ANDROGEN RECEPTOR REGULATION BY SMALL MOLECULE ENANTIOMERS

[0001] This application is a continuation of U.S. National Stage application Ser. No. 17/913,126 filed Sep. 20, 2022, which is a National Stage filing under 35 U.S.C. § 371 of International Application No. PCT/US2021/023512 filed Mar. 22, 2021, which claims the benefit of U.S. Provisional Patent Application No. 62/992,668 filed Mar. 20, 2020, which applications are incorporated herein by reference.

[0002] Small molecules that target the androgen receptor (AR) are the mainstay of therapy for lethal castration-resistant prostate cancer (CRPC), yet existing drugs lose their efficacy during continued treatment. This evolution of resistance is due to heterogenous mechanisms which include AR mutations causing the identical drug to activate instead of inhibiting the receptor. Understanding in molecular detail the paradoxical phenomenon wherein an AR antagonist is transformed into an agonist by structural mutations in the target receptor is thus of paramount importance.

[0003] Enzalutamide is the only Food and Drug Administration (FDA)-approved antiandrogen in metastatic castration-resistant prostate cancer (CRPC), thus there is an urgent need for novel agents. Androgen receptor (AR) activation involves a cascade of events, including binding to the AR-ligand binding domain (AR-LBD) in the cytoplasm, nuclear translocation, and transactivation “hyperspeckling,” where interaction with androgen response elements (AREs) regulates gene expression. These discrete steps can be measured via fluorescence polarization, confocal microscopy, and ARE-luciferase assays.

[0004] Agonist binding induces AR conformational changes that enable helix 12 (H12) to close the binding pocket, triggering activation. Establishing a predictive AR model for antagonists is hampered by the lack of structural information about AR bound to antagonist in open conformation. The AR antagonist BMS-641988 has a chiral center at C-5 and an endo substituent [(R)-BMS]. Its unknown (S)-enantiomer [(S)-BMS] was postulated to also be an antagonist. When a new drug substance contains predominantly one enantiomer, its partner is excluded from the FDA's qualification and identification thresholds.

[0005] Prostate cancer is a leading cause of cancer death in males worldwide. All stages of prostate cancer have been shown to depend on the androgen receptor. Second generation anti-androgen drugs such as enzalutamide ultimately fail to prevent progression to terminal disease due to drug resistance and are often associated with neurotoxicity. Consequently, there is an urgent clinical need for novel anti-androgens with improved safety profiles that can overcome drug resistance.

[0006] In a medicinal chemistry campaign to develop anew generation of anti-androgens, we sought to address these issues using a known AR antagonist, BMS-641988, as a point of departure and scaffold. Two potential lead compounds EITM-1702 and EITM-1707 were identified that inhibited the growth of LNCaP prostate cancer cells expressing T877A mutant AR. Computational modeling demonstrated that EITM-1702 and EITM-1707 have decreased probability of passing the blood-brain barrier (logBB<−1). Importantly, BMS-641988's neurotoxic metabolite BMS-501949 was not detected in extended duration (8 h) human liver microsome studies. EITM-1702 and EITM-1707 are thus promising compounds for further preclinical development.

[0007] Accordingly, this disclosure provides a compound of Formula I:

or

• • [0008] a salt thereof;
  • [0009] wherein
    • [0010] G¹ is NHR^A or OH;
    • [0011] G² is H or OH;
    • [0012] R^A is —C(═O)heteroaryl, —C(═O)(C₁-C₆)alkyl, —S(═O)₂(C₁-C₆)alkyl, or —C(═O)heterocycloalkyl, wherein R^A is substituted or unsubstituted with substituents;
    • [0013] R¹ is H, halo, —(C₁-C₆)alkyl; and
      • [0014] R³ is CF₃ or halo.

[0015] This disclosure also provides a method for treatment of cancer in a subject in need thereof by administering to the subject having cancer an effective amount of the compound disclosed above, thereby treating the cancer.

[0016] Additionally, this disclosure provides a pharmaceutical composition comprising the compound disclosed above and a pharmaceutically acceptable diluent or carrier.

[0017] The invention provides novel compounds of Formulas I, IA, or IB, intermediates for the synthesis of compounds of the Formulas, as well as methods of preparing compounds of the Formulas. The invention also provides compounds of the Formulas that are useful as intermediates for the synthesis of other useful compounds. The invention provides for the use of compounds of the Formulas for the manufacture of medicaments useful for the treatment of cancer in a mammal, such as a human.

[0018] The invention provides for the use of the compositions described herein for use in medical therapy. The medical therapy can be treating cancer, for example, breast cancer, lung cancer, pancreatic cancer, prostate cancer, or colon cancer. The invention also provides for the use of a composition as described herein for the manufacture of a medicament to treat a disease in a mammal, for example, cancer in a human. The medicament can include a pharmaceutically acceptable diluent, excipient, or carrier.

[0027] In this study of four BMS-641988 derivatives prepared as two enantiomeric pairs, we discovered that like (R)-BMS itself, the (R)-enantiomers [(R)-EITM-1702 and (R)-EITM-1707] were all AR antagonists. Unexpectedly, the corresponding (S)-enantiomers and (S)-BMS proved to be potent AR agonists.

[0028] The following definitions are included to provide a clear and consistent understanding of the specification and claims. As used herein, the recited terms have the following meanings. All other terms and phrases used in this specification have their ordinary meanings as one of skill in the art would understand. Such ordinary meanings may be obtained by reference to technical dictionaries, such as Hawley's Condensed Chemical Dictionary 14^th Edition, by R. J. Lewis, John Wiley & Sons, New York, N.Y., 2001.

[0029] References in the specification to “one embodiment”, “an embodiment”, etc., indicate that the embodiment described may include a particular aspect, feature, structure, moiety, or characteristic, but not every embodiment necessarily includes that aspect, feature, structure, moiety, or characteristic. Moreover, such phrases may, but do not necessarily, refer to the same embodiment referred to in other portions of the specification. Further, when a particular aspect, feature, structure, moiety, or characteristic is described in connection with an embodiment, it is within the knowledge of one skilled in the art to affect or connect such aspect, feature, structure, moiety, or characteristic with other embodiments, whether or not explicitly described.

[0030] The singular forms “a,” “an,” and “the” include plural reference unless the context clearly dictates otherwise. Thus, for example, a reference to “a compound” includes a plurality of such compounds, so that a compound X includes a plurality of compounds X. It is further noted that the claims may be drafted to exclude any optional element. As such, this statement is intended to serve as antecedent basis for the use of exclusive terminology, such as “solely,” “only,” and the like, in connection with any element described herein, and/or the recitation of claim elements or use of “negative” limitations.

[0031] The term “and/or” means any one of the items, any combination of the items, or all of the items with which this term is associated. The phrases “one or more” and “at least one” are readily understood by one of skill in the art, particularly when read in context of its usage. For example, the phrase can mean one, two, three, four, five, six, ten, 100, or any upper limit approximately 10, 100, or 1000 times higher than a recited lower limit. For example, one or more substituents on a phenyl ring refers to one to five, or one to four, for example if the phenyl ring is disubstituted.

[0032] As will be understood by the skilled artisan, all numbers, including those expressing quantities of ingredients, properties such as molecular weight, reaction conditions, and so forth, are approximations and are understood as being optionally modified in all instances by the term “about.” These values can vary depending upon the desired properties sought to be obtained by those skilled in the art utilizing the teachings of the descriptions herein. It is also understood that such values inherently contain variability necessarily resulting from the standard deviations found in their respective testing measurements. When values are expressed as approximations, by use of the antecedent “about,” it will be understood that the particular value without the modifier “about” also forms a further aspect.

[0033] The terms “about” and “approximately” are used interchangeably. Both terms can refer to a variation of ±5%, ±10%, ±20%, or ±25% of the value specified. For example, “about 50” percent can in some embodiments carry a variation from 45 to 55 percent, or as otherwise defined by a particular claim. For integer ranges, the term “about” can include one or two integers greater than and/or less than a recited integer at each end of the range. Unless indicated otherwise herein, the terms “about” and “approximately” are intended to include values, e.g., weight percentages, proximate to the recited range that are equivalent in terms of the functionality of the individual ingredient, composition, or embodiment. The terms “about” and “approximately” can also modify the endpoints of a recited range as discussed above in this paragraph.

[0034] As will be understood by one skilled in the art, for any and all purposes, particularly in terms of providing a written description, all ranges recited herein also encompass any and all possible sub-ranges and combinations of sub-ranges thereof, as well as the individual values making up the range, particularly integer values. It is therefore understood that each unit between two particular units are also disclosed. For example, if 10 to 15 is disclosed, then 11, 12, 13, and 14 are also disclosed, individually, and as part of a range. A recited range (e.g., weight percentages or carbon groups) includes each specific value, integer, decimal, or identity within the range. Any listed range can be easily recognized as sufficiently describing and enabling the same range being broken down into at least equal halves, thirds, quarters, fifths, or tenths. As a non-limiting example, each range discussed herein can be readily broken down into a lower third, middle third and upper third, etc. As will also be understood by one skilled in the art, all language such as “up to”, “at least”, “greater than”, “less than”, “more than”, “or more”, and the like, include the number recited and such terms refer to ranges that can be subsequently broken down into sub-ranges as discussed above. In the same manner, all ratios recited herein also include all sub-ratios falling within the broader ratio. Accordingly, specific values recited for radicals, substituents, and ranges, are for illustration only; they do not exclude other defined values or other values within defined ranges for radicals and substituents. It will be further understood that the endpoints of each of the ranges are significant both in relation to the other endpoint, and independently of the other endpoint.

[0035] This disclosure provides ranges, limits, and deviations to variables such as volume, mass, percentages, ratios, etc. It is understood by an ordinary person skilled in the art that a range, such as “number1” to “number2”, implies a continuous range of numbers that includes the whole numbers and fractional numbers. For example, 1 to 10 means 1, 2, 3, 4, 5, . . . 9, 10. It also means 1.0, 1.1, 1.2. 1.3, . . . , 9.8, 9.9, 10.0, and also means 1.01, 1.02, 1.03, and so on. If the variable disclosed is a number less than “number10”, it implies a continuous range that includes whole numbers and fractional numbers less than number10, as discussed above. Similarly, if the variable disclosed is a number greater than “number10”, it implies a continuous range that includes whole numbers and fractional numbers greater than number10. These ranges can be modified by the term “about”, whose meaning has been described above.

[0036] One skilled in the art will also readily recognize that where members are grouped together in a common manner, such as in a Markush group, the invention encompasses not only the entire group listed as a whole, but each member of the group individually and all possible subgroups of the main group. Additionally, for all purposes, the invention encompasses not only the main group, but also the main group absent one or more of the group members. The invention therefore envisages the explicit exclusion of any one or more of members of a recited group. Accordingly, provisos may apply to any of the disclosed categories or embodiments whereby any one or more of the recited elements, species, or embodiments, may be excluded from such categories or embodiments, for example, for use in an explicit negative limitation.

[0037] The term “contacting” refers to the act of touching, making contact, or of bringing to immediate or close proximity, including at the cellular or molecular level, for example, to bring about a physiological reaction, a chemical reaction, or a physical change, e.g., in a solution, in a reaction mixture, in vitro, or in vivo.

[0038] An “effective amount” refers to an amount effective to treat a disease, disorder, and/or condition, or to bring about a recited effect. For example, an effective amount can be an amount effective to reduce the progression or severity of the condition or symptoms being treated. Determination of a therapeutically effective amount is well within the capacity of persons skilled in the art. The term “effective amount” is intended to include an amount of a compound described herein, or an amount of a combination of compounds described herein, e.g., that is effective to treat or prevent a disease or disorder, or to treat the symptoms of the disease or disorder, in a host. Thus, an “effective amount” generally means an amount that provides the desired effect.

[0039] Alternatively, the terms “effective amount” or “therapeutically effective amount,” as used herein, refer to a sufficient amount of an agent or a composition or combination of compositions being administered which will relieve to some extent one or more of the symptoms of the disease or condition being treated. The result can be reduction and/or alleviation of the signs, symptoms, or causes of a disease, or any other desired alteration of a biological system. For example, an “effective amount” for therapeutic uses is the amount of the composition comprising a compound as disclosed herein required to provide a clinically significant decrease in disease symptoms. An appropriate “effective” amount in any individual case may be determined using techniques, such as a dose escalation study. The dose could be administered in one or more administrations. However, the precise determination of what would be considered an effective dose may be based on factors individual to each patient, including, but not limited to, the patient's age, size, type or extent of disease, stage of the disease, route of administration of the compositions, the type or extent of supplemental therapy used, ongoing disease process and type of treatment desired (e.g., aggressive vs. conventional treatment).

[0040] The terms “treating”, “treat” and “treatment” include (i) preventing a disease, pathologic or medical condition from occurring (e.g., prophylaxis); (ii) inhibiting the disease, pathologic or medical condition or arresting its development; (iii) relieving the disease, pathologic or medical condition; and/or (iv) diminishing symptoms associated with the disease, pathologic or medical condition. Thus, the terms “treat”, “treatment”, and “treating” can extend to prophylaxis and can include prevent, prevention, preventing, lowering, stopping or reversing the progression or severity of the condition or symptoms being treated. As such, the term “treatment” can include medical, therapeutic, and/or prophylactic administration, as appropriate.

[0041] As used herein, “subject” or “patient” means an individual having symptoms of, or at risk for, a disease or other malignancy. A patient may be human or non-human and may include, for example, animal strains or species used as “model systems” for research purposes, such a mouse model as described herein. Likewise, patient may include either adults or juveniles (e.g., children). Moreover, patient may mean any living organism, preferably a mammal (e.g., human or non-human) that may benefit from the administration of compositions contemplated herein. Examples of mammals include, but are not limited to, any member of the Mammalian class: humans, non-human primates such as chimpanzees, and other apes and monkey species; farm animals such as cattle, horses, sheep, goats, swine; domestic animals such as rabbits, dogs, and cats; laboratory animals including rodents, such as rats, mice and guinea pigs, and the like. Examples of non-mammals include, but are not limited to, birds, fish and the like. In one embodiment of the methods provided herein, the mammal is a human.

[0042] As used herein, the terms “providing”, “administering,” “introducing,” are used interchangeably herein and refer to the placement of the compositions of the disclosure into a subject by a method or route which results in at least partial localization of the composition to a desired site. The compositions can be administered by any appropriate route which results in delivery to a desired location in the subject.

[0043] The compositions described herein may be administered with additional compositions to prolong stability and activity of the compositions, or in combination with other therapeutic drugs.

[0044] The terms “inhibit”, “inhibiting”, and “inhibition” refer to the slowing, halting, or reversing the growth or progression of a disease, infection, condition, or group of cells. The inhibition can be greater than about 20%, 40%, 60%, 80%, 90%, 95%, or 99%, for example, compared to the growth or progression that occurs in the absence of the treatment or contacting.

[0045] The term “substantially” as used herein, is a broad term and is used in its ordinary sense, including, without limitation, being largely but not necessarily wholly that which is specified. For example, the term could refer to a numerical value that may not be 100% the full numerical value. The full numerical value may be less by about 1%, about 2%, about 3%, about 4%, about 5%, about 6%, about 7%, about 8%, about 9%, about 10%, about 15%, or about 20%.

[0046] This disclosure provides methods of making the compounds and compositions of the invention. The compounds and compositions can be prepared by any of the applicable techniques described herein, optionally in combination with standard techniques of organic synthesis. Many techniques such as etherification and esterification are well known in the art. However, many of these techniques are elaborated in Compendium of Organic Synthetic Methods (John Wiley & Sons, New York), Vol. 1, Ian T. Harrison and Shuyen Harrison, 1971; Vol. 2, Ian T. Harrison and Shuyen Harrison, 1974; Vol. 3, Louis S. Hegedus and Leroy Wade, 1977; Vol. 4, Leroy G. Wade, Jr., 1980; Vol. 5, Leroy G. Wade, Jr., 1984; and Vol. 6; as well as standard organic reference texts such as March's Advanced Organic Chemistry: Reactions, Mechanisms, and Structure, 5th Ed., by M. B. Smith and J. March (John Wiley & Sons, New York, 2001); Comprehensive Organic Synthesis. Selectivity, Strategy & Efficiency in Modern Organic Chemistry. In 9 Volumes, Barry M. Trost, Editor-in-Chief (Pergamon Press, New York, 1993 printing); Advanced Organic Chemistry, Part B: Reactions and Synthesis, Second Edition, Cary and Sundberg (1983); for heterocyclic synthesis see Hermanson, Greg T., Bioconjugate Techniques, Third Edition, Academic Press, 2013.

[0047] The formulas and compounds described herein can be modified using protecting groups. Suitable amino and carboxy protecting groups are known to those skilled in the art (see for example, Protecting Groups in Organic Synthesis, Second Edition, Greene, T. W., and Wutz, P. G. M., John Wiley & Sons, New York, and references cited therein; Philip J. Kocienski; Protecting Groups (Georg Thieme Verlag Stuttgart, New York, 1994), and references cited therein); and Comprehensive Organic Transformations, Larock, R. C., Second Edition, John Wiley & Sons, New York (1999), and referenced cited therein.

[0048] As used herein, the term “substituted” or “substituent” is intended to indicate that one or more (for example, 1-20 in various embodiments, 1-10 in other embodiments, 1, 2, 3, 4, or 5; in some embodiments 1, 2, or 3; and in other embodiments 1 or 2) hydrogens on the group indicated in the expression using “substituted” (or “substituent”) is replaced with a selection from the indicated group(s), or with a suitable group known to those of skill in the art, provided that the indicated atom's normal valency is not exceeded, and that the substitution results in a stable compound. Suitable indicated groups include, e.g., alkyl, alkenyl, alkynyl, alkoxy, halo, haloalkyl, hydroxy, hydroxyalkyl, aryl, heteroaryl, heterocycle, cycloalkyl, alkanoyl, alkoxycarbonyl, amino, alkylamino, dialkylamino, trifluoromethylthio, difluoromethyl, acylamino, nitro, trifluoromethyl, trifluoromethoxy, carboxy, carboxyalkyl, keto, thioxo, alkylthio, alkylsulfinyl, alkylsulfonyl, and cyano. Additionally, non-limiting examples of substituents that can be bonded to a substituted carbon (or other) atom include F, Cl, Br, I, OR′, OC(O)N(R′)₂, CN, CF₃, OCF₃, R′, O, S, C(O), S(O), methylenedioxy, ethylenedioxy, N(R′)₂, SR′, SOR′, SO₂R′, SO₂N(R′)₂, SO₃R′, C(O)R′, C(O)C(O)R′, C(O)CH₂C(O)R′, C(S)R′, C(O)OR′, OC(O)R′, C(O)N(R′)₂, OC(O)N(R′)₂, C(S)N(R′)₂, (CH₂)_0-2NHC(O)R′, N(R′)N(R′)C(O)R′, N(R′)N(R′)C(O)OR′, N(R′)N(R′)CON(R′)₂, N(R′)SO₂R′, N(R′)SO₂N(R′)₂, N(R′)C(O)OR′, N(R′)C(O)R′, N(R′)C(S)R′, N(R′)C(O)N(R′)₂, N(R′)C(S)N(R′)₂, N(COR′)COR′, N(OR′)R′, C(═NH)N(R′)₂, C(O)N(OR′)R′, or C(═NOR′)R′ wherein R′ can be hydrogen or a carbon-based moiety, and wherein the carbon-based moiety can itself be further substituted.

[0049] The term “halo” or “halide” refers to fluoro, chloro, bromo, or iodo. Similarly, the term “halogen” refers to fluorine, chlorine, bromine, and iodine.

[0050] The term “alkyl” refers to a branched or unbranched hydrocarbon having, for example, from 1-20 carbon atoms, and often 1-12, 1-10, 1-8, 1-6, or 1-4 carbon atoms; or for example, a range between 1-20 carbon atoms, such as 2-6, 3-6, 2-8, or 3-8 carbon atoms. As used herein, the term “alkyl” also encompasses a “cycloalkyl”, defined below.

[0051] The term “cycloalkyl” refers to cyclic alkyl groups of, for example, from 3 to 10 carbon atoms having a single cyclic ring or multiple condensed rings. Cycloalkyl groups include, by way of example, single ring structures such as cyclopropyl, cyclobutyl, cyclopentyl, cyclooctyl, and the like, or multiple ring structures such as adamantyl, and the like. The cycloalkyl can be unsubstituted or substituted.

[0052] The term “heterocycloalkyl” refers to a saturated or partially saturated monocyclic, bicyclic, or polycyclic ring containing at least one heteroatom selected from nitrogen, sulfur, oxygen, preferably from 1 to 3 heteroatoms in at least one ring. Each ring is preferably from 3 to 10 membered, more preferably 4 to 7 membered.

[0053] The term “aryl” refers to an aromatic hydrocarbon group derived from the removal of at least one hydrogen atom from a single carbon atom of a parent aromatic ring system.

[0054] The term “heteroaryl” refers to a monocyclic, bicyclic, or tricyclic ring system containing one, two, or three aromatic rings and containing at least one nitrogen, oxygen, or sulfur atom in an aromatic ring. The heteroaryl can be unsubstituted or substituted, for example, with one or more, and in particular one to three, substituents, as described in the definition of “substituted”.

[0055] Stereochemical definitions and conventions used herein generally follow S. P. Parker, Ed., McGraw-Hill Dictionary of Chemical Terms (1984) McGraw-Hill Book Company, New York; and Eliel, E. and Wilen, S., “Stereochemistry of Organic Compounds”, John Wiley & Sons, Inc., New York, 1994. The compounds of the invention may contain asymmetric or chiral centers, and therefore exist in different stereoisomeric forms. It is intended that all stereoisomeric forms of the compounds of the invention, including but not limited to, diastereomers, enantiomers and atropisomers, as well as mixtures thereof, such as racemic mixtures, which form part of the present invention. Many organic compounds exist in optically active forms, i.e., they have the ability to rotate the plane of plane-polarized light. In describing an optically active compound, the prefixes D and L, or R and S. are used to denote the absolute configuration of the molecule about its chiral center(s). The prefixes d and 1 or (+) and (−) are employed to designate the sign of rotation of plane-polarized light by the compound, with (−) or 1 meaning that the compound is levorotatory. A compound prefixed with (+) or d is dextrorotatory. For a given chemical structure, these stereoisomers are identical except that they are mirror images of one another. A specific stereoisomer may also be referred to as an enantiomer, and a mixture of such isomers is often called an enantiomeric mixture. A 50:50 mixture of enantiomers is referred to as a racemic mixture or a racemate (defined below), which may occur where there has been no stereoselection or stereospecificity in a chemical reaction or process.

[0056] The terms “racemic mixture” and “racemate” refer to an equimolar mixture of two enantiomeric species, devoid of optical activity.

[0057] The term “enantiomerically enriched” (“ee”) as used herein refers to mixtures that have one enantiomer present to a greater extent than another. Reactions that provide one enantiomer present to a greater extent than another would therefore be “enantioselective” (or demonstrate “enantioselectivity”).

[0058] This disclosure provides a compound of Formula I:

or

• • [0059] a salt thereof;
  • [0060] wherein
    • [0061] G¹ is NHR^A or OH;
    • [0062] G² is H or OH;
    • [0063] R^A is —C(═O)heteroaryl, —C(═O)(C₁-C₆)alkyl, —S(═O)₂(C₁-C₆)alkyl, or —C(═O)heterocycloalkyl, wherein R^A is substituted or unsubstituted with substituents;
    • [0064] R¹ is H, halo, —(C₁-C₆)alkyl; and
      • [0065] R³ is CF₃ or halo.

[0066] In various embodiments, G¹ is NHR^A. In other embodiments, R^A is pyrrolopyridine, pyrazole, or indazole, and R^A is unsubstituted. In some embodiments, R^A is pyrazole or triazole, and R^A is substituted. In some embodiments, R^A is —C(═O)CH₃, —S(═O)₂CH₂CH₃,

[0067] In some embodiments, the compound is represented by Formula IA:

or

• • [0068] the enantiomer or a salt thereof;
  • [0069] wherein
    • [0070] R¹ is H, F, methyl, or ethyl; and
      • [0071] R² is H, —C(═O)CH₃, or —C(OH)CH₃.

[0072] In some other embodiments, the compound is represented by Formula IB:

or

• • [0073] the enantiomer and/or a salt thereof;
  • [0074] wherein
    • [0075] X is CH or N;
    • [0076] R¹ is H, F, methyl, or ethyl; and
      • [0077] R⁴ is H, —C(═O)CH₃, or —C(OH)CH₃.

[0078] In other embodiments, the compound is EITM-1719 or EITM-1720:

the enantiomer and/or salt thereof.

[0079] In some other embodiments, the compound is:

[0080] In some embodiments, the compound is the (S)-enantiomer. In some embodiments, the compound is the (R)-enantiomer. In other embodiments, the compound is dextrorotatory. In other embodiments, the compound is levorotatory.

[0081] In various embodiments, the compound is an antagonist of the androgen receptor. In various embodiments, the compound is an agonist of the androgen receptor. In various other embodiments, the compound is a full agonist of the androgen receptor. In some embodiments, the agonist is the enantiomer of the antagonist.

[0082] The compound formulas disclosed herein and/or methods disclosed herein exclude the compound BMS-641988:

e.g., for Formula I when G² and R¹ is H, R³ is CF₃, G¹ is NHR^A, and R^A is —S(═O)₂(C₁-C₆)alkyl or —S(═O)₂CH₂CH₃.

[0083] Additionally, this disclosure provides a compound that is the (S)-enantiomer of BMS-641988, wherein the compound is:

or the compound can also be

[0084] Furthermore, this disclosure provides a method for treatment of cancer in a subject in need thereof by administering to the subject having cancer an effective amount of a compound disclosed herein, thereby treating the cancer.

[0085] In some embodiments, the cancer is prostate cancer or breast cancer. In some other embodiments, the cancer is prostate cancer and the prostate cancer is lethal castration-resistant prostate cancer. In some embodiments, an effective serum concentration of the compound is about 1 nM to about 2000 nM.

[0086] In other embodiments, an effective serum concentration of the compound is about 1 nM, about 10 nM, about 50 nM, about 100 nM, about 250 nM, about 500 nM, about 750 nM, about 1000 nM, about 1500 nM, about 2000 nM, about 2500 nM, about 3000 nM, about 3500 nM, about 4000 nM, about 4500 nM, about 5000 nM, about 7500 nM, about 10 μM, about 15 μM, about 20 μM, about 25 μM, about 30 μM, about 35 μM, about 40 μM, about 45 μM, about 50 μM, about 60 μM, about 70 μM, about 80 μM, about 90 μM, about 100 μM, or any serum concentration in between any two recited serum concentrations.

[0087] Furthermore, this disclosure provides a method for the treatment of an endocrine or hormonal disorder in a subject in need thereof by administering to the subject having an endocrine disorder an effective amount of a compound disclosed herein, thereby treating the endocrine disorder.

[0088] This disclosure also provides for use of a compound or composition disclosed herein for the treatment of a cancer, endocrine, hormonal, or another disorder in a subject in need thereof by administering to the subject having on or more said disorders an effective amount of a compound disclosed herein, thereby treating the disorder.

[0089] In various embodiments, administering an effective amount of the compound is by infusion, injection, oral administration, or a combination thereof.

[0090] This disclosure also provides a pharmaceutical composition comprising a compound disclosed herein and a pharmaceutically acceptable diluent or carrier.

[0091] Prostate cancer is the second most lethal cancer in men, with an estimated 29,000 deaths in the US alone for 2019. All stages of disease are dependent on androgen receptor (AR) pathway signaling. In castration-resistant prostate cancer (CRPC), patients generally initially respond to antiandrogens such as enzalutamide and apalutamide, but progression to terminal disease is inevitable. A number of resistance mechanisms have been identified, including somatic mutations of the AR ligand binding domain (AR-LBD), which reduce ligand-specificity and can even transform AR antagonists into agonists. Enzalutamide is additionally associated with neurotoxicity: fatigue and falls are reported frequently, and in up to 1% of patients, seizures necessitate discontinuation. There is an acute clinical need for novel antiandrogens with less susceptibility to resistance and improved safety.

[0092] AR agonists, including testosterone, bind the AR-LBD and induce conformational changes that enable helix 12 (H12) to “cap” the binding pocket, a perquisite for AR activation. In contrast, when AR antagonists bind the AR-LBD, H12 is prevented from closing. Molecular dynamics simulations suggest that steric modification of AR antagonists could improve therapeutic efficacy by more completely blocking H12 capping. This also suggests a strategy to mitigate anti-androgen resistance due to acquired mutations that enlarge the pocket.

[0093] Exploration of androgen receptor antagonists with an oxabicyclic core. The AR antagonist BMS-641988 has a bulky oxabicyclic succinimide core that that distinguishes it from current clinical antiandrogens. This core structure confers greater pharmacophore rigidity than bicalutamide, enzalutamide and darolutamide, recently approved for non-metastatic CRPC (ODM-201). BMS-641988 was a promising next-generation anti-AR lead compound that potently antagonized AR in vitro yet paradoxically promoted LNCaP proliferation. The drug failed in a phase I clinical trial due to low tumor response and toxicity.

[0094] In an exploratory medicinal chemistry campaign to develop a new antiandrogen for CRPC, we have designed and synthesized a series of nine novel AR antagonists (EITM-1702-EITM-1712), using the BMS-641988 scaffold as a point of departure. Several of these new drugs 1) antagonized AR in vitro with a median EC₅₀ of 1320 nM (range 328-3700 nM), with a ˜25% assay coefficient of variation; 2) effectively inhibited LNCaP cell proliferation; and 3) were demonstrated not to produce the toxic metabolite (BMS-501949) primarily responsible for the clinical failure of BMS-641988. These novel compounds significantly address key weaknesses of BMS-641988 and thus hold promise for further preclinical testing.

[0095] Drug design. BMS-641988 is extensively metabolized in vivo to the active metabolite BMS-501949 via oxidation by CYP 3A4 and subsequent reduction by cytosolic reductase (Scheme 1). BMS-501949 readily crosses the blood-brain barrier (BBB) inhibiting GABA_A receptors and likely triggered the grade 3 seizures that led to clinical failure of the drug. To prevent generation of BMS-501949 and associated toxic metabolites in our drug design, we performed metabolic predictions in silico using the Schrödinger P-450 Site of Metabolism (SOM) module. The results of our calculations suggested that a carboxamide would be less susceptible to CYP oxidation than the sulfonamide group in BMS-641988, prompting us to synthesize a series of novel amide analogues of this scaffold.

[0096] BMS-641988 is a C-5 (R)-stereoisomer and encompasses a previously uncharacterized (S)-stereoisomer. It has been postulated that endo substitution at C-5 or C-6 of the oxabicyclic ring would result in a direct interaction with H12, creating a classical AR antagonist conformation, similar to that predicted for bicalutamide. To optimize substituent position and size in the new analogues, we performed Schrödinger IFD docking of BMS-641988 and its previously undescribed (S)-enantiomer, (S)-BMS using the AR-LBD in complex with DHT (PDB: 1T7R). In preferred conformations, both compounds form hydrogen bonds with R752 and N705 of the AR-LBD, the same residues that are responsible for stable binding of the standard agonists DHT and R1881. However, our docking calculations showed that orientation of the ethyl sulfonamide substituent is very different towards H11 and H12 for the corresponding stereoisomers. In BMS-641988, the substituent points towards H11 and H12, whereas in (S)-BMS this is not the case. Using ICM-Pro, we calculated active site surface and ligand-protein contacts for the models constructed using Schrödinger IFD. (S)-BMS fits snugly into the binding site and produces contacts very similar to DHT, including interactions with L704, F764, N705, T877 and W741 (Table 1). On the other hand, BMS-641988 could not be accommodated inside the pocket, and produced stronger interactions with F876, F891 and M895, which are important for H12 stabilization (Table 1). Compared with its (S)-enantiomer, BMS-641988 induces a noticeable shift in F876 which confirms destabilization of the closed conformation of H12. These docking results suggested that BMS-641988 is an antagonist, however its (S)-isomer is not. It is therefore essential to completely remove potentially agonistic (S)-enantiomer prior to functional testing. Finally, the size of the carboxamide C-5 substituent is critical to its interaction with H11 and H12 and subsequent destabilization of the closed pocket conformation. Based on these results, we chose to use pyrazole, alkyl pyrazole, 5-(thiophenyl)pyrazole, 5-(furanyl)pyrazole, indazole as the C-5 carboxamide substituents for our new drug series. To extend the SAR, we also investigated the effect of F or Me substitutions at the ortho-position of the aniline ring.

TABLE 1
Contact area between ligands and AR residues.
	Residues	DHT	S-BMS	BMS-641988
	L704	36.2	35.2	40
	M745	27.7	26.5	28.3
	F764	27.1	25.8	30.3
	T877	25.1	26.0	25.2
	M742	23.2	32.0	18.5
	N705	22.7	28.1	25.2
	L873	20.5	20.3	24.7
	W741	18.9	22.2	8.2
	L707	16.7	15.7	16.6
	M780	15.6	15.1	26.4

[0097] Synthesis. Compounds were synthesized using the general route shown in Scheme 2. Diels—Alder cycloaddition of maleimide 2 to the MEM ester of 2,5-dimethyl-3-furoic acid yielded a racemate (3a and 3b), which was used in the following steps without separation. Catalytic hydrogenation led to the formation of the esters 4a and 4b. Treatment of 4 with 3 N HCl gave racemic mixture of acids 5a and 5b. Sequential Curtius rearrangement and subsequent TFA-promoted cleavage of the resulting Teoc-carbamate gave the racemic amines 7a and 7b. Coupling of amines 7 with the carboxylic acids 8 afforded the target amide-pharmacophores. In the original synthesis of BMS-641988, 4a and 4b were separated using semi-preparative chiral HPLC. Only the C-5 R stereoisomer (4a) was carried forward to produce the target compound (thus, the corresponding C-5 (S)-stereoisomer of BMS-641988 was not available). In our syntheses, 4 was not separated but instead was carried forward en route to the final target C-5 (R S)-mixtures, which was then resolved to afford both individual enantiomers of the drugs.

[0098] Anilines 1 and carboxylic acids 8 were either obtained from commercial sources or synthesized by known procedures (see Examples). It is noteworthy that in the analogues containing a 2′-fluoro or 2′-methyl group, exposure to methanol should be avoided during purification to prevent ring opening of the pyrrolidinedione. Although the 3aR, 4R, 5R, 7R, 7aS enantiomers of the oxabicyclic scaffold consistently have negative specific rotations, the [α]²⁴D of BMS-641988 has not been reported. Therefore, after confirming the absolute stereochemistry of BMS-641988 by x-ray crystallography, we determined its specific rotation to be [α]²⁴_D=−28.1° (c=0.5, MeOH). The specific rotation of the previously undescribed (S)-stereoisomer was measured to be [α]²⁴_D=+26.1° (c=0.5, MeOH) and its stereochemistry was also verified by x-ray crystallography.

[0099] BMS-641988 is an agonist in LNCaP prostate cancer cells. A previous report identified BMS-641988 as an antagonist in LNCaP cells expressing AR T878A, a mutation that reduces ligand specificity frequently reported in prostate cancer patients. However, treatment with the drug paradoxically promoted LNCaP proliferation. We generated a LNCaP cell line stably expressing luciferase controlled by androgen response elements (ARE-luciferase). We performed luciferase experiments after 24 h treatment with 10 μM test drug with and without 1 nM R1881. Surprisingly, 10 μM BMS-641988 induced ARE-luciferase without addition of R1881 (FIG. 1). Increasing doses confirmed the drug is indeed a potent agonist of the T877A mutated AR, with an ED₅₀ of 94±22 nM (mean±S.E., n=2) vs 0.1 nM for R1881 (FIG. 1B, Table 2). This agonism may explain the limited efficacy of BMS-641988 in clinical studies.

[0100] SAR studies of EITM-compounds. We first tested amide derivatives EITM-1702, -1703, and -1704. In contrast to BMS-6431988, all three compounds displayed robust antagonistic activities without notable agonism (Table 2). Of the three, EITM-1702 had the highest potency (570 nM) and efficacy (E_max 8%), supporting the selective ligand design derived from our modeling studies and demonstrating that this design eliminated the partial agonism of BMS-641988 while retaining robust anti-AR properties in prostate cancer cells.

[0101] We employed a fragment approach for our SAR studies. First, to study the SAR at the 2′-position (ortho) on the aniline we compared EITM-1705, -1707 and -1712. Similar to BMS-641988, EITM-1705 displayed notable AR agonism in LNCaP cells in an ARE-luciferase assay (Table 2). This suggests that the C-5 substituent, but not the 2′-aniline substituent plays a crucial role in defining the antagonistic activity in this drug cohort. In contrast, EITM-1707 and EITM-1712 are pure antagonists: experiments run in the agonist mode failed to produce measurable ED₅₀ values for these compounds. EITM-1707's potency (940 nM) and efficacy (E_max 13%) were comparable to EITM-1702, showing that 2′-fluoro-substitution does not impact activity. In comparison, methyl substitution in EITM-1712 led to significant loss in potency (2133 nM) and efficacy (E_max 38%), possibly due to its existence as two atropisomers, only one of which effectively inhibits AR. Evidence to support the existence of these quasi-stable atropisomers is provided by the observation that after chiral HPLC separation, EITM-1712, unlike EITM-1707, displays two peaks on reversed-phase analytical HPLC (FIG. 2A). These species both re-equilibrated after standing overnight in a solution of acetonitrile and water (FIG. 2B-C).

[0102] Hartree-Fock 3-21G calculations in Spartan 14 (Wavefunction Inc.) estimated a 58 kJ/mol rotational energy barrier for EITM-1707 around the N—Ar bond in vacuum (FIG. 2D). Since separation of atropisomers requires as least a 93.3 kJ/mol rotational energy barrier at 300 K (half-life of at least 1000 s), this calculation confirmed the absence of stable atropisomers of EITM-1707. Similar calculations for EITM-1712 estimated an 86 kJ/mol rotational barrier around the N—Ar bond, that would not be enough for separation of corresponding atropisomers. The rotational barrier 87 kJ/mol for 2-Me—N-phenylmaleimide (structurally similar to EITM-1712) was measured by ¹H NMR, and accordingly the imide freely rotated around N—Ar single bond at room temperature. We can suggest that additional rotational barrier in case of EITM-1712 could be provided by the interaction of Me-group with solvent molecule, forming hydrogen bonding with oxygen in C—O—C bridge. To study the role of the oxabicyclic core, we tested EITM-1708 (Scheme 3).

[0103] EITM-1708 did not bind to AR in vitro (Table 2), demonstrating that the oxabicyclic core is essential for the binding of this family of compounds. To study the SAR at the C5 position of the oxabicyclic ring, we tested compounds EITM-1706, -1709, -1710, -1711, -1716, and -1717. First, we demonstrate that C5 amide or sulfonamide is critical to the structure, since EITM-1706 (Scheme 4) did not bind to AR (Table 2). Surprisingly, the AR-LBD appeared to accommodate EITM-1709, -1710 and -1711 despite their size (Table 2). On the other hand, EITM-1716, and -1717 did not bind AR, suggesting the flat structure of aromatic rings is crucial for binding (Table 2). In summary, several EITM-drugs antagonized AR in vitro with a median EC₅₀ of 1320 nM (range 328-3700 nM) (Table 2).

[0104] Our SAR studies imply that the dynamics of AR ligand interactions are inadequately described by the Helix 12 model and the understanding of AR at a molecular level requires more extensive studies.

TABLE 2
In vitro potency of EITM-17## measured in LNCaP cells via ARE-luciferase (n = 1, *n = 2).
NA = antagonist ED50 values could not be obtained.
Compound	X	R	ED50 (nM)	Emax (%)
Enzalutamide	—	—	250	3
BMS-641988*	H		agonist	agonist
EITM-1702*	H		570	8
EITM-1703	H		1700	20
EITM-1704	H		3700	11
EITM-1705	F		agonist	agonist
EITM-1706	H		No binding	No binding
EITM-1707	F		940	13
EITM-1708		No binding	No binding
EITM-1709	H		328	1
EITM-1710	H		2427	8
EITM-1711	H		535	1
EITM-1712	Me		2133	38
EITM-1716	H		No binding (IC50 > 5 μM)	No binding
EITM-1717	H		No binding	No binding

[0105] EITM-1702 and EITM-1707 inhibit LNCaP proliferation in vitro. To evaluate EITM-1702 and -1707 as potential preclinical candidates, we treated LNCaP cells with 1 and 10 μM drug and 60 pM R1881 for 5 days and measured cell viability using CellTiter-Glo. As expected, BMS-641988 promoted proliferation. In contrast, we measured a significant decline in viable cells for the EITM drugs, with EITM-1702 almost phenocopying castrate conditions (FIG. 3). These data and Table 3 support the superior efficacy our compounds as promising leads.

TABLE 3
VCaP Viability Assay.
	Compound	IC50 (μM)
	(R)-1702	0.54
	(R)-1707	0.41
	(R)-1720	0.16
	Enzalutamide	0.08

[0106] EITM-1702 and EITM-1707 exhibit favorable safety profiles. To estimate the safety profiles of our lead compounds, we predicted their BBB penetration relative to known androgen antagonists using the Schrodinger QikProp module. Setting logBB <−1 as a practical threshold, this provided good correlations with available in vivo data (FIG. 5A). For example, flutamide, enzalutamide and BMS-501949 were predicted to readily penetrate the BBB, whereas bicalutamide, darolutamide, BMS-641988, as well as our preclinical candidates all had logBB values <−1, suggestive of low BBB permeability. Furthermore, we calculated the metabolic susceptibility of our preclinical candidates using SMARTCyp, and found that our preclinical candidates are unlikely to be metabolized to BMS-501949 (FIG. 4). These calculations were confirmed by in vitro liver microsomes stability assays. Toxic metabolites (BMS-501949 for EITM-1702 and o-fluoro-BMS-501949 for EITM-1707) that accumulated in the BMS-641988 sample were not detected in EITM-1702 or EITM-1707, even after 8 h incubation (FIG. 5B, Table 4). Finally, the rates of intrinsic clearance were comparable across EITM-1702 (15.3 μl/min/mg), EITM-1707 (10.3 μl/min/mg), BMS-641988 (10.1 μl/min/mg). Taken together, these results suggest improved safety profiles of EITM-1702 and EITM-1707 compared to BMS-641988.

TABLE 4
Metabolism of representative compounds in liver microsomes.
	Chemical	T½	Clint		Metabolite	Detected
Compound	Formula (MW)	(min)	(ml/min/mg)	Metabolite	type	in LCMS
(R)-EITM-1702	C22H18F3N5O4	56.66	15.3	Unnamed	active	yes
	473.13			C22H18F3N5O5	(predicted)
				BMS-501949	toxic	no
				C18H15F3N2O4	(predicted)
(R)-EITM-1707	C24H21F4N5O5	47.3	10.3	Unnamed	active	yes
	535.15			C24H19F4N5O5	(predicted)
				BMS-501949	toxic	no
				C18H14F4N2O4	(predicted)
BMS-641988	C20H20F3N3O5S	86.4	10.1	BMS-570511	active	yes
	471.11			C18H13F3N2O4
				BMS-501949	toxic	yes
				C18H15F3N2O4

[0107] In summary, a heuristic medicinal chemistry campaign to develop a next generation antiandrogen for lethal CRPC, we synthesized a series of compounds derived from the molecular scaffold of BMS-641988, designed to avoid the problems of inadequate efficacy and metabolite toxicity of this drug which entered but failed a Phase I clinical trial. We have confirmed that BMS-641988 is a potent agonist in LNCaP cells, whereas our designed drugs are pure antagonists of LNCaP AR. Two of the preclinical candidates identified, EITM-1702 and -1707, have effective in vitro potencies (ED₅₀ of 570 nM and 940 nM respectively). Both computational calculations and microsomal experiments suggest that EITM-1702 and -1707 will have improved safety profiles over existing drugs. EITM-1702 and -1707 are promising candidate lead compounds suitable for further preclinical development as potentially more effective AR antagonists for treating CRPC.

[0108] Antagonist/Agonist Duality of Chiral Molecules. Initial compound testing was performed with PC3 GFP-AR cells and confocal microscopy. First, we tested purified BMS enantiomers (FIG. 6A). As expected, (R)-BMS was an antagonist: treatment initiated nuclear translocation but inhibited R1881-induced hyperspeckling. Surprisingly, (S)-BMS alone caused substantial hyperspeckling, comparable to that of R1881. To explore the significance of this result, which appeared to contradict literature inferences (7, 10), we prepared a series “EITM-compounds” of cognate derivatives (shown below).

[0109] Remarkably, their increased molecular size did not overcome paradoxical AR regulation. Nuclear spot quantification in >10,000 cells revealed all four (R)-enantiomers inhibited R1881-induced hyperspeckling, and their (S)-enantiomers induced it on their own (FIG. 6B). To test for corresponding transcriptional activation, we performed assays in cells expressing ARE-luciferase. (R)-enantiomers inhibited R1881-induced ARE-luciferase to 24% (18%, 34%) 95% CI vs. untreated R1881 control (no treatment control [NTC]+R1881, 100%) (FIG. 6C). In contrast, their (S)-enantiomers activated ARE-luciferase to 110% (87%, 130%) 95% CI that of untreated control (NTC, 11%) (FIG. 6C). Next, we examined gene expression in VCaP cells, a hormone-responsive but independent model of CRPC highly expressing AR. A qPCR array assaying 82 AR target genes in response to the natural hormone dihydrotestosterone (DHT) confirmed that (R)-EITM-1707 down-regulated AR-dependent gene expression, closely resembling androgen starvation. Its (S)-enantiomer rescued the castration phenotype, mimicking DHT (FIG. 6D). These experiments demonstrate enantiomer-dependent antagonist/agonist duality across these C-5 stereoisomers, pointing to an unknown mechanism of AR regulation that involves a switch from antagonism to agonism.

[0110] Model of AR-Enantiomer Duality. To explore the unexpected agonist properties of the (S)-enantiomers, we performed induced fit docking with the AR-LBD (PDB: 1E3G) (11) and (S)-EITM-1703. In the resulting model (rmsd=0.28 A), substituents do not clash with H12, but rather promote a closed conformation, which explains the observed agonism (FIG. 6E). Next, we sought to model the antagonist action of (R)-EITM-1703. Due to the absence of crystal structures of antagonist bound AR in open conformation, we built a three-dimensional (3D) homology model based on that of the progesterone receptor (2OVM) (12) (FIG. 6E). Now, ring D obstructs H12, preventing closure. An overlay of the two models in FIG. 6E shows the strikingly different compound orientations within the pocket. In both cases, hydrogen bonds are formed with R752 and N705, the same residues that bind DHT (13) and R1881 (11). We confirmed these critical binding sites in cells expressing point mutations that significantly reduced agonist functionality of both R1881 and (S)-enantiomers in our ARE luciferase assay (FIG. 6F). Our AR model provides a rationale for the paradoxical agonism of the (S)-enantiomers, highlighting the importance of a specific, rigid spatial orientation of the ligand within the AR-LBD to ensure that antagonist function is not subverted to agonism. Future studies will systematically examine mutations within H12 that contribute to its steric interactions with the ligands.

[0111] Role of Enantiomer Duality in Drug Discovery. This new AR duality provoked the question whether agonistic enantiomer contamination could interfere with assays commonly used to identify new antiandrogens. To measure the impact of impurities after resolution, we spiked highly purified (R)-drugs with their (S)-isomers and treated cells with 10 μM of the mixtures. For both EITM-1702 and EITM-1707, ARE-luciferase signals rapidly increased with increasing levels of contamination (FIG. 7A). For (S)-EITM-1702, 2.5% contamination (2.1%, 2.9%) 95% CI halved the drug effect, and 9% (6.0%, 12.0%) 95% CI canceled out its antagonist effect entirely (FIG. 7A). The contamination effect was even more detrimental on cell viability measured via CellTiter-Glo. After 6-d treatment, pure (R)-EITM-1702 and (R)-EITM-1707 visibly suppressed R1881—induced growth, whereas BMS-641988 did not (FIG. 7B). Strikingly, as little as 0.3% (S)-enantiomer halved EITM-1702 drug effect (0.2%, 0.4%) 95% CI, and 2.2% rescued the proliferation phenotype (0.7%, 3.7%) 95% CI (FIG. 7B). Furthermore, agonist EC₅₀ values obtained by fluorescence polarization and ARE-luciferase were consistently lower than their respective antagonist counterparts, suggestive of higher affinity (FIG. 7C) and potency (FIG. 7D). These experiments reveal the critical importance of enantiopurity in this drug class, even during early discovery when antagonist “hits” could be otherwise missed or even misidentified as agonists.

[0112] The compounds described herein can be used to prepare therapeutic pharmaceutical compositions, for example, by combining the compounds with a pharmaceutically acceptable diluent, excipient, or carrier. The compounds may be added to a carrier in the form of a salt or solvate. For example, in cases where compounds are sufficiently basic or acidic to form stable nontoxic acid or base salts, administration of the compounds as salts may be appropriate. Examples of pharmaceutically acceptable salts are organic acid addition salts formed with acids that form a physiologically acceptable anion, for example, tosylate, methanesulfonate, acetate, citrate, malonate, tartrate, succinate, benzoate, ascorbate, α-ketoglutarate, and β-glycerophosphate. Suitable inorganic salts may also be formed, including hydrochloride, halide, sulfate, nitrate, bicarbonate, and carbonate salts.

[0113] Pharmaceutically acceptable salts may be obtained using standard procedures well known in the art, for example by reacting a sufficiently basic compound such as an amine with a suitable acid to provide a physiologically acceptable ionic compound. Alkali metal (for example, sodium, potassium or lithium) or alkaline earth metal (for example, calcium) salts of carboxylic acids can also be prepared by analogous methods.

[0114] The compounds of the formulas described herein can be formulated as pharmaceutical compositions and administered to a mammalian host, such as a human patient, in a variety of forms. The forms can be specifically adapted to a chosen route of administration, e.g., oral or parenteral administration, by intravenous, intramuscular, topical or subcutaneous routes.

[0115] The compounds described herein may be systemically administered in combination with a pharmaceutically acceptable vehicle, such as an inert diluent or an assimilable edible carrier. For oral administration, compounds can be enclosed in hard- or soft-shell gelatin capsules, compressed into tablets, or incorporated directly into the food of a patient's diet. Compounds may also be combined with one or more excipients and used in the form of ingestible tablets, buccal tablets, troches, capsules, elixirs, suspensions, syrups, wafers, and the like. Such compositions and preparations typically contain at least 0.1% of active compound. The percentage of the compositions and preparations can vary and may conveniently be from about 0.5% to about 60%, about 1% to about 25%, or about 2% to about 10%, of the weight of a given unit dosage form. The amount of active compound in such therapeutically useful compositions can be such that an effective dosage level can be obtained.

[0116] The tablets, troches, pills, capsules, and the like may also contain one or more of the following: binders such as gum tragacanth, acacia, corn starch or gelatin; excipients such as dicalcium phosphate; a disintegrating agent such as corn starch, potato starch, alginic acid and the like; and a lubricant such as magnesium stearate. A sweetening agent such as sucrose, fructose, lactose or aspartame; or a flavoring agent such as peppermint, oil of wintergreen, or cherry flavoring, may be added. When the unit dosage form is a capsule, it may contain, in addition to materials of the above type, a liquid carrier, such as a vegetable oil or a polyethylene glycol. Various other materials may be present as coatings or to otherwise modify the physical form of the solid unit dosage form. For instance, tablets, pills, or capsules may be coated with gelatin, wax, shellac or sugar and the like. A syrup or elixir may contain the active compound, sucrose or fructose as a sweetening agent, methyl and propyl parabens as preservatives, a dye and flavoring such as cherry or orange flavor. Any material used in preparing any unit dosage form should be pharmaceutically acceptable and substantially non-toxic in the amounts employed. In addition, the active compound may be incorporated into sustained-release preparations and devices.

[0117] The active compound may be administered intravenously or intraperitoneally by infusion or injection. Solutions of the active compound or its salts can be prepared in water, optionally mixed with a nontoxic surfactant. Dispersions can be prepared in glycerol, liquid polyethylene glycols, triacetin, or mixtures thereof, or in a pharmaceutically acceptable oil. Under ordinary conditions of storage and use, preparations may contain a preservative to prevent the growth of microorganisms.

[0118] Pharmaceutical dosage forms suitable for injection or infusion can include sterile aqueous solutions, dispersions, or sterile powders comprising the active ingredient adapted for the extemporaneous preparation of sterile injectable or infusible solutions or dispersions, optionally encapsulated in liposomes. The ultimate dosage form should be sterile, fluid and stable under the conditions of manufacture and storage. The liquid carrier or vehicle can be a solvent or liquid dispersion medium comprising, for example, water, ethanol, a polyol (for example, glycerol, propylene glycol, liquid polyethylene glycols, and the like), vegetable oils, nontoxic glyceryl esters, and suitable mixtures thereof. The proper fluidity can be maintained, for example, by the formation of liposomes, by the maintenance of the required particle size in the case of dispersions, or by the use of surfactants. The prevention of the action of microorganisms can be brought about by various antibacterial and/or antifungal agents, for example, parabens, chlorobutanol, phenol, sorbic acid, thimerosal, and the like. In many cases, it will be preferable to include isotonic agents, for example, sugars, buffers, or sodium chloride. Prolonged absorption of the injectable compositions can be brought about by agents delaying absorption, for example, aluminum monostearate and/or gelatin.

[0119] Sterile injectable solutions can be prepared by incorporating the active compound in the required amount in the appropriate solvent with various other ingredients enumerated above, as required, optionally followed by filter sterilization. In the case of sterile powders for the preparation of sterile injectable solutions, methods of preparation can include vacuum drying and freeze-drying techniques, which yield a powder of the active ingredient plus any additional desired ingredient present in the solution.

[0120] For topical administration, compounds may be applied in pure form, e.g., when they are liquids. However, it will generally be desirable to administer the active agent to the skin as a composition or formulation, for example, in combination with a dermatologically acceptable carrier, which may be a solid, a liquid, a gel, or the like.

[0121] Useful solid carriers include finely divided solids such as talc, clay, microcrystalline cellulose, silica, alumina, and the like. Useful liquid carriers include water, dimethyl sulfoxide (DMSO), alcohols, glycols, or water-alcohol/glycol blends, in which a compound can be dissolved or dispersed at effective levels, optionally with the aid of non-toxic surfactants. Adjuvants such as fragrances and additional antimicrobial agents can be added to optimize the properties for a given use. The resultant liquid compositions can be applied from absorbent pads, used to impregnate bandages and other dressings, or sprayed onto the affected area using a pump-type or aerosol sprayer.

[0122] Thickeners such as synthetic polymers, fatty acids, fatty acid salts and esters, fatty alcohols, modified celluloses, or modified mineral materials can also be employed with liquid carriers to form spreadable pastes, gels, ointments, soaps, and the like, for application directly to the skin of the user.

[0123] Examples of dermatological compositions for delivering active agents to the skin are known to the art; for example, see U.S. Pat. No. 4,992,478 (Geria), 4,820,508 (Wortzman), 4,608,392 (Jacquet et al.), and 4,559,157 (Smith et al.). Such dermatological compositions can be used in combinations with the compounds described herein where an ingredient of such compositions can optionally be replaced by a compound described herein, or a compound described herein can be added to the composition.

[0124] Useful dosages of the compounds described herein can be determined by comparing their in vitro activity, and in vivo activity in animal models. Methods for the extrapolation of effective dosages in mice, and other animals, to humans are known to the art; for example, see U.S. Pat. No. 4,938,949 (Borch et al.). The amount of a compound, or an active salt or derivative thereof, required for use in treatment will vary not only with the particular compound or salt selected but also with the route of administration, the nature of the condition being treated, and the age and condition of the patient, and will be ultimately at the discretion of an attendant physician or clinician.

[0125] In general, however, a suitable dose will be in the range of from about 0.5 to about 100 mg/kg, e.g., from about 10 to about 75 mg/kg of body weight per day, such as 3 to about 50 mg per kilogram body weight of the recipient per day, preferably in the range of 6 to 90 mg/kg/day, most preferably in the range of 15 to 60 mg/kg/day.

[0126] The compound is conveniently formulated in unit dosage form; for example, containing 5 to 1000 mg, conveniently 10 to 750 mg, most conveniently, 50 to 500 mg of active ingredient per unit dosage form. In one embodiment, the invention provides a composition comprising a compound of the invention formulated in such a unit dosage form.

[0127] The compound can be conveniently administered in a unit dosage form, for example, containing 5 to 1000 mg/m², conveniently 10 to 750 mg/m², most conveniently, 50 to 500 mg/m² of active ingredient per unit dosage form. The desired dose may conveniently be presented in a single dose or as divided doses administered at appropriate intervals, for example, as two, three, four or more sub-doses per day. The sub-dose itself may be further divided, e.g., into a number of discrete loosely spaced administrations.

[0128] The desired dose may conveniently be presented in a single dose or as divided doses administered at appropriate intervals, for example, as two, three, four or more sub-doses per day. The sub-dose itself may be further divided, e.g., into a number of discrete loosely spaced administrations; such as multiple inhalations from an insufflator or by application of a plurality of drops into the eye.

[0129] The compounds described herein can be effective anti-cancer agents and have higher potency and/or reduced toxicity as compared to BMS-641988. Preferably, compounds of the invention are more potent and less toxic than BMS-641988, and/or avoid a potential site of metabolism encountered with BMS-641988, i.e., have a different metabolic profile than BMS-641988.

[0130] The invention provides therapeutic methods of treating cancer in a mammal, which involve administering to a mammal having cancer an effective amount of a compound or composition described herein. A mammal includes a primate, human, rodent, canine, feline, bovine, ovine, equine, swine, caprine, bovine and the like. Cancer refers to any various type of malignant neoplasm, for example, colon cancer, breast cancer, prostate cancer, melanoma and leukemia, and in general is characterized by an undesirable cellular proliferation, e.g., unregulated growth, lack of differentiation, local tissue invasion, and metastasis.

[0131] The ability of a compound of the invention to treat cancer may be determined by using assays well known to the art. For example, the design of treatment protocols, toxicity evaluation, data analysis, quantification of tumor cell kill, and the biological significance of the use of transplantable tumor screens are known.

[0132] The following Examples are intended to illustrate the above invention and should not be construed as to narrow its scope. One skilled in the art will readily recognize that the Examples suggest many other ways in which the invention could be practiced. It should be understood that numerous variations and modifications may be made while remaining within the scope of the invention.

[0133] Unless otherwise noted, all reagents and solvents were commercially available and used as received. The progress of all reactions was monitored on precoated silica gel plates (with fluorescence indicator UV254) using ethyl acetate/hexane or dichloromethane/methanol as solvent systems. Column chromatography was performed with Teledyne Isco Combiflash with the solvent mixtures specified in the corresponding experiment. NMR spectra were recorded on either a Varian 400, 500 or 600 at room temperature. Data is reported as follows: chemical shift (ppm, δ relative to residual solvent peak for ¹H and ¹³C), multiplicity (s=singlet, d=doublet, t=triplet, q=quartet, m=multiplet, and br=broad), coupling constant (Hz), and integration. ¹⁹F NMR spectra were recorded with proton decoupling. Optical rotation was determined by a Jasco P2000 polarimeter. Specific rotations [α]^D₂₀ are given in deg cm³ g⁻¹ dm⁻¹. Low-resolution mass spectrometry (LRMS) analysis was performed using on Advion Expression. Chiral HPLC separation was performed on Shimadzu Prominence: column, Chiralcel OD-H (5 μm, 250 mm×4.6 mm) or ProntoSIL AX QN (5 μm, 150 mm×8.0 mm) or ProntoSIL Chiral AX QD-1 (5 μm, 150 mm×4.0 mm); eluents hexane/isopropanol or acetonitrile with detection at 254 nm; column temperature of 20° C. All final compounds have a purity of >95% confirmed by HPLC. All final compounds were further purified by reverse phase HPLC with the same instrument on Phenomenex Luna C18 column with 50% acetonitrile in water.

[0134] General Synthetic Methods. Anilines 1 were either purchased or prepared according to known procedures (Scheme 5, 6). Carboxylic acids 8 were either purchased or prepared according to known procedures (Scheme 7). Amine intermediates (7a and 7b) and azide intermediates (15a and 15b) were prepared according to known procedures (Scheme 8).

[0135] (2-methoxyethoxy)methyl (3aR,4R, 7R, 7aS)-2-(4-cyano-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxo-2,3, 3a,4,7, 7a-hexahydro-1H-4, 7-epoxyisoindole-5-carboxylate (3a) and (2-methoxyethoxy)methyl (3aS,4S, 7S, 7aR)-2-(4-cyano-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxo-2, 3, 3a,4,7, 7a-hexahydro-1H-4, 7-epoxyisoindole-5-carboxylate (3b). A mixture of 4-(2,5-dioxo-2,5-dihydropyrrol-1-yl)-2-trifluoromethylbenzonitrile (200 mg, 0.75 mmol) and 2,5-dimethylfuran-3-carboxylic acid 2-methoxyethoxymethyl ester (257 mg, 1.13 mmol) was heated at 125° C. for 1.5 h and then stirred at room temperature overnight. The crude product was purified by column chromatography on a silica gel column (0-30% ethyl acetate in hexane) to give the compounds 3a/b (93 mg, 25%) as a viscous oil and a mixture of two enantiomers, which were used for the following steps without further separation. ¹H NMR (400 MHz, CDCl₃) δ 7.94 (d, J=8.3 Hz, 1H), 7.85 (d, J=1.9 Hz, 1H), 7.75 (dd, J=8.3, 1.9 Hz, 1H), 7.12 (s, 1H), 5.49-5.31 (m, 2H), 3.89-3.75 (m, 2H), 3.63-3.50 (m, 2H), 3.37 (s, 2H), 3.18 (d, J=6.6 Hz, 1H), 3.09 (d, J=6.6 Hz, 1H), 1.89 (s, 2H), 1.79 (s, 2H). ESI-MS: [M+H]⁺ calced for C₂₃H₂₂F₃N₂O₇, 495.1; found, 495.2.

[0136] (2-methoxyethoxy)methyl (3aR,4R,5R, 7R, 7aS)-2-(4-cyano-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxooctahydro-1H-4, 7-epoxyisoindole-5-carboxylate (4a) and (2-methoxyethoxy)methyl (3aS,4S,5S, 7S, 7aR)-2-(4-cyano-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1,3-dioxooctahydro-1H-4, 7-epoxyisoindole-5-carboxylate (4b). A solution of 3a/b (93 mg, 0.188 mmol) in ethyl acetate (2 mL) was mixed with 10% Pd/C (10 mg) and stirred under H₂ atmosphere (balloon) at room temperature overnight. The mixture was filtered through a pad of celite and the filtrate was concentrated under reduced pressure. The crude product was purified by silica gel flash chromatography (30% EtOAc in hexane) to afford the product 4a/b (70 mg, 75%) as a white solid. ¹H NMR (400 MHz, CDCl₃) δ 7.94 (d, J=8.3 Hz, 1H), 7.87-7.81 (m, 1H), 7.73 (dd, J=8.1, 1.8 Hz, 1H), 5.46 (d, J=6.2 Hz, 1H), 5.34 (d, J=6.1 Hz, 1H), 3.90-3.79 (m, 2H), 3.57 (t, J=4.6 Hz, 2H), 3.38 (s, 3H), 3.33 (d, J=7.2 Hz, 1H), 3.19 (d, J=7.3 Hz, 1H), 3.04 (dd, J=11.7, 4.9 Hz, 1H), 2.29 (dd, J=12.8, 4.9 Hz, 1H), 2.05 (t, J=12.5 Hz, 2H), 1.78 (s, 3H), 1.64 (s, 3H). ESI-MS: [M+Na]⁺ calcd for C₂₃H₂₃F₃N₂NaO₇, 519.1; found, 519.3.

[0137] (3aR,4R,5R, 7R, 7aS)-2-(4-cyano-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxooctahydro-1H-4, 7-epoxyisoindole-5-carboxylic acid (5a) and (3aS,4S,5S, 7S, 7aR)-2-(4-cyano-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxooctahydro-1H-4, 7-epoxyisoindole-5-carboxylic acid (5b). A solution of 4a (0.55 g, 1.11 mmol) in THF (4 mL) was mixed with a solution of 3N hydrochloric acid (2.8 mL) and stirred at room temperature overnight. The reaction mixture was diluted with water and the aqueous layer extracted with ethyl acetate. The combined organics were dried over Na₂SO₄, filtered and concentrated to give the product 5a/b (0.45 g, 99%) as a white foam. ¹H NMR (400 MHz, MeOD) δ 8.13 (d, J=8.7 Hz, 1H), 7.93 (d, J=2.0 Hz, 1H), 7.83 (dd, J=8.6, 2.2 Hz, 1H), 3.41 (d, J=7.2 Hz, 1H), 3.25 (d, J=7.2 Hz, 1H), 3.02 (dd, J=11.7, 5.1 Hz, 1H), 2.26 (dd, J=12.7, 5.1 Hz, 1H), 2.02 (t, J=12.3 Hz, 1H), 1.71 (s, 3H), 1.57 (s, 3H). ESI-MS: [M−H]⁻ calcd for C₁₉H₁₄F₃N₂O₅, 407.1; found, 407.1.

[0138] 2-(trimethylsilyl)ethyl ((3aR,4R,5R, 7R, 7aS)-2-(4-cyano-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxooctahydro-1H-4, 7-epoxyisoindol-5-yl)carbamate (6a) and 2-(trimethylsilyl)ethyl ((3aS,4S, 5S, 7S, 7aR)-2-(4-cyano-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1,3-dioxooctahydro-1H-4,7-epoxyisoindol-5-yl)carbamate (6b). A solution of 5a/b (228 mg, 0.558 mmol), triethylamine (0.1 mL, 0.69 mmol), powdered 4A molecular sieves (228 mg) in dioxane (3 mL) was mixed with diphenyl phosphoryl azide (189 mg, 0.148 mmol) and stirred at 50° C. for 1.5 h before the temperature was raised to 75° C. and 2-(trimethylsilyl)ethanol (337 mg, 2.85 mmol) was added. After heating at 75° C. for an additional 1.5 h, the reaction mixture was cooled, filtered and concentrated. The residue was purified by silica gel chromatography (30% ethyl acetate in hexane) to give the product 6a/b (154 mg, 53%) as a colorless oil. ¹H NMR (400 MHz, CDCl₃) δ 7.93 (d, J=8.4 Hz, 1H), 7.87-7.83 (m, 1H), 7.74 (dd, J=8.4, 2.1 Hz, 1H), 4.17 (t, J=10.1 Hz, 2H), 4.07-401 (m, 1H), 3.47 (brs, 1H), 3.13 (d, J=7.2 Hz, 1H), 2.32 (t, J=12.4 Hz, 1H), 1.60 (s, 6H), 1.54 (dd, J=13.2, 5.0 Hz, 1H), 0.99 (t, J=8.6 Hz), 0.04 (s, 9H). ESI-MS: [M+Na]⁺ calcd for C₂₄H₂₈F₃N₃O₅SiNa, 546.2; found, 546.3.

[0139] 4-((3aR,4R,5R, 7R, 7aS)-5-amino-4, 7-dimethyl-J, 3-dioxooctahydro-2H-4, 7-epoxyisoindol-2-yl)-2-(trifluoromethyl)benzonitrile (7a) and 4-((3aS,4S,5S, 7S, 7aR)-5-amino-4, 7-dimethyl-1, 3-dioxooctahydro-2H-4, 7-epoxyisoindol-2-yl)-2-(trifluoromethyl)benzonitrile (7b). The carbamate 6a/b solution (110 mg, 0.21 mmol) in CH₂Cl₂ (3 mL) was mixed with trifluoroacetic acid (0.55 mL) and stirred at room temperature for 2 h. After this time, the reaction was rendered basic by the addition of saturated aqueous sodium bicarbonate. The organic phase was washed with brine, dried over sodium sulfate, filtered and concentrated to afford the product 7a/b (80 mg, quantitative) as a white foam. ¹H NMR (400 MHz, CDCl₃): δ 7.93 (d, J=8.3 Hz, 1H), 7.89-7.85 (m, 1H), 7.76 (dd, J=8.3, 2.0 Hz, 1H), 3.94 (d, J=7.3 Hz, 1H), 3.40 (dd, J=10.7, 4.7 Hz, 1H), 3.07 (dd, J=7.4, 1.7 Hz, 1H), 2.19 (dd, J=12.6, 10.7 Hz, 1H), 1.60 (s, 4H), 1.53 (d, J=0.8 Hz, 4H), 1.34-1.29 (m, 1H). ESI-MS: [M−H]⁻ calcd for C₁₈H₁₅F₃N₃O₃, 378.1; found, 378.0.

[0140] N-((3aR,4R,5R, 7R, 7aS)-2-(4-cyano-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxooctahydro-1H-4, 7-epoxyisoindol-5-yl)ethanesulfonamide (8) and N-((3aS,4S,5S, 7S, 7aR)-2-(4-cyano-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxooctahydro-1H-4, 7-epoxyisoindol-5-yl)ethanesulfonamide (9). A solution of 7a/b (80 mg, 0.21 mmol) in anhydrous CH₂Cl₂ (3 mL) was mixed with triethylamine (0.12 mL, 0.84 mmol) and ethanesulfonyl chloride (54 mg, 0.42 mmol) at 0° C. and stirred at room temperature overnight. The reaction mixture was then diluted with CH₂Cl₂ and washed with brine, dried over sodium sulfate, filtered and concentrated. The residue was purified by column chromatography (30-50% ethyl acetate in hexane) to give the racemic product 8/9 (50 mg, 50%) as a white solid. Further separation of the two enantiomers was achieved by chiral HPLC using a Chiralcel OD-H column (250×4.6 mm, 5 μm) eluting with 50% isopropanol in hexane at 1 m/min and 254 nm detection. Compound 8 had a retention time of 8.4 min, while its enantiomer 9 had a retention time of 12.9 min.

[0141] 8: [α]²⁴_D=−28.1° (c=0.5, MeOH). ¹H NMR (600 MHz, CDCl₃) δ 7.93 (d, J=8.3 Hz, 1H), 7.85 (s, 1H), 7.74 (d, J=8.4 Hz, 1H), 5.64 (d, J=8.4 Hz, 1H), 3.75-3.61 (m, 1H), 3.51 (d, J=7.3 Hz, 1H), 3.17 (d, J=7.2 Hz, 1H), 3.15-3.04 (m, 2H), 2.37 (t, J=12.2 Hz, 1H), 1.65 (dd, J=13.2, 4.8 Hz, 1H), 1.63 (s, 3H), 1.60 (s, 3H), 1.41 (t, J=7.4 Hz, 3H). ¹³C NMR (151 MHz, CDCl₃) δ 173.95, 173.31, 135.79, 135.37, 133.76 (q, J=33.5 Hz), 129.57, 124.44, 121.79 (q, J=274.5 Hz), 114.78, 109.57, 87.14, 85.59, 60.49, 53.34, 47.84, 47.55, 44.97, 18.28, 16.35, 8.32. ¹⁹F NMR (564 MHz, CDCl₃): δ-62.1. HRMS: [M+H]⁺ calcd for C₂₀H₂₁N₃O₅SF₃, 472.1154; found, 472.1158.

[0142] 9: [α]²⁴_D=+26.1° (c=0.5, MeOH). ¹H NMR (600 MHz, CDCl₃) δ 7.93 (d, J=8.3 Hz, 1H), 7.85 (d, J=1.8 Hz, 1H), 7.74 (dd, J=8.3, 1.9 Hz, 1H), 5.62 (d, J=8.4 Hz, 1H), 3.70-3.66 (m, 1H), 3.51 (d, J=7.3 Hz, 1H), 3.16 (d, J=7.3 Hz, 1H), 3.14-3.06 (m, 2H), 2.37 (t, J=13.0 Hz, 1H), 1.65 (dd, J=13.1, 4.8 Hz, 1H), 1.63 (s, 3H), 1.60 (s, 3H), 1.41 (t, J=7.4 Hz, 3H). ¹³C NMR (151 MHz, CDCl₃) δ 173.95, 173.30, 135.78, 135.37, 133.76 (q, J=33.5 Hz), 129.56, 124.44, 121.79 (q, J=274.3 Hz), 114.78, 109.58, 87.14, 85.59, 60.50, 53.34, 47.84, 47.56, 44.98, 18.28, 16.36, 8.32. ¹⁹F NMR (564 MHz, CDCl₃): δ-62.1. HRMS: [M+H]⁺ calced for C₂₀H₂₁N₃O₅SF₃, 472.1154; found, 472.1148.

[0143] N-((3aR,4R,5R, 7R, 7aS)-2-(4-cyano-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxooctahydro-1H-4, 7-epoxyisoindol-5-yl)-1H-pyrazole-3-carboxamide (10) and N-((3aS,4S,5S, 7S, 7aR)-2-(4-cyano-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxooctahydro-1H-4, 7-epoxyisoindol-5-yl)-1H-pyrazole-3-carboxamide (11). A mixture of the amine 7 (50 mg, 0.13 mmol), 1H-Pyrazole-3-carboxylic acid (24 mg, 0.21 mmol), DIEA (0.073 mL, 0.42 mmol), and HATU (80 mg, 0.21 mmol) in DMF (1 mL) was stirred at room temperature overnight. The volatiles were removed under reduced pressure and the residue was partitioned between ethyl acetate and water. The organic layer was washed with brine, dried over Na₂SO₄, filtered and concentrated. The residue was first purified by flash column chromatography (0-5% MeOH in DCM) to give the product 10/11 (35 mg, 56%) as a white solid. Further separation of the two enantiomers was achieved by chiral HPLC using a Chiralcel OD-H column (250×4.6 mm, 5 μm) eluting with 50% isopropanol in hexane at 1 mL/min and 254 nm detection. Compound 10 had a retention time of 5.0 min, while its enantiomer 11 had a retention time of 6.7 min.

[0144] 10: [α]²³_D=−28.7° (c=0.3, MeOH). ¹H NMR (600 MHz, MeOD) δ 8.13 (d, J=8.3 Hz, 1H), 7.95 (d, J=2.0 Hz, 1H), 7.85 (dd, J=8.7, 2.0 Hz, 1H), 7.73 (s, 1H), 6.80 (s, 1H), 4.49 (dd, J=11.8, 5.1 Hz, 1H), 3.57 (d, J=7.3 Hz, 1H), 3.39 (d, J=7.2 Hz, 1H), 2.38-2.25 (m, 1H), 1.87 (dd, J=13.0, 5.1 Hz, 1H), 1.59 (s, 3H), 1.57 (s, 3H). ¹³C NMR (151 MHz, MeOD) δ 176.40, 175.80, 165.20, 147.44, 138.01, 137.05, 134.10 (q, J=32.9 Hz), 131.80, 131.15, 125.94, 123.62 (q, J=274.5 Hz), 115.94, 110.22, 106.64, 89.32, 86.94, 57.94, 55.10, 49.97, 43.74, 18.64, 17.74. ¹⁹F NMR (564 MHz, MeOD): δ-63.6. HRMS: [M+H]⁺ calcd for C₂₂H₁₉N₅O₄F₃, 474.1389; found, 474.1374.

[0145] 11: [α]²³_D=+31.6° (c=0.3, MeOH). ¹H NMR (600 MHz, MeOD) δ 8.13 (d, J=8.3 Hz, 1H), 7.95 (d, J=1.9 Hz, 1H), 7.85 (dd, J=8.3, 1.9 Hz, 1H), 7.73 (s, 1H), 6.80 (s, 1H), 4.49 (dd, J=11.8, 5.1 Hz, 1H), 3.57 (d, J=7.2 Hz, 1H), 3.39 (d, J=7.3 Hz, 1H), 2.38-2.24 (m, 1H), 1.87 (dd, J=13.0, 5.1 Hz, 1H), 1.59 (s, 3H), 1.57 (s, 3H). ¹³C NMR (151 MHz, MeOD) δ 176.40, 175.80, 165.23, 147.41, 138.00, 137.05, 134.10 (q, J=33.1 Hz), 131.80, 131.15, 125.94, 123.62 (q, J=273.0 Hz), 115.94, 110.23, 106.65, 89.32, 86.94, 57.94, 55.09, 49.97, 43.74, 18.64, 17.74. ¹⁹F NMR (564 MHz, MeOD): δ-63.6. HRMS: [M+H^] calced for C₂₂H₁₉N₅O₄F₃, 474.1389; found, 474.1368.

[0146] 5-acetyl-N-((3aR,4R,5R, 7R, 7aS)-2-(4-cyano-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxooctahydro-1H-4, 7-epoxyisoindol-5-yl)-1H-pyrazole-3-carboxamide (12) and 5-acetyl-N-((3aS,4S,5S, 7S, 7aR)-2-(4-cyano-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxooctahydro-1H-4, 7-epoxyisoindol-5-yl)-1H-pyrazole-3-carboxamide (13). This compound was prepared as described for 10. Obtained from 7 (50 mg, 0.13 mmol) as a white solid, yield 66% (45 mg). Separation of the two enantiomers was achieved by chiral HPLC using a ProntoSIL Chiral AX QN-1 column (150×8.0 mm, 5 μm) eluting with 50% isopropanol in hexane at 3 mL/min and 254 nm detection. Compound 12 had a retention time of 40.4 min, while its enantiomer 13 had a retention time of 16.3 min.

[0147] 12: [α]²²_D=−48.7° (c=0.3, MeOH). ¹H NMR (600 MHz, CDCl₃) δ 11.39 (s, 1H), 7.94 (d, J=8.3 Hz, 1H), 7.84 (d, J=2.1 Hz, 1H), 7.73 (dd, J=8.3, 2.1 Hz, 1H), 7.35 (s, 1H), 6.99 (d, J=8.1 Hz, 1H), 4.54-4.50 (m, 1H), 3.52 (d, J=7.2 Hz, 1H), 3.30 (d, J=7.2 Hz, 1H), 2.58 (s, 3H), 2.42 (dd, J=13.3, 11.7 Hz, 1H), 1.76 (dd, J=13.3, 5.0 Hz, 1H), 1.69 (s, 3H), 1.66 (s, 3H). ¹³C NMR (151 MHz, CDCl₃) δ 174.23, 173.47, 161.01, 135.75, 135.40, 133.84 (q, J=33.3 Hz), 124.38, 121.78 (q, J=274.2 Hz), 114.74, 109.67, 88.31, 85.78, 56.82, 53.67, 48.30, 43.95, 27.03, 18.31, 17.05. ¹⁹F NMR (564 MHz, CDCl₃): δ-62.07. ESI-MS: [M+Na]⁺ calcd for C₂₄H₂₀N₅O₅F₃Na, 538.1; found, 538.3.

[0148] 13: [α]²²D=+49.0° (c=0.3, MeOH). ¹H NMR (600 MHz, CDCl₃) δ 7.94 (d, J=8.4 Hz, 1H), 7.84 (d, J=2.0 Hz, 1H), 7.73 (dd, J=8.4, 2.1 Hz, 1H), 7.35 (s, 1H), 6.99 (d, J=8.0 Hz, 1H), 4.54-4.50 (m, 1H), 3.52 (d, J=7.2 Hz, 1H), 3.29 (d, J=7.3 Hz, 1H), 2.58 (s, 3H), 2.42 (dd, J=13.3, 11.7 Hz, 1H), 1.76 (dd, J=13.3, 5.0 Hz, 1H), 1.69 (s, 3H), 1.66 (s, 3H). ¹³C NMR (151 MHz, CDCl₃) δ 174.22, 173.46, 161.02, 135.76, 135.40, 133.84 (q, J=33.5 Hz), 124.38, 121.79 (q, J=274.5 Hz), 114.74, 109.67, 88.31, 85.77, 56.82, 53.68, 48.30, 43.98, 27.02, 18.31, 17.05. ¹⁹F NMR (564 MHz, CDCl₃): δ-62.08. ESI-MS: [2M+Na]⁺ calcd for C₄₈H₄₀N₁₀O₁₀F₆, 1053.3; found, 1052.9.

[0149] N-((3aR,4R,5R, 7R, 7aS)-2-(4-cyano-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxooctahydro-1H-4, 7-epoxyisoindol-5-yl)-5-(1-hydroxyethyl)-1H-pyrazole-3-carboxamide (14) and N-((3aS,4S, 5S, 7S, 7aR)-2-(4-cyano-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxooctahydro-1H-4, 7-epoxyisoindol-5-yl)-5-(1-hydroxyethyl)-1H-pyrazole-3-carboxamide (15). This compound was prepared as described for 10. Obtained from 7 (30 mg, 0.079 mmol) as a white solid, yield 64% (26 mg). Separation of the two enantiomers was achieved by chiral HPLC using a ProntoSIL Chiral AX QN-1 column (150×8.0 mm, 5 μm) eluting with 50% isopropanol in hexane at 3 m/min and 254 nm detection. Compound 14 had a retention time of 36.7 min, while its enantiomer 15 had a retention time of 14.9 min.

[0150] 14: [α]²⁰_D=−31.0° (c=0.3, MeOH). ¹H NMR (600 MHz, MeOD) δ 8.13 (d, J=8.3 Hz, 1H), 7.95 (d, J=1.9 Hz, 1H), 7.85 (dd, J=8.3, 2.0 Hz, 1H), 6.69 (s, 1H), 4.94 (q, J=6.2 Hz, 1H), 4.47 (dd, J=11.7, 5.1 Hz, 1H), 3.56 (d, J=7.2 Hz, 1H), 3.38 (d, J=7.3 Hz, 1H), 2.32-2.25 (m, 1H), 1.85 (dd, J=13.0, 5.1 Hz, 1H), 1.59 (s, 3H), 1.56 (s, 3H), 1.52 (d, J=6.8 Hz, 3H). ¹³C NMR (151 MHz, MeOD) δ 176.39, 175.79, 138.01, 137.06, 134.10 (q, J=33.2 Hz), 131.81, 125.94, 123.62 (q, J=273.2 Hz), 110.22, 103.35, 89.31, 86.94, 57.94, 55.10, 49.96, 43.75, 37.60, 23.73, 18.64, 17.73. ¹⁹F NMR (564 MHz, MeOD): δ-63.61. ESI-MS: [M+Na]⁺ calcd for C₂₄H₂₂N₅O₅F₃Na, 540.1; found, 540.3.

[0151] 15: [α]²⁰_D=+34.0° (c=0.3, MeOH). ¹H NMR (600 MHz, MeOD) δ 8.13 (d, J=8.3 Hz, 1H), 7.95 (d, J=2.0 Hz, 1H), 7.85 (dd, J=8.3, 2.0 Hz, 1H), 6.66 (s, 1H), 4.94 (q, J=6.8 Hz, 1H), 4.47 (dd, J=11.8, 5.1 Hz, 1H), 3.56 (d, J=7.2 Hz, 1H), 3.38 (d, J=7.2 Hz, 1H), 2.33-2.24 (m, 1H), 1.85 (dd, J=13.0, 5.1 Hz, 1H), 1.59 (s, 3H), 1.56 (s, 3H), 1.52 (d, J=6.6 Hz, 3H). ¹³C NMR (151 MHz, MeOD) δ 176.39, 175.79, 138.01, 137.06, 134.10 (q, J=33.0 Hz), 131.81, 125.94, 123.62 (q, J=273.2 Hz), 115.94, 110.23, 103.35, 89.31, 86.94, 57.94, 55.10, 49.96, 43.76, 37.60, 23.73, 18.64, 17.73. ¹⁹F NMR (564 MHz, MeOD): δ-63.61. ESI-MS: [M+Na]⁺ calcd for C₂₄H₂₂N₅O₅F₃Na, 540.1; found, 540.3.

[0152] N-((3aR,4R,5R, 7R, 7aS)-2-(4-cyano-2-fluoro-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxooctahydro-1H-4, 7-epoxyisoindol-5-yl)ethanesulfonamide (EITM-1705). EITM-1705 was prepared form amine 7 in a similar manner to that described for BMS-641988. Racemic mixture obtained from 7 (20 mg, 0.050 mmol) as a white solid, yield 49% (12 mg). Separation of the two enantiomers was achieved by chiral HPLC using a ProntoSIL Chiral AX QN-1 column (150×8.0 mm, 5 μm) eluting with 50% isopropanol in hexane at 3 m/min and 254 nm detection. EITM-1705 had a retention time of 8.5 min. [α]²⁰_D=−30.0° (c=0.2, EtOAc). ¹H NMR (600 MHz, CDCl₃) δ 7.75 (d, J=8.3 Hz, 1H), 7.64 (s, 1H), 5.03 (s, 1H), 3.73-3.70 (m, 1H), 3.53 (s, 1H), 3.17 (s, 1H), 3.11 (q, J=7.4 Hz, 2H), 2.40 (t, J=12.3 Hz, 1H), 1.63 (s, 3H), 1.65-1.62 (m, 1H), 1.60 (s, 3H), 1.42 (t, J=7.3 Hz, 3H). ¹³C NMR (151 MHz, CDCl₃) δ 172.84, 172.22, 130.75, 125.64, 120.78 (q, J=277.1 Hz), 114.11, 87.12, 85.54, 60.49, 53.97, 48.32, 45.17, 18.23, 16.36, 8.37. ¹⁹F NMR (564 MHz, CDCl₃): δ-57.77, -112.61. ESI-MS: [M+Na]⁺ calced for C₂₀H₁₉N₄O₅SF₄, 512.1; found, 512.3.

[0153] 4-((3aR,4R,5R, 7R, 7aS)-5-(4-(2-hydroxyethyl)-1H-1,2,3-triazol-1-yl)-4,7-dimethyl-1,3-dioxooctahydro-2H-4, 7-epoxyisoindol-2-yl)-2-(trifluoromethyl)benzonitrile (EITM-1706). EITM-1706 was prepared as described in Scheme 4. A mixture of the azide intermediate (36 mg, 0.09 mmol), 3-butynol (9.5 mg, 0.135 mmol), copper (II) sulfate pentahydrate (6.7 mg, 0.027 mmol), and sodium ascorbate (10.7 mg, 0.054 mmol) in 1:1 tert-butanol:water (1 mL) was stirred at 40° C. for 2 days. The volatiles were removed under reduced pressure and the residue was partitioned between ethyl acetate and water. The organic layer was washed with brine, dried over Na₂SO₄, filtered and concentrated. The residue was purified by flash column chromatography (0-10% MeOH in DCM) to give the racemic product as a white solid (6.4 mg, 30%). Further separation of the two enantiomers was achieved by chiral HPLC using a Chiralcel OD-H column (250×4.6 mm, 5 μm) eluting with 50% isopropanol in hexane at 1 mL/min and 254 nm detection. EITM-1706 had a retention time of 14.5 min. [α]²³_D=−5.3° (c=0.15, MeOH). ¹H NMR (600 MHz, CDCl₃) δ 7.95 (d, J=8.1 Hz, 1H), 7.84 (s, 1H), 7.73 (d, J=8.3 Hz, 1H), 7.51 (s, 1H), 4.68 (m, 1H), 4.01 (q, J=6.0 Hz, 2H), 3.53 (d, J=7.3 Hz, 1H), 3.12 (d, J=7.3 Hz, 1H), 3.03-2.99 (m, 2H), 2.97 (dd, J=13.4, 4.7 Hz, 1H), 2.49 (t, J=12.5 Hz, 1H), 2.28 (t, J=5.8 Hz, 1H), 1.74 (s, 3H), 1.70 (s, 3H). ¹³C NMR (151 MHz, CDCl₃) δ 173.77, 173.31, 135.69, 135.39, 134.03, 133.70, 129.49, 124.39 (q, J=4.8 Hz), 123.13, 120.41, 114.72, 109.71, 87.08, 86.56, 67.66, 61.42, 53.12, 48.61, 42.31, 28.61, 18.29, 16.71. ¹⁹F NMR (564 MHz, CDCl₃): δ-62.07. ESI-MS: [2M+Na]⁺ calcd for C₄₄H₄₀N₁₀O₈F₆Na, 973.2832; found, 973.1.

[0154] (2-methoxyethoxy)methyl (3aR,4R, 7R, 7aS)-2-(4-cyano-2-fluoro-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxo-2, 3, 3a,4,7, 7a-hexahydro-1H-4, 7-epoxyisoindole-5-carboxylate (17a) and (2-methoxyethoxy)methyl (3aS,4S, 7S, 7aR)-2-(4-cyano-2-fluoro-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxo-2, 3,3a,4,7, 7a-hexahydro-1H-4, 7-epoxyisoindole-5-carboxylate (17b). This compound was prepared as described for 3. Obtained from compound 16 (100 mg, 0.35 mmol) as a viscous oil, yield 61% (110 mg). ¹H NMR (600 MHz, CDCl₃) δ 7.75 (d, J=8.3 Hz, 1H), 7.66 (s, 1H), 7.12 (s, 1H), 5.47-5.41 (m, 2H), 3.86-3.80 (m, 2H), 3.58-3.56 (m, 2H), 3.39 (s, 3H), 3.22 (s, 1H), 3.12 (s, 1H), 1.90 (s, 3H), 1.79 (s, 3H). ¹³C NMR (151 MHz, CDCl₃) δ 170.93, 170.87, 161.72, 149.68, 144.68, 135.12, 133.19, 130.74, 125.48, 122.05, 120.78 (q, J=276.5 Hz), 114.11, 112.26, 90.03, 88.58, 87.66, 71.45, 69.99, 59.12, 53.12, 52.74, 15.37, 15.06. ¹⁹F NMR (564 MHz, CDCl₃) δ-57.77, -112.58. ESI-MS: [M+Na]⁺ calcd for C₂₃H₂₀F₄N₂NaO₇, 535.1; found, 535.1.

[0155] (2-methoxyethoxy)methyl (3aR,4R,5R, 7R, 7aS)-2-(4-cyano-2-fluoro-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxooctahydro-1H-4, 7-epoxyisoindole-5-carboxylate (18a) and (2-methoxyethoxy)methyl (3aS,4S,5S, 7S, 7aR)-2-(4-cyano-2-fluoro-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxooctahydro-1H-4, 7-epoxyisoindole-5-carboxylate (18b). This compound was prepared as described for 4. Obtained from 17 (0.72 g, 1.41 mmol) as a white solid, yield 90% (0.65 g). ¹H NMR (600 MHz, CDCl₃) δ 7.73 (d, J=8.3 Hz, 1H), 7.60 (s, 1H), 5.45 (d, J=6.2 Hz, 1H), 5.33 (d, J=6.2 Hz, 1H), 3.88-3.79 (m, 2H), 3.56 (t, J=4.5 Hz, 2H), 3.37 (s, 4H), 3.22 (s, 1H), 3.04 (dd, J=11.7, 4.9 Hz, 1H), 2.27 (dd, J=12.8, 5.0 Hz, 1H), 2.05 (t, J=12.4 Hz, 1H), 1.76 (s, 3H), 1.62 (s, 3H). ¹³C NMR (151 MHz, CDCl₃) δ 172.81, 172.63, 171.26, 133.01, 130.70, 125.75, 121.96, 120.78 (q, J=275.8 Hz), 114.12, 112.05, 90.02, 86.87, 86.22, 59.06, 54.20, 53.67, 50.50, 41.34, 17.98, 17.96. ¹⁹F NMR (564 MHz, CDCl₃) δ-57.78, -112.62. ESI-MS: [M+Na]⁺ calcd for C₂₃H₂₂F₄N₂NaO₇, 537.1; found, 537.3.

[0156] (3aR,4R,5R, 7R, 7aS)-2-(4-cyano-2-fluoro-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxooctahydro-1H-4, 7-epoxyisoindole-5-carboxylic acid (19a) and (3aS,4S,5S, 7S, 7aR)-2-(4-cyano-2-fluoro-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxooctahydro-1H-4, 7-epoxyisoindole-5-carboxylic acid (19b). This compound was prepared as described for 5. Obtained from 18 (0.65 g, 1.26 mmol) as a white foam, yield 91% (0.49 g). ¹H NMR (400 MHz, MeOD) δ 7.98-7.95 (m, 1H), 7.86 (s, 1H), 3.44 (s, 1H), 3.28 (s, 1H), 3.02 (dd, J=11.8, 5.1 Hz, 1H), 2.25 (dd, J=12.7, 5.2 Hz, 1H), 2.04 (d, J=12.4 Hz, 1H), 1.69 (s, 3H), 1.56 (s, 3H). ¹⁹F NMR (470 MHz, MeOD) δ-59.51, -116.28. ESI-MS: [M−H]⁻ calcd for C₁₉H₁₃F₄N₂O₅, 425.1; found, 425.1.

[0157] 2-(trimethylsilyl)ethyl ((3aR,4R,5R, 7R, 7aS)-2-(4-cyano-2-fluoro-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxooctahydro-1H-4, 7-epoxyisoindol-5-yl)carbamate (20a) and 2-(trimethylsilyl)ethyl ((3aS,4S,5S, 7S, 7aR)-2-(4-cyano-2-fluoro-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxooctahydro-1H-4, 7-epoxyisoindol-5-yl)carbamate (20b). This compound was prepared as described for 6. Obtained from 19 (300 mg, 0.70 mmol) as a white foam, yield 79% (300 mg). ¹H NMR (400 MHz, CDCl₃) δ 7.68 (d, J=8.3 Hz, 1H), 7.54 (s, 1H), 4.15 (s, 2H), 3.94 (s, 1H), 3.37 (s, 1H), 3.06 (s, 1H), 2.16 (s, 1H), 1.50-1.44 (m, 7H), 0.98-0.95 (m, 2H), 0.00 (s, 9H). ESI-MS: [M+Na]⁺ calced for C₂₄H₂₇F₄N₃O₅SiNa, 564.2; found, 564.2.

[0158] 4-((3aR,4R,5R, 7R, 7aS)-5-amino-4, 7-dimethyl-1, 3-dioxooctahydro-2H-4, 7-epoxyisoindol-2-yl)-3-fluoro-2-(trifluoromethyl)benzonitrile (21a) and 4-((3aS,4S,5S, 7S, 7aR)-5-amino-4, 7-dimethyl-1, 3-dioxooctahydro-2H-4, 7-epoxyisoindol-2-yl)-3-fluoro-2-(trifluoromethyl)benzonitrile (21b). This compound was prepared as described for 7. Obtained from 20 (218 mg, 0.40 mmol) as a white foam, yield 88% (141 mg). ¹H NMR (600 MHz, MeOD) δ 7.86 (d, J=8.7 Hz, 1H), 7.77 (s, 1H), 3.61 (s, 1H), 3.17-3.10 (m, 2H), 2.06 (dd, J=12.7, 11.1 Hz, 1H), 1.41 (s, 3H), 1.39 (s, 3H), 1.34 (dd, J=12.8, 5.0 Hz, 1H). ¹³C NMR (151 MHz, MeOD) δ 176.29, 175.11, 157.03, 155.26, 135.51, 132.63, 127.66, 122.63 (q, J=274.5 Hz), 115.38, 112.68, 89.45, 86.38, 61.10, 55.90, 49.85, 47.23, 18.71, 16.68. ¹⁹F NMR (564 MHz, MeOD) δ-59.24, -116.13. ESI-MS: [M−H]⁻ calcd for C₁₈H₁₄F₄N₃O₃, 396.1; found, 396.2.

[0159] N-((3aR,4R,5R, 7R, 7aS)-2-(4-cyano-2-fluoro-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1,3-dioxooctahydro-1H-4, 7-epoxyisoindol-5-yl)-5-(1-hydroxyethyl)-1H-pyrazole-3-carboxamide (22) and N-((3aS,4S,5S, 7S, 7aR)-2-(4-cyano-2-fluoro-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxooctahydro-1H-4, 7-epoxyisoindol-5-yl)-5-(1-hydroxyethyl)-1H-pyrazole-3-carboxamide (23). This compound was prepared as described for 10. Obtained from 21 (20 mg, 0.05 mmol) as a white solid, yield 26% (7 mg). Separation of the two enantiomers was achieved by using chiral HPLC with a ProntoSIL Chiral AX QN-1 column (150×8.0 mm, 5 μm) and isocratic elution with 50% isopropanol in hexane. Separation of the two enantiomers was achieved by chiral HPLC using a ProntoSIL Chiral AX QN-1 column (150×8.0 mm, 5 μm) eluting with 50% isopropanol in hexane at 3 m/min and 254 nm detection. Compound 22 had a retention time of 20.1 min, while its enantiomer 23 had a retention time of 8.7 min.

[0160] 22: [α]²⁰_D=−37.2° (c=0.5, EtOAc). ¹H NMR (600 MHz, Acetonitrile-d₃) δ11.43 (s, 1H), 7.89 (d, J=8.4 Hz, 1H), 7.78 (s, 1H), 7.39 (d, J=7.4 Hz, 1H), 6.58 (s, 1H), 4.91 (q, J=6.6 Hz, 1H), 4.44-4.39 (m, 1H), 3.64 (s, 1H), 3.45 (s, 1H), 3.39 (s, 1H), 2.26-2.22 (m, 1H), 1.82 (dd, J=13.1, 5.2 Hz, 1H), 1.52 (s, 3H), 1.50 (s, 3H), 1.46 (d, J=6.6 Hz, 3H). ¹³C NMR (151 MHz, Acetonitrile-d₃) δ175.10, 174.60, 134.80, 132.58, 122.35 (q, J=273.8 Hz), 115.56, 112.44, 102.77, 88.73, 86.27, 62.84, 57.48, 55.26, 50.15, 43.39, 23.83, 18.62, 17.72. ¹⁹F NMR (564 MHz, Acetonitrile-d₃) δ-58.62. ESI-MS: [M−H]⁻ calcd for C₂₄H₂₀N₅O₅F₄, 534.1; found, 534.2.

[0161] 23: [α]²⁰_D=+39.0° (c=0.5, EtOAc). ¹H NMR (600 MHz, Acetonitrile-d₃) δ11.37 (s, 1H), 7.89 (d, J=8.4 Hz, 1H), 7.78 (s, 1H), 7.35 (d, J=8.2 Hz, 1H), 6.58 (s, 1H), 4.91 (q, J=6.6 Hz, 1H), 4.44-4.39 (m, 1H), 3.56 (s, 1H), 3.45 (s, 1H), 3.39 (s, 1H), 2.27-2.22 (m, 1H), 1.82 (dd, J=13.1, 5.2 Hz, 1H), 1.52 (s, 3H), 1.50 (s, 3H), 1.46 (d, J=6.1 Hz, 3H). ¹³C NMR (151 MHz, Acetonitrile-d₃) δ175.10, 174.60, 134.95, 132.60, 122.35 (q, J=274.4 Hz), 115.57, 112.45, 102.76, 88.78, 86.30, 63.11, 57.55, 55.30, 50.19, 43.47, 23.87, 18.64, 17.74. ¹⁹F NMR (564 MHz, Acetonitrile-d₃) δ-58.63. ESI-MS: [M−H]⁻ calcd for C₂₄H₂₀N₅O₅F₄, 534.1; found, 534.2.

[0162] N-(2-(4-cyano-3-(trifluoromethyl)phenyl)-1,3-dioxoisoindolin-5-yl)ethanesulfonamide (EITM-1708). Step 1: A solution of 5-nitroisobenzofuran-1,3-dione (300 mg, 1.55 mmol) and 4-amino-2-(trifluoromethyl)benzonitrile (289 mg, 1.55 mmol) in 5 mL of acetic acid was heated at 130° C. to 140° C. for 4.5 h. After completion of the reaction, the solvent was removed under reduced pressure to give the crude product 4-(5-nitro-1,3-dioxoisoindolin-2-yl)-2-(trifluoromethyl)benzonitrile (10). To the residue of crude product, 10% Pd/C (184 mg) and ethyl acetate (15 mL) were added, the reaction mixture was stirred under an atmosphere of H₂ at room temperature overnight. The mixture was then filtered through a celite pad and concentrated. The residue was purified by column chromatography (50% ethyl acetate in hexane) to give 4-(5-amino-1,3-dioxoisoindolin-2-yl)-2-(trifluoromethyl)benzonitrile 11 (200 mg, 39%) as a yellowish solid. Step 2: To a solution of amine intermediate 11 (20 mg, 0.06 mmol) in anhydrous DCM (1 mL) was added triethylamine (0.034 mL, 0.24 mmol) and ethanesulfonyl chloride (16 mg, 0.12 mmol) at 0° C. The reaction mixture was stirred at rt overnight. The reaction mixture was then diluted with DCM and washed with brine, dried over sodium sulfate, filtered and concentrated. The residue was purified by column chromatography (5% MeOH in DCM) to give EITM-1708 (9 mg, 35%) as a white solid. ¹H NMR (600 MHz, DMSO-d₆) δ 10.81 (s, 1H), 8.37 (d, J=8.3 Hz, 1H), 8.17 (d, J=2.0 Hz, 1H), 8.03 (dd, J=8.3, 2.0 Hz, 1H), 7.99 (d, J=8.2 Hz, 1H), 7.72 (d, J=2.0 Hz, 1H), 7.65 (dd, J=8.3, 2.0 Hz, 1H), 3.34-3.29 (m, 2H), 1.23 (t, J=7.3 Hz, 3H). ¹⁹F NMR (564 MHz, DMSO-d₆) δ-60.95. ESI-MS: [M−H]⁻ calcd for C₁₈H₁₁N₃O₄F₃S, 422.0; found, 422.0.

[0163] N-((3aR,4R,5R, 7R, 7aS)-2-(4-cyano-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxooctahydro-1H-4, 7-epoxyisoindol-5-yl)-1H-indazole-3-carboxamide (EITM-1709). EITM-1709 was prepared form amine 7 in a similar manner to that described for EITM-1702. Racemic mixture obtained from 7 (20 mg, 0.053 mmol) as a white solid, yield 72% (20 mg). Separation of the two enantiomers was achieved by chiral HPLC using a ProntoSIL Chiral AX QN-1 column (150×8.0 mm, 5 μm) eluting with 50% isopropanol in hexane at 3 m/min and 254 nm detection. EITM-1709 had a retention time of 16.8 min. [α]²⁰_D=−5.5° (c=0.2, MeOH). ¹H NMR (600 MHz, CDCl₃) δ 10.26 (s, 1H), 8.38 (d, J=8.2 Hz, 1H), 7.94 (d, J=8.4 Hz, 1H), 7.85 (d, J=2.0 Hz, 1H), 7.74 (dd, J=8.3, 2.0 Hz, 1H), 7.54 (dt, J=8.5, 0.9 Hz, 1H), 7.49-7.46 (m, 1H), 7.35-7.33 (m, 1H), 7.10 (d, J=8.0 Hz, 1H), 4.59-4.55 (m, 1H), 3.58 (d, J=7.2 Hz, 1H), 3.28 (d, J=7.2 Hz, 1H), 2.46 (dd, J=13.4, 11.6 Hz, 1H), 1.79 (dd, J=13.3, 5.0 Hz, 1H), 1.74 (s, 3H), 1.68 (s, 3H). ¹³C NMR (151 MHz, CDCl₃) δ 174.24, 173.48, 162.69, 141.38, 138.91, 135.80, 135.38, 133.85 (q, J=33.3 Hz), 129.49, 127.86, 124.38, 123.41, 122.49, 121.82, 121.80 (q, J=274.8 Hz), 114.76, 109.81, 109.64, 88.43, 85.77, 77.21, 77.00, 76.79, 56.72, 53.74, 48.34, 44.27, 18.34, 17.13. ¹⁹F NMR (564 MHz, CDCl₃): δ-62.08. ESI-MS: [M+Na]⁺ calcd for C₂₆H₂₀N₅O₄F₃Na, 546.1; found, 546.1.

[0164] N-((3aR,4R,5R, 7R, 7aS)-2-(4-cyano-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxooctahydro-1H-4, 7-epoxyisoindol-5-yl)-5-(thiophen-2-yl)-1H-pyrazole-3-carboxamide (EITM-1710). EITM-1710 was prepared form amine 7 in a similar manner to that described for EITM-1702. Racemic mixture obtained from 7 (25 mg, 0.066 mmol) as a white solid, yield 68% (25 mg). Separation of the two enantiomers was achieved by chiral HPLC using a ProntoSIL Chiral AX QN-1 column (150×8.0 mm, 5 μm) eluting with 50% isopropanol in hexane at 3 mL/min and 254 nm detection. EITM-1710 had a retention time of 18.6 min. [α]²⁰_D=−58.0° (c=0.5, MeOH). ¹H NMR (600 MHz, CDCl₃) δ 7.92 (d, J=8.4 Hz, 1H), 7.82 (d, J=2.0 Hz, 1H), 7.71 (dd, J=8.3, 2.1 Hz, 1H), 7.37 (dd, J=5.1, 1.2 Hz, 1H), 7.30 (dd, J=3.6, 1.2 Hz, 1H), 7.10 (dd, J=5.1, 3.6 Hz, 1H), 7.01 (d, J=8.0 Hz, 1H), 6.96 (s, 1H), 4.56-4.52 (m, 1H), 3.54 (d, J=7.2 Hz, 1H), 3.28 (d, J=7.3 Hz, 1H), 2.41 (dd, J=13.3, 11.6 Hz, 1H), 1.78 (dd, J=13.3, 5.0 Hz, 1H), 1.70 (s, 3H), 1.65 (s, 3H). ¹³C NMR (151 MHz, CDCl₃) δ 174.30, 173.50, 161.70, 135.79, 135.37, 133.80 (q, J=33.7 Hz), 129.50, 128.11, 126.41, 125.28, 124.38, 121.79 (q, J=274.8 Hz), 114.78, 109.55, 103.78, 88.34, 85.77, 56.81, 53.65, 48.32, 43.96, 18.33, 17.10. ¹⁹F NMR (564 MHz, CDCl₃): δ-62.04. ESI-MS: [M+Na]⁺ calced for C₂₆H₂₀N₅O₄SF₃Na, 578.1; found, 578.0.

[0165] N-((3aR,4R,5R, 7R, 7aS)-2-(4-cyano-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxooctahydro-1H-4, 7-epoxyisoindol-5-yl)-5-(furan-2-yl)-1H-pyrazole-3-carboxamide (EITM-1711). EITM-1711 was prepared form amine 7 in a similar manner to that described for EITM-1702. Racemic mixture obtained from 7 (25 mg, 0.066 mmol) as a white solid, yield 72% (20 mg). Separation of the two enantiomers was achieved by chiral HPLC using a ProntoSIL Chiral AX QN-1 column (150×8.0 mm, 5 μm) eluting with 50% isopropanol in hexane at 3 mL/min and 254 nm detection. EITM-1711 had a retention time of 16.1 min. [α]²⁰_D=−56.0° (c=0.3, MeOH). ¹H NMR (600 MHz, CDCl₃) δ 7.93 (d, J=8.4 Hz, 1H), 7.83 (d, J=2.0 Hz, 1H), 7.72 (dd, J=8.3, 2.0 Hz, 1H), 7.49 (dd, J=1.8, 0.7 Hz, 1H), 6.97 (brs, 2H), 6.68 (dd, J=3.4, 0.7 Hz, 1H), 6.53 (dd, J=3.4, 1.8 Hz, 1H), 4.54-4.50 (m, 1H), 3.54 (d, J=7.3 Hz, 1H), 3.30 (d, J=7.3 Hz, 1H), 2.42 (dd, J=13.3, 11.6 Hz, 1H), 1.77 (dd, J=13.2, 5.0 Hz, 1H), 1.70 (s, 3H), 1.66 (s, 3H). ¹³C NMR (151 MHz, CDCl₃) δ 174.28, 173.53, 161.69, 142.89, 135.79, 135.37, 133.83 (q, J=33.3 Hz), 129.50, 124.38, 121.80 (q, J=274.5 Hz), 114.76, 111.98, 109.61, 108.08, 102.22, 88.39, 85.77, 56.81, 53.67, 48.32, 44.04, 18.33, 17.06. ¹⁹F NMR (564 MHz, CDCl₃) δ-62.07. ESI-MS: [M+Na]⁺ calcd for C₂₆H₂₀N₅O₅F₃Na, 562.1; found, 562.2.

[0166] N-((3aR,4R,5R, 7R, 7aS)-2-(4-cyano-2-methyl-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1,3-dioxooctahydro-1H-4, 7-epoxyisoindol-5-yl)-5-(1-hydroxyethyl)-1H-pyrazole-3-carboxamide (EITM-1712). EITM-1712 was prepared form amine 7 in a similar manner to that described for EITM-1702. Racemic mixture obtained from 7 (40 mg, 0.10 mmol) as a white solid, yield 56% (30 mg). Separation of the two enantiomers was achieved by chiral HPLC using a ProntoSIL Chiral AX QD-1 (5 μm, 150×4.0 mm) eluting with 100% acetonitrile at 1 mL/min and 254 nm detection. EITM-1712 had a retention time of 4.5 min. [α]²³_D=−28.0° (c=0.3, MeOH). ¹H NMR (600 MHz, CD3CN) δ7.92 (d, J=8.8 Hz, 1H), 7.61 (d, J=8.3 Hz, 1H), 7.44 (d, J=9.1 Hz, 1H), 6.60 (s, 1H), 4.94 (q, J=6.6 Hz, 1H), 4.49-4.42 (m, 1H), 3.47 (d, J=7.1 Hz, 1H), 3.40 (d, J=7.0 Hz, 1H), 2.29 (q, J=2.2 Hz, 3H), 2.26 (d, J=12.3 Hz, 1H), 1.89-1.84 (m, 1H), 1.55 (s, 3H), 1.52 (s, 3H), 1.49 (d, J=6.5 Hz, 3H). ¹³C NMR (151 MHz, CD₃CN) δ 176.15, 175.68, 138.95, 134.86, 133.69, 116.99, 102.77, 88.79, 86.40, 57.57, 55.23, 50.26, 43.48, 23.80, 18.78, 17.84, 15.39. ¹⁹F NMR (564 MHz, CD₃CN) δ-57.6. APCI-MS: [M+H]⁺ calced for C₂₅H₂₅N₅O₅F₃, 532.2; found, 532.1.

[0167] 3-(4-acetylpiperazin-1-yl)-N-((3aR,4R,5R, 7R, 7aS)-2-(4-cyano-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1, 3-dioxooctahydro-1H-4, 7-epoxyisoindol-5-yl)propenamide (EITM-1716). EITM-1716 was prepared form amine 7 in a similar manner to that described for EITM-1702. Racemic mixture obtained from 7 (19 mg, 0.05 mmol) as a white solid, yield 14% (1.9 mg). [α]²³_D=−10.0° (c=0.1, MeCN). Separation of the two enantiomers was achieved by chiral HPLC using a Chiralcel OD-H column (250×4.6 mm, 5 μm) eluting with 60%-90% isopropanol in hexane at 1 mL/min and 254 nm detection. EITM-1716 had a retention time of 11.5 min. ¹H NMR (600 MHz, CD₃CN) δ8.10 (d, J=8.3 Hz, 1H), 7.88 (s, 1H), 7.81 (dd, J=8.3, 2.0 Hz, 1H), 7.68 (broad, 1H), 4.26-4.22 (m, 1H), 3.55-3.50 (m, 2H), 3.48 (t, J=6., 2H), 3.41 (dd, J=7.2, 1.7 Hz, 1H), 3.24 (d, J=7.2 Hz, 1H), 2.78-2.55 (m, 2H), 2.55-2.42 (m, 3H), 2.41-2.27 (m, 3H), 2.22 (t, J=13.1 Hz, 1H), 2.00 (s, 3H), 1.59 (dd, J=13.1, 5.3 Hz, 1H), 1.54 (s, 3H), 1.49 (s, 3H). ¹³C NMR (151 MHz, CD₃CN) δ175.11, 174.41, 172.02, 168.57, 136.63, 136.06, 132.64, 132.37, 130.38, 124.63 (q, J=5.1 Hz), 115.11, 108.91, 87.60, 85.24, 56.32, 54.00, 53.78, 52.72, 52.23, 48.53, 45.98, 43.25, 41.07, 32.79, 20.53, 17.65, 16.63. ¹⁹F NMR (564 MHz, CD₃CN): δ-62.64. ESI-MS: [M+H]⁺ calcd for C₂₇H₃₁N₅O₅F₃, 562.2277; found, 561.4.

[0168] I-acetyl-N-((3aR,4R,5R, 7R, 7aS)-2-(4-cyano-3-(trifluoromethyl)phenyl)-4, 7-dimethyl-1,3-dioxooctahydro-1H-4,7-epoxyisoindol-5-yl)piperidine-4-carboxamide (EITM-1717). EITM-1717 was prepared form amine 7 in a similar manner to that described for EITM-1702. Racemic mixture obtained from 7 (19 mg, 0.05 mmol) as a white solid, yield 36% (4.9 mg). Separation of the two enantiomers was achieved by chiral HPLC using a Chiralcel OD-H column (250×4.6 mm, 5 μm) eluting with 40%-90% isopropanol in hexane at 1 mL/min and 254 nm detection. EITM-1717 had a retention time of 13.0 min. [α]²³_D=−8.0° (c=0.2, MeCN). ¹H NMR (600 MHz, CDCl₃) δ 7.95 (d, J=8.4 Hz, 1H), 7.86 (s, 1H), 7.74 (d, J=8.0 Hz, 1H), 5.81 (dd, J=22.3, 7.2 Hz, 1H), 4.59 (d, J=13.2 Hz, 1H), 4.31 (d, J=6.1 Hz, 1H), 3.90 (d, J=13.8 Hz, 1H), 3.42-3.22 (m, 1H), 3.15-3.10 (m, 2H), 2.67 (t, J=12.7 Hz, 1H), 2.31-2.37 (m, 2H), 2.11 (s, 3H), 1.97-1.81 (m, 2H), 1.79-1.66 (m, 2H), 1.63 (s, 3H), 1.60 (s, 3H), ¹³C NMR (151 MHz, CDCl₃) δ 174.37, 174.05, 173.33, 168.97, 135.72, 135.38, 129.44, 124.32 (q, J=5.1 Hz), 122.69, 120.87, 114.72, 109.66, 88.03, 85.56, 56.99, 53.64, 48.14, 45.77, 43.82, 43.23, 40.91, 29.03, 28.91, 28.65, 28.42, 21.45, 18.27, 16.97. ¹⁹F NMR (564 MHz, CDCl₃): δ-62.08. ESI-MS: [M−H]⁻ calced for C₂₆H₂₆N₄O₅F₃, 531.1855; found, 531.2.

[0169] Molecular Docking and Induced Fit Docking. Molecular docking and induced fit docking (IFD) were carried out in Schrodinger Suite (Glide, Prime). The IFD is intended to circumvent the inflexible binding site requirement of grid-based docking through use of post docking refinement steps. Protein preparation is one of the most important steps in molecular docking and IFD. The three-dimensional atomic coordinates of WT AR-LBD in complex with DHT (PDB: 1T7R) were used to prepare receptor in the Protein Preparation module. Protein structure was optimized using OPLS3 force field. This structure was used for IFD of the ligands. Ligands for docking were prepared with LigPrep. The following steps were involved in IFD: a) each ligand was docked (Glide module) with the standard precision (SP) to produce 20 different poses (default setting), b) all side chains within a 5.0 Å radius of each docked ligand pose were searched using Prime side-chain sampling algorithm, c) defined regions of the protein-ligand complexes were minimized using OPLS3, d) the top scoring docked poses (based on GlideScore and Prime energy) were analyzed and compared.

[0170] Agonist docking was performed with the WT-AR-LBD (PDB ID: 1E3G) in complex with R1881 using Schrodinger Suite 2018-3 (Glide, Prime). For antagonists, a homology model of WT-AR-LBD in open conformation was built with Schrodinger Prime using the progesterone receptor (PDB ID: 2OVM) as a template.

[0171] Cell Culture and Treatments. The LNCaP cell line were obtained from ATCC, cultured in RPMI1640 (Corning) supplemented with 10% heat-inactivated GemCell bovine serum (Gemini Bio-Products) and Penicillin-Streptomycin (Gemini Bio-Products). Cell lines stably expressing ARE-luciferase (LNCaP-luc) was generated using Cignal Lenti AR Reporter (Qiagen) and was continuously cultured with 500 ng/mL Puromycin (Gibco) for positive selection. Cells were maintained at 37° C. in a humidified incubator with 5% carbon dioxide. All cell lines were authenticated using NIST approved short tandem repeat (STR) DNA profiling performed by the University of Arizona Genetics Core and routinely tested negative for mycoplasma.

[0172] PC3 and VCaP cell lines were obtained from ATCC and cultured as recommended. Generation and culture of PC3 GFP-AR cells were described previously (14). ARE-luciferase cells were generated using Cignal Lenti AR Reporter (Qiagen). Cell lines were authenticated using NIST-approved short tandem repeat DNA profiling and tested negative for mycoplasma. Drug treatments were conducted after overnight culture in phenol red-free media supplemented with charcoal:dextran stripped FBS.

[0173] ConfocalMicroscopy. PC3 GFP-AR cells were seeded and stained overnight with SiR-DNA (Cytochrome). Cells were treated 180 min with drug and 90 min with ligand and imaged on an Operetta CLS microscope (PerkinElmer).

[0174] Luciferase assay. LNCaP-luc cells were seeded in clear flat bottom white polystyrene 96-well plates (Corning) at a density of 12,000 cells/well. The next day, luciferase measurements were performed after 90 min drug+24 h competitive ligand (1 nM R1881) using GloMax 96 Microplate Luminometer (Promega). Dose-response curves were fit using the delta method and t-distribution (n=1). Compounds are tested up to 10 μM. The assay's coefficient of variation of 25% was estimated from seven experiments using three EITM drugs in both LNCaP-luc and PC3-luc cells.

[0175] LNCaP cell viability assay. Cells were seeded into 96-well fibronectin coated (1 ug/cm²) plates (CellCarrier, PerkinElmer) at a density of 5,000 cells/well. After 48h, media was changed to phenol red free RPMI (Corning)+2% charcoal:dextran stripped FBS (Gemini Bio-Products) supplemented with 60 μM R1881 and EITM drugs as indicated in the figure legend. Drug-treated cells were lysed with CellTiter-Glo 3D Cell Viability Assay (Promega) and transferred to white 96-well plates (Corning). Luminescence was measured utilizing GloMax 96 Microplate Luminometer (Promega). Analysis was conducted in the R statistical environment (v 3.6.0). Mean fluorescence signal per condition (n=3) was used to calculate relative percent viability, scaling R1881 to 100% and starvation (no R1881) as 0%. Visualizations were facilitated by the ggplot2 package (v3.2.1), with standard error (S.E.) shown where appropriate.

[0176] Microsome stability assays. In vitro metabolism was determined as described previously. Specifically, to measure metabolism of parent compounds, the higher throughput protocol was applied, in which 0.5 mg/ml pooled human liver microsomes (Sigma) were mixed with 1 μM drugs and phosphate buffer (0.1 M, pH 7.4) in 96-well plates. Enzymatic reactions were started by adding 1 mM NADPH (Sigma Aldrich) followed by incubation at 37° C. Fractions were quenched by transfer to ice-cold acetonitrile after the indicated incubation times. Samples were analyzed using liquid chromatography-mass spectrometry (LC/MS-MS). Rates of intrinsic clearance were determined from the amount of the parent compound consumed per min per mg of microsomal protein as described previously. To analyze accumulating metabolites, the basic protocol was used, and microsomes were incubated with 10 μM drugs for 8 h.

[0177] Luminometer Assays. For ARE-luciferase, luciferase substrate was added to lysed cells after 24-h treatment. For viability, cells were lysed with CellTiter-Glo 3D Cell Viability Assay (Promega) after 6 d of treatment. Measurements were performed in 96-well plates (Corning) using a GloMax 96 Microplate Luminometer (Promega).

[0178] AR Binding. Ligand binding was analyzed using the PolarScreen AR Competitor Assay Kit, Green, according to the manufacturer's instructions (Thermo Fisher Scientific). Fluorescence polarization was measured after a 4-h incubation using an EnVision 2103 Multilabel Plate Reader (PerkinElmer).

[0179] RT-qPCR Array. RNA was isolated using the Illustra RNAspin Mini Kit (GE Healthcare). RNA was transcribed to cDNA using RT2 First Strand Kit (Qiagen). RT-qPCR was performed using Biorad CFX Connect on a RT2 Profiler PCR Array Human Androgen Receptor Signaling Targets (Qiagen).

[0180] The following formulations illustrate representative pharmaceutical dosage forms that may be used for the therapeutic or prophylactic administration of a compound of a formula described herein, a compound specifically disclosed herein, or a pharmaceutically acceptable salt or solvate thereof (hereinafter referred to as ‘Compound X’):

	(i) Tablet 1	mg/tablet
	‘Compound X’	100.0
	Lactose	77.5
	Povidone	15.0
	Croscarmellose sodium	12.0
	Microcrystalline cellulose	92.5
	Magnesium stearate	3.0
		300.0
	(ii) Tablet 2	mg/tablet
	‘Compound X’	20.0
	Microcrystalline cellulose	410.0
	Starch	50.0
	Sodium starch glycolate	15.0
	Magnesium stearate	5.0
		500.0
	(iii) Capsule	mg/capsule
	‘Compound X’	10.0
	Colloidal silicon dioxide	1.5
	Lactose	465.5
	Pregelatinized starch	120.0
	Magnesium stearate	3.0
		600.0
	(iv) Injection 1 (1 mg/mL)	mg/mL
	‘Compound X’ (free acid form)	1.0
	Dibasic sodium phosphate	12.0
	Monobasic sodium phosphate	0.7
	Sodium chloride	4.5
	1.0 N Sodium hydroxide solution	q.s.
	(pH adjustment to 7.0-7.5)
	Water for injection	q.s. ad 1 mL
	(v) Injection 2 (10 mg/mL)	mg/mL
	‘Compound X’ (free acid form)	10.0
	Monobasic sodium phosphate	0.3
	Dibasic sodium phosphate	1.1
	Polyethylene glycol 400	200.0
	0.1 N Sodium hydroxide solution	q.s.
	(pH adjustment to 7.0-7.5)
	Water for injection	q.s. ad 1 mL
	(vi) Aerosol	mg/can
	‘Compound X’	20
	Oleic acid	10
	Trichloromonofluoromethane	5,000
	Dichlorodifluoromethane	10,000
	Dichlorotetrafluoroethane	5,000
	(vii) Topical Gel 1	wt. %
	‘Compound X’	5%
	Carbomer 934	1.25%
	Triethanolamine	q.s.
	(pH adjustment to 5-7)
	Methyl paraben	0.2%
	Purified water	q.s. to 100 g
	(viii) Topical Gel 2	wt. %
	‘Compound X’	5%
	Methylcellulose	2%
	Methyl paraben	0.2%
	Propyl paraben	0.02%
	Purified water	q.s. to 100 g
	(ix) Topical Ointment	wt. %
	‘Compound X’	5%
	Propylene glycol	1%
	Anhydrous ointment base	40%
	Polysorbate 80	2%
	Methyl paraben	0.2%
	Purified water	q.s. to 100 g
	(x) Topical Cream 1	wt. %
	‘Compound X’	5%
	White bees wax	10%
	Liquid paraffin	30%
	Benzyl alcohol	5%
	Purified water	q.s. to 100 g
	(xi) Topical Cream 2	wt. %
	‘Compound X’	5%
	Stearic acid	10%
	Glyceryl monostearate	3%
	Polyoxyethylene stearyl ether	3%
	Sorbitol	5%
	Isopropyl palmitate	2%
	Methyl Paraben	0.2%
	Purified water	q.s. to 100 g

[0181] These formulations may be prepared by conventional procedures well known in the pharmaceutical art. It will be appreciated that the above pharmaceutical compositions may be varied according to well-known pharmaceutical techniques to accommodate differing amounts and types of active ingredient ‘Compound X’. Aerosol formulation (vi) may be used in conjunction with a standard, metered dose aerosol dispenser. Additionally, the specific ingredients and proportions are for illustrative purposes. Ingredients may be exchanged for suitable equivalents and proportions may be varied, according to the desired properties of the dosage form of interest.

[0182] While specific embodiments have been described above with reference to the disclosed embodiments and examples, such embodiments are only illustrative and do not limit the scope of the invention. Changes and modifications can be made in accordance with ordinary skill in the art without departing from the invention in its broader aspects as defined in the following claims.

[0183] All publications, patents, and patent documents are incorporated by reference herein, as though individually incorporated by reference. No limitations inconsistent with this disclosure are to be understood therefrom. The invention has been described with reference to various specific and preferred embodiments and techniques. However, it should be understood that many variations and modifications may be made while remaining within the spirit and scope of the invention.