added. The resulting solution was stirred overnight at rt. The resulting mixture was concentrated under vacuum. The residue was applied to a silica gel column with petroleum ether. This resulted in 3.17 g (29%) of 1-(4-bromophenoxy)-2,3-difluorobenzene as colorless oil.
[00292] Em um frasco de fundo redondo de 3 bocas de 250 ml purgado e mantido com uma atmosfera inerte de nitrogênio, colocou-se 1(4- bromofenoxi)-2,3-difluorobenzeno (3,17 g, 11,12 mmol, 1,00 equiv.) em tetra-hidrofurano (100 ml). Uma solução a 2,5 M de nBuLi (6,7 ml, 1,50 equiv.) foi adicionada a -78°C e a solução resultante foi agitada durante 30 min. e, então, borato de trimetila (2,32 g, 22,3 mmol, 2,00 equiv.) foi adicionado. A solução resultante foi agitada durante 3 h em rt. A reação foi, então, arrefecida bruscamente com a adição de HCl (2 M). A solução resultante foi extraída com 3 x 150 ml de éter e as camadas orgânicas combinadas. A mistura resultante foi lavada com 1 x 200 ml de cloreto de sódio (sat'd.). A mistura foi seca sobre sulfato de sódio anidro e concentrada sob vácuo. O resíduo foi aplicado em uma coluna de sílica gel com diclorometano/metanol (50:1). Isto resultou em 1 g (36%) de ácido [4- (2,3-difluorofenoxi)fenil]borônico como um sólido branco.[00292] In a 250 ml 3-neck round bottom flask purged and maintained with an inert nitrogen atmosphere, 1(4-bromophenoxy)-2,3-difluorobenzene (3.17 g, 11.12 mmol) was placed , 1.00 equiv.) in tetrahydrofuran (100 ml). A 2.5 M solution of nBuLi (6.7 ml, 1.50 equiv.) was added at -78°C and the resulting solution was stirred for 30 min. and then trimethyl borate (2.32 g, 22.3 mmol, 2.00 equiv.) was added. The resulting solution was stirred for 3 h at rt. The reaction was then quenched with the addition of HCl (2 M). The resulting solution was extracted with 3 x 150 ml of ether and the organic layers combined. The resulting mixture was washed with 1 x 200 ml of sodium chloride (sat'd). The mixture was dried over anhydrous sodium sulfate and concentrated in vacuo. The residue was applied to a silica gel column with dichloromethane/methanol (50:1). This resulted in 1 g (36%) of [4-(2,3-difluorophenoxy)phenyl]boronic acid as a white solid.
[00293] O acompanhamento dos protocolos descritos no Exemplo 2, mas com o uso de ácido [4-(2,3-difluorofenoxi)fenil]borônico produziu o composto do título. LC-MS m/z: 699,2 (M+1).[00293] Following the protocols described in Example 2, but using [4-(2,3-difluorophenoxy)phenyl]boronic acid produced the title compound. LC-MS m/z: 699.2 (M+1).
[00294] Síntese de (R)-2-(3-(4-amino-3-(3-fluoro-4-fenoxifenil)- 2-oxo- 2,3-di-hidro-1H-imidazo[4,5-c]piridin-1-il)piperidina-1-carbonil)-4- metil-4-(4- (oxetan-3-il)piperazin-1-il)pent-2-enonitrila [00294] Synthesis of (R)-2-(3-(4-amino-3-(3-fluoro-4-phenoxyphenyl)-2-oxo-2,3-dihydro-1H-imidazo[4.5 -c]pyridin-1-yl)piperidin-1-carbonyl)-4-methyl-4-(4-(oxetan-3-yl)piperazin-1-yl)pent-2-enonitrile
[00295] O acompanhamento dos protocolos descritos no Exemplo 7, mas com o uso de ácido (3-fluoro-4-fenoxifenil)borônico produziu (o composto do título com o uso dos métodos descritos no Exemplo 2. LC-MS m/z: 681,4(M+1). Exemplo 10 [00295] Following the protocols described in Example 7, but with the use of (3-fluoro-4-phenoxyphenyl) boronic acid produced (the title compound with the use of the methods described in Example 2. LC-MS m/z : 681.4(M+1).
[00296] Síntese de (R)-2-(3-(4-amino-3-(2-fluoro-4-fenoxifenil)- 2-oxo- 2,3-di-hidro-1H-imidazo[4,5-c]piridin-1-il)piperidina-1-carbonil)-4- metil-4-(4- (oxetan-3-il)piperazin-1-il)pent-2-enonitrila[00296] Synthesis of (R)-2-(3-(4-amino-3-(2-fluoro-4-phenoxyphenyl)-2-oxo-2,3-dihydro-1H-imidazo[4.5 -c]pyridin-1-yl)piperidin-1-carbonyl)-4-methyl-4-(4-(oxetan-3-yl)piperazin-1-yl)pent-2-enonitrile
[00297] O acompanhamento dos protocolos descritos no Exemplo 7, mas com o uso de ácido (2-fluoro-4-fenoxifenil)borônico (preparado conforme descrito no pedido internacional PCT 2012158764, 22 de novembro 201, produziu o composto do título. LC-MS m/z: 681,2 (M+1). Exemplo 11 Síntese de (S)-2-(2-((4-amino-2-oxo-3-(4-fenoxifenil)-2,3-di-hidro-1H- imidazo[4,5-c]piridin-1-il)metil)pirrolidina-1-carbonil)-4-metil-4-(4- (oxetan-3- il)piperazin-1-il)pent-2-enonitrila [00297] Following the protocols described in Example 7, but with the use of (2-fluoro-4-phenoxyphenyl) boronic acid (prepared as described in international application PCT 2012158764, November 22, 201, produced the title compound. LC -MS m/z: 681.2 (M+1). Example 11 Synthesis of (S)-2-(2-((4-amino-2-oxo-3-(4-phenoxyphenyl)-2,3- dihydro-1H-imidazo[4,5-c]pyridin-1-yl)methyl)pyrrolidine-1-carbonyl)-4-methyl-4-(4-(oxetan-3-yl)piperazin-1-yl )pent-2-enonitrile
[00298] A uma solução de 2,4-dicloro-3-nitropiridina (5 g, 25,9 mmol) em DMF (50 ml) foram adicionados Et3N (5,2 g, 51,8 mmol) e 2- (aminometil)pirrolidina-1-carboxilato de (S)-terc-butila (5,4 g, 27,2 mmol). A mistura resultante foi agitada em rt durante a noite, então, filtrada e o filtrado foi concentrado até a secura. O resíduo foi tratado com água (150 ml) e extraído com DCM (30 ml x 3). A fase orgânica combinada foi lavada com salmoura (40 ml), seca com Na2SO4 e concentrada até a secura. Os 6,9 g resultantes de 2-(((2-cloro-3- nitropiridin-4-il)amino)metil)pirrolidina-1- carboxilato de (S)-terc-butila foram usados na etapa seguinte sem purificação adicional.[00298] To a solution of 2,4-dichloro-3-nitropyridine (5 g, 25.9 mmol) in DMF (50 ml) were added Et3N (5.2 g, 51.8 mmol) and 2- (aminomethyl )(S)-tert-butylpyrrolidine-1-carboxylate (5.4 g, 27.2 mmol). The resulting mixture was stirred at rt overnight, then filtered and the filtrate was concentrated to dryness. The residue was treated with water (150 ml) and extracted with DCM (30 ml x 3). The combined organic phase was washed with brine (40 ml), dried with Na2SO4 and concentrated to dryness. The resulting 6.9 g of (S)-tert-butyl 2-(((2-chloro-3-nitropyridin-4-yl)amino)methyl)pyrrolidine-1-carboxylate were used in the next step without further purification.
[00299] A uma solução de 2-(((2-cloro-3-nitropiridin-4- il)amino)metil)pirrolidina-1-carboxilato de (S)-terc-butila (6,9 g, 19,4 mmol) em i-PrOH (100 ml) foi adicionada bis(4-metoxibenzil)amina (7,5 g, 29,1 mmol) e TEA (5,9 g, 58,2 mmol). A mistura foi refluxada durante a noite. Após o resfriamento até rt, a mistura foi concentrada até a secura. O resíduo foi purificado por cromatografia em gel de sílica (eluente: éter de petróleo / acetato de etila de 5:1 a 2:1) para gerar 4,4 g de 2-(((2-(bis(4- metoxibenzil)amino)-3-nitropiridin-4- il)amino)metil)pirrolidina-1-carboxilato de (S)-terc-butila como um sólido amarelo claro.[00299] To a solution of (S)-tert-butyl 2-(((2-chloro-3-nitropyridin-4-yl)amino)methyl)pyrrolidine-1-carboxylate (6.9 g, 19.4 mmol) in i-PrOH (100 ml) bis(4-methoxybenzyl)amine (7.5 g, 29.1 mmol) and TEA (5.9 g, 58.2 mmol) were added. The mixture was refluxed overnight. After cooling to rt, the mixture was concentrated to dryness. The residue was purified by silica gel chromatography (eluent: petroleum ether / ethyl acetate 5:1 to 2:1) to generate 4.4 g of 2-(((2-(bis(4-methoxybenzyl) (S)-tert-butylamino)-3-nitropyridin-4-yl)amino)methyl)pyrrolidine-1-carboxylate as a light yellow solid.
[00300] A uma solução de 2-(((2-(bis(4-metoxibenzil)amino)-3- ni- tropiridin-4-il)amino)metil)pirrolidina-1-carboxilato de (S)-terc-butila (4,4 g, 7,6 mmol) em EtOH (100 ml) foram adicionados NH4Cl (2,0 g, 38,1 mmol) e H2O (10 ml), seguido da adição por lote de poeira de Zn (2,5 g, 38,1 mmol) com agitação. A mistura resultante foi refluxada durante 3 h antes da filtração através de celite. O filtrado foi concentrado para produzir um resíduo que foi redissolvido em água (50 ml) e extraído com acetato de etila (100 ml x 3). A fase orgânica combinada foi lavada com salmoura (400 ml), seca com Na2SO4, concentrada para gerar 2,9 g de 2-(((3-amino-2-(bis(4- metoxibenzil)amino)piridin-4- il)amino)metil)pirrolidina-1-carboxilato de (S)- terc-butila como um sólido amarelo claro que foi usado diretamente na próxima etapa.[00300] To a solution of 2-(((2-(bis(4-methoxybenzyl)amino)-3-nitropyridin-4-yl)amino)methyl)pyrrolidine-1-carboxylate of (S)-tert- butyl (4.4 g, 7.6 mmol) in EtOH (100 ml) were added NH4Cl (2.0 g, 38.1 mmol) and H2O (10 ml), followed by batch addition of Zn dust (2 .5 g, 38.1 mmol) with stirring. The resulting mixture was refluxed for 3 h before filtration through celite. The filtrate was concentrated to give a residue which was redissolved in water (50 ml) and extracted with ethyl acetate (100 ml x 3). The combined organic phase was washed with brine (400 ml), dried with Na2SO4, concentrated to give 2.9 g of 2-(((3-amino-2-(bis(4-methoxybenzyl)amino)pyridin-4-yl (S)-tert-butyl)amino)methyl)pyrrolidine-1-carboxylate as a light yellow solid that was used directly in the next step.
[00301] A uma solução de 2-(((3-amino-2-(bis(4- metoxiben- zil)amino)piridin-4-il)amino)metil)pirrolidina-1-carboxilato de (S)- terc- butila (2,9 g, 5,3 mmol) em acetonitrila anidra (30 ml) foi adicionado CDI (2,6 g, 15,9 mmol) em porções. A mistura resultante foi refluxada durante 2 h antes da concentração para gerar um resíduo que foi purificado por cromatografia em gel de sílica com PE : EtOAc = 2 : 1 para produzir 2,6 g de 2-((4-(bis(4-metoxibenzil)amino)-2-oxo-2,3-di-hidro- 1H-imidazo[4,5- c]piridin-1-il)metil)pirrolidina-1-carboxilato de (S)-terc- butila como um sólido amarelo claro que foi usado diretamente na próxima etapa.[00301] To a solution of 2-(((3-amino-2-(bis(4-methoxybenzyl)amino)pyridin-4-yl)amino)methyl)pyrrolidine-1-carboxylate of (S)- tert - butyl (2.9 g, 5.3 mmol) in anhydrous acetonitrile (30 ml) CDI (2.6 g, 15.9 mmol) was added in portions. The resulting mixture was refluxed for 2 h before concentration to give a residue which was purified by silica gel chromatography with PE : EtOAc = 2 : 1 to yield 2.6 g of 2-((4-(bis(4- (S)-tert-butyl methoxybenzyl)amino)-2-oxo-2,3-dihydro-1H-imidazo[4,5-c]pyridin-1-yl)methyl)pyrrolidine-1-carboxylate as a light yellow solid that was used directly in the next step.
[00302] A uma solução de 2-((4-(bis(4-metoxibenzil)amino)-2-oxo- 2,3- di-hidro-1H-imidazo[4,5-c]piridin-1-il)metil)pirrolidina-1-carboxilato de (S)- terc-butila (7 g, 12,2 mmol) em DCM anidro (100 ml) foram adi- cionados Cu(OAc)2 (2,2 g, 12,4 mmol), TEMPO (2,1 g, 13,4 mmol), peneiras moleculares 4A (20 g) e Et3N (20 g, 196 mmol), seguido da adição em porções de ácido 4-fenoxifenilborônico (10,5 g, 48,9 mmol) mediante agitação. A mistura foi agitada em rt durante 78 h sob atmosfera de O2. O solvente foi concentrado e o resíduo foi purificado por coluna de gel de sílica com PE : EtOAc = 2 : 1 para render 2-((4- (bis(4-metoxibenzil)amino)- 2-oxo-3-(4-fenoxifenil)-2,3-di-hidro-1H- imidazo[4,5-c]piridin-1- il)metil)pirrolidina-1-carboxilato de (S)-terc- butila (3,2 g, 36%) como um sólido amarelo claro.[00302] To a solution of 2-((4-(bis(4-methoxybenzyl)amino)-2-oxo-2,3-dihydro-1H-imidazo[4,5-c]pyridin-1-yl (S)-tert-butyl)methyl)pyrrolidine-1-carboxylate (7 g, 12.2 mmol) in anhydrous DCM (100 ml) was added Cu(OAc)2 (2.2 g, 12.4 mmol), TEMPO (2.1 g, 13.4 mmol), molecular sieves 4A (20 g) and Et3N (20 g, 196 mmol), followed by the addition in portions of 4-phenoxyphenylboronic acid (10.5 g, 48 .9 mmol) upon stirring. The mixture was stirred at rt for 78 h under O2 atmosphere. The solvent was concentrated and the residue was purified by silica gel column with PE:EtOAc = 2:1 to yield 2-((4-(bis(4-methoxybenzyl)amino)-2-oxo-3-(4- (S)-tert-butyl phenoxyphenyl)-2,3-dihydro-1H-imidazo[4,5-c]pyridin-1-yl)methyl)pyrrolidine-1-carboxylate (3.2 g, 36% ) as a light yellow solid.
[00303] O 2-((4-(bis(4-metoxibenzil)amino)-2-oxo-3-(4-fenoxifenil)- 2,3- di-hidro-1H-imidazo[4,5-c]piridin-1-il)metil)pirrolidina-1-carboxilato de (S)- terc-butila (2 g, 2,7 mmol) foi dissolvido em TFA (10 ml) e agitado em rt durante a noite. A reação foi concentrada e o resíduo foi diluído com H2O (50 ml) e extraído com EtOAc. A fase aquosa foi ajustada para pH = 13 com NaOH aquoso e extraída com EtOAc (2 x 100 ml) e a fase orgânica foi concentrada para gerar 870 mg de (S)-4- amino-3-(4-fenoxifenil)-1- (pirrolidin-2-ilmetil)-1H-imidazo[4,5-c]piridin- 2(3H)-ona que foi usado na próxima etapa sem purificação adicional.[00303] 2-((4-(bis(4-methoxybenzyl)amino)-2-oxo-3-(4-phenoxyphenyl)- 2,3-dihydro-1H-imidazo[4,5-c] (S)-tert-Butyl pyridin-1-yl)methyl)pyrrolidine-1-carboxylate (2 g, 2.7 mmol) was dissolved in TFA (10 ml) and stirred at rt overnight. The reaction was concentrated and the residue was diluted with H2O (50 ml) and extracted with EtOAc. The aqueous phase was adjusted to pH = 13 with aqueous NaOH and extracted with EtOAc (2 x 100 ml) and the organic phase was concentrated to generate 870 mg of (S)-4-amino-3-(4-phenoxyphenyl)-1 - (pyrrolidin-2-ylmethyl)-1H-imidazo[4,5-c]pyridin-2(3H)-one which was used in the next step without further purification.
[00304] A uma solução de (S)-4-amino-3-(4-fenoxifenil)-1-(pirrolidin- 2- ilmetil)-1H-imidazo[4,5-c]piridin-2(3H)-ona (200 mg, 0,5 mmol) em DMF (10 ml) a 0°C foram adicionados Et3N (150 mg, 1,5 mmol), ácido 2- cianoacético (47 mg, 0,55 mmol) e HATU (284 mg, 0,75 mmol). Após a agitação durante 30 min. a 0 °C, a reação foi vertida em água (20 ml) e extraída com EtOAc (30 ml por duas vezes), a fase orgânica foi concentrada e o resíduo foi purificado por cromatografia em gel de sílica eluindo com PE : EtOAc = 1 : 1 para produzir 70 mg de (S)-3-(2- ((4-amino-2-oxo-3-(4-fenoxifenil)-2,3-di-hidro-1H-imidazo[4,5-c]piridin- 1- il)metil)pirrolidin-1-il)-3-oxopropanonitrila como um sólido branco.[00304] To a solution of (S)-4-amino-3-(4-phenoxyphenyl)-1-(pyrrolidin-2-ylmethyl)-1H-imidazo[4,5-c]pyridin-2(3H)- ona (200 mg, 0.5 mmol) in DMF (10 ml) at 0°C were added Et3N (150 mg, 1.5 mmol), 2-cyanoacetic acid (47 mg, 0.55 mmol) and HATU (284 mg, 0.75 mmol). After stirring for 30 min. at 0 °C, the reaction was poured into water (20 ml) and extracted with EtOAc (30 ml twice), the organic phase was concentrated and the residue was purified by chromatography on silica gel eluting with PE: EtOAc = 1 : 1 to produce 70 mg of (S)-3-(2- ((4-amino-2-oxo-3-(4-phenoxyphenyl)-2,3-dihydro-1H-imidazo[4,5- c]pyridin-1-yl)methyl)pyrrolidin-1-yl)-3-oxopropanenitrile as a white solid.
[00305] A uma solução de (S)-3-(2-((4-amino-2-oxo-3-(4- fenoxifenil)- 2,3-di-hidro-1H-imidazo[4,5-c]piridin-1-il)metil)pirrolidin-1- il)-3- oxopropanonitrila (80 mg, 0,17 mmol), 2-metil-2-(4-(oxetan-3- il)piperazin-1- il)propanal (72 mg, 0,34 mmol) e pirrolidina (120 mg, 1,7 mmol) em DCM (2 ml) à temperatura ambiente foi lentamente adicionado cloro(trimetil)silano (69 mg, 0,68 mmol) por gotejamento. Após 30 min., a reação foi diluída com DCM (20 ml) e lavada com NaHCO3 aq. (20 ml). A camada orgânica foi seca com Na2SO4 anidro, filtrada e concentrada para gerar um resíduo bruto, que foi purificado por Prep- TLC para produzir (S)-2-(2-((4-amino-2- oxo-3-(4-fenoxifenil)-2,3-di- hidro-1H-imidazo[4,5-c]piridin-1- il)metil)pirrolidina-1-carbonil)-4-metil- 4-(4-(oxetan-3-il)piperazin-1-il)pent-2- enonitrila como sólido branco (10 mg, 9%). LC-MS m/z: 662,8 (M+1). Exemplo 12 [00305] To a solution of (S)-3-(2-((4-amino-2-oxo-3-(4-phenoxyphenyl)- 2,3-dihydro-1H-imidazo[4,5- c]pyridin-1-yl)methyl)pyrrolidin-1-yl)-3- oxopropanenitrile (80 mg, 0.17 mmol), 2-methyl-2-(4-(oxetan-3-yl)piperazin-1- il)propanal (72 mg, 0.34 mmol) and pyrrolidine (120 mg, 1.7 mmol) in DCM (2 ml) at room temperature was slowly added chloro(trimethyl)silane (69 mg, 0.68 mmol) by drip. After 30 min, the reaction was diluted with DCM (20 ml) and washed with aq. (20 ml). The organic layer was dried with anhydrous Na2SO4, filtered and concentrated to give a crude residue, which was purified by Prep-TLC to yield (S)-2-(2-((4-amino-2-oxo-3-(4 -phenoxyphenyl)-2,3-dihydro-1H-imidazo[4,5-c]pyridin-1-yl)methyl)pyrrolidine-1-carbonyl)-4-methyl- 4-(4-(oxetan-3 -yl)piperazin-1-yl)pent-2-enonitrile as white solid (10 mg, 9%). LC-MS m/z: 662.8 (M+1). Example 12
[00306] Síntese de (S)-1-((1-acriloilpirrolidin-2-il)metil)-4-amino- 3-(4- fenoxifenil)-1H-imidazo[4,5-c]piridin-2(3H)-ona[00306] Synthesis of (S)-1-((1-acryloylpyrrolidin-2-yl)methyl)-4-amino-3-(4-phenoxyphenyl)-1H-imidazo[4,5-c]pyridin-2( 3H)-one
[00307] A uma solução de (S)-4-amino-3-(4-fenoxifenil)-1-(pirrolidin- 2- ilmetil)-1H-imidazo[4,5-c]piridin-2(3H)-ona (200 mg, 0,17 mmol) e DIPEA (129 mg, 1,0 mmol) em DCM (2 ml) foi lentamente adicionado cloreto de acriloíla (45 mg, 0,50 mmol) por gotejamento a 0 °C. Após 30 min., a reação foi diluída com DCM (20 ml) e lavada com NaHCO3 aq. (20 ml). A camada orgânica foi seca com Na2SO4 anidro, filtrada e concentrada para gerar um resíduo bruto que foi purificado por Prep- TLC para produzir 70 mg de (S)-1-((1-acriloilpirrolidin-2-il)metil)-4- amino-3-(4-fenoxifenil)-1H- imidazo[4,5-c]piridin-2(3H)-ona como sólido branco. LC-MS m/z: 455,9 (M+1). Exemplo 13 [00307] To a solution of (S)-4-amino-3-(4-phenoxyphenyl)-1-(pyrrolidin-2-ylmethyl)-1H-imidazo[4,5-c]pyridin-2(3H)- ona (200 mg, 0.17 mmol) and DIPEA (129 mg, 1.0 mmol) in DCM (2 ml) were slowly added acryloyl chloride (45 mg, 0.50 mmol) dropwise at 0 °C. After 30 min, the reaction was diluted with DCM (20 ml) and washed with aq. (20 ml). The organic layer was dried with anhydrous Na2SO4, filtered and concentrated to give a crude residue which was purified by Prep-TLC to yield 70 mg of (S)-1-((1-acryloylpyrrolidin-2-yl)methyl)-4- amino-3-(4-phenoxyphenyl)-1H-imidazo[4,5-c]pyridin-2(3H)-one as white solid. LC-MS m/z: 455.9 (M+1). Example 13
[00308] Síntese de (S)-4-amino-1-((1-(but-2-inoil)pirrolidin-2- il)metil)-3- (4-fenoxifenil)-1H-imidazo[4,5-c]piridin-2(3H)-ona[00308] Synthesis of (S)-4-amino-1-((1-(but-2-inoyl)pyrrolidin-2-yl)methyl)-3-(4-phenoxyphenyl)-1H-imidazo[4.5 -c]pyridin-2(3H)-one
[00309] A uma solução de (S)-4-amino-3-(4-fenoxifenil)-1-(pirrolidin- 2- ilmetil)-1H-imidazo[4,5-c]piridin-2(3H)-ona (200 mg, 0,17 mmol) e DIPEA (129 mg, 1,0 mmol) em DCM (10 ml) foi lentamente adicionado cloreto de but-2-inoila (50 mg, 0,50 mmol) por gotejamento a 0°C. 0,5 h depois, a reação foi diluída com DCM (20 ml) e lavada com NaHCO3 aq. (20 ml). A camada orgânica foi seca com Na2SO4 anidro, filtrada e concentrada para gerar um resíduo bruto que foi purificado por Prep- TLC para produzir 50 mg de (S)-4-amino-1-((1-(but-2-inoil)pirrolidin-2- il)metil)-3-(4-fenoxifenil)-1H- imidazo[4,5-c]piridin-2(3H)-ona como sólido branco. LC-MS m/z: 467,9 (M+1).[00309] To a solution of (S)-4-amino-3-(4-phenoxyphenyl)-1-(pyrrolidin-2-ylmethyl)-1H-imidazo[4,5-c]pyridin-2(3H)- ona (200 mg, 0.17 mmol) and DIPEA (129 mg, 1.0 mmol) in DCM (10 ml) but-2-inoyl chloride (50 mg, 0.50 mmol) was slowly added dropwise at 0 °C. 0.5 h later, the reaction was diluted with DCM (20 ml) and washed with aq. (20 ml). The organic layer was dried with anhydrous Na2SO4, filtered and concentrated to give a crude residue which was purified by Prep-TLC to yield 50 mg of (S)-4-amino-1-((1-(but-2-inoyl) pyrrolidin-2-yl)methyl)-3-(4-phenoxyphenyl)-1H-imidazo[4,5-c]pyridin-2(3H)-one as white solid. LC-MS m/z: 467.9 (M+1).
[00310] Síntese de (R)-4-amino-1-(1-(2-fluoroacriloil)piperidin-3-il)- 3-(4- fenoxifenil)-1H-imidazo[4,5-c]piridin-2(3H)-ona [00310] Synthesis of (R)-4-amino-1-(1-(2-fluoroacryloyl)piperidin-3-yl)- 3-(4-phenoxyphenyl)-1H-imidazo[4,5-c]pyridin- 2(3H)-one
[00311] A uma solução de (R)-4-amino-3-(4-fenoxifenil)-1-(piperidin- 3- il)-1H-imidazo[4,5-c]piridin-2(3H)-ona (154 mg, 0,38 mmol, 1,0 equiv.) em 2 ml de DMF adicionou-se di-isopropiletilamina (0,2 ml, 1,1 mmol). Ácido 2- fluoroprop-2-enoico (51,8 mg, 0,580 mmol) foi adicionado seguido de HATU (97 mg, 1,1 mmol). Após a agitação de 1 h, o material foi purificado diretamente por Prep HPLC (Shimadzu, coluna C18; fase móvel, água com TFA a 0,05% e ACN (10% a 90% durante 20 min.). As frações purificadas foram diluídas com bicarbonato de sódio saturado e DCM e as camadas separadas. A camada orgânica foi seca com MgSO4, filtrada e concentrada. O mesmo foi dissolvido em um mínimo de água e acetonitrila e liofilizado para obter 65 mg de (R)- 4-amino-1-(1-(2-fluoroacriloil)piperidin-3-il)-3-(4-fenoxifenil)-1H- imidazo[4,5-c]piridin-2(3H)-ona como um sólido branco. LC- MS m/z: 474,1 (M+1).[00311] To a solution of (R)-4-amino-3-(4-phenoxyphenyl)-1-(piperidin-3-yl)-1H-imidazo[4,5-c]pyridin-2(3H)- one (154 mg, 0.38 mmol, 1.0 equiv.) in 2 ml of DMF was added diisopropylethylamine (0.2 ml, 1.1 mmol). 2-Fluoroprop-2-enoic acid (51.8 mg, 0.580 mmol) was added followed by HATU (97 mg, 1.1 mmol). After stirring for 1 h, the material was purified directly by Prep HPLC (Shimadzu, C18 column; mobile phase, water with 0.05% TFA and ACN (10% to 90% for 20 min.). The purified fractions were diluted with saturated sodium bicarbonate and DCM and the layers separated. The organic layer was dried with MgSO4, filtered and concentrated. It was dissolved in a minimum of water and acetonitrile and lyophilized to obtain 65 mg of (R)-4-amino. -1-(1-(2-fluoroacryloyl)piperidin-3-yl)-3-(4-phenoxyphenyl)-1H-imidazo[4,5-c]pyridin-2(3H)-one as a white solid LC. - MS m/z: 474.1 (M+1).
[00312] Um ensaio de quinase baseado em Caliper (Caliper Life Sciences, Hopkinton, MA) foi usado para medir a inibição da atividade de quinase de BTK de um composto da presente revelação. Diluições seriais de compostos de teste foram incubadas com BTK recombinan- te humana (0,5 nM), ATP (16 μM) e um substrato de peptídeo fos- foaceitador FAM-GEEPLYWSFPAKKK-NH2 (1 μM) à temperatura ambiente durante 3 h. A reação foi depois terminada com EDTA, concentração final de 20 mM e o produto de reação fosforilado foi quantificado em um Sistema de Perfil de Mesa da Caliper (Caliper LabChip 3000). A inibição percentual foi calculada para cada diluição de composto e a concentração que produziu inibição de 50% foi calculada. Este valor é apresentado como a CI50. As CI50 para determinados compostos da revelação são proporcionadas abaixo. [00312] A Caliper-based kinase assay (Caliper Life Sciences, Hopkinton, MA) was used to measure the inhibition of BTK kinase activity of a compound of the present disclosure. Serial dilutions of test compounds were incubated with human recombinant BTK (0.5 nM), ATP (16 μM), and a phosphoacceptor peptide substrate FAM-GEEPLYWSFPAKKK-NH2 (1 μM) at room temperature for 3 h. The reaction was then terminated with EDTA, final concentration of 20 mM, and the phosphorylated reaction product was quantified on a Caliper Tabletop Profiling System (Caliper LabChip 3000). Percent inhibition was calculated for each compound dilution and the concentration that produced 50% inhibition was calculated. This value is presented as the IC50. IC50s for certain compounds of the disclosure are provided below.
[00313] A potência de compostos para a inibição da atividade de BTK pode ser avaliada por meio da ligação de compostos ao alvo em células mononucleares de sangue periférico (CMSPs) humano que contêm BTK. O grau de ocupação de BTK é medido após o tratamento das células com os compostos e detecção de BTK não ocupada através da ligação de ocupação de (R,E)-N-(2-(4-(4-(3-(4-amino-3-(2-fluoro- 4-fenoxifenil)-1H- pirazolo[3,4-d]pirimidin-1-il)piperidin-1-il)-4-oxobut-2- en-1-il)piperazin-1-il)etil)-3-(5,5-difluoro-7,9-dimetil-5H-4H,5H- dipirrolo[1,2-c:2',1'- f][1,3,2]diazaborinin-2-il)propanamida como a sonda.[00313] The potency of compounds for inhibiting BTK activity can be assessed by binding compounds to the target in human peripheral blood mononuclear cells (PBMCs) that contain BTK. The degree of BTK occupancy is measured after treating cells with the compounds and detecting unoccupied BTK through the occupancy bond of (R,E)-N-(2-(4-(4-(3-(4 -amino-3-(2-fluoro-4-phenoxyphenyl)-1H-pyrazolo[3,4-d]pyrimidin-1-yl)piperidin-1-yl)-4-oxobut-2-en-1-yl) piperazin-1-yl)ethyl)-3-(5,5-difluoro-7,9-dimethyl-5H-4H,5H-dipyrrolo[1,2-c:2',1'- f][1,3 ,2]diazaborinin-2-yl)propanamide as the probe.
[00314] Brevemente, o sangue humano foi obtido a partir de voluntários saudáveis e distribuído em 5 ml cada em 9 tubos de 15 ml separados. Diluições seriais do composto a ser testado acerca da potência foram adicionadas de modo que as concentrações finais começavam em 10 μM e foram diluídas em série 3 vezes para um total de 9 diluições seriais. Os compostos foram deixados interagir com o sangue durante 1 h. As CMSP foram, então, isoladas a partir de cada tubo com o uso de Ficoll. As CMSPs isoladas foram, então, ressuspensas em 1 ml de meio RPMI1640 e a sonda de ocupação foi adicionada a uma concentração de 1 uM para cada amostra durante 1 h. As CMSPs foram lavadas, lisadas e avaliadas por SDS-PAGE. A fluorescência em gel foi usada para medir a extensão da inibição da ligação de sonda de ocupação de BTK à BTK. Subsequentemente, a BTK total em cada amostra foi determinada por Western blotting com um anticorpo de BTK (n.° de catálogo da BD Bioscience 611117).[00314] Briefly, human blood was obtained from healthy volunteers and distributed at 5 ml each into 9 separate 15 ml tubes. Serial dilutions of the compound being tested for potency were added so that final concentrations started at 10 μM and were serially diluted 3 times for a total of 9 serial dilutions. The compounds were allowed to interact with the blood for 1 h. PBMC were then isolated from each tube using Ficoll. The isolated PBMCs were then resuspended in 1 ml of RPMI1640 medium and the occupancy probe was added at a concentration of 1 μM to each sample for 1 h. PBMCs were washed, lysed and evaluated by SDS-PAGE. In-gel fluorescence was used to measure the extent of inhibition of BTK occupancy probe binding to BTK. Subsequently, total BTK in each sample was determined by Western blotting with a BTK antibody (BD Bioscience catalog no. 611117).
[00315] Esse ensaio também foi modificado para medir a durabilidade da ligação de BTK em CMSPs. Aqui, uma concentração de 2 uM de composto foi adicionada ao sangue total humano durante 1 h. As CMSPs foram isoladas com o uso de Ficoll, lavadas e ressuspensas em meio durante 4 h ou 18 h a 37°C. A sonda de ocupação foi adicionada a uma concentração de 1 uM para cada amostra durante 1 h, e a ocupação de BTK foi, então, determinada da mesma maneira conforme descrito acima.[00315] This assay was also modified to measure the durability of BTK binding in CMSPs. Here, a 2 μM concentration of compound was added to human whole blood for 1 h. PBMCs were isolated using Ficoll, washed and resuspended in medium for 4 h or 18 h at 37°C. The occupancy probe was added at a concentration of 1 μM to each sample for 1 h, and BTK occupancy was then determined in the same manner as described above.
[00316] A ativação do receptor das células B leva a atividade da BTK, mobilização do cálcio e ativação das células B aumentada (ver Honigberg L.A., et. al., Proc Natl Acad Sci U S A. 107:13075-80. 2010). Se mostrou que os inibidores de BTK bloqueiam a ativação de células B como medido pela expressão de CD69 (ver Karp, R., et. al., "Inhibition of BTK with AVL-292 Translates to Protective Activity in Animal Models of Rheumatoid Arthritis". Inflammation Research Association Meeting, setembro, 2010). O CD69 era expresso após ativação de células B como uma medida da atividade de BTK em sangue total. Alíquotas de sangue total foram pré- incubadas com diluições seriais de composto de teste durante 30 min., seguido da ativação com anti- IgM (Fab’2 de cabra, 50 μg/ml). As amostras foram incubadas durante a noite a 37°C e, então, manchadas com anti- CD20 marcado com PE e anti-CD69 marcado com APC (BD Pharmingen) durante 30 min. de acordo com as direções do fabricante. O sangue total foi depois lisado e as células selecionadas por expressão de CD20 foram quantificadas quanto à expressão de CD69 por FACS. A inibição percentual foi calculada com base em um controle de DMSO para nenhuma inibição e representada graficamente como uma função da concentração do composto de teste a partir da qual foi calculado um valor de CI50.[00316] B cell receptor activation leads to BTK activity, calcium mobilization and increased B cell activation (see Honigberg L.A., et. al., Proc Natl Acad Sci U S A. 107:13075-80. 2010) . BTK inhibitors have been shown to block B cell activation as measured by CD69 expression (see Karp, R., et. al., "Inhibition of BTK with AVL-292 Translates to Protective Activity in Animal Models of Rheumatoid Arthritis." . Inflammation Research Association Meeting, September, 2010). CD69 was expressed following B cell activation as a measure of BTK activity in whole blood. Aliquots of whole blood were pre-incubated with serial dilutions of test compound for 30 min, followed by activation with anti-IgM (goat Fab'2, 50 μg/ml). Samples were incubated overnight at 37°C and then stained with PE-labeled anti-CD20 and APC-labeled anti-CD69 (BD Pharmingen) for 30 min. according to the manufacturer's directions. Whole blood was then lysed and cells selected for CD20 expression were quantified for CD69 expression by FACS. Percent inhibition was calculated based on a DMSO control for no inhibition and plotted as a function of test compound concentration from which an IC50 value was calculated.
[00317] A inibição da artrite induzida por colágeno murina (mCIA) é um modelo de doença animal padrão para artrite reumatoide. Estudos prévios demonstraram que a inibição da BTK é eficaz no bloqueio da mCIA (ver Honigberg L.A., et. al., Proc Natl Acad Sci U S A. 107:13.075 a 13.080. 2010). Começando no dia 0, os camundongos DBA/1 foram injetados com uma emulsão de colágeno de Tipo II em Adjuvante de Freund Completo. Os camundongos são reforçados 21 dias mais tarde para sincronizar o desenvolvimento da doença. Após desenvolvimento da doença leve, os animais são inscritos no estudo e randomizados. A dosagem é oral, Q.D. tipicamente durante 11 dias com o composto do teste ou dexametasona (0,2 mg/kg) como controle. Um grupo recebe o veículo sozinho. A pontuação clínica (0 a 4) é baseada na extensão do inchaço e gravidade da artrite. As pontuações de todas as quatro patas são adicionadas para uma pontuação máxima de 16. Os anticorpos anti-colágeno e Ig total são medidos para cada animal por Elisa no final do estudo (Bolder BioPath, Boulder, CO).[00317] Murine collagen-induced arthritis inhibition (mCIA) is a standard animal disease model for rheumatoid arthritis. Previous studies have demonstrated that BTK inhibition is effective in blocking mCIA (see Honigberg L.A., et. al., Proc Natl Acad Sci U S A. 107:13075 to 13080. 2010). Starting on day 0, DBA/1 mice were injected with an emulsion of Type II collagen in Complete Freund's Adjuvant. The mice are boosted 21 days later to synchronize the development of the disease. After mild disease develops, the animals are enrolled in the study and randomized. Dosage is oral, Q.D. typically for 11 days with the test compound or dexamethasone (0.2 mg/kg) as a control. One group receives the vehicle alone. The clinical score (0 to 4) is based on the extent of swelling and severity of arthritis. Scores from all four paws are added for a maximum score of 16. Anti-collagen antibodies and total Ig are measured for each animal by Elisa at the end of the study (Bolder BioPath, Boulder, CO).
[00318] Recuperação da atividade de quinase mediante diálise para avaliar a ligação covalente irreversível versus reversível[00318] Recovery of kinase activity upon dialysis to evaluate irreversible versus reversible covalent binding
[00319] Um composto e/ou sal farmaceuticamente aceitável da presente revelação em uma concentração 10 vezes maior do que seu va- lor de CI50 é adicionado a uma solução de quinase proteica (5 nM) em um tampão que contém Hepes a 20 mM [pH 7,5], MgCl2 a 5 mM, Triton X-100 a 0,01% e ditiotreitol a 1 mM. Após 60 min. a 22 °C, as reações foram transferidas para uma cassete de diálise (Slide-A-Lyzer a 0,1 a 0,5 ml, PMC 10 kDa, Pierce) e dialisadas contra 1 l de tampão (Hepes a 20 mM [pH 7,5], MgCl2 a 5 mM, Triton X-100 a 0,01% e ditiotreitol a 1 mM) a 22 °C. O tampão de diálise é trocado duas vezes por dia até o final do experimento. Alíquotas são removidas dos cassetes de diálise a cada 24 horas e analisadas acerca da atividade de quinase proteica. A atividade de quinase para cada amostra é normalizada quanto ao controle de DMSO para esse ponto de tempo e expressa como a média ± DP. Será observado que a atividade de quinase irá retornar em diálise para um composto da presente revelação, em que Ra é ciano e não irá retornar para um composto da presente revelação em que Ra é hidrogênio ou flúor.[00319] A pharmaceutically acceptable compound and/or salt of the present disclosure in a concentration 10 times greater than its IC50 value is added to a protein kinase solution (5 nM) in a buffer containing 20 mM Hepes [ pH 7.5], 5 mM MgCl2, 0.01% Triton X-100 and 1 mM dithiothreitol. After 60 min. at 22°C, reactions were transferred to a dialysis cassette (0.1 to 0.5 ml Slide-A-Lyzer, 10 kDa PMC, Pierce) and dialyzed against 1 l of buffer (20 mM Hepes [pH 7.5], 5 mM MgCl2, 0.01% Triton X-100 and 1 mM dithiothreitol) at 22 °C. The dialysis buffer is changed twice a day until the end of the experiment. Aliquots are removed from the dialysis cassettes every 24 hours and analyzed for protein kinase activity. Kinase activity for each sample is normalized to the DMSO control for that time point and expressed as the mean ± SD. It will be observed that kinase activity will return on dialysis for a compound of the present disclosure, in which Ra is cyano and will not return for a compound of the present disclosure in which Ra is hydrogen or fluorine.
[00320] Uma quinase proteica que é inibida por um composto e/ou um sal farmaceuticamente aceitável da presente revelação pode ser submetida à análise de espectro de massa para avaliar a formação de adutos covalentes permanentes e irreversíveis. Os métodos analíticos adequados para examinar a proteína total intata ou fragmentos de peptídeo gerados sob clivagem tríptica da quinase proteica são geral-mente conhecidos na técnica (consulte Lipton, Mary S., Ljiljana, Pasa- Tolic, Eds. Mass Spectrometry of Proteins and Peptides, Methods anda Protocols, Segunda edição Humana Press. 2009). Tais métodos identificam adutos de proteína covalentes permanentes e irreversíveis por observação de um pico de massa que corresponde à massa de uma amostra de controle mais a massa de um aduto irreversível. Dois tais métodos são descritos abaixo.[00320] A protein kinase that is inhibited by a compound and/or a pharmaceutically acceptable salt of the present disclosure can be subjected to mass spectrum analysis to evaluate the formation of permanent and irreversible covalent adducts. Analytical methods suitable for examining intact total protein or peptide fragments generated under tryptic protein kinase cleavage are generally known in the art (see Lipton, Mary S., Ljiljana, Pasa-Tolic, Eds. Mass Spectrometry of Proteins and Peptides , Methods and Protocols, Second edition Humana Press 2009). Such methods identify permanent and irreversible covalent protein adducts by observing a mass peak that corresponds to the mass of a control sample plus the mass of an irreversible adduct. Two such methods are described below.
[00321] Análise de espectro de massa de quinase inteira intacta Método:[00321] Mass spectrum analysis of intact whole kinase Method:
[00322] Uma quinase proteica (5 μM) (como BTK) é incubada com um composto da presente revelação (25 μM, 5 equiv.) durante 1 h em temperatura ambiente em tampão (Hepes a 20 mM [pH 8,0], NaCl a 100 mM, MgCl2 a 10 mM). É também preparada uma amostra de controle que não tem um composto da presente revelação. A reação é parada por meio da adição de um volume igual de ácido fórmico a 0,4%, e as amostras são analisadas por cromatografia líquida (coluna de Proteínas Microtrap C18 [Michrom Bioresources], MeCN a 5%, ácido fórmico a 0,2%, 0,25 ml/min.; eluída com MeCN a 95%, ácido fórmico a 0,2%) e espectrometria de massa ESI em linha (LCT Premier, Waters). As massas moleculares da quinase proteica e quaisquer adutos podem ser determinadas com o software de desconvolução MassLynx (consulte pedido de patente n° WO2014 011900 e PCT/US2010/048916).[00322] A protein kinase (5 μM) (such as BTK) is incubated with a compound of the present disclosure (25 μM, 5 equiv.) for 1 h at room temperature in buffer (20 mM Hepes [pH 8.0], 100 mM NaCl, 10 mM MgCl2). A control sample is also prepared which does not have a compound of the present disclosure. The reaction is stopped by adding an equal volume of 0.4% formic acid, and the samples are analyzed by liquid chromatography (Microtrap C18 Protein column [Michrom Bioresources], 5% MeCN, 0.4% formic acid. 2%, 0.25 ml/min.; eluted with 95% MeCN, 0.2% formic acid) and in-line ESI mass spectrometry (LCT Premier, Waters). The molecular masses of the protein kinase and any adducts can be determined with the MassLynx deconvolution software (see patent application no. WO2014 011900 and PCT/US2010/048916).
[00323] Resultados: A análise de espetrometria de massa intata de alta resolução da quinase proteica, como BTK, que é inibida por um composto da presente revelação em que Ra é ciano irá revelar um espectro similar à quinase na ausência de inibidor (por exemplo, amostra de controle). Não existirá formação de um novo pico no espectro de massa que corresponde à massa molecular da quinase mais a massa molecular do composto. De modo contrário, a análise de espectrome- tria de massa intata de alta resolução de uma quinase proteica que é inibida por um composto da presente revelação em que Ra é hidrogênio ou flúor irá revelar a formação de um novo pico (por exemplo, um pico não presente na amostra de controle sem inibidor) no espectro de massa que corresponde à massa molecular da quinase mais a massa molecular do inibidor de quinase irreversível. Com base nesse experimento, um aduto de proteína irreversível será evidente para um versa- do na técnica.[00323] Results: High-resolution intact mass spectrometry analysis of protein kinases, such as BTK, that are inhibited by a compound of the present disclosure in which Ra is cyan will reveal a spectrum similar to the kinase in the absence of inhibitor (e.g. , control sample). There will be no formation of a new peak in the mass spectrum that corresponds to the molecular mass of the kinase plus the molecular mass of the compound. Conversely, high-resolution intact mass spectrometry analysis of a protein kinase that is inhibited by a compound of the present disclosure in which Ra is hydrogen or fluorine will reveal the formation of a new peak (e.g., a not present in the control sample without inhibitor) in the mass spectrum corresponding to the molecular mass of the kinase plus the molecular mass of the irreversible kinase inhibitor. Based on this experiment, an irreversible protein adduct will be evident to one skilled in the art.
[00324] Análise de espectro de massa de digestão tríptica da qui- nase Método:[00324] Tryptic kinase digestion mass spectrum analysis Method:
[00325] Uma proteína (10 a 100 pmols) é incubada com um composto e/ou um sal farmaceuticamente aceitável da presente revelação (100 a 1.000 pmols, 10 equiv.) durante 3 h antes da digestão tríptica. A iodoacetamida pode ser usada como o agente alquilante após incubação do composto. É também preparada uma amostra de controle que não utiliza o composto e/ou um sal farmaceuticamente aceitável da presente revelação. Para as digestões trípticas, uma alíquota de 1 μl (3,3 pmols) é diluída com 10 μl de TFA a 0,1% antes de Zip Tipping micro C18 diretamente no alvo MALDI com o uso de ácido alfa ciano-4-hidroxi cinâmico como a matriz de dessorção (5 mg/mol em TFA a 0,1%:Acetonitrila a 50:50) ou Ácido sinapínico como a matriz de dessorção (10 mg/mol em TFA a 0,1%:Acetonitrila a 50:50) (consulte documento sob o n° PCT/US2010/048916).[00325] A protein (10 to 100 pmols) is incubated with a compound and/or a pharmaceutically acceptable salt of the present disclosure (100 to 1,000 pmols, 10 equiv.) for 3 h before tryptic digestion. Iodoacetamide can be used as the alkylating agent after incubating the compound. A control sample is also prepared that does not utilize the compound and/or a pharmaceutically acceptable salt of the present disclosure. For tryptic digestions, a 1 μl (3.3 pmols) aliquot is diluted with 10 μl of 0.1% TFA prior to Zip Tipping micro C18 directly onto the MALDI target using alpha cyano-4-hydroxy cinnamic acid as the desorption matrix (5 mg/mol in 0.1% TFA:Acetonitrile 50:50) or Sinapinic acid as the desorption matrix (10 mg/mol in 0.1% TFA:Acetonitrile 50:50 ) (see document under no. PCT/US2010/048916).
[00326] Resultados: A análise de espectrometria de massa de alta resolução dos fragmentos trípticos de uma quinase que é inibida por um composto e/ou sal farmaceuticamente aceitável da presente revelação em que Ra é ciano, irá revelar um espectro similar à quinase na ausência de inibidor (por exemplo, amostra de controle). Não haverá evidência de quaisquer peptídeos modificados que não estejam presentes na amostra de controle. Com base nesta experiência, nenhum aduto de proteína permanente e irreversível será aparente a um versado na técnica.[00326] Results: High resolution mass spectrometry analysis of the tryptic fragments of a kinase that is inhibited by a compound and/or pharmaceutically acceptable salt of the present disclosure in which Ra is cyano, will reveal a spectrum similar to the kinase in the absence of inhibitor (e.g. control sample). There will be no evidence of any modified peptides that are not present in the control sample. Based on this experiment, no permanent and irreversible protein adducts will be apparent to one skilled in the art.
[00327] Ao contrário, a análise de espectrometria de massa de alta resolução dos fragmentos trípticos de uma quinase que é inibida por compostos da revelação em que Ra é hidrogênio ou flúor, irá revelar um espectro que contém peptídeos modificados que não estão presen- tes na amostra de controle. Com base nesse experimento, adutos de proteína irreversíveis serão evidentes para um versado na técnica. Adicionalmente, com base na massa exata e padrão de fragmentação de MS-MS, a sequência do peptídeo modificado pode ser verificada, mediante a definição do resíduo de cisteína que é o sítio de modificação covalente.[00327] In contrast, high-resolution mass spectrometry analysis of tryptic fragments of a kinase that is inhibited by compounds of the disclosure in which Ra is hydrogen or fluorine, will reveal a spectrum that contains modified peptides that are not present. in the control sample. Based on this experiment, irreversible protein adducts will be evident to one skilled in the art. Additionally, based on the exact mass and MS-MS fragmentation pattern, the sequence of the modified peptide can be verified by defining the cysteine residue that is the site of covalent modification.
[00328] O que se segue é um protocolo que pode ser utilizado para distinguir se um composto exibe uma taxa de dissociação lenta ou inexistente da BTK, como ocorreria tipicamente se uma ligação covalente fosse formada entre o composto e o alvo. A leitura para a dissociação lenta é a capacidade do composto de interesse em bloquear a ligação de uma molécula traçadora fluorescente de alta afinidade ao sítio ativo da quinase, como detectado usando transferência de energia de ressonância de fluorescência de resolução temporal (TR-FRET, do inglês "time-resolved fluorescence resonance energy transfer"). O experimento foi conduzido em um tampão que consiste em Hepes a 50 mM pH 7,5, MgCl2 a 10 mM, Triton X-100 a 0,01% e EGTA a 1 mM.[00328] The following is a protocol that can be used to distinguish whether a compound exhibits a slow or no dissociation rate from BTK, as would typically occur if a covalent bond were formed between the compound and the target. The readout for slow dissociation is the ability of the compound of interest to block the binding of a high-affinity fluorescent tracer molecule to the active site of the kinase, as detected using time-resolved fluorescence resonance energy transfer (TR-FRET, from English "time-resolved fluorescence resonance energy transfer"). The experiment was conducted in a buffer consisting of 50 mM Hepes pH 7.5, 10 mM MgCl2, 0.01% Triton X-100 and 1 mM EGTA.
[00329] A primeira etapa do procedimento foi a incubação de BTK a 500 nM (n.° de catálogo da Invitrogen PV3587) com 1,5 μM de um composto da presente revelação durante 30 min. em um volume de 10 μl. A mistura foi, então, diluída 5 vezes por meio da adição de 40 μl de tampão. Um volume de 10 μl da solução diluída de quinase/composto foi, então, adicionado a um poço de uma placa de 384 poços de volume pequeno (como da Greiner n.° de catálogo 784076). De modo a provar a reversibilidade da interação de ligação quinase-composto, foi preparada uma solução de competição contendo um traçador fluorescente de alta afinidade e um anticorpo acoplado a Európio. Para a BTK, a solução de competição continha Traçador 178 a 1,5 μM (n.° de catálogo da Invitrogen PV5593), o qual é um ligando de alta afinidade patenteado para a BTK acoplado ao fluoróforo AlexaFluor 647. A solução de competição também continha 80 nM de um anticorpo Anti-poli-histidina acoplado a Európio (n.° de catálogo da Invitrogen PV5596) que foi projetado para se ligar ao marcador de purificação de poli-histidina na BTK.[00329] The first step of the procedure was the incubation of BTK at 500 nM (Invitrogen catalog no. PV3587) with 1.5 μM of a compound of the present disclosure for 30 min. in a volume of 10 μl. The mixture was then diluted 5-fold by adding 40 μl of buffer. A 10 μl volume of the diluted kinase/compound solution was then added to one well of a small volume 384-well plate (such as Greiner catalog no. 784076). In order to prove the reversibility of the kinase-compound binding interaction, a competition solution containing a high-affinity fluorescent tracer and an antibody coupled to Europium was prepared. For BTK, the competition solution contained 1.5 μM Tracer 178 (Invitrogen catalog no. PV5593), which is a patented high-affinity ligand for BTK coupled to the AlexaFluor 647 fluorophore. contained 80 nM of a Europium-coupled Anti-polyhistidine antibody (Invitrogen catalog no. PV5596) that was designed to bind to the polyhistidine purification tag on BTK.
[00330] Após a adição de 10 μl da solução de competição à placa Greiner, a mistura foi incubada durante uma hora ou mais para dar tempo para a dissociação de inibidores não covalentes e ligação do traçador de alta afinidade. É esperado que os inibidores covalentes e de dissociação lenta bloqueiem a ligação do traçador enquanto os inibidores não covalentes que se dissociam rapidamente não. A ligação do traçador à BTK é detectada usando TR-FRET entre a fração Európio do anticorpo Anti- histidina e o grupo AlexaFluor 647 do Traçador 178. A ligação foi avaliada com o uso de um instrumento Envision da Perkin Elmer (Modelo 2101) equipado com filtros e espelhos compatíveis com experimentos de TR- FRET do tipo LANCE. Os dados foram representados graficamente como a porcentagem de sinal obtido na ausência do composto competidor. O sinal de fundo foi obtido por omissão da BTK da reação. Se o composto for um inibidor covalente irreversível, o traçador será completamente bloqueado de se ligar ao alvo durante todo o curso do experimento. Se o composto for um inibidor covalente reversível, o traçador se ligará ao alvo quando o composto se dissocia do alvo. Para as medições de durabilidade, a faixa de ocupação para os compostos revelados em 1, 6 e 24 h de eliminação é mostrada abaixo. [00330] After adding 10 μl of the competition solution to the Greiner plate, the mixture was incubated for an hour or more to allow time for dissociation of non-covalent inhibitors and binding of the high-affinity tracer. Covalent and slowly dissociating inhibitors are expected to block tracer binding while non-covalent inhibitors that dissociate rapidly do not. Tracer binding to BTK is detected using TR-FRET between the Europium moiety of the Anti-histidine antibody and the AlexaFluor 647 group of Tracer 178. Binding was assessed using a Perkin Elmer Envision instrument (Model 2101) equipped with filters and mirrors compatible with LANCE-type TR-FRET experiments. Data were represented graphically as the percentage of signal obtained in the absence of the competing compound. The background signal was obtained by omitting BTK from the reaction. If the compound is an irreversible covalent inhibitor, the tracer will be completely blocked from binding to the target throughout the course of the experiment. If the compound is a reversible covalent inhibitor, the tracer will bind to the target when the compound dissociates from the target. For durability measurements, the occupancy range for the compounds revealed at 1, 6, and 24 h of elimination is shown below.
[00331] A abordagem a seguir foi desenvolvida para determinar se um composto forma ligação covalente reversível ou covalente irrever- sível com seus alvos. São preparadas reações com o alvo de proteína a uma concentração mais elevada do que os compostos de interesse. Tanto os compostos covalentes irreversíveis como os reversíveis se ligaram ao alvo e se esgotaram na solução. As reações são, então, tratadas com perturbações incluindo tanto desnaturação com cloridrato de guanidina a 5 M como digestão com tripsina, interrompendo a dobragem adequada do alvo. Será constatado que a perturbação devolveu os compostos covalentes reversíveis à solução devido à dissociação do alvo enquanto os compostos irreversíveis covalentes permaneceram ligados ao alvo. A concentração do composto em solução é avaliada tanto antes como depois da perturbação com o uso de cromatografia líquida de alta resolução (HPLC) acoplada a espetrometria de massa em tandem. Com o uso dessa tecnologia, pode ser demonstrado que o composto covalente irreversível da revelação em que Ra é hidrogênio ou flúor é esgotado na solução tanto no estado nativo como perturbado, enquanto que os compostos revelados no presente documento em que Ra é ciano são esgotados no estado dobrado, mas retornaram à solução após a perturbação do alvo, evidenciando que tais compostos formam ligação covalente reversível.[00331] The following approach was developed to determine whether a compound forms reversible covalent or irreversible covalent bonds with its targets. Reactions are prepared with the protein target at a higher concentration than the compounds of interest. Both irreversible and reversible covalent compounds bound to the target and were depleted in solution. The reactions are then treated with perturbations including both denaturation with 5 M guanidine hydrochloride and trypsin digestion, disrupting proper folding of the target. It will be found that the perturbation returned the reversible covalent compounds to solution due to dissociation from the target while the irreversible covalent compounds remained bound to the target. The concentration of the compound in solution is evaluated both before and after perturbation using high-resolution liquid chromatography (HPLC) coupled to tandem mass spectrometry. Using this technology, it can be demonstrated that the irreversible covalent compound of the disclosure in which Ra is hydrogen or fluorine is depleted in solution in both the native and perturbed state, whereas the compounds disclosed herein in which Ra is cyano are depleted in the folded state, but returned to solution after disturbing the target, showing that such compounds form reversible covalent bonds.
[00332] O que se segue são formulações farmacêuticas representativas contendo um composto da Fórmula (I).[00332] The following are representative pharmaceutical formulations containing a compound of Formula (I).
[00333] Os ingredientes a seguir são misturados intimamente e comprimidos em comprimidos sulcados únicos. [00333] The following ingredients are mixed intimately and compressed into single scored tablets.
[00334] Os ingredientes a seguir são misturados intimamente e car-regados em uma cápsula de gelatina de revestimento duro. [00334] The following ingredients are mixed intimately and loaded into a hard-shelled gelatin capsule.
[00335] O composto da revelação (por exemplo, composto 1) em HPMC a 2%, Tween 80 a 1% em água DI, pH 2,2 com MSA, q.s. até pelo menos 20 mg/ml.[00335] The compound of disclosure (e.g., compound 1) in 2% HPMC, 1% Tween 80 in DI water, pH 2.2 with MSA, q.s. up to at least 20 mg/ml.
[00336] A descrição anterior foi descrita em algum detalhe a título de ilustração e exemplo, para propósitos de clareza e compreensão. Portanto, deve ser entendido que a descrição acima se destina a ser ilustrativa e não restritiva. O escopo da revelação deve, portanto, ser determinado não com referência à descrição acima, mas deve em vez disso ser determinado com referência às reivindicações anexas a seguir, em conjunto com o escopo completo de equivalentes aos quais tais reivindicações estão relacionadas.[00336] The previous description has been described in some detail by way of illustration and example, for purposes of clarity and understanding. Therefore, it should be understood that the above description is intended to be illustrative and not restrictive. The scope of the disclosure must therefore be determined not with reference to the above description, but must instead be determined with reference to the claims appended below, together with the full scope of equivalents to which such claims relate.
Claims (5)
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Application Number | Priority Date | Filing Date | Title |
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US62/170,547 | 2015-06-03 | ||
US62/271,689 | 2015-12-28 |
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BR122021003286B1 true BR122021003286B1 (en) | 2024-05-21 |
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