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WO2024138045A1 - Modulators of nlrp3 inflammasome and related products and methods - Google Patents

Modulators of nlrp3 inflammasome and related products and methods Download PDF

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Publication number
WO2024138045A1
WO2024138045A1 PCT/US2023/085527 US2023085527W WO2024138045A1 WO 2024138045 A1 WO2024138045 A1 WO 2024138045A1 US 2023085527 W US2023085527 W US 2023085527W WO 2024138045 A1 WO2024138045 A1 WO 2024138045A1
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Prior art keywords
compound
isomer
isotope
hydrate
solvate
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PCT/US2023/085527
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French (fr)
Inventor
Anne-Marie Beausoleil
Ryan Hudson
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Neumora Therapeutics, Inc.
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Priority to AU2023413135A priority Critical patent/AU2023413135A1/en
Publication of WO2024138045A1 publication Critical patent/WO2024138045A1/en
Priority to IL321067A priority patent/IL321067A/en

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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D401/00Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
    • C07D401/02Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
    • C07D401/04Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings directly linked by a ring-member-to-ring-member bond
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D401/00Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
    • C07D401/14Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing three or more hetero rings
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D471/00Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00
    • C07D471/02Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00 in which the condensed system contains two hetero rings
    • C07D471/04Ortho-condensed systems
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D487/00Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00
    • C07D487/02Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00 in which the condensed system contains two hetero rings
    • C07D487/04Ortho-condensed systems
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D491/00Heterocyclic compounds containing in the condensed ring system both one or more rings having oxygen atoms as the only ring hetero atoms and one or more rings having nitrogen atoms as the only ring hetero atoms, not provided for by groups C07D451/00 - C07D459/00, C07D463/00, C07D477/00 or C07D489/00
    • C07D491/02Heterocyclic compounds containing in the condensed ring system both one or more rings having oxygen atoms as the only ring hetero atoms and one or more rings having nitrogen atoms as the only ring hetero atoms, not provided for by groups C07D451/00 - C07D459/00, C07D463/00, C07D477/00 or C07D489/00 in which the condensed system contains two hetero rings
    • C07D491/04Ortho-condensed systems

Definitions

  • NLRP3 NOD-like receptor protein 3
  • ASC apoptosis-associated speck-like protein
  • the activation of the NLRP3 inflammasome produces inflammatory mediators, such as interleukin-1 ⁇ (IL-1 ⁇ ) and interleukin-18 (IL-18), thereby contributing to the activation of the innate immune system.
  • IL-1 ⁇ interleukin-1 ⁇
  • IL-18 interleukin-18
  • the dysregulation of innate immunity contributes to various diseases.
  • the innate immune response protects the host from invading microorganisms.
  • the formation of the NLRP3 inflammasome activates caspase-1, which leads to the maturation and secretion of IL-1 ⁇ and IL-18, cleavage of gasdermin-D and, finally the initiation of cell death via pyroptosis.
  • NLRP3 may be implicated in Parkinson’s disease and/or Alzheimer’s disease, suggesting that misfolded, oligomerized or aggregated proteins e.g., alpha- synuclein lead to the activation of the NLRP3 inflammasome.
  • a compound having structure (I): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein ring A, Z1, Z2, R1, R2, R3, R4, n, and p are as defined herein.
  • compositions comprising a carrier or excipient and a compound having structure (A′), or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a method is provided for treating a NLRP3 inflammasome-dependent condition by administering to a subject in need thereof an effective amount of a compounds of structure (A′), or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, or a pharmaceutical composition comprising the same.
  • the NLRP3 inflammasome-dependent condition is a neuroinflammation-related disorder or a neurodegenerative disease.
  • NLRP3 inflammasome means that the compound interacts with NLRP3 in a manner such that it blocks its ATPase function and the downstream formation of the NLRP3 inflammasome complex. In the above context, the compound acts to inhibit, or block, activation of the NLRP3 inflammasome and therefore the compound can also be described as an inhibitor.
  • NLRP3 refers to NOD-Like Receptor Protein 3.
  • NLRP3 is a protein-coding gene, and an exemplary sequence may be found at https://www.uniprot.org/uniprot/Q96P20. NLRP3 functions as an ATPase that is auto-inhibited under normal conditions. NLRP3, unlike other inflammasomes, requires a two-step activation process, which can be triggered by a variety of pathogen-associated molecular patterns (PAMPs) and damage-associated molecular patterns (DAMPs). The first step primes the NLRP3 inflammasome via recognition of PAMPs, DAMPs, or pathological species via pattern recognition receptors (PRRs) (e.g., Toll-like receptors).
  • PAMPs pathogen-associated molecular patterns
  • DAMPs damage-associated molecular patterns
  • NLRP3 Activation of NLRP3 is triggered by a second signal, such as ATP, K + efflux, other cellular stress, or pathological species, which leads to ATP hydrolysis and activation of the enzyme.
  • a second signal such as ATP, K + efflux, other cellular stress, or pathological species, which leads to ATP hydrolysis and activation of the enzyme.
  • This activation leads to oligomerization of the inflammasome complex, resulting in auto-cleavage and activation of caspase-1.
  • Active caspase-1 then cleaves pro-IL1 ⁇ and pro-IL18.
  • Active IL1 ⁇ and IL18 then are released from the cell through a gasdermin D pore, and release of such cytokines triggers a downstream inflammatory response and cell death via pyroptosis.
  • Effective amount refers to a quantity of a specified agent sufficient to achieve a desired effect in a subject being treated with that agent. Ideally, an effective amount of an agent is an amount sufficient to inhibit or treat the disease without causing substantial toxicity in the subject. The effective amount of an agent will be dependent on the subject being treated, the severity of the affliction, and the manner of administration of the pharmaceutical composition. Methods of determining an effective amount of the disclosed compound sufficient to achieve a desired effect in a subject will be understood by those of skill in the art in light of this disclosure.
  • Alkyl (or “Ak”) means a saturated or unsaturated straight chain or branched alkyl group having from 1 to 8 carbon atoms, in some embodiments from 1 to 6 carbon atoms, in some embodiments from 1 to 4 carbon atoms, and in some embodiments from 1 to 3 carbon atoms.
  • saturated straight chain alkyl groups include, but are not limited to, methyl, ethyl, n-propyl, n-butyl, n-pentyl-, n-hexyl, n-heptyl, and n-octyl groups.
  • branched alkyl groups include, but are not limited to, isopropyl, iso-butyl, sec-butyl, t-butyl, neopentyl, isopentyl, and 2,2-dimethylpropyl groups.
  • Halo or “halogen” refers to fluorine, chlorine, bromine, and iodine (F, Cl, Br and I).
  • Haldroxyl refers to ⁇ OH.
  • Cyano refers to ⁇ CN.
  • Amino refers specifically to -NH 2 .
  • Haloalkyl refers to alkyl as defined above with one or more hydrogen atoms replaced with halogen. Examples of haloalkyl groups include, but are not limited to, ⁇ CF3, ⁇ CHF2, and the like.
  • Alkoxy refers to alkyl as defined above joined by way of an oxygen atom (i.e., ⁇ O ⁇ alkyl). Examples of alkoxy groups include, but are not limited to, methoxy, ethoxy, n- propoxy, n-butoxy, isopropoxy, sec-butoxy, tert-butoxy, and the like.
  • Haloalkoxy refers to haloalkyl as defined above joined by way of an oxygen atom (i.e., ⁇ O ⁇ haloalkyl). Examples of haloalkoxy groups include, but are not limited to, ⁇ OCF3, and the like.
  • Aminyl refers to –NH 2 , -NHalkyl or N(alkyl) 2 , wherein alkyl is as defined above. Examples of amino or aminyl include, but are not limited to – NH2 , -NHCH3, –N(CH3)2, and the like.
  • Aminylalkyl refers to an amino or aminyl as described above joined by way of an alkyl as described above (i.e., -alkyl-aminyl). Examples of aminylalkyl include, but are not limited to, , and the like.
  • Cycloalkyl refers to non-aromatic ring moieties containing 3 or more ring members. In some embodiments, cycloalkyl includes 3 to 8 ring members. In some embodiments, cycloalkyl includes 3 to 5 ring members. For example, cycloalkyl includes cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, and the like.
  • Aryl groups are cyclic aromatic hydrocarbons that do not contain heteroatoms.
  • Representative aryl groups include, but are not limited to, phenyl, azulenyl, heptalenyl, biphenyl, indacenyl, fluorenyl, phenanthrenyl, triphenylenyl, pyrenyl, naphthacenyl, chrysenyl, biphenylenyl, anthracenyl, and naphthyl groups.
  • aryl groups contain 6-14 carbons in the ring portions of the groups.
  • aryl and aryl groups include fused rings wherein at least one ring, but not necessarily all rings, are aromatic, such as fused aromatic- aliphatic ring systems (e.g., indanyl, tetrahydronaphthyl, and the like). In one embodiment, aryl is phenyl or naphthyl, and in another embodiment aryl is phenyl.
  • Heterocycle refers to aromatic and non-aromatic ring moieties containing 3 or more ring members, of which one or more is a heteroatom such as, but not limited to, N, O, S, or P.
  • heterocyclyl include 3 to 20 ring members, whereas other such groups have 3 to 15 ring members. At least one ring contains a heteroatom, but every ring in a polycyclic system need not contain a heteroatom.
  • a dioxolanyl ring and a benzdioxolanyl ring system are both heterocyclyl groups within the meaning herein.
  • Heterocyclyl groups also include fused ring species including those having fused aromatic and non-aromatic groups.
  • a heterocyclyl group also includes polycyclic ring systems containing a heteroatom such as, but not limited to, quinuclidyl, and also includes heterocyclyl groups that have substituents, including but not limited to alkyl, halo, amino, hydroxy, cyano, carboxy, nitro, thio, or alkoxy groups, bonded to one of the ring members.
  • a heterocyclyl group as defined herein can be a heteroaryl group or a partially or completely saturated cyclic group including at least one ring heteroatom.
  • Heterocyclyl groups include, but are not limited to, pyrrolidinyl, furanyl, tetrahydrofuranyl, dioxolanyl, piperidinyl, piperazinyl, morpholinyl, pyrrolyl, pyrazolyl, triazolyl, tetrazolyl, oxazolyl, isoxazolyl, thiazolyl, pyridinyl, thiophenyl, benzothiophenyl, benzofuranyl, dihydrobenzofuranyl, indolyl, dihydroindolyl, azaindolyl, indazolyl, benzimidazolyl, azabenzimidazolyl, benzoxazolyl, benzothiazolyl, benzothiadiazolyl, imidazopyridinyl, isoxazolopyridinyl, thianaphthalenyl, purinyl, xanthinyl,
  • “Isomer” is used herein to encompass all chiral, diastereomeric or racemic forms of a structure (also referred to as a stereoisomer, as opposed to a structural or positional isomer), unless a particular stereochemistry or isomeric form is specifically indicated.
  • Such compounds can be enriched or resolved optical isomers at any or all asymmetric atoms as are apparent from the depictions, at any degree of enrichment.
  • Both racemic and diastereomeric mixtures, as well as the individual optical isomers can be synthesized so as to be substantially free of their enantiomeric or diastereomeric partners, and these are all within the scope of certain embodiments of the invention.
  • the isomers resulting from the presence of a chiral center comprise a pair of nonsuperimposable-isomers that are called “enantiomers.”
  • Single enantiomers of a pure compound are optically active (i.e., they are capable of rotating the plane of plane polarized light and designated R or S).
  • “Isolated optical isomer” means a compound which has been substantially purified from the corresponding optical isomer(s) of the same formula.
  • the isolated isomer may be at least about 80%, at least 80% or at least 85% pure by weight. In other embodiments, the isolated isomer is at least 90% pure or at least 98% pure, or at least 99% pure by weight.
  • “Substantially enantiomerically or diastereomerically” pure means a level of enantiomeric or diastereomeric enrichment of one enantiomer with respect to the other enantiomer or diastereomer of at least about 80%, and more specifically in excess of 80%, 85%, 90%, 95%, 98%, 99%, 99.5% or 99.9%.
  • the terms “racemate” and “racemic mixture” refer to an equal mixture of two enantiomers. A racemate is labeled “( ⁇ )” because it is not optically active (i.e., will not rotate plane-polarized light in either direction since its constituent enantiomers cancel each other out).
  • a “hydrate” is a compound that exists in combination with water molecules. The combination can include water in stoichiometric quantities, such as a monohydrate or a dihydrate, or can include water in random amounts. As the term is used herein a “hydrate” refers to a solid form; that is, a compound in a water solution, while it may be hydrated, is not a hydrate as the term is used herein.
  • a “solvate” is similar to a hydrate except that a solvent other that water is present.
  • methanol or ethanol can form an “alcoholate”, which can again be stoichiometric or non-stoichiometric.
  • a “solvate” refers to a solid form; that is, a compound in a solvent solution, while it may be solvated, is not a solvate as the term is used herein.
  • “Isotope” refers to atoms with the same number of protons but a different number of neutrons, and an isotope of a compound of structure (I) includes any such compound wherein one or more atoms are replaced by an isotope of that atom.
  • carbon 12 the most common form of carbon, has six protons and six neutrons, whereas carbon 13 has six protons and seven neutrons, and carbon 14 has six protons and eight neutrons.
  • Hydrogen has two stable isotopes, deuterium (one proton and one neutron) and tritium (one proton and two neutrons). While fluorine has a number of isotopes, fluorine-19 is longest-lived.
  • an isotope of a compound having the structure of structure (I) includes, but not limited to, compounds of structure (I) wherein one or more carbon 12 atoms are replaced by carbon-13 and/or carbon-14 atoms, wherein one or more hydrogen atoms are replaced with deuterium and/or tritium, and/or wherein one or more fluorine atoms are replaced by fluorine-19.
  • Salt generally refers to an organic compound, such as a carboxylic acid or an amine, in ionic form, in combination with a counter ion. For example, salts formed between acids in their anionic form and cations are referred to as “acid addition salts”.
  • salts formed between bases in the cationic form and anions are referred to as “base addition salts.”
  • base addition salts refers an agent that has been approved for human consumption and is generally non-toxic.
  • pharmaceutically acceptable salt refers to nontoxic inorganic or organic acid and/or base addition salts (see, e.g., Lit et al., Salt Selection for Basic Drugs, Int. J. Pharm., 33, 201-217, 1986) (incorporated by reference herein).
  • Pharmaceutically acceptable base addition salts of compounds of the invention include, for example, metallic salts including alkali metal, alkaline earth metal, and transition metal salts such as, for example, calcium, magnesium, potassium, sodium, and zinc salts.
  • Pharmaceutically acceptable base addition salts also include organic salts made from basic amines such as, for example, N,N'dibenzylethylenediamine, chloroprocaine, choline, diethanolamine, ethylenediamine, meglumine (N-methylglucamine), and procaine.
  • Pharmaceutically acceptable acid addition salts may be prepared from an inorganic acid or from an organic acid.
  • inorganic acids include hydrochloric, hydrobromic, hydriodic, nitric, carbonic, sulfuric, and phosphoric acids.
  • Appropriate organic acids may be selected from aliphatic, cycloaliphatic, aromatic, aromatic aliphatic, heterocyclic, carboxylic, and sulfonic classes of organic acids, examples of which include formic, acetic, propionic, succinic, glycolic, gluconic, lactic, malic, tartaric, citric, ascorbic, glucuronic, maleic, fumaric, pyruvic, aspartic, glutamic, benzoic, anthranilic, 4-hydroxybenzoic, phenylacetic, mandelic, hippuric, malonic, oxalic, embonic (pamoic), methanesulfonic, ethanesulfonic, benzenesulfonic, panthothenic, trifluoromethanesulfonic, 2-hydroxyethanesul
  • the compounds of the disclosure may contain one or more centers of geometric asymmetry and may thus give rise to enantiomers, diastereomers, and other stereoisomeric forms that are defined, in terms of absolute stereochemistry, as (R)- or (S)- or, as (D)- or (L)- for amino acids.
  • Embodiments thus include all such possible isomers, as well as their racemic and optically pure forms.
  • Optically active (+) and (-), (R)- and (S)-, or (D)- and (L)- isomers may be prepared using chiral synthons or chiral reagents, or resolved using conventional techniques, for example, chromatography and fractional crystallization.
  • Conventional techniques for the preparation/isolation of individual enantiomers include chiral synthesis from a suitable optically pure precursor or resolution of the racemate (or the racemate of a salt or derivative) using, for example, chiral high pressure liquid chromatography (HPLC).
  • HPLC high pressure liquid chromatography
  • NLRP3 inflammasome dependent condition means a condition wherein modulating NLRP3 provides a medical benefit to the patient or subject.
  • a method of modulating NLRP3 inflammasome activity by contacting NLRP3 inflammasome with an effective amount of a compound as described herein, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, or a pharmaceutical composition comprising the same.
  • a method of treating a NLRP3 inflammasome dependent condition by administering to a subject in need thereof an effective amount of a compound as described herein, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, or a pharmaceutical composition comprising the same.
  • the NLRP3 inflammasome dependent condition is neuroinflammation-related disorders or neurodegenerative diseases.
  • the NLRP3 inflammasome dependent condition is inflammation, an inflammatory disease, an immune disease, cancer, infections including viral infections, central nervous system diseases, metabolic diseases, cardiovascular diseases, respiratory diseases, liver diseases, renal diseases, ocular diseases, skin diseases, psychological diseases or blood diseases.
  • the NLRP3 inflammasome dependent condition is neuroinflammation-related disorders or neurodegenerative diseases.
  • the invention provides a method for inhibiting NLRP3 inflammasome with an effective amount of a pharmaceutical composition as described herein.
  • the invention provides a method of treating a NLRP3 inflammasome dependent condition by administering to a subject in need thereof an effective amount of a pharmaceutical composition as described herein.
  • the NLRP3 inflammasome dependent condition is a neuroinflammation-related disorder(s) or a neurodegenerative disease(s).
  • inflammation refers to inflammation, including inflammation occurring as a result of an inflammatory disorder, e.g., an autoinflammatory disease, inflammation occurring as a symptom of a non-inflammatory disorder, inflammation occurring as a result of infection, or inflammation secondary to trauma, injury or autoimmunity.
  • inflammation examples include inflammatory responses occurring in connection with, or as a result of: (a) a skin condition such as contact hypersensitivity, bullous pemphigoid, sunburn, psoriasis, atopical dermatitis, contact dermatitis, allergic contact dermatitis, seborrhoetic dermatitis, lichen planus, scleroderma, pemphigus, epidermolysis bullosa, urticaria, erythemas, or alopecia; (b) a joint condition such as osteoarthritis, systemic juvenile idiopathic arthritis, adult- onset Still's disease, relapsing polychondritis, rheumatoid arthritis, juvenile chronic arthritis, crystal induced arthropathy (e.g., pseudo-gout, gout), or a seronegative spondyloarthropathy (e.g., ankylosing spondylitis, psoriatic arthritis or Reit
  • a skin condition
  • hay fever, and vasomotor rhinitis sinusitis, idiopathic pulmonary fibrosis (IPF), sarcoidosis, farmer's lung, silicosis, asbestosis, adult respiratory distress syndrome, hypersensitivity pneumonitis, or idiopathic interstitial pneumonia;
  • a vascular condition such as atherosclerosis, Behcet's disease, vasculitides, or Wegener's granulomatosis;
  • an immune condition e.g., autoimmune condition, such as systemic lupus erythematosus (SLE), Sjogren's syndrome, systemic sclerosis, Hashimoto's thyroiditis, type I diabetes, idiopathic thrombocytopenia purpura, or Graves disease;
  • an ocular condition such as uveitis, allergic conjunctivitis, or vernal conjunctivitis;
  • a nervous condition such as multiple sclerosis or encephalomy
  • an inflammatory disease means for example, inflammation occurring as a result of an inflammatory disorder, e.g. an autoinflammatory disease, such as cryopyrin-associated periodic syndromes (CAPS), Muckle-Wells syndrome (MWS), familial cold autoinflammatory syndrome (FCAS), familial Mediterranean fever (FMF), neonatal onset multisystem inflammatory disease (NOMID), Majeed syndrome, pyogenic arthritis, pyoderma gangrenosum and acne syndrome (PAPA), adult-onset Still's disease (AOSD), haploinsufficiency of A20 (HA20), pediatric granulomatous arthritis (PGA), PLCG2- associated antibody deficiency and immune dysregulation (PLAID), PLCG2-associated autoinflammatory, antibody deficiency and immune dysregulation (APLAID), or sideroblastic anemia with B-cell immunodeficiency, periodic fevers and developmental delay (SIFD).
  • CAPS cryopyrin-associated periodic syndromes
  • MFS Muckle-Wells syndrome
  • FCAS familial cold autoinflammatory syndrome
  • FMF
  • an immune disease means for example, auto-immune diseases, such as acute disseminated encephalitis, Addison's disease, ankylosing spondylitis, antiphospholipid antibody syndrome (APS), anti-synthetase syndrome, aplastic anemia, autoimmune adrenalitis, autoimmune hepatitis, autoimmune oophoritis, autoimmune polyglandular failure, autoimmune thyroiditis, Coeliac disease, Crohn's disease, type 1 diabetes (T1D), Goodpasture's syndrome, Graves' disease, Guillain-Barre syndrome (GBS), Hashimoto's disease, idiopathic thrombocytopenic purpura, Kawasaki's disease, lupus erythematosus including systemic lupus erythematosus (SLE), multiple sclerosis (MS) including primary progressive multiple sclerosis (PPMS), secondary progressive multiple sclerosis (SPMS) and relapsing
  • auto-immune diseases such as acute
  • cancer means for example, lung cancer, renal cell carcinoma, non-small cell lung carcinoma (NSCLC), Langerhans cell histiocytosis (LCH), myeloproliferative neoplasm (MPN), pancreatic cancer, gastric cancer, myelodysplastic syndrome (MDS), leukemia including acute lymphocytic leukemia (ALL) and acute myeloid leukemia (AML), promyelocytic leukemia (APML, or APL), adrenal cancer, anal cancer, basal and squamous cell skin cancer, bile duct cancer, bladder cancer, bone cancer, brain and spinal cord tumors, breast cancer, cervical cancer, chronic lymphocytic leukemia (CLL), chronic myeloid leukemia (CML), chronic myelomonocytic leukemia (CMML), colorectal cancer, endometrial cancer, esophagus cancer, Ewing family of tumors, eye cancer, gallbladder cancer,
  • NSCLC non-small cell lung carcinoma
  • infections including viral infections means for example, viral infections (e.g. from influenza virus, human immunodeficiency virus (HIV), alphavirus (such as Chikungunya and Ross River virus), flaviviruses (such as Dengue virus and Zika virus), herpes viruses (such as Epstein Barr Virus, cytomegalovirus, Varicella-zoster virus, and KSHV), poxviruses (such as vaccinia virus (Modified vaccinia virus Ankara) and Myxoma virus), adenoviruses (such as Adenovirus 5), or papillomavirus), bacterial infections (e.g.
  • viral infections e.g. from influenza virus, human immunodeficiency virus (HIV), alphavirus (such as Chikungunya and Ross River virus), flaviviruses (such as Dengue virus and Zika virus), herpes viruses (such as Epstein Barr Virus, cytomegalovirus, Varicella-zoster virus, and KSHV
  • central nervous system diseases means for example, Parkinson's disease, Alzheimer's disease, Frontotemporal dementia, dementia, motor neuron disease, Huntington's disease, cerebral malaria, brain injury from pneumococcal meningitis, intracranial aneurysms, traumatic brain injury, multiple sclerosis, and amyotrophic lateral sclerosis.
  • neuroinflammation-related diseases means for example, multiple sclerosis, brain infection, acute injury, neurodegenerative disease, Parkinson’s disease or Alzheimer’s disease.
  • neurodegenerative disease means for example, Alzheimer’s disease, Parkinson’s disease, multiple sclerosis, or amyotrophic lateral sclerosis.
  • neurodegenerative diseases are characterized by deep involvement of cell mediating neuroinflammatory processes.
  • metabolic diseases means for example, type 2 diabetes (T2D), atherosclerosis, obesity, gout, and pseudo-gout.
  • cardiovascular diseases means for example, hypertension, ischemia, reperfusion injury including post-MI ischemic reperfusion injury, stroke including ischemic stroke, transient ischemic attack, myocardial infarction including recurrent myocardial infarction, heart failure including congestive heart failure and heart failure with preserved ejection fraction, embolism, aneurysms including abdominal aortic aneurysm, cardiovascular risk reduction (CvRR), and pericarditis including Dressler's syndrome.
  • CvRR cardiovascular risk reduction
  • the phrase “respiratory diseases” means for example, chronic obstructive pulmonary disorder (COPD), asthma such as allergic asthma and steroid-resistant asthma, asbestosis, silicosis, nanoparticle induced inflammation, cystic fibrosis, and idiopathic pulmonary fibrosis.
  • COPD chronic obstructive pulmonary disorder
  • asthma such as allergic asthma and steroid-resistant asthma
  • asbestosis silicosis
  • nanoparticle induced inflammation cystic fibrosis
  • cystic fibrosis idiopathic pulmonary fibrosis
  • liver diseases means for example, non-alcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH) including advanced fibrosis stages F3 and F4, alcoholic fatty liver disease (AFLD), and alcoholic steatohepatitis (ASH).
  • NAFLD non-alcoholic fatty liver disease
  • NASH nonalcoholic steatohepatitis
  • AFLD alcoholic fatty liver disease
  • renal diseases means for example, acute kidney disease, hyperoxaluria, chronic kidney disease, oxalate nephropathy, nephrocalcinosis, glomerulonephritis, and diabetic nephropathy;
  • ocular diseases means for example, diseases of the ocular epithelium, age-related macular degeneration (AMD) (dry and wet), uveitis, corneal infection, diabetic retinopathy, optic nerve damage, dry eye, and glaucoma.
  • AMD age-related macular degeneration
  • skin diseases means for example, dermatitis such as contact dermatitis and atopic dermatitis, contact hypersensitivity, sunburn, skin lesions, hidradenitis suppurativa (HS), other cyst-causing skin diseases, and acne conglobate.
  • dermatitis such as contact dermatitis and atopic dermatitis, contact hypersensitivity, sunburn, skin lesions, hidradenitis suppurativa (HS), other cyst-causing skin diseases, and acne conglobate.
  • HS hidradenitis suppurativa
  • blood diseases means for example, sickle cell disease.
  • administration refers to providing a compound, or a pharmaceutical composition comprising the compound as described herein. The compound or composition can be administered by another person to the subject or it can be self-administered by the subject.
  • Non-limiting examples of routes of administration are oral, parenteral (e.g., intravenous), or topical.
  • treatment refers to an intervention that ameliorates a sign or symptom of a disease or pathological condition.
  • treatment also refers to any observable beneficial effect of the treatment.
  • the beneficial effect can be evidenced, for example, by a delayed onset of clinical symptoms of the disease in a susceptible subject, a reduction in severity of some or all clinical symptoms of the disease, a slower progression of the disease, a reduction in the number of relapses of the disease, an improvement in the overall health or well-being of the subject, or by other parameters well known in the art that are specific to the particular disease.
  • a prophylactic treatment is a treatment administered to a subject who does not exhibit signs of a disease or exhibits only early signs, for the purpose of decreasing the risk of developing pathology.
  • a therapeutic treatment is a treatment administered to a subject after signs and symptoms of the disease have developed.
  • the term “subject” refers to an animal (e.g., a mammal, such as a human).
  • a subject to be treated according to the methods described herein may be one who has been diagnosed with a NLRP3 inflammasome dependent condition, such as inflammation, an inflammatory disease, an immune disease, cancer, infections including viral infections; central nervous system diseases, metabolic diseases, cardiovascular diseases, respiratory diseases, liver diseases, renal diseases, ocular diseases, skin diseases, psychological diseases or blood diseases.
  • Diagnosis may be performed by any method or technique known in the art.
  • a subject to be treated according to the present disclosure may have been subjected to standard tests or may have been identified, without examination, as one at risk due to the presence of one or more risk factors associated with the disease or condition.
  • the term “patient” may be used interchangeably with the term “subject.”
  • a subject may refer to an adult or pediatric subject.
  • Compounds [0072] As detailed above, the present disclosure provides compounds showing significant activity as NLRP3 inflammasome antagonists (i.e., as NLRP3 inflammasome inhibitors).
  • a compound is provided having structure (Ii): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (Iii): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (Iiii): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (IIi): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (IIii): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (IIiii): (IIiii) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (IIa′): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (IIa′′): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (IIIi): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (IIIii): (IIIii) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (IIIiii): (IIIiii) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (IIIa′): (IIIa′) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (IIIa′′): (IIIa′′) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (IVi): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (IVii): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (IViii): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (IVa′): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (IVa′′): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (Vi): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (Vii): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (Viii): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (Va′): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (Va′′): (Va′′) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (VIi): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (VIii): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (VIiii): (VIiii) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound having structure (VI*a′): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (VI*a′′): (VI*a′′) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (VIIi): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (VIIii): (VIIii) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (VIIiii): (VIIiii) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound having structure (VII*a′): (VII*a′) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (VII*a′′): (VII*a′′) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (VIIIi): (VIIIi) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (VIIIii): (VIIIii) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (VIIIiii): (VIIIiii) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound having structure (VIII*a′): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (VIII*a′′): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (IXi): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (IXii): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (IXiii): (IXiii) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound having structure (IX*a′): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (IX*a′′): (IX*a′′) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (Xi): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (Xii): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (Xiii): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (X*a′): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (X*a′′): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (XIi): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (XIii): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (XIiii): (XIiii) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound having structure (XI*a′): (XI*a′) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (XI*a′′): (XI*a′′) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (XIIi): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (XIIii): (XIIii) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (XIIiii): (XIIiii) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound having structure (XII*a′): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided having structure (XII*a′′): (XII*a′′) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • a compound is provided wherein ring A is phenyl. In other embodiments, a compound is provided wherein ring A is pyridyl. In certain embodiments, a compound is provided wherein ring A has one of the following structures: [0167] In specific embodiments, a compound is provided wherein ring A has one of the following structures: [0168] In additional specific embodiments, a compound is provided wherein ring A has one of the following structures: [0169] In some embodiments, a compound is provided wherein R1 is aminylalkyl.
  • a compound is provided specific embodiments, a compound is provided wherein R 1 is [0170] In some embodiments, a compound is provided wherein some embodiments, a compound is wherein some embodiments, a compound is wherein some embodiments, a compound is provided wherein [0171] In some embodiments, a compound is provided wherein R2 is halo. In certain embodiments, a compound is provided wherein R 2 is F, Cl, Br, or I. In specific embodiments, a compound is provided wherein R2 is F or Cl. In specific embodiments, a compound is provided wherein R 2 is F. In specific embodiments, a compound is provided wherein R 2 is Cl.
  • a compound is provided wherein R2 is CN. [0173] In some embodiments, a compound is provided wherein R 2 is OH. [0174] In some embodiments, a compound is provided wherein R2 is alkyl. In certain embodiments, a compound is provided wherein R2 is methyl, ethyl, n-propyl, isopropyl, n-butyl, sec-butyl, isobutyl, tert-butyl. In other embodiments, a compound is provided wherein R2 is methyl, ethyl, or isopropyl. In other embodiments, a compound is provided wherein R 2 is methyl.
  • a compound is provided wherein R2 is ethyl. In other embodiments, a compound is provided wherein R 2 is propyl. In yet other embodiments, a compound is provided wherein R2 is isopropyl. In additional embodiments, a compound is provided wherein R2 is n- butyl. In further embodiments, a compound is provided wherein R2 is sec-butyl. In some embodiments, a compound is provided wherein R2 is is iso-butyl. In other embodiments, a compound is provided wherein R 2 is tert-butyl. [0175] In some embodiments, a compound is provided wherein R2 is haloalkyl.
  • a compound is provided wherein R 2 is CHF 2 or CF 3 . In certain embodiments, a compound is provided wherein R2 is CHF2. In certain embodiments, a compound is provided wherein R2 is CF3. [0176] In some embodiments, a compound is provided wherein R2 is alkoxy. In certain embodiments, a compound is provided wherein R 2 is methoxy, ethoxy, propoxy, or isopropoxy. In certain embodiments, a compound is provided wherein R2 is methoxy. [0177] In some embodiments, a compound is provided wherein R 2 is haloalkoxy. In certain embodiments, a compound is provided wherein R2 is OCHF2 or OCF3.
  • a compound is provided wherein R2 is OCHF2. In certain embodiments, a compound is provided wherein R2 is OCF3. [0178] In some embodiments, a compound is wherein R 2 is In certain embodiments, a compound is provided wherein R 2 is [0179] In some embodiments, a compound is provided wherein R2 is cycloalkyl. In specific embodiments, a compound is provided wherein R 2 is C 3 -C 8 cycloalkyl. In certain embodiments, a compound is provided wherein R2 is cyclopropyl, cyclobutyl, cyclopentyl, or cyclohexyl.
  • a compound is provided wherein R 2 is cyclopropyl or cyclobutyl. In certain embodiments, a compound is provided wherein R2 is cyclopropyl. [0180] In some embodiments, a compound is provided wherein R 3 is halo. In certain embodiments, a compound is provided wherein R3 is F, Cl, Br, or I. In specific embodiments, a compound is provided wherein R 3 is F or Cl. In specific embodiments, a compound is provided wherein R3 is F. In specific embodiments, a compound is provided wherein R3 is Cl. [0181] In some embodiments, a compound is provided wherein R 3 is CN.
  • a compound is provided wherein R3 is OH. [0183] In some embodiments, a compound is provided wherein R3 is alkyl. In certain embodiments, a compound is provided wherein R3 is methyl, ethyl, n-propyl, isopropyl, n-butyl, sec-butyl, isobutyl, tert-butyl. In other embodiments, a compound is provided wherein R 3 is methyl, ethyl, or isopropyl. In other embodiments, a compound is provided wherein R3 is methyl. In other embodiments, a compound is provided wherein R 3 is ethyl.
  • a compound is provided wherein R3 is propyl. In yet other embodiments, a compound is provided wherein R3 is isopropyl. In additional embodiments, a compound is provided wherein R3 is n- butyl. In further embodiments, a compound is provided wherein R3 is sec-butyl. In some embodiments, a compound is provided wherein R 3 is iso-butyl. In other embodiments, a compound is provided wherein R3 is tert-butyl. [0184] In some embodiments, a compound is provided wherein R 3 is haloalkyl. In certain embodiments, a compound is provided wherein R3 is CHF2 or CF3.
  • a compound is provided wherein R3 is CHF2. In certain embodiments, a compound is provided wherein R3 is CF3. [0185] In some embodiments, a compound is provided wherein R 3 is alkoxy. In certain embodiments, a compound is provided wherein R3 is methoxy, ethoxy, propoxy, or isopropoxy. In certain embodiments, a compound is provided wherein R 3 is methoxy. [0186] In some embodiments, a compound is provided wherein R3 is haloalkoxy. In certain embodiments, a compound is provided wherein R3 is OCHF2 or OCF3. In certain embodiments, a compound is provided wherein R3 is OCHF2.
  • a compound is provided wherein R 3 is OCF 3 . [0187] In some embodiments, a compound is wherein R3 is In certain embodiments, a compound is provided wherein R3 is [0188] In some embodiments, a compound is provided wherein R 3 is cycloalkyl. In specific embodiments, a compound is provided wherein R3 is C3-C8 cycloalkyl. In certain embodiments, a compound is provided wherein R 3 is cyclopropyl, cyclobutyl, cyclopentyl, or cyclohexyl. In certain embodiments, a compound is provided wherein R3 is cyclopropyl or cyclobutyl.
  • a compound is provided wherein R 3 is cyclopropyl. [0189] In some embodiments, a compound is provided wherein R4 is halo. In certain embodiments, a compound is provided wherein R 4 is F, Cl, Br, or I. In specific embodiments, a compound is provided wherein R4 is F or Cl. In specific embodiments, a compound is provided wherein R 4 is F. In specific embodiments, a compound is provided wherein R 4 is Cl. [0190] In some embodiments, a compound is provided wherein R4 is CN. [0191] In some embodiments, a compound is provided wherein R4 is OH. [0192] In some embodiments, a compound is provided wherein R4 is alkyl.
  • a compound is provided wherein R 4 is methyl, ethyl, n-propyl, isopropyl, n-butyl, sec-butyl, isobutyl, tert-butyl. In other embodiments, a compound is provided wherein R4 is methyl, ethyl, or isopropyl. In other embodiments, a compound is provided wherein R 4 is methyl. In other embodiments, a compound is provided wherein R4 is ethyl. In other embodiments, a compound is provided wherein R4 is propyl. In yet other embodiments, a compound is provided wherein R4 is isopropyl.
  • a compound is provided wherein R4 is n- butyl. In further embodiments, a compound is provided wherein R 4 is sec-butyl. In some embodiments, a compound is provided wherein R4 is iso-butyl. In other embodiments, a compound is provided wherein R 4 is tert-butyl. [0193] In some embodiments, a compound is provided wherein R4 is haloalkyl. In certain embodiments, a compound is provided wherein R4 is CHF2 or CF3. In certain embodiments, a compound is provided wherein R4 is CHF2. In certain embodiments, a compound is provided wherein R 4 is CF 3 .
  • a compound is provided wherein R4 is alkoxy. In certain embodiments, a compound is provided wherein R 4 is methoxy, ethoxy, propoxy, or isopropoxy. In certain embodiments, a compound is provided wherein R4 is methoxy. [0195] In some embodiments, a compound is provided wherein R4 is haloalkoxy. In certain embodiments, a compound is provided wherein R4 is OCHF2 or OCF3. In certain embodiments, a compound is provided wherein R 4 is OCHF 2 . In certain embodiments, a compound is provided wherein R4 is OCF3.
  • a compound is wherein R 4 is In certain embodiments, a compound is provided wherein R 4 is [0197] In some embodiments, a compound is provided wherein R4 is cycloalkyl. In specific embodiments, a compound is provided wherein R 4 is C 3 -C 8 cycloalkyl. In certain embodiments, a compound is provided wherein R4 is cyclopropyl, cyclobutyl, cyclopentyl, or cyclohexyl. In certain embodiments, a compound is provided wherein R 4 is cyclopropyl or cyclobutyl. In certain embodiments, a compound is provided wherein R4 is cyclopropyl.
  • a compound is provided wherein R 4 is halo, CN, OH, alkyl, or haloalkyl. In certain embodiments, a compound is provided wherein R4 is F, Cl, CN, OH, methyl, CHF 2 or CF 3 . [0199] In some embodiments, a compound is provided wherein R4 along with the ring to which it is attached has one of the following structures: [0200] In some embodiments, a compound is provided wherein R5 is halo. In certain embodiments, a compound is provided wherein R 5 is F, Cl, Br, or I. In specific embodiments, a compound is provided wherein R5 is F or Cl.
  • a compound is provided wherein R 5 is F. In specific embodiments, a compound is provided wherein R 5 is Cl. [0201] In some embodiments, a compound is provided wherein R5 is CN. [0202] In some embodiments, a compound is provided wherein R 5 is OH. [0203] In some embodiments, a compound is provided wherein R5 is alkyl. In certain embodiments, a compound is provided wherein R 5 is methyl, ethyl, n-propyl, isopropyl, n-butyl, sec-butyl, isobutyl, tert-butyl.
  • a compound is provided wherein R5 is methyl, ethyl, or isopropyl. In other embodiments, a compound is provided wherein R 5 is methyl. In other embodiments, a compound is provided wherein R5 is ethyl. In other embodiments, a compound is provided wherein R 5 is propyl. In yet other embodiments, a compound is provided wherein R5 is isopropyl. In additional embodiments, a compound is provided wherein R5 is n- butyl. In further embodiments, a compound is provided wherein R 5 is sec-butyl. In some embodiments, a compound is provided wherein R5 is iso-butyl.
  • a compound is provided wherein R 5 is tert-butyl.
  • R5 is haloalkyl.
  • a compound is provided wherein R 5 is CHF 2 or CF 3 .
  • a compound is provided wherein R5 is CHF2.
  • a compound is provided wherein R 5 is CF 3 .
  • R5 is alkoxy.
  • a compound is provided wherein R5 is methoxy, ethoxy, propoxy, or isopropoxy.
  • a compound is provided wherein R5 is methoxy.
  • a compound is provided wherein R 5 is haloalkoxy. In certain embodiments, a compound is provided wherein R5 is OCHF2 or OCF3. In certain embodiments, a compound is provided wherein R 5 is OCHF 2 . In certain embodiments, a compound is provided wherein R5 is OCF3. [0207] In some embodiments, a compound is wherein R5 is In certain embodiments, a compound is provided wherein R 5 is . [0208] In some embodiments, a compound is provided wherein R5 is cycloalkyl. In specific embodiments, a compound is provided wherein R 5 is C 3 -C 8 cycloalkyl.
  • a compound is provided wherein R5 is cyclopropyl, cyclobutyl, cyclopentyl, or cyclohexyl. In certain embodiments, a compound is provided wherein R 5 is cyclopropyl or cyclobutyl. In certain embodiments, a compound is provided wherein R5 is cyclopropyl. [0209] In some embodiments, a compound is provided wherein R 6 is H. [0210] In some embodiments, a compound is provided wherein R6 is alkyl.
  • a compound is provided wherein R 6 is methyl, ethyl, n-propyl, isopropyl, n-butyl, sec-butyl, isobutyl, tert-butyl. In other embodiments, a compound is provided wherein R6 is methyl, ethyl, or isopropyl. In other embodiments, a compound is provided wherein R 6 is methyl or ethyl. In other embodiments, a compound is provided wherein R6 is methyl. In other embodiments, a compound is provided wherein R 6 is ethyl. In other embodiments, a compound is provided wherein R6 is propyl.
  • a compound is provided wherein R6 is isopropyl. In additional embodiments, a compound is provided wherein R 6 is n-butyl. In further embodiments, a compound is provided wherein R6 is sec-butyl. In some embodiments, a compound is provided wherein R 6 is iso-butyl. In other embodiments, a compound is provided wherein R6 is tert-butyl. [0211] In some embodiments, a compound is provided wherein R 6 is alkyl substituted with one or more F. In certain embodiments, a compound is provided wherein R6 is -CH2CH2F. In other embodiments, a compound is provided wherein R 6 is -CH 2 CHF 2 .
  • a compound is provided wherein R6 is -CH2CF3. In some embodiments, a compound is provided wherein R 6 is alkyl substituted with one or more cycloalkyl. In certain embodiments, a compound is provided wherein R6 is . In other embodiments, a compound is provided wherein R6 is alkyl substituted with one or more OH. In certain embodiments, a compound is provided wherein R6 . [0212] In some embodiments, a compound is provided wherein R6 is cycloalkyl. In specific embodiments, a compound is provided wherein R 6 is C 3 -C 8 cycloalkyl. In other embodiments, a compound is provided wherein R6 is cyclopropyl.
  • a compound is provided wherein R 6 is cyclobutyl. In additional embodiments, a compound is provided wherein R6 is cyclopentyl. [0213] In some embodiments, a compound is provided wherein R7 is halo. In certain embodiments, a compound is provided wherein R7 is F, Cl, Br, or I. In specific embodiments, a compound is provided wherein R 7 is F or Cl. In specific embodiments, a compound is provided wherein R7 is F. In specific embodiments, a compound is provided wherein R7 is Cl. [0214] In some embodiments, a compound is provided wherein R 7 is OH.
  • a compound is provided wherein R7 is cycloalkyl. In specific embodiments, a compound is provided wherein R7 is C3-C8 cycloalkyl. In other embodiments, a compound is provided wherein R7 is cyclopropyl. In yet other embodiments, a compound is provided wherein R 7 is cyclobutyl. In additional embodiments, a compound is provided wherein R7 is cyclopentyl. [0216] In some embodiments, a compound is provided wherein m is 0-6. In other embodiments, a compound is provided wherein m is 0-5. In other embodiments, a compound is provided wherein m is 0-4.
  • a compound is provided wherein m is 0-3. In other embodiments, a compound is provided wherein m is 0-2. In other embodiments, a compound is provided wherein m is 0-1. In other embodiments, a compound is provided wherein m is 1-3. In other embodiments, a compound is provided wherein m is 1-2. In certain embodiments, a compound is provided wherein m is 0. In certain embodiments, a compound is provided wherein m is 1. In certain embodiments, a compound is provided wherein m is 2. In certain embodiments, a compound is provided wherein m is 3. In certain embodiments, a compound is provided wherein m is 4. In certain embodiments, a compound is provided wherein m is 5.
  • a compound is provided wherein m is 6. [0217] In some embodiments, a compound is provided wherein n is 0-5. In other embodiments, a compound is provided wherein n is 0-4. In other embodiments, a compound is provided wherein n is 0-3. In other embodiments, a compound is provided wherein n is 1-3. In certain embodiments, a compound is provided wherein n is 0. In certain embodiments, a compound is provided wherein n is 1. In certain embodiments, a compound is provided wherein n is 2. In certain embodiments, a compound is provided wherein n is 3. In certain embodiments, a compound is provided wherein n is 4. In certain embodiments, a compound is provided wherein n is 5.
  • a compound is provided wherein p is 0-3. In other embodiments, a compound is provided wherein p is 0-2. In other embodiments, a compound is provided wherein p is 0-1. In certain embodiments, a compound is provided wherein p is 0. In certain embodiments, a compound is provided wherein p is 1. In certain embodiments, a compound is provided wherein p is 2. In certain embodiments, a compound is provided wherein p is 3. [0219] In some embodiments, a compound is provided wherein q is 0-2. In other embodiments, a compound is provided wherein q is 0-1. In other embodiments, a compound is provided wherein q is 1-2.
  • a compound is provided wherein q is 0. In certain embodiments, a compound is provided wherein q is 1. In certain embodiments, a compound is provided wherein q is 2. [0220] In some embodiments, a compound is provided wherein y is 0-5. In other embodiments, a compound is provided wherein y is 0-4. In other embodiments, a compound is provided wherein y is 0-3. In other embodiments, a compound is provided wherein y is 0-2. In other embodiments, a compound is provided wherein y is 0-1. In other embodiments, a compound is provided wherein y is 1-3. In certain embodiments, a compound is provided wherein y is 0. In certain embodiments, a compound is provided wherein y is 1.
  • a compound is provided wherein Ra is methyl, ethyl, n-propyl, isopropyl, n-butyl, sec-butyl, isobutyl, tert-butyl. In other embodiments, a compound is provided wherein Ra is methyl, ethyl, or isopropyl. In other embodiments, a compound is provided wherein Ra is methyl or ethyl. In other embodiments, a compound is provided wherein Ra is methyl. In other embodiments, a compound is provided wherein Ra is ethyl. In other embodiments, a compound is provided wherein Ra is propyl. In yet other embodiments, a compound is provided wherein Ra is isopropyl.
  • a compound is selected from one of the compounds listed in Table 1, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
  • TABLE 1 Methods of Treatment the invention provides a method for treating an NLRP3 inflammasome dependent condition, wherein “treatment” refers to an intervention that ameliorates a sign or symptom of a disease or pathological condition.
  • treatment refers to an intervention that ameliorates a sign or symptom of a disease or pathological condition.
  • the terms “treatment”, “treat” and “treating,” with reference to a disease, pathological condition or symptom also refers to any observable beneficial effect of the treatment.
  • the beneficial effect can be evidenced, for example, by a delayed onset of clinical symptoms of the disease in a susceptible subject, a reduction in severity of some or all clinical symptoms of the disease, a slower progression of the disease, a reduction in the number of relapses of the disease, an improvement in the overall health or well-being of the subject, or by other parameters well known in the art that are specific to the particular disease.
  • a prophylactic treatment is a treatment administered to a subject who does not exhibit signs of a disease or exhibits only early signs, for the purpose of decreasing the risk of developing pathology.
  • a therapeutic treatment is a treatment administered to a subject after signs and symptoms of the disease have developed.
  • the invention provides a method for treating an NLRP3 inflammasome dependent condition in a subject, wherein “subject” refers to an animal (e.g., a mammal, such as a human).
  • a subject to be treated according to the methods described herein may be one who has been diagnosed with a NLRP3 inflammasome dependent condition, such as inflammation, an inflammatory disease, an immune disease, cancer, infections including viral infections; central nervous system diseases, metabolic diseases, cardiovascular diseases, respiratory diseases, liver diseases, renal diseases, ocular diseases, skin diseases, psychological diseases or blood diseases.
  • Diagnosis may be performed by any method or technique known in the art.
  • the route of administration can be any route which effectively transports the active compound of the invention to the appropriate or desired site of action, such as oral, nasal, pulmonary, buccal, subdermal, intradermal, transdermal, or parenteral, including intravenous, subcutaneous and/or intramuscular.
  • the route of administration is oral. In another embodiment, the route of administration is topical.
  • Dosage forms can be administered once a day, or more than once a day, such as twice or thrice daily. Alternatively, dosage forms can be administered less frequently than daily, such as every other day, or weekly, if found to be advisable by a prescribing physician or drug’s prescribing information.
  • Dosing regimens include, for example, dose titration to the extent necessary or useful for the indication to be treated, thus allowing the patient’s body to adapt to the treatment, to minimize or avoid unwanted side effects associated with the treatment, and/or to maximize the therapeutic effect of the present compounds.
  • Other dosage forms include delayed or controlled-release forms. Suitable dosage regimens and/or forms include those set out, for example, in the latest edition of the Physicians' Desk Reference, incorporated herein by reference.
  • the invention provides an oral pharmaceutical composition comprising a compound of a structure as described herein, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, together with at least one pharmaceutically acceptable oral carrier, diluent, or excipient.
  • the invention provides a topical pharmaceutical composition comprising a compound of a structure as described herein, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, together with at least one pharmaceutically acceptable topical carrier, diluent, or excipient.
  • the invention provides a parenteral pharmaceutical composition comprising a compound of a structure as described herein, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, together with at least one pharmaceutically acceptable topical carrier, diluent, or excipient.
  • the invention provides a method for treating an NLRP3 inflammasome dependent condition, wherein modulating NLRP3 provides a medical benefit to the patient or subject.
  • the NLRP3 inflammasome dependent condition is inflammation, an inflammatory disease, an immune disease, cancer, infections including viral infections; central nervous system diseases, metabolic diseases, cardiovascular diseases, respiratory diseases, liver diseases, renal diseases, ocular diseases, skin diseases, psychological diseases or blood diseases.
  • the NLRP3 inflammasome dependent condition is neuroinflammation-related disorders or neurodegenerative diseases.
  • the invention provides a method for inhibiting NLRP3 inflammasome with an effective amount of a pharmaceutical composition as described herein.
  • the invention provides a method of treating a NLRP3 inflammasome dependent condition by administering to a subject in need thereof an effective amount of a pharmaceutical composition as described herein.
  • the NLRP3 inflammasome dependent condition is a neuroinflammation-related disorder(s) or a neurodegenerative disease(s).
  • the invention provides a method of treating a NLRP3 inflammasome dependent condition including inflammation occurring as a result of an inflammatory disorder, e.g., an autoinflammatory disease, inflammation occurring as a symptom of a non-inflammatory disorder, inflammation occurring as a result of infection, or inflammation secondary to trauma, injury or autoimmunity.
  • inflammation examples include inflammatory responses occurring in connection with, or as a result of: (a) a skin condition such as contact hypersensitivity, bullous pemphigoid, sunburn, psoriasis, atopical dermatitis, contact dermatitis, allergic contact dermatitis, seborrhoetic dermatitis, lichen planus, scleroderma, pemphigus, epidermolysis bullosa, urticaria, erythemas, or alopecia; (b) a joint condition such as osteoarthritis, systemic juvenile idiopathic arthritis, adult- onset Still's disease, relapsing polychondritis, rheumatoid arthritis, juvenile chronic arthritis, crystal induced arthropathy (e.g., pseudo-gout, gout), or a seronegative spondyloarthropathy (e.g., ankylosing spondylitis, psoriatic arthritis or Reit
  • a skin condition
  • hay fever, and vasomotor rhinitis sinusitis, idiopathic pulmonary fibrosis (IPF), sarcoidosis, farmer's lung, silicosis, asbestosis, adult respiratory distress syndrome, hypersensitivity pneumonitis, or idiopathic interstitial pneumonia;
  • a vascular condition such as atherosclerosis, Behcet's disease, vasculitides’ or Wegener's granulomatosis;
  • an immune condition e.g., autoimmune condition, such as systemic lupus erythematosus (SLE), Sjogren's syndrome, systemic sclerosis, Hashimoto's thyroiditis, type I diabetes, idiopathic thrombocytopenia purpura, or Graves disease;
  • an ocular condition such as uveitis, allergic conjunctivitis, or vernal conjunctivitis;
  • a nervous system condition such as multiple sclerosis or encephalo
  • the invention provides a method of treating a NLRP3 inflammasome dependent condition such as an inflammatory disease.
  • an inflammatory disorder e.g. an autoinflammatory disease, such as cryopyrin-associated periodic syndromes (CAPS), Muckle-Wells syndrome (MWS), familial cold autoinflammatory syndrome (FCAS), familial Mediterranean fever (FMF), neonatal onset multisystem inflammatory disease (NOMID), Majeed syndrome, pyogenic arthritis, pyoderma gangrenosum and acne syndrome (PAPA), adult-onset Still's disease (AOSD), haploinsufficiency of A20 (HA20), pediatric granulomatous arthritis (PGA), PLCG2-associated antibody deficiency and immune dysregulation (PLAID), PLCG2-associated autoinflammatory, antibody deficiency and immune dysregulation (APLAID), or sideroblastic anaemia with B-cell immunodeficiency, periodic fevers and developmental delay (SIFD).
  • CAPS cryopyrin-associated periodic syndromes
  • MFS Muckle-Wells syndrome
  • the invention provides a method of treating a NLRP3 inflammasome dependent condition such as an immune disease.
  • auto-immune diseases such as acute disseminated encephalitis, Addison's disease, ankylosing spondylitis, antiphospholipid antibody syndrome (APS), anti-synthetase syndrome, aplastic anemia, autoimmune adrenalitis, autoimmune hepatitis, autoimmune oophoritis, autoimmune polyglandular failure, autoimmune thyroiditis, Coeliac’disease, Crohn's disease, type 1 diabetes (T1’), Goodpasture's syndrome, Graves' disease, Guillain-Barre syndrome (GBS), Hashimoto's disease, idiopathic thrombocytopenic purpura, Kawasaki's disease, lupus erythematosus including systemic lupus erythematosus (SLE), multiple sclerosis (MS) including primary progressive multiple s
  • GBS Guillain-
  • the invention provides a method of treating a NLRP3 inflammasome dependent condition such as cancer.
  • a NLRP3 inflammasome dependent condition such as cancer.
  • lung cancer renal cell carcinoma, non-small cell lung carcinoma (NSCLC), Langerhans cell histiocytosis (LCH), myelo proliferative neoplasm (MPN), pancreatic cancer, gastric cancer, myelodysplastic syndrome (MDS), leukaemia including acute lymphocytic leukaemia (ALL) and acute myeloid leukaemia (AML), promyelocytic leukemia (APML, or APL), adrenal cancer, anal cancer, basal and squamous cell skin cancer, bile duct cancer, bladder cancer, bone cancer, brain and spinal cord tumours, breast cancer, cervical cancer, chronic lymphocytic leukaemia (CLL), chronic myeloid leukaemia (CML), chronic myelomonocytic leukaemia (CMML), colorec
  • the invention provides a method of treating a NLRP3 inflammasome dependent condition such as an infection, including viral infections.
  • viral infections e.g. from influenza virus, human immunodeficiency virus (HIV), alphavirus (such as Chikungunya and Ross River virus), flaviviruses (such as Dengue virus and Zika virus), herpes viruses (such as Epstein Barr Virus, cytomegalovirus, Varicella-zoster virus, and KSHV), poxyiruses (such as vaccinia virus (Modified vaccinia virus Ankara) and Myxoma virus), adenoviruses (such as Adenovirus 5), or papillomavirus), bacterial infections (e.g.
  • HCV human immunodeficiency virus
  • alphavirus such as Chikungunya and Ross River virus
  • flaviviruses such as Dengue virus and Zika virus
  • herpes viruses such as Epstein Barr Virus, cytomegalovirus, Vari
  • the invention provides a method of treating a NLRP3 inflammasome dependent condition such as a central nervous system disease.
  • the invention provides a method of treating a NLRP3 inflammasome dependent condition such as a neuroinflammation-related disease.
  • a NLRP3 inflammasome dependent condition such as a neuroinflammation-related disease.
  • the invention provides a method of treating a NLRP3 inflammasome dependent condition such as a neurodegenerative disease.
  • neurodegenerative diseases are characterized by deep involvement of cell mediating neuroinflammatory processes.
  • the invention provides a method of treating a NLRP3 inflammasome dependent condition such as a metabolic disease.
  • a NLRP3 inflammasome dependent condition such as a cardiovascular disease.
  • the invention provides a method of treating a NLRP3 inflammasome dependent condition such as a respiratory disease.
  • the invention provides a method of treating a NLRP3 inflammasome dependent condition such as a liver disease.
  • a NLRP3 inflammasome dependent condition such as a liver disease.
  • NASH non-alcoholic fatty liver disease
  • NASH nonalcoholic steatohepatitis
  • F3 and F4 advanced fibrosis stages
  • AFLD alcoholic fatty liver disease
  • ASH alcoholic steatohepatitis
  • the invention provides a method of treating a NLRP3 inflammasome dependent condition such as a renal disease.
  • a renal disease For example, acute kidney disease, hyperoxaluria, chronic kidney disease, oxalate nephropathy, nephrocalcinosis, glomerulonephritis, and diabetic nephropathy;
  • the invention provides a method of treating a NLRP3 inflammasome dependent condition such as an ocular disease.
  • diseases of the ocular epithelium, age-related macular degeneration (AMD) (dry and wet), uveitis, corneal infection, diabetic retinopathy, optic nerve damage, dry eye, and glaucoma For example, diseases of the ocular epithelium, age-related macular degeneration (AMD) (dry and wet), uveitis, corneal infection, diabetic retinopathy, optic nerve damage, dry eye, and glaucoma.
  • AMD age-related macular degeneration
  • the invention provides a method of treating a NLRP3 inflammasome dependent condition such as a skin disease.
  • a skin disease For example, dermatitis such as contact dermatitis and atopic dermatitis, contact hypersensitivity, sunburn, skin lesions, hidradenitis suppurativa (HS), other cyst-causing skin diseases, and acne conglobate.
  • the invention provides a method of treating a NLRP3 inflammasome dependent condition such as a psychological disease. For example, depression, and psychological stress.
  • the invention provides a method of treating a NLRP3 inflammasome dependent condition such as a blood disease. For example, sickle cell disease.
  • the invention provides a pharmaceutical composition comprising a compound of structure (I), or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, together with at least one pharmaceutically acceptable carrier, diluent, or excipient.
  • the invention provides a pharmaceutical composition comprising a compound of structure (I), or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, together with at least one pharmaceutically acceptable excipient.
  • the active compound will usually be mixed with a carrier, or diluted by a carrier, or enclosed within a carrier which can be in the form of an ampoule, capsule, sachet, paper, or other container.
  • the active compound When the active compound is mixed with a carrier, or when the carrier serves as a diluent, it can be solid, semi-solid, or liquid material that acts as a vehicle, excipient, or medium for the active compound.
  • the active compound can be adsorbed on a granular solid carrier, for example contained in a sachet.
  • suitable carriers are water, salt solutions, alcohols, polyethylene glycols, polyhydroxy ethoxylated castor oil, peanut oil, olive oil, gelatin, lactose, terra alba, sucrose, dextrin, magnesium carbonate, sugar, cyclodextrin, amylose, magnesium stearate, talc, gelatin, agar, pectin, acacia, stearic acid, or lower alkyl ethers of cellulose, silicic acid, fatty acids, fatty acid amines, fatty acid monoglycerides and diglycerides, pentaerythritol fatty acid esters, polyoxymethylene, hydroxymethylcellulose, and polyvinylpyrrolidone.
  • the carrier or diluent can include any sustained release material known in the art, such as glyceryl monostearate or glyceryl distearate, alone or mixed with a wax.
  • the term “pharmaceutical composition” refers to a composition containing one or more of the compounds described herein, or a pharmaceutically acceptable isomer, racemate, hydrate, solvate, isotope or salt thereof, formulated with a pharmaceutically acceptable carrier, which can also include other additives, and manufactured or sold with the approval of a governmental regulatory agency as part of a therapeutic regimen for the treatment of disease in a mammal.
  • compositions can be formulated, for example, for oral administration in unit dosage form (e.g., a tablet, capsule, caplet, gelcap, or syrup); for topical administration (e.g., as a cream, gel, lotion, or ointment); for intravenous administration (e.g., as a sterile solution free of particulate emboli and in a solvent system suitable for intravenous use); for administration to a pediatric subject (e.g., solution, syrup, suspension, elixir, powder for reconstitution as suspension or solution, dispersible/effervescent tablet, chewable tablet, lollipop, freezer pops, troches, oral thin strips, orally disintegrating tablet, orally disintegrating strip, and sprinkle oral powder or granules); or in any other formulation described herein.
  • unit dosage form e.g., a tablet, capsule, caplet, gelcap, or syrup
  • topical administration e.g., as a cream, gel, lotion, or ointment
  • the pharmaceutical composition comprising a compound of structure (I) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, with at least one pharmaceutically acceptable carrier, diluent, or excipient further comprises a second therapeutic agent.
  • the term “pharmaceutically acceptable carrier” refers to any ingredient other than the disclosed compounds, or a pharmaceutically acceptable isomer, racemate, hydrate, solvate, isotope or salt thereof (e.g., a carrier capable of suspending or dissolving the active compound) and having the properties of being nontoxic and non- inflammatory in a patient.
  • Excipients may include, for example: antiadherents, antioxidants, binders, coatings, compression aids, disintegrants, dyes (colors), emollients, emulsifiers, fillers (diluents), film formers or coatings, flavors, fragrances, glidants (flow enhancers), lubricants, preservatives, printing inks, sorbents, suspending or dispersing agents, sweeteners, or waters of hydration.
  • antiadherents antioxidants, binders, coatings, compression aids, disintegrants, dyes (colors), emollients, emulsifiers, fillers (diluents), film formers or coatings, flavors, fragrances, glidants (flow enhancers), lubricants, preservatives, printing inks, sorbents, suspending or dispersing agents, sweeteners, or waters of hydration.
  • excipients include, but are not limited to: butylated hydroxytoluene (BHT), calcium carbonate, calcium phosphate (dibasic), calcium stearate, croscarmellose, crosslinked polyvinyl pyrrolidone, citric acid, crospovidone, cysteine, ethylcellulose, gelatin, hydroxypropyl cellulose, hydroxypropyl methylcellulose, lactose, magnesium stearate, maltitol, mannitol, methionine, methylcellulose, methyl paraben, microcrystalline cellulose, polyethylene glycol, polyvinyl pyrrolidone, povidone, pregelatinized starch, propyl paraben, retinyl palmitate, shellac, silicon dioxide, sodium carboxymethyl cellulose, sodium citrate, sodium starch glycolate, sorbitol, starch (corn), stearic acid, stearic acid, sucrose, talc, titanium dioxide, vitamin A, B
  • the formulations can be mixed with auxiliary agents which do not deleteriously react with the active compounds.
  • auxiliary agents which do not deleteriously react with the active compounds.
  • Such additives can include wetting agents, emulsifying and suspending agents, salt for influencing osmotic pressure, buffers and/or coloring substances, preserving agents, sweetening agents, or flavoring agents.
  • the compositions can also be sterilized if desired.
  • the route of administration can be any route which effectively transports the active compound of the invention to the appropriate or desired site of action, such as oral, nasal, pulmonary, buccal, subdermal, intradermal, transdermal, or parenteral, including intravenous, subcutaneous and/or intramuscular.
  • the route of administration is oral.
  • the route of administration is topical.
  • Dosage forms can be administered once a day, or more than once a day, such as twice or thrice daily. Alternatively, dosage forms can be administered less frequently than daily, such as every other day, or weekly, if found to be advisable by a prescribing physician or drug’s prescribing information.
  • Dosing regimens include, for example, dose titration to the extent necessary or useful for the indication to be treated, thus allowing the patient’s body to adapt to the treatment, to minimize or avoid unwanted side effects associated with the treatment, and/or to maximize the therapeutic effect of the present compounds.
  • Other dosage forms include delayed or controlled-release forms. Suitable dosage regimens and/or forms include those set out, for example, in the latest edition of the Physicians' Desk Reference, incorporated herein by reference.
  • the invention provides an oral pharmaceutical composition comprising structure (I) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, together with at least one pharmaceutically acceptable oral carrier, diluent, or excipient.
  • the invention provides a topical pharmaceutical composition comprising a compound of structure (I) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, together with at least one pharmaceutically acceptable topical carrier, diluent, or excipient.
  • there are provided methods of making a composition of a compound described herein including formulating a compound of the invention with a pharmaceutically acceptable carrier or diluent.
  • the pharmaceutically acceptable carrier or diluent is suitable for oral administration.
  • the methods can further include the step of formulating the composition into a tablet or capsule.
  • the pharmaceutically acceptable carrier or diluent is suitable for parenteral administration.
  • the methods further include the step of lyophilizing the composition to form a lyophilized preparation.
  • the composition is formulated into a pediatric dosage form suitable for treating a pediatric subject.
  • the invention provides a compound having structure (I) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. Such compounds can be synthesized using standard synthetic techniques known to those skilled in the art.
  • reactions of the present invention can be synthesized using appropriately modified synthetic procedures set forth in the following Examples and Reaction Schemes.
  • reactions may be carried out in any suitable solvent, or other reagents to perform the transformation[s] necessary.
  • suitable solvents are protic or aprotic solvents which are substantially non-reactive with the reactants, the intermediates or products at the temperatures at which the reactions are carried out (i.e., temperatures which may range from the freezing to boiling temperatures).
  • a given reaction may be carried out in one solvent or a mixture of more than one solvent.
  • reagents for which the synthesis is not described in the experimental part, are either commercially available, or are known compounds or may be formed from known compounds by known methods by a person skilled in the art.
  • the compounds and intermediates produced according to the methods of the invention may require purification. Purification of organic compounds is well known to a person skilled in the art and there may be several ways of purifying the same compound. In some cases, no purification may be necessary. In some cases, the compounds may be purified by crystallization. In some cases, impurities may be stirred out using a suitable solvent.
  • the compounds may be purified by chromatography, particularly flash column chromatography, using purpose-made or prepacked silica gel cartridges and eluents such as gradients of solvents such as heptane, ether, ethyl acetate, acetonitrile, ethanol and the like.
  • the compounds may be purified by preparative HPLC using methods as described.
  • Purification methods as described herein may provide compounds of the present invention which possess a sufficiently basic or acidic functionality in the form of a salt, such as, in the case of a compound of the present invention which is sufficiently basic, a trifluoroacetate or formate salt, or, in the case of a compound of the present invention, which is sufficiently acidic, an ammonium salt.
  • a salt of this type can either be transformed into its free base or free acid form, respectively, by various methods known to a person skilled in the art or be used as salts in subsequent biological assays. It is to be understood that the specific form of a compound of the present invention as isolated and as described herein is not necessarily the only form in which said compound can be applied to a biological assay in order to quantify the specific biological activity.
  • High- performance liquid chromatography (HPLC) retention times, purities, and liquid chromatography-mass spectrometry (LCMS) were obtained using Shimadzu LCMS 2010 (Shim- pack XR-ODS 3.0*30 mm 2.2 ⁇ m) operating in ES (+) ionization mode.
  • EtOAc ethyl acetate
  • PE petroleum ether
  • H2O triethylamine
  • TAA triethylamine
  • Et2NH dimethylformamide
  • DMF hydrochloric acid
  • HCl hydrochloric acid
  • MeOH dimethyl sulfoxide
  • TFA trifluoroacetic acid
  • PdCl2(PPh3)2 Bis(triphenylphosphine)palladium(II) dichloride
  • DBU 1,8- Diazabicyclo[5.4.0]undec-7-ene
  • P(o-Tolyl) 3 Palladium(II) chloride
  • PdCl2 [1,1′-bis(diphenylphosphino)ferrocene]dichloropalladium(II) (Pd(dppf)Cl2), Palladium on carbon
  • the desired product was further purified by prep-HPLC (0.05% NH3H2O as additive) to afford the desired product (R)-4-methyl-8-(1- methylpiperidin-3-yl)-3-(4-(trifluoromethyl)phenyl)-5,6,7,8-tetrahydropyrido[2,3-c]pyridazine (Compound 5-1 (R)) (20 mg, 20% yield) as a yellow solid.
  • THP1 – Human acute monocytic leukemia cells were cultured (ATCC, cat # TIB- 202) in Gibco RPMI-1640 medium (ThermoFisher cat # 72400054) supplemented with 10% Heat Inactivated FBS at density between 3-8 x10 ⁇ 5 viable cells/ml. The cells were then subcultured when the cell concentration reached 8 x10 5 cells/mL (every 2-3 days).
  • the cells were treated with compounds at 10 uM top final concentration, 1:4 dilution, 8 times: (10 uM, 2.5 uM, 0.625 uM, 0.156 uM, 0.039 uM, 0.0097 uM, 0.0024 uM, 0.0006 uM).
  • DMSO was used as a vehicle control
  • MCC950 InvivoGen, cat # inh-mcc was used at 1 uM as a positive control, and incubated for 1 hr at 37 ⁇ C, 5% CO2.
  • the NLRP3 inflammasome activation step was conducted by treating cells with–Nigericin (InvivoGen, cat # tlrl-nig) at 6.7 uM final concentration for 3 hr at 37 ⁇ C, 5% CO 2. [0309] Thereafter, 30 ul samples of cells’ supernatants were collected for cytokine analysis which was conducted on Hu IL-1 ⁇ AlphaLISA (Perkin Elmer, cat # AL220C) and Hu IL-6 AlphaLISA (Perkin Elmer, cat # AL220C). The cells’ viability was assessed by performing CellTiter-Glo Luminescent Assay (Promega, cat #G7572) according to the manufacturer’s protocol.
  • IL-1 ⁇ activity - The activity ranges are as follows: “++++” denotes IL-1 ⁇ activity ⁇ 100 nM; “+++” denotes IL-1 ⁇ activity > 100 nM and ⁇ 500 nM; and “++” denotes IL- 1 ⁇ activity > 500 nM and ⁇ 1,000 nM; “+” denotes IL-1 ⁇ activity > 1,000I “*” denotes not yet tested.
  • IL-6 activity For IL-6 activity – The activity ranges are as follows: “++++” denotes IL-6 activity ⁇ 1 ⁇ M; “+++” denotes IL-6 activity > 1 ⁇ M and ⁇ 5 ⁇ M; “++” denotes IL-6 activity > 5 ⁇ M and ⁇ 10 ⁇ M; and “+” denotes IL-6 activity of > 10 ⁇ M. “*” denotes not tested. TABLE 6 [0313] The various embodiments described above can be combined to provide further embodiments. All of the U.S. patents, U.S. patent application publications, U.S.

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Abstract

Compounds are provided for inhibiting NLRP3 inflammasome generally, or for treating a NLRP3 inflammasome dependent condition more specifically, by contacting the NLRP3 inflammasome or administering to a subject in need thereof, respectively, an effective amount of a compound having structure (A'): (A') or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein ring A, Z1, Z2, R1, R2, R3, R4, n, and p are as defined herein. Pharmaceutical compositions containing such compounds, as well as the compounds themselves, are also provided.

Description

MODULATORS OF NLRP3 INFLAMMASOME AND RELATED PRODUCTS AND METHODS BACKGROUND Technical Field [0001] The invention relates to modulators of NLRP3 inflammasome, to products containing the same, as well as to methods of their use and preparation. Description of the Related Art [0002] The NOD-like receptor protein 3 (NLRP3) is a key protein that interacts with, apoptosis-associated speck-like protein (ASC) and procaspase-1 to form the NLRP3 inflammasome. The activation of the NLRP3 inflammasome produces inflammatory mediators, such as interleukin-1 ^ (IL-1β) and interleukin-18 (IL-18), thereby contributing to the activation of the innate immune system. The dysregulation of innate immunity contributes to various diseases. [0003] The innate immune response protects the host from invading microorganisms. The formation of the NLRP3 inflammasome activates caspase-1, which leads to the maturation and secretion of IL-1β and IL-18, cleavage of gasdermin-D and, finally the initiation of cell death via pyroptosis. The system is alerted to the presence of the invading microorganism by cytokine release and is working to resolve the inflammation by eliminating the infected cells. [0004] However, nonmicrobial compounds of either endogenous or exogenous origin are also effective inducers of NLRP3 -dependent inflammation, allergic responses, or other forms of inflammation. For example, NLRP3 may be implicated in Parkinson’s disease and/or Alzheimer’s disease, suggesting that misfolded, oligomerized or aggregated proteins e.g., alpha- synuclein lead to the activation of the NLRP3 inflammasome. Environmental particulates such as inhaled asbestos and silica also activate the NLRP3 inflammasome, and high levels of IL-1β are involved in the development of asbestosis and silicosis, two progressive pulmonary diseases leading to fibrosis. [0005] Emerging studies have revealed the involvement of increased production of IL-1β and IL-18 by the NLRP3 inflammasome can contribute to the onset and progression of various diseases such as neuroinflammation-related disorders, for example, brain infection, acute injury, multiple sclerosis, Alzheimer’s disease, and neurodegenerative diseases; cardiovascular diseases, cardiovascular risk reduction, atherosclerosis, type I and type II diabetes and related complications, inflammatory skin diseases, acne, hidradenitis suppurativa, asthma, age-related macular degeneration, or cancer related diseases. Those disorders that are immune or inflammatory in nature are usually difficult to diagnose or treat efficiently. [0006] Accordingly, there is a need in the art for compounds that modulate the NLRP3 inflammasome for the purpose of treating diseases in which modulation of the NLRP3 inflammasome would be beneficial. [0007] The present invention fulfills these needs and provides other advantages as evident from the following description. BRIEF SUMMARY [0008] In an embodiment a compound is provided having structure (I):
Figure imgf000003_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein ring A, Z1, Z2, R1, R2, R3, R4, n, and p are as defined herein. [0009] In another embodiment, pharmaceutical compositions are provided comprising a carrier or excipient and a compound having structure (A′), or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0010] In a further embodiment, a method is provided for treating a NLRP3 inflammasome-dependent condition by administering to a subject in need thereof an effective amount of a compounds of structure (A′), or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, or a pharmaceutical composition comprising the same. In some embodiments, the NLRP3 inflammasome-dependent condition is a neuroinflammation-related disorder or a neurodegenerative disease. DETAILED DESCRIPTION Definitions [0011] As used herein, the following terms have the meaning defined below, unless the context indicates otherwise. [0012] “Modulating” NLRP3 inflammasome means that the compound interacts with NLRP3 in a manner such that it blocks its ATPase function and the downstream formation of the NLRP3 inflammasome complex. In the above context, the compound acts to inhibit, or block, activation of the NLRP3 inflammasome and therefore the compound can also be described as an inhibitor. [0013] NLRP3 refers to NOD-Like Receptor Protein 3. NLRP3 is a protein-coding gene, and an exemplary sequence may be found at https://www.uniprot.org/uniprot/Q96P20. NLRP3 functions as an ATPase that is auto-inhibited under normal conditions. NLRP3, unlike other inflammasomes, requires a two-step activation process, which can be triggered by a variety of pathogen-associated molecular patterns (PAMPs) and damage-associated molecular patterns (DAMPs). The first step primes the NLRP3 inflammasome via recognition of PAMPs, DAMPs, or pathological species via pattern recognition receptors (PRRs) (e.g., Toll-like receptors). Priming increases NLRP3, pro-IL1 ^, and pro-IL18 expression. Activation of NLRP3 is triggered by a second signal, such as ATP, K+ efflux, other cellular stress, or pathological species, which leads to ATP hydrolysis and activation of the enzyme. This activation leads to oligomerization of the inflammasome complex, resulting in auto-cleavage and activation of caspase-1. Active caspase-1 then cleaves pro-IL1 ^ and pro-IL18. Active IL1 ^ and IL18 then are released from the cell through a gasdermin D pore, and release of such cytokines triggers a downstream inflammatory response and cell death via pyroptosis. [0014] “Effective amount” refers to a quantity of a specified agent sufficient to achieve a desired effect in a subject being treated with that agent. Ideally, an effective amount of an agent is an amount sufficient to inhibit or treat the disease without causing substantial toxicity in the subject. The effective amount of an agent will be dependent on the subject being treated, the severity of the affliction, and the manner of administration of the pharmaceutical composition. Methods of determining an effective amount of the disclosed compound sufficient to achieve a desired effect in a subject will be understood by those of skill in the art in light of this disclosure. [0015] “Alkyl” (or “Ak”) means a saturated or unsaturated straight chain or branched alkyl group having from 1 to 8 carbon atoms, in some embodiments from 1 to 6 carbon atoms, in some embodiments from 1 to 4 carbon atoms, and in some embodiments from 1 to 3 carbon atoms. Examples of saturated straight chain alkyl groups include, but are not limited to, methyl, ethyl, n-propyl, n-butyl, n-pentyl-, n-hexyl, n-heptyl, and n-octyl groups. Examples of branched alkyl groups include, but are not limited to, isopropyl, iso-butyl, sec-butyl, t-butyl, neopentyl, isopentyl, and 2,2-dimethylpropyl groups. [0016] “Halo” or “halogen” refers to fluorine, chlorine, bromine, and iodine (F, Cl, Br and I). [0017] “Hydroxyl” refers to −OH. [0018] “Cyano” refers to −CN. [0019] “Oxo” refers to the =O substituent. [0020] “Amino” refers specifically to -NH2. [0021] “Haloalkyl” refers to alkyl as defined above with one or more hydrogen atoms replaced with halogen. Examples of haloalkyl groups include, but are not limited to, −CF3, −CHF2, and the like. [0022] “Alkoxy" refers to alkyl as defined above joined by way of an oxygen atom (i.e., −O−alkyl). Examples of alkoxy groups include, but are not limited to, methoxy, ethoxy, n- propoxy, n-butoxy, isopropoxy, sec-butoxy, tert-butoxy, and the like. [0023] "Haloalkoxy" refers to haloalkyl as defined above joined by way of an oxygen atom (i.e., −O−haloalkyl). Examples of haloalkoxy groups include, but are not limited to, −OCF3, and the like. [0024] “Aminyl” refers to –NH2, -NHalkyl or N(alkyl)2, wherein alkyl is as defined above. Examples of amino or aminyl include, but are not limited to – NH2 , -NHCH3, –N(CH3)2, and the like. [0025] “Aminylalkyl” refers to an amino or aminyl as described above joined by way of an alkyl as described above (i.e., -alkyl-aminyl). Examples of aminylalkyl include, but are not limited to,
Figure imgf000005_0001
, and the like. [0026] “Cycloalkyl” refers to non-aromatic ring moieties containing 3 or more ring members. In some embodiments, cycloalkyl includes 3 to 8 ring members. In some embodiments, cycloalkyl includes 3 to 5 ring members. For example, cycloalkyl includes cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, and the like. [0027] “Aryl” groups are cyclic aromatic hydrocarbons that do not contain heteroatoms. Representative aryl groups include, but are not limited to, phenyl, azulenyl, heptalenyl, biphenyl, indacenyl, fluorenyl, phenanthrenyl, triphenylenyl, pyrenyl, naphthacenyl, chrysenyl, biphenylenyl, anthracenyl, and naphthyl groups. In some embodiments, aryl groups contain 6-14 carbons in the ring portions of the groups. The terms "aryl" and "aryl groups" include fused rings wherein at least one ring, but not necessarily all rings, are aromatic, such as fused aromatic- aliphatic ring systems (e.g., indanyl, tetrahydronaphthyl, and the like). In one embodiment, aryl is phenyl or naphthyl, and in another embodiment aryl is phenyl. [0028] “Heterocycle” refers to aromatic and non-aromatic ring moieties containing 3 or more ring members, of which one or more is a heteroatom such as, but not limited to, N, O, S, or P. In some embodiments, heterocyclyl include 3 to 20 ring members, whereas other such groups have 3 to 15 ring members. At least one ring contains a heteroatom, but every ring in a polycyclic system need not contain a heteroatom. For example, a dioxolanyl ring and a benzdioxolanyl ring system (methylenedioxyphenyl ring system) are both heterocyclyl groups within the meaning herein. [0029] Heterocyclyl groups also include fused ring species including those having fused aromatic and non-aromatic groups. A heterocyclyl group also includes polycyclic ring systems containing a heteroatom such as, but not limited to, quinuclidyl, and also includes heterocyclyl groups that have substituents, including but not limited to alkyl, halo, amino, hydroxy, cyano, carboxy, nitro, thio, or alkoxy groups, bonded to one of the ring members. A heterocyclyl group as defined herein can be a heteroaryl group or a partially or completely saturated cyclic group including at least one ring heteroatom. Heterocyclyl groups include, but are not limited to, pyrrolidinyl, furanyl, tetrahydrofuranyl, dioxolanyl, piperidinyl, piperazinyl, morpholinyl, pyrrolyl, pyrazolyl, triazolyl, tetrazolyl, oxazolyl, isoxazolyl, thiazolyl, pyridinyl, thiophenyl, benzothiophenyl, benzofuranyl, dihydrobenzofuranyl, indolyl, dihydroindolyl, azaindolyl, indazolyl, benzimidazolyl, azabenzimidazolyl, benzoxazolyl, benzothiazolyl, benzothiadiazolyl, imidazopyridinyl, isoxazolopyridinyl, thianaphthalenyl, purinyl, xanthinyl, adeninyl, guaninyl, quinolinyl, isoquinolinyl, tetrahydroquinolinyl, quinoxalinyl, and quinazolinyl groups. [0030] “Isomer” is used herein to encompass all chiral, diastereomeric or racemic forms of a structure (also referred to as a stereoisomer, as opposed to a structural or positional isomer), unless a particular stereochemistry or isomeric form is specifically indicated. Such compounds can be enriched or resolved optical isomers at any or all asymmetric atoms as are apparent from the depictions, at any degree of enrichment. Both racemic and diastereomeric mixtures, as well as the individual optical isomers can be synthesized so as to be substantially free of their enantiomeric or diastereomeric partners, and these are all within the scope of certain embodiments of the invention. The isomers resulting from the presence of a chiral center comprise a pair of nonsuperimposable-isomers that are called “enantiomers.” Single enantiomers of a pure compound are optically active (i.e., they are capable of rotating the plane of plane polarized light and designated R or S). [0031] “Isolated optical isomer” means a compound which has been substantially purified from the corresponding optical isomer(s) of the same formula. For example, the isolated isomer may be at least about 80%, at least 80% or at least 85% pure by weight. In other embodiments, the isolated isomer is at least 90% pure or at least 98% pure, or at least 99% pure by weight. [0032] “Substantially enantiomerically or diastereomerically” pure means a level of enantiomeric or diastereomeric enrichment of one enantiomer with respect to the other enantiomer or diastereomer of at least about 80%, and more specifically in excess of 80%, 85%, 90%, 95%, 98%, 99%, 99.5% or 99.9%. [0033] The terms “racemate” and “racemic mixture” refer to an equal mixture of two enantiomers. A racemate is labeled “(±)” because it is not optically active (i.e., will not rotate plane-polarized light in either direction since its constituent enantiomers cancel each other out). All compounds with an asterisk (*) adjacent to a tertiary or quaternary carbon are optically active isomers, which may be purified from the respective racemate and/or synthesized by appropriate chiral synthesis. [0034] A “hydrate” is a compound that exists in combination with water molecules. The combination can include water in stoichiometric quantities, such as a monohydrate or a dihydrate, or can include water in random amounts. As the term is used herein a “hydrate” refers to a solid form; that is, a compound in a water solution, while it may be hydrated, is not a hydrate as the term is used herein. [0035] A “solvate” is similar to a hydrate except that a solvent other that water is present. For example, methanol or ethanol can form an “alcoholate”, which can again be stoichiometric or non-stoichiometric. As the term is used herein a “solvate” refers to a solid form; that is, a compound in a solvent solution, while it may be solvated, is not a solvate as the term is used herein. [0036] “Isotope” refers to atoms with the same number of protons but a different number of neutrons, and an isotope of a compound of structure (I) includes any such compound wherein one or more atoms are replaced by an isotope of that atom. For example, carbon 12, the most common form of carbon, has six protons and six neutrons, whereas carbon 13 has six protons and seven neutrons, and carbon 14 has six protons and eight neutrons. Hydrogen has two stable isotopes, deuterium (one proton and one neutron) and tritium (one proton and two neutrons). While fluorine has a number of isotopes, fluorine-19 is longest-lived. Thus, an isotope of a compound having the structure of structure (I) includes, but not limited to, compounds of structure (I) wherein one or more carbon 12 atoms are replaced by carbon-13 and/or carbon-14 atoms, wherein one or more hydrogen atoms are replaced with deuterium and/or tritium, and/or wherein one or more fluorine atoms are replaced by fluorine-19. [0037] “Salt” generally refers to an organic compound, such as a carboxylic acid or an amine, in ionic form, in combination with a counter ion. For example, salts formed between acids in their anionic form and cations are referred to as “acid addition salts”. Conversely, salts formed between bases in the cationic form and anions are referred to as “base addition salts.” [0038] The term “pharmaceutically acceptable” refers an agent that has been approved for human consumption and is generally non-toxic. For example, the term “pharmaceutically acceptable salt” refers to nontoxic inorganic or organic acid and/or base addition salts (see, e.g., Lit et al., Salt Selection for Basic Drugs, Int. J. Pharm., 33, 201-217, 1986) (incorporated by reference herein). [0039] Pharmaceutically acceptable base addition salts of compounds of the invention include, for example, metallic salts including alkali metal, alkaline earth metal, and transition metal salts such as, for example, calcium, magnesium, potassium, sodium, and zinc salts. Pharmaceutically acceptable base addition salts also include organic salts made from basic amines such as, for example, N,N'dibenzylethylenediamine, chloroprocaine, choline, diethanolamine, ethylenediamine, meglumine (N-methylglucamine), and procaine. [0040] Pharmaceutically acceptable acid addition salts may be prepared from an inorganic acid or from an organic acid. Examples of inorganic acids include hydrochloric, hydrobromic, hydriodic, nitric, carbonic, sulfuric, and phosphoric acids. Appropriate organic acids may be selected from aliphatic, cycloaliphatic, aromatic, aromatic aliphatic, heterocyclic, carboxylic, and sulfonic classes of organic acids, examples of which include formic, acetic, propionic, succinic, glycolic, gluconic, lactic, malic, tartaric, citric, ascorbic, glucuronic, maleic, fumaric, pyruvic, aspartic, glutamic, benzoic, anthranilic, 4-hydroxybenzoic, phenylacetic, mandelic, hippuric, malonic, oxalic, embonic (pamoic), methanesulfonic, ethanesulfonic, benzenesulfonic, panthothenic, trifluoromethanesulfonic, 2-hydroxyethanesulfonic, p- toluenesulfonic, sulfanilic, cyclohexylaminosulfonic, stearic, alginic, βhydroxybutyric, salicylic, galactaric, and galacturonic acid. [0041] The compounds of the disclosure (i.e., compounds of structure (I) and embodiments thereof), or their pharmaceutically acceptable salts may contain one or more centers of geometric asymmetry and may thus give rise to enantiomers, diastereomers, and other stereoisomeric forms that are defined, in terms of absolute stereochemistry, as (R)- or (S)- or, as (D)- or (L)- for amino acids. Embodiments thus include all such possible isomers, as well as their racemic and optically pure forms. Optically active (+) and (-), (R)- and (S)-, or (D)- and (L)- isomers may be prepared using chiral synthons or chiral reagents, or resolved using conventional techniques, for example, chromatography and fractional crystallization. Conventional techniques for the preparation/isolation of individual enantiomers include chiral synthesis from a suitable optically pure precursor or resolution of the racemate (or the racemate of a salt or derivative) using, for example, chiral high pressure liquid chromatography (HPLC). When the compounds described herein contain olefinic double bonds or other centers of geometric asymmetry, and unless specified otherwise, it is intended that the compounds include both E and Z geometric isomers. Likewise, all tautomeric forms are also included. [0042] Although pharmaceutically unacceptable salts are not generally useful as medicaments, such salts may be useful, for example as intermediates in the synthesis of compounds having the structure of Formula I, for example in their purification by recrystallization. [0043] As used herein, the phrase “NLRP3 inflammasome dependent condition” means a condition wherein modulating NLRP3 provides a medical benefit to the patient or subject. [0044] In some embodiments, is provided a method of modulating NLRP3 inflammasome activity by contacting NLRP3 inflammasome with an effective amount of a compound as described herein, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, or a pharmaceutical composition comprising the same. [0045] In some embodiments, is provided a method of treating a NLRP3 inflammasome dependent condition by administering to a subject in need thereof an effective amount of a compound as described herein, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, or a pharmaceutical composition comprising the same. In certain embodiments, the NLRP3 inflammasome dependent condition is neuroinflammation-related disorders or neurodegenerative diseases. [0046] In some embodiments, the NLRP3 inflammasome dependent condition is inflammation, an inflammatory disease, an immune disease, cancer, infections including viral infections, central nervous system diseases, metabolic diseases, cardiovascular diseases, respiratory diseases, liver diseases, renal diseases, ocular diseases, skin diseases, psychological diseases or blood diseases. [0047] In one embodiment, the NLRP3 inflammasome dependent condition is neuroinflammation-related disorders or neurodegenerative diseases. [0048] In one embodiment, the invention provides a method for inhibiting NLRP3 inflammasome with an effective amount of a pharmaceutical composition as described herein. [0049] In another embodiment, the invention provides a method of treating a NLRP3 inflammasome dependent condition by administering to a subject in need thereof an effective amount of a pharmaceutical composition as described herein. In certain embodiments, the NLRP3 inflammasome dependent condition is a neuroinflammation-related disorder(s) or a neurodegenerative disease(s). [0050] As used herein the phrase “inflammation” refers to inflammation, including inflammation occurring as a result of an inflammatory disorder, e.g., an autoinflammatory disease, inflammation occurring as a symptom of a non-inflammatory disorder, inflammation occurring as a result of infection, or inflammation secondary to trauma, injury or autoimmunity. Examples of inflammation that may be treated or prevented include inflammatory responses occurring in connection with, or as a result of: (a) a skin condition such as contact hypersensitivity, bullous pemphigoid, sunburn, psoriasis, atopical dermatitis, contact dermatitis, allergic contact dermatitis, seborrhoetic dermatitis, lichen planus, scleroderma, pemphigus, epidermolysis bullosa, urticaria, erythemas, or alopecia; (b) a joint condition such as osteoarthritis, systemic juvenile idiopathic arthritis, adult- onset Still's disease, relapsing polychondritis, rheumatoid arthritis, juvenile chronic arthritis, crystal induced arthropathy (e.g., pseudo-gout, gout), or a seronegative spondyloarthropathy (e.g., ankylosing spondylitis, psoriatic arthritis or Reiter's disease); (c) a muscular condition such as polymyositis or myasthenia gravis; (d) a gastrointestinal tract condition such as inflammatory bowel disease (including Crohn's disease and ulcerative colitis), gastric ulcer, coeliac disease, proctitis, pancreatitis, eosinopilic gastro-enteritis, mastocytosis, antiphospholipid syndrome, or a food-related allergy which may have effects remote from the gut (e.g., migraine, rhinitis or eczema); (e) a respiratory system condition such as chronic obstructive pulmonary disease (COPD), asthma (including bronchial, allergic, intrinsic, extrinsic or dust asthma, and particularly chronic or inveterate asthma, such as late asthma and airways hyper-responsiveness), bronchitis, rhinitis (including acute rhinitis, allergic rhinitis, atrophic rhinitis, chronic rhinitis, rhinitis caseosa, hypertrophic rhinitis, rhinitis pumlenta, rhinitis sicca, rhinitis medicamentosa, membranous rhinitis, seasonal rhinitis e.g. hay fever, and vasomotor rhinitis), sinusitis, idiopathic pulmonary fibrosis (IPF), sarcoidosis, farmer's lung, silicosis, asbestosis, adult respiratory distress syndrome, hypersensitivity pneumonitis, or idiopathic interstitial pneumonia; (f) a vascular condition such as atherosclerosis, Behcet's disease, vasculitides, or Wegener's granulomatosis; (g) an immune condition, e.g., autoimmune condition, such as systemic lupus erythematosus (SLE), Sjogren's syndrome, systemic sclerosis, Hashimoto's thyroiditis, type I diabetes, idiopathic thrombocytopenia purpura, or Graves disease; (h) an ocular condition such as uveitis, allergic conjunctivitis, or vernal conjunctivitis; (i) a nervous condition such as multiple sclerosis or encephalomyelitis; (j) an infection or infection-related condition, such as Acquired Immunodeficiency Syndrome (AIDS), acute or chronic bacterial infection, acute or chronic parasitic infection, acute or chronic viral infection, acute or chronic fungal infection, meningitis, hepatitis (A, B or C, or other viral hepatitis), peritonitis, pneumonia, epiglottitis, malaria, dengue hemorrhagic fever, leishmaniasis, streptococcal myositis, Mycobacterium tuberculosis, Mycobacterium avium intracellulare, Pneumocystis carinii pneumonia, orchitis/epidydimitis, legionella, Lyme disease, influenza A, Epstein Barr virus, viral encephalitis/aseptic meningitis, or pelvic inflammatory disease; (k) a renal condition such as mesangial proliferative glomerulonephritis, nephrotic syndrome, nephritis, glomerular nephritis, acute renal failure, uremia, or nephritic syndrome; (l) a lymphatic condition such as Castleman's disease; (m) a condition of, or involving, the immune system, such as hyper IgE syndrome, lepromatous leprosy, familial hemophagocytic lymphohistiocytosis, or graft versus host disease; (n) a hepatic condition such as chronic active hepatitis, non-alcoholic steatohepatitis (NASH), alcohol-induced hepatitis, non-alcoholic fatty liver disease (NAFLD), alcoholic fatty liver disease (AFLD), alcoholic steatohepatitis (ASH) or primary biliary cirrhosis; (o) a cancer, including those cancers listed herein below; (p) a burn, wound, trauma, hemorrhage or stroke; (q) radiation exposure; and/or (r) obesity; and/or (s) pain such as inflammatory hyperalgesia. [0051] As used herein the phrase “an inflammatory disease” means for example, inflammation occurring as a result of an inflammatory disorder, e.g. an autoinflammatory disease, such as cryopyrin-associated periodic syndromes (CAPS), Muckle-Wells syndrome (MWS), familial cold autoinflammatory syndrome (FCAS), familial Mediterranean fever (FMF), neonatal onset multisystem inflammatory disease (NOMID), Majeed syndrome, pyogenic arthritis, pyoderma gangrenosum and acne syndrome (PAPA), adult-onset Still's disease (AOSD), haploinsufficiency of A20 (HA20), pediatric granulomatous arthritis (PGA), PLCG2- associated antibody deficiency and immune dysregulation (PLAID), PLCG2-associated autoinflammatory, antibody deficiency and immune dysregulation (APLAID), or sideroblastic anemia with B-cell immunodeficiency, periodic fevers and developmental delay (SIFD). [0052] As used herein the phrase “an immune disease” means for example, auto-immune diseases, such as acute disseminated encephalitis, Addison's disease, ankylosing spondylitis, antiphospholipid antibody syndrome (APS), anti-synthetase syndrome, aplastic anemia, autoimmune adrenalitis, autoimmune hepatitis, autoimmune oophoritis, autoimmune polyglandular failure, autoimmune thyroiditis, Coeliac disease, Crohn's disease, type 1 diabetes (T1D), Goodpasture's syndrome, Graves' disease, Guillain-Barre syndrome (GBS), Hashimoto's disease, idiopathic thrombocytopenic purpura, Kawasaki's disease, lupus erythematosus including systemic lupus erythematosus (SLE), multiple sclerosis (MS) including primary progressive multiple sclerosis (PPMS), secondary progressive multiple sclerosis (SPMS) and relapsing remitting multiple sclerosis (RRMS), myasthenia gravis, opsoclonus myoclonus syndrome (OMS), optic neuritis, Ord's thyroiditis, pemphigus, pernicious anemia, polyarthritis, primary biliary cirrhosis, rheumatoid arthritis (RA), psoriatic arthritis, juvenile idiopathic arthritis or Still's disease, refractory gouty arthritis, Reiter's syndrome, Sjogren's syndrome, systemic sclerosis a systemic connective tissue disorder, Takayasu's arteritis, temporal arteritis, warm autoimmune hemolytic anemia, Wegener's granulomatosis, alopecia universalis, Beliefs disease, Chagas' disease, dysautonomia, endometriosis, hidradenitis suppurativa (HS), interstitial cystitis, neuromyotonia, psoriasis, sarcoidosis, scleroderma, ulcerative colitis, Schnitzler syndrome, macrophage activation syndrome, Blau syndrome, giant cell arteritis, vitiligo or vulvodynia. [0053] As used herein the phrase “cancer” means for example, lung cancer, renal cell carcinoma, non-small cell lung carcinoma (NSCLC), Langerhans cell histiocytosis (LCH), myeloproliferative neoplasm (MPN), pancreatic cancer, gastric cancer, myelodysplastic syndrome (MDS), leukemia including acute lymphocytic leukemia (ALL) and acute myeloid leukemia (AML), promyelocytic leukemia (APML, or APL), adrenal cancer, anal cancer, basal and squamous cell skin cancer, bile duct cancer, bladder cancer, bone cancer, brain and spinal cord tumors, breast cancer, cervical cancer, chronic lymphocytic leukemia (CLL), chronic myeloid leukemia (CML), chronic myelomonocytic leukemia (CMML), colorectal cancer, endometrial cancer, esophagus cancer, Ewing family of tumors, eye cancer, gallbladder cancer, gastrointestinal carcinoid tumors, gastrointestinal stromal tumor (GIST), gestational trophoblastic disease, glioma, Hodgkin lymphoma, Kaposi sarcoma, kidney cancer, laryngeal and hypopharyngeal cancer, liver cancer, lung carcinoid tumor, lymphoma including cutaneous T cell lymphoma, malignant mesothelioma, melanoma skin cancer, Merkel cell skin cancer, multiple myeloma, nasal cavity and paranasal sinuses cancer, nasopharyngeal cancer, neuroblastoma, non- Hodgkin lymphoma, non-small cell lung cancer, oral cavity and oropharyngeal cancer, osteosarcoma, ovarian cancer, penile cancer, pituitary tumors, prostate cancer, retinoblastoma, rhabdomyosarcoma, salivary gland cancer, skin cancer, small cell lung cancer, small intestine cancer, soft tissue sarcoma, stomach cancer, testicular cancer, thymus cancer, thyroid cancer including anaplastic thyroid cancer, uterine sarcoma, vaginal cancer, vulvar cancer, Waldenstrom macroglobulinemia, and Wilms tumor. [0054] As used herein the phrase “infections including viral infections” means for example, viral infections (e.g. from influenza virus, human immunodeficiency virus (HIV), alphavirus (such as Chikungunya and Ross River virus), flaviviruses (such as Dengue virus and Zika virus), herpes viruses (such as Epstein Barr Virus, cytomegalovirus, Varicella-zoster virus, and KSHV), poxviruses (such as vaccinia virus (Modified vaccinia virus Ankara) and Myxoma virus), adenoviruses (such as Adenovirus 5), or papillomavirus), bacterial infections (e.g. from Staphylococcus aureus, Helicobacter pylori, Bacillus anthracis, Bordetella pertussis, Burkholderia pseudomallei, Corynebacterium diphtheriae, Clostridium tetani, Clostridium botulinum, Streptococcus pneumoniae, Streptococcus pyogenes, Listeria monocytogenes, Hemophilus influenzae, Pasteurella multicida, Shigella dysenteriae, Mycobacterium tuberculosis, Mycobacterium leprae, Mycoplasma pneumoniae, Mycoplasma hominis, Neisseria meningitidis, Neisseria gonorrhoeae, Rickettsia, Legionella pneumophila, Klebsiella pneumoniae, Pseudomonas aeruginosa, Propionibacterium acnes, Treponema pallidum, Chlamydia trachomatis, Vibrio cholerae, Salmonella typhimurium, Salmonella typhi, Borrelia burgdorferi or Yersinia pestis), fungal infections (e.g. from Candida or Aspergillus species), protozoan infections (e.g. from Plasmodium, Babesia, Giardia, Entamoeba, Leishmania or Trypanosomes), helminth infections (e.g. from Schistosoma, roundworms, tapeworms or flukes), and prion infections. [0055] As used herein the phrase “central nervous system diseases” means for example, Parkinson's disease, Alzheimer's disease, Frontotemporal dementia, dementia, motor neuron disease, Huntington's disease, cerebral malaria, brain injury from pneumococcal meningitis, intracranial aneurysms, traumatic brain injury, multiple sclerosis, and amyotrophic lateral sclerosis. [0056] As used herein the phrase “neuroinflammation-related diseases” means for example, multiple sclerosis, brain infection, acute injury, neurodegenerative disease, Parkinson’s disease or Alzheimer’s disease. [0057] As used herein the phrase “neurodegenerative disease” means for example, Alzheimer’s disease, Parkinson’s disease, multiple sclerosis, or amyotrophic lateral sclerosis. [0058] In one embodiment, neurodegenerative diseases are characterized by deep involvement of cell mediating neuroinflammatory processes. [0059] As used herein the phrase “metabolic diseases” means for example, type 2 diabetes (T2D), atherosclerosis, obesity, gout, and pseudo-gout. [0060] As used herein the phrase “cardiovascular diseases” means for example, hypertension, ischemia, reperfusion injury including post-MI ischemic reperfusion injury, stroke including ischemic stroke, transient ischemic attack, myocardial infarction including recurrent myocardial infarction, heart failure including congestive heart failure and heart failure with preserved ejection fraction, embolism, aneurysms including abdominal aortic aneurysm, cardiovascular risk reduction (CvRR), and pericarditis including Dressler's syndrome. [0061] As used herein the phrase “respiratory diseases” means for example, chronic obstructive pulmonary disorder (COPD), asthma such as allergic asthma and steroid-resistant asthma, asbestosis, silicosis, nanoparticle induced inflammation, cystic fibrosis, and idiopathic pulmonary fibrosis. [0062] As used herein the phrase “liver diseases” means for example, non-alcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH) including advanced fibrosis stages F3 and F4, alcoholic fatty liver disease (AFLD), and alcoholic steatohepatitis (ASH). [0063] As used herein the phrase “renal diseases” means for example, acute kidney disease, hyperoxaluria, chronic kidney disease, oxalate nephropathy, nephrocalcinosis, glomerulonephritis, and diabetic nephropathy; [0064] As used herein the phrase “ocular diseases” means for example, diseases of the ocular epithelium, age-related macular degeneration (AMD) (dry and wet), uveitis, corneal infection, diabetic retinopathy, optic nerve damage, dry eye, and glaucoma. [0065] As used herein the phrase “skin diseases” means for example, dermatitis such as contact dermatitis and atopic dermatitis, contact hypersensitivity, sunburn, skin lesions, hidradenitis suppurativa (HS), other cyst-causing skin diseases, and acne conglobate. [0066] As used herein the phrase “psychological diseases” means for example, depression, and psychological stress. [0067] As used herein the phrase “blood diseases” means for example, sickle cell disease. [0068] As used herein, the term “administration” refers to providing a compound, or a pharmaceutical composition comprising the compound as described herein. The compound or composition can be administered by another person to the subject or it can be self-administered by the subject. Non-limiting examples of routes of administration are oral, parenteral (e.g., intravenous), or topical. [0069] As used herein, the term “treatment” refers to an intervention that ameliorates a sign or symptom of a disease or pathological condition. As used herein, the terms “treatment”, “treat” and “treating,” with reference to a disease, pathological condition or symptom, also refers to any observable beneficial effect of the treatment. The beneficial effect can be evidenced, for example, by a delayed onset of clinical symptoms of the disease in a susceptible subject, a reduction in severity of some or all clinical symptoms of the disease, a slower progression of the disease, a reduction in the number of relapses of the disease, an improvement in the overall health or well-being of the subject, or by other parameters well known in the art that are specific to the particular disease. A prophylactic treatment is a treatment administered to a subject who does not exhibit signs of a disease or exhibits only early signs, for the purpose of decreasing the risk of developing pathology. A therapeutic treatment is a treatment administered to a subject after signs and symptoms of the disease have developed. [0070] As used herein, the term “subject” refers to an animal (e.g., a mammal, such as a human). A subject to be treated according to the methods described herein may be one who has been diagnosed with a NLRP3 inflammasome dependent condition, such as inflammation, an inflammatory disease, an immune disease, cancer, infections including viral infections; central nervous system diseases, metabolic diseases, cardiovascular diseases, respiratory diseases, liver diseases, renal diseases, ocular diseases, skin diseases, psychological diseases or blood diseases. [0071] Diagnosis may be performed by any method or technique known in the art. One skilled in the art will understand that a subject to be treated according to the present disclosure may have been subjected to standard tests or may have been identified, without examination, as one at risk due to the presence of one or more risk factors associated with the disease or condition. The term “patient” may be used interchangeably with the term “subject.” A subject may refer to an adult or pediatric subject. Compounds [0072] As detailed above, the present disclosure provides compounds showing significant activity as NLRP3 inflammasome antagonists (i.e., as NLRP3 inflammasome inhibitors). Accordingly, some embodiments a compound is provided having structure (A′):
Figure imgf000015_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; ring A is pyrrolidinyl, piperazinyl, morpholinyl, imidazolidinyl, oxazolidinyl, pyrazolyl, piperidinyl, phenyl, or R1 is aminylalkyl
Figure imgf000016_0001
R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are each independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0073] In additional embodiments, a compound is provided having structure (A):
Figure imgf000016_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; ring A is or R1 is aminylalkyl
Figure imgf000016_0003
R2, R3, R4, and R5 are each independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0074] In some embodiments a compound is provided having structure (I):
Figure imgf000017_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; ring A is phenyl or R1 is aminylalkyl
Figure imgf000017_0002
R2, R3, R4, and R5 are each independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0075] In additional embodiments, a compound is provided having structure (Ii):
Figure imgf000017_0003
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0076] In additional embodiments, a compound is provided having structure (Iii): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0077] In additional embodiments, a compound is provided having structure (Iiii):
Figure imgf000018_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0078] In other embodiments, a compound is provided having structure (II):
Figure imgf000018_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; either (1) x1, x2, and x3 are each independently =CH− or =CR2−, or (2) one of x1, x2 and x3 is =N− and the other two are each independently =CH− or =CR2−; ring A is phenyl or pyridinyl; R1 is aminylalkyl
Figure imgf000018_0003
R2, R3, R4, and R5 are each independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0079] In additional embodiments, a compound is provided having structure (IIi):
Figure imgf000019_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0080] In additional embodiments, a compound is provided having structure (IIii):
Figure imgf000019_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0081] In additional embodiments, a compound is provided having structure (IIiii):
Figure imgf000019_0003
(IIiii) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0082] In other embodiments, a compound is provided having structure (IIa):
Figure imgf000019_0004
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; either (1) x1, x2, and x3 are each independently =CH− or =CR2−, or (2) one of x1, x2 and x3 is =N− and the other two are each independently =CH− or =CR2−; each R2, R3, R4, and R5 are independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0083] In additional embodiments, a compound is provided having structure (IIa′):
Figure imgf000020_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0084] In further embodiments, a compound is provided having structure (IIa″):
Figure imgf000020_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0085] In some embodiments, a compound is provided having structure (IIb):
Figure imgf000020_0003
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; either (1) x1, x2, and x3 are each independently =CH− or =CR2−, or (2) one of x1, x2 and x3 is =N− and the other two are each independently =CH− or =CR2−; Ra is H or alkyl; each R2, R3, and R4 are independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl or cycloalkyl; Ak is alkyl; n is 0-5; p is 0-3; and y is 0-5. [0086] In other embodiments, a compound is provided having structure (III):
Figure imgf000021_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; either (1) x1, x2, and x3 are each independently =CH− or =CR2−, or (2) one of x1, x2 and x3 is =N− and the other two are each independently =CH− or =CR2−; ring A is phenyl or R1 is aminylalkyl
Figure imgf000021_0002
R2, R3, R4, and R5 are each independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0087] In additional embodiments, a compound is provided having structure (IIIi):
Figure imgf000022_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0088] In additional embodiments, a compound is provided having structure (IIIii):
Figure imgf000022_0002
(IIIii) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0089] In additional embodiments, a compound is provided having structure (IIIiii):
Figure imgf000022_0003
(IIIiii) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0090] In additional embodiments, a compound is provided having structure (IIIa):
Figure imgf000022_0004
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; either (1) x1, x2, and x3 are each independently =CH− or =CR2−, or (2) one of x1, x2 and x3 is =N− and the other two are each independently =CH− or =CR2−; each R2, R3, R4, and R5 are independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0091] In further embodiments, a compound is provided having structure (IIIa′):
Figure imgf000023_0001
(IIIa′) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0092] In further embodiments, a compound is provided having structure (IIIa″):
Figure imgf000023_0002
(IIIa″) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0093] In yet other embodiments, a compound is provided having structure (IIIb):
Figure imgf000023_0003
(IIIb) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; either (1) x1, x2, and x3 are each independently =CH− or =CR2−, or (2) one of x1, x2 and x3 is =N− and the other two are each independently =CH− or =CR2−; Ra is H or alkyl; each R2, R3, and R4 are independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl or cycloalkyl; Ak is alkyl; n is 0-5; p is 0-3; and y is 0-5. [0094] In other embodiments, a compound is provided having structure (IV):
Figure imgf000024_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; either (1) x1, x2, and x3 are each independently =CH− or =CR2−, or (2) one of x1, x2 and x3 is =N− and the other two are each independently =CH− or =CR2−; ring A is phenyl or pyridinyl; R1 is aminylalkyl
Figure imgf000024_0002
R2, R3, R4, and R5 are each independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0095] In additional embodiments, a compound is provided having structure (IVi):
Figure imgf000025_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0096] In additional embodiments, a compound is provided having structure (IVii):
Figure imgf000025_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0097] In additional embodiments, a compound is provided having structure (IViii):
Figure imgf000025_0003
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0098] In additional embodiments, a compound is provided having structure (IVa):
Figure imgf000025_0004
(IVa) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; either (1) x1, x2, and x3 are each independently =CH− or =CR2−, or (2) one of x1, x2 and x3 is =N− and the other two are each independently =CH− or =CR2−; each R2, R3, R4, and R5 are independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0099] In further embodiments, a compound is provided having structure (IVa′):
Figure imgf000026_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0100] In further embodiments, a compound is provided having structure (IVa″):
Figure imgf000026_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0101] In yet other embodiments, a compound is provided having structure (IVb): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; either (1) x1, x2, and x3 are each independently =CH− or =CR2−, or (2) one of x1, x2 and x3 is =N− and the other two are each independently =CH− or =CR2−; Ra is H or alkyl; each R2, R3, and R4 are independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl or cycloalkyl; Ak is alkyl; n is 0-5; p is 0-3; and y is 0-5. [0102] In other embodiments, a compound is provided having structure (V):
Figure imgf000027_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; either (1) x1, x2, and x3 are each independently =CH− or =CR2−, or (2) one of x1, x2 and x3 is =N− and the other two are each independently =CH− or =CR2−; ring A is phenyl or R1 is aminylalkyl
Figure imgf000027_0002
R2, R3, R4, and R5 are each independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0103] In additional embodiments, a compound is provided having structure (Vi):
Figure imgf000028_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0104] In additional embodiments, a compound is provided having structure (Vii):
Figure imgf000028_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0105] In additional embodiments, a compound is provided having structure (Viii):
Figure imgf000028_0003
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0106] In additional embodiments, a compound is provided having structure (Va): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; either (1) x1, x2, and x3 are each independently =CH− or =CR2−, or (2) one of x1, x2 and x3 is =N− and the other two are each independently =CH− or =CR2−; each R2, R3, R4, and R5 are independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0107] In further embodiments, a compound is provided having structure (Va′):
Figure imgf000029_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0108] In further embodiments, a compound is provided having structure (Va″):
Figure imgf000029_0002
(Va″) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0109] In yet other embodiments, a compound is provided having structure (Vb):
Figure imgf000030_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; either (1) x1, x2, and x3 are each independently =CH− or =CR2−, or (2) one of x1, x2 and x3 is =N− and the other two are each independently =CH− or =CR2−; Ra is H or alkyl; each R2, R3, and R4 are independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl or cycloalkyl; Ak is alkyl; n is 0-5; p is 0-3; and y is 0-5. [0110] In some embodiments a compound is provided having structure (VI):
Figure imgf000030_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; R1 is aminylalkyl
Figure imgf000030_0003
R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0111] In additional embodiments, a compound is provided having structure (VIi):
Figure imgf000031_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0112] In additional embodiments, a compound is provided having structure (VIii):
Figure imgf000031_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0113] In additional embodiments, a compound is provided having structure (VIiii):
Figure imgf000031_0003
(VIiii) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0114] In other embodiments, a compound is provided having structure (VI*a):
Figure imgf000032_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0115] In other embodiments, a compound is provided having structure (VI*a′):
Figure imgf000032_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0116] In additional embodiments, a compound is provided having structure (VI*a″):
Figure imgf000032_0003
(VI*a″) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0117] In further embodiments, a compound is provided having structure (VI*b):
Figure imgf000033_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; Ra is H or alkyl; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; Ak is alkyl; n is 0-5; p is 0-3; and y is 0-5. [0118] In some embodiments a compound is provided having structure (VII):
Figure imgf000033_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each =CH−, =CR4−, or =N−; R1 is aminylalkyl
Figure imgf000033_0003
R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0119] In additional embodiments, a compound is provided having structure (VIIi):
Figure imgf000034_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0120] In additional embodiments, a compound is provided having structure (VIIii):
Figure imgf000034_0002
(VIIii) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0121] In additional embodiments, a compound is provided having structure (VIIiii):
Figure imgf000034_0003
(VIIiii) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0122] In other embodiments, a compound is provided having structure (VII*a):
Figure imgf000035_0001
(VII*a) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0123] In other embodiments, a compound is provided having structure (VII*a′):
Figure imgf000035_0002
(VII*a′) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0124] In additional embodiments, a compound is provided having structure (VII*a″): (VII*a″) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0125] In further embodiments, a compound is provided having structure (VII*b):
Figure imgf000036_0001
(VII*b) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; Ra is H or alkyl; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; Ak is alkyl; n is 0-5; p is 0-3; and y is 0-5. [0126] In some embodiments a compound is provided having structure (VIII):
Figure imgf000036_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; R1 is aminylalkyl
Figure imgf000037_0001
R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0127] In additional embodiments, a compound is provided having structure (VIIIi):
Figure imgf000037_0002
(VIIIi) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0128] In additional embodiments, a compound is provided having structure (VIIIii):
Figure imgf000037_0003
(VIIIii) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0129] In additional embodiments, a compound is provided having structure (VIIIiii): (VIIIiii) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0130] In other embodiments, a compound is provided having structure (VIII*a):
Figure imgf000038_0001
(VIII*a) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0131] In other embodiments, a compound is provided having structure (VIII*a′):
Figure imgf000038_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0132] In additional embodiments, a compound is provided having structure (VIII*a″):
Figure imgf000039_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0133] In further embodiments, a compound is provided having structure (VIII*b):
Figure imgf000039_0002
(VIII*b) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; Ra is H or alkyl; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; Ak is alkyl; n is 0-5; p is 0-3; and y is 0-5. [0134] In some embodiments a compound is provided having structure (IX):
Figure imgf000039_0003
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each =CH−, =CR4−, or =N−; R1 is aminylalkyl
Figure imgf000040_0001
R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0135] In additional embodiments, a compound is provided having structure (IXi):
Figure imgf000040_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0136] In additional embodiments, a compound is provided having structure (IXii):
Figure imgf000040_0003
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0137] In additional embodiments, a compound is provided having structure (IXiii): (IXiii) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0138] In other embodiments, a compound is provided having structure (IX*a):
Figure imgf000041_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0139] In other embodiments, a compound is provided having structure (IX*a′):
Figure imgf000041_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0140] In additional embodiments, a compound is provided having structure (IX*a″):
Figure imgf000042_0001
(IX*a″) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0141] In further embodiments, a compound is provided having structure (IX*b):
Figure imgf000042_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; Ra is H or alkyl; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; Ak is alkyl; n is 0-5; p is 0-3; and y is 0-5. [0142] In some embodiments a compound is provided having structure (X):
Figure imgf000042_0003
(X) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each =CH−, =CR4−, or =N−; R1 is aminylalkyl
Figure imgf000043_0001
R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0143] In additional embodiments, a compound is provided having structure (Xi):
Figure imgf000043_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0144] In additional embodiments, a compound is provided having structure (Xii):
Figure imgf000043_0003
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0145] In additional embodiments, a compound is provided having structure (Xiii): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0146] In other embodiments, a compound is provided having structure (X*a):
Figure imgf000044_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0147] In other embodiments, a compound is provided having structure (X*a′):
Figure imgf000044_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0148] In additional embodiments, a compound is provided having structure (X*a″):
Figure imgf000045_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0149] In further embodiments, a compound is provided having structure (X*b):
Figure imgf000045_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; Ra is H or alkyl; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; Ak is alkyl; n is 0-5; p is 0-3; and y is 0-5. [0150] In some embodiments a compound is provided having structure (XI):
Figure imgf000045_0003
(XI) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each =CH−, =CR4−, or =N−; R1 is aminylalkyl
Figure imgf000046_0001
R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0151] In additional embodiments, a compound is provided having structure (XIi):
Figure imgf000046_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0152] In additional embodiments, a compound is provided having structure (XIii):
Figure imgf000046_0003
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0153] In additional embodiments, a compound is provided having structure (XIiii): (XIiii) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0154] In other embodiments, a compound is provided having structure (XI*a):
Figure imgf000047_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0155] In other embodiments, a compound is provided having structure (XI*a′):
Figure imgf000047_0002
(XI*a′) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0156] In additional embodiments, a compound is provided having structure (XI*a″):
Figure imgf000048_0001
(XI*a″) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0157] In further embodiments, a compound is provided having structure (XI*b):
Figure imgf000048_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; Ra is H or alkyl; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; Ak is alkyl; n is 0-5; p is 0-3; and y is 0-5. [0158] In some embodiments a compound is provided having structure (XII):
Figure imgf000048_0003
(XII) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each =CH−, =CR4−, or =N−; R1 is aminylalkyl
Figure imgf000049_0001
R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0159] In additional embodiments, a compound is provided having structure (XIIi):
Figure imgf000049_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0160] In additional embodiments, a compound is provided having structure (XIIii):
Figure imgf000049_0003
(XIIii) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0161] In additional embodiments, a compound is provided having structure (XIIiii): (XIIiii) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0162] In other embodiments, a compound is provided having structure (XII*a):
Figure imgf000050_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2. [0163] In other embodiments, a compound is provided having structure (XII*a′):
Figure imgf000050_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0164] In additional embodiments, a compound is provided having structure (XII*a″):
Figure imgf000051_0001
(XII*a″) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. [0165] In further embodiments, a compound is provided having structure (XII*b):
Figure imgf000051_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; Ra is H or alkyl; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; Ak is alkyl; n is 0-5; p is 0-3; and y is 0-5. [0166] In some embodiments, a compound is provided wherein ring A is phenyl. In other embodiments, a compound is provided wherein ring A is pyridyl. In certain embodiments, a compound is provided wherein ring A has one of the following structures:
Figure imgf000051_0003
[0167] In specific embodiments, a compound is provided wherein ring A has one of the following structures:
Figure imgf000052_0001
[0168] In additional specific embodiments, a compound is provided wherein ring A has one of the following structures:
Figure imgf000052_0002
[0169] In some embodiments, a compound is provided wherein R1 is aminylalkyl. In certain embodiments, a compound is provided specific embodiments, a compound is provided wherein R1 is
Figure imgf000052_0003
[0170] In some embodiments, a compound is provided wherein
Figure imgf000052_0004
some embodiments, a compound is wherein
Figure imgf000052_0005
some embodiments, a compound is wherein
Figure imgf000052_0006
some embodiments, a compound is provided wherein
Figure imgf000052_0007
[0171] In some embodiments, a compound is provided wherein R2 is halo. In certain embodiments, a compound is provided wherein R2 is F, Cl, Br, or I. In specific embodiments, a compound is provided wherein R2 is F or Cl. In specific embodiments, a compound is provided wherein R2 is F. In specific embodiments, a compound is provided wherein R2 is Cl. [0172] In some embodiments, a compound is provided wherein R2 is CN. [0173] In some embodiments, a compound is provided wherein R2 is OH. [0174] In some embodiments, a compound is provided wherein R2 is alkyl. In certain embodiments, a compound is provided wherein R2 is methyl, ethyl, n-propyl, isopropyl, n-butyl, sec-butyl, isobutyl, tert-butyl. In other embodiments, a compound is provided wherein R2 is methyl, ethyl, or isopropyl. In other embodiments, a compound is provided wherein R2 is methyl. In other embodiments, a compound is provided wherein R2 is ethyl. In other embodiments, a compound is provided wherein R2 is propyl. In yet other embodiments, a compound is provided wherein R2 is isopropyl. In additional embodiments, a compound is provided wherein R2 is n- butyl. In further embodiments, a compound is provided wherein R2 is sec-butyl. In some embodiments, a compound is provided wherein R2 is iso-butyl. In other embodiments, a compound is provided wherein R2 is tert-butyl. [0175] In some embodiments, a compound is provided wherein R2 is haloalkyl. In certain embodiments, a compound is provided wherein R2 is CHF2 or CF3. In certain embodiments, a compound is provided wherein R2 is CHF2. In certain embodiments, a compound is provided wherein R2 is CF3. [0176] In some embodiments, a compound is provided wherein R2 is alkoxy. In certain embodiments, a compound is provided wherein R2 is methoxy, ethoxy, propoxy, or isopropoxy. In certain embodiments, a compound is provided wherein R2 is methoxy. [0177] In some embodiments, a compound is provided wherein R2 is haloalkoxy. In certain embodiments, a compound is provided wherein R2 is OCHF2 or OCF3. In certain embodiments, a compound is provided wherein R2 is OCHF2. In certain embodiments, a compound is provided wherein R2 is OCF3. [0178] In some embodiments, a compound is wherein R2 is In certain embodiments, a compound is provided wherein R2 is
Figure imgf000053_0001
[0179] In some embodiments, a compound is provided wherein R2 is cycloalkyl. In specific embodiments, a compound is provided wherein R2 is C3-C8 cycloalkyl. In certain embodiments, a compound is provided wherein R2 is cyclopropyl, cyclobutyl, cyclopentyl, or cyclohexyl. In certain embodiments, a compound is provided wherein R2 is cyclopropyl or cyclobutyl. In certain embodiments, a compound is provided wherein R2 is cyclopropyl. [0180] In some embodiments, a compound is provided wherein R3 is halo. In certain embodiments, a compound is provided wherein R3 is F, Cl, Br, or I. In specific embodiments, a compound is provided wherein R3 is F or Cl. In specific embodiments, a compound is provided wherein R3 is F. In specific embodiments, a compound is provided wherein R3 is Cl. [0181] In some embodiments, a compound is provided wherein R3 is CN. [0182] In some embodiments, a compound is provided wherein R3 is OH. [0183] In some embodiments, a compound is provided wherein R3 is alkyl. In certain embodiments, a compound is provided wherein R3 is methyl, ethyl, n-propyl, isopropyl, n-butyl, sec-butyl, isobutyl, tert-butyl. In other embodiments, a compound is provided wherein R3 is methyl, ethyl, or isopropyl. In other embodiments, a compound is provided wherein R3 is methyl. In other embodiments, a compound is provided wherein R3 is ethyl. In other embodiments, a compound is provided wherein R3 is propyl. In yet other embodiments, a compound is provided wherein R3 is isopropyl. In additional embodiments, a compound is provided wherein R3 is n- butyl. In further embodiments, a compound is provided wherein R3 is sec-butyl. In some embodiments, a compound is provided wherein R3 is iso-butyl. In other embodiments, a compound is provided wherein R3 is tert-butyl. [0184] In some embodiments, a compound is provided wherein R3 is haloalkyl. In certain embodiments, a compound is provided wherein R3 is CHF2 or CF3. In certain embodiments, a compound is provided wherein R3 is CHF2. In certain embodiments, a compound is provided wherein R3 is CF3. [0185] In some embodiments, a compound is provided wherein R3 is alkoxy. In certain embodiments, a compound is provided wherein R3 is methoxy, ethoxy, propoxy, or isopropoxy. In certain embodiments, a compound is provided wherein R3 is methoxy. [0186] In some embodiments, a compound is provided wherein R3 is haloalkoxy. In certain embodiments, a compound is provided wherein R3 is OCHF2 or OCF3. In certain embodiments, a compound is provided wherein R3 is OCHF2. In certain embodiments, a compound is provided wherein R3 is OCF3. [0187] In some embodiments, a compound is wherein R3 is In certain embodiments, a compound is provided wherein R3 is
Figure imgf000054_0001
[0188] In some embodiments, a compound is provided wherein R3 is cycloalkyl. In specific embodiments, a compound is provided wherein R3 is C3-C8 cycloalkyl. In certain embodiments, a compound is provided wherein R3 is cyclopropyl, cyclobutyl, cyclopentyl, or cyclohexyl. In certain embodiments, a compound is provided wherein R3 is cyclopropyl or cyclobutyl. In certain embodiments, a compound is provided wherein R3 is cyclopropyl. [0189] In some embodiments, a compound is provided wherein R4 is halo. In certain embodiments, a compound is provided wherein R4 is F, Cl, Br, or I. In specific embodiments, a compound is provided wherein R4 is F or Cl. In specific embodiments, a compound is provided wherein R4 is F. In specific embodiments, a compound is provided wherein R4 is Cl. [0190] In some embodiments, a compound is provided wherein R4 is CN. [0191] In some embodiments, a compound is provided wherein R4 is OH. [0192] In some embodiments, a compound is provided wherein R4 is alkyl. In certain embodiments, a compound is provided wherein R4 is methyl, ethyl, n-propyl, isopropyl, n-butyl, sec-butyl, isobutyl, tert-butyl. In other embodiments, a compound is provided wherein R4 is methyl, ethyl, or isopropyl. In other embodiments, a compound is provided wherein R4 is methyl. In other embodiments, a compound is provided wherein R4 is ethyl. In other embodiments, a compound is provided wherein R4 is propyl. In yet other embodiments, a compound is provided wherein R4 is isopropyl. In additional embodiments, a compound is provided wherein R4 is n- butyl. In further embodiments, a compound is provided wherein R4 is sec-butyl. In some embodiments, a compound is provided wherein R4 is iso-butyl. In other embodiments, a compound is provided wherein R4 is tert-butyl. [0193] In some embodiments, a compound is provided wherein R4 is haloalkyl. In certain embodiments, a compound is provided wherein R4 is CHF2 or CF3. In certain embodiments, a compound is provided wherein R4 is CHF2. In certain embodiments, a compound is provided wherein R4 is CF3. [0194] In some embodiments, a compound is provided wherein R4 is alkoxy. In certain embodiments, a compound is provided wherein R4 is methoxy, ethoxy, propoxy, or isopropoxy. In certain embodiments, a compound is provided wherein R4 is methoxy. [0195] In some embodiments, a compound is provided wherein R4 is haloalkoxy. In certain embodiments, a compound is provided wherein R4 is OCHF2 or OCF3. In certain embodiments, a compound is provided wherein R4 is OCHF2. In certain embodiments, a compound is provided wherein R4 is OCF3. [0196] In some embodiments, a compound is wherein R4 is In certain embodiments, a compound is provided wherein R4 is
Figure imgf000055_0001
[0197] In some embodiments, a compound is provided wherein R4 is cycloalkyl. In specific embodiments, a compound is provided wherein R4 is C3-C8 cycloalkyl. In certain embodiments, a compound is provided wherein R4 is cyclopropyl, cyclobutyl, cyclopentyl, or cyclohexyl. In certain embodiments, a compound is provided wherein R4 is cyclopropyl or cyclobutyl. In certain embodiments, a compound is provided wherein R4 is cyclopropyl. [0198] In some embodiments, a compound is provided wherein R4 is halo, CN, OH, alkyl, or haloalkyl. In certain embodiments, a compound is provided wherein R4 is F, Cl, CN, OH, methyl, CHF2 or CF3. [0199] In some embodiments, a compound is provided wherein R4 along with the ring to which it is attached has one of the following structures:
Figure imgf000056_0001
[0200] In some embodiments, a compound is provided wherein R5 is halo. In certain embodiments, a compound is provided wherein R5 is F, Cl, Br, or I. In specific embodiments, a compound is provided wherein R5 is F or Cl. In specific embodiments, a compound is provided wherein R5 is F. In specific embodiments, a compound is provided wherein R5 is Cl. [0201] In some embodiments, a compound is provided wherein R5 is CN. [0202] In some embodiments, a compound is provided wherein R5 is OH. [0203] In some embodiments, a compound is provided wherein R5 is alkyl. In certain embodiments, a compound is provided wherein R5 is methyl, ethyl, n-propyl, isopropyl, n-butyl, sec-butyl, isobutyl, tert-butyl. In other embodiments, a compound is provided wherein R5 is methyl, ethyl, or isopropyl. In other embodiments, a compound is provided wherein R5 is methyl. In other embodiments, a compound is provided wherein R5 is ethyl. In other embodiments, a compound is provided wherein R5 is propyl. In yet other embodiments, a compound is provided wherein R5 is isopropyl. In additional embodiments, a compound is provided wherein R5 is n- butyl. In further embodiments, a compound is provided wherein R5 is sec-butyl. In some embodiments, a compound is provided wherein R5 is iso-butyl. In other embodiments, a compound is provided wherein R5 is tert-butyl. [0204] In some embodiments, a compound is provided wherein R5 is haloalkyl. In certain embodiments, a compound is provided wherein R5 is CHF2 or CF3. In certain embodiments, a compound is provided wherein R5 is CHF2. In certain embodiments, a compound is provided wherein R5 is CF3. [0205] In some embodiments, a compound is provided wherein R5 is alkoxy. In certain embodiments, a compound is provided wherein R5 is methoxy, ethoxy, propoxy, or isopropoxy. In certain embodiments, a compound is provided wherein R5 is methoxy. [0206] In some embodiments, a compound is provided wherein R5 is haloalkoxy. In certain embodiments, a compound is provided wherein R5 is OCHF2 or OCF3. In certain embodiments, a compound is provided wherein R5 is OCHF2. In certain embodiments, a compound is provided wherein R5 is OCF3. [0207] In some embodiments, a compound is wherein R5 is In certain embodiments, a compound is provided wherein R5 is
Figure imgf000057_0001
. [0208] In some embodiments, a compound is provided wherein R5 is cycloalkyl. In specific embodiments, a compound is provided wherein R5 is C3-C8 cycloalkyl. In certain embodiments, a compound is provided wherein R5 is cyclopropyl, cyclobutyl, cyclopentyl, or cyclohexyl. In certain embodiments, a compound is provided wherein R5 is cyclopropyl or cyclobutyl. In certain embodiments, a compound is provided wherein R5 is cyclopropyl. [0209] In some embodiments, a compound is provided wherein R6 is H. [0210] In some embodiments, a compound is provided wherein R6 is alkyl. In certain embodiments, a compound is provided wherein R6 is methyl, ethyl, n-propyl, isopropyl, n-butyl, sec-butyl, isobutyl, tert-butyl. In other embodiments, a compound is provided wherein R6 is methyl, ethyl, or isopropyl. In other embodiments, a compound is provided wherein R6 is methyl or ethyl. In other embodiments, a compound is provided wherein R6 is methyl. In other embodiments, a compound is provided wherein R6 is ethyl. In other embodiments, a compound is provided wherein R6 is propyl. In yet other embodiments, a compound is provided wherein R6 is isopropyl. In additional embodiments, a compound is provided wherein R6 is n-butyl. In further embodiments, a compound is provided wherein R6 is sec-butyl. In some embodiments, a compound is provided wherein R6 is iso-butyl. In other embodiments, a compound is provided wherein R6 is tert-butyl. [0211] In some embodiments, a compound is provided wherein R6 is alkyl substituted with one or more F. In certain embodiments, a compound is provided wherein R6 is -CH2CH2F. In other embodiments, a compound is provided wherein R6 is -CH2CHF2. In yet other embodiments, a compound is provided wherein R6 is -CH2CF3. In some embodiments, a compound is provided wherein R6 is alkyl substituted with one or more cycloalkyl. In certain embodiments, a compound is provided wherein R6 is
Figure imgf000057_0002
. In other embodiments, a compound is provided wherein R6 is alkyl substituted with one or more OH. In certain embodiments, a compound is provided wherein R6
Figure imgf000058_0001
. [0212] In some embodiments, a compound is provided wherein R6 is cycloalkyl. In specific embodiments, a compound is provided wherein R6 is C3-C8 cycloalkyl. In other embodiments, a compound is provided wherein R6 is cyclopropyl. In yet other embodiments, a compound is provided wherein R6 is cyclobutyl. In additional embodiments, a compound is provided wherein R6 is cyclopentyl. [0213] In some embodiments, a compound is provided wherein R7 is halo. In certain embodiments, a compound is provided wherein R7 is F, Cl, Br, or I. In specific embodiments, a compound is provided wherein R7 is F or Cl. In specific embodiments, a compound is provided wherein R7 is F. In specific embodiments, a compound is provided wherein R7 is Cl. [0214] In some embodiments, a compound is provided wherein R7 is OH. [0215] In some embodiments, a compound is provided wherein R7 is cycloalkyl. In specific embodiments, a compound is provided wherein R7 is C3-C8 cycloalkyl. In other embodiments, a compound is provided wherein R7 is cyclopropyl. In yet other embodiments, a compound is provided wherein R7 is cyclobutyl. In additional embodiments, a compound is provided wherein R7 is cyclopentyl. [0216] In some embodiments, a compound is provided wherein m is 0-6. In other embodiments, a compound is provided wherein m is 0-5. In other embodiments, a compound is provided wherein m is 0-4. In other embodiments, a compound is provided wherein m is 0-3. In other embodiments, a compound is provided wherein m is 0-2. In other embodiments, a compound is provided wherein m is 0-1. In other embodiments, a compound is provided wherein m is 1-3. In other embodiments, a compound is provided wherein m is 1-2. In certain embodiments, a compound is provided wherein m is 0. In certain embodiments, a compound is provided wherein m is 1. In certain embodiments, a compound is provided wherein m is 2. In certain embodiments, a compound is provided wherein m is 3. In certain embodiments, a compound is provided wherein m is 4. In certain embodiments, a compound is provided wherein m is 5. In other embodiments, a compound is provided wherein m is 6. [0217] In some embodiments, a compound is provided wherein n is 0-5. In other embodiments, a compound is provided wherein n is 0-4. In other embodiments, a compound is provided wherein n is 0-3. In other embodiments, a compound is provided wherein n is 1-3. In certain embodiments, a compound is provided wherein n is 0. In certain embodiments, a compound is provided wherein n is 1. In certain embodiments, a compound is provided wherein n is 2. In certain embodiments, a compound is provided wherein n is 3. In certain embodiments, a compound is provided wherein n is 4. In certain embodiments, a compound is provided wherein n is 5. [0218] In some embodiments, a compound is provided wherein p is 0-3. In other embodiments, a compound is provided wherein p is 0-2. In other embodiments, a compound is provided wherein p is 0-1. In certain embodiments, a compound is provided wherein p is 0. In certain embodiments, a compound is provided wherein p is 1. In certain embodiments, a compound is provided wherein p is 2. In certain embodiments, a compound is provided wherein p is 3. [0219] In some embodiments, a compound is provided wherein q is 0-2. In other embodiments, a compound is provided wherein q is 0-1. In other embodiments, a compound is provided wherein q is 1-2. In certain embodiments, a compound is provided wherein q is 0. In certain embodiments, a compound is provided wherein q is 1. In certain embodiments, a compound is provided wherein q is 2. [0220] In some embodiments, a compound is provided wherein y is 0-5. In other embodiments, a compound is provided wherein y is 0-4. In other embodiments, a compound is provided wherein y is 0-3. In other embodiments, a compound is provided wherein y is 0-2. In other embodiments, a compound is provided wherein y is 0-1. In other embodiments, a compound is provided wherein y is 1-3. In certain embodiments, a compound is provided wherein y is 0. In certain embodiments, a compound is provided wherein y is 1. In certain embodiments, a compound is provided wherein y is 2. In certain embodiments, a compound is provided wherein y is 3. In certain embodiments, a compound is provided wherein y is 4. In certain embodiments, a compound is provided wherein y is 5. [0221] In some embodiments, a compound is provided wherein x1, x2, and x3 are each independently =CH− or =CR2−. In other embodiments, a compound is provided wherein one of x1, x2 and x3 is =N− and the other two are each independently =CH− or =CR2−. In additional embodiments, a compound is provided wherein x1, x2, and x3 are each independently =CH−. In some embodiments of the above, a compound is provided wherein the R2 in =CR2− is as described elsewhere in the application. In some embodiments of the above, a compound is provided wherein the R2 in =CR2− is alkyl. In some embodiments of the above, a compound is provided wherein the R2 in =CR2− is methyl, ethyl, n-propyl, isopropyl, n-butyl, sec-butyl, isobutyl, tert-butyl. In other embodiments, a compound is provided wherein the R2 in =CR2− is methyl, ethyl, or isopropyl. In other embodiments, a compound is provided wherein the R2 in =CR2− is methyl or ethyl. In other embodiments, a compound is provided wherein the R2 in =CR2− is methyl. In other embodiments, a compound is provided wherein the R2 in =CR2− is ethyl. [0222] In some embodiments, a compound is provided wherein Ra is H. [0223] In some embodiments, a compound is provided wherein Ra is H and Ak is methyl. [0224] In some embodiments, a compound is provided wherein Ra is alkyl. In certain embodiments, a compound is provided wherein Ra is methyl, ethyl, n-propyl, isopropyl, n-butyl, sec-butyl, isobutyl, tert-butyl. In other embodiments, a compound is provided wherein Ra is methyl, ethyl, or isopropyl. In other embodiments, a compound is provided wherein Ra is methyl or ethyl. In other embodiments, a compound is provided wherein Ra is methyl. In other embodiments, a compound is provided wherein Ra is ethyl. In other embodiments, a compound is provided wherein Ra is propyl. In yet other embodiments, a compound is provided wherein Ra is isopropyl. In additional embodiments, a compound is provided wherein Ra is n-butyl. In further embodiments, a compound is provided wherein Ra is sec-butyl. In some embodiments, a compound is provided wherein Ra is iso-butyl. In other embodiments, a compound is provided wherein Ra is tert-butyl. [0225] In some embodiments, a compound is provided wherein Z1 is =CH− and Z2 is =CH−. In other embodiments, a compound is provided wherein Z1 is =CH− and Z2 is =CR4−. In additional embodiments, a compound is provided wherein Z1 is =CR4− and Z2 is =CH−. In further embodiments, a compound is provided wherein Z1 is =CR4− and Z2 is =CR4−. In yet other embodiments, a compound is provided wherein Z1 is =N− and Z2 is =CR4−. In some embodiments, a compound is provided wherein Z1 is =CR4−and Z2 is =N−. In other embodiments, a compound is provided wherein Z1 is =N− and Z2 is =CH−. In additional embodiments, a compound is provided wherein Z1 is =CH−and Z2 is =N−. In some embodiments of the above, a compound is provided wherein the R4 in =CR4− is as described elsewhere in the application. [0226] In one embodiment, a compound is selected from one of the compounds listed in Table 1, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. TABLE 1
Figure imgf000061_0001
Figure imgf000062_0001
Figure imgf000063_0001
Figure imgf000064_0001
Figure imgf000065_0001
Figure imgf000066_0001
Figure imgf000067_0001
Figure imgf000068_0001
Figure imgf000069_0001
Figure imgf000070_0001
Figure imgf000071_0001
Figure imgf000072_0001
Figure imgf000073_0001
Figure imgf000074_0001
Figure imgf000075_0001
Figure imgf000076_0001
Figure imgf000077_0001
Figure imgf000078_0001
Figure imgf000079_0001
Figure imgf000080_0001
Figure imgf000081_0001
Figure imgf000082_0001
Figure imgf000083_0001
Figure imgf000084_0001
Figure imgf000085_0001
Figure imgf000086_0001
Figure imgf000087_0001
Figure imgf000088_0001
Figure imgf000089_0001
Figure imgf000090_0001
Figure imgf000091_0001
Figure imgf000092_0001
Figure imgf000093_0001
Figure imgf000094_0001
Figure imgf000095_0001
Figure imgf000096_0001
Figure imgf000097_0001
Figure imgf000098_0001
Figure imgf000099_0001
Figure imgf000100_0001
Figure imgf000101_0001
Figure imgf000102_0001
Figure imgf000103_0001
Figure imgf000104_0001
Figure imgf000105_0001
Figure imgf000106_0001
Figure imgf000107_0001
Figure imgf000108_0001
Figure imgf000109_0001
Figure imgf000110_0001
Figure imgf000111_0001
Figure imgf000112_0001
Figure imgf000113_0001
Figure imgf000114_0001
Figure imgf000115_0001
Figure imgf000116_0001
Figure imgf000117_0001
Figure imgf000118_0001
Figure imgf000119_0001
Figure imgf000120_0001
Figure imgf000121_0001
Figure imgf000122_0001
Figure imgf000123_0001
Figure imgf000124_0001
Figure imgf000125_0001
Figure imgf000126_0001
Figure imgf000127_0001
Figure imgf000128_0001
Figure imgf000129_0001
Figure imgf000130_0001
Figure imgf000131_0001
Figure imgf000132_0001
Figure imgf000133_0001
Figure imgf000134_0001
Figure imgf000135_0001
Figure imgf000136_0001
Figure imgf000137_0001
Methods of Treatment [0227] In some embodiments, the invention provides a method for treating an NLRP3 inflammasome dependent condition, wherein “treatment” refers to an intervention that ameliorates a sign or symptom of a disease or pathological condition. As used herein, the terms “treatment”, “treat” and “treating,” with reference to a disease, pathological condition or symptom, also refers to any observable beneficial effect of the treatment. The beneficial effect can be evidenced, for example, by a delayed onset of clinical symptoms of the disease in a susceptible subject, a reduction in severity of some or all clinical symptoms of the disease, a slower progression of the disease, a reduction in the number of relapses of the disease, an improvement in the overall health or well-being of the subject, or by other parameters well known in the art that are specific to the particular disease. A prophylactic treatment is a treatment administered to a subject who does not exhibit signs of a disease or exhibits only early signs, for the purpose of decreasing the risk of developing pathology. A therapeutic treatment is a treatment administered to a subject after signs and symptoms of the disease have developed. [0228] In some embodiments, the invention provides a method for treating an NLRP3 inflammasome dependent condition in a subject, wherein “subject” refers to an animal (e.g., a mammal, such as a human). A subject to be treated according to the methods described herein may be one who has been diagnosed with a NLRP3 inflammasome dependent condition, such as inflammation, an inflammatory disease, an immune disease, cancer, infections including viral infections; central nervous system diseases, metabolic diseases, cardiovascular diseases, respiratory diseases, liver diseases, renal diseases, ocular diseases, skin diseases, psychological diseases or blood diseases. [0229] Diagnosis may be performed by any method or technique known in the art. One skilled in the art will understand that a subject to be treated according to the present disclosure may have been subjected to standard tests or may have been identified, without examination, as one at risk due to the presence of one or more risk factors associated with the disease or condition. The term “patient” may be used interchangeably with the term “subject.” A subject may refer to an adult or pediatric subject. [0230] The route of administration can be any route which effectively transports the active compound of the invention to the appropriate or desired site of action, such as oral, nasal, pulmonary, buccal, subdermal, intradermal, transdermal, or parenteral, including intravenous, subcutaneous and/or intramuscular. In one embodiment, the route of administration is oral. In another embodiment, the route of administration is topical. [0231] Dosage forms can be administered once a day, or more than once a day, such as twice or thrice daily. Alternatively, dosage forms can be administered less frequently than daily, such as every other day, or weekly, if found to be advisable by a prescribing physician or drug’s prescribing information. Dosing regimens include, for example, dose titration to the extent necessary or useful for the indication to be treated, thus allowing the patient’s body to adapt to the treatment, to minimize or avoid unwanted side effects associated with the treatment, and/or to maximize the therapeutic effect of the present compounds. Other dosage forms include delayed or controlled-release forms. Suitable dosage regimens and/or forms include those set out, for example, in the latest edition of the Physicians' Desk Reference, incorporated herein by reference.  [0232] In one embodiment, the invention provides an oral pharmaceutical composition comprising a compound of a structure as described herein, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, together with at least one pharmaceutically acceptable oral carrier, diluent, or excipient. In another embodiment, the invention provides a topical pharmaceutical composition comprising a compound of a structure as described herein, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, together with at least one pharmaceutically acceptable topical carrier, diluent, or excipient. In another embodiment, the invention provides a parenteral pharmaceutical composition comprising a compound of a structure as described herein, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, together with at least one pharmaceutically acceptable topical carrier, diluent, or excipient. [0233] In some embodiments, the invention provides a method for treating an NLRP3 inflammasome dependent condition, wherein modulating NLRP3 provides a medical benefit to the patient or subject. [0234] In some embodiments, the NLRP3 inflammasome dependent condition is inflammation, an inflammatory disease, an immune disease, cancer, infections including viral infections; central nervous system diseases, metabolic diseases, cardiovascular diseases, respiratory diseases, liver diseases, renal diseases, ocular diseases, skin diseases, psychological diseases or blood diseases. [0235] In one embodiment, the NLRP3 inflammasome dependent condition is neuroinflammation-related disorders or neurodegenerative diseases. [0236] In one embodiment, the invention provides a method for inhibiting NLRP3 inflammasome with an effective amount of a pharmaceutical composition as described herein. [0237] In another embodiment, the invention provides a method of treating a NLRP3 inflammasome dependent condition by administering to a subject in need thereof an effective amount of a pharmaceutical composition as described herein. In certain embodiments, the NLRP3 inflammasome dependent condition is a neuroinflammation-related disorder(s) or a neurodegenerative disease(s). [0238] In another embodiment, the invention provides a method of treating a NLRP3 inflammasome dependent condition including inflammation occurring as a result of an inflammatory disorder, e.g., an autoinflammatory disease, inflammation occurring as a symptom of a non-inflammatory disorder, inflammation occurring as a result of infection, or inflammation secondary to trauma, injury or autoimmunity. Examples of inflammation that may be treated or prevented include inflammatory responses occurring in connection with, or as a result of: (a) a skin condition such as contact hypersensitivity, bullous pemphigoid, sunburn, psoriasis, atopical dermatitis, contact dermatitis, allergic contact dermatitis, seborrhoetic dermatitis, lichen planus, scleroderma, pemphigus, epidermolysis bullosa, urticaria, erythemas, or alopecia; (b) a joint condition such as osteoarthritis, systemic juvenile idiopathic arthritis, adult- onset Still's disease, relapsing polychondritis, rheumatoid arthritis, juvenile chronic arthritis, crystal induced arthropathy (e.g., pseudo-gout, gout), or a seronegative spondyloarthropathy (e.g., ankylosing spondylitis, psoriatic arthritis or Reiter’s disease); (c) a muscular condition such as polymyositis or myasthenia gravis; (d) a gastrointestinal tract condition such as inflammatory bowel disease (including Crohn's disease and ulcerative colitis), gastric ulcer, coeliac disease, proctitis, pancrinesinopilic gastro-enteritis, mastocytosis, antiphospholipid syndrome, or a food-related allergy which may have effects remote from the gut (e.g., migraine, rhinitis or Iema); (e) a respiratory system condition such as chronic obstructive pulmonary disease (COPD), asthma (including bronchial, allergic, intrinsic, extrinsic or dust asthma, and particularly chronic or inveterate asthma, such as late asthma and airways hyper-responsiveness), bronchitis, rhinitis (including acute rhinitis, allergic rhinitis, atrophic rhinitis, chronic rhinitis, rhinitis caseosa, hypertrophic rhinitis, rhinitis pumlenta, rhinitis sicca, rhinitis medicamentosa, membranous rhinitis, seasonal rhinitis e.g. hay fever, and vasomotor rhinitis), sinusitis, idiopathic pulmonary fibrosis (IPF), sarcoidosis, farmer's lung, silicosis, asbestosis, adult respiratory distress syndrome, hypersensitivity pneumonitis, or idiopathic interstitial pneumonia; (f) a vascular condition such as atherosclerosis, Behcet's disease, vasculitides’ or Wegener's granulomatosis; (g) an immune condition, e.g., autoimmune condition, such as systemic lupus erythematosus (SLE), Sjogren's syndrome, systemic sclerosis, Hashimoto's thyroiditis, type I diabetes, idiopathic thrombocytopenia purpura, or Graves disease; (h) an ocular condition such as uveitis, allergic conjunctivitis, or vernal conjunctivitis; (i) a nervous system condition such as multiple sclerosis or encephalomyelitis; (j) an infection or infection-related condition, such as Acquired Immunodeficiency Syndrome (AIDS), acute or chronic bacterial infection, acute or chronic parasitic infection, acute or chronic viral infection, acute or chronic fungal infection, meningitis, hepatitis (A, B or C, or other viral hepatitis), peritonitis, pneumonia, epiglottitis, malaria, dengue hemorrhagic fever, leishmaniasis, streptococcal myositis, Mycobacterium tuberculosis, Mycobacterium avium intracellulare, Pneumocystis carinii pneumonia, orchitis/epidydimitis, legionella, Lyme disease, Epstein Barr virus, viral encephalitis/aseptic meningitis, or pelvic inflammatory disease; (k) a renal condition such as mesangial proliferative glomerulonephritis, nephrotic syndrome, nephritis, glomerular nephritis, acute renal failure, uremia, or nephritic syndrome; (l) a lymphatic condition such as Castleman's disease; (m) a condition of, or involving, the immune system, such as hyper IgE syndrome, lepromatous leprosy, familial hemophagocytic lymphohistiocytosis, or graft versus host disease; (n) a hepatic condition such as chronic active hepatitis, non-alcoholic steatohepatitis (NASH), alcohol-induced hepatitis, non-alcoholic fatty liver disease (NAFLD), alcoholic fatty liver disease (AFLD), alcoholic steatohepatitis (ASH) or primary biliary cirrhosis; (o) a cancer, including those cancers listed herein below; (p) a burn, wound, trauma, haemorrhage or stroke; (q) radiation exposure; and/or (r) obesity; (s) pain such as inflammatory hyperalgesia; and/or (t) neurodegenerative disorders, such as Alzheimer’s disease, Parkinson’s disease, multiple sclerosis, or amyotrophic lateral sclerosis. [0239] In another embodiment, the invention provides a method of treating a NLRP3 inflammasome dependent condition such as an inflammatory disease. For example, inflammation occurring as a result of an inflammatory disorder, e.g. an autoinflammatory disease, such as cryopyrin-associated periodic syndromes (CAPS), Muckle-Wells syndrome (MWS), familial cold autoinflammatory syndrome (FCAS), familial Mediterranean fever (FMF), neonatal onset multisystem inflammatory disease (NOMID), Majeed syndrome, pyogenic arthritis, pyoderma gangrenosum and acne syndrome (PAPA), adult-onset Still's disease (AOSD), haploinsufficiency of A20 (HA20), pediatric granulomatous arthritis (PGA), PLCG2-associated antibody deficiency and immune dysregulation (PLAID), PLCG2-associated autoinflammatory, antibody deficiency and immune dysregulation (APLAID), or sideroblastic anaemia with B-cell immunodeficiency, periodic fevers and developmental delay (SIFD). [0240] In another embodiment, the invention provides a method of treating a NLRP3 inflammasome dependent condition such as an immune disease. For example, auto-immune diseases, such as acute disseminated encephalitis, Addison's disease, ankylosing spondylitis, antiphospholipid antibody syndrome (APS), anti-synthetase syndrome, aplastic anemia, autoimmune adrenalitis, autoimmune hepatitis, autoimmune oophoritis, autoimmune polyglandular failure, autoimmune thyroiditis, Coeliac’disease, Crohn's disease, type 1 diabetes (T1’), Goodpasture's syndrome, Graves' disease, Guillain-Barre syndrome (GBS), Hashimoto's disease, idiopathic thrombocytopenic purpura, Kawasaki's disease, lupus erythematosus including systemic lupus erythematosus (SLE), multiple sclerosis (MS) including primary progressive multiple sclerosis (PPMS), secondary progressive multiple sclerosis (SPMS) and relapsing remitting multiple sclerosis (RRMS), myasthenia gravis, opsoclonus myoclonus syndrome (OMS), optic neuritis, Ord's thyroiditis, pemphigus, pernicious anaemia, polyarthritis, primary biliary cirrhosis, rheumatoid arthritis (RA), psoriatic arthritis, juvenile idiopathic arthritis or Still's disease, refractory gouty arthritis, Reiter's syndrome, Sjogren's syndrome, systemic sclerosis a systemic connective tissue disorder, Takayasu's arteritis, temporal arteritis, warm autoimmune hemolytic ’anemia, Wegener's granulomatosis, alopecia universalis, Beliefs ’disease, Chagas' disease, dysautonomia, endometriosis, hidradenitis suppurativa (HS), interstitial cystitis, neuromyotonia, psoriasis, sarcoidosis, scleroderma, ulcerative colitis, Schnitzler syndrome, macrophage activation syndrome, Blau syndrome, giant cell arteritis, vitiligo or vulvodynia. [0241] In another embodiment, the invention provides a method of treating a NLRP3 inflammasome dependent condition such as cancer. For example, lung cancer, renal cell carcinoma, non-small cell lung carcinoma (NSCLC), Langerhans cell histiocytosis (LCH), myelo proliferative neoplasm (MPN), pancreatic cancer, gastric cancer, myelodysplastic syndrome (MDS), leukaemia including acute lymphocytic leukaemia (ALL) and acute myeloid leukaemia (AML), promyelocytic leukemia (APML, or APL), adrenal cancer, anal cancer, basal and squamous cell skin cancer, bile duct cancer, bladder cancer, bone cancer, brain and spinal cord tumours, breast cancer, cervical cancer, chronic lymphocytic leukaemia (CLL), chronic myeloid leukaemia (CML), chronic myelomonocytic leukaemia (CMML), colorectal cancer, endometrial cancer, oesophagus cancer, Ewing family of tumours, eye cancer, gallbladder cancer, gastrointestinal carcinoid tumours, gastrointestinal stromal tumour (GIST), gestational trophoblastic disease, glioma, Hodgkin lymphoma, Kaposi sarcoma, kidney cancer, laryngeal and hypopharyngeal cancer, liver cancer, lung carcinoid tumour, lymphoma including cutaneous T cell lymphoma, malignant mesothelioma, melanoma skin cancer, Merkel cell skin cancer, multiple myeloma, nasal cavity and paranasal sinuses cancer, nasopharyngeal cancer, neuroblastoma, non-Hodgkin lymphoma, non-small cell lung cancer, oral cavity and oropharyngeal cancer, osteosarcoma, ovarian cancer, penile cancer, pituitary tumours, prostate cancer, retinoblastoma, rhabdomyosarcoma, salivary gland cancer, skin cancer, small cell lung cancer, small intestine cancer, soft tissue sarcoma, stomach cancer, testicular cancer, thymus cancer, thyroid cancer including anaplastic thyroid cancer, uterine sarcoma, vaginal cancer, vulvar cancer, Waldenstrom macroglobulinemia, and Wilms tumour. [0242] In another embodiment, the invention provides a method of treating a NLRP3 inflammasome dependent condition such as an infection, including viral infections. For example, viral infections (e.g. from influenza virus, human immunodeficiency virus (HIV), alphavirus (such as Chikungunya and Ross River virus), flaviviruses (such as Dengue virus and Zika virus), herpes viruses (such as Epstein Barr Virus, cytomegalovirus, Varicella-zoster virus, and KSHV), poxyiruses (such as vaccinia virus (Modified vaccinia virus Ankara) and Myxoma virus), adenoviruses (such as Adenovirus 5), or papillomavirus), bacterial infections (e.g. from Staphylococcus aureus, Helicobacter pylori, Bacillus anthracis, Bordatella pertussis, Burkholderia pseudomallei, Corynebacterium diptheriae, Clostridium tetani, Clostridium botulinum, Streptococcus pneumoniae, Streptococcus pyogenes, Listeria monocytogenes, Hemophilus influenza pasteurella multicida, Shigella dysenteriae, Mycobacterium tuberculosis, Mycobacterium leprae, Mycoplasma pneumoniae, Mycoplasma hominis, Neisseria meningitidis, Neisseria gonorrhoeae, Rickettsia rickettsii, Legionella pneumophila, Klebsiella pneumoniae, Pseudomonas aeruginosa, Propionibacterium acnes, Treponema pallidum, Chlamydia trachomatis, Vibrio cholerae, Salmonella typhimurium, Salmonella typhi, Borrelia burgdorferi or Yersinia pestis), fungal infections (e.g. from Candida or Aspergillus species), protozoan infections (e.g. from Plasmodium, Babesia, Giardia, Entamoeba, Leishmania or Trypanosomes), helminth infections (e.g. from schistosoma, roundworms, tapeworms or flukes), and prion infections. [0243] In another embodiment, the invention provides a method of treating a NLRP3 inflammasome dependent condition such as a central nervous system disease. For example, Parkinson's disease, Alzheimer's disease, Frontotemporal dementia, dementia, motor neuron disease, Huntington's disease, cerebral malaria, brain injury from pneumococcal meningitis, intracranial aneurysms, traumatic brain injury, multiple sclerosis, and amyotrophic lateral sclerosis. [0244] In another embodiment, the invention provides a method of treating a NLRP3 inflammasome dependent condition such as a neuroinflammation-related disease. For example, multiple sclerosis, brain infection, acute injury, neurodegenerative disease, Parkinson’s disease or Alzheimer’s disease. [0245] In another embodiment, the invention provides a method of treating a NLRP3 inflammasome dependent condition such as a neurodegenerative disease. For example, Alzheimer’s disease, Parkinson’s disease, multiple sclerosis, or amyotrophic lateral sclerosis. [0246] In one embodiment, neurodegenerative diseases are characterized by deep involvement of cell mediating neuroinflammatory processes. [0247] In another embodiment, the invention provides a method of treating a NLRP3 inflammasome dependent condition such as a metabolic disease. For example, type 2 diabetes (T2D), atherosclerosis, obesity, gout, and pseudo-gout. [0248] In another embodiment, the invention provides a method of treating a NLRP3 inflammasome dependent condition such as a cardiovascular disease. For example, hypertension, ischaemia, reperfusion injury including post-MI ischemic reperfusion injury, stroke including ischemic stroke, transient ischemic attack, myocardial infarction including recurrent myocardial infarction, heart failure including congestive heart failure and heart failure with preserved ejection fraction, embolism, aneurysms including abdominal aortic aneurysm, cardiovascular risk reduction (CvRR), and pericarditis including Dressler's syndrome. [0249] In another embodiment, the invention provides a method of treating a NLRP3 inflammasome dependent condition such as a respiratory disease. For example, chronic obstructive pulmonary disorder (COPD), asthma such as allergic asthma and steroid-resistant asthma, asbestosis, silicosis, nanoparticle induced inflammation, cystic fibrosis, and idiopathic pulmonary fibrosis. [0250] In another embodiment, the invention provides a method of treating a NLRP3 inflammasome dependent condition such as a liver disease. For example, non-alcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH) including advanced fibrosis stages F3 and F4, alcoholic fatty liver disease (AFLD), and alcoholic steatohepatitis (ASH). [0251] In another embodiment, the invention provides a method of treating a NLRP3 inflammasome dependent condition such as a renal disease. For example, acute kidney disease, hyperoxaluria, chronic kidney disease, oxalate nephropathy, nephrocalcinosis, glomerulonephritis, and diabetic nephropathy; [0252] In another embodiment, the invention provides a method of treating a NLRP3 inflammasome dependent condition such as an ocular disease. For example, diseases of the ocular epithelium, age-related macular degeneration (AMD) (dry and wet), uveitis, corneal infection, diabetic retinopathy, optic nerve damage, dry eye, and glaucoma. [0253] In another embodiment, the invention provides a method of treating a NLRP3 inflammasome dependent condition such as a skin disease. For example, dermatitis such as contact dermatitis and atopic dermatitis, contact hypersensitivity, sunburn, skin lesions, hidradenitis suppurativa (HS), other cyst-causing skin diseases, and acne conglobate. [0254] In another embodiment, the invention provides a method of treating a NLRP3 inflammasome dependent condition such as a psychological disease. For example, depression, and psychological stress. [0255] In another embodiment, the invention provides a method of treating a NLRP3 inflammasome dependent condition such as a blood disease. For example, sickle cell disease. Pharmaceutical Compositions [0256] In certain embodiments, the invention provides a pharmaceutical composition comprising a compound of structure (I), or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, together with at least one pharmaceutically acceptable carrier, diluent, or excipient. In certain embodiments, the invention provides a pharmaceutical composition comprising a compound of structure (I), or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, together with at least one pharmaceutically acceptable excipient. For example, the active compound will usually be mixed with a carrier, or diluted by a carrier, or enclosed within a carrier which can be in the form of an ampoule, capsule, sachet, paper, or other container. When the active compound is mixed with a carrier, or when the carrier serves as a diluent, it can be solid, semi-solid, or liquid material that acts as a vehicle, excipient, or medium for the active compound. The active compound can be adsorbed on a granular solid carrier, for example contained in a sachet. Some examples of suitable carriers are water, salt solutions, alcohols, polyethylene glycols, polyhydroxy ethoxylated castor oil, peanut oil, olive oil, gelatin, lactose, terra alba, sucrose, dextrin, magnesium carbonate, sugar, cyclodextrin, amylose, magnesium stearate, talc, gelatin, agar, pectin, acacia, stearic acid, or lower alkyl ethers of cellulose, silicic acid, fatty acids, fatty acid amines, fatty acid monoglycerides and diglycerides, pentaerythritol fatty acid esters, polyoxymethylene, hydroxymethylcellulose, and polyvinylpyrrolidone. Similarly, the carrier or diluent can include any sustained release material known in the art, such as glyceryl monostearate or glyceryl distearate, alone or mixed with a wax. [0257] As used herein, the term “pharmaceutical composition” refers to a composition containing one or more of the compounds described herein, or a pharmaceutically acceptable isomer, racemate, hydrate, solvate, isotope or salt thereof, formulated with a pharmaceutically acceptable carrier, which can also include other additives, and manufactured or sold with the approval of a governmental regulatory agency as part of a therapeutic regimen for the treatment of disease in a mammal. Pharmaceutical compositions can be formulated, for example, for oral administration in unit dosage form (e.g., a tablet, capsule, caplet, gelcap, or syrup); for topical administration (e.g., as a cream, gel, lotion, or ointment); for intravenous administration (e.g., as a sterile solution free of particulate emboli and in a solvent system suitable for intravenous use); for administration to a pediatric subject (e.g., solution, syrup, suspension, elixir, powder for reconstitution as suspension or solution, dispersible/effervescent tablet, chewable tablet, lollipop, freezer pops, troches, oral thin strips, orally disintegrating tablet, orally disintegrating strip, and sprinkle oral powder or granules); or in any other formulation described herein. Conventional procedures and ingredients for the selection and preparation of suitable formulations are described, for example, in Remington: The Science and Practice of Pharmacy, 21st Ed., Gennaro, Ed., Lippencott Williams & Wilkins (2005) and in The United States Pharmacopeia: The National Formulary (USP 36 NF31), published in 2013. [0258] In some embodiments, the pharmaceutical composition comprising a compound of structure (I) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, with at least one pharmaceutically acceptable carrier, diluent, or excipient further comprises a second therapeutic agent. [0259] As used herein, the term “pharmaceutically acceptable carrier” refers to any ingredient other than the disclosed compounds, or a pharmaceutically acceptable isomer, racemate, hydrate, solvate, isotope or salt thereof (e.g., a carrier capable of suspending or dissolving the active compound) and having the properties of being nontoxic and non- inflammatory in a patient. Excipients may include, for example: antiadherents, antioxidants, binders, coatings, compression aids, disintegrants, dyes (colors), emollients, emulsifiers, fillers (diluents), film formers or coatings, flavors, fragrances, glidants (flow enhancers), lubricants, preservatives, printing inks, sorbents, suspending or dispersing agents, sweeteners, or waters of hydration. Exemplary excipients include, but are not limited to: butylated hydroxytoluene (BHT), calcium carbonate, calcium phosphate (dibasic), calcium stearate, croscarmellose, crosslinked polyvinyl pyrrolidone, citric acid, crospovidone, cysteine, ethylcellulose, gelatin, hydroxypropyl cellulose, hydroxypropyl methylcellulose, lactose, magnesium stearate, maltitol, mannitol, methionine, methylcellulose, methyl paraben, microcrystalline cellulose, polyethylene glycol, polyvinyl pyrrolidone, povidone, pregelatinized starch, propyl paraben, retinyl palmitate, shellac, silicon dioxide, sodium carboxymethyl cellulose, sodium citrate, sodium starch glycolate, sorbitol, starch (corn), stearic acid, stearic acid, sucrose, talc, titanium dioxide, vitamin A, vitamin E, vitamin C, and xylitol. [0260] The formulations can be mixed with auxiliary agents which do not deleteriously react with the active compounds. Such additives can include wetting agents, emulsifying and suspending agents, salt for influencing osmotic pressure, buffers and/or coloring substances, preserving agents, sweetening agents, or flavoring agents. The compositions can also be sterilized if desired. [0261] The route of administration can be any route which effectively transports the active compound of the invention to the appropriate or desired site of action, such as oral, nasal, pulmonary, buccal, subdermal, intradermal, transdermal, or parenteral, including intravenous, subcutaneous and/or intramuscular. In one embodiment, the route of administration is oral. In another embodiment, the route of administration is topical. [0262] Dosage forms can be administered once a day, or more than once a day, such as twice or thrice daily. Alternatively, dosage forms can be administered less frequently than daily, such as every other day, or weekly, if found to be advisable by a prescribing physician or drug’s prescribing information. Dosing regimens include, for example, dose titration to the extent necessary or useful for the indication to be treated, thus allowing the patient’s body to adapt to the treatment, to minimize or avoid unwanted side effects associated with the treatment, and/or to maximize the therapeutic effect of the present compounds. Other dosage forms include delayed or controlled-release forms. Suitable dosage regimens and/or forms include those set out, for example, in the latest edition of the Physicians' Desk Reference, incorporated herein by reference.  [0263] In one embodiment, the invention provides an oral pharmaceutical composition comprising structure (I) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, together with at least one pharmaceutically acceptable oral carrier, diluent, or excipient. In another embodiment, the invention provides a topical pharmaceutical composition comprising a compound of structure (I) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, together with at least one pharmaceutically acceptable topical carrier, diluent, or excipient. [0264] In another embodiment, there are provided methods of making a composition of a compound described herein including formulating a compound of the invention with a pharmaceutically acceptable carrier or diluent. In some embodiments, the pharmaceutically acceptable carrier or diluent is suitable for oral administration. In some such embodiments, the methods can further include the step of formulating the composition into a tablet or capsule. In other embodiments, the pharmaceutically acceptable carrier or diluent is suitable for parenteral administration. In some such embodiments, the methods further include the step of lyophilizing the composition to form a lyophilized preparation. In some embodiments, the composition is formulated into a pediatric dosage form suitable for treating a pediatric subject. [0265] In certain embodiments, the invention provides a compound having structure (I) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof. Such compounds can be synthesized using standard synthetic techniques known to those skilled in the art. For example, compounds of the present invention can be synthesized using appropriately modified synthetic procedures set forth in the following Examples and Reaction Schemes. [0266] To this end, the reactions, processes, and synthetic methods described herein are not limited to the specific conditions described in the following experimental section, but rather are intended as a guide to one with suitable skill in this field. For example, reactions may be carried out in any suitable solvent, or other reagents to perform the transformation[s] necessary. Generally, suitable solvents are protic or aprotic solvents which are substantially non-reactive with the reactants, the intermediates or products at the temperatures at which the reactions are carried out (i.e., temperatures which may range from the freezing to boiling temperatures). A given reaction may be carried out in one solvent or a mixture of more than one solvent. Depending on the particular reaction, suitable solvents for a particular work-up following the reaction may be employed. [0267] All reagents, for which the synthesis is not described in the experimental part, are either commercially available, or are known compounds or may be formed from known compounds by known methods by a person skilled in the art. The compounds and intermediates produced according to the methods of the invention may require purification. Purification of organic compounds is well known to a person skilled in the art and there may be several ways of purifying the same compound. In some cases, no purification may be necessary. In some cases, the compounds may be purified by crystallization. In some cases, impurities may be stirred out using a suitable solvent. In some cases, the compounds may be purified by chromatography, particularly flash column chromatography, using purpose-made or prepacked silica gel cartridges and eluents such as gradients of solvents such as heptane, ether, ethyl acetate, acetonitrile, ethanol and the like. In some cases, the compounds may be purified by preparative HPLC using methods as described. [0268] Purification methods as described herein may provide compounds of the present invention which possess a sufficiently basic or acidic functionality in the form of a salt, such as, in the case of a compound of the present invention which is sufficiently basic, a trifluoroacetate or formate salt, or, in the case of a compound of the present invention, which is sufficiently acidic, an ammonium salt. A salt of this type can either be transformed into its free base or free acid form, respectively, by various methods known to a person skilled in the art or be used as salts in subsequent biological assays. It is to be understood that the specific form of a compound of the present invention as isolated and as described herein is not necessarily the only form in which said compound can be applied to a biological assay in order to quantify the specific biological activity. [0269] Chemical names were generated using the ChemDraw naming software (Version 22.0.0.22) by PerkinElmer Informatics, Inc. In some cases, generally accepted names of commercially available reagents were used in place of names generated by the naming software. EXAMPLES General Methods [0270] 1H NMR (400 MHz) spectra were obtained in solution of deuterochloroform (CDCl3), deuteromethanol (CD3OD) or hexadeuterodimethyl sulfoxide (DMSO-d6). High- performance liquid chromatography (HPLC) retention times, purities, and liquid chromatography-mass spectrometry (LCMS)were obtained using Shimadzu LCMS 2010 (Shim- pack XR-ODS 3.0*30 mm 2.2 μm) operating in ES (+) ionization mode. Flow Rate: 0.8 mL/min, Acquire Time: 3 min, Wavelength: UV220, Oven, Temperature: 50 °C. [0271] The following additional abbreviations are used: ethyl acetate (EtOAc), petroleum ether (PE), water (H2O), triethylamine (TEA), diethylamine (Et2NH), dimethylformamide (DMF), hydrochloric acid (HCl), methanol (MeOH), dimethyl sulfoxide (DMSO), trifluoroacetic acid (TFA), Bis(triphenylphosphine)palladium(II) dichloride (PdCl2(PPh3)2), 1,8- Diazabicyclo[5.4.0]undec-7-ene (DBU), tris(o-tolyl)phosphine (P(o-Tolyl)3), Palladium(II) chloride (PdCl2), [1,1′-bis(diphenylphosphino)ferrocene]dichloropalladium(II) (Pd(dppf)Cl2), Palladium on carbon (Pd/C), sodium sulfate (Na2SO4), sodium nitrite (NaNO2), sodium carbonate (Na2CO3), sodium bicarbonate (NaHCO3), ammonia (NH3), tetrahydrofuran (THF), dichloromethane (DCM), acetoniIle (MeCN or ACN), diatomaceous earth (brand name “Celite”), hour (h), proton nuclear magnetic resonance (1HNMR), formaldehyde (HCHO), acetic acid (AcOH), degree Celsius (°C), milligram (mg), gram (g), millimole (mmol), milliliter (mL), molar (M), potential of hydrogen (pH), sodium cyanoborohydride (NaBH3CN), preparative high- performance liquid chromatography (prep-HPLC), normal (N), ethanol (EtOH), SFC (supercritical fluid chromatography), MHz (megahertz), min (minute), % (percent), psi (pounds per square inch), mm (millimetre), μM (micrometer), μL (microliter), CO2 (carbon dioxide), DMEM (Dulbecco’s modified eagle medium), FBS (fetal bovine serum). General Scheme A
Figure imgf000150_0001
Figure imgf000150_0003
Figure imgf000150_0002
Figure imgf000150_0004
ıĴĹ General Scheme B
Figure imgf000151_0001
Figure imgf000151_0002
General Scheme C
Figure imgf000151_0003
General Scheme D
Figure imgf000152_0001
EXAMPLE 1 Synthesis of (S)-4-methyl-8-(1-methylpiperidin-3-yl)-3-(4-(trifluoromethyl)pheI)cinnoline and (R)-4-methyl-8-(1-methylpiperidin-3-yl)-3-(4-(trifluoromethyl)phenyl)cinnoline (Compound 1-1 I and Compound 1-1 (R))
Figure imgf000152_0002
[0272] Compounds 1-1 (S) and 1-1 (R) were made using the procedures of General Scheme A according to the steps below. Synthesis of 1-(prop-1-yn-1-yl)-4-(trifluoromethyl)benzene
Figure imgf000153_0001
Figure imgf000153_0003
Figure imgf000153_0002
  [0273] To a solution of 1-bromo-4-(trifluoromethyl)benzene (4 g, 17.8 mmol) in DMSO (30 mL) were added but-2-ynoic acid (1.79 g, 21.3 mmol), PdCl2(PPh3)2 (1.25 g, 1.78 mmol), 1,4-bis(diphenylphosphino)butane (1.52 g, 3.56 mmol) and DBU (8.12 g, 53.3 mmol). The resulting mixture was stirred at 110 ℃ for 2 h under nitrogen atmosphere. The mixture was poured into water (30 mL) and was extracted with DCM (3 x 30 mL). The organic layers were combined, dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure to afford the crude residue. The crude residue was purified by silica gel column chromatography (15 % EtOAc in PE) to afford desired product 1-prop-1-ynyl-4-(trifluoromethyl)benzene (1.5 g, 46 % yield) as a colorless oil. Synthesis of (Z)-1-(2-chloro-6-iodophenyl)-3,3-diethyltriaz-1-ene
Figure imgf000153_0004
[0274] To a solution of 2-chloro-6-iodoaniline (3.21 g, 12.7 mmol) in THF (10 mL), MeCN (10 mL) and water (12 mL) were added a 12 M solution of HCl in water (8.4 mL, 101 mmol) and NaNO2 (1.75 g, 25.3 mmol) in water (10 mL), dropwise, at -5 ℃ over a period of 0.2 h. The resulting mixture was stirred at -5 ℃ for 0.5 h under nitrogen atmosphere. To the mixture was then added Et2NH (5.55 g, 75.9 mmol). The mixture was stirred at 0 ℃ for 0.5 h under nitrogen atmosphere. The mixture was poured into water (150 mL), was neutralized with a saturated aqueous solution of NaHCO3 to pH~7, and was extracted with EtOAc (3 x 150 mL). The organic layers were combined, dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure to afford the crude residue. The crude residue purified by silica gel column chromatography (15 % EtOAc in PE) to afford desired product (Z)-1-(2-chloro-6- iodophenyl)-3,3-diethyltriaz-1-ene (3.1 g, 73 % yield) as yellow oil. Synthesis of 8-chloro-4-methyl-3-(4-(trifluoromethyl)phenyl)cinnoline
Figure imgf000154_0001
[0275] To a solution of 1-(prop-1-yn-1-yl)-4-(trifluoromethyl)benzene (2.29 g, 12.4 mmol) in DMF (10 mL) were added (Z)-1-(2-chloro-6-iodophenyl)-3,3-diethyltriaz-1-ene (1.4 g, 4.15 mmol), PdCl2 (70 mg, 0.42 mmol), P(o-Tolyl)3 (250 mg, 0.825 mmol) and TEA (839 mg, 8.29 mmol). The resulting mixture was stirred at 90 °C for 14 h under nitrogen atmosphere. The mixture was then poured into water (30 mL) and was extracted with EtOAc (3 x 30 mL). The organic layers were combined, dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure to afford the crude residue. The crude residue was purified by silica gel column chromatography (15 % EtOAc in PE) to afford desired product 8-chloro-4-methyl-3-(4- (trifluoromethyl)phenyl)cinnoline (479 mg, 36 % yield) as a yellow solid. Synthesis of tert-butyl 5-(4-methyl-3-(4-(trifluoromethyl)phenyl)cinnolin-8-yl)-3,6- dihydropyridine-1(2H)-carboxylate
Figure imgf000154_0002
[0276] To a solution of 8-chloro-4-methyl-3-(4-(trifluoromethyl)phenyl)cinnoline (200 mg, 0.620 mmol) and tert-butyl 3-(4,4,5,5-tetramethyl-1,3,2-dioxaborolan-2-yl)-5,6- dihydropyridine-1(2H)-carboxylate (383 mg, 1.24 mmol) in dioxane (2 mL) and water (0.2 mL) were added Pd(dppf)2Cl2 (91 mg, 0.12 mmol) and Na2CO3 (171 mg, 1.24 mmol). The resulting mixture was stirred at 90 oC for 14 h under nitrogen atmosphere. The mixture was then poured into water (30 mL) and was extracted with EtOAc (3 x 30 mL). The organic layers were combined, dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure to afford the crude residue. The crude residue was purified by silica gel column chromatography (30 % EtOAc in PE) to afford desired product tert-butyl 5-(4-methyl-3-(4- (trifluoromethyl)phenyl)cinnolin-8-yl)-3,6-dihydropyridine-1(2H)-carboxylate (232 mg, 79 % yield) as a yellow oil. Synthesis of tert-butyl 3-(4-methyl-3-(4-(trifluoromethyl)phenyl)cinnolin-8- yl)piperidine-1-carboxylate
Figure imgf000155_0001
[0277] To a solution of tert-butyl 5-(4-methyl-3-(4-(trifluoromethyl)phenyl)cinnolin-8- yl)-3,6-dihydropyridine-1(2H)-carboxylate (200 mg, 0.426 mmol) in methanol (2 mL) was added 10 % wet Pd/C (20 mg). The mixture was stirred at room temperature for 14 h under hydrogen atmosphere (15 Psi). The mixture was then filtered over Celite, and the filtrate cake was washed with MeOH (3 x 5 mL). The filtrate was concentrated under reduced pressure to afford desired crude product tert-butyl 3-(4-methyl-3-(4-(trifluoromethyl)phenyl)cinnolin-8-yl)piperidine-1- carboxylate (196 mg) as a brown solid. The crude product was used in the next step without further purification. Synthesis of 4-methyl-8-(piperidin-3-yl)-3-(4-(trifluoromethyl)phenyl)cinnoline
Figure imgf000155_0002
[0278] To a solution of tert-butyl 3-(4-methyl-3-(4-(trifluoromethyl)phenyl)cinnolin-8- yl)piperidine-1-carboxylate (196 mg) in DCM (2 mL) was added a 4 N solution of HCl in 1,4- dioxane (2 mL). The resulting mixture was stirred at room temperature for 3 h. The mixture was then concentrated under reduced pressure to afford desired crude product 4-methyl-8-(piperidin- 3-yl)-3-(4-(trifluoromethyl)phenyl)cinnoline (197 mg) as a yellow solid. The crude product was used in the next step without further purification. Synthesis of (S)-4-methyl-8-(1-methylpiperidin-3-yl)-3-(4- (trifluoromethyl)phenyl)cinnolI (Compound 1-1 (S)) and (R)-4-methyl-8-(1- methylpiperidin-3-yl)-3-(4-(trifluoromethyl)pIyl)cinnoline (Compound 1-1 (R))
Figure imgf000156_0001
[0279] To a solution of 4-methyl-8-(piperidin-3-yl)-3-(4- (trifluoromethyl)phenyl)cinnoline (197 mg) in THF (2 mL) and water (0.2 mL) were added a solution of 37 % HCHO in water (38 mg, 0.46 mmol), NaBH3CN (44 mg, 0.69 mmol) and AcOH (28 mg, 0.46 mmol). The resulting mixture was stirred at 50 °C for 2 h. The mixture was then poured into water (30 mL), was neutralized with a saturated aqueous solution of NaHCO3 to pH~7, and was extracted with EtOAc (3 x 30 mL). The organic layers were combined, dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure to afford the crude residue. The crude residue was purified by prep-HPLC (0.05 % NH3.H2O as additive) to afford racemic product 4-methyl-8-(1-methyl-3-piperidyl)-3-[4-(trifluoromethyl)phenyl]cinnoline (39 mg, 22 % yield) as a yellow solid. The racemic product was further purified by SFC (column: DAICEL CHIRALPAK AD (250 mm*30 mm,10 μm)), mobile phase: [0.1 % NH3H2O EtOH]; B %: 35 %- 35%, min) to afford desired products: [0280] (S)-4-methyl-8-(1-methylpiperidin-3-yl)-3-(4-(trifluoromethyl)phenyl)cinnoline (Compound 1-1 (S)) (12 mg, 31 % yield) 1H NMR (400 MHz, DMSO-d6): δ 8.15 (dd, J = 8.0, 1.6 Hz, 1H), 7.83-7.99 (m, 6H), 4.45-4.59 (m, 1H), 2.95-3.06 (m, 1H), 2.81-2.90 (m, 1H), 2.70 (s, 3H), 2.21 (s, 3H), 2.08-2.16 (m, 1H), 1.92-2.05 (m, 2H), 1.60-1.83 (m, 3H). LCMS [M+H]+ 386.2 and [0281] (R)-4-methyl-8-(1-methylpiperidin-3-yl)-3-(4-(trifluoromethyIhenyl)cinnoline (Compound 1-1 (R)) (14 mg, 35 % yield) as white solids. 1H NMR (400 MHz, DMSO-d6): δ 8.17 (dd, J = 8.0, 1.6 Hz, 1H), 7.88-7.97 (m, 6H), 4.45-4.59 (m, 1H), 3.00-3.06 (m, 1H), 2.88-2.92 (m, 1H), 2.67 (s, 3H), 2.23 (s, 3H), 2.11-2.20 (m, 1H), 1.92-2.05 (m, 2H), 1.60-1.83 (m, 3H). LCMS [M+H]+ 386.2. [0282] The compounds listed in Table 2 were made using the procedures of Scheme A, substituting appropriate starting material as needed: TABLE 2
Figure imgf000157_0001
Figure imgf000158_0001
Figure imgf000159_0001
Figure imgf000160_0001
Figure imgf000161_0001
Figure imgf000162_0001
Figure imgf000163_0001
Figure imgf000164_0001
Figure imgf000165_0001
Figure imgf000166_0001
Figure imgf000167_0001
Figure imgf000168_0001
EXAMPLE 2 Synthesis of (R)-Iethyl-8-(1-methylpiperidin-3-yl)-3-(4-(trifluoromethyl)phenyI5,6,7,8- tetrahydropyrido[2,3-c]pyridazine (Compound 5-1 (R))
Figure imgf000169_0001
[0283] Compound 5-1 (R) was made using the procedures of General Scheme B according to the steps below. Synthesis of 3,6-dichloro-4-(3-chloropropyl)-5-methylpyridazine
Figure imgf000169_0002
[0284] To a solution of 3,6-dichloro-4-methylpyridazine (2 g, 12.3 mmol) and 4- chlorobutanoic acid (1.65 g, 13.5 mmol) in H2O (80 mL) was added AgNO3 (2.08 g, 12.3 mmol). The mixture was heated to 50 °C, and concentrated H2SO4 (2 mL, 36.8 mmol) was then added. The resulting mixture was heated to 60 °C, and a solution of 1.6 M (NH4)2S2O8 in water (23 mL, 36.8 mmol) was added dropwise. The mixture was stirred at 70 °C for 14 h under nitrogen atmosphere. Concentrated NH3.H2O was added to adjust the pH to ~7 and the mixture was extracted with EtOAc (5 x 100 mL). The organic layers were combined, dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure to afford the crude residue. The crude residue was purified by silica gel column chromatography (15% EtOAc in PE) to afford the desired product 3,6-dichloro-4-(3-chloropropyl)-5-methylpyridazine (846 mg, 29% yield) as an off-white solid. Synthesis of (R)-3-chloro-4-methyl-8-(1-methylpiperidin-3-yl)-5,6,7,8- tetrahydropyrido[2,3-c]pyridazine
Figure imgf000170_0001
[0285] To a solution of 3,6-dichloro-4-(3-chloropropyl)-5-methylpyridazine (846 mg) and TEA (676 mg, 6.68 mmol) in DMSO (5 mL) was added (R)-1-methylpiperidin-3-amine (400 mg, 1.67 mmol). The resulting mixture was stirred at 150 °C in a microwave for 1 h under nitrogen atmosphere. The mixture was then poured into water (20 mL) and was extracted with EtOAc (5 x 20 mL). The organic layers were combined, dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure to afford the crude residue. The crude residue was purified by silica gel column chromatography (15% EtOAc in PE) to afford desired product (R)- Ihloro-4-methyl-8-(1-methylpiperidin-3-yl)-5,6,7,8-tetrahydropyrido[2,3-c]pyridazine (140 mg, 30% yield) as a yellow oil. Synthesis of (R)-4-methyl-8-(1-methylpiperidin-3-yl)-3-(4-(trifluoromethyl)phenyl)- 5,6,7,8-tetrahydropyrido[2,3-c]pyridazine (Compound 5-1 (R))
Figure imgf000170_0002
Compound 5-1 (R) [0286] To a solution of (R)-3-chloro-4-methyl-8-(1-methylpiperidin-3-yl)-5,6,7,8- tetrahydropyrido[2,3-c]pyridazine (70 mg, 0.26 mmol) and (4-(trifluoromethyl)phenyl)boronic acid (60 mg, 0.32 mmol) in dioxane (1 mL) and H2O (0.1 mL) were added XPhosPdG3 (22 mg, 0.026 mmol) and Cs2CO3 (256 mg, 0.787 mmol). The mixture was stirred at 100 °C for 14 h under nitrogen atmosphere. The mixture was then poured into water (20 mL) and was extracted with EtOAc (5 x 20 mL). The organic layers were combined, dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure to afford the crude residue. The crude residue was purified by silica gel column chromatography (15% EtOAc in PE) to afford impure desired product (R)-4-methyl-8-(1-methylpiperidin-3-yl)-3-(4-(trifluoromethyl)phenyl)-5,6,7,8- tetrahydropyrido[2,3Ipyridazine (60 mg) as a yellow oil. The desired product was further purified by prep-HPLC (0.05% NH3H2O as additive) to afford the desired product (R)-4-methyl-8-(1- methylpiperidin-3-yl)-3-(4-(trifluoromethyl)phenyl)-5,6,7,8-tetrahydropyrido[2,3-c]pyridazine (Compound 5-1 (R)) (20 mg, 20% yield) as a yellow solid. 1H NMR (400 MHz, DMSO-d6): δ 7.82 (d, J = 8.0 Hz, 2H), 7.68 (d, J = 8.0 Hz, 2H), 4.98-5.07 (m, 1H), 3.25-3.32 (m, 2H), 2.66-2.75 (m, 4H), 2.18 (s, 3H), 2.07 (s, 3H), 1.93-2.00 (m, 1H), 1.54-1.87 (m, 7H). LCMS [M+H]+: 391.1 [0287] The compounds listed in Table 3 were made using the procedures of Scheme B, substituting appropriate starting material as needed: TABLE 3
Figure imgf000171_0001
Figure imgf000172_0001
Figure imgf000173_0001
Figure imgf000174_0001
Figure imgf000175_0001
Figure imgf000176_0001
Figure imgf000177_0001
Figure imgf000178_0001
Figure imgf000179_0001
Figure imgf000180_0001
Figure imgf000181_0001
Figure imgf000182_0001
Figure imgf000183_0001
Figure imgf000184_0001
Figure imgf000185_0001
Figure imgf000186_0001
Figure imgf000187_0001
Figure imgf000188_0001
Figure imgf000189_0001
Figure imgf000190_0001
Figure imgf000191_0001
Figure imgf000192_0001
Figure imgf000193_0001
Figure imgf000194_0003
EXAMPLE 3 Synthesis of (R)-3-hydroxy-5-methyl-4-(5-methyl-8-(1-methylpiperidin-3-yl)-5,6,7,8- tetrahydropyrazino[2,3-c]pyridazin-3-yl)benzonitrile (Compound 8-4 (R))
Figure imgf000194_0001
[0288] Compound 8-4 (R) was made using the procedures of General Scheme C according to the steps below. Synthesis of 2-((3,6-dichloropyridazin-4-yl)(methyl)amino)ethan-1-ol
Figure imgf000194_0002
[0289] To a solution of 3,4,6-trichloropyridazine (5 g, 27.3 mmol) in DMF (50 mL) were added 2-(methylamino)ethanol (2.05 g, 27.3 mmol) and TEA (5.52 g, 54.5 mmol). The mixture was stirred at 50 °C for 14 h. The mixture was then poured into water (100 mL) and was extracted with EtOAc (3 x 100 mL). The organic layers were combined, washed with brine (100 mL), dried over anhydrous Na2SO4, filtered and concentrated under reduced pressure to afford the crude residue. The crude residue was purified by silica gel column chromatography (50% EtOAc in PE) to afford desired product 2-((3,6-dichloropyridazin-4-yl)(methyl)amino)ethan-1-ol (5.47 g, 90% yield) as a white solid. Synthesis of 2-((3,6-dichloropyridazin-4-yl)(methyl)amino)ethyl methanesulfonate
Figure imgf000195_0001
[0290] To a solution of 2-[(3,6-dichloropyridazin-4-yl)-methyl-amino]ethanol (5.47 g, 24.6 mmol) in DCM (50 mL) were added TEA (7.48 g, 73.9 mmol) and DMAP (600 mg, 4.93 mmol) at 0 °C. Methanesulfonic anhydride (6.44 g, 36.9 mmol) was then added and the resulting mixture was stirred at room temperature for 2 h under nitrogen atmosphere. The mixture was concentrated under reduced pressure to afford the crude residue. The crude residue was purified by silica gel column chromatography (60% EtOAc in PE) to afford desired product 2-((3,6- dichloropyridazin-4-yl)(methyl)amino)ethyl methanesulfonate (7.19 g, 97% yield) as a yellow oil. Synthesis of (R)-3-chloro-5-methyl-8-(1-methylpiperidin-3-yl)-5,6,7,8- tetrahydropyrazino[2,3-c]pyridazine
Figure imgf000195_0002
[0291] To a solution of 2-[(3,6-dichloropyridazin-4-yl)-methyl-amino]ethyl methanesulfonate (1 g, 3.33 mmol) in DMF (5 mL) were added (3R)-1-methylpiperidin-3-amine (380 mg, 3.33 mmol) and TEA (1.01 g, 9.99 mmol). The resulting mixture was stirred at 80 °C for 14 h under nitrogen atmosphere. The mixture was then poured into water (30 mL) and was extracted with EtOAc (3 x 30 mL). The organic layers were combined, washed with brine (30 mL), dried over anhydrous Na2SO4, filtered and concentrated under reduced pressure to afford the crude residue. The crude residue was purified by silica gel column chromatography (22% MeOH in DCM) to afford desired product (R)-3-chloro-5-methyl-8-(1-methylpiperidin-3-yl)- 5,6,7,8-tetrahydropyrazino[2,3-c]pyridazine (402 mg) as a brown oil. Synthesis of (R)-3-hydroxy-5-methyl-4-(5-methyl-8-(1-methylpiperidin-3-yl)-5,6,7,8- tetrahydropyrazino[2,3-c]pyridazin-3-yl)benzonitrile (Compound 8-4 (R))
Figure imgf000196_0001
[0292] To a solution of (R)-3-chloro-5-methyl-8-(1-methylpiperidin-3-yl)-5,6,7,8- tetrahydropyrazino[2,3-c]pyridazine (100 mg) in dioxane (2 mL) and water (0.2 mL) were added 3-methoxy-5-methyl-4-(4,4,5,5-tetramethyl-1,3,2-dioxaborolan-2-yl)benzonitrile (126 mg, 0.46 mmol), XPhosPdG3 (30 mg, 0.036 mmol) and Cs2CO3 (289 mg, 0.89 mmol). The resulting mixture was stirred at 100 °C for 14 h under nitrogen atmosphere. The mixture was then poured into water (30 mL) and was extracted with EtOAc (3 x 30 mL). The organic layers were combined, washed with brine (30 mL), dried over anhydrous Na2SO4, filtered and concentrated under reduced pressure to afford the crude residue. The crude residue was purified by silica gel column chromatography (10% MeOH in DCM) to afford desired product (R)-3-hydroxy-5- methyl-4-(5-methyl-8-(1-methylpiperidin-3-yl)-5,6,7,8-tetrahydropyrazino[2,3-c]pyridazin-3- yl)benzonitrile (67 mg) as yellow oil. 1H NMR (400 MHz, DMSO-d6): δ 7.08 (s, 1H), 7.01 (s, 1H), 6.27 (s, 1H), 4.75-4.95 (m, 1H), 3.42-3.55 (m, 4H, overlapped with water peak), 2.84 (s, 3H), 2.70-2.80 (m, 2H), 2.18 (s, 3H), 2.11 (s, 3H), 1.93-2.03 (m, 1H), 1.75-1.85 (m, 1H), 1.65-1.74 (m, 2H), 1.48-1.62 (m, 2H). LCMS [M+H]+: 379.1 [0293] The compounds listed in Table 4 were made using the procedures of Scheme C, substituting appropriate starting material as needed: TABLE 4
Figure imgf000196_0002
Figure imgf000197_0001
Figure imgf000198_0001
Figure imgf000199_0001
Figure imgf000200_0001
Figure imgf000201_0001
Figure imgf000202_0001
Figure imgf000203_0001
Figure imgf000204_0001
Figure imgf000205_0002
EXAMPLE 4 Synthesis of (R)-5-fluoro-3-methyl-2-(1-(1-methylpiperidin-3-yl)-1H-pyrazolo[3,4- c]pyridazin-5-yl)phenol (Compound 12-2 (R))
Figure imgf000205_0001
[0294] Compound 12-2 (R) was made using the procedures of General Scheme D according to the steps below. Synthesis of 5-chloro-1H-pyrazolo[3,4-c]pyridazin-3-amine
Figure imgf000206_0001
[0295] To a solution of 3,6-dichloropyridazine-4-carbonitrile (3 g, 17.2 mmol) in MeOH (30 mL) was added NH2NH2.H2O (2.03 g, 34.5 mmol) dropwise. The resulting mixture was stirred at 65 °C for 1 h. The mixture was then cooled to room temperature and was filtered through a Celite pad. The filter cake was washed with EtOAc (2 x 20 mL) and was dried in vacuum to afford desired product 5-chloro-1H-pyrazolo[3,4-c]pyridazin-3-amine (2.37 g, 81% yield) as a yellow solid. Synthesis of 5-chloro-1H-pyrazolo[3,4-c]pyridazine-3-diazonium
Figure imgf000206_0002
[0296] To a suspension of 5-chloro-1H-pyrazolo[3,4-c]pyridazin-3-amine (1.5 g, 8.85 mmol) in AcOH (15 mL) was added a solution of NaNO2 (1.22 g, 17.7 mmol) in H2O (8 mL), dropwise, at 0 °C under nitrogen atmosphere. The resulting mixture was stirred at room temperature for 14 h. The mixture was then poured into water (70 mL) and was extracted with EtOAc (3 x 50 mL). The organic layers were combined, washed with brine (40 mL), dried over anhydrous Na2SO4, filtered and concentrated under reduced pressure to afford desired crude product 5-chloro-1H-pyrazolo[3,4-c]pyridazine-3-diazonium (860 mg) as a yellow solid. The crude product was used in the next step without further purification. Synthesis of 5-chloro-1H-pyrazolo[3,4-c]pyridazine
Figure imgf000206_0003
[0297] To a solution of 5-chloro-1H-pyrazolo[3,4-c]pyridazine-3-diazonium (860 mg, 4.74 mmol) in DME (9 mL) was added 0.1 N HCl (54 mL). The resulting mixture was stirred at 80 °C for 2 h under nitrogen atmosphere. A saturated aqueous solution of NaHCO3 was then added to adjust the pH to ~7, and the mixture was extracted with DCM (3 x 15 mL). The organic layers were combined, dried over anhydrous Na2SO4, filtered and concentrated under reduced pressure to afford the crude residue. The crude residue was purified by silica gel chromatography (49% EtOAc in PE) to afford desired product 5-chloro-1H-pyrazolo[3,4-c]pyridazine (404 mg, 55% yield) as a yellow solid. Synthesis of tert-butyl (R)-3-(5-chloro-1H-pyrazolo[3,4-c]pyridazin-1-yl)piperidine- 1-carboxylate
Figure imgf000207_0001
[0298] To a solution of 5-chloro-1H-pyrazolo[3,4-c]pyridazine (450 mg, 2.91 mmol) in THF (7 mL) was added tert-butyl (3S)-3-hydroxypiperidine-1-carboxylate (1.03 g, 5.1 mmol) and PPh3 (2.29 g, 8.73 mmol) at 0 °C. DIAD (1.77 g, 8.73 mmol) was then added dropwise and the resulting mixture was stirred at room temperature for 16 h under nitrogen atmosphere. The mixture was then poured into water (20 mL) and was extracted with EtOAc (3 x 10 mL). The organic layers were combined, washed with brine (10 mL), dried over anhydrous Na2SO4, filtered and concentrated under reduced pressure to afford the crude residue. The crude residue was purified by silica gel chromatography (21% EtOAc in PE) to afford desired product tert- butyl (R)-3-(5-chloro-1H-pyrazolo[3,4-c]pyridazin-1-yl)piperidine-1-carboxylate (960 mg) as a yellow oil. Synthesis of tert-butyl (R)-3-(5-(4-fluoro-2-methoxy-6-methylphenyl)-1H- pyrazolo[3,4-c]pyridazin-1-yl)piperidine-1-carboxylate
Figure imgf000207_0002
[0299] To a solution of tert-butyl (R)-3-(5-chloro-1H-pyrazolo[3,4-c]pyridazin-1- yl)piperidine-1-carboxylate (200 mg, 0.178 mmol) in dioxane (2 mL) and water (0.2 mL) were added 2-(4-fluoro-2-methoxy-6-methyl-phenyl)-4,4,5,5-tetramethyl-1,3,2-dioxaborolane (71 mg, 0.266 mmol), XPhosPdG3 (15 mg, 0.0178 mI) and Cs2CO3 (145 mg, 0.444 mmol). The resulting mixture was stirred at 100 °C for 14 h under nitrogen atmosphere. The mixture was then poured into water (30 mL) and was extracted with EtOAc (3 x 30 mL). The organic layers were combined, washed with brine (30 mL), and dried over anhydrous Na2SO4, filtered and concentrated under reduced pressure to afford the crude residue. The crude residue was purified by silica gel column chromatography (40% EtOAc in PE) to afford desired product tert-butyl (R)-3-(5-(4-fluoro-2-methoxy-6-methylphenyl)-1H-pyrazolo[3,4-c]pyridazin-1-yl)piperidine-1- carboxylate (106 mg). Synthesis of (R)-5-fluoro-3-methyl-2-(1-(piperidin-3-yl)-1H-pyrazolo[3,4- c]pyridazin-5-yl)phenol
Figure imgf000208_0001
[0300] To a solution of tert-butyl (R)-3-(5-(4-fluoro-2-methoxy-6Ithylphenyl)-1H- pyrazolo[3,4-c]pyridazin-1-yl)piperidine-1-carboxylate (106 mg) in DCM (1 mL) was added BBr3 (358 mg, 1.1 mmol) at -78 °C. The resulting mixture was stirred at room temperature fI2 h. A saturated aqueous solution of NaHCO3 was then added to adjust the pH to ~7 and the mixture was extracted with EtOAc (3 x 30 mL). TIorganic layers were combined, washed with brine (30 mL), dried over anhydrous Na2SO4, filtered and concentrated under reduced pressure to afford desired crude product (R)-5-fluoro-3-methyl-2-(1-(piperidin-3-yl)-1H-pyrazolo[3,4-c]pyridazin- 5-yl)phenol (135 mg) as a brown solid. The crude product was used in the next step without further purification. Synthesis of (R)-5-fluoro-3-methyl-2-(1-(1-methylpiperidin-3-yl)-1H-pyrazolo[3,4- c]pyridazin-5-yl)phenol
Figure imgf000209_0001
[0301] To a solution of (R)-5-fluoro-3-methyl-2-(1-(piperidin-3-yl)-1H-pyrazolo[3,4- c]pyridazin-5-yl)phenol (135 mg) in THF (2 mL) and water (0.2 mL) were added a solution of 37% HCHO in water (33 mg, 0.412 mmol,) NaBH3CN (39 mg, 0.619 mmol) andIOH (25 mg, 0.412 mmol). The mixture was stirred at room temperature for 2 h under nitrogen atmosphereI saturated aqueous solution of NaHCO3 was then added to adjust the pH to ~7 and the mixture was extracted with EtOAc (3 x 30 mL). The organic layers were combined, washed with brine (30 mL), dried over anhydrous Na2SO4, filtered and concentrated under reduced pressure to afford the crude residue. The crude residue was purified by prep-HPLC (0.05% NH3.H2O and NH4HCO3 as additive) to afford desired product (R)-5-fluoro-3-methyl-2-(1-(1-methylpiperidin- 3-yl)-1H-pyrazolo[3,4-c]pyridazin-5-yl)phenol (Compound 12-2 (R)) (18 mg, 12% yield) as a white solid. 1H NMR (400 MHz, CDCl3): δ 8.18 (s, 1H), 7.99 (s, 1H), 6.61-6.71 (m, 2H), 5.31-5.41 (m, 1H), 3.17-3.23 (m, 1H), 2.87-2.95 (m, 1H), 2.65-2.75 (m, 1H), 2.41 (s, 3H), 2.38 (s, 3H), 2.11-2.27 (m, 3H), 1.85-1.99 (m, 2H). LCMS [M+H]+: 342 [0302] The compounds listed in Table 5 were made using the procedures of Scheme D, substituting appropriate starting material as needed: TABLE 5
Figure imgf000209_0002
Figure imgf000210_0001
Figure imgf000211_0001
Figure imgf000212_0001
Figure imgf000213_0001
EXAMPLE 5 NLRP3 Inflammasome activation and cell viability assessment in THP1 macrophages [0303] THP1 – Human acute monocytic leukemia cells were cultured (ATCC, cat # TIB- 202) in Gibco RPMI-1640 medium (ThermoFisher cat # 72400054) supplemented with 10% Heat Inactivated FBS at density between 3-8 x10^5 viable cells/ml. The cells were then subcultured when the cell concentration reached 8 x105 cells/mL (every 2-3 days). [0304] To determine the compounds’ IC50, 1.75x104 cells/well were plated in CELLSTAR 384 well plates (Greiner cat # 781091) in 50 ul /well DMEM (ThermoFisher, cat # 10393021), 10% FBS, 1x GlutaMax (ThermoFisher, cat # 35050038) + 20 nM PMA (Sigma, cat # P1585) and only the inner 224 wells of a 384 well plate were used. The parameter wells were filled with 50 ul PBS and incubated at 37 ^C, 5% CO2 for 48 hr. [0305] After 48 hr incubation, the PMA containing media was removed, and changed for 40 ul/well of fresh DMEM, 10% FBS, 1x GlutaMax and incubated at 37 ^C, 5% CO2 for 24 hr. [0306] The following day the cells were primed with LPS (E.coli) (Sigma, cat # L3129) at 20 ng/ml in DMEM, 10%FBS, 1x GlutaMax for 3 hr at 37 ^C, 5% CO2. [0307] Following the LPS priming step, the cells were treated with compounds at 10 uM top final concentration, 1:4 dilution, 8 times: (10 uM, 2.5 uM, 0.625 uM, 0.156 uM, 0.039 uM, 0.0097 uM, 0.0024 uM, 0.0006 uM). DMSO was used as a vehicle control, and MCC950 (InvivoGen, cat # inh-mcc) was used at 1 uM as a positive control, and incubated for 1 hr at 37 ^C, 5% CO2. [0308] Following the 1 hr compound incubation, the NLRP3 inflammasome activation step was conducted by treating cells with–Nigericin (InvivoGen, cat # tlrl-nig) at 6.7 uM final concentration for 3 hr at 37 ^C, 5% CO2. [0309] Thereafter, 30 ul samples of cells’ supernatants were collected for cytokine analysis which was conducted on Hu IL-1β AlphaLISA (Perkin Elmer, cat # AL220C) and Hu IL-6 AlphaLISA (Perkin Elmer, cat # AL220C). The cells’ viability was assessed by performing CellTiter-Glo Luminescent Assay (Promega, cat #G7572) according to the manufacturer’s protocol. [0310] Cell viability assessment for select NLRP3 inflammasome modulators is displayed in Table 6. [0311] For IL-1β activity - The activity ranges are as follows: “++++” denotes IL-1β activity ≤ 100 nM; “+++” denotes IL-1β activity > 100 nM and ≤ 500 nM; and “++” denotes IL- 1β activity > 500 nM and ≤ 1,000 nM; “+” denotes IL-1β activity > 1,000I “*” denotes not yet tested. [0312] For IL-6 activity – The activity ranges are as follows: “++++” denotes IL-6 activity ≤ 1 μM; “+++” denotes IL-6 activity > 1 μM and ≤ 5 μM; “++” denotes IL-6 activity > 5 μM and ≤ 10 μM; and “+” denotes IL-6 activity of > 10 μM. “*” denotes not tested. TABLE 6
Figure imgf000214_0001
Figure imgf000215_0001
Figure imgf000216_0001
Figure imgf000217_0001
Figure imgf000218_0001
Figure imgf000219_0001
Figure imgf000220_0001
Figure imgf000221_0001
Figure imgf000222_0001
Figure imgf000223_0001
Figure imgf000224_0001
Figure imgf000225_0001
Figure imgf000226_0001
Figure imgf000227_0001
Figure imgf000228_0001
Figure imgf000229_0001
Figure imgf000230_0001
Figure imgf000231_0001
Figure imgf000232_0001
Figure imgf000233_0001
Figure imgf000234_0001
Figure imgf000235_0001
Figure imgf000236_0001
Figure imgf000237_0001
Figure imgf000238_0001
Figure imgf000239_0001
Figure imgf000240_0001
[0313] The various embodiments described above can be combined to provide further embodiments. All of the U.S. patents, U.S. patent application publications, U.S. patent applications, foreign patents, foreign patent applications and non-patent publications referred to in this specification and/or listed in the Application Data Sheet, including but not limited to U.S. Provisional Patent Application No.63/477,027, filed on December 23, 2022, and U.S. Provisional Patent Application No.63/477,031, filed on December 23, 2022, are incorporated herein by reference, in their entirety. Aspects of the embodiments can be modified, if necessary to employ concepts of the various patents, applications and publications to provide yet further embodiments. [0314] These and other changes can be made to the embodiments in light of the above- detailed description. In general, in the following claims, the terms used should not be construed to limit the claims to the specific embodiments disclosed in the specification and the claims, but should be construed to include all possible embodiments along with the full scope of equivalents to which such claims are entitled. Accordingly, the claims are not limited by the disclosure.

Claims

CLAIMS 1. A compound having the structure of Formula (A′):
Figure imgf000242_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; ring A is pyrrolidinyl, piperazinyl, morpholinyl, imidazolidinyl, oxazolidinyl, pyrazolyl, piperidinyl, phenyl, or pyridinyl; R1 is aminylalkyl
Figure imgf000242_0002
R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2.
2. The compound of claim 1, having the structure of Formula (I):
Figure imgf000242_0003
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; ring A is phenyl or R1 is aminylalkyl
Figure imgf000243_0001
R2, R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2.
3. The compound of claim 1 or 2, having the structure of Formula (Iia):
Figure imgf000243_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; either (1) x1, x2, and x3 are each independently =CH− or =CR2−, or (2) one of x1, x2 and x3 is =N− and the other two are each independently =CH− or =CR2−; each R2, R3, R4, and R5 are independently halo, CN, OH, alkyl, haloalkyl, alkoxy, R2 is, at each ocrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2.
4. The compound of any one of claims 1–3, having the structure if Formula (IIa′):
Figure imgf000244_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
5. The compound of any one of claims 1–3, having the structure of Formula (IIa′′):
Figure imgf000244_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
6. The compound of claim 1 or 2, having the structure of Formula (IIb):
Figure imgf000244_0003
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; either (1) x1, x2, and x3 are each independently =CH− or =CR2−, or (2) one of x1, x2 and x3 is =N− and the other two are each independently =CH− or =CR2−; Ra is H or alkyl; R2 is, at each ocrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; Ak is alkyl; n is 0-5; p is 0-3; and y is 0-5.
7. The compound of claim 1 or 2, having the structure of Formula (IIIa):
Figure imgf000245_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; either (1) x1, x2, and x3 are each independently =CH− or =CR2−, or (2) one of x1, x2 and x3 is =N− and the other two are each independently =CH− or =CR2−; R2 is, at each ocrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2.
8. The compound of any one of claims 1, 2, or 7, having the structure of Formula (IIIa′):
Figure imgf000246_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
9. The compound of any one of claims 1, 2, or 7, having the structure of Formula (IIIa′′):
Figure imgf000246_0002
(IIIa′′) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
10. The compound of claim 1 or 2, having the structure of Formula (IIIb):
Figure imgf000246_0003
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; either (1) x1, x2, and x3 are each independently =CH− or =CR2−, or (2) one of x1, x2 and x3 is =N− and the other two are each independently =CH− or =CR2−; Ra is H or alkyl; R2 is, at each ocrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; Ak is alkyl; n is 0-5; p is 0-3; and y is 0-5.
11. The compound of any one of claims 1–10, wherein ring A is phenyl.
12. The compound of any one of claims 1–10, wherein ring A is pyridinyl.
13. The compound of claim 1, wherein ring A is piperidinyl.
14. The compound of claim 1 or 13, having the structure of Formula (VI*a):
Figure imgf000247_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2.
15. The compound of any one of claims 1, 13, or 14, having the structure of Formula (VI*a′):
Figure imgf000248_0001
(VI*a′) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
16. The compound of any one of claims 1, 13, or 14, having the structure of Formula (VI*a″):
Figure imgf000248_0002
(VI*a″) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
17. The compound of any one of claims 1 or 13, having the structure of Formula (VI*b):
Figure imgf000248_0003
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; Ra is H or alkyl; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; Ak is alkyl; n is 0-5; p is 0-3; and y is 0-5.
18. The compound of claim 1, wherein ring A is pyrrolidinyl.
19. The compound of claim 1 or 18, having the structure of Formula (VII*a):
Figure imgf000249_0001
(VII*a) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2.
20. The compound of any one of claims 1, 18, or 19, having the structure of Formula (VII*a′):
Figure imgf000250_0001
(VII*a′) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
21. The compound of any one of claims 1, 18, or 19, having the structure of Formula (VII*a″):
Figure imgf000250_0002
(VII*a″) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
22. The compound of claim 1 or 18, having the structure of Formula (VII*b):
Figure imgf000250_0003
(VII*b) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; Ra is H or alkyl; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; Ak is alkyl; n is 0-5; p is 0-3; and y is 0-5.
23. The compound of claim 1, wherein ring A is piperazinyl.
24. The compound of claim 1 or 23, having the structure of Formula (VIII*a):
Figure imgf000251_0001
(VIII*a) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2.
25. The compound of any one of claims 1, 23, or 24, having the structure of Formula (VIII*a′): (VIII*a′) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
26. The compound of any one of claims 1, 23, or 24, having the structure of Formula (VIII*a″):
Figure imgf000252_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
27. The compound of claim 1 or 23, having the structure of Formula (VIII*b):
Figure imgf000252_0002
(VIII*b) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; Ra is H or alkyl; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; Ak is alkyl; n is 0-5; p is 0-3; and y is 0-5.
28. The compound of claim 1, wherein ring A is morpholinyl.
29. The compound of claim 1 or 28, having the structure of Formula (IX*a):
Figure imgf000253_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2.
30. The compound of any one of claims 1, 28, or 29, having the structure of Formula (IX*a′):
Figure imgf000253_0002
(IX*a′) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
31. The compound of any one of claims 1, 28, or 29, having the structure of Formula (IX*a″):
Figure imgf000254_0001
(IX*a″) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
32. The compound of claim 1 or 28, having the structure of Formula (IX*b):
Figure imgf000254_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; Ra is H or alkyl; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; Ak is alkyl; n is 0-5; p is 0-3; and y is 0-5.
33. The compound of claim 1, wherein ring A is imidazolidinyl.
34. The compound of claim 1 or 33, having the structure of Formula (X*a):
Figure imgf000255_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2.
35. The compound of any one of claims 1, 33, or 34, having the structure of formula (X*a′):
Figure imgf000255_0002
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
36. The compound of any one of claims 1, 33, or 34, having the structure of Formula (X*a″): or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
37. The compound of claim 1 or 33, having the structure of Formula (X*b):
Figure imgf000256_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; Ra is H or alkyl; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; Ak is alkyl; n is 0-5; p is 0-3; and y is 0-5.
38. The compound of claim 1, wherein ring A is oxazolidinyl.
39. The compound of claim 1 or 38, having the structure of Formula (XI*a):
Figure imgf000257_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2.
40. The compound of any one of claims 1, 38, or 39, having the structure of Formula (XI*a′):
Figure imgf000257_0002
(XI*a′) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
41. The compound of any one of claims 1, 38, or 39, having the structure of Formula (XI*a″): (XI*a″) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
42. The compound of claim 1 or 38, having the structure of Formula (XI*b):
Figure imgf000258_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; Ra is H or alkyl; R2 is, at each occurrence, independently oxo, halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl, or two R2, together with the atoms to which they are attached, form an aromatic ring; R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl, or cycloalkyl; Ak is alkyl; n is 0-5; p is 0-3; and y is 0-5.
43. The compound of claim 1, wherein ring A is pyrazolyl.
44. The compound of claim 1 or 43, having the structure of Formula (XII*a):
Figure imgf000259_0001
or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; R2, R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl or cycloalkyl; R6 is H, cycloalkyl, or alkyl optionally substituted with one or more R7; R7 is halo, OH, or cycloalkyl; m is 0-6; n is 0-5; p is 0-3; and q is 0-2.
45. The compound of any one of claims 1, 43, or 44, having the structure of Formula (XII*a′):
Figure imgf000259_0002
(XII*a′) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
46. The compound of any one of claims 1, 43, or 44, having the structure of Formula (XIIa″):
Figure imgf000259_0003
(XIIa″) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof.
47. The compound of claim 1 or 43, having the structure of Formula (XII*b):
Figure imgf000260_0001
(XII*b) or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein: Z1 and Z2 are each independently =CH−, =CR4−, or =N−; Ra is H or alkyl; R2, R3, R4, and R5 are, at each occurrence, independently halo, CN, OH, alkyl, haloalkyl, alkoxy, haloalkoxy, aminylalkyl or cycloalkyl; Ak is alkyl; n is 0-5; p is 0-3; and y is 0-5.
48. The compound of any one of claims 1–2 or 11–12, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein R1 is aminylalkyl.
49. The compound of any one of claims 1–2 or 11–12, or a acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein
Figure imgf000260_0002
50. The compound of any one of claims 1–49, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein at least one R2 is alkyl.
51. The compound of any one of claims 1–50, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein at least one R2 is methyl, ethyl, or isopropyl.
52. The compound of any one of claims 1–51, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein at least one R2 is methyl.
53. The compound of any one of claims 1–52, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein R3 is alkyl.
54. The compound of any one of claims 1–53, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein R3 is methyl, ethyl, or isopropyl.
55. The compound of any one of claims 1–54, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein R3 is methyl.
56. The compound of any one of claims 1–55, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein at least one R4 is halo, CN, OH, alkyl, or haloalkyl.
57. The compound of any one of claims 1–56, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein at least one R4 is F, Cl, CN, OH, methyl, CHF2, or CF3.
58. The compound of any one of claims 1–57, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein at least one R5 is halo.
59. The compound of any one of claims 1–58, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein at least one R5 is F.
60. The compound of any one of claims 1–59, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein R6 is alkyl.
61. The compound of any one of claims 1–60, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein R6 is methyl, ethyl, or isopropyl.
62. The compound of any one of claims 1–61, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein R6 is methyl.
63. The compound of any one of claims 1–61, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein R6 is ethyl.
64. The compound of any one of claims 1–63, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein n is 1.
65. The compound of any one of claims 1–63, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein n is 2.
66. The compound of any one of claims 1–65, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein p is 0.
67. The compound of any one of claims 1–65, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein p is 1.
68. The compound of any one of claims 1–67, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein q is 1.
69. The compound of any one of claims 1–68, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein m is 0.
70. The compound of any one of claims 1–69, wherein y is 1.
71. The compound of any one of claims 1-70, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein x1, x2, and x3 are each independently =CH− or =CR2−.
72. The compound of any one of claims 1-71, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein one of x1, x2 and x3 is =N− and the other two are each independently =CH− or =CR2−.
73. The compound of claim 71, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein x1, x2, and x3 are each independently =CH−.
74. The compound of 71 or 72, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein R2 is methyl.
75. The compound of any one of claims 1-74, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein Ra is H.
76. The compound of any one of claims 1-74, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein Ra is alkyl.
77. The compound of claim 76, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein Ra is methyl.
78. The compound of any one of claims 1-77, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein Ak is methyl.
79. The compound of any one of claims 1–78, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein Z1 is =CH− and Z2 is =CH−.
80. The compound of any one of claims 1–78, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein Z1 is =CH− and Z2 is =CR4−.
81. The compound of any one of claims 1–78, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein Z1 is =CR4− and Z2 is =CH−.
82. The compound of any one of claims 1–78, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein Z1 is =CR4− and Z2 is =CR4−.
83. The compound of any one of claims 1–78, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein Z1 is =N− and Z2 is =CR4−.
84. The compound of any one of claims 1–78, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein Z1 is =CR4− and Z2 is =N−.
85. The compound of any one of claims 1–78, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein Z1 is =N− and Z2 is =CH−.
86. The compound of any one of claims 1–78, wherein Z1 is =CH− and Z2 is =N−.
87. The compound of claim 1, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, wherein the compound has the structure of a compound of Table 1.
88. A pharmaceutical composition comprising the compound of any one of claims 1– 87, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, and at least one pharmaceutically acceptable excipient.
89. A method of modulating NLRP3 inflammasome activity by contacting NLRP3 inflammasome with an effective amount of the compound of any one of claims 1–87, or a pharmaceutically acceptable salt, isomer, hydrate, solvate or isotope thereof, or with an effective amount of the pharmaceutical composition of claim 88.
90. A method of treating NLRP3 inflammasome dependent condition by administering to a subject in need thereof an effective amount of the pharmaceutical composition of claim 88.
91. The method of claim 90, wherein the NLRP3 inflammasome dependent condition is neuroinflammation-related disorders or neurodegenerative diseases.
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