# US 12,595,265 B2 · Inhibitors of activin receptor-like kinase

> Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt

- Number: US 12,595,265 B2
- Document ID: US12595265B2
- Status: Granted
- Kind: B2
- Application number: 18/137,228
- Filed: 2023-04-20
- Published: 2024-05-16
- Granted: 2026-04-07
- Earliest claimed: 2016-04-15
- Assignees: Blueprint Medicines Corporation
- Applicants: Blueprint Medicines Corporation
- Inventors: Natasja Brooijmans; Jason D. Brubaker; Paul E. Fleming; Brian Lewis Hodous; Joseph L. Kim; Brett D. Williams; Douglas Wilson; Kevin J. Wilson; Mark Cronin
- Web page: https://patentgrep.com/patent/US12595265B2

## CPC

- C07D 487/04: Ortho-condensed systems
- A61K 31/5025: ortho- or peri-condensed with heterocyclic ring systems
- A61K 31/5377: not condensed and containing further heterocyclic rings, e.g. timolol
- A61K 31/5383: ortho- or peri-condensed with heterocyclic ring systems
- A61P 19/00: Drugs for skeletal disorders
- A61P 25/00: Drugs for disorders of the nervous system
- A61P 35/00: Antineoplastic agents
- A61P 43/00: Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
- C07D 519/00: Heterocyclic compounds containing more than one system of two or more relevant hetero rings condensed among themselves or condensed with a common carbocyclic ring system not provided for in groups C07D453/00 or C07D455/00
- C07D: HETEROCYCLIC COMPOUNDS (macromolecular compounds C08)
- A61K: PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES (devices or methods specially adapted for bringing pharmaceutical products into particular physical or administering forms A61J3/00; chemical aspects of, or use of materials for deodorisation of air, for disinfection or sterilisation, or for bandages, dressings, absorbent pads or surgical articles A61L; soap compositions C11D)
- A61P: SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS

## Abstract

Described herein are compounds that inhibit ALK2 and its mutants, pharmaceutical compositions including such compounds, and methods of using such compounds and compositions.

## Claims

### Claim 1

A method of inhibiting aberrant ALK2 activity in a subject in need thereof, comprising administering to the subject a pharmaceutically effective amount of a compound of formula (I):
or a pharmaceutically acceptable salt thereof, wherein:
ring A is phenyl or heteroaryl, wherein ring A is optionally substituted with 1, 2, or 3 independently selected substituents selected from halo, ═O,
cyano, —ORc, —NRdRe, —S(O)kRc, —NRcS(O)2Rc, —S(O)2NRdRe, —C(═O)ORc, —OC(═O)ORc, —OC(═O)Rc, —OC(═S)ORc, —C(═S)ORc, —O(C═S)Rc, —C(═O)NRdRe, —NRcC(═O)Rc, —C(═S)NRdRe, —NRcC(═S)Rc, —NRc(C═O)ORc, —O(C═O)NRdRe, —NRc(C═S)ORc, —O(C═S)NRdRe, —NRc(C═O)NRdRe, —N Rc(C═S)NRdRe, —C(═S)Rc, —C(═O)Rc, C1-C6 alkyl, C1-C6 haloalkyl, C1-C6 heteroalkyl, carbocyclyl,
(C1-C6-alkylene)-carbocyclyl, (C1-C6-heteroalkylene)-carbocyclyl, heterocyclyl, (C1-C6-alkylene)-heterocyclyl, (C1-C6-heteroalkylene)-heterocyclyl, aryl, (C1-C6-alkylene)-aryl, (C1-C6-heteroalkylene)-aryl, heteroaryl, (C1-C6-alkylene)-heteroaryl, and (C1-C6-heteroalkylene)-heteroaryl, wherein each of said alkyl, alkylene, heteroalkyl, heteroalkylene, carbocyclyl, heterocyclyl, aryl, and heteroaryl are optionally substituted with one or more of halo, ORc, —NO2,
cyano, —NRcC(═O)Rc, —NRdRe, —S(O)kRc, —C(═O)ORc, —C(═O)NRdRe, —C(═O)Rc, C1-C6 alkyl, C1-C6 haloalkyl, or C1-C6 heteroalkyl in addition to R2;
R1 is selected from NH(C1-C6 alkyl), N(C1-C6 alkyl)2, C1-C6 alkyl, —O—C1-C6 alkyl, —C(O)—C1-C4 alkyl, carbocyclyl, heterocyclyl, —O—(C0-C4 alkylene)-carbocyclyl, —O—(C0-C4 alkylene)-heterocyclyl, —NH—(C0-C4 alkylene)-carbocyclyl, —NH-phenyl, —NH—O—(C1-C4 alkyl), —S-heterocyclyl, —S—(C0-C3 alkylene)-(O-containing heterocyclyl), and —NH—(C0-C4 alkylene)-heterocyclyl,
wherein each alkyl, alkylene, carbocyclyl, and heterocyclyl portion of R1 is optionally substituted with 1, 2, 3, or 4 substituents independently selected from halo, ═O, cyano, —ORc, —NRdRe, —S(O)kRc, —NRcS(O)2Rc, —S(O)2NRdRe, —C(═O)ORc, —OC(═O)ORc, —OC(═O)Rc, —OC(═S)ORc, —C(═S)ORc, —O(C═S)Rc, —C(═O)NRdRe, —NRcC(═O)Rc, —C(═S)NRdRe, —NRcC(═S)Rc, —NRc(C═O)ORc, —O(C═O)NRdRe, —NRc(C═S)ORc, —O(C═S)NRdRe, —NRc(C═O)NRdRe, —N Rc(C═S)NRdRe, —C(═S)Rc, —C(═O)Rc, C1-C6 alkyl, C1-C6 haloalkyl, C1-C6 heteroalkyl, carbocyclyl, (C1-C6-alkylene)-carbocyclyl, (C1-C6-heteroalkylene)-carbocyclyl, heterocyclyl, (C1-C6-alkylene)-heterocyclyl, (C1-C6-heteroalkylene)-heterocyclyl, aryl, (C1-C6-alkylene)-aryl, (C1-C6-heteroalkylene)-aryl, heteroaryl, (C1-C6-alkylene)-heteroaryl, and (C1-C6-heteroalkylene)-heteroaryl, wherein each of said alkyl, alkylene, heteroalkyl, heteroalkylene, carbocyclyl, heterocyclyl, aryl, and heteroaryl are optionally substituted with one or more of halo, ORc, —NO2,
cyano, —NRcC(═O)Rc, —NRdRe, —S(O)kRc, —C(═O)ORc, —C(═O)NRdRe, —C(═O)Rc, C1-C6 alkyl, C1-C6haloalkyl, or C1-C6 heteroalkyl;
wherein any phenyl portion of R1 is optionally substituted with 1, 2, or 3 substituents, wherein each optional substituent is independently selected from deuterium, halo, cyano, acetyl, C1-C4 alkyl, C1-C4 haloalkyl, —O—C1-C4 alkyl, —C1-C4 alkylene-O—C1-C4 alkyl, heteroaryl, phenyl, cycloalkyl, —COOH, and —OH, wherein each of said heteroaryl, phenyl, and cycloalkyl are optionally substituted with one or more of halo, ORc, —NO2,
cyano, —NRcC(═O)Rc, —NRdRe, —S(O)kRc, —C(═O)ORc, —C(═O)NRdRe, —C(═O)Rc, C1-C6 alkyl, C1-C6haloalkyl, or C1-C6 heteroalkyl;
or
R1 is taken together with one R3 to form a saturated ring fused to the piperazine ring in formula (I), and wherein the ring formed by R1 and R3 is optionally substituted with 1, 2, or 3 substituents independently selected from halo, ═O,
cyano, —ORc, —NRdRe, —S(O)kRc, —NRcS(O)2Rc, —S(O)2NRdRe, —C(═O)ORc, —OC(═O)ORc, —OC(═O)Rc, —OC(═S)ORc, —C(═S)ORc, —O(C═S)Rc, —C(═O)NRdRe, —NRcC(═O)Rc, —C(═S)NRdRe, —NRcC(═S)Rc, —NRc(C═O)ORc, —O(C═O)NRdRe, —NRc(C═S)ORc, —O(C═S)NRdRe, —NRc(C═O)NRdRe, —N Rc(C═S)NRdRe, —C(═S)Rc, —C(═O)Rc, C1-C6 alkyl, C1-C6 haloalkyl, C1-C6 heteroalkyl, carbocyclyl,
(C1-C6-alkylene)-carbocyclyl, (C1-C6-heteroalkylene)-carbocyclyl, heterocyclyl, (C1-C6-alkylene)-heterocyclyl, (C1-C6-heteroalkylene)-heterocyclyl, aryl, (C1-C6-alkylene)-aryl, (C1-C6-heteroalkylene)-aryl, heteroaryl, (C1-C6-alkylene)-heteroaryl, and (C1-C6-heteroalkylene)-heteroaryl, wherein each of said alkyl, alkylene, heteroalkyl, heteroalkylene, carbocyclyl, heterocyclyl, aryl, and heteroaryl are optionally substituted with one or more of halo, ORc, —NO2,
cyano, —NRcC(═O)Rc, —NRdRe, —S(O)kRc, —C(═O)ORc, —C(═O)NRdRe, —C(═O)Rc, C1-C6 alkyl, C1-C6 haloalkyl, or C1-C6 heteroalkyl;
if ring A is phenyl, then R2 is selected from halo, C1-C6 alkyl, heterocyclyl, cycloalkyl, —NH—(C0-C4 alkylene)-heterocyclyl, —(C1-C4 alkylene)-heterocyclyl, —(C1-C4 alkylene)-NH-heterocyclyl, and —O—(C0-C4 alkylene)-heterocyclyl, wherein any heterocyclyl, cycloalkyl, alkyl, or alkylene portion of R2 is optionally substituted with 1, 2, 3, or substituents independently selected from halo, ═O,
cyano, —ORc, —NRdRe, —S(O)kRc, —NRcS(O)2Rc, —S(O)2NRdRe, —C(═O)ORc, —OC(═O)ORc, —OC(═O)Rc, —OC(═S)ORc, —C(═S)ORc, —O(C═S)Rc, —C(═O)NRdRe, —NRcC(═O)Rc, —C(═S)NRdRe, —NRcC(═S)Rc, —NRc(C═O)ORc, —O(C═O)NRdRe, —NRc(C═S)ORc, —O(C═S)NRdRe, —NRc(C═O)NRdRe, —N Rc(C═S)NRdRe, —C(═S)Rc, —C(═O)Rc, C1-C6 alkyl,
C1-C6 haloalkyl, C1-C6 heteroalkyl, carbocyclyl, (C1-C6-alkylene)-carbocyclyl, (C1-C6-heteroalkylene)-carbocyclyl, heterocyclyl, (C1-C6-alkylene)-heterocyclyl, (C1-C6-heteroalkylene)-heterocyclyl, aryl, (C1-C6-alkylene)-aryl, (C1-C6-heteroalkylene)-aryl, heteroaryl, (C1-C6-alkylene)-heteroaryl, and (C1-C6-heteroalkylene)-heteroaryl, wherein each of said alkyl, alkylene, heteroalkyl, heteroalkylene, carbocyclyl, heterocyclyl, aryl, and heteroaryl are optionally substituted with one or more of halo, ORc, —NO2,
cyano, —NRcC(═O)Rc, —NRdRe, —S(O)kRc, —C(═O)ORc, —C(═O)NRdRe, —C(═O)Rc, C1-C6 alkyl, C1-C6 haloalkyl, or
C1-C6 heteroalkyl; or R2 is taken together with any ring atom in ring A to form a cycloalkyl or saturated heterocyclyl ring that is fused to ring A, and wherein the ring formed by R2 and the ring atom in ring A is optionally substituted with 1, 2, or 3 substituents independently selected from halo, ═O,
cyano, —ORc, —NRdRe, —S(O)kRc, —NRcS(O)2Rc, —S(O)2NRdRe, —C(═O)ORc, —OC(═O)ORc, —OC(═O)Rc, —OC(═S)ORc, —C(═S)ORc, —O(C═S)Rc, —C(═O)NRdRe, —NRcC(═O)Rc, —C(═S)NRdRe, —NRcC(═S)Rc, —NRc(C═O)ORc, —O(C═O)NRdRe, —NRc(C═S)ORc, —O(C═S)NRdRe,
—NRc(C═O)NRdRe, —NRc(C═S)NRdRe, —C(═S)Rc, —C(═O)Rc, C1-C6 alkyl, C1-C6 haloalkyl, C1-C6 heteroalkyl, carbocyclyl, (C1-C6-alkylene)-carbocyclyl, (C1-C6-heteroalkylene)-carbocyclyl, heterocyclyl, (C1-C6-alkylene)-heterocyclyl, (C1-C6-heteroalkylene)-heterocyclyl, aryl, (C1-C6-alkylene)-aryl, (C1-C6-heteroalkylene)-aryl, heteroaryl, (C1-C6-alkylene)-heteroaryl, and (C1-C6-heteroalkylene)-heteroaryl, wherein each of said alkyl, alkylene, heteroalkyl, heteroalkylene, carbocyclyl, heterocyclyl, aryl, and heteroaryl are optionally substituted with one or more of halo, ORc, —NO2,
cyano, —NRcC(═O)Rc, —NRdRe, —S(O)kRc, —C(═O)ORc, —C(═O)NRdRe, —C(═O)Rc, C1-C6 alkyl, C1-C6 haloalkyl, or C1-C6 heteroalkyl;
if ring A is heteroaryl, then R2 is selected from halo, C1-C6 alkyl, heterocyclyl, cycloalkyl, —NH—(C0-C4 alkylene)-heterocyclyl, —(C1-C4 alkylene)-heterocyclyl,
—(C1-C4 alkylene)-NH-heterocyclyl, and —O—(C0-C4 alkylene)-heterocyclyl, wherein any heterocyclyl, cycloalkyl, alkyl, or alkylene portion of R2 is optionally substituted with 1, 2, 3, or 4 substituents independently selected from halo, ═O,
cyano, —ORc, —NRdRe, —S(O)kRc, —NRcS(O)2Rc, —S(O)2NRdRe, —C(═O)ORc, —OC(═O)ORc, —OC(═O)Rc, —OC(═S)ORc, —C(═S)ORc, —O(C═S)Rc, —C(═O)NRdRe, —NRcC(═O)Rc, —C(═S)NRdRe, —NRcC(═S)Rc, —NRc(C═O)ORc, —O(C═O)NRdRe, —NRc(C═S)ORc, —O(C═S)NRdRe, —NRc(C═O)NRdRe, —N Rc(C═S)NRdRe, —C(═S)Rc, —C(═O)Rc, C1-C6 alkyl, C1-C6 haloalkyl, C1-C6 heteroalkyl, carbocyclyl,
(C1-C6-alkylene)-carbocyclyl, (C1-C6-heteroalkylene)-carbocyclyl, heterocyclyl, (C1-C6-alkylene)-heterocyclyl, (C1-C6-heteroalkylene)-heterocyclyl, aryl, (C1-C6-alkylene)-aryl, (C1-C6-heteroalkylene)-aryl, heteroaryl, (C1-C6-alkylene)-heteroaryl, and (C1-C6-heteroalkylene)-heteroaryl, wherein each of said alkyl, alkylene, heteroalkyl, heteroalkylene, carbocyclyl, heterocyclyl, aryl, and heteroaryl are optionally substituted with one or more of halo, ORc, —NO2,
cyano, —NRcC(═O)Rc, —NRdRe, —S(O)kRc, —C(═O)ORc, —C(═O)NRdRe, —C(═O)Rc, C1-C6 alkyl, C1-C6 haloalkyl, or C1-C6 heteroalkyl; or R2 is taken together with any saturated ring atom in ring A to form a cycloalkyl or saturated heterocyclyl ring that is fused, spirofused, or bridged to ring A, and wherein the ring formed by R2 and the ring atom in ring A is optionally substituted with 1, 2, or 3 substituents independently selected from halo, ═O,
cyano, —ORc, —NRdRe, —S(O)kRc, —NRcS(O)2Rc, —S(O)2NRdRe, —C(═O)ORc, —OC(═O)ORc, —OC(═O)Rc, —OC(═S)ORc, —C(═S)ORc, —O(C═S)Rc, —C(═O)NRdRe, —NRcC(═O)Rc, —C(═S)NRdRe, —NRcC(═S)Rc, —NRc(C═O)ORc, —O(C═O)NRdRe, —NRc(C═S)ORc, —O(C═S)NRdRe,
—NRc(C═O)NRdRe, —NRc(C═S)NRdRe, —C(═S)Rc, —C(═O)Rc, C1-C6 alkyl, C1-C6 haloalkyl, C1-C6 heteroalkyl, carbocyclyl, (C1-C6-alkylene)-carbocyclyl, (C1-C6-heteroalkylene)-carbocyclyl, heterocyclyl, (C1-C6-alkylene)-heterocyclyl, (C1-C6-heteroalkylene)-heterocyclyl, aryl, (C1-C6-alkylene)-aryl, (C1-C6-heteroalkylene)-aryl, heteroaryl, (C1-C6-alkylene)-heteroaryl, and (C1-C6-heteroalkylene)-heteroaryl, wherein each of said alkyl, alkylene, heteroalkyl, heteroalkylene, carbocyclyl, heterocyclyl, aryl, and heteroaryl are optionally substituted with one or more of halo, ORc, —NO2,
cyano, —NRcC(═O)Rc, —NRdRe, —S(O)kRc, —C(═O)ORc, —C(═O)NRdRe, —C(═O)Rc, C1-C6 alkyl, C1-C6 haloalkyl, or C1-C6 heteroalkyl;
each R3 is independently selected from C1-C4 alkyl and C1-C4 haloalkyl;
each Rc is selected from hydrogen, hydroxy, C1-C6 alkyl, C1-C6 heteroalkyl, carbocyclyl, (C1-C6-alkylene)-carbocyclyl, (C1-C6-heteroalkylene)-carbocyclyl, heterocyclyl, (C1-C6-alkylene)-heterocyclyl, (C1-C6-heteroalkylene)-heterocyclyl, aryl, (C1-C6-alkylene)-aryl, (C1-C6-heteroalkylene)-aryl, heteroaryl, (C1-C6-alkylene)-heteroaryl, or (C1-C6-heteroalkylene)-heteroaryl, each of which is optionally substituted with one or more of halo, hydroxy, C1-C6 alkyl, C1-C6 haloalkyl, C1-C6 heteroalkyl, carbocyclyl, heterocyclyl, aryl, or heteroaryl;
each Rd and Re are independently selected from hydrogen, C1-C6 alkyl, or C1-C6 heteroalkyl;
each k is independently 0, 1, or 2; and
n is 0, 1, 2, or 3.

### Claim 2 (depends on 1)

The method of claim 1, wherein:
n is 0; or
n is 1 and R3 is selected from methyl, ethyl, and CHF2.

### Claim 3 (depends on 1)

The method of claim 1, wherein
ring A is selected from:
wherein:
“1” represents a portion of ring A bound to a pyrrolo[1,2-b]pyridazine moiety;
“2” represents a portion of ring A bound to R2; and
ring A is optionally substituted with 1, 2, or 3 substituents independently selected from halo, ═O,
cyano, —ORc, —NRdRe, —S(O)kRc, —NRcS(O)2Rc, —S(O)2NRdRe, —C(═O)ORc, —OC(═O)ORc, —OC(═O)Rc, —OC(═S)ORc, —C(═S)ORc, —O(C═S)Rc, —C(═O)NRdRe, —NRcC(═O)Rc, —C(═S)NRdRe, —NRcC(═S)Rc, —NRc(C═O)ORc, —O(C═O)NRdRe, —NRc(C═S)ORc, —O(C═S)NRdRe,
—NRc(C═O)NRdRe, —NRc(C═S)NRdRe, —C(═S)Rc, —C(═O)Rc, C1-C6 alkyl, C1-C6 haloalkyl, C1-C6 heteroalkyl, carbocyclyl, (C1-C6-alkylene)-carbocyclyl, (C1-C6-heteroalkylene)-carbocyclyl, heterocyclyl, (C1-C6-alkylene)-heterocyclyl, (C1-C6-heteroalkylene)-heterocyclyl, aryl, (C1-C6-alkylene)-aryl, (C1-C6-heteroalkylene)-aryl, heteroaryl, (C1-C6-alkylene)-heteroaryl, and (C1-C6-heteroalkylene)-heteroaryl, wherein each of said alkyl, alkylene, heteroalkyl, heteroalkylene, carbocyclyl, heterocyclyl, aryl, and heteroaryl are optionally substituted with one or more of halo, ORc, —NO2,
cyano, —NRcC(═O)Rc, —NRdRe, —S(O)kRc, —C(═O)ORc, —C(═O)NRdRe, —C(═O)Rc, C1-C6 alkyl, C1-C6 haloalkyl, or C1-C6 heteroalkyl in addition to R2.

### Claim 4 (depends on 3)

The method of claim 3, wherein ring A is selected from

### Claim 5 (depends on 1)

The method of claim 1, wherein ring A is optionally substituted with 1 or 2 substituents in addition to R2, wherein each optional substituent is independently selected from cyano, halo, methyl, and OCHF2.

### Claim 6 (depends on 1)

The method of claim 1, wherein:
R1 is selected from —C(O)—(C1-C3 alkyl), C1-C3 alkyl, —O—(C1-C5 alkyl), —NH(C1-C5 alkyl), —N(C1-C4 alkyl)2, —NH—(C3-C6 cycloalkyl), C3-C6 cycloalkyl, —O—(C3-C6 cycloalkyl), —O—(C1-C3 alkylene)-(C3-C6 cycloalkyl), —(C1-C3 alkylene)-(C3-C6 cycloalkyl), —O—(C0-C3 alkylene)-(O-containing heterocyclyl), —NH—(C0-C3 alkylene)-(0-containing heterocyclyl), an O-containing heterocyclyl, an N-containing heterocyclyl, —O—(C0-C3 alkylene)-(N-containing heterocyclyl), —S—(C0-C3 alkylene)-(0-containing heterocyclyl), —NH—O—(C1-C3 alkyl), and —NH-phenyl, wherein:
any alkyl, cycloalkyl, phenyl, or heterocyclyl portion of R1 is optionally substituted with 1, 2, or 3 substituents, wherein each optional substituent is independently selected from deuterium, halo, cyano, acetyl, C1-C4 alkyl, C1-C4 haloalkyl, —O—C1-C4 alkyl, —C1-C4 alkylene-O—C1-C4 alkyl, heteroaryl, phenyl, cycloalkyl, —C00H, and —OH, wherein each of said heteroaryl, phenyl, and cycloalkyl are optionally substituted with one or more of halo, ORc, —NO2,
cyano, —NRcC(═O)Rc, —NRdRe, —S(O)kRc, —C(═O)ORc, —C(═O)NRdRe, —C(═O)Rc, C1-C6 alkyl, C1-C6 haloalkyl, or C1-C6 heteroalkyl; or
R1 is taken together with any ring atom in the piperazine moiety of formula (I) to form a carbocyclyl or heterocyclyl ring fused to the piperazine moiety.

### Claim 7 (depends on 1)

The method of claim 1, wherein:
R2 is selected from halo, cycloalkyl, heterocyclyl, —O—(C0-C4 alkylene)-heterocyclyl, —(C1-C3 alkylene)-heterocyclyl, —(C1-C3 alkylene)-NH—(C1-C3 alkyl), -(hydroxy-substituted C1-C3 alkylene)-NH—(C1-C3 alkyl), C1-C4 alkyl substituted with both hydroxy and one or more of amino, C1-C4 alkylamino or di-C1-C4 alkylamino cyano-substituted C1-C4 alkyl, hydroxy, —S(O)2—C1-C4 alkyl, and -(amino substituted C1-C3 alkylene)-heterocyclyl; or
R2 is taken together with a ring atom in ring A to form a heterocyclyl or a carbocyclyl that is fused to ring A, wherein any heterocyclyl or carbocyclyl is optionally substituted with 0, 1, 2, or 3 substituents, wherein:
each optional substituent is independently selected from halo, cyano, hydroxy, —NH2, —NH(C1-C4 alkyl), —NH—C(O)—O—(C1-C4 alkyl), ═O, —C(O)—C1-C4 alkyl, —C1-C4 alkyl, deuterated C1-C4 alkyl, —C1-C4 haloalkyl, hydroxy-substituted —C1-C4 alkyl, —O—C1-C4 alkyl, —O—C1-C4 haloalkyl, —(C1-C4 alkylene)-O—(C1-C4 alkyl), -(amino substituted C1-C4 alkylene)-O—(C1-C4 alkyl), —(C1-C4 alkylene)-O—(C1-C4 haloalkyl), —C(O)—O—C1-C4 alkyl, —COOH, C3-C6 cycloalkyl, heterocyclyl, and —NH-heterocyclyl, wherein each said heterocyclyl is optionally substituted with one or more of halo, ORc, —NO2,
cyano, —NRcC(═O)Rc, —NRdRe, —S(O)kRc, —C(═O)ORc, —C(═O)NRdRe, —C(═O)Rc, C1-C6 alkyl, C1-C6 haloalkyl, or C1-C6 heteroalkyl.

### Claim 8

A method of inhibiting aberrant ALK2 activity in a subject in need thereof, comprising administering to the subject a pharmaceutically effective amount of a compound of formula (II):
or a pharmaceutically acceptable salt thereof, wherein:
X is C(R13) or N;
R11 is selected from: —NH—(C3-C4 cycloalkyl); —NH—C1-C3 alkyl; —O—C3-C4 cycloalkyl; —O—(C1-C3 alkyl) optionally substituted with one or more substituents selected from fluoro, hydroxy, cyano, and deuterium; and —O—(O-containing heterocycle);
R12 is selected from:
piperidin-3-yl optionally 3-substituted with C1-C3 alkoxy, fluoro, C1-C3 alkyl, or cyano; and
piperidin-4-yl optionally 4-substituted with C1-C3 alkoxy, fluoro, C1-C3 alkyl, and cyano, wherein:
R12 is additionally optionally 1-substituted with C1-C5 alkyl optionally substituted with one or more hydroxy and/or one or more —NH2;
R3 is selected from hydrogen, cyano, and fluoro; and
R14 is fluoro.

### Claim 9 (depends on 8)

The method of claim 8, wherein the compound is a compound of formula (IIa):
or a pharmaceutically acceptable salt thereof, wherein:
X is C(R13) or N;
R11 is selected from: —NH—(C3-C4 cycloalkyl); —NH—C1-C3 alkyl; —O—C3-C4 cycloalkyl; —O—(C1-C3 alkyl) optionally substituted with one or more substituents selected from fluoro, hydroxy, cyano, and deuterium; and —O—(O-containing heterocycle);
R13 is selected from hydrogen, cyano, and fluoro;
R14 is fluoro;
R15 is selected from hydrogen, C1-C3 alkoxy, fluoro, C1-C3 alkyl, and cyano; and
R16 is hydrogen or C1-C5 alkyl optionally substituted with one or more hydroxy and/or one or more —NH2.

### Claim 10 (depends on 8)

The method of claim 8, wherein the compound is a compound of formula (IIb):
or a pharmaceutically acceptable salt thereof, wherein:
X is C(R13) or N;
R11 is selected from: —NH—(C3-C4 cycloalkyl); —NH—C1-C3 alkyl; —O—C3-C4 cycloalkyl; —O—(C1-C3 alkyl) optionally substituted with one or more substituents selected from fluoro, hydroxy, cyano, and deuterium; and —O—(O-containing heterocycle);
R13 is selected from hydrogen, cyano, and fluoro;
R14 is fluoro;
R15 is selected from hydrogen, C1-C3 alkoxy, fluoro, C1-C3 alkyl, and cyano; and
R16 is hydrogen or C1-C5 alkyl optionally substituted with one or more hydroxy and/or one or more —NH2.

### Claim 11 (depends on 10)

The method of claim 10, wherein the compound is a compound of formula (IIb-1):
or a pharmaceutically acceptable salt thereof.

### Claim 12 (depends on 10)

The method of claim 10, wherein the compound is a compound of formula (IIb-2):
or a pharmaceutically acceptable salt thereof.

### Claim 13 (depends on 8)

The method of claim 8, wherein R14 is absent.

### Claim 14 (depends on 8)

The method of claim 8, wherein R13 is hydrogen.

### Claim 15 (depends on 8)

The method of claim 8, wherein R11 is selected from:
—NH—C1-C3 alkyl;
—O—C1-C3 alkyl optionally substituted with one or more substituents selected from fluoro, hydroxy, cyano, and deuterium;
oxetan-3-yloxy; and
tetrahydrofuran-3-yloxy.

### Claim 16 (depends on 1)

The method of claim 1, wherein the compound selected from any one of the compounds provided below and pharmaceutically acceptable salts thereof:
#
Structure
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
554
555
556
557
558
559
560
561
562
563
564
565
566
567
568
569
570
571
572
573
574
575
576
577
578
579
580
581
582
583
584
585
586
587
588
589
590
591
592
593
594
595
596
597
598
599
600
601
602
603
604
605
606
607
608
609
610
611
612
613
614
615
616
617
618
619
620
621
622
623
624
625
626
627
628
629
630
631
632
633
634
635
636
637
638
639
640
641
642
643
644
645
646
647
648
649
650
651
652
653
654
655
656
657
658
659
660
661
662
663
664
665
666
667
668
669
670
671
672
673
674
675
676
677
678
679
680
681
682
683
684
685
686
687
688
689
690
691
692
693
694
695
696
697
698
699
700
701
702
703
704
705
706
707
708
709
710
711
712
713
714
715
716
717
718
719
720
721
722
723
724
725
726
727
728
729
730
731
732
733
734
735
736
737
738
739
740
741
742
743
744
745
746
747
748
749
750
751
752
753
754
755
756
757
758
759
760
761
762
763
764
765
766
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
787
788
789
790
791
792
793
794
795
796
797
798
799
800
801
802
803
804
805
806
807
808
809
810
811
812
813
814
815
816
817
818
819
820
821
822
823
824
825
826
827
828
829
830
831
832
833
834
835
836
837
838
839
840
841
842
843
844
845
846
847
848
849
850
851
852
853
854
855
856
857
858
859
860
861
862
863
864
865
866
867
868
869
870
871
872
873
874
875
876
877
878
879
880
881
882
883
884
885
886
887
888
889
890
891
892
893
894
895
896
897
898
899

### Claim 17 (depends on 1)

The method of claim 1, wherein the compound is
or a pharmaceutically acceptable salt thereof.

### Claim 18 (depends on 1)

The method of claim 1, wherein the compound is
or a pharmaceutically acceptable salt thereof.

### Claim 19 (depends on 1)

The method of claim 1, wherein the compound is
or a pharmaceutically acceptable salt thereof.

### Claim 20 (depends on 1)

The method of claim 1, wherein the compound is
or a pharmaceutically acceptable salt thereof.

### Claim 21 (depends on 1)

The method of claim 1, wherein the compound is
or a pharmaceutically acceptable salt thereof.

### Claim 22 (depends on 1)

The method of claim 1, wherein the compound is
or a pharmaceutically acceptable salt thereof.

### Claim 23 (depends on 1)

The method of claim 1, wherein the compound is
or a pharmaceutically acceptable salt thereof.

### Claim 24 (depends on 1)

The method of claim 1, wherein the compound is
or a pharmaceutically acceptable salt thereof.

### Claim 25 (depends on 1)

The method of claim 1, wherein the compound is
or a pharmaceutically acceptable salt thereof.

### Claim 26 (depends on 1)

The method of claim 1, wherein the compound is
or a pharmaceutically acceptable salt thereof.

### Claim 27 (depends on 1)

The method of claim 1, wherein the compound is
or a pharmaceutically acceptable salt thereof.

### Claim 28 (depends on 1)

The method of claim 1, wherein the compound is
or a pharmaceutically acceptable salt thereof.

### Claim 29 (depends on 1)

The method of claim 1, wherein the aberrant ALK2 activity is caused by a mutation in an ALK2 gene that results in the expression of an ALK2 enzyme having an amino acid modification selected from one or more of L196P, PF197-8L, R202I, R206H, Q207E, R258S, R258G, G328A, G328V, G328W, G328E, G328R, G356D, and R375P.

### Claim 30 (depends on 29)

The method of claim 29, wherein the ALK2 enzyme has the amino acid modification R206H.

### Claim 31 (depends on 1)

The method of claim 1, wherein the subject is suffering from fibrodysplasia ossificans progressiva or diffuse intrinsic pontine glioma.
