NZ711123B2 - Pharmaceutical compositions of 7-(6-(2-hydroxypropan-2-yl)pyridin-3-yl)-1-((trans)-4-methoxycyclohexyl)-3,4-dihydropyrazino [2,3-b]pyrazin-2(1h)-one, a solid form thereof and methods of their use - Google Patents

Abstract

Disclosed is a solid form of the compound 7-(6-(2-hydroxypropan-2-yl)pyridin-3-yl)-1-((trans)-4-methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(1H)-one represented by the structural formula shown herein, having an X-ray powder diffraction pattern with one or more peaks expressed in two-theta at approximately 8.3, 8.8, 13.2, 16.5, 17.7, 18.2, 21.7 or 26.5 degrees; and having XRPD peaks at approximately 8.3, 13.2, 18.2 or 21.7 degrees, and a DSC thermogram with an endotherm at a peak temperature of about 199 ºC. at approximately 8.3, 8.8, 13.2, 16.5, 17.7, 18.2, 21.7 or 26.5 degrees; and having XRPD peaks at approximately 8.3, 13.2, 18.2 or 21.7 degrees, and a DSC thermogram with an endotherm at a peak temperature of about 199 ºC.

Description

Patents Form No. 5 N.Z. No. 711123 Divided out of Application No. 625511 NEW ZEALAND s Act 1953 COMPLETE SPECIFICATION PHARMACEUTICAL COMPOSITIONS OF 7-(6-(2-HYDROXYPROPANYL)PYRIDIN YL) ((TRANS)METHOXYCYCLOHEXYL)-3,4-DIHYDROPYRAZINO [2,3-B]PYRAZIN-2(1H)-ONE, A SOLID FORM THEREOF AND METHODS OF THEIR USE We, Signal Pharmaceuticals, LLC, a company of the United States of America of 10300 Campus Point Drive, Suite 100, San Diego, CA 92121 , United States of America, do hereby declare the invention, for which we pray that a patent may be granted to us, and the method by which it is to be performed, to be particularly bed in and by the following statement:- (followed by page 1A) 1A1A PHARMACEUTICAL COMPOSITIONS OF 7-(6-(2-HYDROXYPROPAN YL)PYRIDINYL)—1-((TRANS)METHOXYCYCLOHEXYL)—3,4- DIHYDROPYRAZINO [2,3-B]PYRAZIN-2(1H)—ONE, A SOLID FORM F AND METHODS OF THEIR USE This application claims the benefit of and priority to US. Provisional ation No. 61/566,109, filed December 2, 201 1, US. Provisional Application No. 61/647,288, filed May 15, 2012, US. Provisional Application No.61/653,439, filed May 31, 2012 and US. Provisional Application No. 61/670,419, filed July 11, 2012, the entire contents of each of which are orated herein by nce. 1. FIELD ed herein are compositions of 7-(6-(2-hydroxypropanyl)pyridinyl)- 1-((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(1H)—one, a solid form thereof, isotopologues thereof, and methods of their use for the treatment of a disease, disorder, or condition. 2. BACKGROUND The connection between abnormal protein orylation and the cause or consequence of diseases has been known for over 20 years. Accordingly, protein kinases have become a very important group of drug targets. See Cohen, , 1:309-315 (2002). Various protein kinase inhibitors have been used clinically in treating a wide variety of diseases, such as cancer, chronic inflammatory diseases, diabetes, and stroke. See Cohen, Eur. J. Biochem., 268:5001-5010 (2001), Protein Kinase Inhibitorsfor the Treatment osz'sease.‘ The Promise and the Problems, Handbook of Experimental Pharmacology, Springer Berlin Heidelberg, 167 (2005).

The elucidation of the intricacy of protein kinase ys and the complexity of the relationship and interaction among and between the various n kinases and kinase pathways highlights the importance of developing pharmaceutical agents capable of acting as protein kinase modulators, regulators, or inhibitors that have beneficial actiVity on multiple kinases or multiple kinase pathways. Accordingly, there remains a need for new kinase modulators.

The protein named mTOR (mammalian target of rapamycin), also known as FRAP, RAFTI or RAPTl , is a Ser/Thr protein kinase d to the lipid kinases of the phosphoinositide 3-kinase (PI3K) family. It functions as a sensor of mitogen, energy, and nutrient levels; and is a central ller of cell growth. mTOR has been shown to be one of the most critical proteins in the mTOlVPBK/Akt pathway that regulates cell growth and proliferation. Georgakis and Younes, Expert Rev. Anticancer Ther. 6(1): 13 1-140 (2006). mTOR exists in two complexes, mammalian target of rapamycin complex 1 (mTORCl) which xes with raptor, and mammalian target of rapamycin complex 2 2) which complexes with rictor. While mTORCl is sensitive to rapamycin analogs (such as temsirolimus or everolimus), mTORC2 is largely rapamycin-insensitive (Kim et al., Cell : 163-175 (2002); Sarbassov et al., Science 307: 1098-1 101 ). .

Several mTOR tors have been or are being evaluated in clinical trials for the treatment of cancer. For example, temsirolimus was approved for use in renal cell carcinoma in 2007 and sirolimus was approved in 1999 for the prophylaxis of renal transplant rejection. Everolimus was approved in 2009 for renal cell carcinoma ts that have progressed on vascular endothelial growth factor receptor inhibitors, in 2010 for ndymal giant cell ytoma (SEGA) associated with tuberous sclerosis (TS) in patients who require therapy but are not candidates for surgical resection, and in 2011 for progressive neuroendocrine tumors of pancreatic origin (PNET) in patients with unresectable, locally advanced or metastatic disease. The interesting but limited clinical success of these mTORCl compounds demonstrates the usefulness ofmTOR inhibitors in the treatment of cancer and transplant rejection, and the increased potential for compounds with both mTORCl and mTORC2 inhibitory actiVity.

The ation and selection of a solid form of a pharmaceutical compound are x, given that a change in the solid form may affect a variety of physical and chemical properties of the compound, which may in turn provide benefits or drawbacks in processing, formulation, stability, and bioavailability of the compound. Potential pharmaceutical solids include crystalline solids and amorphous solids. An amorphous solid is characterized by a lack of long-range structural order, s a crystalline solid is characterized by structural icity. The desired class of pharmaceutical solids depends upon the specific application; an amorphous solid is sometimes selected on the basis of, e.g., an enhanced dissolution profile, while a crystalline solid may be desirable for properties, such as physical or chemical stability.

See Vippagunta et al., Adv. Drug. Deliv. Rev., 483-26 (2001); Yu, Adv. Drug. Deliv. Rev., 42 (2001).

Whether crystalline or ous, potential solid forms of a pharmaceutical compound may include single-component solids. A single-component solid contains essentially the pharmaceutical compound in the absence of other compounds. Variety among single-component crystalline materials may potentially arise, e.g. , from the phenomenon of polymorphism, wherein multiple three-dimensional arrangements exist for a single pharmaceutical compound. See Bym et al., Solid State Chemistry of Drugs, SSCI, West Lafayette (1999). The importance of polymorphs in pharmaceuticals was underscored by the case of Ritonavir, an HIV protease inhibitor that was formulated as soft gelatin es. About two years after the product was launched, the unanticipated precipitation of a new, less soluble polymorph in the formulation necessitated the withdrawal of the t from the market until a more consistent formulation could be ped. See Chemburkar et al., Org. Process Res.

Dev., 4:413-417 (2000). y, it is not possible to predict a priori if crystalline forms of a compound even exist, let alone how to successfully prepare them (see, e.g., Braga and Grepioni, 2005, “Making crystals from crystals: a green route to l engineering and polymorphism,” Chem.

Commun. :3635-3645 (with t to crystal engineering, if instructions are not very precise and/or if other external factors affect the process, the result can be unpredictable); Jones et al., 2006, Pharmaceutical Cocrystals: An Emerging Approach to Physical Property Enhancement,” MRS in -879 (At present it is not generally possible to computationally predict the number of observable polymorphs of even the simplest molecules); Price, 2004, “The 4 wed by page 4A) computational prediction of pharmaceutical crystal structures and polymorphism,” Advanced Drug Delivery Reviews 56:301-319 (“Price”); and Bernstein, 2004, “Crystal Structure Prediction and Polymorphism,” ACA Transactions 39:14-23 (a great deal still needs to be learned and done before one can state with any degree of ence the ability to predict a l structure, much less polymorphic forms)). The preparation of solid forms is of great importance in the development of a safe, ive, stable, and able pharmaceutical compound.

Citation or identification of any references in this disclosure is not to be construed as an admission that the references are prior art to this disclosure. 1. SUMMARY Provided herein are compositions of 7-(6-(2-hydroxypropanyl)pyridin yl)((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(1H)-one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form thereof. In one embodiment, the solid form is lline. In another embodiment, the solid form is a singlecomponent crystalline form of 7-(6-(2-hydroxypropanyl)pyridinyl)((trans) methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(1H)-one. In yet another embodiment, the solid form is crystalline Form A of 2-hydroxypropanyl)pyridin yl)((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(1H)-one having an X-ray powder diffraction pattern with one or more peaks expressed in two-theta at approximately 8.3, 8.8, 13.2, 16.5, 17.7, 18.2, 21.7 or 26.5 degrees. [0011A] A pharmaceutical composition comprising an effective amount of 7-(6-(2 hydroxypropanyl)pyridinyl)((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3- zin-2(1H)-one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form thereof, stearic acid and lactose monohydrate, wherein the the metabolite is the O- desmethyl metabolite having the structure: 4A (Followed by page 5) N N N O N N is claimed in the parent patent NZ 625511. Other embodiments of the invention may be claimed in one or more onal applications.

In yet another embodiment, the solid form is a hydrate. In yet another embodiment, the solid form is hydrate Form B of 7-(6-(2-hydroxypropanyl)pyridinyl)- 1-((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(1H)-one.

In yet another embodiment, the solid form is anhydrous. In yet another embodiment, the solid form is ous Form C of 7-(6-(2-hydroxypropanyl)pyridin yl)((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(1H)-one.

In yet another embodiment, the solid form is a solvate. In yet another ment, the solid form is methanol solvate Form D of 7-(6-(2-hydroxypropan yl)pyridinyl)((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(1H)- one.

In yet another embodiment, the solid form is a pinacol co-crystal of 2- hydroxypropanyl)pyridin-3 -yl)- l -((trans)methoxycyclohexyl)-3 ydropyrazino [2,3 - b]pyrazin-2(lH)—one.

In another embodiment, the isotopologue is enriched in C, 14C and/or 2H. t intending to be limited by any particular theory, a solid form provided herein has ular advantageous physical and/or chemical properties making them useful, e. g., for manufacturing, processing, formulation and/or storage, While also possessing ularly advantageous biological properties, such as, e.g. , bioavailability and/or biological activity.

Also provided herein are pharmaceutical compositions comprising 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one, or a pharmaceutically acceptable salt, ologue, metabolite or solid form thereof, and one or more pharmaceutically acceptable excipients.

In one embodiment, the pharmaceutical composition comprises a solid form of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydro- pyrazino[2,3-b]pyrazin-2(lH)—one, and one or more pharmaceutically acceptable excipients.

In one embodiment, the pharmaceutical composition comprises Form A of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3-b]pyrazin-2(lH)—one, and one or more pharmaceutically acceptable excipients In one embodiment, the pharmaceutical composition comprises Form B of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3-b]pyrazin-2(lH)—one, and one or more pharmaceutically acceptable excipients.

In one embodiment, the pharmaceutical composition comprises Form C of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l ns)—4-methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3-b]pyrazin-2(lH)—one, and one or more pharmaceutically able ents.

In one embodiment, the pharmaceutical composition comprises Form D of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l ns)—4-methoxycyclohexyl)-3 ,4-dihydro- pyrazino[2,3-b]pyrazin-2(lH)—one, and one or more pharmaceutically acceptable excipients.

In one embodiment, the pharmaceutical composition comprises a pinacol co- crystal of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)methoxycyclohexyl)-3 ,4- o-pyrazino[2,3-b]pyrazin-2(lH)-one, and one or more pharmaceutically acceptable ents.

In another embodiment, the pharmaceutical composition comprises an isotopologue of 7-(6-(2-hydroxypropanyl)pyridinyl)-l-((trans)methoxycyclohexyl)— 3,4-dihydro-pyrazino[2,3-b]pyrazin-2(lH)-one, and one ore more pharmaceutically acceptable excipients. 13 In one embodiment, the isotopologue is enriched in C, 14C and/or 2H.

Additionally, provided herein are ologues of 2-hydroxypropan yl)pyridinyl)- l -((trans)methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3 -b]pyrazin-2(1H)- one itself, including isotopologues ed in 13C, 14C and/or 2H, including those set forth herein.

Additionally, provided herein is are methods of treating or preventing a disease, disorder, or condition in a subject, which comprises stering to the subject a therapeutically effective amount of a composition of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l-((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one, or a pharmaceutically acceptable salt, ologue, metabolite or solid form thereof In certain embodiments, the disease, disorder, or condition is cancer, inflammatory conditions, immunological ions, neurodegenerative diseases, diabetes, obesity, neurological disorders, age-related es, and/or cardiovascular conditions, and/or conditions treatable or preventable by inhibition of a kinase pathway. In one ment, the kinase pathway is the mTOlVPI3K/Akt pathway.

Provided herein are methods of treating or preventing a disease, disorder, or condition in a subject, which comprise inhibiting a kinase pathway in said subject with a metabolite of 7-(6-(2-hydroxypropanyl)pyridinyl)-l-((trans)methoxycyclohexyl)-3,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one. In certain embodiments, the metabolite is the O-desmethyl metabolite (having the name l-((lr,4r)—4-hydroxycyclohexyl)(6-(2- hydroxypropanyl)pyridinyl)-3 ,4-dihydropyrazino[2,3-b]pyrazin-2( l H)—one). In certain embodiments, the disease, disorder, or condition is cancer, inflammatory conditions, immunological conditions, neurodegenerative diseases, diabetes, obesity, neurological disorders, age-related diseases, and/or cardiovascular conditions, and/or conditions treatable or preventable by tion of a kinase pathway. In one embodiment, the kinase pathway is the mTOlVPI3K/Akt pathway. ed herein are methods of treating or preventing a disease, disorder, or condition in a t, which comprise administering an effective amount of a compound that provides a metabolite of 7-(6-(2-hydroxypropanyl)pyridinyl)-l-((trans)—4- methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one upon administration to said patient. In certain embodiments, the metabolite is the O-desmethyl metabolite (having the name l-(( l r,4r)hydroxycyclohexyl)(6-(2-hydroxypropanyl)pyridin-3 -yl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one). In certain embodiments, the disease, disorder, or condition is cancer, inflammatory ions, immunological conditions, neurodegenerative diseases, es, obesity, neurological disorders, age-related diseases, and/or cardiovascular conditions, and/or conditions treatable or preventable by inhibition of a kinase y. In one embodiment, the kinase pathway is the I3K/Akt pathway.

In one embodiment, the method comprises administering to the t a therapeutically effective amount of Form A of 7-(6-(2—hydroxypropanyl)pyridinyl)-l- ((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method comprises administering to the subject a therapeutically effective amount of Form B of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)-l- ((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method comprises administering to the subj ect a therapeutically effective amount of Form C of 2-hydroxypropanyl)pyridin-3 - ((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method comprises administering to the subj ect a therapeutically effective amount of Form D of 7-(6-(2—hydroxypropanyl)pyridinyl)-l- ((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method comprises administering to the subject a therapeutically effective amount of a pinacol stal of 7-(6-(2-hydroxypropanyl)pyridinyl)— l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3 -b]pyrazin-2( lH)-one.

In another embodiment, the method comprises administering to the subject a therapeutically effective amount of an isotopologue of 2-hydroxypropanyl)pyridin yl)-l-((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one. In one ment, the isotopologue is enriched in 13 C, 14C and/or 2H.

Further provided herein is are methods of treating or preventing a proliferative disease in a subject, which comprises administering to the t a therapeutically effective amount of a composition of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)-l-((trans)—4- methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form f.

In one embodiment, the method comprises administering to the subject a therapeutically effective amount of Form A of 7-(6-(2—hydroxypropanyl)pyridinyl)-l- ((trans)methoxycyclohexyl)-3,4-dihydro-pyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method comprises administering to the subject a therapeutically effective amount of Form B of 2-hydroxypropanyl)pyridin-3 -yl)-l- ((trans)methoxycyclohexyl)-3,4-dihydro-pyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method ses administering to the subj ect a therapeutically effective amount of Form C of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)-l- ((trans)methoxycyclohexyl)-3,4-dihydro-pyrazino[2,3-b]pyrazin-2(lH)-one.

In one ment, the method comprises administering to the subj ect a therapeutically effective amount of Form D of 7-(6-(2—hydroxypropanyl)pyridinyl)-l- ((trans)methoxycyclohexyl)-3,4-dihydro-pyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method comprises administering to the subject a therapeutically effective amount of a l co-crystal of 7-(6-(2-hydroxypropanyl)pyridinyl)— l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3 -b]pyrazin-2( lH)-one.

In another embodiment, the method comprises administering to the subject a therapeutically ive amount of an isotopologue of 7-(6-(2-hydroxypropanyl)pyridin ((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one. In one embodiment, the isotopologue is enriched in 13 C, 14C and/or 2H.

Provided herein are methods of ng or preventing an mTOR-mediated disease in a subject, which comprises administering to the subject a therapeutically effective amount of a composition of 2-hydroxypropanyl)pyridin-3 -yl)-l-((trans)—4- ycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form thereof.

In one embodiment, the method comprises administering to the t a therapeutically effective amount of Form A of 7-(6-(2—hydroxypropanyl)pyridinyl)-l- ((trans)methoxycyclohexyl)-3,4-dihydro-pyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method comprises administering to the t a therapeutically effective amount of Form B of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)-l- ((trans)methoxycyclohexyl)-3,4-dihydro-pyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method comprises administering to the subj ect a therapeutically effective amount of Form C of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)-l- ((trans)methoxycyclohexyl)-3,4-dihydro-pyrazino[2,3-b]pyrazin-2(lH)-one.

In one ment, the method comprises administering to the subj ect a therapeutically effective amount of Form D of 7-(6-(2—hydroxypropanyl)pyridinyl)-l- ((trans)methoxycyclohexyl)-3,4-dihydro-pyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method comprises administering to the subject a therapeutically effective amount of a pinacol co-crystal of 2-hydroxypropanyl)pyridinyl)— l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3 -b]pyrazin-2( lH)-one.

In another embodiment, the method comprises administering to the subject a therapeutically effective amount of an isotopologue of 7-(6-(2-hydroxypropanyl)pyridin yl)-l-((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one. In one embodiment, the isotopologue is enriched in 13 C, 14C and/or 2H.

Provided herein are methods of inhibiting the growth of a cell, comprising contacting the cell with a composition of 7-(6-(2-hydroxypropanyl)pyridinyl)-l-((trans)— 4-methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one, or a pharmaceutically able salt, isotopologue, lite or solid form thereof.

In one embodiment, the method comprises ting the cell with Form A of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method comprises contacting the cell with Form B of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method comprises contacting the cell with Form C of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method comprises ting the cell with Form D of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method comprises contacting the cell with a pinacol co- crystal of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)methoxycyclohexyl)-3 ,4- dihydro-pyrazino[2,3-b]pyrazin-2(lH)-one.

In another embodiment, the method comprises contacting a cell with an isotopologue of 2-hydroxypropanyl)pyridinyl)-l-((trans)methoxycyclohexyl)— 3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one. In one embodiment, the isotopologue is enriched in 13C, 14C and/or 2H.

Provided herein are methods of modulating the activity of TOR kinase, comprising contacting TOR kinase with a composition of 7-(6-(2-hydroxypropanyl)pyridin- 3-yl)— l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydropyrazino[2,3-b]pyrazin-2( lH)-one, or a pharmaceutically acceptable salt, isotopologue, metabolite, or solid form thereof.

In one embodiment, the method ses ting TOR kinase with Form A of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)— l -((trans)—4-methoxycyclohexyl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method comprises contacting TOR kinase with Form B of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method comprises contacting TOR kinase with Form C of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method comprises contacting TOR kinase with Form D of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method comprises contacting TOR kinase with a pinacol co-crystal of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)methoxycyclohexyl)-3 ,4- dihydro-pyrazino[2,3-b]pyrazin-2(lH)-one.

In another embodiment, the method comprises the method comprises ting TOR kinase with an isotopologue of 7-(6-(2-hydroxypropanyl)pyridinyl)-l-((trans) methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one. In one embodiment, the isotopologue is enriched in 13C, 14C and/or 2H.

Provided herein are methods for ng or preventing a solid tumor, non- Hodgkin lymphoma or multiple myeloma comprising administering an ive amount of a composition of 7-(6-(2-hydroxypropanyl)pyridinyl)- l -((trans)—4-methoxycyclohexyl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one, isotopologue, metabolite or a pharmaceutically acceptable salt or solid form thereof, to a t having a solid tumor, non-Hodgkin lymphoma or multiple myeloma.

In one ment, the method comprises administering to the subject a eutically effective amount of Form A of 7-(6-(2—hydroxypropanyl)pyridinyl)-l- ((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one.

In one ment, the method comprises administering to the subject a therapeutically effective amount of Form B of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)-l- ((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method comprises administering to the subject a therapeutically effective amount of Form C of 7-(6-(2-hydroxypropanyl)pyridin-3 - s)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method ses administering to the subj ect a therapeutically ive amount of Form D of 7-(6-(2—hydroxypropanyl)pyridinyl)-l- ((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method comprises administering to the subject a therapeutically effective amount of a pinacol co-crystal of 7-(6-(2-hydroxypropanyl)pyridinyl)— l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3 -b]pyrazin-2( lH)-one.

In another embodiment, the method comprises administering to the subject a therapeutically ive amount of an isotopologue of 7-(6-(2-hydroxypropanyl)pyridin yl)-l-((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one. In one embodiment, the isotopologue is enriched in 13 C, 14C and/or 2H.

In certain embodiments, provided herein are methods for achieving a Response Evaluation Criteria in Solid Tumors (RECIST 1.1) of complete response, partial response or stable disease, improving the International Workshop Criteria (IWC) for NHL, ational Uniform Response Criteria for Multiple Myeloma (IURC), Eastern Cooperative Oncology Group Performance Status (ECOG) or Response ment for Neuro-Oncology (RANO) Working Group for GBM sing administering an effective amount of a composition of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3-b]pyrazin-2(lH)—one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form thereof to a subject having a solid tumor, non-Hodgkin lymphoma or multiple myeloma In one embodiment, the method ses administering to the subject a therapeutically effective amount of Form A of 7-(6-(2—hydroxypropanyl)pyridinyl)-l- ((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method comprises administering to the subject a therapeutically ive amount of Form B of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)-l- ((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method comprises stering to the subject a therapeutically effective amount of Form C of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)-l- ((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method comprises administering to the subj ect a therapeutically effective amount of Form D of 7-(6-(2—hydroxypropanyl)pyridinyl)-l- ((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one.

In one embodiment, the method comprises administering to the subject a therapeutically effective amount of a pinacol co-crystal of 2-hydroxypropanyl)pyridinyl)- l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3 -b]pyrazin-2( lH)-one.

In another embodiment, the method comprises administering to the subject a therapeutically effective amount of an isotopologue of 7-(6-(2-hydroxypropanyl)pyridin yl)-l-((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one. In one ment, the isotopologue is enriched in 13 C, 14C and/or 2H.

In n embodiments, provided herein are methods for making Form A of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydro- pyrazino[2,3-b]pyrazin-2(lH)—one, comprising ving ous 7-(6-(2—hydroxypropan- 2-yl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydro-pyrazino [2,3 -b]pyrazin-2( lH)- one in toluene, MTBE (methyl tert-butyl , DIPE (diisopropyl ether), THF (tetrahydrofuran), DME (dimethoxyethane), IPAc (isopropyl acetate), EtOAc (ethyl e), MIBK (methyl isobutyl ketone), acetone, IPA (isopropyl alcohol), ethanol, ACN (acetonitrile), nitromethane, or ter (95 :5) and allowing the resulting solution to evaporate at room temperature.

In certain embodiments, provided herein are methods for making Form A of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3-b]pyrazin-2(lH)—one, comprising dissolving 7-(6-(2-hydroxypropanyl)pyridin- 3-yl)- l -((trans)—4-methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one in a mixture of BHT (butylated hydroxytoluene), IPA and water, heating and then cooling to room temperature.

In certain embodiments, provided herein are methods for making Form A of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3-b]pyrazin-2(lH)—one, comprising ving 7-(6-(2-hydroxypropanyl)pyridin- 3-yl)— l -((trans)—4-methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one in a mixture of BHT and MeOAc (methyl acetate), heating, cooling to room temperature, ling under vacuum and ting with n-heptane.

In certain ments, provided herein are methods for making Form B of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3-b]pyrazin-2(lH)—one, comprising dissolving 7-(6-(2-hydroxypropanyl)pyridin- 3-yl)— l -((trans)—4-methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one in a mixture of BHT, IPA and water, g e and adding water, cooling the mixture, collecting by filtration, washing with IPA & water, and drying. In certain embodiments, this process fiarther comprises adding a small amount of Form B in water to the mixture of 2- hydroxypropanyl)pyridin-3 -yl)- l -((trans)methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3 - b]pyrazin-2(lH)—one in BHT, IPA and water.

In certain embodiments, provided herein are methods for making Form C of 2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydropyrazino ]pyrazin-2(lH)—one, comprising dissolving 7-(6-(2-hydroxypropanyl)pyridin- 3-yl)— l -((trans)—4-methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one in a mixture of BHT, MeOH, distilling to remove MeOH, further distillation with IPA, cooling the mixture, collecting by filtration, washing with IPA and drying.

In certain embodiments, provided herein are methods for making Form D of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydro- pyrazino[2,3-b]pyrazin-2(lH)—one, comprising ving 7-(6-(2-hydroxypropanyl)pyridin- 3-yl)— l -((trans)—4-methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one in a mixture ofBHT in MeOH, heating, then cooling with stirring, collection by filtration, washing and drying.

In certain embodiments, provided herein are methods for making a pinacol co- crystal of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)methoxycyclohexyl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one, comprising mixing 7-(6-(2-hydroxypropan yl)pyridinyl)- l -((trans)methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3 -b]pyrazin-2(1H)- one with pinacol in solution, heating until solids are dissolved, distilling said solution and seeding with a pinacol co-crystal of 2-hydroxypropanyl)pyridin-3 -yl)-l-((trans) methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one.

In certain embodiments, provided herein are methods for preparing a composition ed herein, comprising: (i) weighing out the desired amount of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3-b]pyrazin-2(lH)—one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form f and the desired amount of excipients; (ii) mixing or ng 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3-b]pyrazin-2(lH)—one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form thereof and the excipients; (iii) passing the mixture of 7-(6-(2— ypropanyl)pyridin-3 -yl)- l -((trans)methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3-b]pyrazin-2(lH)—one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form thereof and ents through a screen; (iv) mixing or ng 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3-b]pyrazin-2(lH)—one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form thereof and the excipients; (v) weighing out the desired amount of lubricating agents; (vi) passing the lubricating agents through a screen; (vii) mixing or blending 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3-b]pyrazin-2(lH)—one, or a pharmaceutically acceptable salt, isotopologue, lite or solid form thereof, the excipients and the lubricating agents; (viii) compressing the mixture of 7-(6-(2-hydroxypropanyl)pyridinyl)-l-((trans)methoxycyclohexyl)-3,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one, or a ceutically acceptable salt, isotopologue, metabolite or solid form thereof, the ents and the ating agents; and (ix) coating the compressed mixture of 7-(6-(2-hydroxypropanyl)pyridinyl)-l-((trans)—4- methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form thereof, the excipients and the lubricating agents.

In certain embodiments, provided herein are methods for ing a ition provided herein, comprising: (i) weighing out the desired amount of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ydropyrazino [2,3-b]pyrazin-2(lH)—one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form thereof and the desired amount of excipients; (ii) passing the excipients through a screen; (iii) mixing or blending 2-hydroxypropanyl)pyridinyl)—l-((trans)— 4-methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one, or a pharmaceutically able salt, isotopologue, metabolite or solid form thereof and the excipients; (iv) passing the mixture of 7-(6-(2-hydroxypropanyl)pyridinyl)-l-((trans)methoxycyclohexyl)-3,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one, or a pharmaceutically acceptable salt, isotopologue, lite or solid form thereof and ents through a ; (v) mixing or ng 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l ns)—4-methoxycyclohexyl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form thereof and the excipients; (vi) weighing out the desired amount of lubricating agents; (vii) passing the ating agents through a screen; (viii) mixing or blending 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form thereof, the excipients and the lubricating agents; (ix) compressing the mixture of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)— l -((trans)—4-methoxycyclohexyl)-3,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form thereof, the excipients and the lubricating agents; and (x) coating the compressed mixture of 7-(6-(2-hydroxypropanyl)pyridinyl)-l-((trans)—4- methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form thereof, the excipients and the lubricating agents. 4. BRIEF DESCRIPTION OF THE DRAWINGS depicts an X-ray powder diffractogram of Form A of 2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one. depicts polar light microscopy photographs of Form A of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one. depicts a thermograVimetric thermogram (top) and a differential scanning calorimetric thermogram (bottom) of Form A of 7-(6-(2-hydroxypropanyl)pyridinyl)-l- ((trans)methoxycyclohexyl)—3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one. depicts kinetic (top) and isotherm (bottom) DVS curves of Form A of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one. dipicts dissolution profiles of 20 mg tablets of Form A of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4- opyrazino[2,3-b]pyrazin-2(lH)—one (Core vs Coated). depicts a differential scanning metric (DSC) thermogram of a pinacol co-crystal of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4- methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one. depicts an X-ray powder diffractogram of a pinacol co-crystal of 2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one. provides plasma concentration-time profiles in healthy adult males stered a single 20 mg oral dose of Compound A. s an X-ray powder diffractogram of Form B of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one. depicts a differential ng calorimetric (DSC) thermogram of Form B of 7-(6-(2-hydroxypropanyl)pyridinyl)- l -((trans)—4-methoxycyclohexyl)—3,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one.

FIG. ll depicts an X-ray powder diffractogram of Form C of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one. depicts a differential scanning calorimetric (DSC) thermogram of Form C of 7-(6-(2-hydroxypropanyl)pyridinyl)-l-((trans)methoxycyclohexyl)-3,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one. depicts a differential scanning calorimetric (DSC) thermogram of Form D of 7-(6-(2-hydroxypropanyl)pyridinyl)-l-((trans)methoxycyclohexyl)-3,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one. depicts an X-ray powder diffractogram of Form D of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one.

. DETAILED DESCRIPTION .1 DEFINITIONS To facilitate tanding of the disclosure set forth herein, a number of terms are defined below.

Generally, the nomenclature used herein and the laboratory procedures in organic try, nal try, and pharmacology described herein are those well known and commonly employed in the art. Unless def1ned otherwise, all technical and scientific terms used herein generally have the same meaning as commonly tood by one of ordinary skill in the art to which this disclosure belongs.

It should be noted that if there is a discrepancy n a depicted structure and a name given that structure, the depicted structure is to be accorded more weight. In addition, if the stereochemistry of a structure or a portion of a structure is not indicated with, for e, bold or dashed lines, the structure or portion of the structure is to be interpreted as encompassing all stereoisomers of it.

The term “Compound A” refers to 7-(6-(2-hydroxypropanyl)pyridinyl)-l- ((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one, also haVing the chemical names 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -(( lr,4r)—4-methoxycyclohexyl)- 3 ,4-dihydropyrazino[2,3 -b]pyrazin-2( l H)-one and 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l - (( l R* 4-methoxycyclohexyl)—3 ,4-dihydropyrazino [2,3 -b]pyrazin-2( l H)—one, which has the following structure: I : N / N N o I I T N N including pharmaceutically acceptable salts, isotopologues, solid forms and metabolites thereof.

Compound A can be prepared according to the methods described in US. Pat.

Appl. Publ. Nos. 2010/0216781 and 2011/0137028, the sure of each of which is incorporated herein by reference in its entirety. Compound A can also be synthesized ing to other methods apparent to those of skill in the art based upon the teaching herein.

The term “subject” refers to an animal, including, but not limited to, a primate (e.g., human), cow, pig, sheep, goat, horse, dog, cat, rabbit, rat, or mouse. The terms “subject” and nt” are used herein interchangeably in reference, for example, to a mammalian t, such as a human t, in one embodiment, a human. In one embodiment, the subject has or is susceptible to having a disease, disorder, or condition provided herein.

The term ,” “treating,” or “treatment” means an alleviation, in whole or in part, of a disease, disorder, or condition ed herein, or one or more symptoms associated with the disease, disorder, or condition, or slowing, or halting of further progression or worsening of the disease, disorder, or condition, or one or more symptoms associated with the disease, disorder, or condition.

The term “prevent,” “preventing,” or “prevention” means prevention of the onset, recurrence, or spread of a disease, disorder, or condition ed herein, or one or more symptoms associated with the disease, disorder, or condition, in a subject at risk for developing the disease, er, or condition.

The term “effective amount” or “therapeutically effective amount” refers to, in one embodiment, an amount of Compound A capable of alleviating, in whole or in part, one or more symptoms associated with a disease, disorder, or condition provided herein, or slowing or halting further progression or worsening of one or more of the symptoms of the disease, er, or condition; in another ment, an amount capable of preventing or providing prophylaxis for the disease, disorder, or condition in a subject at risk for developing the disease, disorder, or condition, such as cancer, inflammatory conditions, immunological conditions, neurodegenerative diseases, es, obesity, neurological disorders, age-related diseases, and/or cardiovascular conditions, and/or diseases, ers, and ions treatable or preventable by inhibition of a kinase pathway, for example, the mTOlVPI3K/Akt y. In one ment, an effective amount of a compound is an amount that inhibits a kinase in a cell, such as, for example, in vitro or in vivo. In one embodiment the kinase is TOR kinase. In certain embodiments, the effective amount of a compound ts the kinase in a cell by about %, about 20%, about 30%, about 40%, about 50%, about 60%, about 70%, about 80%, about 90%, or about 99%, compared to the activity of the kinase in an untreated cell. In one embodiment, “effective ” refers to the amount of Compound A capable of alleviating, in whole or in part, symptoms associated with a solid tumor (for example, a neuroendocrine tumor, non-small cell lung cancer, glioblastoma multiforme, cellular carcinoma, breast cancer, colorectal cancer, salivary cancer, pancreatic cancer, adenocystic cancer, adrenal cancer, esophageal , renal cancer, leiomyosarcoma, or paraganglioma, including advanced solid tumors), non-Hodgkin lymphoma or multiple myeloma, or slowing or g further progression or ing of those symptoms, or treating or preventing a solid tumor (for example, a neuroendocrine tumor, all cell lung cancer, glioblastoma multiforme, hepatocellular carcinoma, breast cancer, colorectal cancer, salivary cancer, pancreatic cancer, adenocystic cancer, adrenal , esophageal cancer, renal cancer, leiomyosarcoma, or paraganglioma), non-Hodgkin lymphoma or multiple myeloma in a subject having or at risk for having a solid tumor, non-Hodgkin lymphoma or multiple a. As will be apparent to those skilled in the art, it is to be expected that the effective amount of a compound disclosed herein may vary depending on the indication being treated, e.g. the effective amount of the compound would likely be different for treating patients suffering from, or at risk for, inflammatory conditions ve to the effective amount of the compound for treating patients suffering from, or at risk of, a different disorder, e.g., a disorder provided herein.

In the context of a solid tumor (for example, a neuroendocrine tumor, non-small cell lung cancer, glioblastoma multiforme, cellular carcinoma, breast cancer, colorectal cancer, salivary cancer, pancreatic cancer, adenocystic cancer, adrenal cancer, esophageal cancer, renal cancer, leiomyosarcoma, or paraganglioma, including advanced solid tumors), dgkin lymphoma or multiple myeloma, inhibition may be assessed by inhibition or ing of disease progression, inhibition of tumor growth, reduction or regression of primary and/or secondary tumor (s), relief of tumor-related symptoms, ement in y of life, inhibition of tumor secreted factors ding tumor secreted hormones, such as those that contribute to carcinoid syndrome), reductions in endocrine hormone markers (for e, chromogranin, n, serotonin, and/or glucagon), delayed appearance or ence of y or secondary tumors, slowed development of primary and/or secondary tumors, decreased occurrence of primary and/or ary tumors, slowed or decreased severity of secondary effects of disease, arrested tumor growth and/or regression of tumors, increased Time To Progression (TTP), increased Progression Free Survival (PFS), sed Overall Survival (OS), among others. OS as used herein means the time from randomization until death from any cause, and is measured in the intent-to-treat population. TTP as used herein means the time from randomization until objective tumor progression; TTP does not include deaths. As used herein, PFS means the time from randomization until objective tumor progression or death. In one embodiment, PFS rates will be computed using the Kaplan-Meier estimates. In the extreme, complete tion, is referred to herein as prevention or chemoprevention. In this context, the term “prevention” includes either ting the onset of clinically evident solid tumor (for example, a neuroendocrine tumor, non-small cell lung cancer, astoma multiforme, hepatocellular carcinoma, breast , colorectal cancer, salivary cancer, pancreatic cancer, adenocystic cancer, adrenal cancer, esophageal cancer, renal cancer, leiomyosarcoma, or paraganglioma, including advanced solid tumors), non-Hodgkin ma or multiple myeloma altogether or preventing the onset of a preclinically evident stage of a solid tumor (for example, a neuroendocrine tumor, all cell lung cancer, glioblastoma multiforme, hepatocellular carcinoma, breast cancer, colorectal cancer, salivary cancer, pancreatic , adenocystic , adrenal cancer, esophageal cancer, renal cancer, leiomyosarcoma, or paraganglioma, including ed solid tumors), non-Hodgkin lymphoma or multiple myeloma. Also intended to be assed by this definition is the prevention of transformation into malignant cells or to arrest or reverse the progression of premalignant cells to malignant cells. This includes prophylactic treatment of those at risk of developing a solid tumor (for example, a neuroendocrine tumor, non-small cell lung cancer, glioblastoma multiforme, hepatocellular oma, breast cancer, colorectal cancer, salivary cancer, pancreatic cancer, adenocystic cancer, adrenal cancer, esophageal cancer, renal cancer, leiomyosarcoma, or paraganglioma, including advanced solid tumors), non-Hodgkin lymphoma or multiple myeloma.

] The term “cancer” refers to any of various malignant neoplasms characterized by the proliferation of cells that can invade surrounding tissue and metastasize to new body sites.

Both benign and malignant tumors are classified ing to the type of tissue in which they are found. For example, f1bromas are neoplasms of fibrous tive tissue, and melanomas are abnormal growths of pigment (melanin) cells. Malignant tumors originating from epithelial tissue, e.g., in skin, bronchi, and stomach, are termed carcinomas. Malignancies of lial glandular tissue such as are found in the breast, prostate, and colon, are known as adenocarcinomas. Malignant growths of connective tissue, e.g., muscle, cartilage, lymph tissue, and bone, are called sarcomas. Lymphomas and leukemias are ancies arising among white blood cells. Through the process of metastasis, tumor cell migration to other areas of the body establishes neoplasms in areas away from the site of initial appearance. Bone tissues are one of the most favored sites of metastases of ant , occurring in about 30% of all cancer cases. Among malignant tumors, cancers of the lung, breast, prostate or the like are particularly known to be likely to metastasize to bone.

An “advanced solid tumor” as used herein, means a solid tumor that has spread locally, or metastasized or spread to another part of the body.

In certain embodiments, the treatment may be assessed by Response Evaluation Criteria in Solid Tumors (RECIST 1.1) (see Thereasse P., et al. New ines to Evaluate the Response to Treatment in Solid Tumors. J. of the National Cancer Institute; 2000; (92) 205-216 and Eisenhauer E.A., Therasse P., ts J., et al. New response evaluation criteria in solid tumours: Revised RECIST guideline (version 1.1). European J. Cancer; 2009; (45) 228—247).

Overall responses for all le combinations of tumor responses in target and non-target lesions with our without the appearance ofnew lesions are as follows: Target lesions Non-target s l response Incomplete No PR response/SD No SD Yes or no PD CR = complete response; PR = partial response; SD = stable disease; and PD = progressive disease.

With respect to the evaluation of target lesions, complete response (CR) is the disappearance of all target lesions, partial response (PR) is at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum longest er, progressive disease (PD) is at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment d or the appearance of one or more new s and stable disease (SD) is neither sufficient shrinkage to qualify for partial se nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum longest diameter since the treatment started.

With respect to the evaluation of non-target lesions, complete response (CR) is the disappearance of all non-target lesions and ization of tumor marker level; incomplete response/stable e (SD) is the persistence of one or more non-target lesion(s) and/or the maintenance of tumor marker level above the normal limits, and progressive disease (PD) is the appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions.

In certain embodiments, the treatment of ma may be assessed by the International Workshop Criteria (IWC) for non-Hodgkin ma (NHL) (see Cheson BD, Pfistner B, Juweid, ME, et. al. Revised Response ia for Malignant Lymphoma. J. Clin.

Oncol: 2007: (25) 579-586), using the response and endpoint definitions shown below: Res n onse Definition Nodal Masses S leen, liver Bone Marrow Disappearance (a) FDG-avid or PET Not palpable, Infiltrate of all evidence ve prior to therapy; nodules cleared on of disease mass of any size permitted disappeared repeat biopsy; if PET negative if (b) Variably FDG-avid or indeterminate PET ve; regression by to normal size on CT morphology, immunohisto- chemistry should be negative Regression of 250% se in SPD of 250% Irrelevant if measurable up to 6 largest nt decrease in positive prior e and no masses; no increase in size SPD of to therapy; cell new sites of other nodes nodules (for type should be (a) FDG-avid or PET single nodule specified positive prior to therapy; in greatest one or more PET positive transverse at previously involved site diameter); no (b) Variably FDG-avid or increase in PET negative; regression size of liver on CT or s oleen Res 1 onse Definition Nodal Masses S leen, liver Bone Marrow Failure to (a) FDG-avid or PET attain CIVPR positive prior to therapy; or PD PET positive at prior sites of e and no new sites on CT or PET (b) Variably FDG-avid or PET negative; no change in size of previous lesions on CT PD or Any new Appearance of a new 250% New or relapsed lesion or lesion(s) 2l .5 cm in any increase recurrent disease increase by 2 axis, 250% increase in from nadir in involvement 50% of SPD ofmore than one the SPD of previously node, any previous involved sites or 250% increase in s from nadir longest diameter of a previously identifed node 21 cm in short axis Lesions PET positive if FDG-avid lymphoma or PET positive prior to therao Abbreviations: CR, complete remission; FDG, [18F]fluorodeoxyglucose; PET, on emission tomography; CT, computed tomography; PR, partial ion; SPD, sum of the product of the ers; SD, stable disease; PD, progressive disease.

End noint Patients Definition Measured from Primary Overall survival Death as a result of any cause Entry onto study Progression-free Disease progression or death as a result of Entry onto study survival any cause Secondary Event-free al Failure of treatment or death as result of Entry onto study any cause Time to progression All Time to progression or death as a result of Entry onto study lymphoma End oint Patients Definition Measured from Disease-free al Time to relapse or death as a result of Documentation ma or acute toxicity of treatment of response Response duration Time to relapse or progression Documentation of response Lymphoma-specific All Time to death as a result of lymphoma Entry onto study survival Time to next ent All Time to new treatment End of primary treatment Abbreviations: CR: complete remission; PR: partial remission.

In one embodiment, the end point for lymphoma is evidence of clinical benefit.

Clinical benefit may reflect improvement in quality of life, or ion in patient symptoms, transfusion requirements, frequent infections, or other parameters. Time to arance or progression of lymphoma-related symptoms can also be used in this end point.

] In certain embodiments, the treatment of multiple myeloma may be assessed by the International Uniform Response Criteria for Multiple Myeloma (IURC) (see Durie BGM, Harousseau J-L, Miguel JS, et al. International uniform response criteria for multiple myeloma.

Leukemia, 2006; (10) 10: 1-7), using the response and endpoint definitions shown below: Res n onse Subcate_or Res n onse Criteriaa CR as defined below plus Normal FLC ratio and Absence of clonal cells in bone marrowb by immunohistochemist or immunofluorescencec ve immunofixation on the serum and urine and Disappearance of any soft tissue plasmacytomas and <5% olasma cells in bone marrowb VGPR Serum and urine M-protein detectable by immunofixation but not on electrophoresis or 90% or r reduction in serum M-protein plus urine M-protein level <100mg per 24 h Res n onse Subcateor Res n onse Criteriaa 250% reduction of serum M-protein and reduction in 24-h urinary M-protein by290% or to <200mg per 24 h If the serum and urine M-protein are unmeasurable,d a 250% decrease in the difference between involved and uninvolved FLC levels is required in place of the M-protein criteria If serum and urine M-protein are unmeasurable, and serum free light assay is also unmeasurable, 250% reduction in plasma cells is required in place of ein, provided baseline bone marrow plasma cell percentage was 230% In addition to the above listed criteria, if present at baseline, a 250% reduction in the size of soft tissue plasmacytomas is also reuired SD (not recommended for use Not meeting criteria for CR, VGPR, PR or progressive disease as an indicator of response; ity of disease is best described by providing the time to progression estimates) Abbreviations: CR, complete response; FLC, free light chain; PR, partial response; SD, stable disease; sCR, stringent complete response; VGPR, very good partial response; aAll response categories require two consecutive assessments made at anytime before the institution of any new therapy; all ries also require no known evidence of progressive or new bone lesions if radiographic studies were med. Radiographic studies are not required to satisfy these response ements; mation with repeat bone marrow biopsy not ; cPresence/absence of clonal cells is based upon the K/k ratio. An abnormal 1d?» ratio by immunohistochemistry and/or immunofluorescence requires a minimum of 100 plasma cells for analysis. An al ratio reflecting presence of an abnormal clone is 1d)» of >4:1 or <1 :2. dMeasurable disease defined by at least one of the following measurements: Bone marrow plasma cells 230%; Serum M-protein 21 g/dl (210 gm/l)[10 g/l]; Urine ein 2200 mg/24 h; Serum FLC assay: Involved FLC level 210 mg/dl (2100 mg/l); provided serum FLC ratio is abnormal.

The procedures, conventions, and definitions described below e guidance for implementing the recommendations from the Response Assessment for Neuro-Oncology (RANO) Working Group regarding response criteria for high-grade gliomas (Wen P., Macdonald, DR., n, DA., et al. Updated response assessment ia for highgrade gliomas: se assessment in neuro-oncology working group. J Clin Oncol 2010; 28: 1963-1972). Primary modifications to the RAND criteria for Criteria for Time Point Responses (TPR) can e the addition of operational conventions for defining changes in glucocorticoid dose, and the removal of subjects’ clinical deterioration ent to focus on objective radiologic assessments. The baseline MRI scan is defined as the assessment performed at the end of the post-surgery rest period, prior to re-initiating compound treatment.

The baseline MRI is used as the reference for assessing complete response (CR) and l response (PR). Whereas, the smallest SPD (sum of the products of perpendicular diameters) obtained either at baseline or at subsequent assessments will be designated the nadir assessment and utilized as the reference for determining progression. For the 5 days preceding any protocol-defined MRI scan, subjects receive either no glucocorticoids or are on a stable dose of glucocorticoids. A stable dose is defined as the same daily dose for the 5 consecutive days preceding the MRI scan. If the prescribed glucocorticoid dose is changed in the 5 days before the baseline scan, a new baseline scan is required with orticoid use meeting the criteria described above. The following definitions will be used.

] Measurable Lesions: Measurable s are contrast-enhancing lesions that can be measured bidimensionally. A measurement is made of the maximal enhancing tumor diameter (also known as the t diameter, LD). The greatest perpendicular diameter is measured on the same image. The cross hairs of bidimensional measurements should cross and the product of these diameters will be calculated.

Minimal Diameter: Tl-weighted image in which the sections are 5 mm with 1 mm skip. The minimal LD of a measurable lesion is set as 5 mm by 5 mm. Larger diameters may be required for inclusion and/or designation as target lesions. After baseline, target lesions that become smaller than the minimum requirement for measurement or become no longer amenable to nsional measurement will be recorded at the t value of 5 mm for each diameter below 5 mm. Lesions that disappear will be recorded as 0 mm by 0 mm.

] Multicentric Lesions: Lesions that are considered multicentric (as opposed to continuous) are lesions where there is normal intervening brain tissue between the two (or more) lesions. For entric lesions that are discrete foci of ement, the approach is to tely measure each enhancing lesion that meets the inclusion criteria. If there is no normal brain tissue between two (or more) lesions, they will be considered the same lesion.

Nonmeasurable Lesions: All lesions that do not meet the criteria for measurable disease as defined above will be considered non-measurable lesions, as well as all nonenhancing and other truly nonmeasurable lesions. Nonmeasurable lesions e foci of enhancement that are less than the specified st diameter (ie., less than 5 mm by 5 mm), nonenhancing lesions (eg., as seen on Tl-weighted post-contrast, T2-weighted, or fluid- attenuated inversion recovery (FLAIR) images), hemorrhagic or predominantly cystic or necrotic s, and leptomeningeal tumor. Hemorrhagic lesions often have intrinsic Tl-weighted hyperintensity that could be misinterpreted as enhancing tumor, and for this reason, the pre-contrast Tl-weighted image may be examined to exclude baseline or interval sub-acute hemorrhage.

At baseline, lesions will be classified as follows: Target s: Up to measurable lesions can be selected as target s with each measuring at least 10 mm by mm, representative of the subject’s disease; rget lesions: All other lesions, including all nonmeasurable lesions (including mass effects and T2/FLAIR findings) and any measurable lesion not selected as a target lesion. At baseline, target lesions are to be measured as described in the definition for measurable lesions and the SPD of all target lesions is to be determined.

The presence of all other lesions is to be documented. At all post-treatment tions, the baseline classification of lesions as target and non-target lesions will be ined and lesions will be documented and described in a consistent fashion over time (eg., recorded in the same order on source documents and eCRFs). All measurable and surable lesions must be assessed using the same technique as at baseline (e.g., subjects should be imaged on the same MRI r or at least with the same magnet strength) for the duration of the study to reduce difficulties in interpreting s. At each evaluation, target lesions will be measured and the SPD calculated. Non-target lesions will be assessed qualitatively and new lesions, if any, will be documented separately. At each evaluation, a time point response will be determined for target lesions, non-target lesions, and new lesion. Tumor progression can be established even if only a subset of lesions is assessed. However, unless progression is observed, ive status e disease, PR or CR) can only be determined when all lesions are assessed.

Confirmation assessments for l time point responses of CR and PR will be performed at the next led assessment, but confirmation may not occur if scans have an interval of < 28 days. Best response, orating confirmation requirements, will be derived from the series of time points.

The term cting” or “contact” is meant to refer to bringing together of a therapeutic agent and cell or tissue such that a logical and/or chemical effect takes place as a result of such contact. Contacting can take place in vitro, ex vivo, or in vivo. In one embodiment, a therapeutic agent is contacted with a cell in cell e (in vitro) to determine the effect of the therapeutic agent on the cell. In another embodiment, the contacting of a eutic agent with a cell or tissue includes the administration of a therapeutic agent to a subject having the cell or tissue to be contacted.

The term “solid form” refers to a physical form which is not predominantly in a liquid or a gaseous state. As used herein and unless otherwise ed, the term “solid form,” when used herein to refer to Compound A, refers to a physical form sing Compound A which is not predominantly in a liquid or a gaseous state. A solid form may be a crystalline form, an amorphous form, or a mixture thereof. In certain embodiments, a solid form may be a liquid crystal. In certain embodiments, the term “solid forms comprising Compound A” includes crystal forms sing Compound A, amorphous forms comprising Compound A, and mixtures thereof.

As used herein and unless otherwise specified, the term “crystalline” when used to describe a compound, substance, modification, material, component or product, unless otherwise specified, means that the compound, substance, modification, material, component or product is substantially crystalline as determined by X-ray diffraction. See, e.g., Remington: The Science and Practice of Pharmacy, 21st edition, Lippincott, Williams and Wilkins, Baltimore, MD (2005); The United States Pharmacopeia, 23rd ed., 1843-1844 (1995).

The term “crystal form” or “crystalline form” refers to a solid form that is crystalline. In certain embodiments, crystal forms include salts. In certain embodiments, a crystal form of a substance may be substantially free of amorphous forms and/or other crystal forms. In certain embodiments, a crystal form of a substance may contain less than about 1%, less than about 2%, less than about 3%, less than about 4%, less than about 5%, less than about 6%, less than about 7%, less than about 8%, less than about 9%, less than about 10%, less than about 15%, less than about 20%, less than about 25%, less than about 30%, less than about %, less than about 40%, less than about 45%, or less than about 50% by weight of one or more amorphous forms and/or other crystal forms. In certain ments, a crystal form of a substance may be physically and/or chemically pure. In certain embodiments, a crystal form of a substance may be about 99%, about 98%, about 97%, about 96%, about 95%, about 94%, about 93%, about 92%, about 91%, or about 90% physically and/or chemically pure.

The term “amorphous” or “amorphous form” means that the substance, component, or product in question is not substantially crystalline as determined by X-ray ction. In particular, the term “amorphous form” describes a ered solid form, z'.e., a solid form lacking long range crystalline order. In certain embodiments, an amorphous form of a substance may be substantially free of other amorphous forms and/or crystal forms. In n embodiments, an amorphous form of a substance may contain less than about 1%, less than about 2%, less than about 3%, less than about 4%, less than about 5%, less than about 10%, less than about 15%, less than about 20%, less than about 25%, less than about 30%, less than about %, less than about 40%, less than about 45%, or less than about 50% by weight of one or more other amorphous forms and/or crystal forms on a weight basis. In certain embodiments, an amorphous form of a substance may be physically and/or ally pure. In certain embodiments, an amorphous form of a substance be about 99%, about 98%, about 97%, about 96%, about 95%, about 94%, about 93%, about 92%, about 91%, or about 90% physically and/or chemically pure.

The term “co-crystal” means a lline structure comprised of two or more components.

The term “solvate” means a crystalline ure comprised of either stoichiometric or nonstoichiometric amounts of a solvent incorporated within the crystalline structure.

The term “hydrate” means a crystalline structure comprised of either stoichiometric or nonstoichiometric s of water incorporated within the crystalline structure. ques for characterizing crystal forms and amorphous forms include, but are not limited to, thermal graVimetric analysis (TGA), differential scanning calorimetry (DSC), X-ray powder diffractometry (XRPD), single-crystal X-ray diffractometry, Vibrational spectroscopy, e.g., infrared (IR) and Raman spectroscopy, solid-state and solution nuclear magnetic resonance (NMR) spectroscopy, optical microscopy, hot stage optical microscopy, scanning electron microscopy (SEM), electron crystallography and quantitative analysis, particle size analysis (PSA), surface area analysis, solubility measurements, dissolution measurements, elemental analysis, and Karl Fischer analysis. Characteristic unit cell ters may be determined using one or more techniques such as, but not limited to, X-ray ction and neutron diffraction, including single-crystal diffraction and powder diffraction.

Techniques useful for analyzing powder diffraction data include e ment, such as Rietveld ment, which may be used, 6.g. to analyze ction peaks associated with a single phase in a sample comprising more than one solid phase. Other methods useful for analyzing powder diffraction data include unit cell indexing, which allows one of skill in the art to determine unit cell ters from a sample comprising crystalline .

The term aceutically acceptable salt(s)” means a salt prepared from a pharmaceutically acceptable non-toxic acid or base including an inorganic acid and base and an organic acid and base. Suitable pharmaceutically acceptable base on salts of Compound A include, but are not limited to metallic salts made from um, calcium, lithium, magnesium, potassium, sodium and zinc or organic salts made from lysine, N,N’-dibenzylethylenediamine, chloroprocaine, e, nolamine, ethylenediamine, meglumine (N-methylglucamine) and ne. Suitable non-toxic acids include, but are not limited to, inorganic and organic acids such as acetic, alginic, anthranilic, benzenesulfonic, benzoic, camphorsulfonic, citric, ethenesulfonic, formic, filmaric, furoic, galacturonic, gluconic, glucuronic, glutamic, glycolic, hydrobromic, hydrochloric, isethionic, lactic, maleic, malic, mandelic, methanesulfonic, mucic, nitric, pamoic, pantothenic, phenylacetic, phosphoric, propionic, salicylic, stearic, ic, sulfanilic, sulfilric, tartaric acid, and p-toluenesulfonic acid. Specific non-toxic acids include hydrochloric, hydrobromic, phosphoric, sulfuric, and methanesulfonic acids. Examples of specific salts thus include hydrochloride and mesylate salts. Others are well-known in the art, see for example, Remington’s Pharmaceutical Sciences, 18th eds., Mack Publishing, Easton PA (1990) or Remington: The Science and Practice of Pharmacy, 19th eds., Mack Publishing, Easton PA .

The term “isotopologue” means any form of Compound A, including metabolites thereof, in which at least one atom of natural isotopic abundance is replaced with an isotopically enriched form that differs from natural abundance. An isotopologue can be based on replacement of hydrogen for ium and/or tritium. rly, naturally abundant 12C can be replaced with 13C or 14C, naturally abundant 14N can be ed with 15N, and lly abundant 16O with 17O or 18O, and so on in any ation. Other isotopologues can be based on isotopic enrichment of fluorine, sulfur, phosphorus, boron, and the like. Isotopologues can include ing any number atoms within the compound with isotopically enriched forms.

The isotopic enrichment can be effected to any degree, including, 1, 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 60, 70, 80, 90, 95, and 99, and 100% enrichment, including any value in between and ons thereof.

The term “metabolite” means any form of Compound A ed upon administration to a subject. In one embodiment, the metabolite of Compound A is the O-desmethyl metabolite (haVing the name 1-((1r,4r)—4-hydroxycyclohexyl)(6-(2- hydroxypropanyl)pyridinyl)-3 ,4-dihydropyrazino[2,3-b]pyrazin-2(1H)—one), haVing the structure: OH (1) |\ 2 N/ N N o The term “about” or “approximately” means an acceptable error for a particular value as determined by one of ordinary skill in the art, which depends in part on how the value is measured or determined. In n embodiments, the term “about” or “approximately” means within 1, 2, 3, or 4 standard deviations. In certain embodiments, the term “about” or “approximately” means within 50%, 20%, 15%, 10%, 9%, 8%, 7%, 6%, 5%, 4%, 3%, 2%, 1%, 0.5%, or 0.05% ofa given value or range.

As used herein and unless otherwise specified, a sample comprising a particular crystal form or ous form that is “substantially pure,” e.g., substantially free of other solid forms and/or of other chemical compounds, contains, in ular embodiments, less than about 25%, less than about 20%, less than about 15%, less than about 10%, less than about 9%, less than about 8%, less than about 7%, less than about 6%, less than about 5%, less than about 4%, less than about 3%, less than about 2%, less than about 1%, less than about 0.75%, less than about 0.5%, less than about 0.25%, or less than about 0.1% by weight of one or more other solid forms and/or of other al compounds.

As used herein and unless ise specified, a sample or composition that is “substantially free” of one or more other solid forms and/or other chemical compounds means that the ition contains, in particular embodiments, less than about 25%, less than about %, less than about 15%, less than about 10%, less than about 9%, less than about 8%, less than about 7%, less than about 6%, less than about 5%, less than about 4%, less than about 3%, less than about 2%, less than about 1%, less than about 0.75%, less than about 0.5%, less than about 0.25%, or less than about 0.1% by weight of one or more other solid forms and/or other chemical compounds.

As used herein, the term “pharmaceutically acceptable salt(s)” refers to a salt prepared from a pharmaceutically acceptable xic acid or base including an inorganic acid and base and an organic acid and base. Suitable pharmaceutically acceptable base addition salts of Compound A include, but are not limited to metallic salts made from aluminum, calcium, lithium, magnesium, potassium, sodium and zinc or organic salts made from , N,N’-dibenzylethylenediamine, chloroprocaine, choline, diethanolamine, ethylenediamine, meglumine (N-methylglucamine) and procaine. Suitable non-toxic acids include, but are not limited to, inorganic and organic acids such as acetic, alginic, anthranilic, benzenesulfonic, benzoic, camphorsulfonic, citric, ethenesulfonic, formic, filmaric, furoic, galacturonic, gluconic, glucuronic, glutamic, ic, hydrobromic, hydrochloric, isethionic, lactic, maleic, malic, mandelic, methanesulfonic, mucic, nitric, pamoic, pantothenic, phenylacetic, phosphoric, propionic, salicylic, stearic, succinic, sulfanilic, sulfilric, tartaric acid, and p-toluenesulfonic acid. Specific non-toxic acids include hydrochloric, hydrobromic, phosphoric, sulfuric, and esulfonic acids. Examples of specific salts thus include hydrochloride and mesylate salts. Others are well-known in the art, see for example, Remington’s Pharmaceutical es, 18th eds., Mack Publishing, Easton PA (1990) or Remington: The Science and Practice of Pharmacy, 19th eds., Mack hing, Easton PA .

The term “stereoisomer” or “stereomerically pure” means one stereoisomer of a compound that is substantially free of other stereoisomers of that compound. For example, a stereomerically pure compound haVing one chiral center will be ntially free of the opposite enantiomer of the compound. A stereomerically pure compound having two chiral centers will be substantially free of other diastereomers of the compound. In certain embodiments, a stereomerically pure compound comprises greater than about 80% by weight of one isomer of the compound and less than about 20% by weight of other stereoisomers of the compound, greater than about 90% by weight of one stereoisomer of the compound and less than about 10% by weight of the other stereoisomers of the compound, greater than about 95% by weight of one isomer of the compound and less than about 5% by weight of the other stereoisomers of the compound, or greater than about 97% by weight of one stereoisomer of the compound and less than about 3% by weight of the other isomers of the compound. .2 SOLID FORMS OF COMPOUND A ] In one embodiment, provided herein is a solid form of Compound A or a pharmaceutically acceptable salt thereof. In certain embodiments, the solid form is crystalline.

In certain embodiments, the solid form is a single-component solid form. In certain ments, the solid form is anhydrous.

While not intending to be bound by any particular theory, certain solid forms are characterized by physical properties, e.g., stability, solubility and dissolution rate, appropriate for pharmaceutical and therapeutic dosage forms. Moreover, while not wishing to be bound by any particular theory, certain solid forms are characterized by physical properties (e.g., density, ssibility, ss, morphology, cleavage, stickiness, solubility, water uptake, electrical properties, thermal behavior, solid-state reactivity, physical stability, and chemical stability) affecting particular processes (e.g., yield, filtration, washing, drying, milling, mixing, tableting, flowability, dissolution, ation, and lyophilization) which make certain solid forms suitable for the manufacture of a solid dosage form. Such properties can be determined using particular analytical chemical techniques, including solid-state analytical techniques (e.g., X-ray diffraction, microscopy, oscopy and thermal is), as described herein and known in the art.

The solid forms provided herein (for example, Form A of Compound A) may be characterized using a number of methods known to a person skilled in the art, including, but not limited to, single crystal X-ray diffraction, X-ray powder ction (XRPD), microscopy (e.g., scanning electron copy (SEM)), thermal analysis (e.g., differential scanning calorimetry (DSC), thermal gravimetric analysis (TGA), and hot-stage microscopy), and spectroscopy (e.g., infrared, Raman, and state nuclear magnetic resonance). The particle size and size distribution of the solid form provided herein may be determined by conventional s, such as laser light scattering technique.

The purity of the solid forms provided herein may be determined by standard analytical s, such as thin layer chromatography (TLC), gel electrophoresis, gas chromatography, high performance liquid tography (HPLC), and mass spectrometry (MS).

It should be understood that the numerical values of the peaks of an X-ray powder diffraction n may vary slightly from one e to another or from one sample to another, and so the values quoted are not to be construed as absolute, but with an allowable variability, such as ::0.2 degrees two-theta (see United States Pharmacopoeia, page 2228 (2003)).

In one embodiment, provided herein is Form A of Compound A. In one embodiment, Form A of Compound A has an X-ray powder diffraction pattern substantially as shown in In one embodiment, Form A of nd A has an X-ray powder diffraction pattern comprised of one or more of the peaks set forth in Table 2. In another embodiment, Form A of nd A has one or more characteristic X-ray powder diffraction peaks at a two-theta angle ofapproximately 8.3, 8.8, 12.0, 13.2, 13.9, 14.4, 14.8, 16.5, 17.7, 18.2, 19.3, 19.5, 19.6, 21.0, 21.2, 21.7, 22.5, 24.1, 24.7, 25.0, 25.3, 26.5, 26.7, 28.3, 29.3, 29.5, 29.8, 30.5, 32.1, 33.3, 34.2 or 34.6 degrees. In a specific embodiment, Form A of nd A has one, two, three, four, five, six, seven or eight characteristic X-ray powder diffraction peaks at a two- theta angle of imately 8.3, 8.8, 13.2, 16.5, 17.7, 18.2, 21.7 or 26.5 degrees. In another embodiment, Form A of Compound A has one, two, three or four characteristic X-ray powder diffraction peaks at a two-theta angle of approximately 8.3, 13.2, 18.2 or 21.7 degrees. In a particular embodiment, Form A of Compound A has one or more characteristic X-ray powder ction peaks at a two-theta angle of approximately 8.0, 9.0, 12.0, 13.0, 16.5, 17.5, 18.2, 21.5, 22.5, 25.0 or 26.5 s. In a specific embodiment, Form A of Compound A has one, two, three, four, five, six, seven or eight characteristic X-ray powder diffraction peaks at a two- theta angle of approximately 8.0, 9.0, 13.0, 16.5, 17.5, 18.2, 21.5 or 26.5 s. In another embodiment, Form A of Compound A has one, two, three or four characteristic X-ray powder diffraction peaks at a two-theta angle of approximately 8.0, 13.0, 18.2 or 21.5 degrees. In another embodiment, Form A of Compound A has one, two, three or four characteristic X-ray powder diffraction peaks at a two-theta angle of approximately 13.0, 16.5, 18.2 or 21.5 degrees.

In another embodiment, Form A of Compound A has a thermogravimetric thermogram substantially as shown in In certain embodiments, Form A of Compound A shows less than about 10%, less than about 5%, less than about 3%, less than about 2%, less than about 1%, less than about 0.5%, less than about 0.2%, less than about 0.1%, less than about 0.05%, or less than about 0.03%, e.g., about , weight loss between about 25 0C to about 100 0C in a thermogravimetric thermogram. In certain embodiments, Form A of Compound A shows less than about 0.1% weight loss between about 25 0C to about 100 0C in a thermogravimetric gram. In certain embodiments, Form A of Compound A shows about 0.025% weight loss between about 25 0C to about 100 0C in a gravimetric gram.

In certain embodiments, Form A of Compound A shows no weight loss until degradation at about 260 0C in a thermogravimetric thermogram. In certain embodiments, Form A of Compound A is anhydrous. In certain embodiments, Form A of Compound A is unsolvated.

In yet another embodiment, Form A of Compound A has a differential scanning calorimetric (DSC) thermogram substantially as shown in In certain embodiments, Form A of nd A has an endotherm with a peak temperature of about 201 0C in a DSC thermogram. In certain embodiments, Form A of Compound A has an endotherm with an onset temperature of about 197 0C in a DSC thermogram. In certain embodiments, Form A of Compound A has an endotherm with a peak temperature of about 199 0C and an onset temperature of about 197 0C in a DSC thermogram. In one ment, Form A of Compound A has a melting temperature of about 197-199 0C. In certain embodiment, Form A of Compound A has a g temperature of about 199 0C. In one embodiment, Form A of Compound A has an endotherm of about 195 0C in a DSC thermogram.

In yet another embodiment, Form A of Compound A is non-hygroscopic, e.g., exhibits a mass gain of less than about 0.1% w/w of when subjected to an increase in humidity from about 0% to about 80% relative humidity (RH). In another embodiment, Form A of Compound exhibits a mass gain of about 0.5% w/w ofwhen subjected to an increase in humidity from about 80% to about 90% relative humidity. In certain embodiments, Form A of Compound A exhibits no greater than about 2% w/w, no greater than about 1% w/w, no greater than about 0.6% w/w, no greater than about 0.4% w/w, no greater than about 0.2% w/w, or no greater than about 0.1% w/w weight gain in response to an increase in humidity from about 0% to about 95% relative humidity at about 25 CC. In certain embodiments, Form A of Compound A ts about 0.3% w/w weight gain in response to an se in humidity from about 0% to about 95% relative humidity at about 25 CC. In certain embodiments, Form A of nd A ts no greater than about 2% w/w, no greater than about 1% w/w, no greater than about 0.6% w/w, no greater than about 0.4% w/w, no greater than about 0.2% w/w, or no r than about 0.1% w/w weight gain in response to an increase in humidity from about 0% to about 50% relative humidity at about 25 CC. In certain ments, Form A of Compound A exhibits about 0.1% w/w weight gain in response to an se in humidity from about 0% to about 50% relative humidity at about 25 0C.

In one embodiment, ed herein is Form B of Compound A. In one embodiment, Form B of Compound A has an X-ray powder ction pattern substantially as shown in In another embodiment, Form B of Compound A has one or more teristic X-ray powder ction peaks at a two-theta angle of imately 6.0, 7.0, 8.0, 10.0, 12.0, 14.0, 17.0, 18.0, 20.0, 20.5, 22.5, or 24.5 degrees. In a specific embodiment, Form B of Compound A has one, two, three, four, five, six, or seven characteristic X-ray powder diffraction peaks at a two-theta angle of approximately 6.0, 7.0, 8.0, 10.0, 12.0, 14.0, 17.0, 18.0, 20.0, 20.5, 22.5, or 24.5 degrees. In another embodiment, Form B of Compound A has one, two, three or four characteristic X-ray powder diffraction peaks at a two-theta angle of approximately 6.0, 7.0, 8.0, 10.0, 12.0, 14.0, 17.0, 18.0, 20.0, 20.5, 22.5, or 24.5 s.

In certain embodiments, Form B of Compound A shows less than about 10% or less than about 7%, e.g., about 6.4%, weight loss and an onset temperature of about 50 0C in a thermogravimetric thermogram. In certain embodiments, Form B of Compound A is a hydrate.

In yet another embodiment, Form B of Compound A has a ential scanning calorimetric (DSC) thermogram substantially as shown in . In certain embodiments, Form B of Compound A has an endotherm with a peak temperature of about 111.3 CC, and an exotherm with a peak temperature of about 164.9 c’C in a DSC thermogram. In certain embodiments, Form B of Compound A has an endotherm with a peak temperature of about 202 In one embodiment, provided herein is Form C of Compound A. In one embodiment, Form C of Compound A has an X-ray powder diffraction pattern substantially as shown in . In another embodiment, Form C of Compound A has one or more characteristic X-ray powder diffraction peaks at a two-theta angle of approximately 6.5, 9.0, .0, 14.5, 16.5, 19.0, 23.0, or 23.5 degrees. In a specific ment, Form C of Compound A has one, two, three, four, five, six, or seven characteristic X-ray powder diffraction peaks at a two-theta angle of approximately 6.5, 9.0, 10.0, 14.5, 16.5, 19.0, 23.0, or 23.5 degrees. In another embodiment, Form C of Compound A has one, two, three or four characteristic X-ray powder diffraction peaks at a two-theta angle of approximately 6.5, 9.0, .0, 14.5, 16.5, 19.0, 23.0, or 23.5 degrees. In a particular embodiment, Form C of Compound A has one or more characteristic X-ray powder diffraction peaks at a two-theta angle of approximately 6.5, 9.0, 10.0, 14.5, 16.5, 19.0, 23.0, or 23.5 degrees.

] In certain embodiments, Form C of nd A is anhydrous.

In yet another embodiment, Form C of Compound A has a differential scanning calorimetric (DSC) gram substantially as shown in . In certain embodiments, Form C of Compound A has an endotherm and exotherm of about 160 CC and an endothermof about 200 CC in a DSC thermogram. In certain embodiments, Form C of Compound A has an endotherm of about 162 CC and an endotherm of about 200 CC in a DSC thermogram.

In one embodiment, provided herein is Form D of Compound A. In one ment, Form D of Compound A has an X-ray powder diffraction pattern substantially as shown in . In another embodiment, Form D of Compound A has one or more characteristic X-ray powder diffraction peaks at a two-theta angle of approximately 6.0, 8.0, 9.0, 10.0, 12.5, 14.5, 16.5, 18.0, 19.0, 19.5, 20.5, 22.5, 23.5, or 27.5 degrees. In a specific embodiment, Form D of Compound A has one, two, three, four, five, six, seven, eight, nine, ten, eleven, or twelvecharacteristic X-ray powder diffraction peaks at a two-theta angle of imately 6.0, 7.5, 8.0, 9.0, 10.0, 12.5, 14.5, 16.5, 19.0, 19.5, 20.5, or 23.0 degrees. In r embodiment, Form D of Compound A has one, two, three or four characteristic X-ray powder diffraction peaks at a two-theta angle of approximately 6.0, 7.5, 8.0, 9.0, 10.0, 12.5, 14.5, 16.5, 19.0, 19.5, 20.5, or 23.0 s. In a particular embodiment, Form D of Compound A has one or more characteristic X-ray powder diffraction peaks at a two-theta angle ofapproximately 6.0, 7.5, 8.0, 9.0, 10.0, 12.5, 14.5, 16.5, 19.0, 19.5, 20.5, or 23.0 degrees.

In certain embodiments, Form D of Compound A shows less than about 10% or less than about 8%, e.g., about 7.4%, weight loss and an onset temperature of about 80 0C in a thermogravimetric thermogram. In certain embodiments, Form D of Compound A is a solvate.

In yet r ment, Form D of nd A has a differential scanning calorimetric (DSC) thermogram substantially as shown in . In certain embodiments, Form D of Compound A has an endotherm with a peak temperature of about 98.3 CC, and an endotherm with a peak temperature of about 159.3 c’C in a DSC thermogram. In certain embodiments, Form D of Compound A has an endotherm with a peak temperature of about 200.6 0C.

In still another embodiment, Form A of Compound A is substantially pure. In certain embodiments, the substantially pure Form A of nd A is substantially free of other solid forms, e.g., amorphous form. In certain ments, the purity of the substantially pure Form A of Compound A is no less than about 95%, no less than about 96%, no less than about 97%, no less than about 98%, no less than about 98.5%, no less than about 99%, no less than about 99.5%, or no less than about 99.8%.

In still another embodiment, Form B of Compound A is substantially pure. In certain embodiments, the ntially pure Form B of nd A is substantially free of other solid forms, e.g., amorphous form. In certain embodiments, the purity of the substantially pure Form B of Compound A is no less than about 95%, no less than about 96%, no less than about 97%, no less than about 98%, no less than about 98.5%, no less than about 99%, no less than about 99.5%, or no less than about 99.8%.

In still another embodiment, Form C of Compound A is ntially pure. In n embodiments, the substantially pure Form C of Compound A is substantially free of other solid forms, e.g., amorphous form. In certain embodiments, the purity of the substantially pure Form C of Compound A is no less than about 95%, no less than about 96%, no less than about 97%, no less than about 98%, no less than about 98.5%, no less than about 99%, no less than about 99.5%, or no less than about 99.8%.

In still another embodiment, Form D of Compound A is substantially pure. In certain embodiments, the substantially pure Form D of Compound A is substantially free of other solid forms, e.g., amorphous form. In certain ments, the purity of the substantially pure Form D of Compound A is no less than about 95%, no less than about 96%, no less than about 97%, no less than about 98%, no less than about 98.5%, no less than about 99%, no less than about 99.5%, or no less than about 99.8%.

] In one embodiment, provided herein is a pinacol co-crystal of Compound A. In one embodiment, the pinacol co-crystal of Compound A has an X-ray powder ction pattern substantially as shown in In another embodiment, the pinacol co-crystal of Compound A has one or more characteristic X-ray powder diffraction peaks at a two-theta angle of approximately 5.0, 6.0, 12.5, 14.0, 15.0, 15.5, 17.5, 18.5, and 22.5 degrees. In a specific embodiment, the pinacol co-crystal of Compound A has one, two, three, four, or five characteristic X-ray powder diffraction peaks at a two-theta angle of approximately 5.0, 6.0, 12.5, 14.0, 15.0, 15.5, 17.5, 18.5, and 22.5 s. In another embodiment, the pinacol co- crystal of nd A has one, two, three or four characteristic X-ray powder diffraction peaks at a two-theta angle of approximately 5.0, 6.0, 12.5, 14.0, 15.0, 15.5, 17.5, 18.5, and 22.5 degrees.

In yet r embodiment, the pinacol co-crystal of Compound A has a differential scanning calorimetric (DSC) thermogram substantially as shown in In certain embodiments, the pinacol co-crystal of Compound A has an endotherm with a peak temperature of about 119 0C in a DSC thermogram. In certain embodiments, the l co- crystal of Compound A has an endotherm with an onset temperature of about 115 0C in a DSC thermogram. In certain embodiments, the pinacol co-crystal of Compound A has an endotherm with a peak temperature of about 119 0C and an onset temperature of about 115 0C in a DSC gram. In another embodiment, the pinacol co-crystal of nd A is comprised of about 20% by weight of pinacol.

In still another embodiment, the pinacol co-crystal of Compound A is substantially pure. In certain embodiments, the substantially pure l co-crystal of Compound A is substantially free of other solid forms, e.g., ous form. In certain embodiments, the purity of the substantially pure pinacol co-crystal of Compound A is no less than about 95%, no less than about 96%, no less than about 97%, no less than about 98%, no less than about 98.5%, no less than about 99%, no less than about 99.5%, or no less than about 99.8%.

The solid forms of Compound A provided herein (for example, Forms A, B, C or D) can be prepared by the methods bed herein.

In certain embodiments, Form A of nd A can be prepared by solvent ation of a solution or slurry of Compound A in e, MTBE (methyl tert-butyl ether), DIPE (diisopropyl ether), THF (tetrahydrofuran), DME (dimethoxyethane), IPAc (isopropyl acetate), EtOAc (ethyl acetate), MIBK (methyl isobutyl ketone), acetone, IPA (isopropyl alcohol), ethanol, ACN nitrile), nitromethane or IPA:water (for example, 95 :5).

In certain embodiments, Form A of Compound A can be prepared by subjecting a on or slurry of Compound A in toluene, MTBE (methyl tert-butyl ether), DIPE (diisopropyl ether), THF (tetrahydrofilran), DME (dimethoxyethane), IPAc (isopropyl acetate), EtOAc (ethyl acetate), MIBK (methyl isobutyl ketone), acetone, IPA (isopropyl alcohol), ethanol, ACN (acetonitrile), nitromethane or IPA:water (95 :5) to cycles of heating to about 50 0C and cooling to room temperature, followed by t evaporation.

In certain embodiments, provided herein are methods for making Form A of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydro- pyrazino[2,3-b]pyrazin-2(lH)—one, comprising dissolving ous 7-(6-(2—hydroxypropan- yridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydro-pyrazino [2,3 -b]pyrazin-2( 1H)- one in toluene, MTBE (methyl tert-butyl ether), DIPE propyl ether), THF (tetrahydrofuran), DME (dimethoxyethane), IPAc (isopropyl acetate), EtOAc (ethyl acetate), MIBK (methyl isobutyl ketone), e, IPA (isopropyl l), ethanol, ACN (acetonitrile), nitromethane, or IPA:water (95 :5) and allowing the resulting solution to evaporate at room temperature.

In n embodiments, provided herein are methods for making Form A of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3-b]pyrazin-2(lH)—one, comprising dissolving 7-(6-(2-hydroxypropanyl)pyridin- 3-yl)— l -((trans)—4-methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one in a mixture of BHT (butylated hydroxytoluene), IPA and water, heating and then cooling to room temperature. In some embodiments, the methods further comprise collection by filtration, washing with IPA and water and .

In certain embodiments, provided herein are methods for making Form A of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydro- pyrazino[2,3-b]pyrazin-2(lH)—one, comprising dissolving 7-(6-(2-hydroxypropanyl)pyridin- 3-yl)— l ns)—4-methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one in a mixture of BHT and MeOAc (methyl acetate), g, cooling to room temperature, distilling under vacuum and contacting with n-heptane. In certain embodiments, the methods r se collection by filtration and washing with MeOAc and n-heptane and drying. In certain embodiments, this process further comprises adding a small amount of Form A in MeOAc to the mixture of 7-(6-(2-hydroxypropanyl)pyridinyl)-l-((trans) methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one in BHT and MeOAc. In some embodiments, the methods further comprise filtration of the hot BHT and MeOAc solution.

In certain embodiments, provided herein are methods for making Form B of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydro- pyrazino[2,3-b]pyrazin-2(lH)—one, sing dissolving 7-(6-(2-hydroxypropanyl)pyridin- 3-yl)— l -((trans)—4-methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one in a mixture of BHT, IPA and water, heating the mixture and adding water, cooling the mixture, collection by filtration, washing with IPA and water, and drying. In certain embodiments, this s fiarther comprises adding a small amount of Form B in water to the mixture of 7-(6-(2- hydroxypropanyl)pyridin-3 -yl)- l -((trans)methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3 - b]pyrazin-2(lH)—one in BHT, IPA and water.

In certain embodiments, provided herein are methods for making Form C of 2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydropyrazino ]pyrazin-2(lH)—one, comprising dissolving 7-(6-(2-hydroxypropanyl)pyridin- 3-yl)— l -((trans)—4-methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one in a mixture of BHT, MeOH, distilling to remove MeOH, further distillation with IPA, cooling the mixture, collection by filtration, washing with IPA and drying.

In n embodiments, provided herein are methods for making Form D of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydro- pyrazino[2,3-b]pyrazin-2(lH)—one, comprising dissolving 7-(6-(2-hydroxypropanyl)pyridin- 3-yl)— l -((trans)—4-methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one in a e of BHT in MeOH, heating, then g with stirring, collection by filtration, washing and drying.

In n embodiments, provided herein are methods for making a pinacol co-crystal of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)methoxycyclohexyl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one, comprising mixing 7-(6-(2-hydroxypropan yl)pyridinyl)- l -((trans)methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3 -b]pyrazin-2( 1H)- one with pinacol in solution (for example THF and toluene), heating until solids are dissolved, ling said solution and seeding with a pinacol co-crystal of 7-(6-(2-hydroxypropan yl)pyridinyl)- l -((trans)methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3 -b]pyrazin-2( 1H)- one. IN some embodiements, the methods r comprise collection by filtration, g with THF/toluene and . .3 PROCESS OF PREPARATION OF COMPOUND A In certain embodiments, provided herein are methods for preparing Compound A, comprising: (1) contacting ethyl(3,5-dibromopyrazinylamino)acetate with 4-methoxycyclohexylamine hydrochloride and l-methylpyrrolidine and adding DIPEA to produce ethyl bromo(((lr,4r)methoxycyclohexyl)amino)pyrazinyl)amino)acetate; (2) contacting ethyl 2-((5-bromo-3 -(((lr,4r)methoxycyclohexyl)amino)pyrazin yl)amino)acetate with an acid (such as a phosphoric acid solution) to produce 7-bromo-l- ((lr,4r)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one; and (3) contacting 7-bromo- l -(( l r,4r)methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3 -b]pyrazin- 2(lH)—one with 2-(5-(4,4,5,5-tetramethyl-l,3,2-dioxaborolanyl)pyridinyl)propanol and PdC12(Amphos)2.

Provided herein are methods of preparing Compound A \ ('1 | = N / N N o I l f N N CompoundA, the method comprising contacting a compound of Formula b BrNfio with a compound of formula c O"? / in a solvent (e.g. THF), in the presence of a base (e.g. K2C03) and a palladium catalyst (e.g. PdClz(Amphos)2), n said contacting occurs under conditions suitable to provide Compound A. In some embodiments, the contacting occurs at elevated ature (e.g. reflux).

In some such ments, the methods further comprise preparing a compound of a b 1:1:1 the method comprising contacting a compound of formula (1 with an acid (e.g. phosphoric acid), n said contacting occurs under conditions suitable to provide a compound of formula b. In some embodiments, the contacting occurs at elevated temperature (e.g. 80 0C).

In some such embodiments, the methods further comprise preparing a compound of formula (1 the method comprising contacting a compound of formula e with 4-methoxycyclohexylamine hydrochloride, in the presence of a base (e.g.

DIPEA), in a solvent (e.g. NMP), wherein said contacting occurs under conditions suitable to provide a nd of formula b.

In some embodiments, the contacting occurs at ed ature (e.g. 125 - l 3 0 0C).

Isotopologues of Compound A and metabolites thereof can be prepared by the methods provided herein.

In one embodiment, provided herein are processes for preparing a compound having the a: HO/ /| a N\ N N O I l T N N 14C-Compound A the method comprising contacting With Br N N O N N in the presence of a ium catalyst (e.g. PdClz(Amphos)2) and a base (e.g.

K2C03) in a solvent (6.g. , THF, optionally with water), wherein said contacting occurs under conditions suitable to produce N \ N\ N o I l T N N 14C-Compound A In some embodiments, the contacting occurs at elevated ature (e.g. 73 0C).

In one embodiment, provided herein are processes for preparing a compound having the formula: \ / HO/ / i) I 5 N \ N N O I l T N N 14C—Compound A the method comprising contacting 1‘4/C/ \ HO | 'HCl 0 With Br N r51 0 N N in the presence of a palladium catalyst (e.g. PdClz(Amphos)2) and a base (e.g., K2C03) in a solvent (6.g. , THF, optionally with water), wherein said contacting occurs under conditions suitable to produce HO | _ N \ N N O N N 14C—Compound A In some such embodiments, the contacting occurs at elevated temperature (e.g. 73 0C). In some such ments, the method further comprises addition of EtOAc, and isolation of crude mpound A using EtOAc, DCM, methanol, and silica gel and drying. In some such embodiments, crude 14C-compound A is ved in BHT and ACN and isolated using EtOAc.

In some embodiments, the s fiarther comprise contacting 9J¥;f \ / 140 N TMSO/\ with an acid (e.g. HCl) in a solvent (e.g., l,4-dioxane), wherein said contacting occurs under conditions suitable to produce 140 N HO/ \ In some embodiments, the methods fiarther comprise contacting \ I 140 N TMSO/\ with q ,9 lB—B\ O O in the presence of a palladium catalyst (e.g. PdClz(dppf)-DCM complex) and a base (e.g. KOAc) in a solvent (e.g. oxane), wherein said contacting occurs under conditions suitable to produce In some embodiments, the methods further se contacting Hot? N with TMSCl in the presence of a base (e. g. TEA) in a solvent (e. g. DCM), n said contacting occurs under conditions suitable to e \ | 14c N TMSO/\ In some embodiments, the methods fiarther comprise contacting | N with H3C \CH3 in the presence of a base (e. g. butyl lithium) in a solvent (e.g, DCM) wherein said contacting occurs under conditions suitable to produce \ I Ho/g14 N Further provided herein are processes for preparing a compound having the formula: HO\13 130H3 ,C (V) H3130 / | i N \ N N ,O the method comprising contacting TMSO\13.CH3 H31SC/ / (V) I ; | NINSCfo N/ N1’scHZ with an acid us HCl) in a solvent (e.g. ACN) wherein said contacting occurs under conditions suitable to produce H0 13 1\30/CH ’ / H 13C I 3 N \ N\ I “(Inf/30H2Nsan In some embodiments, the methods fiarther comprise contacting With in the presence of a ium catalyst (e.g. PdClz(Amphos)2) and a base (e.g.

K2C03) in a solvent (e.g. IPA, optionally in the presence of water), wherein said contacting occurs under conditions suitable to produce In some such embodiments, the contacting occurs at ted temperatures (e.g. 69-71 c’C).

In some embodiments, the methods further comprise contacting With in the presence of a ium catalyst (e.g., PdClz(dppf)-DCM complex) and a base (e. g. K2C03) in a solvent (e.g l,4-dioxane), wherein said contacting occurs under conditions suitable to produce In some such embodiments, the contacting occurs at elevated temperature (e.g. 90-95 c’C).

In some embodiments, the methods fiarther comprise contacting Haws | \13CH3 with TMSCl in the presence of a base (e. g. TEA, optionally in the presence of DMAP) in a solvent (e.g. in DCM), wherein said contacting occurs under conditions suitable to produce In some such ments, the contacting occurs at low temperature (e.g. 0 - 5 CC).

] In some embodiments, the methods fiarther se contacting With in the presence of a base (e.g. n-butyllithium) in a solvent (e.g. DCM), n said contacting occurs under conditions suitable to produce Haws | 13% In some such embodiments, the contacting occurs at low temperature (e.g. - 78 CC).

In some ments, the methods fiarther comprise contacting BrI21, with a base (e.g. potassium tert—butoxide) in a solvent (e.g THF), wherein said contacting occurs under conditions suitable to produce '3erNIN3C’ONl/3CH2 In some ments, the methods fiarther comprise contacting Br N Br I ‘1 1s OEt N/ ”/CHZ\130/|| With OCH3 fiHz-HCI in the ce of a base (e. g. DIPEA) in a solvent (e. g. NMP), wherein said contacting occurs under conditions suitable to produce OCH3 Br1:1::CH1111111 In some such embodiments, the contacting occurs at elevated temperature (e.g. 9 c’C).

In some ments, the methods fiarther comprise contacting Br N Br 1 1\ N NH2 With 13CH» OEt Br/ 139/ in the presence of a base (e.g., K2C03) in a solvent e.g acetone), optionally in the presence of tetrabutylammonium hydrogensulfate, wherein said contacting occurs under conditions suitable to produce Br N Br I IBCH CE: N/ 2\ ’ M/ 130 In one ment, provided herein are methods of preparing a compound having the formula: HO 13.0“ \130 H31SC/ / I l N/ NLSCHZ With in the presence of a ium catalyst (e.g. PdClz(Amphos)2) and a base (e.g.

K2C03) in a solvent (e.g., THF, optionally with water), wherein said contacting occurs under conditions suitable to produce H31SC/ / I : N \ NIMS(940 N/ N13CH2 In some such embodiments, the ting occurs at elevated temperatures (e. g. reflux).

In some embodiments, the methods fiarther comprise contacting H313C\ TMSO—l3008N \ ,0 / _ \0 H3130 with an acid (e.g. HCl) in a solvent (e.g. oxane), wherein said contacting occurs under conditions suitable to produce H3130 l \1SCH3 In some embodiments, the methods fiarther comprise contacting with 0‘ lo IB—B\ o o in the presence of a palladium st (e.g. PdClz(dppf)-DCM complex) and a base (e.g., K2C03) in a solvent (e,g. l,4-dioxane), wherein said ting occurs under conditions suitable to produce In some embodiments, the contacting occurs at elevated temperature (e.g.reflux).

In some embodiments, the methods fiarther comprise contacting H3130 l \1SCH3 with TMSCl in the presence of a base (e.g., TEA, optionally in the presence of DMAP) in a solvent (e.g. DCM), wherein said contacting occurs under conditions le to produce In some embodiments, the s filrther comprise contacting With H3130 \13CH3 in the presence of a base (e.g n-butyllithium) in a solvent (e. g. DCM), wherein said contacting occurs under conditions suitable to produce In some embodiments, the the contacting occurs at low temperature (e. g. -78 ° to -72 CC).

In some embodiments, the s fiarther comprise contacting Br N lilH with an acid (e.g. aqueous phosphoric acid), wherein said contacting occurs under conditions suitable to produce Br\[NI?Q/HZ130N/C/O In some embodiments, the the contacting occurs at elevated temperature (e.g. 75-80 c’C).

In some embodiments, the methods fiarther se contacting BrTT3942 with fiHyHCI in the presence of a base (e. g. DIPEA) in a solvent (e. g. NMP), wherein said contacting occurs under conditions suitable to produce BrTT In some embodiments, the the contacting occurs at elevated temperature (e.g.

In some embodiments, the methods fiarther se contacting Br N Br \E I\ N NH2 With Br9|-|2\13C’OEt13 in the presence of a base (e. g. K2C03) in a solvent (e.g. acetone), optionally in the presence of tetrabutylammonium hydrogensulfate, wherein said contacting occurs under conditions suitable to produce Br N Br I IW2\N/ ,OEt N/ 130 H n ] In some embodiments, the the contacting occurs at elevated temperature (e.g. reflux).

In one ment, the compound having the a: HO\13.CH3 H31SC/ / I ; N \ NINSC,,o N/ N9CH2 is recrystallized from a mixture of 2-propanol and water in the presence of 2,6- di-tert-butylmethylphenol.

In one embodiment, provided herein are methods of preparing a compound having the formula: I21:1 the s comprising contacting 31”I With in the presence of a palladium catalyst (e.g. PdClz(Amphos)2) and a base (e.g.

K2C03) in a solvent (e.g., THF, ally with water), wherein said contacting occurs under conditions suitable to produce |::1N:©1 In some such embodiments, the contacting occurs at elevated temperatures (e. g. reflux).

In some embodiments, the methods filrther comprise contacting OTMS D3C 003 010% with an acid (e.g. HCl) in a solvent (e.g. oxane), wherein said contacting occurs under conditions le to produce D3C 003 In some embodiments, the methods fiarther comprise contacting OTMS D30 003 With 0‘ lo IB—B\ o o in the presence of a ium catalyst (e.g. PdClz(dppf)-DCM complex) and a base (e.g., K2C03) in a solvent (e,g. l,4-dioxane), wherein said contacting occurs under conditions suitable to produce OTMS 030 003 In some embodiments, the contacting occurs at elevated ature (e.g.reflux).

] In some embodiments, the methods fiarther comprise contacting with TMSCl in the presence of a base (e.g., n-butyllithium) in a solvent (6.g. d6- acetone), wherein said contacting occurs under conditions suitable to produce OTMS 030 003 In some embodiments, the methods fiarther comprise contacting Br N\ KIH \[ I/ /32 CE: N N j; with an acid (e.g. aqueous oric acid), wherein said contacting occurs under conditions suitable to produce BrNKJo TIE:/ NN’2 ] In some embodiments, the the ting occurs at elevated temperature (e.g. 75-80 c’C).

In some embodiments, the methods fiarther comprise contacting Br N\ Br I j:/ /32 CE N M \[d/ With 0H2 - HCI in the presence of a base (e. g. DIPEA) in a solvent (e. g. NMP), wherein said contacting occurs under conditions suitable to produce Br N\ 0H \E I/ I32 CE N M \[d/ ] In some embodiments, the the contacting occurs at ed temperature (e.g. reflux).

In some embodiments, the methods fiarther comprise contacting Br N Br I I\ N NH2 With D D BrXCOZEt in the presence of a base (e. g. K2C03) in a solvent (e.g. acetone), optionally in the presence of tetrabutylammonium hydrogensulfate, wherein said contacting occurs under conditions suitable to produce \E IN\ /32 CE N M WC]: In some embodiments, the the contacting occurs at ed temperature (e.g. reflux).

In one embodiment, provided herein are methods of ing a compound having the formula: ISISIQoco3 the methods comprising contacting 0003 BI”ISI With in the presence of a palladium catalyst (e.g. PdClz(Amphos)2) and a base (e.g.

K2C03) in a solvent (e.g., THF, optionally with water), wherein said contacting occurs under conditions suitable to produce OCD3 |::1N:1 In some such embodiments, the contacting occurs at elevated temperatures (e. g. reflux).

In some ments, the methods fiarther comprise contacting OTMS D3C 003 with an acid (e.g. HCl) in a solvent (e.g. l,4-dioxane), n said contacting occurs under ions suitable to produce D30 CD3 In some embodiments, the methods r comprise contacting OTMS D30 003 With 0‘ lo IB—B\ o o in the presence of a palladium catalyst (e.g. PdClz(dppf)-DCM complex) and a base (e.g., K2C03) in a solvent (e,g. l,4-dioxane), wherein said ting occurs under conditions suitable to produce OTMS 030 003 In some embodiments, the contacting occurs at elevated temperature (e.g.reflux).

In some embodiments, the methods fiarther comprise contacting with TMSCl in the presence of a base (e.g., n-butyllithium) in a solvent (6.g. d6- acetone), n said contacting occurs under conditions suitable to produce OTMS D30 003 In some ments, the methods fiarther comprise contacting 0003 Br N\ NH with an acid (e.g. aqueous phosphoric acid), wherein said contacting occurs under conditions suitable to produce 0003 Br N N o TIE/ N N’ 2 In some embodiments, the the contacting occurs at elevated temperature (e.g. 75-80 c’C).

In some embodiments, the methods fiarther comprise contacting Br N\ Br I I/ I32 0E: N m If With OCD3 in the presence of a base (e. g. DIPEA) in a solvent (e. g. NMP), wherein said contacting occurs under conditions suitable to produce 0003 Br N\ 0H \E I/ /32 CE: N N \[d/ In some embodiments, the the contacting occurs at elevated temperature (e.g. reflux).

In some embodiments, the methods r comprise contacting Br N Br I I\ N NH2 With D D BrXCOZEt in the presence of a base (e. g. K2C03) in a solvent (e.g. acetone), optionally in the ce of tetrabutylammonium hydrogensulfate, wherein said contacting occurs under conditions suitable to produce I IN\ /32 CE N m \[d/ In some embodiments, the the contacting occurs at elevated temperature (e.g. reflux).

In one embodiment, the compound having the formula: oco3 IZIgI002 In one embodiment, provided herein are methods of preparing a compound having the a: IZIEGIoco3 the methods comprising contacting N 0 o l\ f N N with a base and CD31 to produce OCD3 ”‘ ”1:10 further contacting with a base and ROD/D20, wherein said contacting occurs under ions suitable to produce 0003 DO / (j N \ N N o I I TD N N’ 2 In one embodiment, provided herein are methods of preparing a compound haVing the formula: DO / | i N\ N NY0 N/IN’CD2 the methods comprising contacting HOXaE : N\ NNo llf\ with a base and ROD/D20, wherein said contacting occurs under conditions le to produce DO / i | : N\ NNO VIEN/N’2 .4 PHARMACEUTICAL COMPOSITIONS In one ment, provided herein are pharmaceutical compositions comprising Compound A and one or more pharmaceutically acceptable excipients or carriers.

In one embodiment, the pharmaceutical compositions provided herein comprise Form A of Compound A and one or more pharmaceutically acceptable ents or rs. In one embodiment, the pharmaceutical compositions provided herein comprise Form B (a hydrate) of Compound A and one or more pharmaceutically acceptable excipients or carriers. In one ment, the ceutical compositions provided herein comprise Form C (anhydrous) of Compound A and one or more ceutically acceptable excipients or carriers. In one embodiment, the pharmaceutical compositions provided herein comprise Form D (a methanol solvate) of Compound A and one or more pharmaceutically acceptable excipients or carriers.

In one embodiment, the ceutical compositions provided herein comprise an isotopologue of Compound A and one or more pharmaceutically acceptable excipients or carriers. In one embodiment, the pharmaceutical compositions provided herein comprise a metabolite of Compound A and one or more pharmaceutically acceptable excipients or rs.

With respect to the ceutical compositions provided herein, each reference to “Compound A” is contemplated as including pharmaceutically acceptable salts, solid forms, isotopologues and metabolites of Compound A.

In one embodiment, the pharmaceutically acceptable excipients and carriers are selected from binders, diluents, disintegrants and lubricants.

In certain ments, the binders include, but are not limited to, cellulose (e.g., microcrystalline ose, such as AVICEL® PH 101 and AVICEL® PH 102) and starch (e.g., atinized starch (STARCH ). In one embodiment, the binder is cellulose. In another embodiment, the binder is microcrystalline cellulose. In yet another embodiment, the binder is AVICEL® PH 101. In yet another embodiment, the binder is AVICEL® PH 102. In yet r embodiment, the binder is starch. In yet another embodiment, the binder is pregelatinized starch. In still another embodiment, the binder is STARCH 1500®.

In certain embodiments, the diluents include, but are not limited to, lactose (e.g., lactose monohydrate (FAST FLO® 316) and lactose anhydrous), ose (e.g., microcrystalline cellulose, such as AVICEL® PH 101 and AVICEL® PH 102). In one embodiment, the diluent is lactose. In another embodiment, the diluent is lactose monohydrate.

In yet another embodiment, the diluent is FAST FLO® 316. In yet another embodiment, the diluent is lactose anhydrous. In yet another embodiment, the diluent is cellulose. In yet another embodiment, the diluent is microcrystalline ose. In yet another embodiment, the diluent is AVICEL® PH 101. In still another embodiment, the diluent is AVICEL® PH 102).

In certain embodiments, the disintegrants include, but are not limited to, starch (e.g., corn starch) and ymethyl cellulose (e.g., rmellose sodium, such as SOL®). In one embodiment, the disintegrant is starch. In r embodiment, the disintegrant is corn starch. In yet another embodiment, the disintegrant is carboxymethyl cellulose. In yet another embodiment, the disintegrant is croscarmellose sodium. In still r embodiment, the disintegrant is AC-DI-SOL®.

In certain embodiments, the lubricants include, but are not limited to, starch (e.g., corn starch), magnesium stearate, and stearic acid. In one embodiment, the lubricant is starch. In another embodiment, the lubricant is corn starch. In yet another embodiment, the lubricant is magnesium te. In still another embodiment, the ant is stearic acid.

In another embodiment, the pharmaceutical compositions provided herein comprise Compound A and one or more pharmaceutically acceptable excipients or carriers, each independently selected from carboxymethyl cellulose, cellulose, e, magnesium stearate, starch, and stearic acid.

In yet another ment, the pharmaceutical compositions provided herein comprise Compound A and one or more pharmaceutically acceptable excipients or carriers, each independently selected from rmellose sodium, microcrystalline cellolose, lactose anhydrous, lactose monohydrate, magnesium stearate, corn starch, pregelatinized starch, and stearic acid.

In yet another embodiment, the pharmaceutical compositions provided herein comprise Compound A and one or more pharmaceutically able excipients or carriers, each independently selected from AC-DI-SOL®, AVICEL PH 101®, AVICEL PH 102®, lactose anhydrous, FAST FLO 3 l6®, magnesium stearate, corn starch, STARCH 1500®, and stearic acid.

In one embodiment, the pharmaceutical compositions provided herein comprise Compound A, a diluent(s)/binder(s), a egrant(s), and a lubricant(s).

In one embodiment, the pharmaceutical compositions provided herein se Compound A, stearic acid and lactose monohydrate.

In one embodiment, the pharmaceutical compositions provided herein comprise Compound A, stearic acid, lactose monohydrate and microcyrstalline ose.

In another embodiment, the pharmaceutical compositions provided herein comprise nd A, lactose monohydrate, rystalline cellulose, carboxymethyl cellulose, and magnesium stearate.

In another embodiment, the pharmaceutical compositions ed herein se Compound A, lactose monohydrate, microcrystalline cellulose, rmellose sodium, stearic acid and magnesium stearate.

In still another embodiment, the pharmaceutical compositions provided herein comprise nd A, FAST FLO 316®, AVICEL PH 102®, AC-DI-SOL®, stearic acid and ium stearate.

In one embodiment, the pharmaceutical compositions provided herein comprise about 10-20% by weight of Compound A, about 70-90% by weight of diluent(s)/binder(s), about l-5% by weight of disintegrant(s), and about 0.1-2% by weight of lubricant(s).

In one embodiment, the pharmaceutical compositions provided herein se about 15% by weight of Compound A, about 80% by weight of diluent(s)/binder(s), about 3% by weight of disintegrant(s), and about 1.4% by weight of 1ubricant(s).

In another embodiment, the ceutical compositions provided herein comprise about 10-20% by weight of Form A of Compound A, about 30-60% by weight of lactose, about 20-40% by weight of microcrystalline cellulose, about 1-5% by weight of carboxymethyl cellulose, about 0.1-2% by weight of stearic acid and about 0.5-3% by weight of magnesium stearate.

In another embodiment, the pharmaceutical compositions provided herein se about 15% by weight of Form A of Compound A, about 49% by weight of lactose, about 31% by weight of rystalline cellulose, about 3% by weight of carboxymethyl cellulose, about 0.4% by weight of stearic acid and about 1% by weight of magnesium stearate.

In yet another embodiment, the ceutical compositions provided herein comprise about 10-20% by weight of Form A of Compound A, about 30-60% by weight of e monohydrate, about 20-40% by weight of microcrystalline cellulose, about 1-5% by weight of croscarmellose sodium, about 0.1-2% by weight stearic acid and about 0.5-3% by weight of magnesium stearate.

In yet another embodiment, the pharmaceutical compositions provided herein comprise about 15% by weight of Form A of Compound A, about 49% by weight of lactose monohydrate, about 31% by weight of microcrystalline cellulose, about 3% by weight of rmellose sodium, about 0.4% by weight of stearic acid and about 1% by weight of magnesium stearate.

In still r embodiment, the pharmaceutical compositions provided herein comprise about 10-20% by weight of Form A of Compound A, about 30-60% by weight of FAST FLO 316®, about 20-40% by weight ofAVICEL PH 102®, about 1-5% by weight of AC-DI-SOL®, about 0.1-2% by weight of stearic acid and about 0.5-3% by weight of magnesium te.

In still another embodiment, the pharmaceutical compositions provided herein comprise about 15% by weight of Form A of Compound A, about 49% by weight of FAST FLO 316®, about 31% by weight ofAVICEL PH 102®, about 3% by weight ofAC-DI-SOL®, about 0.4% by weight of stearic acid and about 1% by weight of magnesium stearate.

In one embodiment, the pharmaceutical compositions provided herein comprise Form A of Compound A, lactose, starch, ymethyl ose, stearic acid and magnesium stearate.

In r embodiment, the pharmaceutical compositions provided herein se Form A of Compound A, lactose monohydrate, pregelatinized starch, croscarmellose sodium, stearic acid and magnesium stearate.

] In still another embodiment, the pharmaceutical compositions provided herein comprise Compound A, FAST FLO 316®, STARCH 1500®, AC-DI-SOL®, stearic acid and ium stearate.

In one embodiment, the pharmaceutical compositions provided herein comprise about 15% by weight of Compound A, from about 55% to about 80% by weight of diluent(s)/binder(s), from about 20% to about 30% by weight of disintegrant(s), and about 1% by weight of ant(s).

In another embodiment, the pharmaceutical itions provided herein comprise about 15% by weight of Compound A, about 55% by weight of lactose, about 25% by weight of starch, about 3% by weight of carboxymethyl cellulose, about 0.4% by weight of stearic acid and about 1% by weight of magnesium stearate.

In yet another embodiment, the pharmaceutical compositions provided herein comprise about 15% by weight of Compound A, about 55% by weight of lactose monohydrate, about 25% by weight of pregelatinized starch, about 3% by weight of rmellose sodium, about 0.4% by weight of stearic acid and about 1% by weight of magnesium stearate.

In still another embodiment, the pharmaceutical compositions provided herein se about 15% by weight of Compound A, about 55% by weight of FAST FLO 316®, about 25% by weight of STARCH 1500®, about 3% by weight of AC-DI-SOL®, about 0.4% by weight of stearic acid and about 1% by weight of magnesium stearate.

In one ment, the pharmaceutical compositions provided herein comprise nd A, lactose, microcrystalline cellulose, carboxymethyl cellulose, stearic acid and magnesium stearate.

In another embodiment, the pharmaceutical compositions provided herein comprise Compound A, lactose monohydrate, microcrystalline cellulose, croscarmellose sodium, c acid and magnesium stearate.

In still another embodiment, the pharmaceutical compositions provided herein comprise Compound A, FAST FLO 316®, AVICEL PH 102®, AC-DI-SOL®, about 0.4% by weight of stearic acid and magnesium stearate.

In one embodiment, the pharmaceutical compositions provided herein comprise about 15% by weight of Compound A, about 80% by weight of diluent(s)/binder(s), about 3% by weight of disintegrant(s), and about 1% by weight of ant(s).

In another embodiment, the ceutical compositions provided herein comprise about 15% by weight of Compound A, about 50% by weight of e, about 30% by weight of microcrystalline cellulose, about 3% by weight of carboxymethyl cellulose, about 0.4% by weight of stearic acid and about 1% by weight of magnesium stearate.

In yet r embodiment, the ceutical compositions provided herein comprise about 15% by weight of Compound A, about 50% by weight of lactose monohydrate, about 30% by weight of microcrystalline cellulose, about 3% by weight of croscarmellose sodium, about 0.4% by weight of stearic acid and about 1% by weight of ium stearate.

In still another embodiment, the pharmaceutical compositions provided herein comprise about 15% by weight of Compound A, about 50% by weight of FAST FLO 316®, about 30% by weight ofAVICEL PH 102®, about 3% by weight ofAC-DI-SOL®, about 0.4% by weight of stearic acid and about 1% by weight of magnesium stearate.

In one embodiment, the ceutical compositions provided herein comprise Compound A, lactose, microcrystalline cellulose, corn , carboxymethyl cellulose, stearic acid and magnesium stearate.

] In another embodiment, the pharmaceutical compositions provided herein comprise Compound A, lactose monohydrate, microcrystalline cellulose, corn starch, croscarmellose sodium, stearic acid and magnesium stearate.

In still another embodiment, the pharmaceutical itions provided herein comprise nd A, FAST FLO 316®, AVICEL PH 102®, corn starch, AC-DI-SOL®, stearic acid and magnesium stearate.

In one embodiment, the pharmaceutical compositions provided herein comprise about 15% by weight of Compound A, from about 85% to about 90% by weight of diluent(s)/binder(s), from about 1% to about 10% by weight of disintegrant(s), and from about 1% to about 6% by weight of lubricants.

In another embodiment, the pharmaceutical compositions ed herein comprise about 15% by weight of Compound A, about 45% by weight of lactose, about 30% by weight of microcrystalline cellulose, about 3% by weight of corn starch, about 3% by weight of carboxymethyl cellulose, about 0.4% by weight of stearic acid and about 1% by weight of magnesium stearate.

In yet another embodiment, the pharmaceutical compositions provided herein comprise about 15% by weight of Compound A, about 88% by weight of lactose, about 25% by weight of microcrystalline cellulose, about 4% by weight of corn starch, about 4% by weight of ymethyl ose, about 0.4% by weight of stearic acid and about 1.5% by weight of magnesium stearate.

] In yet another embodiment, the pharmaceutical compositions provided herein comprise about 15% by weight of Compound A, about 45% by weight of lactose monohydrate, about 30% by weight of microcrystalline cellulose, about 3% by weight of corn starch, about 3% by weight of croscarmellose sodium, about 0.4% by weight of stearic acid and about 1% by weight of magnesium stearate.

In yet another ment, the pharmaceutical compositions provided herein comprise about 15% by weight of Compound A, about 88% by weight of e monohydrate, about 25% by weight of microcrystalline cellulose, about 4% by weight of corn starch, about 4% by weight of croscarmellose sodium, about 0.4% by weight of stearic acid and about 1.5% by weight of magnesium stearate.

In yet another embodiment, the ceutical compositions provided herein comprise about 15% by weight of Compound A, about 45% by weight of FAST FLO 316®, about 30% by weight ofAVICEL PH 102®, about 3% by weight of corn starch, about 3% by weight I-SOL®, about 0.4% by weight of stearic acid and about 1% by weight of magnesium stearate.

In still another embodiment, the pharmaceutical compositions provided herein comprise about 15% by weight of Compound A, about 88% by weight of FAST FLO 316®, about 25% by weight ofAVICEL PH 102®, about 4% by weight of corn starch, about 4% by weight ofAC-DI-SOL®, about 0.4% by weight of stearic acid and about 1.5% by weight of magnesium stearate.

In one embodiment, the pharmaceutical compositions provided herein se nd A, lactose, microcrystalline cellulose, corn starch, carboxymethyl cellulose, stearic acid, and magnesium te.

In one embodiment, the ceutical compositions provided herein comprise about 5% by weight of Compound A, about 90% by weight of diluent(s)/binder(s), from about 3% to about 6% by weight of disintegrant(s), and from about 1.5% to about 5% by weight of lubricants.

In another embodiment, the pharmaceutical compositions provided herein comprise about 5% by weight of Compound A, about 60% by weight of lactose, about 30% by weight of rystalline cellulose, about 3% by weight of corn starch, about 3% by weight of carboxymethyl cellulose, about 0.5% by weight of stearic acid, and about 1% by weight of magnesium stearate.

In yet another embodiment, the pharmaceutical compositions ed herein comprise about 5% by weight of Compound A, about 60% by weight of lactose monohydrate, about 30% by weight of microcrystalline cellulose, about 3% by weight of corn starch, about 3% by weight of croscarmellose sodium, about 0.5% by weight of stearic acid, and about 1% by weight of magnesium stearate.

In still another embodiment, the pharmaceutical compositions provided herein comprise about 5% by weight of Compound A, about 60% by weight of FAST FLO 3 l6®, about 30% by weight ofAVICEL PH 102®, about 3% by weight of corn starch, about 3% by weight I-SOL®, about 0.5% by weight of stearic acid, and about 1% by weight of magnesium stearate.

In one embodiment, the ceutical compositions provided herein comprise Compound A, lactose, microcrystalline cellulose, carboxymethyl cellulose, c acid, and magnesium stearate.

In another embodiment, the pharmaceutical itions provided herein comprise Compound A, lactose monohydrate, microcrystalline cellulose, croscarmellose sodium, stearic acid, and magnesium stearate.

In still another embodiment, the ceutical compositions provided herein comprise nd A, FAST FLO 3 l6®, AVICEL PH 102®, AC-DI-SOL®, stearic acid, and magnesium stearate.

In one embodiment, the pharmaceutical compositions provided herein comprise about 12% by weight of Compound A, from about 80% to about 85% by weight of diluent(s)/binder(s), about 3% by weight of disintegrant(s), and about 1.5% by weight of lubricant(s).

In another embodiment, the ceutical compositions provided herein comprise about 12% by weight of Compound A, about 52.5% by weight of lactose, about 30% by weight of microcrystalline cellulose, about 3% by weight of carboxymethyl cellulose, about 0.5% by weight of stearic acid, and about 1% by weight of magnesium stearate.

In yet r embodiment, the pharmaceutical compositions provided herein comprise about 12% by weight of Compound A, about 52.5% by weight of lactose monohydrate, about 30% by weight of microcrystalline cellulose, about 3% by weight of croscarmellose sodium, about 0.5% by weight of stearic acid, and about 1% by weight of magnesium stearate.

In still r embodiment, the ceutical compositions provided herein comprise about 12% by weight of Compound A, about 52.5% by weight of FAST FLO 3 l6®, about 30% by weight ofAVICEL PH 102®, about 3% by weight ofAC-DI-SOL®, about 0.5% by weight of stearic acid, and about 1% by weight of ium stearate.

] In one embodiment, the pharmaceutical compositions provided herein comprise about 12% by weight of Compound A, about 80% by weight of t(s)/binder(s), about 3% by weight of disintegrant(s), and about 4% by weight of 1ubricant(s).

In another embodiment, the pharmaceutical compositions provided herein comprise about 12% by weight of Compound A, about 63% by weight of lactose, about 18% by weight of microcrystalline cellulose, about 3% by weight of carboxymethyl cellulose, about 3% by weight of stearic acid, and about 1% by weight of magnesium stearate.

In yet another embodiment, the pharmaceutical compositions provided herein comprise about 12% by weight of Compound A, about 63% by weight of lactose monohydrate, about 18% by weight of microcrystalline cellulose, about 3% by weight of croscarmellose sodium, about 3% by weight of stearic acid, and about 1% by weight of magnesium stearate.

In still another ment, the pharmaceutical itions ed herein comprise about 12% by weight of Compound A, about 63% by weight of FAST FLO 316®, about 18% by weight ofAVICEL PH 102®, about 3% by weight ofAC-DI-SOL®, about 3% by weight of stearic acid, and about 1% by weight of magnesium stearate.

In one embodiment, the pharmaceutical compositions provided herein comprise about 15% by weight of Compound A, about 80% by weight of a diluent/binder, about 3% by weight of a disintegrant, and about 1.5% by weight of lubricants.

In another embodiment, the ceutical compositions ed herein comprise about 15% by weight of Compound A, about 50% by weight of lactose, about 30% by weight of microcrystalline cellulose, about 3% by weight of ymethyl cellulose, about 0.5% by weight of stearic acid, and about 1% by weight of magnesium stearate.

] In yet another embodiment, the pharmaceutical compositions provided herein comprise about 15% by weight of Compound A, about 50% by weight of lactose monohydrate, about 30% by weight of microcrystalline cellulose, about 3% by weight of croscarmellose sodium, about 0.5% by weight of stearic acid, and about 1% by weight of magnesium stearate.

In still another embodiment, the ceutical compositions provided herein comprise about 15% by weight of Compound A, about 50% by weight of FAST FLO 316®, about 30% by weight ofAVICEL PH 102®, about 3% by weight ofAC-DI-SOL®, about 0.5% by weight of stearic acid, and about 1% by weight of magnesium stearate.

In one embodiment, the pharmaceutical compositions ed herein comprise about 17% by weight of Form A of Compound A, about 80% by weight of dilent(s)/binder(s), about 3% by weight of disintegrant(s), and about 1% by weight of lubricant(s).

In another embodiment, the pharmaceutical compositions ed herein comprise about 17% by weight of Form A of Compound A, about 50% by weight of lactose, about 30% by weight of microcrystalline cellulose, about 3% by weight of carboxymethyl cellulose, and about 1% by weight of magnesium stearate.

In yet another embodiment, the pharmaceutical compositions provided herein comprise about 17% by weight of Form A of Compound A, about 50% by weight of lactose monohydrarte, about 30% by weight of microcrystalline cellulose, about 3% by weight of croscarmellose sodium, and about 1% by weight of magnesium stearate.

In still r embodiment, the pharmaceutical itions provided herein comprise about 17% by weight of Form A of Compound A, about 50% by weight of FAST FLO 316®, about 30% by weight ofAVICEL PH 101®, about 3% by weight ofAC-DI-SOL®, and about 1% by weight of ium stearate.

In one embodiment, the ceutical compositions ed herein comprise about 17% by weight of Form A of Compound A, from about 55% to about 80% by weight of dilent(s)/binder(s), from about 20% to about 30% by weight of disintegrant(s), and about 1% by weight of lubricant(s).

In another embodiment, the pharmaceutical compositions provided herein se about 17% by weight of Form A of Compound A, about 55% by weight of lactose, about 25% by weight of starch, about 3% by weight of carboxymethyl cellulose, and about 1% by weight of magnesium stearate.

In yet another embodiment, the pharmaceutical compositions provided herein comprise about 17% by weight of Form A of Compound A, about 55% by weight of lactose monohydrarte, about 25% by weight of pregelatinized starch, about 3% by weight of croscarmellose sodium, and about 1% by weight of magnesium stearate.

In still another embodiment, the pharmaceutical compositions provided herein comprise about 17% by weight of Form A of Compound A, about 55% by weight of FAST FLO 316®, about 25% by weight of STARCH l500®, about 3% by weight of AC-DI-SOL®, and about 1% by weight of magnesium stearate.

In one embodiment, the pharmaceutical itions provided herein comprise about 17% by weight of Form A of Compound A, about 80% by weight of dilent(s)/binder(s), about 3% by weight of disintegrant(s), and about 1% by weight of lubricant(s).

In another embodiment, the pharmaceutical compositions provided herein comprise about 17% by weight of Form A of nd A, about 50% by weight of e, about 30% by weight of microcrystalline cellulose, about 3% by weight of carboxymethyl cellulose, and about 1% by weight of magnesium stearate.

In yet another embodiment, the ceutical compositions provided herein comprise about 17% by weight of Form A of Compound A, about 50% by weight of lactose monohydrarte, about 30% by weight of microcrystalline cellulose, about 3% by weight of croscarmellose sodium, and about 1% by weight of magnesium stearate.

In still another embodiment, the pharmaceutical compositions provided herein se about 17% by weight of Form A of Compound A, about 50% by weight of FAST FLO 316®, about 30% by weight ofAVICEL PH 102®, about 3% by weight ofAC-DI-SOL®, and about 1% by weight of magnesium stearate.

In one embodiment, the pharmaceutical compositions provided herein comprise about 17% by weight of Form A of Compound A, from about 85% to about 90% by weight of dilent(s)/binder(s), from about 3% to about 9% by weight of egrant(s), and from about 1% to about 6% by weight of lubricants.

In r embodiment, the pharmaceutical compositions ed herein se about 17% by weight of Form A of Compound A, about 45% by weight of lactose, about 30% by weight of microcrystalline cellulose, about 3% by weight of corn starch, about 3% by weight of carboxymethyl cellulose, and about 1% by weight of magnesium stearate.

In yet another embodiment, the pharmaceutical compositions provided herein comprise about 17% by weight of Form A of Compound A, about 88% by weight of lactose, about 25% by weight of microcrystalline cellulose, about 4% by weight of corn starch, about 4% by weight of carboxymethyl ose, and about 1.5% by weight of magnesium te.

In yet another embodiment, the pharmaceutical itions provided herein comprise about 17% by weight of Form A of Compound A, about 45% by weight of e monohydrarte, about 30% by weight of microcrystalline cellulose, about 3% by weight of corn starch, about 3% by weight of croscarmellose sodium, and about 1% by weight of magnesium stearate.

In yet another embodiment, the pharmaceutical compositions provided herein comprise about 17% by weight of Form A of Compound A, about 88% by weight of lactose monohydrarte, about 25% by weight of microcrystalline cellulose, about 4% by weight of corn starch, about 4% by weight of croscarmellose sodium, and about 1.5% by weight of magnesium stearate.

In yet another embodiment, the pharmaceutical compositions provided herein se about 17% by weight of Form A of Compound A, about 45% by weight of FAST FLO 3 l6®, about 30% by weight ofAVICEL PH 102®, about 3% by weight of corn starch, about 3% by weight ofAC-DI-SOL®, and about 1% by weight ofmagnesium stearate.

In still another embodiment, the pharmaceutical compositions ed herein comprise about 17% by weight of Form A of Compound A, about 88% by weight of FAST FLO 3 l6®, about 25% by weight ofAVICEL PH 102®, about 4% by weight of corn starch, about 4% by weight ofAC-DI-SOL®, and about 1.5% by weight ofmagnesium stearate.

In certain embodiments, provided herein are pharmaceutical compositions comprising Compound A and stearic acid. In n embodiments, stearic acid is present in an amount of about 0.1-5%, 0.1 to 1%, or 0.4% by weight. Without being limited by theory, it was found that the addition of stearic acid improved lubrication (reduced sticking) without impacting disintegration and compressability.

In n embodiments, provided herein are ceutical compositions comprising Compound A and lactose monohydrate. In certain embodiments, lactose monohydrate is present in an amount of about 40-60%, , or 49.2% by weight. Without being limited by , it was found that lactose monohydrate provided better flowability than lactose anhydrous.

In certain embodiments, provided herein are pharmaceutical compositions comprising Compound A and AVICEL PH 102®. In certain embodiments, AVICEL PH 102® is present in an amount of about 20-40%, 25-35%, or 31% by weight. Without being limited by theory, it was found that AVICEL PH 102® provided better flowability than AVICEL PH 1 0 1 ®.

In certain embodiments, provided herein are pharmaceutical compositions comprising nd A, stearic acid, lactose monohydrate and AVICEL PH 102®. In n ments, provided herein are pharmaceutical compositions comprising Compound A, stearic acid (in an amount of about 0.1-5%, 0.1 to 1%, or 0.4% by weight), lactose drate (in an amount of about 40-60%, 45-55%, or 49.2% by weight) and AVICEL PH 102® (in an amount of about 20-40%, , or 31% by weight).

In certain embodiments, provided herein are pharmaceutical compositions comprising an opaque coating. Without being d by theory, it was found that a more opaque coating protected the drug product from degradation. In some ments, the pharmaceutical composition is formulated as a . In some such embodiments, the tablet is film coated. In some embodiments, the tablet is film coated to a weight gain of 1-8%. In others, the film coating is about 4% by weight of the tablet.

In certain embodiments, provided herein are pharmaceutical compositions as set forth in Tables 3-11, 14-16, 23-25, 28 and 29, wherein the amounts of the recited components can independently be varied by 1%, 2%, 3%, 4%, 5%, 6%, 7%, 8%, 9%, 10%, 15%, 20% or %.

In certain embodiments, provided herein are liquid formulations comprising Compound A, an alcohol and polyethylene glycol. In certain embodiments, the alcohol and polyethylene glycol are present in a ratio of about 80:20 to about 20:80. In n embodiments, the alcohol and polyethylene glycol are present in a ratio of about 50:50. In certain embodiments, the alcohol is ethanol. In certain ments, the polyethylene glycol is PEG 400. In one embodiment, provided herein are capsules filled with a liquid formulation sing Compound A, an alcohol and polyethylene glycol. In one embodiment, Compound A is an isotopologue of 7-(6-(2-hydroxypropanyl)pyridinyl)-l-((trans)—4- methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one. In some embodiments, the isotopologue is enriched in 14C.

The pharmaceutical compositions provided herein can be provided in a unit- dosage form or multiple-dosage form. A unit-dosage form, as used herein, refers to ally discrete unit suitable for administration to a human and animal subject, and packaged individually as is known in the art. Each unit-dose contains a predetermined quantity of an active ingredient(s) sufficient to e the desired therapeutic effect, in association with the required pharmaceutical carriers or excipients. Examples of a unit-dosage form e an individually packaged tablet or capsule. A unit-dosage form may be administered in fractions or multiples thereof. A multiple-dosage form is a ity of identical osage forms packaged in a single container to be administered in segregated unit-dosage form. In certain embodiments, the unit dosage forms ed herein comprise about 1 mg to about 100 mg of Compound A. In other ments, the unit dosage forms ed herein comprise about 5 mg to about 50 mg of Compound A. In other embodiments, the unit dosage forms provided herein comprise about 1 mg, about 5 mg, about 20 mg, about 45 mg, about 50 mg, about 75 mg or about 100 mg of Compound A. In other embodiments, the unit dosage forms provided herein comprise about 5 mg, about 20 mg, about 45 mg, and about 50 mg of Compound A.

In certain embodiments, provided herein are methods for preparing a composition provided herein, comprising: (i) ng out the desired amount of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form (such as Form A, Form B, Form C, or Form D) thereof and the desired amount of excipients (such as lactose monohydrate, croscarmellose sodium and microcrystalline cellulose); (ii) mixing or blending 2-hydroxypropanyl)pyridin-3 -yl)-l- ((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form thereof and the excipients; (iii) passing the mixture of 7-(6-(2-hydroxypropanyl)pyridinyl)-l-((trans) methoxycyclohexyl)-3,4-dihydro-pyrazino[2,3-b]pyrazin-2(lH)-one, or a pharmaceutically acceptable salt, isotopologue, lite or solid form thereof and excipients through a screen (such as an 18 mesh or 1000 um screen); (iv) mixing or blending 7-(6-(2-hydroxypropan yl)pyridinyl)- l ns)methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3 -b]pyrazin-2( 1H)- one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form thereof and the excipients after passage through the screen; (V) weighing out the desired amount of lubricating agents (such as stearic acid and magnesium stearate); (vi) passing the lubricating agents through a screen (such as a 30 mesh or 600 um screen); (vii) mixing or blending 7-(6- (2-hydroxypropanyl)pyridin-3 -yl)— l ns)—4-methoxycyclohexyl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form thereof, the excipients and the lubricating agents; (viii) compressing the mixture of 7-(6-(2-hydroxypropanyl)pyridinyl)-l-((trans)methoxycyclohexyl)-3,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form thereof, the excipients and the lubricating agents (such as into a tablet form); and (ix) coating the compressed mixture of 7-(6-(2-hydroxypropanyl)pyridinyl)-l- ((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form f, the excipients and the lubricating agents with a coating agent (such as Opadry pink, yellow or .

In certain ments, provided herein are methods for preparing a composition provided herein, comprising: (i) ng out the desired amount of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3-b]pyrazin-2(lH)—one, or a ceutically acceptable salt, isotopologue, metabolite or solid form thereof and the desired amount of excipients (such as lactose monohydrate, rmellose sodium and microcrystalline cellulose); (ii) passing the ents through a screen (such as an 18 mesh or 1000 um screen); (iii) mixing or blending (such as at 26 tions per minute for 20 minutes) 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)-l-((trans)- 4-methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form (such as Form A, Form B, Form C, or Form D) thereof and the excipients; (iv) passing the mixture of 2-hydroxypropan yl)pyridinyl)- l -((trans)methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3 -b]pyrazin-2( 1H)- one, or a pharmaceutically acceptable salt, isotopologue, lite or solid form thereof and excipients through a screen (such as an 18 mesh or 1000 um screen); (V) mixing or blending (such as at 26 revolutions per minute for 10 minutes) 7-(6-(2-hydroxypropanyl)pyridinyl)- l-((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one, or a pharmaceutically acceptable salt, isotopologue, lite or solid form thereof and the excipients; (vi) weighing out the desired amount of lubricating agents (such as c acid and magnesium stearate); (vii) passing the lubricating agents through a screen (such as a 30 mesh or 600 um screen); (viii) mixing or blending (such as at 26 revolutions per minute for 3 minutes) 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3 ,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form thereof, the excipients and the lubricating agents; (ix) compressing the mixture of 7-(6-(2-hydroxypropanyl)pyridin-3 -yl)- l -((trans)—4-methoxycyclohexyl)-3,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form thereof, the excipients and the lubricating agents (such as into a tablet form); and (x) coating the compressed mixture of 7-(6-(2-hydroxypropanyl)pyridinyl)-l- ((trans)methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(lH)-one, or a pharmaceutically acceptable salt, isotopologue, metabolite or solid form thereof, the excipients and the lubricating agents with a coating agent (such as Opadry pink, yellow or beige).

In certain embodiments, the pharmaceutical compositions ed herein se Form A of Compound A, ing substantially pure Form A.

In certain embodiments, the pharmaceutical compositions ed herein comprise Form B of nd A, including substantially pure Form B.

In certain embodiments, the ceutical compositions provided herein comprise Form C of Compound A, including substantially pure Form C.

In n embodiments, the ceutical compositions provided herein comprise Form D of Compound A, including substantially pure Form D.

Further provided herein are kits comprising a pharmaceutical composition of Compound A provided herein. In particular embodiments, provided herein are kits sing a unit dosage form of Compound A ed herein. In certain embodiments of the kits provided herein, Compound A is ed as Form A. In certain embodiments of the kits provided herein, Compound A is provided as Form B. In certain embodiments of the kits ed herein, nd A is ed as Form C. In certain embodiments of the kits provided herein, Compound A is provided as Form D. In certain embodiments of the kits provided herein, Compound A is provided as a pinacol co-crystal. In some embodiments, of the kits provided herein Compound A is provided as an isotopologue of 7-(6-(2-hydroxypropan yl)pyridinyl)- l -((trans)methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3 -b]pyrazin-2(1H)- one. In some such embodiments, the isotopologue is enriched in is enriched in C, 14C and/or 2H. .5 METHODS OF USE The solid forms of Compound A (e.g, Form A, Form B, Form C, or Form D), isotopologues of Compound A, metabolites of Compound A (e.g, O-desmethyl Compound A) and the pharmaceutical compositions provided herein have utility as pharmaceuticals to treat or prevent a disease in a t, e.g., a proliferative disease. Further, the solid forms of Compound A (e.g., Form A, Form B, Form C, or Form D), isotopologues of Compound A, metabolites of Compound A (e.g, O-desmethyl Compound A) and the pharmaceutical compositions provided herein provided herein are active against kinases (e.g, protein s), including those involved in cancer, inflammatory conditions, immunological conditions, neurodegenerative diseases, es, obesity, neurological disorders, age-related diseases, and/or cardiovascular conditions. Without being limited by theory, it is thought the solid forms of nd A (e.g., Form A, Form B, Form C, or Form D), isotopologues of Compound A, metabolites of nd A (e.g, O-desmethyl Compound A) and the pharmaceutical compositions provided herein are effective for treating and ting diseases and conditions due to its ability to modulate (e.g. kinases that are involved in the etiology of the , inhibit) diseases and conditions. ingly, provided herein are uses of the solid forms of Compound A (e.g., Form A, Form B, Form C, or Form D), isotopologues of Compound A, metabolites of Compound A (e.g, O-desmethyl Compound A) and the pharmaceutical compositions provided herein, including the treatment or prevention of those diseases set forth herein. In certain embodiments, the methods provided herein comprise administering a solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of Compound A (e.g, O-desmethyl Compound A) or a pharmaceutical composition provided herein, wherein the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), isotopologue of Compound A, lite of Compound A (e.g, O-desmethyl nd A) or the pharmaceutical composition provided herein is part of a kit provided herein.

In one embodiment, provided herein is a method of treating and ting a disease or ion in a subject, comprising the administration of an effective amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an ologue of Compound A, a metabolite of Compound A (e.g, O-desmethyl Compound A) or a pharmaceutical composition provided herein to the subject.

Representative immunological conditions that the solid forms of Compound A (e.g., Form A, Form B, Form C, or Form D), isotopologues of Compound A, metabolites of Compound A (e.g, O-desmethyl Compound A) and the pharmaceutical compositions provided herein are useful for treating or preventing e, but are not limited to, rheumatoid arthritis, rheumatoid spondylitis, osteoarthritis, le sis, lupus, inflammatory bowel disease, ulcerative colitis, Crohn’s e, myasthenia gravis, Graves disease, encephalomyelitis, Type II es, dermatomyositis, and transplant rejection (6.g. in the treatment of recipients of heart, lung, combined heart-lung, liver, kidney, pancreatic, skin, or corneal transplants; or graft-versus-host disease, such as following bone marrow transplantation).

Representative inflammatory conditions that the solid forms of Compound A (e.g., Form A, Form B, Form C, or Form D), isotopologues of Compound A, metabolites of Compound A (e.g, O-desmethyl Compound A) and the pharmaceutical compositions provided herein are useful for treating or ting include, but are not limited to, psoriasis, asthma and allergic rhinitis, bronchitis, chronic obstructive pulmonary disease, cystic fibrosis, inflammatory bowel e, irritable bowel syndrome, Crohn’s disease, mucous colitis, ulcerative colitis, and obesity.

Representative cardiovascular diseases that the solids form of Compound A (e.g., Form A, Form B, Form C, or Form D), isotopologues of Compound A, metabolites of Compound A (e.g, O-desmethyl Compound A) and the pharmaceutical itions provided herein are useful for treating or ting include, but are not limited to, restenosis, Wolf- Parkinson-White Syndrome, stroke, dial infarction or ischemic damage to the heart, lung, gut, kidney, liver, pancreas, spleen or brain.

Representative neurodegenerative diseases that the solid forms of Compound A (e.g., Form A, Form B, Form C, or Form D), isotopologues of Compound A, metabolites of Compound A (e.g, O-desmethyl Compound A) and the pharmaceutical itions provided herein are useful for treating or preventing include, but are not limited to, Huntington’s disease, Alzheimer’s disease, Parkinson’s disease, dementias caused by tau mutations, spinocerebellar ataxia type 3, motor neuron disease caused by SODl mutations, neuronal ceroid lipofiJcinoses/Batten disease (pediatric neurodegene ration) and HIV-associated encephalitis.

Representative age-related diseases that the solid forms of Compound A (e.g., Form A, Form B, Form C, or Form D), isotopologues of Compound A, metabolites of Compound A (e.g, O-desmethyl Compound A) and the pharmaceutical compositions provided herein are useful for ng or preventing include, but are not limited to, cancer, obesity, type II diabetes mellitus, mune disease, vascular diseases and neuronal ration.

In certain embodiments, the disease or condition is a fibrotic disease or disorder.

Thus, in one embodiment, provided herein is a method for treating or ting a fibrotic disease or disorder in a subject, comprising the administration of an effective amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a lite of Compound A (e.g, ethyl Compound A) or a pharmaceutical ition provided herein to the subject. In another embodiment, provided herein is a method of treating or preventing derma, idiopathic pulmonary fibrosis, renal fibrosis, cystic fibrosis, myelofibrosis, hepatic fibrosis, steatofibrosis or steatohepatitis in a subject, comprising the administration of an effective amount of the solid form of nd A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of nd A (e.g, O-desmethyl Compound A) or a pharmaceutical composition provided herein to the t. entative cancers that the solid forms of Compound A (e.g, Form A, Form B, Form C, or Form D), isotopologues of Compound A, metabolites of Compound A (e.g, 0- desmethyl Compound A) and the pharmaceutical compositions provided herein are useful for treating or preventing include, but are not limited to, cancers of the head, neck, eye, mouth, throat, esophagus, bronchus, larynx, pharynx, chest, bone, lung, colon, rectum, stomach, prostate, urinary bladder, uterine, cervix, breast, s, les or other reproductive organs, skin, thyroid, blood, lymph nodes, kidney, liver, pancreas, and brain or central nervous system.

The solid forms of Compound A (e.g., Form A, Form B, Form C, or Form D), isotopologues of Compound A, metabolites of nd A (e.g, O-desmethyl nd A) and the pharmaceutical compositions provided hereinare also useful for treating or preventing solid tumors and bloodbome .

In some embodiments, the cancers within the scope of the methods provided herein include those associated with the pathways involving mTOR, PI3K, or Akt kinases and mutants or isoforms thereof. In some embodiments, the cancers within the scope of the methods provided herein include those ated with the pathways of the following kinases: PI3K0L, PI3KB, PI3K8, KDR, GSK30L, GSK3B, ATM, ATX, ATR, cFMS, and/or DNA-PK kinases and mutants or ms thereof In some embodiments, the cancers associated with mTOlV PI3K/Akt pathways include solid and blood-bome tumors, for e, multiple myeloma, mantle cell lymphoma, diffilsed large B-cell lymphoma, acute myeloid lymphoma, follicular lymphoma, chronic lymphocytic leukemia; breast, lung, endometrial, ovarian, gastric, cervical, and prostate cancer; astoma; renal carcinoma; hepatocellular carcinoma; colon carcinoma; neuroendocrine tumors; head and neck tumors; and sarcomas.

In one embodiment, provided herein is a method for ng or preventing a disease or disorder associated with activation ofmTOR signaling, comprising the administration of an effective amount of the solid form of Compound A (e.g. Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of Compound A (e.g, 0- desmethyl Compound A) or a pharmaceutical composition provided herein to a subject in need thereof. Examples of es or disorders associated with activation ofmTOR signaling include, but are not limited to, tumor syndromes resulting ly or indirectly from genetic defects in PTEN (Phosphatase and tensin homologue d on chromosome 10), TSCl (Tuberous sclerosis l), TSC2 (Tuberous sclerosis 2), NFl (Neurof1bromin l), AMPK (AMP- dependent protein kinase STKl l, serine/threonine kinase ll), LKBl, VHL (von Hippel-Lindau disease) and PKDl (polycystin-l). Without being limited by theory, it is thought that genetic defects associated with these proteins results in hyperactivation of the mTOlVPBK/Akt pathway. In certain embodiments, the diseases which are treatable or preventable through inhibition of the mTOlVPBK/Akt pathway include, but are not limited to, Cowden’s disease, Cowden syndrome, Cowden-like syndrome, Bannayan-Zonana syndrome, Bannayan-Riley- aba syndrome, Lhermitte-Duclos disease, endometrial carcinoma, tuberous sclerosis complex, lymphangioleiomyomatosis, neurof1bromatosis l, Peutz-Jeghers syndrome, renal cell carcinoma, von Hippel-Lindau e, Proteus syndrome, and polycystic kidney disease.

In another embodiment, provided herein is a method for treating or preventing a e or disorder associated with mTOR, PI3K, Akt, and/or DNA-PK signaling, comprising the administration of an effective amount of the solid form of nd A (e.g. Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of Compound A (e. g, O-desmethyl nd A) or a pharmaceutical composition provided hereinto a subject in need f. Examples of diseases which are treatable or preventable by inhibiting mTOR, PI3K, Akt and/or DNA-PK signaling, include, but are not d to, rheumatoid arthritis; rheumatoid spondylitis; osteoarthritis; gout; asthma, bronchitis; ic rhinitis; chronic obstructive pulmonary disease; cystic fibrosis; inflammatory bowel disease; irritable bowel syndrome; mucous colitis; ulcerative colitis; Crohn’s disease; Huntington’s disease; gastritis; esophagitis; hepatitis; pancreatitis; tis; multiple sclerosis; lupus matosus; atherosclerosis; restenosis following angioplasty; left cular hypertrophy; myocardial infarction; stroke; ischemic damages of heart, lung, gut, kidney, liver, pancreas, spleen and brain; acute or c organ lant rejection; preservation of the organ for transplantation; organ failure or loss of limb (e.g. , including, but not limited to, that ing from ischemia- reperfilsion injury, , gross bodily injury, car accident, crush injury or transplant failure); graft versus host disease; endotoxin shock; multiple organ failure; psoriasis; burn from exposure to fire, chemicals or radiation; eczema; dermatitis; skin graft; ia; ischemic conditions associated with surgery or traumatic injury (e.g., vehicle accident, gunshot wound or limb crush); epilepsy; Alzheimer’s disease; Parkinson’s e; immunological response to bacterial or viral infection; cachexia; angiogenic and proliferative diseases (including retinitis tosa), solid tumors, and cancers of a variety of tissues such as colon, rectum, prostate, liver, lung, bronchus, as, brain, head, neck, stomach, skin, kidney, cervix, blood, larynx, esophagus, mouth, pharynx, y bladder, ovary or uterine.

In yet another embodiment, provided herein is a method of inhibiting a kinase in a cell expressing the kinase, sing contacting the cell with an effective amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of Compound A (e.g, O-desmethyl Compound A) or a ceutical composition provided herein provided herein. In one embodiment, the kinase is TOR kinase. In certain ments, the cell is in a subject. In certain embodiments, the cell is from a t.

] In yet another embodiment, provided herein is a method of treating or ting a condition treatable or preventable by the inhibition of a kinase pathway, in one embodiment, the mTOlVPI3K/Akt and/or DNA-PK pathway, comprising administering to a subject in need thereof an effective amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of Compound A (e.g, O-desmethyl Compound A) or a pharmaceutical composition provided herein. ions treatable or preventable by the inhibition of the mTOlV PI3K/Akt pathway include, but are not limited to, solid and blood-bome tumors, for example, multiple myeloma, mantle cell lymphoma, ed large B-cell lymphoma, acute myeloid lymphoma, follicular lymphoma, chronic lymphocytic leukemia; breast, lung, endometrial, ovarian, gastric, cervical, and prostate cancer; glioblastoma; renal carcinoma; hepatocellular carcinoma; colon carcinoma; neuroendocrine tumors; head and neck tumors; sarcomas; tumor syndromes resulting directly or indirectly from genetic defects in PTEN (Phosphatase and tensin homologue deleted on chromosome 10), TSCl (Tuberous sis l), TSC2 ous sclerosis 2), NFl (Neurofibromin l), AMPK (AMP-dependent n kinase STKl l, serine/threonine kinase ll), and LKB l , VHL (von Hippel-Lindau disease) and PKDl (polycystin-l); ’s disease, Cowden syndrome, Cowden-like syndrome, Bannayan-Zonana me, Bannayan-Riley-Ruvalcaba syndrome, Lhermitte-Duclos disease, endometrial carcinoma, tuberous sclerosis complex, lymphangioleiomyomatosis, neurof1bromatosis l, Peutz-Jeghers syndrome, renal cell carcinoma, von Hippel-Lindau disease, Proteus syndrome, and polycystic kidney disease; toid arthritis; rheumatoid spondylitis; osteoarthritis; gout; asthma, bronchitis; allergic rhinitis; chronic obstructive pulmonary disease; cystic s; inflammatory bowel disease; irritable bowel syndrome; mucous colitis; ulcerative s; Crohn’s disease; Huntington’s disease; tis; esophagitis; hepatitis; pancreatitis; nephritis; multiple sclerosis; lupus erythematosus; atherosclerosis; restenosis following angioplasty; left ventricular hypertrophy; myocardial infarction; stroke; ischemic damages of heart, lung, gut, kidney, liver, pancreas, spleen and brain; acute or chronic organ transplant rejection; preservation of the organ for transplantation; organ e or loss of limb (e.g. , including, but not limited to, that resulting from ischemia-reperfusion injury, trauma, gross bodily injury, car accident, crush injury or transplant failure); graft versus host disease; endotoxin shock; multiple organ failure; psoriasis; burn from exposure to fire, chemicals or radiation; eczema; dermatitis; skin graft; ischemia; ischemic conditions associated with surgery or traumatic injury (e.g., vehicle accident, gunshot wound or limb crush); epilepsy; Alzheimer’s disease; Parkinson’s disease; immunological response to bacterial or viral infection; cachexia; angiogenic and proliferative diseases, including tis tosa, solid tumors, and cancers of a y of tissues such as colon, rectum, prostate, liver, lung, bronchus, pancreas, brain, head, neck, stomach, skin, kidney, cervix, blood, larynx, esophagus, mouth, x, urinary bladder, ovary or uterine.

] Provided herein are methods for treating or preventing a solid tumor, non- Hodgkin lymphoma or multiple myeloma, comprising administering an effective amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of nd A (e.g, ethyl Compound A) or a pharmaceutical composition ed herein, to a t having a solid tumor, dgkin lymphoma or multiple myeloma. In one embodiment, the solid tumor, non-Hodgkin lymphoma or multiple a, is rapamycin resistant.

In one embodiment, the non-Hodgkin lymphoma is diffuse large B-cell ma (DLBCL), follicular lymphoma (FL), acute myeloid leukemia (AML), mantle cell lymphoma (MCL), or ALK+ anaplastic large cell lymphoma. In one embodiment, the non- Hodgkin lymphoma is advanced solid non-Hodgkin lymphoma.

In one embodiment, the solid tumor is a neuroendocrine tumor. In certain embodiments, the neuroendocrine tumor is a neuroendocrine tumor of gut . In certain embodiments, the neuroendocrine tumor is of ncreatic . In certain embodiments, the neuroendocrine tumor is ncreatic of gut . In certain embodiments, the neuroendocrine tumor is ofunknown primary origin. In certain embodiments, the neuroendocrine tumor is a symptomatic endocrine producing tumor or a nonfunctional tumor.

In certain embodiments, the neuroendocrine tumor is locally unresectable, metastatic moderate, well differentiated, low (grade 1) or intermediate (grade 2).

] In one embodiment, the solid tumor is non-small cell lung cancer (NSCLC).

In another embodiments the solid tumor is glioblastoma multiforme (GBM).

In another embodiment, the solid tumor is cellular carcinoma (HCC).

In another embodiment, the solid tumor is breast cancer. In one embodiment, the breast cancer is estrogen receptor positive (ER+, ER+/Her2- or ER+/Her2+). In one embodiment, the breast cancer is estrogen receptor negative (ER-/Her2+). In one embodiment, the breast cancer is triple negative (TN) (breast cancer that does not express the genes and/or protein corresponding to the estrogen receptor (ER), progesterone receptor (PR), and that does not overexpress the Her2/neu protein).

In another embodiment, the solid tumor is colorectal cancer.

In another embodiment, the solid tumor is salivary cancer.

In another embodiment, the solid tumor is pancreatic cancer.

In another embodiment, the solid tumor is adenocystic cancer.

In another embodiment, the solid tumor is adrenal cancer.

In another embodiment, the solid tumor is esophageal .

In r embodiment, the solid tumor is renal cancer.

] In another embodiment, the solid tumor is leiomyosarcoma.

In r embodiment, the solid tumor is paraganglioma.

In one embodiment, the solid tumor is an advanced solid tumor.

In one embodiment, the advanced solid tumor is a neuroendocrine tumor. In certain embodiments, the neuroendocrine tumor is a neuroendocrine tumor of gut origin. In certain embodiments, the neuroendocrine tumor is of ncreatic origin. In certain embodiments, the neuroendocrine tumor is non-pancreatic of gut origin. In certain embodiments, the neuroendocrine tumor is ofunknown primary . In certain embodiments, the ndocrine tumor is a symptomatic endocrine producing tumor or a nonfunctional tumor. In certain embodiments, the neuroendocrine tumor is y unresectable, metastatic moderate, well differentiated, low (grade 1) or intermediate (grade 2).

In one embodiment, the advanced solid tumor is non-small cell lung cancer (NSCLC).

] In another embodiments the advanced solid tumor is glioblastoma multiforme (GBM).

In another embodiment, the advanced solid tumor is hepatocellular carcinoma (HCC).

In another embodiment, the advanced solid tumor is breast cancer. In one ment, the advanced solid tumor is estrogen receptor positive (ER+, ER+/Her2- or ER+/Her2+) breast cancer. In one embodiment, the advanced solid tumor is ER+/Her2- breast cancer. In one embodiment, the advanced solid tumor is ER+/Her2+ breast cancer. In one embodiment, the ed solid tumor is ER-/Her2+ breast cancer. In one embodiment, the advanced solid tumor is triple negative (TN) breast cancer.

In another embodiment, the advanced solid tumor is colorectal cancer.

In another embodiment, the advanced solid tumor is salivary .

In another embodiment, the ed solid tumor is pancreatic cancer.

In another embodiment, the advanced solid tumor is adenocystic cancer.

In another embodiment, the advanced solid tumor is adrenal .

In another embodiment, the advanced solid tumor is geal cancer.

In r embodiment, the advanced solid tumor is renal cancer.

In another embodiment, the advanced solid tumor is leiomyosarcoma.

In another embodiment, the ed solid tumor is or paraganglioma.

In one embodiment, the non-Hodgkin lymphoma is diffuse large B-cell lymphoma (DLBCL).

In one embodiment, provided herein are s for achieving a se Evaluation Criteria in Solid Tumors (RECIST 1.1) (see Eisenhauer E.A., Therasse P., Bogaerts J., et al. New se evaluation criteria in solid tumours: Revised RECIST guideline (version 1.1). European J. Cancer; 2009; (45) 7) of complete response, l se or stable disease in a patient comprising administering an effective amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D) or a pharmaceutical composition comprising the solid form of Compound A (e.g, Form A, Form B, Form C, or Form D) provided herein, to a subject having a solid tumor, such as an advanced solid tumor.

In one embodiment, provided herein are methods for preventing or ng a Response Evaluation Criteria in Solid Tumors (RECIST 1.1) of progressive disease in a subject, comprising administering an effective amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D) or a pharmaceutical composition comprising the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D) provided herein, to a subject having a solid tumor, such as an advanced solid tumor. In one embodiment the prevention or delaying of progressive disease is characterized or achieved by a change in overall size of the target lesions, of for example, between -30% and +20% compared to pre-treatment. In another ment, the change in size of the target s is a reduction in overall size of more than %, for example, more than 50% reduction in target lesion size compared to eatment. In another, the prevention is characterized or achieved by a reduction in size or a delay in progression of non-target lesions compared to pre-treatment. In one embodiment, the prevention is achieved or characterized by a reduction in the number of target lesions compared to pre-treatment. In another, the prevention is achieved or characterized by a reduction in the number or quality of rget lesions compared to pre-treatment. In one embodiment, the tion is achieved or characterized by the absence or the disappearance of target lesions compared to pre-treatment. In another, the tion is achieved or characterized by the e or the disappearance of non-target lesions compared to pre-treatment. In another embodiment, the prevention is achieved or characterized by the prevention ofnew lesions compared to pre-treatment. In yet another embodiment, the prevention is achieved or characterized by the prevention of clinical signs or ms of disease progression compared to pre-treatment, such as cancer-related ia or increased pain.

In certain embodiments, provided herein are methods for decreasing the size of target lesions in a subject compared to pre-treatment, comprising administering an effective amount of the solid form of nd A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a lite of nd A (e.g, O-desmethyl Compound A) or a pharmaceutical composition provided herein, to a subject having a solid tumor, such as an advanced solid tumor.

In certain embodiments, provided herein are methods for decreasing the size of a non-target lesion in a subject compared to pre-treatment, comprising administering an effective amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of Compound A (e.g, O-desmethyl Compound A) or a pharmaceutical composition provided herein, to a subject having a solid tumor, such as an ed solid tumor.

In n embodiments, provided herein are methods for achieving a reduction in the number of target lesions in a subject compared to pre-treatment, comprising administering an effective amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of Compound A (e.g, O-desmethyl nd A) or a pharmaceutical composition provided herein, to a subject having a solid tumor, such as an advanced solid tumor.

In certain embodiments, provided herein are methods for ing a reduction in the number of non-target lesions in a subject compared to pre-treatment, comprising administering an effective amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of Compound A (e.g, 0- desmethyl Compound A) or a pharmaceutical composition ed herein, to a subject having a solid tumor, such as an advanced solid tumor.

In certain embodiments, provided herein are methods for achieving an absence of all target lesions in a subject, comprising administering an effective amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of Compound A (e.g, O-desmethyl Compound A) or a pharmaceutical composition provided herein, to a subject having a solid tumor, such as an advanced solid tumor.

In certain embodiments, provided herein are methods for achieving an absence of all rget lesions in a subject, sing administering an effective amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a lite of Compound A (e.g, O-desmethyl Compound A) or a pharmaceutical composition provided , to a subject having a solid tumor, such as an advanced solid tumor.

] A method of treating a solid tumor, such as an advanced solid tumor, the method comprising administering an effective amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a lite of Compound A (e. g, O-desmethyl Compound A) or a pharmaceutical composition provided herein, to a t having a solid tumor, such as an advanced solid tumor, wherein the treatment results in a complete response, partial response or stable disease, as determined by Response Evaluation Criteria in Solid Tumors (RECIST 1.1).

A method of ng a solid tumor, such as an advanced solid tumor, the method comprising administering an effective amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of nd A, a metabolite of Compound A (e. g, ethyl Compound A) or a pharmaceutical composition provided herein, to a subject having a solid tumor, such as an ed solid tumor, wherein the treatment results in a reduction in target lesion size, a reduction in non-target lesion size and/or the absence of new target and/or non-target lesions, compared to pre-treatment.

] A method of treating a solid tumor, such as an advanced solid tumor, the method comprising administering an effective amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of Compound A (e. g, O-desmethyl Compound A) or a pharmaceutical composition provided herein, to a subject having a solid tumor, such as an advanced solid tumor, n the ent results in prevention or retarding of clinical progression, such as cancer-related cachexia or increased pain.

In another embodiment, provided herein are methods for improving the ational Workshop Criteria (IWC) for NHL (see Cheson BD, Pfistner B, Juweid, ME, et. al. Revised Response Criteria for Malignant ma. J. Clin. Oncol: 2007: (25) 579-5 86.) of a subject comprising administering an effective amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of Compound A (e.g, O-desmethyl Compound A) or a pharmaceutical composition provided , to a subject having non-Hodgkin lymphoma. In r embodiment, provided herein are methods to increase Progression Free Survival rates, as determined by Kaplan-Meier estimates. In one embodiment, the treatment results in a complete remission, partial remission or stable disease, as determined by the International Workshop Criteria (IWC) for NHL. In another ment, the treatment results in an increase in l survival, progression-free survival, event-free survival, time to progression, disease-free al or lymphoma-free survival.

In another embodiment, ed herein are methods for inducing a therapeutic response characterized with the International Uniform Response Criteria for Multiple Myeloma (IURC) (see Durie BGM, Harousseau J-L, Miguel JS, et al. International uniform response criteria for multiple myeloma. Leukemia, 2006; (10) 10: l-7) of a t comprising administering an ive amount of the solid form of nd A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of Compound A (e.g, O-desmethyl Compound A) or a pharmaceutical composition provided herein, to a subject having multiple myeloma. In one embodiment, the treatment results in a stringent complete response, complete response, or very good partial response, as determined by the the International Uniform Response Criteria for Multiple Myeloma (IURC). In another embodiment, the treatment results in an increase in overall survival, progression-free survival, event-free survival, time to progression, or disease-free al.

In r embodiment, provided herein are methods for inducing a therapeutic response assessed with Response Assessment for Neuro-Oncology (RANO) Working Group for GBM (see Wen P., Macdonald, DR., n, DA., et al. Updated response assessment criteria for highgrade gliomas: Response assessment in neuro-oncology working group. J. Clin. Oncol. 2010; 28: 1963-1972) of a subject comprising administering an effective amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of Compound A (e.g, O-desmethyl Compound A) or a pharmaceutical composition provided herein, to a subject having gliobastoma multiforme.

In another embodiment, provided herein are s for improving the n Cooperative Oncology Group Performance Status (ECOG) of a subject sing administering an effective amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a lite of Compound A (e.g, O-desmethyl Compound A) or a pharmaceutical composition ed herein, to a subject having a tumor, such as an advanced solid tumor.

] In r embodiment, ed herein are methods for inducing a therapeutic response assessed by Positron Emission Tomography (PET) outcome of a subject comprising stering an effective amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of Compound A (e.g, O-desmethyl Compound A) or a pharmaceutical composition provided herein, to a subject having a tumor, such as an advanced solid tumor. In n embodiments, provided herein are methods for treating a solid tumor, such as an advanced solid tumor, the methods comprising administering an effective amount of a TOR kinase inhibitor to a patient having a solid tumor, such as an advanced solid tumor, wherein the treatment results in a reduction in tumor metabolic activity, for example, as measured by PET imaging.

In another embodiment, provided herein are methods for inducing a therapeutic se assessed by a reduction in carcinoid syndrome-related symptoms, such as diarrhea and/or flushing, and/or a reduction in endocrine hormone markers, such as chromogranin, gastrin, serotonin, and/or glucagon.

In one embodiment, ed herein are s for inhibiting phosphorylation of S6RP, 4E-BPl and/or AKT in a t having a solid tumor (for example, a neuroendocrine tumor, non-small cell lung cancer, glioblastoma multiforme, hepatocellular carcinoma, breast cancer, colorectal cancer, salivary cancer, pancreatic , adenocystic cancer, l , esophageal cancer, renal cancer, leiomyosarcoma, or paraganglioma), non-Hodgkin ma or multiple myeloma, comprising stering an effective amount of the solid form of nd A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of nd A (e.g, O-desmethyl Compound A) or a pharmaceutical composition provided herein to said subject. In some such embodiments, the inhibition of phosphorylation is assessed in a biological sample of the subject, such as in circulating blood and/or tumor cells, skin biopsies and/or tumor biopsies or aspirate. In such embodiments, the amount of inhibition of phosphorylation is assessed by comparison of the amount of phospho- S6RP, 4E-BPl and/or AKT before and after administration of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of Compound A (e.g, O-desmethyl Compound A) or a pharmaceutical composition provided herein. In certain embodiments, provided herein are methods for ing inhibition of phosphorylation of S6RP, 4E-BPl or AKT in a subject having a solid tumor (for example, a neuroendocrine tumor, non-small cell lung cancer, glioblastoma multiforme, hepatocellular carcinoma, breast cancer, colorectal cancer, salivary cancer, pancreatic cancer, adenocystic cancer, adrenal cancer, esophageal cancer, renal cancer, osarcoma, or paraganglioma), non-Hodgkin lymphoma or le myeloma, comprising administering an effective amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of Compound A (e.g, 0- desmethyl Compound A) or a ceutical composition provided herein to said subject, measuring the amount of phosphorylated S6RP, 4E-BPl and/or AKT in said subject, and comparing said amount of phosphorylated S6RP, 4E-BPl and/or AKT to that of said subject prior to administration of an effective amount of the solid form of Compound A (e.g. , Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of Compound A (e. g, O-desmethyl Compound A) or a pharmaceutical composition provided herein. In some embodiments, the inhibition of phosphorylation of S6RP, 4E-BPl and/or AKT is assessed in B-cells, T-cells and/or monocytes.

In certain embodiments, provided herein are methods for inhibiting phosphorylation of S6RP, 4E-BPl and/or AKT in a biological sample of a subject having a solid tumor (for e, a neuroendocrine tumor, non-small cell lung cancer, glioblastoma multiforme, hepatocellular carcinoma, breast cancer, colorectal cancer, salivary cancer, pancreatic cancer, adenocystic cancer, l , esophageal cancer, renal cancer, leiomyosarcoma, or paraganglioma), non-Hodgkin lymphoma or multiple a, comprising administering an effective amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of Compound A (e.g, O-desmethyl Compound A) or a ceutical composition ed herein to said subject and ing the amount of phosphorylated S6RP, 4E-BPl and/or AKT in a biological sample of a subject obtained prior to and after administration of said solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), isotopologue of Compound A, metabolite of Compound A (e.g, O-desmethyl Compound A) or pharmaceutical composition provided herein, wherein less phosphorylated S6RP, 4E-BPl and/or AKT in said biological sample obtained after administration of said solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), ologue of Compound A, lite of Compound A (e.g, O-desmethyl nd A) or a pharmaceutical composition provided herein ve to the amount of phosphorylated S6RP, 4E-BPl and/or AKT in said biological sample obtained prior to administration of said solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), isotopologue of Compound A, metabolite of Compound A (e.g, O-desmethyl Compound A) or pharmaceutical composition provided herein indicates inhibition. In some embodiments, the inhibition of phosphorylation of S6RP, 4E-BPl and/or AKT is assessed in B-cells, T-cells and/or monocytes.

In one embodiment, provided herein are s for inhibiting DNA-dependent protein kinase K) activity in a subject having a solid tumor (for example, a neuroendocrine tumor, non-small cell lung cancer, glioblastoma multiforme, hepatocellular carcinoma, breast cancer, colorectal , salivary cancer, pancreatic cancer, adenocystic cancer, adrenal cancer, esophageal cancer, renal cancer, leiomyosarcoma, or paraganglioma), non-Hodgkin lymphoma or multiple myeloma, comprising administering an ive amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an ologue of Compound A, a metabolite of Compound A (e.g, O-desmethyl Compound A) or a pharmaceutical composition provided herein to said subject. In some ments, DNA-PK inhibition is assessed in the skin of the subject having a solid tumor (for example, a ndocrine tumor, all cell lung cancer, glioblastoma orme, hepatocellular carcinoma, breast cancer, colorectal cancer, ry , pancreatic cancer, adenocystic cancer, adrenal cancer, esophageal cancer, renal cancer, leiomyosarcoma, or paraganglioma), non-Hodgkin lymphoma or le myeloma, in one example in a UV light-irradiated skin sample of said subject. In another embodiment, DNA-PK inhibition is assessed in a tumor biopsy or aspirate of a subject haVing a solid tumor (for example, a neuroendocrine tumor, non- small cell lung cancer, glioblastoma multiforme, hepatocellular carcinoma, breast cancer, colorectal cancer, salivary cancer, pancreatic cancer, adenocystic cancer, adrenal cancer, esophageal cancer, renal cancer, leiomyosarcoma, or paraganglioma), non-Hodgkin lymphoma or multiple myeloma. In one embodiment, inhibition is assessed by measuring the amount of orylated DNA-PK 82056 (also known as pDNA-PK 82056) before and after administration of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of Compound A (e.g, O-desmethyl Compound A) or a pharmaceutical composition provided herein. In n embodiments, provided herein are methods for measuring inhibition of phosphorylation of DNA-PK 82056 in a skin sample of a t haVing a solid tumor (for example, a ndocrine tumor, non-small cell lung cancer, glioblastoma multiforme, cellular carcinoma, breast cancer, colorectal , salivary cancer, pancreatic cancer, adenocystic , adrenal cancer, esophageal cancer, renal cancer, leiomyosarcoma, or paraganglioma), non-Hodgkin lymphoma or multiple myeloma, comprising administering an effective amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of Compound A (e. g, O-desmethyl Compound A) or a pharmaceutical composition provided herein to said subject, measuring the amount of phosphorylated DNA-PK 82056 present in the skin sample and ing said amount of phosphorylated DNA-PK 82056 to that in a skin sample from said subject prior to administration of an effective amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of Compound A (e.g, O-desmethyl nd A) or a pharmaceutical composition ed herein. In one embodiment, the skin sample is irradiated with UV light.

In certain embodiments, provided herein are s for inhibiting DNA-dependent protein kinase (DNA-PK) ty in a skin sample of a t having a solid tumor (for example, a neuroendocrine tumor, non-small cell lung cancer, glioblastoma orme, hepatocellular carcinoma, breast cancer, colorectal cancer, salivary cancer, pancreatic cancer, adenocystic cancer, adrenal cancer, esophageal cancer, renal cancer, leiomyosarcoma, or paraganglioma), non-Hodgkin lymphoma or multiple myeloma, comprising stering an ive amount of the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), an isotopologue of Compound A, a metabolite of Compound A (e.g, O-desmethyl Compound A) or a pharmaceutical composition provided hereinto said subject and comparing the amount of phosphorylated DNA-PK in a biological sample of a subject obtained prior to and after administration of said solid form of Compound A (e.g. , Form A, Form B, Form C, or Form D), ologue of Compound A, metabolite of Compound A (e.g, O-desmethyl Compound A) or pharmaceutical composition provided herein, wherein less phosphorylated DNA-PK in said biological sample obtained after administration of said solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), isotopologue of Compound A, metabolite of Compound A (e.g, O-desmethyl Compound A) or pharmaceutical composition provided herein relative to the amount of phosphorylated DNA-PK in said biological sample obtained prior to stration of said solid form of Compound A (e.g. Form A, Form B, Form C, or Form D), isotopologue of Compound A, metabolite of Compound A (e.g, ethyl Compound A) or pharmaceutical composition provided herein indicates inhibition.

The solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), isotopologues of Compound A, metabolites of nd A (e.g, O-desmethyl Compound A) and pharmaceutical compositions provided herein can be combined with radiation therapy or y. In certain embodiments, the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), isotopologues of Compound A, metabolites of Compound A (e.g, O-desmethyl nd A) and pharmaceutical compositions provided herein are administered to subject who is undergoing radiation therapy, has previously one radiation y or will be undergoing radiation therapy. In certain embodiments, the solid form of Compound A (e.g., Form A, Form B, Form C, or Form D), isotopologues of Compound A, metabolites of Compound A (e.g, O-desmethyl Compound A) and pharmaceutical itions provided herein are stered to a subject who has undergone tumor l surgery (e.g., surgery to remove a GBM tumor).

Further provided herein are methods for treating subjects who have been previously treated for a solid tumor (for example, a neuroendocrine tumor, non-small cell lung cancer, glioblastoma multiforme, hepatocellular carcinoma, breast cancer, colorectal , salivary cancer, pancreatic cancer, adenocystic cancer, adrenal cancer, esophageal cancer, renal cancer, leiomyosarcoma, or nglioma), non-Hodgkin lymphoma or multiple myeloma, but are non-responsive to standard therapies, as well as those who have not previously been treated.

Further provided herein are methods for ng subjects who have undergone surgery in an attempt to treat the condition at issue, as well as those who have not. Because ts with a solid tumor (for example, a neuroendocrine tumor, non-small cell lung cancer, glioblastoma multiforme, hepatocellular carcinoma, breast cancer, colorectal cancer, salivary cancer, pancreatic cancer, adenocystic cancer, adrenal cancer, esophageal cancer, renal cancer, leiomyosarcoma, or nglioma), non-Hodgkin lymphoma or multiple myeloma have heterogenous clinical manifestations and varying clinical es, the treatment given to a subject may vary, depending on his/her prognosis.

In certain ments, the pharmaceutical compositions provided herein comprising Compound A can be used for the treatment or prevention of a disease disclosed in US. Pat. Appl. Publ. No. 2010/0216781 (see, e.g., paragraphs [04 l 5]-[0437]), the sure of which is incorporated herein by nce in its entirety.

Further provided herein are methods for achieving certain pharmacokinetic (PK) parameters with respect to Compound A in a t, comprising administering a pharmaceutical composition provided herein to said subject. In certain embodiments, provided herein are methods for achieving a PK parameter set forth in the examples provided herein with respect to Compound A in a t, comprising administering a ceutical composition provided herein to said subject. In certain embodiments, the methods for achieving a PK parameter described herein further comprise measuring the amount of Compound A in a biological sample (e.g., urine, blood, serum or plasma) of a subject after administration of Compound A.

In certain embodiments, provided herein are methods for achieving a Tmax of about 0.5 to about 2 hours of nd A in a subject, comprising administering a ceutical composition provided herein to said subject. In specific embodiments, provided herein are methods for achieving a Tmax of about 1 hour, about 1.5 hours or about 2 hours of Compound A in a subject, comprising administering a pharmaceutical composition provided herein to said subject.

In certain embodiments, provided herein are methods for achieving a tug of about 4 to about 8 hours of Compound A in a subject, comprising administering a pharmaceutical composition provided herein to said subject. In specific embodiments, provided herein are s for ing a tug of about 4 hours, about 4.5 hours, about 5 hours, about .5 hours, about 6 hours, about 6.5 hours, about 7 hours, about 7.5 hours or about 8 hours of Compound A in a t, comprising administering a pharmaceutical composition provided herein to said subject.

In certain embodiments, provided herein are methods for achieving a Cmax of about 150 to about 500 ng/mL of Compound A in a subject, comprising stering a pharmaceutical composition provided herein to said subject. In specific embodiments, provided herein are methods for achieving a Cmax of about 150 ng/mL, about 175 ng/mL, about 200 ng/mL, about 225 ng/mL, about 250 ng/mL, about 275 ng/mL, about 300 ng/mL, about 325 ng/mL, about 350 ng/mL, about 375 ng/mL, about 400 ng/mL, about 425 ng/mL, about 450 ng/mL, about 475 ng/mL or about about 500 ng/mL of Compound A in a subject, comprising administering a pharmaceutical composition provided herein to said subject. In one embodiment, provided herein are methods for achieving a steady state Cmax of about 485 ng/mL of Compound A in a subject, comprising administering a pharmaceutical composition provided herein to said subject.

In certain embodiments, provided herein are s for achieving an AUC0_24 of about 900 to about 2500 ng*h/mL of nd A in a subject, comprising stering a pharmaceutical composition ed herein to said subject. In specific embodiments, provided herein are methods for achieving an AUC0_24 of about 900 ng*hr/mL, about 950 ng*hr/mL, about 1000 ng*hr/mL, about 1050 ng*hr/mL, about 1100 ng*hr/mL, about 1150 ng*hr/mL, about 1200 ng*hr/mL, about 1250 ng*hr/mL, about 1300 ng*hr/mL, about 1350 ng*hr/mL, about 1400 ng*hr/mL, about 1450 ng*hr/mL, about 1500 ng*hr/mL, about 1550 ng*hr/mL, about 1600 ng*hr/mL, about 1650 ng*hr/mL, about 1700 ng*hr/mL, about 1750 ng*hr/mL, about 1800 ng*hr/mL, about 1850 ng*hr/mL, about 1900 ng*hr/mL, about 1950 mL, about 2000 ng*hr/mL, about 2050 ng*hr/mL, about 2100 ng*hr/mL, about 2150 ng*hr/mL, about 2200 mL, about 2250 ng*hr/mL, about 2300 mL, about 2350 ng*hr/mL, about 2400 ng*hr/mL, about 2450 ng*hr/mL or about 2500 ng*hr/mL of Compound A in a subject, comprising administering a pharmaceutical composition provided herein to said subject.

In certain embodiments, provided herein are methods for achieving an AUC00 of about 900 to about 1100 ng*hr/mL of Compound A in a subject, comprising administering a pharmaceutical composition provided herein to said t. In specific embodiments, provided herein are methods for achieving an AUC00 of about 900 ng*hr/mL, about 950 ng*hr/mL, about 1000 ng*hr/mL, about 1050 ng*hr/mL or about 1000 ng*hr/mL of Compound A in a subject, comprising administering a pharmaceutical ition provided herein to said subject.

In certain ments, provided herein are methods for ing a CL/F of about 19 to about 22 L/hr of Compound A in a subject, comprising administering a pharmaceutical composition ed herein to said subject. In specific embodiments, provided herein are methods for achieving a CL/F of about 19 L/hr, about 19.5 L/hr, about 20 L/hr, about .5 L/hr, about 21 L/hr, about 21.5 L/hr or about 22 L/hr of Compound A in a subject, comprising administering a pharmaceutical composition provided herein to said subject.

In certain embodiments, provided herein are methods for achieving a Vz/F of about 150 to about 180 L of Compound A in a subject, comprising stering a pharmaceutical composition provided herein to said subject. In specific ments, provided herein are methods for ing a Vz/F of about 150 L, about 155 L, about 160 L, about 165 L, about 170 L, about 175 L or about 180 L of Compound A in a subject, comprising administering a ceutical composition provided herein to said subject.

In certain ments, the methods of use and pharmaceutical compositions provided herein comprise in viva tion of a metabolite of Compound A.

In certain embodiments, the methods of use and pharmaceutical compositions provided herein comprise in viva production of a metabolite of Compound A in a subject, wherein the metabolite has one or more of the pharmacokinetic parameters selected from a Cmax of about 100 to about 200 ng/mL (e.g., 143 ng/mL), a Tmax of about 7 to about 9 hours (e.g., 8 hours), an AUC0_24 of about 2500 to about 3000 L (e.g., 2744 ng*h/mL), an AUC0_00 of about 7750 to about 8250 L (e.g., 7948 ng*h/mL) and a tug of about 30 to about 40 hours (e.g., 35 hours) on day l of administration of about 7.5 mg of Compound A or a pharmaceutical composition thereof to said subject or wherein the metabolite has one or more of the pharmacokinetic parameters selected from a Cmax of about 300 to about 400 ng/mL (e.g., 363 ng/mL), a Tmax of about 1 to about 3 hours (e.g., 2 hours), an AUC0_24 of about 6250 to about 6750 ng*h/mL (e.g., 6404 ng*h/mL), an AUC0_OO of about 42500 to about 47500 ng*h/mL (e.g., 45602 L) and a Cmugh of about 200 to about 300 ng/mL (e.g., 267 ng/mL) on day of once a day administration of about 7.5 mg of Compound A or a pharmaceutical composition thereof to said subject.

] In certain embodiments, the methods of use and pharmaceutical compositions provided herein comprise in viva production of a metabolite of Compound A in a subject, n the metabolite has one or more of the pharmacokinetic parameters selected from a Cmax of about 250 to about 350 ng/mL (e.g., 309 ng/mL), a Tmax of about 1 to about 3 hours (e.g., 2 hours), an AUC0_24 of about 3500 to about 4000 L (e.g., 3828 ng*h/mL), an AUC0_OO of about 5500 to about 6000 L (e.g., 5821 ng*h/mL) and a tug of about 10 to about 14 hours (e.g., 12 hours) on day 1 of administration of about 15 mg of nd A or a pharmaceutical composition thereof to said subject or n the metabolite has one or more of the pharmacokinetic parameters selected from a Cmax of about 400 to about 500 ng/mL (e.g., 458 ng/mL), a Tmax of about 2 to about 4 hours (e.g., 3 hours), an AUC0_24 of about 5500 to about 6000 ng*h/mL (e.g., 5677 ng*h/mL), an AUC0_OO of about 9500 to about 10000 ng*h/mL (e.g., 9753 ng*h/mL) and a Cuough of about 100 to about 200 ng/mL (e.g., 145 ng/mL) on day of once a day administration of about 15 mg of Compound A or a pharmaceutical composition thereof to said subject.

In certain embodiments, the s of use and pharmaceutical compositions provided herein comprise in viva production of a metabolite of Compound A in a subject, wherein the metabolite has one or more of the pharmacokinetic parameters selected from a Cmax of about 700 to about 800 ng/mL (e.g., 776 ng/mL), a Tmax of about 6 to about 8 hours (e.g., 7 hours), an 4 of about 13000 to about 13500 ng*h/mL (e.g., 13288 ng*h/mL), an AUC0_ 00 of about 25000 to about 30000 ng*h/mL (e.g., 27672 ng*h/mL) and a tug of about 18 to about 24 hours (e.g., 21 hours) on day 1 of administration of about 30 mg of Compound A or a pharmaceutical composition thereof to said subject or wherein the metabolite has one or more of the pharmacokinetic parameters ed from a Cmax of about 1600 to about 2000 ng/mL (e.g., 1768 ng/mL), a Tmax of about 1 to about 3 hours (e.g., 2 hours), an AUC0_24 of about 27500 to about 32500 ng*h/mL (e.g., 29423 ng*h/mL), an AUC0_OO of about 110000 to about 130000 ng*h/mL (e.g., 117697 ng*h/mL) and a Cuough of about 1000 to about 1200 ng/mL (e.g., 1102 ng/mL) on day 15 of once a day administration of about 30 mg of Compound A or a pharmaceutical composition thereof to said subject.

In n embodiments, the methods of use and pharmaceutical compositions provided herein comprise in viva production of a metabolite of Compound A in a subject, wherein the lite has one or more of the pharmacokinetic parameters selected from a Cmax of about 1100 to about 1200 ng/mL (e.g., 1153 , a Tmax of about 2 to about 4 hours (e.g., 3 hours), an AUC0_24 of about 15500 to about 16000 ng*h/mL (e.g., 15854 ng*h/mL), an AUC0_OO of about 25000 to about 30000 ng*h/mL (e.g., 27274 ng*h/mL) and a tug of about 14 to about 20 hours (e.g., 17 hours) on day 1 of administration of about 45 mg of Compound A or a pharmaceutical composition thereof to said subject or wherein the lite has one or more of the pharmacokinetic ters selected from a Cmax of about 2000 to about 2500 ng/mL (e.g, 2243 ng/mL), a Tmax of about 1 to about 3 hours (e.g., 2 hours), an AUC0_24 of about 30000 to about 35000 ng*h/mL (e.g., 32705 ng*h/mL), an AUC0_00 of about 75000 to about 80000 ng*h/mL (e.g., 77722 ng*h/mL) and a Cuough of about 1100 to about 1200 ng/mL (e.g, 1181 ng/mL) on day 15 of once a day administration of about 45 mg of Compound A or a pharmaceutical composition thereof to said t.

In n embodiments, the methods of use and pharmaceutical compositions provided herein comprise in viva production of a metabolite of Compound A in a subject, wherein the metabolite has one or more of the pharmacokinetic ters selected from a Cmax of about 1400 to about 1500 ng/mL (e.g., 1438 ng/mL), a Tmax of about 4 to about 6 hours (e.g., hours), an AUC0_24 of about 21000 to about 22000 ng*h/mL (e.g, 21454 ng*h/mL), an AUC0_OO of about 35000 to about 40000 ng*h/mL (e.g., 37490 ng*h/mL) and a tug of about 12 to about 20 hours (e.g., 16 hours) on day 1 of administration of about 60 mg of Compound A or a pharmaceutical composition thereof to said subject or wherein the metabolite has one or more of the pharmacokinetic parameters selected from a Cmax of about 2250 to about 2750 ng/mL (e.g, 2521 ng/mL), a Tmax of about 2 to about 4 hours (e.g., 3 hours), an AUC0_24 of about 45000 to about 50000 ng*h/mL (e.g., 46852 ng*h/mL), an AUC0_OO of about 135000 to about 145000 ng*h/mL (e.g., 138418 L) and a Cuough of about 1400 to about 1500 ng/mL (e.g., 1467 ng/mL) on day 15 of once a day administration of about 60 mg of Compound A or a pharmaceutical composition thereof to said subject.

In certain embodiments, the methods of use and pharmaceutical itions provided herein comprise in viva production of a metabolite of Compound A in a subject, wherein the metabolite has a Tmax of about 2 to about 4 hours (e.g., 3 hours) upon stration of about 20 mg of Compound A or a pharmaceutical composition thereof or about 45 mg of Compound A or a pharmaceutical ition thereof to said subject.

In certain embodiments, the methods of use and pharmaceutical compositions provided herein comprise in viva production of a metabolite of nd A in a subject, n the lite has a Cmax of about 450 to about 550 ng/mL (e.g., 503 ng/mL) upon stration of about 20 mg of Compound A or a pharmaceutical composition thereof or a Cmax of about 1100 to about 1200 ng/mL (e.g., 1153 ng/mL) upon administration of about 45 mg of Compound A or a pharmaceutical composition thereof to said subject.

] In certain embodiments, the methods of use and pharmaceutical compositions provided herein comprise in viva production of a lite of Compound A in a subject, wherein the metabolite has an AUC00 of about 10000 to about 15000 ng/mL (e.g., 11928 ng*h/mL) upon administration of about 20 mg of Compound A or a pharmaceutical composition thereof or an AUC00 of about 25000 to about 30000 ng/mL (e.g., 27274 L) upon administration of about 45 mg of Compound A or a pharmaceutical composition thereof to said subject.

In certain embodiments, the methods of use and ceutical compositions provided herein comprise in viva production of a metabolite of Compound A in a subject, wherein the metabolite has an AUC0_24 of about 7000 to about 8000 ng/mL (e.g., 7484 ng*h/mL) upon administration of about 20 mg of Compound A or a pharmaceutical composition thereof or an AUC0_24 of about 12500 to about 17500 ng/mL (e.g., 15854 ng*h/mL) upon administration of about 45 mg of Compound A or a pharmaceutical composition thereof to said subject.

In certain embodiments, the methods of use and pharmaceutical compositions provided herein se in viva production of a metabolite of Compound A in a subject, wherein the metabolite has a tug of about 12 to about 16 hours (e.g., 14.3 hours) upon administration of about 20 mg of Compound A or a pharmaceutical composition thereof or a tug of about 12 to about 16 hours (e.g., 14.7 hours) upon administration of about 45 mg of Compound A or a pharmaceutical composition thereof to said t.

In certain embodiments, the pharmacokinetic parameters in tion with the metabolite of Compound A produced via administration of 7.5 mg, 15 mg, 30 mg, 45 mg and 60 mg of Compound A are obtained using the protocol set forth in Section 5.2.1 (paragraphs -[00520]) of US. provisional application no. ,436, filed May 31, 2012, which is incorporated by reference herein in its entirety.

In certain embodiments, the pharmacokinetic parameters in connection with the metabolite of Compound A produced Via administration of 20 mg of Compound A were obtained using the protocol set forth in Section 6.5.1, below.

] In certain embodiments, the pharmacokinetic parameters set forth herein are mean values ed from le subjects.

In certain embodiments, the metabolite of Compound A is the O-desmethyl metabolite. 6. EXAMPLES Chem-4D Draw (ChemInnovation Software, Inc., San Diego, CA) or aw Ultra (Cambridgesoft, dge, MA) was used to generate names for chemical structures.

The following abbreViations were used in descriptions and es: ACN Acetonitrile Amphos Di-tert—butyl(4-dimethylaminophenyl)phosphine BHT Butylated hydroxytoluene Boc tert—Butoxycarbonyl dba Dibenzylideneacetone DCM Dichloromethane DIBE Diisobutyl hexahydrophthalate DIPEA N,N—Diisopropylethylamine DIPE Diisopropyl ether DME Dimethoxyethane DMAP 4-Dimethylaminopyridine DMSO Dimethylsulfoxide dppf l,l'- Bis( diphenylphosphino)ferrocene DSC Differential scanning calorimetry ESI Electronspray tion EtOAc Ethyl acetate DVS Dynamic vapor sorption HPLC High performance liquid chromatography IPA Isopropyl alcohol IPAc Isopropyl acetate MeOAc Methyl acetate MIBK Methyl isobutyl ketone mp Melting point MS Mass spectrometry MTBE Methyl tert—butyl ether NBS osuccinimide NMR Nuclear magnetic resonance NMP N—methyl-2—pyrrolidinone PEG Polyethylene glycol PFL Protect from light REF Refrigerated RTmp Room temperature TEA Triethylamine TFA Trifluoroacetic acid TGA ThermograVimetric analysis THF ydrofuran TLC Thin layer chromatography TMS Trimethylsilyl XRPD X-ray powder diffraction The following Examples are presented by way of illustration, not limitation. 6.1 SOLID FORM SCREEN 6.1 . l CHARACTERIZATION METHODOLOGY 6. l . l .1 X-ray Powder Diffraction (XRPD) All of solid s ted in the solid form screen were analyzed by XRPD.

XRPD analysis was conducted on a Bruker AXS C2 GADDS or Bruker AXS D8 Advance X-ray powder diffractometer.

Certain X-Ray Powder ction patterns were collected on a Bruker AXS C2 GADDS ctometer using Cu Ka radiation (40 kV, 40 mA), automated XYZ stage, laser video microscope for auto-sample positioning and a HiStar 2-dimensional area detector. X-ray optics consists of a single Gobel multilayer mirror coupled with a pinhole collimator of 0.3 mm.

A weekly performance check is carried out using a certified standard NIST 1976 Corundum (flat . The beam divergence, i.e. the effective size of the X-ray beam on the sample, was approximately 4 mm. A 0-0 continuous scan mode was employed with a sample — detector distance of 20 cm which gives an effective 20 range of 3.2 O — 29.7 0. Typically the sample would be exposed to the X-ray beam for 120 seconds. The software used for data collection was GADDS for WNT 4.1.16 and the data were analyzed and presented using c Plus EVA vl 1.0.0.2 or vl3.0.0.2. Ambient conditions: Samples run under ambient conditions were prepared as flat plate specimens using powder as received without grinding. Approximately l-2 mg of the sample was lightly pressed on a glass slide to obtain a flat surface. Non-ambient conditions: Samples run under non-ambient conditions were d on a silicon wafer with heatconducting compound. The sample was then heated to the appropriate temperature at °C/min and subsequently held isothermally for 1 minute before data collection was initiated.

Certain X-Ray Powder Diffraction ns were collected on a Bruker D8 diffractometer using CuKa radiation (40 kV, 40 mA), 0-2 0 goniometer, and divergence ofV4 and ing slits, a Ge monochromator and a Lynxeye or. The instrument is performance checked using a certified Corundum standard (NIST 1976). The software used for data collection was Diffrac Plus XRD Commander v2.5.0 and the data were analyzed and presented using Diffrac Plus EVA vl 2 or vl3.0.0.2. Samples were run under ambient conditions as flat plate specimens using powder as received. The sample was gently packed into a cavity cut into polished, zero-background (510) silicon wafer. The sample was rotated in its own plane during analysis. The details of the data collection are: Angular range: 2 to 42 c’20; Step size: 0.05 02 0; Collection time: 0.5 s/step. 6. 1.1.2 Differential Scanning Calorimetry (DSC) Modulated DSC data were collected on a TA Instruments Q2000 equipped with a 50 position auto-sampler. The calibration for thermal capacity was carried out using sapphire and the calibration for energy and temperature was carried out using certified indium.

Typically 3—1.5 mg of each , in a pin-holed aluminum pan, was heated at 2 c’C/min from -80 0C to 300 0C. A purge of dry nitrogen at 50 mL/min was maintained over the .

Modulated temperature DSC was carried out using an ying heating rate of 2 c’C/min and temperature modulation parameters of :: 1.272 0C (amplitude) every 60 s (period). The instrument control software was Advantage for Q Series .392 and Thermal Advantage v4.8.3 and the data were analyzed using Universal Analysis v4.4A.

Non-modulated DSC data were ted on a TA Instruments Q2000 equipped with a 50 on auto-sampler. The calibration for thermal capacity was carried out using sapphire and the calibration for energy and temperature was carried out using certified indium.

Typically l to 5 mg of each sample, in an um pan, was heated at 10 c’C/min from 20 CC to 300 °C. A purge of dry nitrogen at 50 mL/min was maintained over the sample. The instrument control software was Advantage for Q Series v2.8.0.392 and Thermal Advantage v4.8.3 and the data were analyzed using Universal Analysis v4.4A. 6.1.1.3 Thermogravimetric is (TGA) TGA data were collected on a Mettler TGA/SDTA 85 l e equipped with a 34 position mpler. The instrument was temperature calibrated using certified indium.

Typically 5-15 mg of each sample was loaded onto a pre-weighed aluminum crucible and was heated at 10 c’C/min from t temperature to 350 CC. A nitrogen purge at 50 ml/min was maintained over the sample. The instrument control and data analysis software was STARe v9.20. 6. l . l .4 Polar Light Microscopy Samples were studied on a Leica LM/DM polarized light microscope with a digital video camera for image capture. A small amount of each sample was placed on a glass slide, mounted in immersion oil and covered with a glass slip, the individual particles being ted as well as possible. The sample was viewed with appropriate magnification and lly polarised light, coupled to a 7t false-colour filter. 6. l . l .5 Gravimetric Vapour Sorption (GVS) Sorption isotherms were ed using a SMS DVS Intrinsic moisture sorption analyser, controlled by DVS sic Control software vl 0.0.30. The sample temperature was maintained at 25 CC by the instrument ls. The humidity was lled by mixing streams of dry and wet nitrogen, with a total flow rate of 200 mL/min. The relative humidity was measured by a calibrated Rotronic probe ic range of 1.0—100 %RH), located near the sample. The weight change, (mass relaxation) of the sample as a function of %RH was constantly monitored by the microbalance (accuracy :0005 mg). Typically 5—20 mg of sample was placed in a tared mesh stainless steel basket under ambient conditions. The sample was loaded and unloaded at 40 %RH and 25 CC (typical room conditions). The standard isotherm was performed at 25 CC at 10 %RH intervals over a 0—90 %RH range. Data analysis was undertaken in Microsoft Excel using DVS is Suite .7. 6.1.2 SOLID FORM SCREEN EXPERIMENTS The solvents used in the polymorph screen were either HPLC or reagent grade, including toluene, MTBE (methyl tert-butyl ether), DIPE (diisopropyl ether), THF (tetrahydrofuran), DME (dimethoxyethane), IPAc (isopropyl acetate), EtOAc (ethyl acetate), MIBK l isobutyl ketone), acetone, IPA (isopropyl l), ethanol, ACN (acetonitrile), nitromethane, or IPA:water (for example, 95 :5).

The solid form generated from the screen was characterized by X-ray powder diffraction (XRPD), differential scanning calorimetry (DSC), thermogravimetric analysis (TGA), optical microscopy, and gravimetric vapor sorption (GVS). 6.1.2.1 Equilibration/Slurry and ation Amorphous Compound A (~10 mg per experiment) was treated with the stated solvent. Solutions were allowed to slowly evaporate at room temperature and the residual solids were analyzed by XRPD. Suspensions were subjected to heat/cool cycles (50°C/room temperature, 8 hour cycle) for 16 hours; the solvent was then allowed to evaporate and the residual solids were analyzed by XRPD.

The results of slurry experiments are ized in Table 1. All of the solids obtained from filtration of the slurries were confirmed to be Form A by XRPD.

Table l. Slurry Experiments of Form A of Compound A at Room Temperature MTBE Form A IPAc Form A MIBK Form A e Form A Ethanol Form A ACN Form A 6.1.3 CHARACTERIZATION OF FORM A OF COMPOUND A 1 XRPD, TGA, and DSC Characterization Form A has a crystalline XRPD pattern as shown in and an irregular plate crystal habit as shown in The XRPD pattern of Form A of Compound A shows that Form A is crystalline. Some XRPD peaks of crystalline Form A are summarized in Table 2.

Table 2. X-Ray Diffraction Peaks for Form A of Compound A Two-theta angle (°) d Space (A) Intensity (%) 8.3 10.648 58.3 8.8 9.984 26.8 12.0 7.342 8.1 13.2 6.708 100.0 13.9 6.357 8.0 14.4 6.125 3.3 14.8 5.961 8.7 16.5 5.352 50.2 17.7 4.996 35.4 18.2 4.872 50.7 19.3 4.586 8.2 19.5 4.560 7.7 19.6 4.526 7.3 21.0 4.230 4.4 21.2 4.185 3.9 21.7 4.094 50.9 22.5 3.942 13.6 24.1 3.684 8.4 24.7 3.603 7.1 .0 3.560 12.8 .3 3.512 5.6 26.5 3.363 35.7 26.7 3.332 5.7 28.3 3.147 11.4 29.3 3.051 5.5 29.5 3.022 9.9 29.8 2.992 7.9 Two-theta angle (°) d Space (A) Intensity (%) .5 2.924 3.2 32.1 2.782 2.9 33.3 2.690 3.4 34.2 2.621 3.5 34.6 2.587 4.4 TGA and DSC thermograms of Form A are shown in Form A was found to lose up to 0.02 % volatiles during TGA analysis upon 100 0C, which indicates that Form A is ated and anhydrous. Form A exhibited a single melting peak at 199.3 0C (onset). 6.1.3.2 Hygroscopicity Hygroscopicity of Form A was determined by moisture adsorption and tion. The moisture sorption/desorption behavior of Form A was determined by DVS and the s are summarized in Form A showed no significant water uptake (<0.1% w/w) between 0 and 80% relative humidity, which indicates that Form A is not hygroscopic. After undergoing the full adsorption/desorption cycle, the XRPD diffractogram of the sample showed that the material was unchanged from the initial Form A. Based on the characterization results, Form A was found to be an anhydrous and non-hygroscopic crystalline material. 6.1.4 ALTERNATIVE METHODS FOR THE PREPARATION OF FORM A OF COMPOUND A Preparation 1: nd A was combined with BHT (0.001 equiv) in IPA and water (3x:5x vol). The mixture was heated 65 CC and while ining this temperature, water (5x vol) heated to 65 0C was added. A small amount of the title compound (0.02 equiv) in water heated to 65 0C was added. The mixture was held for 2 h, cooled to room temperature over 4 h, and stirred for an additional 2 h. The resulting solids were collected by ion, washed with 20% IPA in water and dried to give Compound A as a white to yellow solid. 1H NMR (400 MHz, DMSO-d6) 8 (ppm) 9.03 (d, J: 1.56 Hz, 1H), 8.28 (s, 1H), 8.24 (dd, J: 2.34, 8.20 Hz, 1H), 7.74 (d, J: 7.81 Hz, 1H), 7.61 (s, 1H), 5.26 (s, 1H), 4.90 (tt, J= 3.71, 12.10 Hz, 1H), 4.13 (s, 2H), 3.28 (s, 3H), 3.20 (tt, J= 4.00, 10.84 Hz, 1H), 2.58 (qd, J= 2.93, 12.82 Hz, 2H), 2.14 (d, J: 10.15 Hz, 2H), 1.68 (d, J: 10.93 Hz, 2H), 1.47 (s, 6H), 1.17 - 1.35 (m, 2H); MS (ESI) m/Z 398.3 [M+l]+‘ DSC endotherm at 201.9 c’C. XRPD diffractogram (top peaks :05 °) two-theta angle (°): 8.0, 9.0, 12.0, 13.0, 16.5, 17.5, 18.2, 21.5, 22.5, 25.0, 26.5. ation 2: Compound A was combined with BHT (0.02 equiv) in MeOAc (25X vol) and heated to 55 oC. The solution was cooled to 25 OC and a small amount of the title compound (0.02 equiv) in MeOAc was added. The slurry was held for 1 h, distilled under vacuum to a reduced volume and treated with n-heptane (10x vol). The slurry was held for 2 h, and the resulting solids were collected by filtration, washed with 50% MeOAc in n-heptane and dried to give Compound A as a white to yellow solid. 1H NMR (400 MHz, DMSO-d6) 5 (ppm) 9.03 (d, .1: 1.56 Hz, 1H), 8.28 (s, 1H), 8.24 (dd, .1: 2.34, 8.20 Hz, 1H), 7.74 (d, .1: 7.81 Hz, 1H), 7.61 (s, 1H), 5.26 (s, 1H), 4.90 (tt, .1: 3.71, 12.10 Hz, 1H), 4.13 (s, 2H), 3.28 (s, 3H), 3.20 (tt, .1: 4.00, 10.84 Hz, 1H), 2.58 (qd, .1: 2.93, 12.82 Hz, 2H), 2.14 (d, .1: 10.15 Hz, 2H), 1.68 (d, .1: 10.93 Hz, 2H), 1.47 (s, 6H), 1.17 - 1.35 (m, 2H); MS (ESI) m/z 398.3 [M+1]+' DSC endotherm at 201.9 0C. XRPD diffractogram (top peaks, :05 °) eta angle (°): 8.0, 9.0, 12.0, 13.0, 16.5, 17.5, 18.2, 21.5, 22.5, 25.0, 26.5 ] Preparation 3: Compound A was combined with BHT (0.02 , and MeOAc, and heated to 55 CC, forming a clear solution. The solution was filtered while hot, cooled to 30 oC and a small amount of the title compound (0.02 equiv). The slurry was agitated for at least 1 h, distilled under vacuum to a d volume and treated with n-heptane. The resulting solid was collected through filtration, washed with a 1:1 mixture of MeOAc in n-heptane and dried to give Compound A as a white to yellow solid 1H NMR (400 MHz, DMSO-d6) 8 (ppm) 9.03 (d, .1: 1.56 Hz, 1H), 8.28 (s, 1H), 8.24 (dd, J: 2.34, 8.20 Hz, 1H), 7.74 (d, .1: 7.81 Hz, 1H), 7.61 (s, 1H), 5.26 (s, 1H), 4.90 (tt, J: 3.71,12.10 Hz,1H),4.13(s, 2H), 3.28 (s, 3H), 3.20 (tt, .1: 4.00, 10.84 Hz, 1H), 2.58 (qd, J: 2.93, 12.82 Hz, 2H), 2.14 (d, .1: 10.15 Hz, 2H), 1.68 (d, .1: 10.93 Hz, 2H), 1.47 (s, 6H), 1.17 - 1.35 (m, 2H); MS (ESI) m/z 398.3 [M+l]+‘ DSC endotherm at 201.9 c’C. XRPD diffractogram (top peaks, ::0.5 0) two-theta angle (°): 8.0, 9.0, 12.0, 13.0, 16.5, 17.5, 18.2, 21.5, 22.5, 25.0, 26.5.

Preparation 4: A 1:1 wt/wt mixture Of Compound A (Form A) and Compound A (pinacol co-crystal) was treated with IPA (6X vol) with ion for 4 days at ambient temperature. The solids were collected by filtration and and dried under d pressue at 40-50 0C to give Compound A (Form A) as a yellow solid. DSC endotherm Of 195 OC. XRPD ctogram (top peaks, ::0.5 0) two-theta angle (°): 8.0, 9.0, 12.0, 13.0, 16.5, 17.5, 18.2, 21.5, 22.5, 25.0, 26.5 6.1.5 PREPARATION OF PINACOL CO-CRYSTAL OF COMPOUND A ] Compound A, pinacol (2.4 equiv), and THF (5x vol) were combined and heated to 45- 50 oC, and toluene (1x vol) was added. The solution was distilled under reduced pressure (300- 350 Torr) keeping the temperature between 40-45 0C to 4x vol. The on was cooled, and toluene (5x vol) was added while continuously removing solvent under reduced pressure (300-350 Torr), until 15% THF in toluene ition was achieved. The batch was seeded with pinacol co-crystal (0.02 equiv) at 25 OC, and the batch was held for 72 h.

The solids were filtered, rinsed with THF/toluene and dried at 45- 50 0C under vacuum to afford Compound A pinacol co-crystal (71% yield, 20 wt% pinacol by 1H NMR). DSC melt at 119.0 °C. XRPD diffractogram (top peaks, ::0.5 0) two-theta angle (°): 5.0, 6.0, 12.5, 14.0, .0, 15.5, 17.5, 18.5, 22.5. 6.1.6 PREPARATION OF HYDRATE OF COMPOUND A (FORM B) Compound A was ed with BHT (0.001 equiv) in IPA and water (3x:5x vol). The mixture was heated to 55 °C, and water (5x vol) was added. A small amount Of the title compound (0.02 equiv) in water was added. The mixture was cooled to room temperature over 1 h and stirred for an additional 48 h at room temperature. The resulting solids were collected by filtration, washed with 20% IPA in water and dried tO give Compound A hydrate as a pink solid. The solid had a DSC endotherm Of 111.3 C’C, rm Of 164.9 CC, and endotherm Of201.6 oC. TGA analysis showed 6.4% weight loss and an onset temperature of 50 c’C. XRPD diffractogram (tOp peaks, :05 °) eta angle (°): 6.0, 7.0, 8.0, 10.0, 12.0, 14.0, 17.0, 18.0, 20.0, 20.5, 22.5, 24.5. 6.1.7 PREPARATION OF ANHYDROUS FORM OF COMPOUND A (FORM C) Preparation 1: Compound A was ed with BHT (0.001 equiv) in MeOH (10X VOl). The mixture was distilled tO a reduced volume (5X) and r distilled with the addition Of IPA until an additional 50 mL Of distillate was collected, and the solution was cooled to room temperature. The resulting solids were collected by filtration, washed with IPA, (2X vol) and dried tO give Compound A as an ite solid. DSC analysis Of the solid showed an endotherm Of 161 OC and an endotherm Of 200 OC. XRPD diffractogram (top peaks, :05 °) two-theta angle (°): 6.5, 9.0, 10.0, 14.5, 16.5, 19.0, 23.0, 23.5.

Preparation 2: Compound A (pinacol co-crystal) and BHT (0.01X wt) were treated with IPA (8X vol) with agitation for 4 days at ambient temperature. The solids were collected by filtration, washed with IPA, and dried under reduced e at 40-50 0C to give Compound A (Form C) as a solid. DSC analysis Of the solid showed an endotherm and exotherm at 160 CC and an endotherm at 200 CC. XRPD diffractogram (tOp peaks, :05 °) two- theta angle (°): 6.5, 9.0, 10.0, 14.5, 16.5, 19.0, 23.0, 23.5. 6.1.8 ATION OF METHANOL SOLVATE OF COMPOUND A (FORM D) Compound A was combined with BHT (0.001 equiv) in MeOH (20x vol) and heated to 65 oC. The solution was cooled to room temperature and stirred for an additional 18 h. The resulting solids were collected by filtration, washed and dried at 40-45 0C to give Compound A as a pink solid. The solid had a DSC endotherm Of 98.3 0C, an exotherm Of 159.3 0C, and an endotherm Of 200.6 0C. TGA analysis showed 7.4% weight loss and an onset temperature Of 80 oC. XRPD diffractogram (top peaks, :05 °) two-theta angle (°): 6.0, 7.5, 8.0, 9.0, 10.0, 12.5, 14.5, 16.5, 19.0, 19.5, 20.5, 23.0. 6.2 SYNTHESIS 6.2.1 LARGE SCALE SYNTHESIS OF COMPOUND A 6.2.1.1 Synthesis 1 Bug; +66 DIPEA (5 A0023 NMP 125 °c Br NH fiHz-HC| (:1?ACOZEt Ethyl(3,5-dibromopyrazinylamino)acetate (70.0 kg), trans methoxycyclohexylamine hydrochloride, (51.5 kg) and NMP (360.1 kg) were ed and treated with DIPEA (93.5 kg). The batch was heated to 125-130 0C until completion was reached. The resulting reaction mixture was cooled to 20-35 0C and quenched into a e of % sodium chloride solution and EtOAc. The organic layer was washed three times with a 5% sodium chloride on followed by a water wash. The organic phase was concentrated by distillation, causing the solid product to form. The solid was collected through filtration, washed with MTBE and dried (40% yield).

OMe OMe : 1. H3PO4, 80 °C (5 B1:1:: 2. aq. K2003 ”11;01 Ethyl 2-((5-bromo(((lr,4r)methoxycyclohexyl)amino)pyrazin yl)amino)acetate (35.0 kg) was treated with a 21% oric acid solution (147.4 kg) at 80 °C for at least 12 h. The resuling suspension was cooled to room temperature an d the solid was collected through filtration and washed with water. The solid was slurried in water and treated with a l M potassium ate solution (1 equiv, 12.6 kg). The resulting solid was collected through filtration, washed with water, and dried (85.0% yield).

OMe OMe (5 HO /1 (j Br |N\ N O ,aq. 2 3,A -HC| (57% N\ / 'ZI; 7-Bromo- l -(( l r,4r)methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3 -b]pyrazin- 2(1H)—one (27.5 kg), 2-(5-(4,4,5,5-tetramethyl-l,3,2-dioxaborolanyl)pyridinyl)propan ol hydrochloride (26.2 kg), and Amphos)2 (137.5 g) in THF (219.8 kg) were combined with a potassium carbonate solution (27.5 kg),and heated to reflux until reaction completion was reached. The mixture was cooled, treated with toluene, and the aqueous layer was d. The organic solution was washed with an aqueous potassium dihydrogen phosphate solution, and the aqueous layer was removed. The organic layer was d with SiliaBond® Thiol (4.2 kg) and twice with ted carbon (2 x 2.8 kg). The organic solution was distilled to a reduced volume followed by continuous distillation with the addition of e until a 15% THF in toluene solution was reached, at which time the batch was cooled and the product was left to precipitate. The resulting solid was collected through filtration, washed with toluene, and dried (70.0% . 6.2.1.2 Synthesis 2 Bug; +66 DIPEA (5 A0023 NMP 125 °c Br KIH KJH2-HC| T:IfACOZEt A e of ethyl(3,5-dibromopyrazinylamino)acetateH(69.1 kg), trans methoxycyclohexylamine hydrochloride, (50.8 kg) and NMP (360 kg) was heated to 125-130 0C until completion was achieved. The mixture was cooled to 20-30 0C, and treated with 5% sodium chloride solution (5 vol) and EtOAc (8 vol). The aqueous layer was removed, and the organic layer was washed three times with 5% sodium chloride (3 X 5 vol) and once with water (5 vol). The organic layer was concentrated by vacuum distillation to a reduced volume, cooled to 25 CC, and agitated at this temperature for 19 h. The slurry was filtered and the wet cake was washed with MTBE. The product was dried in a vacuum oven at to obtain ethyl 2-((5-bromo-3 -((( l r,4r)methoxycyclohexyl)amino)pyrazinyl)amino)acetate (44. l% yield).

OMe OMe : 1. H3PO4, 80 °C (5 B11:: 2. aq. K2003 31:1;1,3] ] Ethyl bromo(((lr,4r)methoxycyclohexyl)amino)pyrazin yl)amino)acetate (35 kg) was treated with a 21% phosphoric acid solution (410 kg) at 80 °C until completion was achived. The suspension was cooled to 30-35 0C and d, and the wet cake was washed with water (5X vol), charged to a reactor, and suspended in water (3X vol).

The slurry was treated with 1M postassium carbonate solution (1 equiv), filtered and washed with water (2 x 5x vol). The product was dried at 50-55 0C in a vacuum oven to deliver 7-Bromo- l -(( l r,4r)methoxycyclohexyl)-3 ,4-dihydropyrazino [2,3 -b]pyrazin-2( l H)-one (91% yield).

OMe OMe “EGO +|—|o><l\:j\Boo PdAmphosZCIZ HO / (j fTHF aq. K2003, A E N\ fligof A mixture of 7-bromo-l-((lr,4r)methoxycyclohexyl)-3,4- dihydropyrazino[2,3-b]pyrazin-2(lH)-one (27.7 kg), 2-(5-(4,4,5,5-tetramethyl-l,3,2- dioxaborolanyl)pyridinyl)propanol hloride (26.3 kg) and PdClz(Amphos)2 (137.6 g) in THF (1227 kg) was combined with a solution of potassium carbonate (27.5 kg) in water (220 kg). The mixture was heated to reflux and held until reaction completion. The batch was cooled to 45 oC, toluene (71.4 kg) was added, and the aqueous phase was removed. The organic solution was treated with aqueous potassium ogen phosphate solution, SiliaBond® Thiol, and twice with ted carbon. The ing organic solution was distilled under heric pressure to a reduced volume and continuously led with toluene on until a composition of ~15 wt% THF in toluene was reached. The batch was cooled to OC, filtered, and the solids were washed with toluene, and dried under vacuum to deliver Compound A as a light yellow solid (87% yield).

OMe OMe / MeOAc HO / (j N \ [NIN[ifo n—heptane N \ BHT '21gof Compound A (27.1 kg), BHT, (270 g) and MeOAc (604 kg) were combined, heated to 50-55 0C, and filtered. A slurry of small amount of Compound A (540 g) in MeOAc (2.6 kg) was added, and the batch was held for 1 h. The batch was distilled under vacuum to 10X vol, and treated with heptane while maintaining the batch temperature at 25-30 c’C until the composition is 1:1 (v/v/) MeOAc / heptane. The batch was held at 20-25 0C for 14 h, filtered, and the wet cake was washed twice with 1:1 MeOAc / heptane and dried at 50- 55 0C under vacuum to deliver Compound A (78% yield) as an off-white to light yellow solid. DSC confirmed the crystal Form A. 1H NMR (DMSO-d6) was consistent with the assigned structure. 6.2.2 LARGE SCALE SYNTHESIS OF METABOLITE OF COMPOUND A ] A metabolite of Compound A was prepared as follows: OH OH BrI:IN? DIPEA H3PO4 /\+C02Et NMP, 125 °C Br 80°C Br fiHz-HCI \[NNIZHA \[NNE::0]? ACOZEt 1 2 3 4 A vessel was d with 1 (2.15 kg), 2 (1.44 kg), and NMP (6.5 L), and the resulting slurry was agitated at 20-30 CC and treated with DIPEA (3.87 L). The batch was heated to 125-130 0C, held for 20 hours until completion was ed, cooled to 20-35 °C, and transferred to a vessel containing a mixture of EtOAc (17.2 L) and 5% aq. NaCl (10.7 L). The batch was agitated for 10-15 minutes, allowed to settle for 10-15 minutes, and the s layer was removed. The batch was washed an additional three times with 5% aq. NaCl (10.7 L) and once with water (10.7 L). The batch was distilled under reduced pressure (50-60 0C; 250-300 Torr) until reaching 2X volume. The resulting slurry was treated with n-heptane (6.3 L) while maintaining a batch temperature of 50-60 0C. The batch was cooled to 20-30 °C, held for 17 hours, and filtered. The filter cake was washed with n-heptane and dried at 50-60 0C under vacuum to afford 3 (66% yield) as a solid.

The solid 3 (1.56 kg) and a 10% aq. H3PO4 solution (16 L) were heated to 75-85°C, held for 15 hours, cooled to 20-30 °C, and filtered. The filter cake was washed with water (5 L) and dried on the filter for 1 hour. The filter cake was charged to a vessel, treated with water (15 L), and agitated at 20-30 CC for 2 hours. The batch was d, washed with water (2 x 4.7 L), dried in a vacuum oven at 50-60 0C to obtain 4 (54% for two steps) as solid.

MS: Calc: 327.0 [M+H]; Obsd: 309.0 [M-OH], 329.0 [M+3].

OH OH 6 H0 / N\ PdCl2(Amphos)2 HO / G + B/O aq KCO' 2 3’ THF BrTN\ N O ~HCI (‘3 N\ N\ N O | I ' I N N N N H H 4 5 6 A vessel was charged with 4 (447 g), 5 (425 g), PdAmphoszClz (0.00023 eq.), and THF (2.2 L) that had been sparged with N2 for 30 min. The slurry was agitated and treated with a solution of K2C03 (2.4 eq.) in water (3.6 L), that had been sparged with N2 for 30 min.

The batch was heated to reflux, held for 15 h, cooled to just below the reflux point, and an additional charge of PdAmphos2C12 (0.00046 eq.) was added. The mixture was heated to reflux, held for 20 h, cooled to 40-50 0C, treated with toluene (447 mL), and the aqueous layer was removed. The batch was treated with toluene (447 mL) at which time precipitation of solids began. The batch was distilled under atmospheric pressure to 6X vol and distilled at nt volume with on of toluene until the composition reached ~30% THF in toluene.

The supernatant was d, and the remaining solids were treated with THF (447 mL), heated to 60-65 CC, and treated with THF (447 mL). The batch was held at 60-65 °C for 30 minutes, cooled to 20-30 0C over 45 minutes, and aged for 15 hours at 20-30 0C. The batch was treated with THF (447 mL) and filtered. The filter cake was dried under vacuum at 40-50 0C to obtain crude 6 (59% yield) as a solid. MS: Calcd: 384.2 [M+H]; Obsd: 384.2.

The THF filtrate was trated under reduced pressure, slurried in IPA (500 mL) for 4 hours and filtered. The filtered solids were dried under vacuum at 40-50 0C to obtain crude 6 (23% yield) as a solid. MS: Calcd: 384.2 [M+H]; Obsd: 384.2. 1. THF, water HO / <1 = SiliaBond®-Thio| 50°C Ho / N \ IZ/INNof 2 IPA/water, BHT N \ IZINNfo‘30 6 (Crude) 6 (Purified)H A vessel was charged with crude 6 (310 g), BHT (155 mg), SiliaBond® Thiol (47 g), THF (1 1.8 L), and water (620 mL) and agitated to form a . The batch was heated to 50-55°C, held for 4 hours, cooled to 30-40 0C, and filtered. The filtrate was d to a vessel distilled under reduced pressure (27-30 0C, 200 mmHg) until reaching 5-6X vol. The batch was cooled to 20-30 0C, agitated for 2 hours, and filtered. The filter cake was washed with THF (300 mL) and dried under vacuum at 45-50 c’C. The resulting solid (153 g), BHT (75 mg), IPA (l .l L), and water (380 mL), were combined and agitated to form a slurry. The slurry was heated at elevated temperature (reflux) for 18 h, cooled to 20-30 0C, held for 3-4 hours, and filtered. The filter cake was dried at 50 0C under vacuum to deliver purified 6 (66% yield) as a solid. MS: Calcd: 384.2 [M+H]; Obsd: 384.2. 6.3 SYNTHESIS OF ISOTOPOLOGUES OF COMPOUND A 6.3.1 SYNTHESIS OF 14C ED COMPOUND A 14C-radiolabeled Compound A was prepared as follows.

Br Br \ n-BULI \ I I / H30 / i N o 1:‘c N | | HQ l 14 CH3 /C\ 7 H30 CH3 5-Bromoiodopyridine (1 equiv) in DCM was cooled to -78 oC and treated sequentially with n-BuLi (1.05 equiv of 2.5M in hexane) and 14C-labeled acetone (3 equiv).

The mixture was slowly warmed to ambient ature, d for 30 min, and treated with water (10 mL). The c layer was dried with Na2S04, filtered, and concentrated under reduced pressure. The crude product was taken to the next step with no additional purification.

Br Br \ \ H30 | H30 | / TMSCI, TEA ‘fC —’ N 14c N HO | TMS0 CH3 CH3 7 8 Crude 7 in DCM at ambient temperature was sequentially treated with TEA (3 equiv) and TMSCl (2 equiv) and stirred for 18 h. The on mixture was treated with saturated NaHCOg (15 mL), and extracted with DCM. The organic layer was dried with Na2S04, filtered, and concentrated under reduce pressure.. The oil was purified by column chromatography (5% EtOAc/hexane) to deliver 8 as an oil (52% over 2 .

WU133‘33$314C\ H693?/ TMSO CH3N 8 Pd(dppf)2C|2 TMSO’C 9 Dioxane CH3 ] Compound 8, bis(pinacolato)diborane (1.1 equiv), KOAc (3 equiv), and PdClz(dppf)-DCM complex (0.03 equiv) were combined in l,4-dioxane, heated to 90 oC, and held for ~18 h. The mixture was cooled to ambient temperture, diluted with MTBE, filtered, and concentrated under reduced pressure. The crude al was purified by column chromatography (l:l EtOAc:hexane) to obtain Compound 9 as a solid (27% yield).

H30 H30 MXCH3 chCH3 \ 0 CH3 0 CH3 H C | HCIDioxane 3 / H30 fl/ 140 —’ N 314C 'HCI TMSO 9 6:143 HO CH3 1o Compound 9 in l,4-dioxane was treated with 4 M HCl in l,4-dioxane (2 equiv) at ambient temperature and stirred for 2 h. The mixture was concentrated under a flow ofN2 to give an off white solid, which was treated with MTBE for l h and filtered to obtain Compound as a solid (98% yield).

PdC|2(Amphos)2 : 3140' N K2003, THF/water N \ N N O HO’I T1“T\ I N/j: jN N N H 14C—Compound A Compound 10, Compound 11 (1.08 equiv), PdClz(Amphos)2 (0.02 equiv), THF, and an aqueous K2C03 solution (2.5 equiv K2C03) were heated in a sealed tube at 70-75 0C for 16 h. The tube was cooled to 25 oC, and the mixture was extracted with toluene and concentrated under reduced pressure. The crude oil was purified by column chromatography (1 :l THF/DCM) and isocratic semi-preparative HPLC. The isolated fiactionswere concentrated under reduced pressure, dissolved in EtOAc, dried with Na2S04, filtered, and concentrated under reduced pressure. The material was dissolved in THF and concentrated under a flow of nitrogen followed by high vacuum. The isolated oil was treated with ACN and trated with a stream ofN2 to induce crystallization. The contents of were trated under high vacuum to obtain 14C-labeled nd A as a solid.

Alternatively, 14C-Compound A can be prepared from 10 and 11 as s: Compound 10 and 11 (1.1 equiv), THF, and aqueous K2C03 (2.5 equiv K2C03), were combined with PdAmphoszClz (0.02 equiv) and heated to 70-75 0C until reaction completion (about 18 h). The mixture was cooled, treated with EtOAc and brine and the layers separated. The organic layer was dried over , d, and concentrated to a residue.

The residue was purified by column tography on silica gel (CH2C12:EtOAc 1:3; ed by MeOH:EtOAc 2:98) and concentrated to a residue. The residue was then purified by preparative HPLC using 0.015 M KH2P04 and MeCN. The collected fractions were extracted with EtOAc, dried over NaZSO4, d, and concentrated to obtain beled Compound A as a solid. 6.3.2 SYNTHESIS OF 13c ENRICHED COMPOUND A ] 13C-labeled Compound A was prepared as follows.

—O>|N:[Br1SCH2\1SC’OEtBr 13/CHZ\13¢,0 Br Br N Br \E \/ N NH2 K2003 Bu4NHSO4 o acetone K2C03 (1.5 eq,) and ethyl bromoacetate-13C2 (1.3 eq) were added to a solution of 3,5-dibromopyrazinamine (1.0 eq) in acetone (10x vol). The slurry was heated to 30 oC, Bu4NHSO4 (0.074 eq) was added, and the mixture was stirred for 2 d at reflux . The reaction slurry was cooled to ambient temperature, filtered through celite, and the cake was washed with acetone (10 vol). The filtrate was concentrated under reduced pressure, dissolved in EtOAc (11.4 vol), and the organic phase was washed with water (2 x 3.2 vol) and saturated s NaCl (2 x 3.2 vol). The combined aqueous phase was extracted with EtOAc, and the combined organic phase was dried over MgSO4, filtered, and washed with EtOAc. Ecosorb-906 (0.11 wt) was added, and the mixture was stirred 13 h. The slurry was filtered washed with EtOAc, and the filtrate was concentrated under reduced pressure to a slurry to which was added a 2% EtOAc in heptane solution (7.9 vol). The slurry was d after stirring for 3 h at t ature. The collected solid was washed with heptane (3 vol) and dried in a vacuum oven at 35 0C to provide (12) as a solid (57% yield). 1H NMR(CDC13, 300 MHz): 8 = 8.05 (s, l H), .77 (br. s., l H), 4.41 (t, J=5.7 Hz, 1 H), 4.26 (qd, J=7.1, 3.0 Hz, 2 H), 3.94 (t, 1 H), 1.31 (t, J=7.1 Hz, 3 H) ppm. LC/MS: Calculated: 340.9, Found: ES+ (M+l) 341.9.

NMP N N’ 13c 12 5 A reaction flask was sequentially charged with (1 ,4-trans) methoxycyclohexanamine hydrochloride (1.5 eq), compound (12) (1.0 eq), NMP (5.0 vol) and DIPEA (3.5 eq). The on was heated to 125 0C for 24 h and then cooled to 25 oC. EtOAc (10 vol) and 5% aqueous NaCl (15 vol) were added, and the layers were separated. The organic layer was washed with a 5% aqueous NaCl (2 X 15 vol) and concentrated under reduced pressure. The residue was treated with MTBE (4.0 vol), stirred 1 hour at ambient ature and filtered. The solid was washed with MTBE and dried in a vacuum oven at 20-30 0C to provide (13) as a solid (61% yield). 1H NMR (DMSO-d6 ,300 MHz): 8 = 7.21 (s, 1 H), 6.98 (t, J=4.8 Hz, 1 H), 6.48 (d, J=6.8 Hz, 1 H), 4.26 (t, J=5.5 Hz, 1 H), 4.09 (qd, J=7.1, 3.1 Hz, 2 H), 3.79 (t, J=5.6 Hz, 1 H), 3.73 (br. s., 1 H), 3.25 (s, 3 H), 3.05 - 3.22 (m, 1 H), 1.89 - 2.14 (m, 4 H), 1.21 - 1.37 (m, 4 H), 1.18 (t, J=7.1 Hz, 3 H) ppm. LC/MS: Calculated: 388.1; Found ES+ 389.1 (M+1) 391.1 (M+1+2).

OCH3 OCH3 KOt—Bu é 3\[NINscz/O Br :H I:1:413,0H2 THF N/ JECHZ 130’O H A 1 M solution of KOt—Bu in THF (0.20 eq) was added to a stirred mixture of (13) (1.0 eq) in THF (8.0 vol) over 4 min at ambient temperature. The mixture was stirred for 2 h and ed into a 9% s KH2P04 solution (4.0 vol). IPAc (5 vol) was added, and the layers were separated. The organic layer was washed with 5% aqueous NaCl (4 vol) and concentrated under reduced pressure with azeotropic removal of THF with IPAc. The solid was dissolved in IPAc (10 vol), passed through silica gel, eluted with IPAc, and concentrated under reduced pressure. The solids were dried at 20-25 0C under vacuum to afford (14) as a solid (70% . 1H NMR d6 ,300 MHz): 8 = 7.70 (s, l H), 7.57 (d, J=7.6 Hz, 1 H), 4.55 - 4.77 (m, l H), 4.22 - 4.36 (m, l H), 3.76 - 3.86 (m, l H), 3.25 (s, 3 H), 3.04 - 3.19 (m, l H), 2.33 - 2.47 (m, 2 H), 1.98 - 2.20 (m, 2 H), 1.61 (d, J=ll.l Hz, 2 H), 1.07 - 1.33 (m, 3 H).

LC/MS: Calculated:342.l; found: ES+ (M+l) 343.0; (M + 2+ l)345.l. 1. n—BuLi, DCM —78 °C R Br 13 §C\ / H3 C 13CH3 I 2. TMSCI, DMAP,TEA, DCM 130 I H313C/ l \1SCH OTMS A mixutre of 5-bromoiodopyridine (l .0 eq) in DCM (12 vol) was cooled to - 78 CC and treated with n-BuLi (2.5 M solution in hexanes, l.0 eq). The mixture was treated with acetone-13C3 (10 eq) while maintaining the temperature below -55 oC, cooled to -78 oC, and held for 30 min. The reaction mixture was warmed to -40 0C over 1 h, warmed to -15 oC, quenched with water (10 vol), warmed to 10 0C over 10 s, and the layers were separated.

The aqueous phase was extracted with DCM, and the c layers were washed with water, saturated aqueous NaCl, dried over Na2S04, and filtered. The cake was washed with DCM, and the filtrate was concentrated under reduced pressure to obtain an oil. The oil was dissolved in DCM (120 vol), and DMAP (0.05 eq) and TEA (3.0 eq) were added. The solution was cooled to 0-5 OC and treated with TMSCl (2.5 eq) over 15 minutes keeping the temprature below 5 oC.

The mixture was stirred for 1.5 h, quenched with 5% aqueous NaHCOg (6.5 vol) maintaining the temperature at 10-15 c’C. The layers were separated, and the organic layer was washed with water and ted aqueous NaCl. The organic layer was dried over Na2S04, filtered, and trated under reduced pressure. Hexanes (2 x 9 vol) waere charged and the mixture was concentrated under reduced pressure to afford an oil. The oil was purified by column tography on silica gel (5% EtOAc in hexanes) to afford (15) (63% yield). 1H NMR (MeOD, 300 MHz): 8 = 8.38 (d, J=2.1 Hz, 1 H), 7.78 (dd, J=8.6, 2.4 Hz, 1 H), 7.48 (d, J=8.5 Hz, 1 H), 1.61 - 1.70 (m, 3 H), 1.18 - 1.27 (m, 3 H), 0.00 (s, 9 H). 0‘ ,0 | ’B—B\ 13 N \ \ N \ /O —>TMSO—l3C—<:>—B\ 13g PoICI2 (dppf)'DCM / — o H 130 H3130/ I l3CH3 3 KZCOS,1,4—Dioxane OTMS Compound (15) (1.0 eq), bis(pinacolato)diboron (1.0 eq) and KOAc (3.0 eq) were stirred in 1,4-dioxane (8 vol) and treated with PdClz(dppf)°DCM complex (0.015 eq). The mixture was heated to 90-95 0C and stirred for 4.5 h. The reaction mixture was cooled to -25 c’C over 1 h, diluted with MTBE (5 vol), filtered on a celite plug, and the cake was washed with MTBE. The filtrate was washed with water, and the aqueous layer was extracted with MTBE. The organic layers were washed with saturated aqueous NaCl, dried over Na2S04, and filtered. The filtrate was concentrated under reduced pressure to an oil, treated with MTBE and conentrated to an oil three times. The oil was dried under high vacuum at 20-25 °C to afford a solid. This solid was dissolved in THF (7.5 vol), d with ond® Thiol (lx wt), stirred for 20 min, filtered, and the cake washed with THF. The filtrate was concentrated under reduced pressure to afford a solid, which was dried under high vacuum.

The solid was dissolved in MTBE, treated with silica gel (lx wt), and concentrated under reduced pressure. The silica gel containing the crude product was purified by column chromatography on silica gel (eluent: MTBE) and trated under reduced pressure to obtain the product (16) as a solid (72% . 1H NMR (CDClg, 300 MHZ): 5 = 8.71 (s, l H), 7.90 (d, J=7.6 Hz, 1 H), 7.45 - 7.55 (m, 1 H), 1.64 - 1.72 (m, 3 H), 1.25 (d, J=4.0 Hz, 3 H), 1.20 (s, 12 H), 1.13 (s, 1 H), 1.10 (s, l H), 0.00 (s, 9 H) ppm. MS Calculated: 410.2, found ES+ 257 (as boric acid). 0\ ,o / 16 | OCH3 OCH3 13 130 TMSO\ 9H3 H313 / C | 13CH3 H3130 / | = r ' 3Cé PdCI Am \ 2 phos2 / lECHZ | NI1ECH2 N82003, IPA N N H 17 A slurry of compound (14) (1.0 eq) and compound (16) (1.20 eq) in IPA (10 vol) was treated with 2 M aqueous N32C03 (2.5 eq) and PdClemphosz (0.0135 eq). The reaction mixture was heated to 70 CC, stirred for 2 h, cooled to ambient temperature, and treated with EtOAc (38 vol) and water (13 vol). The organic layer was washed with 2% aqueous NaCl to reach pH 6 and trated under reduced re. EtOAc (13 vol) was added to the concentrate, the aqueous layer was extracted with EtOAc, and the combined organic phases were concentrated under reduced pressure. The residue was dissolved in EtOAc and purified by column chromatography on silica gel (EtOAc/hexanes), concentrated under reduced pressure and cooled to 0 oC. The solids were dissolved in IPA, trated under reduced pressure, and dried under high vacuum to provide (17) as a solid (73% yield). 1H NMR (DMSO-d6, 300MHz): 5 = 9.03 (d, J=1.9 Hz, 1 H), 8.28 (s, 1 H), 8.25 (dd, J=8.4, 2.2 Hz, 1 H), 7.68 (d, J=8.3 Hz, 1 H), 7.61 (d, J=7.7 Hz, 1 H), 4.81-4.99 (m, J=11.8, 7.9, 3.9, 3.9 Hz, 1 H), 4.35 (d, J=6.2 Hz, 1 H), 3.88 (d, J=6.4 Hz, 1 H), 3.25 - 3.31 (m, 3 H), 3.13 - 3.24 (m, 1 H), 2.52 - 2.67 (m, 2 H), 2.13 (d, J=10.4 Hz, 2 H), 1.79 (d, J=3.8 Hz, 3 H), 1.67 (d, J=10.6 Hz, 2 H), 1.36 (d, J=4.0 Hz, 3 H), 1.18 - 1.33 (m, 2 H), 0.06 - 0.18 (m, 9 H). Calculated 402.2; ES+ (M+1-TMS) 403.2.

OCHs OCH3 13CH 1. aq. HCI, ACN 13 TMSO130 3 C: 2. HO13CH3 aq. NaOH H313c’ / 3. EtOAc, ACN C H3130 / N \ |:le00 N \ :N3c I-ZSCHZ I-ZSCHZ A slurry of (17) (1.0 eq), ACN (10.0 vol) and water (2.5 vol) was treated with 1 M HCl (0.185 eq) for 20 h and neutralized to pH 4-6 with 1 M NaOH. The mixture was treated with water (50 vol) and EtOAc (75 vol) and the layers were separated. The aqueous layer was extracted with EtOAc and the combined organic layers were concentrated under reduced pressure. The e was again treated with water (50 vol) and EtOAc (75 vol) and the layers were separated and the aqueous layer ted with onal EtOAc. The organic fractions were concentrated under reduced pressure with replacement of EtOAc by ACN addition. The residue was dissolved in ACN (2.5 vol), and a small amount (0.02 eq) of the target product was added followed by additional ACN (0.8 vol). The solids were filtered, washed with ACN, and dried under a N2 stream. The solid was dissolved in EtOAc and silica gel (1.9 wt) was added and the mixture concentrated under reduced pressure. The silica gel ning the crude product was purified by column chromatography on silica gel (eluent: EtOAc) and concentrated under reduced pressure with ement of EtOAc by ACN addition.

The material was dried under high vacuum, slurried in ACN (2.5 vol) for 20 h, and filtered to obtain (18) as a solid (34% yield). 1H NMR (DMSO-d6, 300 MHz): 5 = 9.02 (d, J=l.9 Hz, 1 H), 8.28 (s, 1 H), 8.23 (dd, J=8.3, 2.1 Hz, 1 H), 7.73 (d, J=8.5 Hz, 1 H), 7.59 (d, J=7.7 Hz, 1 H), 5.24 (d, J=2.3 Hz, 1 H), 4.80 - 5.00 (m, J=11.9, 8.0, 3.9, 3.9 Hz, 1 H), 4.36 (d, J=6.2 Hz, 1H), 3.88 (d, J=6.2 Hz, 1 H), 3.25 - 3.31 (m, 3 H), 3.14 - 3.25 (m, 1 H), 2.53 - 2.67 (m, 2 H), 2.14 (d, J=10.4 Hz, 2 H), 1.68 (d, J=4.0 Hz, 5 H), 1.18 — 1.35 (m, 5 H). 13C NMR d6, 75MHz): 8 = 168.7, 168.0, 167.0, 166.6, 166.3, 165.7, 164.9, 162.9, 162.1, 157.4, 156.9, 156.4, 155.9, 154.9, 145.7, 145.7, 145.0, 137.0, 135.6, 133.6, 133.3, 131.3, 119.9, 119.8, 86.4, 85.6, 79.2, 76.5, 75.7, 74.3, 74.0, 73.8, 73.5, 73.2, 73.0, 56.3, 53.3, 47.6, 47.3, 47.0, 41.6, 41.3, 41.0, 40.7, 40.5, 40.2, 39.9, 32.5, 32.1, 31.8, 31.6, 31.0, 27.1. Calculated 402.2, found ES+ (M+1) 403.2. 6.3.3 SYNTHESIS OF 13C ENRICHED METABOLITE OF COMPOUND A 13C5-labeled metabolite of Compound A was prepared as follows. 13CH Br/ 2\13C,OEt Br\[l\k Br ('3' Br N\ Br —> I N/ K2003 / CH2\ ,OEt BU4NHSO4 H II acetone ] A slurry of 3,5-dibromopyrazinamine (1 eq) in acetone (10 vol) was treated with K2C03 (0.8x wt) and ethyl bromoacetate'13C2 (0.87x wt) were added, and the mixture was heated to 30 0C. Bu4NHSO4 (0.1x wt) was added, and the mixture was stirred for 46 h at reflux.

Additional ethyl bromoacetate-13C2 was added in ns and the mixture was held at reflux until completion was achieved (~24 h). The reaction mixture was cooled to 20-25 0C, d, and the filter cake was washed twice with acetone. The filtrate was concentrated under reduced pressure, dissolved in EtOAc, washed twice with water and then with a 5% aqueous NaCl. The combined aqueous washes were ted with EtOAc, and the combined organic ons were treated with MgSO4 (0.3x wt) and Ecosorb C-906 (0.1x wt) for 13 h at 30 oC. The mixture was cooled to 20 oC and filtered. The collected solids were washed twice with EtOAc, and the filtrate was concentrated to a solid which was dissolved in EtOAc (0.9 vol) and treated with heptane (5.7 s) over 40 min at 20-25 0C. The suspension was stirred for 4 h and filtered. The isolated solids were washed with heptane and dried under reduced pressure at -40 0C to provide 11.8 g of(12) as a solid (46% yield). LC/MS: Calculated [M+1] 342.3; Observed 342, 344.

OH OH Br (5 (5 \T:::I:ECH2\ 2 NH -Hm Br N NH OEt——————3————> ”C | DPEA /f1:1 H2\ OEt 12H N N’ 130’ O NMP 19 5 A slurry of compound 12 (1 eq) and transaminocyclohexanol hydrochloride (1.5 eq) in NMP (5 vol) at ambient temperature was treated with DIPEA (3.5 eq). The mixture was heated to 125-130 0C and held for 18 h. The solution was cooled to 20-25 0C, treated with EtOAc (10 vol), and washed three times with 5% aqueous NaCl and once with water. The solution was concentrated under reduced pressure to 2 vol and the slurry was stirred for 18 h at ambient temperature. The solids were collected by filtration and dried to obtain compound (19) (24% . The filtrate was concentrated under reduced re, stirred for 18 h at ambient ature, treated with EtOAc (1-2 vol) and filtered. The solids were dried under reduced pressure to obtain compound (19) (14% yield). LC/MS: ated [M+1] 375; Observed 375, 377.

OH OH (5 (5 Br\[N:INHHN/130\1 21%aq H3PO4 Br NOE SCHZN300 19 20 Compound (19) (1X wt) and a 21% H3PO4 solution (10 vol) were combined at ambient temperature and heated to 75-80 0C and stirred for 16 h. The batch was cooled to -25 0C and then filtered, and the filter cake was washed with water. The solid was suspended in water (10 vol) and stirred for 2 h at 20-25 0C. The product was filtered, washed twice with water, and dried under reduced pressure at 45-50 0C (20) as a solid (65% yield). LC/MS: Calculated [M+1] 329; Observed 329, 331. 1) , DCM —78°C / 1303—»—2) acetone I H13C/1/30\CIDH\3130H 5-bromoiodopyridine (1.0 eq) in DCM (12 vol) was cooled to -78 oC and treated with n-BuLi (1.4 vol of 2.5 M in hexanes) over 45 min. After 40 min, 13Cg-acetone (2.0 eq) was added over 50 minutes keeping the reaction mixture below -70 OC. The mixture was stirred for 2 h below -70 oC, warmed to -14 0C over 2 h, quenched with water (10 vol) between -15 ° and 10 oC, and warmed to 10 oC. The aqueous layer was extracted with DCM, and the ed organic layers were washed with water and saturated aqueous NaCl, dried over MgSO4, filtered, and washed with DCM. The filtrate was concentrated under reduced pressure to obtain (21) as a liquid (62% yield). LC/MS: Calculated [M+1] 219; Observed 219, 221.

TMSCI DMAP EgN DCM Nx 1/30\ 1 H130/\1SCH3 313C/ l 3CH3> OTMS 21 15 A solution of compound (21) (1 eq) in DCM (395 mL) was treated with DMAP (0.01 eq) and the solution was cooled to 0 oC. TEA (1 eq) and TMSCl (1.5 eq) were added and the reaction mixture was stirred at 0-5 0C for 2 h, quenched by addition of saturated aqueous NaHCO3 (2.3 vol) and water (2.3 vol). DCM was added and the layers were separated. The organic layer was washed with water and saturated aqueous NaCl, dried over MgSO4, and d. The cake was rinsed with DCM and the filtrate was concentrated under reduced pressure, treated with hexanes, and concentrated under reduce pressure to obtain crude (15).

The crude product was d by column chromatography on silica gel (eluent: 5% EtOAc in hexanes) and concentrated to a residue. The residue was treated with hexanes and concentrated to an oil to provide compound (15) as an oil (61% yield). LC/MS: Calculated [M+l] 291; Observed 291, 293. 1H NMR(CDC13, 300 MHz): 5 = 8.39 (d, J=2.1 Hz, 1 H), 7.61 (dd, J=2.3, 8.5 Hz, 1 H), 7.41 (d, J=8.5 Hz, 1 H), 1.57 - 1.73 and 1.17 - 1.28 (2 m, 6 H, 13CH3), 0.00 (s, 9 H). 13C NMR(CDC13, 75 MHz) 5 = 164.63 (d, JC-C=6 Hz), 146.57 (d, JC-C=6 Hz), 136.44 (d, JC-C=2 Hz), 118.48 (d, JC-C=4 Hz), 115.94, 74.59 (t, JC-C=39 Hz), 28.80 (d, JC-C=39 Hz), 0.50. 0‘ ,0 | [Ia—3‘ 13 N \ o 0 “S C\ N o —>TMSO—1SC~<}B: fic\ PdCI2 (dppf)'DCM 130/ — 0 H3130 | 13CH3 3 KOAC, 1,4—Dioxane OTMS ] A solution of compound (15) (1 eq) in 1,4-dioxane (8 vol) was treated with KOAc (2.2 eq), bis(pinacolato)diboron (1 eq), and PdClz(dppf)°DCM complex (0.02 eq). The contents were heated to reflux, held for 4 h, cooled to ambient temperature and treated with MTBE (10 vol). The slurry was filtered and the filter cake was washed with MTBE. The filtrate was passed through a 0.45 mm filter, erred to a separatory filnnel, and washed with water. The aqueous phase was extracted with MTBE and treated with aqueous NaCl. The ed organic extracts were washed with saturated s NaCl, dried over MgSO4, and filtered. The e was concentrated under reduced pressure. The e was dissolved in ACN (1.1 vol) at 45 OC, and transferred with ACN (3.9 vol) to a flask. The crude product was heated to 40-50 0C, cooled to ambient temperature, agitated for 14.5 h, cooled to 0-5 oC, and stirred for 2 h. The product was filtered, washed with cold ACN, and dried under vacuum at 40-55 0C to provide (16) as a solid (65% yield). 1H NMR (DMSO-d6, 300MHz): 8 = 9.03 (d, J=1.9 Hz, 1 H), 8.28 (s, 1 H), 8.25 (dd, J=8.4, 2.2 Hz, 1 H), 7.68 (d, J=8.3 Hz, 1 H), 7.61 (d, J=7.7 Hz, 1 H), 4.81 - 4.99 (m, J=11.8, 7.9, 3.9, 3.9 Hz, 1 H), 4.35 (d, J=6.2 Hz, 1 H), 3.88 (d, J=6.4 Hz, 1 H), 3.25 - 3.31 (m, 3 H), 3.13 - 3.24 (m, 1 H), 2.52 - 2.67 (m, 2 H), 2.13 (d, J=10.4 Hz, 2 H), 1.79 (d, J=3.8 Hz, 3 H), 1.67 (d, J=10.6 Hz, 2 H), 1.36 (d, J=4.0 Hz, 3 H), 1.18 — 1.33 (rm, 2 H), 0.06- 0.18 (rm, 9 H). 1H NMR(CDC13, 300 MHz): 5 = 8.71 (s, 1 H), 7.89 (dd, J=0.8, 7.9 Hz, 1 H), 7.49 (d, J=7.7 Hz, 1 H), 1.61 — 1.75 and 1.23 - 1.32 (2 H1, 6 H, 13CH3), 1.21 (s, 12 H), 0.00 (s, 9 H). 13C NMR(CDC13, 75 MHz) 5 = 168.76, 15171 (d, JC-C=6 Hz), , 11597 (d, JC-C=4 Hz), 81.55, 74.69 (t, JC—C=39 Hz), 28.60 (d, JC-C=39 Hz), 22.41, 0.087. LC/MS: LC/MS: Calculated [M+1] 339.2; Observed 257.2 (as boric acid). 4.0MHCI/ | oxane | —>N\ 1,4—dioxane A solution of (16) (1 eq) in 1,4-dioxane (4 vol) was cooled to 15-20 0C and treated with 4 M HCl in 1,4-dioxane (2.1 eq). The slurry was treated with heptane (3.75 vol), cooled to 0-5 oC, stirred for 1-2 h, and filtered. The product was washed with heptane and dried under vacuum at 50-60 0C to obtain (22) as a solid (94% . 1H NMR(CDC13, 300 MHz): 8 = 16.56 (br. s., 1 H), 9.05 (s, 1 H), 8.54 (d, J=7.9 Hz, 1 H), 7.78 (dd, J=1.4, 8.0 Hz, 1 H), 4.1-6.3 (br. s., 1 H), 1.95-1.98 and 1.52-1.56 (2 H1, 6 H, 13CH3), 1.30 (s, 12 H). 13C NMR (CDC13,75MHz): 5 = 164.79 (d, JC-C=47 Hz), 15091 (d, JC-C=2.4 Hz), 146.50, 122.26 (d, JC-C=2.8 Hz), 85.66, 71.92 (t, JC-C=38 Hz), 29.89 (d, JC-C=38 Hz), 24.83.

LC/MS: Calculated [M+1] 303; Observed 185 (as boric acid). o, ,o HCI 22 OH I HO\ 9H3 13c 130 / (1) H 130/l lSCH H3130 I = i N \ N /0 Br N\ NSCI/O L. \ I NISQ/ | I 13' 1. PdCIZAmphosz / 13*CH2 / ,CH2 N N N N K2C03, THF/water H 2. IPA/water, BHT 23 Compound (20) (1 eq), Compound (22) (1.1 eq), PdCl2Amphos2 (0.009 eq), and THF (5 vol) were combined and treated with a solution of K2CO3 (2.1 eq) in water (3.75 vol).

The e was heated to reflux, held for 6 h, cooled to t temperature, stirred for 11 h, and filtered. The filter cake was washed twice with 1 vol of THF/water (5:8) and the filtrate was diluted with THF (6.75 vol). The filtrate was heated to 40-45 CC and treated with toluene (6.75 vol). The organic layer was washed with a solution of KH2PO4 in water (0.04 w/w) and the layers were separated. The c layer was heated to 40-45 CC and treated with SiliaBond® Thiol for 2 h. The slurry was cooled to ambient temperature, filtered, and the filter cake was washed with THF. The e was treated with activated carbon orizing) for 4 h at ambient temperature, filtered, and the filter cake was washed with THF. The filtrate was concentrated under reduced pressure, dissolved in DCM, and concentrated under reduce pressure. The residue was dried under vacuum, treated with THF, heated to 40-45 0C, and treated with silica gel. The slurry was concentrated under reduced pressure and the silica gel ning the crude product was purified by column chromatography on silica gel (eluent 0-41% THF in DCM), concentrated under reduced pressure, and dried under vacuum at -40 0C to obtain crude (23). The crude (23) and BHT (0.0005X wt) were treated with IPA/water (l : 1.65), heated to 60 CC, held for l h, cooled to ambient temperature, and held for 16 h. The slurry was heated t050-60 oC, treated with IPA (0.8 vol) and water (23 vol). The slurry was cooled to t temperature and filtered. The product was washed with IPA/water (10 : 90) and dried under vacuum at 50-60 0C to afford (23) as a solid (85% yield). 1H NMR (CDClg, 300 MHz): 8 = 9.03 (d, J=1.9 Hz, 1 H), 8.27 (s, 1 H), 8.23 (dd, J=2.1, 8.3 Hz, 1 H), 7.72 (d, J=8.3 Hz, 1 H), 7.59 (d, J=7.6 Hz, 1 H), 5.23 (m, 1 H), 4.81-4.92 (m, 1 H), 4.65 (d, J=4.3 Hz, 1 H), 4.36 (d, J=6.4 Hz, 1 H), 3.88 (d, J=6.2 Hz, 1 H), 3.41-3.57 (m, 1 H), .71 (m, 2 H), 1.95 (d, J=10.4 Hz, 2 H), 1.66-1.69 and 1.24-1.27 (2 m, 6 H, 13CH3), .37 (m, 2 H). 13C NMR (CDC13,75MHz): 8 = 165.34 (d, 2 Hz), 144.46 (d, JC-C=5.6 Hz), 143.74 (d, JC-C=2 Hz), 135.78, 134.28, , 132.01, 130.02, 118.54 (d, JC-C=42 Hz), 72.18 (d, JC-C=38 Hz), 68.54, 52.03, 45.85 (d, JC-C=52 Hz), 35.09, 30.53 JC-C=39 Hz), 26.11. , (d, LC/MS: Calculated [M+1] 388; Observed 389. 6.3.4 SYNTHESIS OF 2H ENRICHED COMPOUND A Deuterium-enriched Compound A can be prepared as follows.

QMe OMe OH/OD Deuterium source \Z \' O,Solvent Base :I:I \ :IZI: H/NDD Compound A 24 QMe OMe D20 ch03 /N \ N\ N THF, 60 °C \ | I f0 N N 'Z/INNE: Compound A Compound 24 can be made using the route above wherein all of the exchangeable protons are replaced with deuterium. ng with Compound A, the acidic protons can be exchanged in the presence of base (such as sodium tert—butoxide, potassium carbonate and 1,8-diazabicyclo[5,4,0]undecene) and a deuterium source (such as tert—BuOD, MeOD, EtOD, iPrOD, AcOD, D20) to give Compound 24. A solvent (such as ydrofuran, dimethylformamide, or dimethylsulfoxide) can be used to facilitate the reaction. The en isotopes on the alcohol and the ary amine could be either hydrogen or deuterium depending on the workup. A workup solvent with an exchangeable proton (such as H20, MeOH or EtOH) will provide 25, while a workup solvent with an exchangeable deuterium (e.g.

D20, MeOD, EtOD) will afford 24.

For example, Compound A (10 g, 25.2 mmol) was treated with K2C03 (3.48 g, .2 mmol) in 20% THF/DZO at 50 — 60 CC for 15 h. After cooling to room temperature, the mixture was extracted with 2-Me-THF, and the organic layer was washed 3 times with water to allow proton exchange of the alcohol and the pyrazine groups. The organic layer was concentrated to a crude oil and crystallization from IPA/water to afford nd 25 (7.6 g, 76%) as an off-white solid; 1H NMR (300 MHz, CDClg) 5 9.02 (d, J: 1.5 Hz, 1 H), 8.27 - 8.05 (m, 2 H), 7.49 (d, J: 8.3 Hz, 1 H), 5.51 (s, 1 H), 5.15 - 4.97 (m, 1 H), 4.93 (s, 1 H), 3.40 (s, 3 H), 3.37 - 3.23 (m, 1 H), 2.79 - 2.53 (m, 2 H), 2.43 - 2.11 (m, 2 H), 1.92 - 1.70 (m, 2 H), 1.60 (s, 6 H), 1.52 - 1.29 (m, 2 H); 13C NMR (300 MHz, CDC13)5 165.6, 164.8, 144.6, 143.1, 136.7, 136.5, 133.6, 132.0, 130.8, 118.7, 78.5, 71.9, 55.9, 53.2, 46.4, 31.6, 30.6, 26.4; LCMS (E1) m/z calcd. for C21H25D2N503 [M + H]+, 400.2; found 400.2 6.3.5 SYNTHESIS OF 2H ENRICHED METABOLITE OF COMPOUND A A deuterium-enriched metabolite of Com ound A can bep ed as follows.

OH gH/OD QH E = OH/OD OH OH N 1 Deuterium source /N N / - / l I I \ N N Solvent Base O \ N\ N O \ N N O I I f 2. Workup conditions I I ID | I ID ’ N/ N D N N/ fl N D H/ND H 6 26 27 Compound 26 can be made using the route above wherein all of the exchangeable protons are replaced with deuterium. Starting with nd 6, the acidic protons can be ged in the presence of base (such as sodium tert—butoxide, potassium carbonate and l,8-diazabicyclo[5,4,0]undecene) and a deuterium source (such as tert—BuOD, MeOD, EtOD, iPrOD, AcOD, D20) to give nd 26. A solvent (such as tetrahydrofuran, dimethylformamide, or dimethylsulfoxide) can be used to facilitate the reaction. The hydrogen isotopes on the two alcohols and the ary amine could be either hydrogen or deuterium depending on the workup. A workup solvent with an exchangeable proton (such as H20, MeOH or EtOH) will provide 27, while a workup solvent with an exchangeable deuterium (e.g.

D20, MeOD, EtOD) will afford 26. 6.4 PHARMACEUTICAL COMPOSITIONS 6.4.l TABLETS Compound A was formulated as tablets ning about 5 mg, 20 mg, and 50 mg of Compound A as an active pharmaceutical ingredient. The excipients and carriers that were used in the tablet formulations are summarized in Table 3, along with their intended functions .

Table 3. Pharmaceutical able Excipients and Carriers Lactose monohydrate, NF (Fast Flo 316) Diluent Microcrystalline cellulose, NF (Avicel pH 101) Diluent/binder Microcrystalline cellulose, NF (Avicel pH 102) Diluent/binder Corn starch, NF Disintegrant/lubricant Pregelatinized starch, NF (Starch 1500) Binder/Disintegrant Lactose anhydrous, NF Diluent Croscarmellose sodium, NF (Ac-Di-Sol) Disintegrant Stearic acid, NF Lubricant Magnesium Stearate, NF Lubricant General for tabletpreparation. Tablets were produced at batch size g from 0.5 to 2.2 kg. Form A of compound A was first blended with binders, diluent(s), and/or disintegrant (e.g., lactose monohydrate (NF), croscarmellose sodium (NF), and/or microcrystalline cellulose (NF)) using a Globepharma 4-8" Bin Blender. The mixture was then sieved via 18 mesh screen. The sieved mixture was further mixed/blended with a Globepharma 4-8" Bin Blender. After lubricant(s) (e.g., stearic acid (NF) and/or magnesium stearate (NF)) were sieved via 30 mesh screen, the lubricant(s) were then added to the mixture.

The resulting mixture was then mixed/blended with a Globepharma 4-8” Bin Blender. The e was then ssed into tablets with a harma Korsch XL100, and then coated in an Ohara 8" pan. The tablets thus produced were evaluated for their powder characteristics, tablet characteristics, drug t photostability/short term stability, and manufacturing process.

Tablet formulations I to VIII of Compound A are summarized in Tables 4 to 11.

The process parameters for tablet preparation ing/compression) are summarized in Tables 12 and 13. It was observed that the s of Formulations I to VIII showed discoloration. Picking was observed when compressing Formulations I to IV. The addition of c acid in Formulations V to VIII improved ation without impacting disintegration and compressibility. Compressibility of Formulation II was not acceptable when replacing lactose by pregelatinized starch and tablet hardness could not exceed 4.1 kp (average). Lactose monohydrate, NF (Fast Flo 316) was used as an alternate diluent and was red over lactose anhydrous (Formulation III) for its lity properties. Both Avicel PH 101 and PH 102 were tested for binding properties (Formulations III and IV). Avicel PH 102’s larger particle size, and more spherical particle shape provided better flow than Avicel PH 101.

Table 4. Tablet Formulation I Amounts Ingredients Compound A Lactose drate, NF (Fast Flo 316) Microcrystalline cellulose, NF (Avicel pH 101) Croscarmellose sodium, NF (Ac-Di-Sol) Magnesium Stearate, NF Table 5. Tablet Formulation II Amounts Ingredients mg % nd A 50.0 16.7 Lactose monohydrate, NF (Fast Flo 316) 168.0 56.0 Pregelatinized starch, NF (Starch 1500) Croscarmellose sodium, NF (Ac-Di-Sol) Magnesium Stearate, NF 3.0 1.0 Total 300.0 100 Table 6. Tablet Formulation III Ingredients mg % Compound A 50.0 Lactose anhydrous, NF 145.1 Microcrystalline cellulose, NF l pH 101) 93.1 Croscarmellose sodium, NF (Ac-Di-Sol) 9.0 Magnesium Stearate, NF 3.0 Total 300.0 Table 7. Tablet Formulation IV Amounts Ingredients mg / Compound A 50.0 Lactose monohydrate, NF (Fast Flo 316) 145.0 Microcrystalline ose, NF (Avicel pH 102) 93.0 Croscarmellose sodium, NF (Ac-Di-Sol) 9.0 Magnesium Stearate, NF 3.0 Table 8. Tablet Formulation V Amounts ients mg % Compound A 50.0 11.9 Lactose monohydrate, NF (Fast Flo 316) 220.48 52.5 Microcrystalline cellulose, NF (Avicel pH 102) 130.20 31.0 Croscarmellose sodium, NF (Ac-Di-Sol) 12.6 3.0 Amounts Ingredients Stearic acid, NF 2.52 0.6 Magnesium Stearate, NF 4.20 l 0 Table 9. Tablet Formulation VI ients mg % Compound A 50.0 11.9 Lactose monohydrate NF (Fast Flo 316) 182.20 63.1 Microcrystalline cellulose, NF (Avicel pH 102) 54.0 18.0 Magnesium Stearate, NF 3.0 1.0 Total 300.0 100 Table 10. Tablet Formulation VII Amounts ients Mg % Compound A 50.0 16.7 Lactose monohydrate NF (Fast Flo 316) 265.0 88.3 Microcrystalline cellulose NF (AV1cel pH 102) 75.60 25.2 Corn starch NF 12.6 4.2 Croscarmellose sodium NF (Ac-Di-Sol) 12.6 4.2 Magnesium Stearate, NF 4.20 1 .4 420.0 100 Table 11 Tablet Formulation VIII Amounts ients Compound A 500 Lactose monohydrate, NF (Fast Flo 316) 136.0 Microcrystalline cellulose, NF l pH 102) 93.0 Corn starch, NF Croscarmellose sodium, NF (Ac-Di-Sol) Magnesium Stearate, NF Table 12. Tablet Process Parameters Equipment/Process Parameters—n“- Batcmkgw Bin blender (quart) Pre-blending time (min) Lubrication time (min) 3 3 3 3 299 301 307 297 Actual weight (mg) 291-309 295-310 301-311 0 Bulk density (g/cc) 0.4 0.53 0.37 0.42 Tooling (round, SC) 12/32 12/32 12/32 12/32 Hardness (average in Kp) ess (averagein mm) 395 386 398 386 Friability (4 min) (%) 0 1 0 1 Observation Picking Picking Picking Picking Table 13. Tablet Process ters ent/Process Parameters V VI VII VIII Bin blender used (quart) Pre-blending time (min) 20/10 20/10 20/10 20/10 Lubrication time (min) 418 299 419 301 Actual weight (mg) 413-421 293-307 413-426 296-305 Bulk density (g/cc) 0.45 0.43 0.48 0.43 g (round, SC) Hardness (average in Kp) 9.1 8.5 9.0 8.4 Thickness (average in mm) Friability (4 min) (%) .3 Disintegration time (max) (sec) 31 30 29 20 Observation None None None None Tablet formulations IX to XI of Compound A are summarized in Tables 14 to 16. The process parameters for their preparation are summarized in Tables 17 and 18.

Table 14. Tablet Formulation IX Amounts Ingredients Compound A 50.0 15.4 Lactose monohydrate, NF (Fast Flo 316) 151.5 46.6 Microcrystalline cellulose, NF (Avicel pH 102) 100.75 31.0 Corn starch, NF 9.75 3.0 Croscarmellose sodium, NF -Sol) 9.75 3.0 Magnesium Stearate, NF 1.0 Amounts Ingredients Total 325.0 100 Opadry pink 004 4% weight gain Table 15. Tablet Formulation X Amounts Ingredients Microcrystalline cellulose, NF (Avicel pH 102) 100.75 31.0 Table 16. Tablet ation XI Amounts Ingredients Compound A 5.0 3.85 Lactose monohydrate, NF (Fast Flo 316) 74.82 57.55 Microcrystalline cellulose, NF (Avicel pH 102) 40 30 31.00 Corn starch, NF 3.90 3.00 Croscarmellose sodium, NF (Ac-Di-Sol) 3.90 3.00 Stearic acid, NF 0.60 Magnesium Stearate, NF 1.30 1.00 Amounts Ingredients Total 130.0 100 Opadry beige 03K170001 4% weight gain Table 17. Tablet Process Parameters ent/Process Parameters IX X XI Blending/Compression Bin blender used (quart) 4 4 4 ending time (min) 20/10 20/10 20/10 323 326 131 Actual weight (mg) 318-328 316-333 130-134 Tooling (round, SC) 12/32 12/32 1/4 Hardness (average in Kp) 9.3 9.1 5.9 Friability (4 min) (%) 0.1 0.1 0.1 Disintegration time (max) (sec) 39 27 24 Table 18. Tablet Process Parameters Equipment/Process Parameters IX X XI Coating Batch size (kg) 0.27 0.27 0.30 Weight gain (%) 4 4 4 Equipment/Process Parameters IX X XI Coating Pan (inch) Nozzle size (mm) 08 08 08 Atomizing air pressure (PSI) lO Pattern (PSI) 12-13 12-13 11-12 Pan speed (RPM) l6-l8 14-17 14-17 Inlet ature (0C) 72-73 Exhaust temperature (0C) 51-53 51-53 49-50 The 5 mg and 50 mg s (core and coated) were subjected to short term stability and photo-stability evaluations. The short term stability of the 50 mg tablets was tested by storing for 2 weeks at 40 0C/75%RH in an open bottle. The s are summarized in Table 19.

Table 19 Tablet Formulation X (50 mg) Tablet Short Term Stability Compound A (%) Total Impurities (%) Tablet After 2 wks at After 2 wks at Initial Initial 40 0C/75% RH 40 0C/75% RH Coated 100.1 99.9 0.25 0.29 The photo-stabiity of the 50 mg tablets was also tested and the results are summarized in Table 20.

Table 20. Tablet ation X (50 mg) Tablet Photo-Stability Compound A (%) Total Impurities (%) Tablet Photo-stability Photo-stability Control Control Sample Sample The short term stability of the 5 mg tablets was tested by storing them for 2 weeks at 40 0C/75%RH in an open bottle. The results are summarized in Table 21. No major increase of ty was observed for the 50 mg coated tablets after two weeks at 40 0C/75% RH and light exposure. The g appears to offer acceptable protection against moisture and light.

Table 21. Tablet Formulation X (5 mg) Tablet Short Term Stability Compound A (%) Total Impurities (%) Tablet After 2 wks at After 2 wks at Initial Initial 40 0C/75% RH 40 0C/75% RH Coated 101.1 100.7 0.21 1.11 ] The photo-stabiity of the 5 mg tablets was also tested and the results are summarized in Table 22.

Table 22. Tablet (5 mg) Tablet Photo-Stability Compound A (%) Total Impurities (%) Photo-stability Photo-stability Control Sample Sample Core 99.5 97.9 0.27 2.85 Coated 99.0 101.0 0.23 0.84 Tablet formulations XII (50 mg), X111 (20 mg), and XIV (5 mg) are summarized in Tables 23, 24, and 25.

Table 23. Tablet Formulation XII (50 mg) Ingredients mg ‘V0 Compound A 50.0 15 38 Opadry pink 03K140004 4% weight gain Table 24. Tablet Formulation X111 (20 mg) Amounts Ingredients Compound A 15.38 Lactose monohydrate, NF (Fast Flo 316) 49.22 rystalline cellulose, NF (Avicel pH 31 00' 102) Croscarmellose sodium, NF (Ac-Di—Sol) 3.00 Stearic acid, NF 0.52 ium Stearate, NF 1.30 l 00 Total 130.0 10 Opadry yellow 03Kl2429 4% weight gain_ Table 25. Tablet Formulation XIV (5 mg) Amounts Ingredients Compound A Lactose monohydrate, NF (Fast Flo 316) Microcrystalline cellulose, NF (Avicel pH 102) Croscarmellose sodium, NF -Sol) Stearic acid, NF 0.52 Magnesium Stearate, NF 1.30 Opadry 11 pink 85F942ll 5.2 4% weight gain No event was observed during the preparation of the tablets of Formulations XII, XIII, or XIV. The 20 mg and 50 mg tablets were compressed at various ssion forces to assess compressibility and define a hardness range. The parameters for the ation of the tablets to assess compressibility are summarized in Tables 26 (blending/compression) and 27 (coating). The 20 mg tablets were coated with Opadry Yellow 03Kl2429, s the 50 mg tablets were not coated. The core and coated tablets (20 mg) were tested for dissolution. It was found that there is no significant difference between the dissolution of the core and coated tablets (.

Table 26. Process Parameters for 50 mg and 20 mg Tablet Formulations (Blending/Compression) ent/Process Parameter Batch Size (kg) 221 (Common Blend) Pre-blending time (min) 20/10 Equipment/Process Parameter 50 mg 20 mg Lubrication time (min) 327 129 Actual weight (mg)_ 313-339 124-135 Bulk density (g/cc) 0.41 Tooling (round, SC) 1%: Hig .6 High-9.0 Hardness (average in Kp) Low-5. Low-3.87 Target-9.9 Target-6.1 Thickness (average in mm) 4.26 3.76 Friability (4 min) (%) 0.04 Disinegration time (max) (sec) 39 22 Observations None None Table 27. Process Parameters for Formulation XIII (Coating) Equipment/Process Parameter 20 mg t temperature (C) 45-47 Equipment/Process Parameter 20 mg Observation Acceptable coating Batch tablet formulations of Compound A are summarized in Table 28.

Table 28. Batch Tablet Formulations mg mg 45-0 180-0 “0-82 575-82 362-70 362-70 3510 35-10 4-68 4-68 “-70 “-70 “7-0 “7-0 65-52 - ' 65-52 Tablet formulation XV (45 mg) is summarized in Table 29. Tablet formulation XV can be prepared using methodology provided herein or other s known to one skilled in the art.

Table 29. Tablet Formulation XV (45 mg) Amounts Ingredients Lactose monohydrate, NF (Fast Flo 316) 143.955 rystalline cellulose, NF (Avicel pH 102) 90.675 rmellose sodium, NF (Ac-Di-Sol) 8.775 Stearic acid, NF l.l70 Amounts Ingredients Magnesium te, NF 2.925 1.00 Total 292.50 100 Opadry pink 03K140004 4.0% weight gain The batch size of the current 45 mg strength tablet is approx. 10,000 tablets or approximately 3.5 kg (approximately. 20% overage is sed to allow for losses during cturing). 6.4.2 DEVELOPMENT OF AN ORAL DOSE VEHICLE OF 14C ENRICHED COMPOUND A A solution was prepared using appropriate amounts of 50:50 (v:v) EtOH:PEG 400, [14C]-Cornp0und A, and Compound A to achieve a final concentration of 28.6 mg/mL. An aliquot of the solution was transferred to a white Size 00 Capsugel® V Caps Plus nellose capsule for dose administration. Preliminary stability data indicated that the in-process bulk solution is stable for at least 48 hours when stored at refrigerated conditions and protected from light.

Compound A drug substance was ved in five different solvent combinations of EtOH and PEG 400. The solvent combinations selected were 100% EtOH, 80:20 (v:v) EtOH:PEG 400, 50:50 (v:v) EtOH:PEG 400, 20:80 (v:v) EtOH:PEG 400 and 100% PEG 400. Due to solubility and viscosity issues, the 100% EtOH and 100% PEG 400 formulations were not ed.

The 80:20 (v:v) EtOH:PEG 400, 50:50 (v:v) EtOH:PEG 400 and 20:80 (v:v) EtOH:PEG 400 solutions were prepared at a concentration of 28.6 mg/mL and diluted to 257 ug/mL for analysis. These samples were analyzed at T=0 and stored at RTmp/PFL and REF/PFL until analysis at T=72 hours post-preparation.

Solution stability was performed on the final [14C]-Compound A dosing solution to establish stability for at least 48 hours ted from light at refrigerated and room temperature conditions. Following analysis at T=0, T=24 hours and T=48 hours, it was determined that the Compound A dosing solution was stable for at least 48 hours protected from light at refrigerated conditions. Degradation was observed at 48 hours for the [14C]-Compound A solution that was stored at room temperature and protected from light.

The final formulation for the [14C]-Compound A dosing solution was developed to deliver a single capsule containing a solution of 20 mg of nd A with a microtracer of [14C]-Compound A (200 nCi).

The formulation was prepared using 50:50 (v:v) EtOH:PEG 400, [14C]-Compound A, and Compound A drug substance to achieve a final tration of 28.6 mg/mL. Preliminary stability data indicates that this formulation was stable for at least 48 hours when stored at refrigerated ions and protected from light. 6.5 BIOLOGICAL EXAMPLES 6.5.1 A PHASE 1, OPEN-LABEL, RANDOMIZED, CROSSOVER STUDY TO EVALUATE THE PHARMACOKINETICS OF COMPOUND A AFTER A SINGLE ORAL DOSE OF TABLET AND E FORMULATIONS IN HEALTHY MALE ADULT SUBJECTS.

Certain formulations ed herein were evaluated in a Phase 1, open-label, ized, crossover study. The study had a Screening phase, three Treatment and Sample Collection periods, and a follow-up visit.

Within no more than 21 days (Day -21) and no less than 2 days (Day -2) prior to the start of Period 1, subjects underwent routine screening procedures including physical examination, lZ-lead electrocardiogram (ECG), assessment of vital signs, clinical laboratory safety tests (serum chemistry, hematology, and urinalysis), serology screen, fasting e levels and drug/alcohol screen.

] Eligible subjects ed to the study center on Day -1 of Period 1 for baseline assessments. During each study period, subjects were domiciled at the study center from Day -l through Day 5. Subjects were discharged from the study center on the morning of Day 5 upon actory safety review and completion of related ures.

On Day 1 of Period 1, following an overnight fast of at least 8 hours, subjects were ized to one of the following 3 sequences to receive Treatment A, B or C (Table 30).

Table 30. Treatment ces ———— Sequence 1 A B C Sequence 2 B C A ———— In Treatment A, one 20-mg reference Compound A API-in-capsule was administered orally after at least 8 hour fast with 240 mL of non-carbonated, room temperature water. In Treatment B, one 20-mg tablet of Compound A (Tablet Formulation XIII) was administered under fasted conditions. In Treatment C, four 5-mg tablets of Compound A (Tablet Formulation XIV) were administered under fasted conditions. The 20-mg tablet and four 5-mg tablets were stered orally after at least 8 hour fast with 240 mL of non- carbonated, room temperature water.

The periods were separated by a washout period of at least 7 days (no more than days) from the prior dose to the next dose. In certain instances, a longer washout is acceptable.

For each period, serial blood samples were collected before dosing (zero hour) and at 0.5, l, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, and 96 hours after dosing. Plasma concentrations of Compound A were determined for determining PK parameters, such as AUC0_t, AUC0_OO, Cmax, Tmax, t1/2, CL/F, and Vz/F for nd A. Plasma PK parameters were calculated using non compartmental methods. Analyses of variance (ANOVA) were med on the natural log-transformed AUC0_t, AUCOM, and Cmax for Compound A. The geometric mean ratios (test/reference) and their 90% confidence intervals were also calculated.

For Tmax, non parametric analysis was used to produce median differences.

Blood samples to assess PD were collected at Baseline (Day -1) in Period 1 for all subjects. After randomization, serial PD blood samples were collected only in each period in which Treatment B (20 mg tablet formulation) was administered. Samples were collected prior to dosing (zero hour) and at 1.5, 3, 6, 8, 12, 24, and 48 hours after administration of Treatment B. The samples were used for biomarker is which involve measuring levels of pAKT (mTORC2), p4EB-Pl, and/or pS6RP (mTORCl); and/or and pAKT 2) by flow cytometry using whole blood s and/or other exploratory biomarkers in pre- and post- treatment samples at different time points. The biomarker data were used for exploration of PK-PD relationships.

Safety was monitored throughout the study. Safety evaluations included AE reporting, physical examinations, vital sign measurements, ECGs, and clinical laboratory safety tests. Concomitant medications were assessed and recorded throughout the study from the time informed consent was obtained until the follow-up visit.

All subjects returned to the clinic within 7 to 10 days after the last dose in Period 3 for follow-up safety assessments. In the event that a subject discontinued urely from the study, every reasonable effort was made (and documented) to ensure that all procedures and evaluations scheduled for the follow-up visit were performed at time of discontinuation or a -up visit was led within 7 to 10 days from the tinuation day.

Results: The major PK parameters are ized in Tables 31 and 32 (see for plasma concentration-time profiles).

Table 3 l. Pharmacokinetic Parameters (Geometric Mean tric CV%)) Parameter Treatment A Treatment B Treatment C (n = 18) (n = 17) (n = 17) Cmpd. A O-Desmethyl metabolite cmaxmg/mm <2222> Parameter Treatment A Treatment B Treatment C (n = 18) (n = 17) (n = 17) AUCM (ng.h/mL) 985 (26) 11928 (23) 988 (27) 980 (30) AUC0-24 (ng.h/mL) 934 (24) 7484 (22) 944 (26) 938 (29) VZ/F (L) 167 (28) -ND 161 (28) 158 (30) CL/F (L/h) 20.3 (23) ND 20.2 (27) 20.4 (30) tm (h) 5.7 (24) 14.3 (20) 5.6 (22) 5.4 (23) *Tmax presented as median (range).

Table 32 90% CI of ric Ratio of Ratio (%) of Mean Means Means 99.7 (B vs A) 947—1050 99.3 (C vs A) 94.3-104.6 99.3 (B vs A) 94.8-104.0 98.4 (C vs A) 940—1031 103.8 (B vs A) 93.6-115.0 111.6 (C vs A) 100.7-123.7 iations: AUC00 = area under the plasma concentration versus time curve from time zero to infinity; AUC0_t = area under the plasma concentration versus time curve from time 0 to the last quantifiable concentration; CI = confidence interval.

Conclusions: Compound A pharmacokinetics are comparable after single dose administration of 20 mg Compound A tablet formulations and API in capsule in healthy adult male subjects. 6.5.2 A PHASE 1, OPEN-LABEL STUDY TO EVALUATE THE METABOLISM AND EXCRETION OF COMPOUND A AND THE EFFECT OF FOOD ON THE PHARMACOKINETICS OF COMPOUND A IN HEALTHY MALE ADULT SUBJECTS.

The primary objectives of this study are: to characterize the biotransformation and excretion of Compound A following a single 20 mg oral dose of Compound A capsule containing a microtracer of Compound A solution in healthy male subjects (Part 1) and to evaluate the effect of a at meal on the pharmacokinetics (PK) of Compound A following a single oral 20-mg dose of Compound A tablet (Part 2).

The secondary objectives of this study are to evaluate the tolerability of Compound A after a single 20-mg oral dose of Compound A capsule ning a microtracer of [14C]-Compound A solution in healthy male adult subjects (Part I), to te the effect of a high-fat meal on the PK of the O-desmethyl metabolite of Compound A following a single -mg oral dose of Compound A tablet (Part 2) and to evaluate the tolerability of Compound A after a single 20-mg oral dose of Compound A tablet in healthy male adult subjects (Part 2).

The primary endpoints of Part 1 are : Total [14C]-radioactivity in whole blood, plasma, urine and feces; cumulative excretion of Total [14C]-radioactivity (as fraction of ctive dose) in urine and feces; total radioactivity whole blood-to-plasma ratios; concentration of Compound A and the ethyl lite of Compound A in plasma, urine, and feces samples collected up to 14 times from the day prior to dosing to 8 days after dosing; and lite characterization and profiling in , urine and fecal samples.

Plasma PK parameters for total radioactivity, Compound A and the O-desmethyl metabolite of Compound A (e. g., Cmax, Tmax, AUC0_t, AUCOO, tl/z) will be determined provided sufficient data are available.

The primary endpoints of Part 2 are: Plasma PK parameters (e.g., Cmax, Tmax, AUC0_OO, tm) for Compound A and the O-desmethyl metabolite of Compound A under fed and fasted conditions.

The shared secondary endpoints of Part 1 and Part 2 are: Adverse event (AE) reporting (includes serious AE [SAE] reporting); Complete physical examinations; Clinical laboratory safety tests; Vital sign measurements; l2-lead electrocardiograms (ECGs); and itant tions.

The secondary nt of Part 2 is: Plasma PK parameters (e. g., Cmax, Tmax, AUC0_t, AUCOO, t1/2) for the O-desmethyl metabolite of Compound A under fed and fasted conditions.

This will be a -center, , open-label, randomized (Part 1 only), 2-treatment study in healthy adult males (11 = 18). Within no more than 28 days (Day - 28) prior to the start of Part 1 or Part 2, subjects will undergo routine screening procedures including physical ation, 12- lead electrocardiograms (ECGs), vital signs, clinical laboratory safety tests (plasma or serum chemistry, hematology, and urinalysis), serology screen, fasting glucose levels (including HbAlC) and drug and alcohol screen.

On Day 1 of Part 1, ts who continue to be qualified for participation in the study will be enrolled following an ght fast of at least 8 hours. For Part 2 and on Day 1 of Period 1, subjects who continue to be qualified for participation in the study will be randomly assigned to l of 2 treatment sequences (Cohort 2 or Cohort 3) and enrolled in Part 2 following an overnight fast of at least 8 hours. Subjects will be enrolled in Part 1) and Part 2) to receive Treatment A or B in one of the following 3 s: Part 1 Cohort l (n = 6) Treatment A (fasted) NA Part 2 Cohort 2 n = 6 Treatment B fasted Treatment B fed Cohort 3 n = 6 Treatment B fed Treatment B fasted Treatment A: A single 20-mg oral dose of Compound A capsule containing a microtracer of [14C]-Compound A solution under fasted conditions. ent B: A single 20-mg oral dose of Compound A tablet under fasting or fed conditions.

Part 1 design: After screening, subjects (n =6) eligible for participation in the study will return to the study center on Day —1 for baseline assessments. Subjects who continue to be qualified for ipation in the study will be enrolled in the study on the morning of Day 1. Subjects will receive Treatment A after fasting overnight for at least 8 hours and will ue fasting (not consume any food) until 4 hours after dosing on the morning of Day 1.

Water will be allowed during the fasting . Subjects will be domiciled at the study center from Day —1 until the morning of Day 8. ts will be discharged from the study center on the morning of Day 8 upon satisfactory safety review and completion of study-related procedures.

Serial blood samples (10 mL) will be collected at predose (0 hour) and at 0.5, l, 2, 3, 6, 12, 24, 48, 72, 96, 120, 144, and 168 hours post dose. Total [14C]-radioactivity will be determined in blood, plasma, urine and feces. to-plasma ratios will be calculated to determine partitioning for total [l4C]-radioactivity. Urine samples will be collected at predose (within 2 hours prior to dose administration) and at the following post dose collection intervals: 0 to 6, 6 to 12, 12 to 24, 24 to 48, 48 to 72, 72 to 96, 96 to 120, 120 to 144, 144 to 168 hours.

Total urine volume collected in each interval will be recorded for determination of the fraction of dose ed in urine. All fecal samples will be collected daily from Day —1 through Day 8 and weight of daily fecal collections will be pooled and recorded.

Part 2 design: Part 2 will be a 2-period crossover study; in Period 1, subjects (n = 12) will be randomized to receive either an oral 20 mg dose of Compound A tablet (Treatment B) under fed (11 = 6) or fasted (n = 6) ions. In Period 2, subjects will receive Treatment B under se conditions based on ent assignment in Period 1. After screening, subjects (n = 12) eligible for participation in the study will return to the study center on Day —1 for baseline assessments. Subjects who continue to be qualified for ipation in the study will be randomized and enrolled in the study on the morning of Day 1. Subjects (n = 6) will be enrolled and randomized to receive Treatment B under fed or fasted conditions on the morning of Day 1 after fasting for at least 8 hours. Fed subjects will be served a standard high fat meal breakfast, or its equivalent, that must be consumed within 30 minutes from serving.

Dosing must occur 30 minutes (:5 s) after serving a subject breakfast. All subjects (fed and fasted) will fast (not to consume any food) until 4 hours post dose. Water will be d during the fasting . Subjects will be domiciled at the study center from Day —1 until the morning of Day 5 of each period. Subjects will be discharged from the study center on the morning of Day 5 upon satisfactory safety review and completion of related ures.

Safety and tolerability data will be monitored and collected ing each dosing period.

Periods l and 2 will be separated by a washout period of at least 7 days (no more than 10 days) from prior dose to the next dose. In certain instances, a longer washout may be acceptable if previously agreed to.

Serial blood samples (10 mL) will be collected at predose (0 hour) and at 0.5, l, 2, 3, 6, 12, 24, 48, 72 and 96 hours post dose for the determination of plasma concentrations of nd A and the O-desmethyl metabolite of nd A. Safety will be monitored throughout the study; safety evaluations will include AE reporting, physical examinations, vital sign measurements, ECG, and clinical laboratory safety tests. Concomitant medications will be assessed and recorded throughout the study as well. In addition, during the subjects’ stay-in-the clinic (i.e., confinement period), fasting plasma glucose levels will be monitored as part of the clinical laboratory safety tests. For Parts 1 and 2, all subjects will return to the clinic within 7 to days after the last dose for follow up safety assessments. In the event that a subject tinues prematurely from the study, every reasonable effort should be made (and documented) to ensure that all procedures and evaluations scheduled for the follow-up visit are performed at the time of discontinuation or a follow-up visit should be scheduled within 7 to days from the discontinuation day.

Part 1 dosing: Subjects will fast overnight for at least 8 hours prior to Compound A administration. On the morning of Day 1, each subject will be dosed under fasting ions with a single20-mg oral dose of Compound A capsule containing microtracer of [14C]- Compound A in an ethanol/polyethylene glycol solution. The exact specific activity, chemical purity and radiochemical purity will be determined prior to dosing. After dosing, subjects will continue to fast until 4 hours after dosing; thereafter, they will be served standard meals and snacks. Dosing time will be recorded in the source documents and CRF. Dosing instruction and ation for actual dose administered to each t will be provided at or before study initiation. The actual dose of the [14C]-Compound A microtracer administered to each subject will be ated based on the measured ctivity concentration (dpm/g) of the on in the capsule.

Part 2 dosing: In Part 2, subjects will fast overnight for at least 8 hours prior to Compound A administration. On the morning of Day 1, each subject will receive a 20-mg tablet of Compound A orally. Subjects randomized to receive Compound A under fed conditions will be a served a rd high fat meal (breakfast).

The standard high fat meal or its equivalent must be consumed within minutes of serving. Dosing must occur 30 minutes (:5 minutes) after serving the meal. The tablet will be administered with approximately 240 mL of non-carbonated, room temperature water. After dosing, subjects will continue to fast until 4 hours after dosing.

Subjects enrolled in the study will spend a total of approximately 8 weeks on the study.

Subjects must satisfy all of the following inclusion criteria to be eligible for enrollment into the study: 1. Must understand and voluntarily sign a written ICD prior to any study-related procedures being performed and be able to adhere to restrictions and examination schedules; 2. Must be able to communicate with the investigator and al staff and to understand and comply with the requirements of the study; 3. Must be a male 18 to 55 years of age (inclusive) at the time of signing, with a BMI (weight (kg)/(height (m2)) between 18 and 33 kg/m2 (inclusive) and weight between 60 and 100 kg (132 to 220 lbs; inclusive); 4. Must be healthy (at Screening and Day —l) as ined by the investigator on the basis of medical history, physical examination, clinical laboratory safety test results, vital signs, and 12 lead ECG (Vital signs (systolic and lic blood re, pulse rate, and oral body temperature) will be assessed in the supine position after the subject has rested for at least 5 s, Subject must be afebrile (febrile is defined as 2 38.5 0C or 101 .3 heit), Systolic blood pressure in the range of 90 to 140 mmHg, diastolic blood pressure in the range of 60 to 90 mmHg, and pulse rate in the range of 45 to 100 bpm, Screening g plasma glucose value within the normal limits of the institution and HbAlC < 6%); 5. Subjects (with or without vasectomy) must agree to use barrier contraception (i.e., latex condom or any non-latex condom not made out of l (animal) membrane (e.g., polyurethane)) and one other method (e.g., spermicide) when engaging in sexual activity with woman of child-bearing potential during study conduct, and for 90 days after the last dose of study medication; and 6. Must agree to refrain from donating blood or plasma (other than for this study) while participating in this study and for at least 28 days after the last dose of study drug.

] The presence of any of the following will exclude a t from enrollment into the study: 1. Recent history (i.e., within 3 years) of any clinically significant neurological, gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, endocrine, hematological, dermatological, psychological, or other major disorders; 2. Any condition, including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he were to participate in the study, or confounds the ability to interpret data from the study; 3. Use of any prescribed systemic or topical medication within 30 days of the first dose; 4. Use of any non- prescribed ic or topical medication (including herbal medicines) within 7 days of the first dose stration (with the exception of n/mineral supplements); 5. Subject used any metabolic enzyme inhibitors or inducers (i.e., CYP3A inducers and inhibitors or St. John’s Wort) within 30 days of the first dose administration; 6. ce of any surgical or medical conditions possibly affecting drug tion, distribution, metabolism, and excretion, or plans to have elective or medical procedures during the conduct of the trial; 7. Exposure to an investigational drug (new chemical entity) within 90 days prior to the first dose administration; 8. Donation of blood or plasma within 60 days prior to the first dose administration; 9. History of multiple (i.e., 2 or more) drug allergies; 10. Any clinical significant allergic disease (excluding non-active hay fever), excluding nonactive seasonal allergies and childhood asthma cleared for at least 3 years; ll. History of drug abuse within 2 years prior to first dosing, or ve urine drug screening test due to illicit drugs; 12. History of alcohol abuse within 2 years prior to dosing, or positive l screen; 13. Smokes more than 10 cigarettes, or consumes the equivalent in tobacco, per day; 14. Known to have, or tests positive for, active or chronic hepatitis B or hepatitis C, or HIV antibodies; 15. Received vaccination (excluding al flu vaccination) within 90 days of the study drug administration; or 16. For Part 1 only: Prior exposure to radioactive investigational drugs within 6 months prior to check in, and prior exposure to work-related, diagnostic or eutic radiation within 12 months prior to check in.

Inclusion / exclusion criteria will be assessed at screening. Subject eligibility will be confirmed again on the admission day (Day —l) of the first period and/or prior to randomization on Day 1 by physical examination, drug screen, clinical tory safety tests Vital signs and ECGs.

Preliminary Results: 1 l/ 12 enrolled subjects completed Part 2. The results are set forth in Table 33, below.

Table 33. Geometric Mean CV%) Pharmacokinetic Parameters After Single -mg Oral Dose Parameter Fasted (n = 11) Cmpd. A O-Desmethyl Cmpd. A O-Desmethyl metabolite metabolite Tm; (h) 1.00 (1—2) 3.00 (1—3) 3.00 (1—3) 6.00 (3—12) mm <20 AUCinf(ng*h/mL) 1005 (38) 9834 (38) 1195 (38) 10131 (35) AUC0.24 (ng*h/mL) 955 (35) 6401 (30) 1131 (34) 6271 (29) Vz/F (L) 151 (28) 34.7 (28) 125 (20) 42.6 (30) CL/F (L/h) 19.9 (38) 2.0 (38) 16.7 (38) 2.0 (36) tm (h) 5.3 (33) 14.8 (25) 5.2 (27) 14.9 (29) *Tmax ted as median (range).

Conclusions: After administration of Compound A with a high fat meal to healthy adult males, there is an approximate 17% decrease in Compound A Cmax and an approximate 20% se in overall exposure (AUCinf). There is also a 2 hour delay in Tmax.

After administration of Compound A with a high fat meal to healthy adult males, there is an approximate 17% decrease in O-desmethyl metabolite Cmax and an approximate 3% increase in overall exposure (AUCinf). There is also a 3 hour delay in Tmax.

The embodiments disclosed herein are not to be limited in scope by the specific embodiments disclosed in the examples which are intended as illustrations of a few aspects of the sed embodiments and any embodiments that are functionally equivalent are encompassed by the present sure. Indeed, s modifications of the embodiments disclosed herein are in addition to those shown and described herein will become apparent to those skilled in the art and are intended to fall within the scope of the appended claims.

] A number of references have been cited, the disclosures of which are incorporated herein by reference in their entirety.

Claims (6)

What is claimed is:

1. Crystal Form A of 2-hydroxypropanyl)pyridinyl)((trans) methoxycyclohexyl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(1H)-one, having an X-ray powder diffraction pattern with one or more peaks expressed in two-theta at approximately 8.3, 8.8, 13.2, 16.5, 17.7, 18.2, 21.7 or 26.5 degrees.

2. The crystal Form A of claim 1, having a DSC thermogram with an endotherm at a peak temperature of about 199 ºC.

3. The crystal Form A of claim 2, having less than about 0.1% weight loss between about 25 ºC to about 100 ºC in a thermogravimetric thermogram.

4. The crystal Form A of claim 3, wherein Form A is anhydrous.

5. The crystal Form A of claim 4, n Form A is ntially pure.

6. Crystal Form A according to claim 1, substantially as herein described or exemplified.