Compositions and methods for treating cns disorders

A compound of Formula (I-I):

• or a pharmaceutically acceptable salt thereof,
• wherein:
• t is 1 or 2;
• R7 is hydrogen or methyl, or when is a double bond, R7 is absent;
• R3 is hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;
• R9 is hydrogen or substituted or unsubstituted alkyl;
• each of R6a and R6b is independently hydrogen, halogen, cyano, hydroxyl, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, or substituted or unsubstituted alkynyl, or R6a and R6b are joined to form an oxo (═O) group;
• each of R11a, R11b, R15a, R15b, R16a, R16b, R17a, R17b, R18a, R18b, R19a, or R19b is independently hydrogen, halogen, cyano, hydroxyl, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted heterocyclyl, or substituted or unsubstituted alkynyl, —ORD1, —OC(═O)RD1, —NH2, —N(RD1)2, or —NRD1C(═O)RD1, wherein each instance of RD1 is independently hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl, an oxygen protecting group when attached to an oxygen atom, a nitrogen protecting group when attached to a nitrogen atom, or two RD1 groups are joined to form an substituted or unsubstituted heterocyclic ring;
• or any one of R11a and R11b, R15a and R15b, R16a and R16b, R17a and R17b, and R18a and R18b are joined to form an oxo (═O) group;
• each of R5a, R5b, R8 and R13 is independently hydrogen, halogen, cyano, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, —ORA1, —SRA1, N(RA1)2, —N(RA1), —CN(RA1)2, —C(O)RA1, —C(═O)N(RA1)2, —OC(═O)RA1, —OC(═O)ORA1, —OC(═O)SRA1, —OC(═O)N(RA1)2, —SC(═O)RA2, —SC(═O)ORA1, —SC(═O)SRA1, —SC(═O)N(RA1)2, —NHC(═O)RA1, —NHC(═O)ORA1, —NHC(═O)SRA1, —NHC(═O)N(RA1)2, —OS(═O)2RA2, —OS(═O)2ORA1, —S—S(═O)2RA2, —S—S(═O)2ORA1, —S(═O)RA2, —SO2RA2, or —S(═O)2ORA1, wherein each instance of RA1 is independently hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, an oxygen protecting group when attached to an oxygen atom, a sulfur protecting group when attached to a sulfur atom, a nitrogen protecting group when attached to a nitrogen atom, —SO2RA2, —C(O)RA2, or two RA1 groups are joined to form an substituted or unsubstituted heterocyclic or heteroaryl ring;
• and RA2 is substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;
• or R8 and R13 are joined to form an oxo (═O) group, wherein when R8 and R13 are joined to form an oxo (═O) group, R3 is substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;
• and
• wherein at least one of R5a, R5b, R8 and R13 must be ethyl, substituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, —ORA1, —SRA1, —N(RA1)2, —N(RA1), —CN(RA1)2, —C(O)RA1, —C(═O)N(RA1)2, —OC(═O)RA1, —OC(═O)ORA1, —OC(═O)SRA1, —OC(═O)N(RA1)2, —SC(═O)RA2, —SC(═O)ORA1, —SC(═O)SRA1, —SC(═O)N(RA1)2, —NHC(═O)RA1, —NHC(═O)ORA1, —NHC(═O)SRA1, —NHC(═O)N(RA1)2, —OS(═O)2RA2, —OS(═O)2ORA1, —S—S(═O)2RA2, —S—S(═O)2ORA1, —S(═O)RA2, —SO2RA2, or —S(═O)2ORA1;
• wherein R8 and R13 cannot both be unsubstituted methyl;
• and
• wherein represents a single or double bond, provided if a double bond is present in Ring B, then one of R6a or R6b and R7 is absent.

A compound of Formula (I-II):

• or a pharmaceutically acceptable salt thereof,
• wherein:
• R77 is hydrogen or methyl, or when is a double bond, R7 is absent;
• R23 is substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;
• R29 is hydrogen or substituted or unsubstituted alkyl;
• each of R26a and R26b is independently hydrogen, halogen, cyano, hydroxyl, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, or substituted or unsubstituted alkynyl, or R26a and R26b are joined to form an oxo (═O) group;
• each of R21a, R21b, R25a, R25b, R36a, R36b, R27a, R27b, R29a, or R29b is independently hydrogen, halogen, cyano, hydroxyl, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted heterocyclyl, or substituted or unsubstituted alkynyl, —ORD1, —OC(═O)RD1, —NH2, —N(RD1)2, or —NRD1C(═O)RD1, wherein each instance of RD1 is independently hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl, an oxygen protecting group when attached to an oxygen atom, a nitrogen protecting group when attached to a nitrogen atom, or two RD1 groups are joined to form an substituted or unsubstituted heterocyclic ring;
• or any one of R21a and R21b, R25a and R25b, R36a and R36b, R27a and R27b, and R29a and R29b are joined to form an oxo (═O) group;
• each of R55a, R55b, R33a, and R33b is each independently hydrogen, halogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, —ORA1, —SRA1, N(RA1)2, —N(RA1), —CN(RA1)2, —C(O)RA1, —C(═O)N(RA1)2, —OC(═O)RA1, —OC(═O)ORA1, —OC(═O)SRA1, —OC(═O)N(RA1)2, —SC(═O)RA2, —SC(═O)ORA1, —SC(═O)SRA1, —SC(═O)N(RA1)2, —NHC(═O)RA1, —NHC(═O)ORA1, —NHC(═O)SRA1, —NHC(═O)N(RA1)2, —OS(═O)2RA2, —OS(═O)2ORA1, —S—S(═O)2RA2, —S—S(═O)2ORA1, —S(═O)RA2, —SO2RA2, or —S(═O)2ORA1 wherein each instance of RA1 is independently hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, an oxygen protecting group when attached to an oxygen atom, a sulfur protecting group when attached to a sulfur atom, a nitrogen protecting group when attached to a nitrogen atom, —SO2RA2, —C(O)RA2, or two RA1 groups are joined to form an substituted or unsubstituted heterocyclic or heteroaryl ring;
• and RA2 is substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;
• wherein represents a single or double bond, provided if a double bond is present in Ring B, then one of R26a or R26b is absent, and provided if a single bond is present in Ring B, then the hydrogen at C5 is in the alpha or beta position.

A compound of Formula (II-I):

• or a pharmaceutically acceptable salt thereof,
• wherein:
• t is 1;
• n is 0, 1 or 2;
• R19 is hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted C2-C6 alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl;
• R5 is hydrogen or methyl, or when is a double bond, R5 is absent;
• each of R6a and R6b is independently hydrogen, halogen, cyano, hydroxyl, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, or substituted or unsubstituted alkynyl, or R6a and R6b are joined to form an oxo (═O) group;
• R1 is substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, —ORA1, —SRA1, —N(RA1)2, —N(RA1), —OC(═O)RA1, —OC(═O)ORA1, —OC(═O)SRA1, —OC(═O)N(RA1)2, —SC(═O)RA2, —SC(═O)ORA1, —SC(═O)SRA1, —SC(═O)N(RA1)2, —NHC(═O)RA1, —NHC(═O)ORA1, —NHC(═O)SRA1, —NHC(═O)N(RA1)2, —OS(═O)2RA2, —OS(═O)2ORA1, —S—S(═O)2RA2, —S—S(═O)2ORA1, —S(═O)RA2, —SO2RA2, or —S(═O)2ORA1, wherein each instance of RA1 is independently hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, an oxygen protecting group when attached to an oxygen atom, a sulfur protecting group when attached to a sulfur atom, a nitrogen protecting group when attached to a nitrogen atom, or two RA1 groups are joined to form an substituted or unsubstituted heterocyclic or heteroaryl ring;
• and RA2 is substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;
• each of R1a, R1b, R2a, R2b, R2aa, R2ab, R3a, R3b, R4a, R4b, R7a, R7b, R11a, R11b, R12a, or R12b, is independently hydrogen, halogen, cyano, nitro, azido, hydroxyl, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted heterocyclyl, or substituted or unsubstituted alkynyl, —ORD1, —OC(═O)RD1, —NH2, —N(RD1)2, or —NRD1C(═O)RD1, wherein each instance of RD1 is independently hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl, an oxygen protecting group when attached to an oxygen atom, a nitrogen protecting group when attached to a nitrogen atom, or two RD1 groups are joined to form a substituted or unsubstituted heterocyclic ring;
• or any one of R2a and R2b, R3a and R3b, R4a and R4b, R7a and R7b, R11a and R11b, and R12a and R12b are joined to form an oxo (═O) group;
• wherein at least one of R1a, R1b, R2a, R2b, R2aa, R2ab, R3a, R3b, R4a or R4b is hydroxyl;
• each of R15a, R15b, R16a and R16b is each independently hydrogen, halogen, cyano, hydroxyl, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, —ORA1, —SRA1, —N(RA1)2, —N(RA1), —CN(RA1)2, —C(O)RA1, —OC(═O)RA1, —OC(═O)ORA1, —OC(═O)SRA1, —OC(═O)N(RA1)2, —SC(═O)RA2, —SC(═O)ORA1, —SC(═O)SRA1, —SC(═O)N(RA1)2, —NHC(═O)RA1, —NHC(═O)ORA1, —NHC(═O)SRA1, —NHC(═O)N(RA1)2, —OS(═O)2RA2, —OS(═O)2ORA1, —S—S(═O)2RA2, —S—S(═O)2ORA1, —S(═O)RA2, —SO2RA2, or —S(═O)2ORA1, wherein each instance of RA1 is independently hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, an oxygen protecting group when attached to an oxygen atom, a sulfur protecting group when attached to a sulfur atom, a nitrogen protecting group when attached to a nitrogen atom, —SO2RA2, —C(O)RA2, or two RA1 groups are joined to form an substituted or unsubstituted heterocyclic or heteroaryl ring;
• and RA2 is substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;
• and
• wherein when n is 0, t is 1, R19 is methyl, R5 is hydrogen, R3a is hydroxyl, ring B has a double bond, and R6a, R6b, R1a, R1b, R2a, R2b, R2aa, R2ab, R3b, R4a, R4b, R7a, R7b, R11a, R11b, R12a, R12b, R15a, R15b, R16a and R16b are each hydrogen, then R1 is not methyl;
• wherein represents a single or double bond, provided if a double bond is present in ring B, then one of R6a or R6b and R5 is absent.

A compound of Formula (II-II):

• or a pharmaceutically acceptable salt thereof, wherein
• t is 1;
• n is 0, 1 or 2;
• R19 is hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted C2-C6 alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl;
• R5 is hydrogen or methyl, or when is a double bond, R5 is absent;
• each of R6a and R6b is independently hydrogen, halogen, cyano, hydroxyl, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, or substituted or unsubstituted alkynyl, or R6a and R6b are joined to form an oxo (═O) group;
• R1 is substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, —ORA1, —SRA1, —N(RA1)2, —N(RA1), —OC(═O)RA1, —OC(═O)ORA1, —OC(═O)SRA1, —OC(═O)N(RA1)2, —SC(═O)RA2, —SC(═O)ORA1, —SC(═O)SRA1, —SC(═O)N(RA1)2, —NHC(═O)RA1, —NHC(═O)ORA1, —NHC(═O)SRA1, —NHC(═O)N(RA1)2, —OS(═O)2RA2, —OS(═O)2ORA1, —S—S(═O)2RA2, —S—S(═O)2ORA1, —S(═O)RA2, —SO2RA2, or —S(═O)2ORA1, wherein each instance of RA1 is independently hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, an oxygen protecting group when attached to an oxygen atom, a sulfur protecting group when attached to a sulfur atom, a nitrogen protecting group when attached to a nitrogen atom, or two RA1 groups are joined to form an substituted or unsubstituted heterocyclic or heteroaryl ring;
• and RA2 is substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;
• each of R1a, R1b, R2a, R2b, R2aa, R2ab, R3a, R3b, R4a, R4b, R7a, R7b, R11a, R11b, R12a, or R12b, is independently hydrogen, halogen, cyano, nitro, azido, hydroxyl, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted heterocyclyl, or substituted or unsubstituted alkynyl, —ORD1, —OC(═O)RD1, —NH2, —N(RD1)2, or —NRD1C(═O)RD1, wherein each instance of RD1 is independently hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl, an oxygen protecting group when attached to an oxygen atom, a nitrogen protecting group when attached to a nitrogen atom, or two RD1 groups are joined to form a substituted or unsubstituted heterocyclic ring;
• or any one of R2a and R2b, R3a and R3b, R4a and R4b, R7a and R7b, R11a and R11b, and R12a and R12b are joined to form an oxo (═O) group;
• wherein at least one of R1a, R1b, R2a, R2b, R2aa, R2ab, R3a, R3b, R4a or R4b is hydroxyl;
• each of R15a, R15b, R16a and R16b is each independently hydrogen, halogen, cyano, hydroxyl, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, —ORA1, —SRA1, —N(RA1)2, —N(RA1), —CN(RA1)2, —C(O)RA1, —OC(═O)RA1, —OC(═O)ORA1, —OC(═O)SRA1, —OC(═O)N(RA1)2, —SC(═O)RA2, —SC(═O)ORA1, —SC(═O)SRA1, —SC(═O)N(RA1)2, —NHC(═O)RA1, —NHC(═O)ORA1, —NHC(═O)SRA1, —NHC(═O)N(RA1)2, —OS(═O)2RA2, —OS(═O)2ORA1, —S—S(═O)2RA2, —S—S(═O)2ORA1, —S(═O)RA2, —SO2RA2, or —S(═O)2ORA1, wherein each instance of RA1 is independently hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, an oxygen protecting group when attached to an oxygen atom, a sulfur protecting group when attached to a sulfur atom, a nitrogen protecting group when attached to a nitrogen atom, —SO2RA2, —C(O)RA2, or two RA1 groups are joined to form an substituted or unsubstituted heterocyclic or heteroaryl ring;
• and RA2 is substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;
• and
• wherein when n is 0, t is 1, R19 is methyl, R5 is hydrogen, R3a is hydroxyl, ring B has a double bond, and R6a, R6b, R1a, R1b, R2a, R2b, R2aa, R2ab, R3b, R4a, R4b, R7a, R7b, R11a, R11b, R12a, R12b, R15a, R15b, R16a and R16b are each hydrogen, then R1 is not methyl;
• wherein represents a single or double bond, provided if a double bond is present in ring B, then one of R6a or R6b and R5 is absent;
• and
• wherein at least one of R1a, R1b, R2a, R2b, R3a, or R3b, is hydroxyl.

A compound of Formula (III-I):

• or a pharmaceutically acceptable salt thereof, wherein
• R5 is hydrogen or substituted or unsubstituted methyl, or when is a double bond, R5 is absent;
• R3 is hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;
• R19 is hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, or substituted or unsubstituted alkynyl;
• each of R6a and R6b is independently hydrogen, halogen, cyano, hydroxyl, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, or substituted or unsubstituted alkynyl, or R6a and R6b are joined to form an oxo (═O) group;
• each of R1a, R1b, R12a, R12b, R2a, R2b, R4a, R4b, R11a, R11b, R18a, and R18b, is independently hydrogen, halogen, cyano, hydroxyl, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted heterocyclyl, or substituted or unsubstituted alkynyl, —ORD1, —OC(═O)RD1, —NH2, —N(RD1)2, or —NRD1C(═O)RD1, wherein each instance of RD1 is independently hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl, an oxygen protecting group when attached to an oxygen atom, a nitrogen protecting group when attached to a nitrogen atom, or two RD1 groups are joined to form an substituted or unsubstituted heterocyclic ring;
• or any one of R1a and R1b, R12a and R12b, R2a and R2b, R4a and R4b, R11a and R11b, and R18a and R18b are joined to form an oxo (═O) group;
• each of R7a, R7b, R7aa, and R7bb is independently hydrogen, halogen, cyano, hydroxyl, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted heterocyclyl, or substituted or unsubstituted alkynyl, —ORD1, —OC(═O)RD1, —NH2, —N(RD1)2, or —NRD1C(═O)RD1, wherein each instance of RD1 is independently hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl, an oxygen protecting group when attached to an oxygen atom, a nitrogen protecting group when attached to a nitrogen atom, or two RD1 groups are joined to form an substituted or unsubstituted heterocyclic ring;
• or any one of R7a and R7b and R7aa and R7bb are joined to form an oxo (═O) group;
• each of R16a, R16b, R17a and R17b is each independently hydrogen, halogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, —ORA1, —SRA1, N(RA1)2, —N(RA1), —CN(RA1)2, —C(O)RA1, —OC(═O)RA1, —OC(═O)ORA1, —OC(═O)SRA1, —OC(═O)N(RA1)2, —SC(═O)RA2, —SC(═O)ORA1, —SC(═O)SRA1, —SC(═O)N(RA1)2, —NHC(═O)RA1, —NHC(═O)ORA1, —NHC(═O)SRA1, —NHC(═O)N(RA1)2, —OS(═O)2RA2, —OS(═O)2ORA1, —S—S(═O)2RA2, —S—S(═O)2ORA1, —S(═O)RA2, —SO2RA2, or —S(═O)2ORA1, wherein each instance of RA1 is independently hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, an oxygen protecting group when attached to an oxygen atom, a sulfur protecting group when attached to a sulfur atom, a nitrogen protecting group when attached to a nitrogen atom, —SO2RA2, —C(O)RA2, or two RA1 groups are joined to form an substituted or unsubstituted heterocyclic or heteroaryl ring;
• and RA2 is substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl, or R17a and R17b are joined to form an oxo group;
• and
• wherein represents a single or double bond, provided if a double bond is present, then R5 and one of R6a or R6b are absent.

A compound of Formula (IV-I):

• or a pharmaceutically acceptable salt thereof, wherein
• R5 is hydrogen or substituted or unsubstituted methyl, or when is a double bond, R5 is absent;
• R3 is hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;
• R19 is hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, or substituted or unsubstituted alkynyl;
• each of R6a and R6b is independently hydrogen, halogen, cyano, hydroxyl, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, or substituted or unsubstituted alkynyl, or R6a and R6b are joined to form an oxo (═O) group;
• each of R1a, R1b, R12a, R12b, R2a, R2b, R4a, R4b, R11a, R11b, R18a, and R18b is independently hydrogen, halogen, cyano, hydroxyl, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted heterocyclyl, or substituted or unsubstituted alkynyl, —ORD1, —OC(═O)RD1, —NH2, —N(RD1)2, or —NRD1C(═O)RD1, wherein each instance of RD1 is independently hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl, an oxygen protecting group when attached to an oxygen atom, a nitrogen protecting group when attached to a nitrogen atom, or two RD1 groups are joined to form an substituted or unsubstituted heterocyclic ring;
• or any one of R1a and R1b, R12a and R12b, R2a and R2b, R4a and R4b, R11a and R11b, and R18a and R18b are joined to form an oxo (═O) group;
• each of R16a, R16b, R17a, and R17b is each independently hydrogen, halogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, —ORA1, —SRA1, —N(RA1)2, —N(RA1), —CN(RA1)2, —C(O)RA1, —OC(═O)RA1, —OC(═O)ORA1, —OC(═O)SRA1, —OC(═O)N(RA1)2, —SC(═O)RA2, —SC(═O)ORA1, —SC(═O)SRA1, —SC(═O)N(RA1)2, —NHC(═O)RA1, —NHC(═O)ORA1, —NHC(═O)SRA1, —NHC(═O)N(RA1)2, —OS(═O)2RA2, —OS(═O)2ORA1, —S—S(═O)2RA2, —S—S(═O)2ORA1, —S(═O)RA2, —SO2RA2, or —S(═O)2ORA1, wherein each instance of RA1 is independently hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, an oxygen protecting group when attached to an oxygen atom, a sulfur protecting group when attached to a sulfur atom, a nitrogen protecting group when attached to a nitrogen atom, —SO2RA2, —C(O)RA2, or two RA1 groups are joined to form an substituted or unsubstituted heterocyclic or heteroaryl ring;
• and RA2 is substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;
• and
• wherein represents a single or double bond, provided if a double bond is present, then R5 and one of R6a or R6b are absent.

A compound of Formula (V-I):

• or a pharmaceutically acceptable salt thereof, wherein
• R5 is hydrogen or substituted or unsubstituted methyl, or when is a double bond, R5 is absent;
• R3 is substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;
• R19 is substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, or substituted or unsubstituted alkynyl;
• each of R6a and R6b is independently hydrogen, halogen, cyano, hydroxyl, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, or substituted or unsubstituted alkynyl, or R6a and R6b are joined to form an oxo (═O) group;
• each of R1a, R1b, R12a, R12b, R12aa, R12bb, R2a, R2b, R4a, R4b, R11a, R11b, R18a and R18b is independently hydrogen, halogen, cyano, hydroxyl, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted heterocyclyl, or substituted or unsubstituted alkynyl, —ORD1, —OC(═O)RD1, —NH2, —N(RD1)2, or —NRD1C(═O)RD1, wherein each instance of RD1 is independently hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl, an oxygen protecting group when attached to an oxygen atom, a nitrogen protecting group when attached to a nitrogen atom, or two RD1 groups are joined to form an substituted or unsubstituted heterocyclic ring;
• or any one of R1a and R1b, R12a and R12b, R12aa and R12bb, R2a and R2b, R4a and R4b, R11a and R11b, and R18a and R18b are joined to form an oxo (═O) group;
• each of R7a and R7b is independently hydrogen, halogen, cyano, hydroxyl, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted heterocyclyl, or substituted or unsubstituted alkynyl, —ORD1, —OC(═O)RD1, —NH2, —N(RD1)2, or —NRD1C(═O)RD1, wherein each instance of RD1 is independently hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl, an oxygen protecting group when attached to an oxygen atom, a nitrogen protecting group when attached to a nitrogen atom, or two RD1 groups are joined to form an substituted or unsubstituted heterocyclic ring;
• or R7a and R7b are joined to form an oxo (═O) group;
• each of R16a, R16b, R17a and R17b is each independently hydrogen, halogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, —ORA1, —SRA1, —N(RA1)2, —N(RA1), —CN(RA1)2, —C(O)RA1, —OC(═O)RA1, —OC(═O)ORA1, —OC(═O)SRA1, —OC(═O)N(RA1)2, —SC(═O)RA2, —SC(═O)ORA1, —SC(═O)SRA1, —SC(═O)N(RA1)2, —NHC(═O)RA1, —NHC(═O)ORA1, —NHC(═O)SRA1, —NHC(═O)N(RA1)2, —OS(═O)2RA2, —OS(═O)2ORA1, —S—S(═O)2RA2, —S—S(═O)2ORA1, —S(═O)RA2, —SO2RA2, or —S(═O)2ORA1, wherein each instance of RA1 is independently hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, an oxygen protecting group when attached to an oxygen atom, a sulfur protecting group when attached to a sulfur atom, a nitrogen protecting group when attached to a nitrogen atom, —SO2RA2, —C(O)RA2, or two RA1 groups are joined to form an substituted or unsubstituted heterocyclic or heteroaryl ring;
• and RA2 is substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted carbocyclyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, or substituted or unsubstituted heteroaryl;
• and
• wherein represents a single or double bond, provided if a double bond is present, then R5 and one of R6a or R6b are absent.