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US 12,312,362 B2Granted
Spiro derivatives of Alpha-D-galactopyranosides
AssigneeIdorsia Pharmaceuticals Ltd
InventorsMartin Bolli, John Gatfield, Corinna Grisostomi, Lubos Remen, Christoph Sager, Cornelia Zumbrunn
Life of this patent
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Abstract
The present invention relates to compounds of Formula (I) wherein Ar1, A, B, and R1 are as described in the description, their preparation, to pharmaceutically acceptable salts thereof, and to their use as pharmaceuticals, to pharmaceutical compositions containing one or more compounds of Formula (I), and especially to their use as Galectin-3 inhibitors.
Claims18
A compound of Formula (I)
- wherein
- Ar1 represents
- aryl which is unsubstituted, or mono-, di-, tri-, tetra-, or penta-substituted, wherein the substituents are independently selected from halogen, methyl, cyano, methoxy, trifluoromethyl, and trifluoromethoxy;
- 5- or 6-membered heteroaryl, wherein said 5- or 6-membered heteroaryl independently is unsubstituted, mono- or di-substituted, wherein the substituents are independently selected from halogen, methyl, cyano, and methoxy;
- or
- 9- or 10-membered heteroaryl, wherein said 9- or 10-membered heteroaryl independently is unsubstituted, or mono-substituted with methyl;
- R1 represents
- hydroxy;
- C1-4-alkoxy;
- —O—CO—C1-3-alkyl;
- O—CO—NH—RN11 wherein RN11 represents hydrogen or C1-3-alkyl;
- —O—CH2—C1-fluoroalkyl;
- or
- —O—CH2—CO—R1X wherein R1X represents
- hydroxy;
- C1-3-alkoxy;
- morpholin-4-yl;
- or
- —NRN21RN22 wherein RN21 and RN22 both independently represent hydrogen or methyl;
- and
- represents a spirocyclic fragment, wherein:
- ring A represents a heterocycloalkylene selected from
- wherein X represents nitrogen or oxygen, and n represents the integer 0 or 1;
- and wherein in case X represents nitrogen, said nitrogen is unsubstituted or mono-substituted with C1-4-alkyl;
- and
- wherein R2 represents hydrogen or C1-4-alkyl;
- and
- ring B represents
- C4-7-cycloalkane-diyl wherein said C4-7-cycloalkane-diyl is unsubstituted, mono-, or di-substituted wherein the substituents are independently selected from C1-4-alkyl;
- C1-3-fluoroalkyl;
- C1-4-alkoxy;
- halogen;
- cyano;
- oxo;
- hydroxy;
- hydroxy-C1-4-alkyl;
- hydroxyimino;
- morpholin-4-yl;
- and —NH—RN11 wherein RN11 represents C1-6-alkyl, C2-4-alkoxy, C3-6-cycloalkyl, C2-3-fluoroalkyl, —CO—C1-4-alkyl, or —CO—C1-4-alkoxy;
- 4- to 7-membered heterocycloalkane-diyl wherein said heterocycloalkane-diyl contains one ring oxygen atom;
- 4- to 7-membered heterocycloalkane-diyl wherein said heterocycloalkane-diyl contains one ring nitrogen atom, wherein said ring nitrogen atom is unsubstituted or mono-substituted with C1-4-alkyl, —CO—C1-4-alkyl, —SO2—C1-4-alkyl, —CO—C1-4-alkoxy, or —CO—NH—C1-4-alkyl;
- and wherein said 4- to 7-membered heterocycloalkane-diyl carries no further substituent in addition to said substituent on the ring nitrogen atom, or carries one further substituent on a ring carbon atom that is attached to said ring nitrogen atom wherein said substituent is oxo, or —CO—OH;
- or
- bridged bicyclic C6-9-cycloalkane-diyl;
- or a pharmaceutically acceptable salt thereof.
42 more elements
A compound wherein said compound is:
- (2R,3R,4S,5R,6R)-2-((1,8-dioxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydroxymethyl)tetrahydro-2H-pyran-3-yl acetate;
- (2R,3R,4R,5R,6R)-2-((1,8-dioxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-6-(hydroxymethyl)tetrahydro-2H-pyran-3,5-diol;
- (2R,3R,4S,5R,6R)-2-((8,8-difluoro-1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-4-(4-(2,3-difluoro-4-methylph enyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydroxymethyl)tetrahydro-2H-pyran-3-yl acetate;
- (2R,3R,4R,5R,6R)-2-((8,8-difluoro-1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-4-(4-(2,3-difluoro-4-methylph enyl)-1H-1,2,3-triazol-1-yl)-6-(hydroxymethyl)tetrahydro-2H-pyran-3,5-diol;
- (2R,3R,4R,5R,6R)-2-((1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-6-(hydroxymethyl)-4-(4-(3,4,5-trifluoroph enyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-3,5-diol;
- (2R,3R,4S,5R,6R)-6-((1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-2-(hydroxymethyl)-5-methoxy-4-(4-(3,4,5-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-3-ol;
- tert-butyl (3-(((2R,3R,4S,5R,6R)-5-hydroxy-6-(hydroxymethyl)-3-methoxy-4-(4-(3,4,5-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-en-8-yl)carbamate;
- (2R,3R,4S,5R,6R)-6-((1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-2-(hydroxymethyl)-5-methoxy-4-(4-(2,3,4-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-3-ol;
- (2R,3R,4S,5R,6R)-6-((1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-2-(hydroxymethyl)-5-methoxytetrahydro-2H-pyran-3-ol;
- tert-butyl ((5r,8R)-3-(((2R,3R,4S,5R,6R)-5-hydroxy-6-(hydroxymethyl)-3-methoxy-4-(4-(3,4,5-trifluorophenyl)-1H-1,2, 3-triazol-1-yl)tetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-en-8-yl)carbamate;
- (2R,3R,4S,5R,6R)-6-((1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-4-(4-(4-bromo-2,3-difluorophenyl)-1H-1,2,3-triazol-1-yl)-2-(hydroxymethyl)-5-methoxytetrahydro-2H-pyran-3-ol;
- (2R,3R,4S,5R,6R)-6-((1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-4-(4-(4-chloro-3,5-difluorophenyl)-1H-1,2,3-triazol-1-yl)-2-(hydroxymethyl)-5-methoxytetrahydro-2H-pyran-3-ol;
- (2R,3R,4S,5R,6R)-6-((1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-4-(4-(3-fluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-2-(hydroxymethyl)-5-methoxytetrahydro-2H-pyran-3-ol;
- (2R,3R,4S,5R,6R)-6-((1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-4-(4-(3,5-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-2-(hydroxymethyl)-5-methoxytetrahydro-2H-pyran-3-ol;
- (2R,3R,4S,5R,6R)-6-((1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-4-(4-(4-chloro-2,3-difluorophenyl)-1H-1,2,3-triazol-1-yl)-2-(hydroxymethyl)-5-methoxytetrahydro-2H-pyran-3-ol;
- (2R,3R,4S,5R,6R)-6-((8,8-difluoro-1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-4-(4-(2,3-difluoro-4-methylph enyl)-1H-1,2,3-triazol-1-yl)-2-(hydroxymethyl)-5-methoxytetrahydro-2H-pyran-3-ol;
- (2R,3R,4S,5R,6R)-6-((1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-4-(4-(3-chloro-4,5-difluorophenyl)-1H-1,2,3-triazol-1-yl)-2-(hydroxymethyl)-5-methoxytetrahydro-2H-pyran-3-ol;
- (2R,3R,4S,5R,6R)-6-((1,8-dioxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-2-(hydroxymethyl)-5-methoxy-4-(4-(2, 3,4-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-3-ol;
- (2R,3R,4S,5R,6R)-6-((1,8-dioxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1, 2,3-triazol-1-yl)-2-(hydroxymethyl)-5-methoxytetrahydro-2H-pyran-3-ol;
- (2R,3R,4S,5R,6R)-6-((1,8-dioxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-4-(4-(4-chloro-2,3-difluorophenyl)-1H-1,2,3-triazol-1-yl)-2-(hydroxymethyl)-5-methoxytetrahydro-2H-pyran-3-ol;
- (2R,3R,4S,5R,6R)-6-((1-oxa-2-azaspiro[4.6]undec-2-en-3-yl)methyl)-2-(hydroxymethyl)-5-methoxy-4-(4-(3, 4,5-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-3-ol;
- (5s,8S)-3-(((2R,3R,4S,5R,6R)-5-hydroxy-6-(hydroxymethyl)-3-methoxy-4-(4-(3,4,5-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-ene-8-carbonitrile;
- (5r,8R)-3-(((2R,3R,4S,5R,6R)-5-hydroxy-6-(hydroxymethyl)-3-methoxy-4-(4-(3,4,5-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-ene-8-carbonitrile;
- tert-butyl ((5r,8R)-3-(((2R,3R,4S,5R,6R)-5-hydroxy-6-(hydroxymethyl)-3-methoxy-4-(4-(2,3,4-trifluorophenyl)-1H-1,2, 3-triazol-1-yl)tetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-en-8-yl)carbamate;
- tert-butyl ((5s,8S)-3-(((2R,3R,4S,5R,6R)-5-hydroxy-6-(hydroxymethyl)-3-methoxy-4-(4-(2,3,4-trifluorophenyl)-1H-1,2, 3-triazol-1-yl)tetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-en-8-yl)carbamate;
- tert-butyl ((5r,8R)-3-(((2R,3R,4S,5R,6R)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydrox ymethyl)-3-methoxytetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-en-8-yl)carbamate;
- tert-butyl ((5s,8S)-3-(((2R,3R,4S,5R,6R)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydrox ymethyl)-3-methoxytetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-en-8-yl)carbamate;
- tert-butyl ((5r,8R)-3-(((2R,3R,4S,5R,6R)-4-(4-(4-chloro-2,3-difluorophenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydrox ymethyl)-3-methoxytetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-en-8-yl)carbamate;
- tert-butyl ((5s,8S)-3-(((2R,3R,4S,5R,6R)-4-(4-(4-chloro-2,3-difluorophenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydrox ymethyl)-3-methoxytetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-en-8-yl)carbamate;
- 3-(((2R,3R,4S,5R,6R)-4-(4-(4-chloro-2,3-difluorophenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydroxymethyl)-3-methoxytetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-ene-8-carbonitrile;
- 3-(((2R,3R,4S,5R,6R)-5-hydroxy-6-(hydroxymethyl)-3-methoxy-4-(4-(2,3,4-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-ene-8-carbonitrile;
- 3-(((2R,3R,4S,5R,6R)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydroxymethyl)-3-methoxytetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-ene-8-carbonitrile;
- (2R,3R,4S,5R,6R)-2-(hydroxymethyl)-6-(((5r,8R)-8-(2-hydroxypropan-2-yl)-1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-5-methoxy-4-(4-(2,3,4-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-3-ol;
- (2R,3R,4S,5R,6R)-2-(hydroxymethyl)-6-(((5s,8S)-8-(2-hydroxypropan-2-yl)-1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-5-methoxy-4-(4-(2,3,4-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-3-ol;
- (2R,3R,4S,5R,6R)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-2-(hydroxymethyl)-6-((8-(2-hydr oxypropan-2-yl)-1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-5-methoxytetrahydro-2H-pyran-3-ol;
- (5s,8S)-3-(((2R,3R,4S,5R,6R)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydrox ymethyl)-3-methoxytetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-ene-8-carbonitrile;
- (5r,8R)-3-(((2R,3R,4S,5R,6R)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydrox ymethyl)-3-methoxytetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-ene-8-carbonitrile;
- (5s,8S)-3-(((2R,3R,4S,5R,6R)-5-hydroxy-6-(hydroxymethyl)-3-methoxy-4-(4-(2,3,4-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-ene-8-carbonitrile;
- (5r,8R)-3-(((2R,3R,4S,5R,6R)-5-hydroxy-6-(hydroxymethyl)-3-methoxy-4-(4-(2,3,4-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-ene-8-carbonitrile;
- (5s,8S)-3-(((2R,3R,4S,5R,6R)-4-(4-(4-chloro-2,3-difluorophenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydroxy methyl)-3-methoxytetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-ene-8-carbonitrile;
- (5r,8R)-3-(((2R,3R,4S,5R,6R)-4-(4-(4-chloro-2,3-difluorophenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydroxy methyl)-3-methoxytetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-ene-8-carbonitrile;
- (2R,3R,4S,5R,6R)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-2-(hydroxymethyl)-6-(((5r,8R)-8-(2-hydroxypropan-2-yl)-1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-5-methoxytetrahydro-2H-pyran-3-ol;
- (2R,3R,4S,5R,6R)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-2-(hydroxymethyl)-6-(((5s,8S)-8-(2-hydroxypropan-2-yl)-1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-5-methoxytetrahydro-2H-pyran-3-ol;
- (2R,3R,4S,5R,6R)-4-(4-(4-chloro-2,3-difluorophenyl)-1H-1,2,3-triazol-1-yl)-2-(hydroxymethyl)-6-(((5s,8S)-8-(2-hydroxypropan-2-yl)-1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-5-methoxytetrahydro-2H-pyran-3-ol;
- 3-(((2R,3R,4S,5R,6R)-5-hydroxy-6-(hydroxymethyl)-3-methoxy-4-(4-(3,4,5-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-en-8-one;
- (2R,3R,4S,5R,6R)-6-((1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-5-(2,2-difluoroethoxy)-2-(hydroxymethyl)-4-(4-(3,4,5-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-3-ol;
- methyl 2-(((2R,3R,4S,5R,6R)-2-((1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-5-hydroxy-6-(hydroxymethyl)-4-(4-(3, 4,5-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-3-yl)oxy)acetate;
- (2R,3R,4S,5R,6R)-6-((1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-5-ethoxy-2-(hydroxymethyl)-4-(4-(3,4,5-tr ifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-3-ol;
- 2-(((2R,3R,4S,5R,6R)-2-((1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-5-hydroxy-6-(hydroxymethyl)-4-(4-(3, 4,5-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-3-yl)oxy)-N-methylacetamide;
- 2-(((2R,3R,4S,5R,6R)-2-((1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-5-hydroxy-6-(hydroxymethyl)-4-(4-(3, 4,5-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-3-yl)oxy)-1-morpholinoethan-1-one;
- methyl 2-(((2R,3R,4S,5R,6R)-2-((8,8-difluoro-1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-4-(4-(2,3-difluoro-4-meth ylphenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydroxymethyl)tetrahydro-2H-pyran-3-yl)oxy)acetate;
- (2R,3R,4S,5R,6R)-2-((1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-5-hydroxy-6-(hydroxymethyl)-4-(4-(3,4,5-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-3-yl carbamate;
- (2R,3R,4S,5R,6R)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-6-(((5r,8R)-8-((2,2-difluoroethyl) amino)-1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-2-(hydroxymethyl)-5-methoxytetrahydro-2H-pyran-3-ol;
- tert-butyl (RS)-3-(((2R,3R,4S,5R,6R)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydroxym ethyl)-3-methoxytetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2,8-diazaspiro[4.6]undec-2-ene-8-carboxylate;
- (RS)-3-(((2R,3R,4S,5R,6R)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydroxym ethyl)-3-methoxytetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2,8-diazaspiro[4.6]undec-2-en-9-one;
- (RS)-3-(((2R,3R,4S,5R,6R)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydroxym ethyl)-3-methoxytetrahydro-2H-pyran-2-yl)methyl)-8-methyl-1-oxa-2,8-diazaspiro[4.6]undec-2-en-9-one;
- (5RS,8S)-7-(tert-butoxycarbonyl)-3-(((2R,3R,4S,5R,6R)-4-(4-(4-chloro-2,3-difluorophenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydroxymethyl)-3-methoxytetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2,7-diazaspiro[4.4]no n-2-ene-8-carboxylic acid;
- 3-(((2R,3R,4S,5R,6R)-5-hydroxy-6-(hydroxymethyl)-3-methoxy-4-(4-(3,4,5-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-en-8-ol;
- (5r,8R)-3-(((2R,3R,4S,5R,6R)-5-hydroxy-6-(hydroxymethyl)-3-methoxy-4-(4-(3,4,5-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-en-8-ol;
- N-((5r,8R)-3-(((2R,3R,4S,5R,6R)-5-hydroxy-6-(hydroxymethyl)-3-methoxy-4-(4-(3,4,5-trifluorophenyl)-1H-1, 2,3-triazol-1-yl)tetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-en-8-yl)acetamide;
- N-((5r,8R)-3-(((2R,3R,4S,5R,6R)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydr oxymethyl)-3-methoxytetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-en-8-yl)acetamide;
- N-((5r,8R)-3-(((2R,3R,4S,5R,6R)-4-(4-(4-chloro-2,3-difluorophenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydr oxymethyl)-3-methoxytetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-en-8-yl)acetamide;
- N-((5r,8R)-3-(((2R,3R,4S,5R,6R)-5-hydroxy-6-(hydroxymethyl)-3-methoxy-4-(4-(2,3,4-trifluorophenyl)-1H-1, 2,3-triazol-1-yl)tetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-en-8-yl)acetamide;
- ethyl ((5r,8R)-3-(((2R,3R,4S,5R,6R)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydrox ymethyl)-3-methoxytetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-en-8-yl)carbamate;
- ethyl ((5r,8R)-3-(((2R,3R,4S,5R,6R)-5-hydroxy-6-(hydroxymethyl)-3-methoxy-4-(4-(2,3,4-trifluorophenyl)-1H-1,2, 3-triazol-1-yl)tetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-en-8-yl)carbamate;
- ethyl ((5r,8R)-3-(((2R,3R,4S,5R,6R)-4-(4-(4-chloro-2,3-difluorophenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydrox ymethyl)-3-methoxytetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2-azaspiro[4.5]dec-2-en-8-yl)carbamate;
- (2R,3R,4S,5R,6R)-2-(hydroxymethyl)-6-(((5r,8R)-8-(isopropylamino)-1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)me thyl)-5-methoxy-4-(4-(3,4,5-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-3-ol;
- (2R,3R,4S,5R,6R)-6-((8-((2,2-difluoroethyl)amino)-1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-2-(hydroxym ethyl)-5-methoxy-4-(4-(3,4,5-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-3-ol;
- (2R,3R,4S,5R,6R)-6-((8-(cyclopropylamino)-1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-2-(hydroxymethyl)-5-methoxy-4-(4-(3,4,5-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-3-ol;
- (2R,3R,4S,5R,6R)-2-(hydroxymethyl)-5-methoxy-6-((8-((2,2,2-trifluoroethyl)amino)-1-oxa-2-azaspiro[4.5]de c-2-en-3-yl)methyl)-4-(4-(3,4,5-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-3-ol;
- (2R,3R,4S,5R,6R)-6-(((5r,8R)-8-((2,2-difluoroethyl)amino)-1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-2-(hy droxymethyl)-5-methoxy-4-(4-(3,4,5-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-3-ol;
- (2R,3R,4S,5R,6R)-6-(((5r,8R)-8-(cyclopropylamino)-1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-2-(hydroxy methyl)-5-methoxy-4-(4-(3,4,5-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-3-ol;
- 2-(((2R,3R,4S,5R,6R)-2-((1,8-dioxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydroxymethyl)tetrahydro-2H-pyran-3-yl)oxy)acetic acid;
- 2-(((2R,3R,4S,5R,6R)-2-((1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydroxymethyl)tetrahydro-2H-pyran-3-yl)oxy)acetic acid;
- 2-(((2R,3R,4S,5R,6R)-2-((1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-5-hydroxy-6-(hydroxymethyl)-4-(4-(3, 4,5-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-3-yl)oxy)acetic acid;
- (2R,3R,4S,5R,6R)-6-((8,8-difluoro-1-oxa-2-azaspiro[4.5]dec-2-en-3-yl)methyl)-4-(4-(2,3-difluoro-4-methylph enyl)-1H-1,2,3-triazol-1-yl)-2-(hydroxymethyl)-5-methoxytetrahydro-2H-pyran-3-ol;
- N-(tert-butyl)-3-(((2R,3R,4S,5R,6R)-5-hydroxy-6-(hydroxymethyl)-3-methoxy-4-(4-(3,4,5-trifluorophenyl)-1H-1, 2,3-triazol-1-yl)tetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2,8-diazaspiro[4.5]dec-2-ene-8-carboxamide;
- 1-(3-(((2R,3R,4S,5R,6R)-5-hydroxy-6-(hydroxymethyl)-3-methoxy-4-(4-(3,4,5-trifluorophenyl)-1H-1,2,3-triaz ol-1-yl)tetrahydro-2H-pyran-2-yl)methyl)-1-oxa-2,8-diazaspiro[4.5]dec-2-en-8-yl)ethan-1-one;
- tert-butyl 3-(((2R,3R,4S,5R,6R)-5-hydroxy-6-(hydroxymethyl)-3-methoxy-4-(4-(3,4,5-trifluorophenyl)-1H-1,2,3-triazol-1-yl)tetrahydro-2H-pyran-2-yl)methyl)-2-oxo-1-oxa-3,8-diazaspiro[4.5]decane-8-carboxylate;
- 3-(((2R,3R,4S,5R,6R)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydroxymethyl)-3-methoxytetrahydro-2H-pyran-2-yl)methyl)-1-oxa-3-azaspiro[4.5]decan-2-one;
- 3-(((2R,3R,4S,5R,6R)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydroxymethyl)-3-methoxytetrahydro-2H-pyran-2-yl)methyl)-1, 8-dioxa-3-azaspiro[4.5]decan-2-one;
- 3-(((2R,3R,4S,5R,6R)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydroxymethyl)-3-methoxytetrahydro-2H-pyran-2-yl)methyl)-1,3-diazaspiro[4.5]decan-2-one;
- 2-(((2R,3R,4S,5R,6R)-4-(4-(4-chloro-2,3-difluorophenyl)-1H-1,2,3-triazol-1-yl)-5-hydroxy-6-(hydroxymethyl)-3-methoxytetrahydro-2H-pyran-2-yl)methyl)-2,4-diazaspiro[5.5]undecan-3-one;
- (2R,3R,4S,5R,6R)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-2-(hydroxymethyl)-5-methoxy-6-((2-methyl-1,3-diazaspiro[4.5]dec-1-en-3-yl)methyl)tetrahydro-2H-pyran-3-ol;
- or
- (2R,3R,4S,5R,6R)-6-((1,3-diazaspiro[4.5]dec-1-en-3-yl)methyl)-4-(4-(2,3-difluoro-4-methylphenyl)-1H-1,2,3-triazol-1-yl)-2-(hydroxymethyl)-5-methoxytetrahydro-2H-pyran-3-ol;
- or a pharmaceutically acceptable salt thereof.
84 more elements
Dependencies are inferred from the claim text.