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US 9,309,254 B2Granted
Pyrimidinyl-diazospiro compounds
AssigneeConvergence Pharmaceuticals Limited
InventorsGerard M. P. Giblin, David T. MacPherson, David R. Witty, Steven J. Stanway
Life of this patent
Estimating the term…
Abstract
The invention relates to spiro derivatives, to the use of said derivatives in treating diseases and conditions mediated by modulation of voltage-gated sodium channels, to compositions containing said derivatives and processes for their preparation.
Claims24
A compound of formula (I) or a pharmaceutically acceptable salt thereof:
- wherein:
- Ring A represents a phenyl ring, a 5- or 6-membered aromatic heterocyclic ring or a 5- to 12-membered aromatic or non-aromatic bicyclic heterocyclic group;
- n represents an integer selected from 0 to 4;
- each R1 independently represents C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, -Z—C3-6 cycloalkyl, halogen, haloC1-6 alkyl, C1-6 alkoxy, haloC1-6 alkoxy, -Z-phenyl, -Z-Het, —CN, —CONR6R7, —NR6R7, -Z—C1-3 alkyl, wherein said Het group represents a 5- or 6-membered aromatic heterocyclic ring or a 4- to 7-membered non-aromatic heterocyclic ring, wherein said phenyl or Het group of R1 may be optionally substituted by one or more R8 groups and wherein n represents an integer greater than 1, said R1 groups represent no more than one -Z-phenyl or one -Z-Het group;
- Z represents a bond or a linker selected from —O—, —CH2—, —CH2—O— or —O—CH2—;
- R6 and R7 independently represent hydrogen or C1-6 alkyl or R6 and R7 together with the nitrogen atom to which they are attached join to form a 4- to 7-membered nitrogen containing non-aromatic heterocyclic ring;
- R8 represents C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, halogen, haloC1-6 alkyl, C1-6 alkoxy, haloC1-6 alkoxy, —CN or -NR6R7;
- m represents an integer selected from 0 to 2;
- each R2 independently represents C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, halogen, haloC1-6 alkyl, C1-6 alkoxy, haloC1-6 alkoxy, —CN or —NR7R8;
- R3 represents hydrogen or C1-6 alkyl;
- R4 represents hydrogen or C1-6 alkyl;
- p represents an integer from 0 to 3;
- each R5 independently represents C1-3 alkyl or fluoro;
- Y represents —CH2— or —(CH2)2—;
- q represents an integer selected from 0 to 2;
- and
- R9 represents C1-3 alkyl.
14 more elements
A compound selected from a compound of
- (2R,5S)-7-Methyl-2-[4-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5S)-7-Methyl-2-[4-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5R)-7-Methyl-2-[4-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2R,5R)-7-methyl-2-[4-[4-(trifluoromethyl)-phenyl]-pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5R)-7-Methyl-2-[4-methyl-6-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2R,5R)-7-Methyl-2-[4-methyl-6-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5R)-2-[4-(5-Ethoxy-2-fluoro-phenyl)-6-methyl-pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2R,5R)-2-[4-(5-Ethoxy-2-fluoro-phenyl)-6-methyl-pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2R,5S)-2-[4-(5-Ethoxy-2-fluoro-phenyl)-6-methyl-pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5S)-2-[4-(5-Ethoxy-2-fluoro-phenyl)-6-methyl-pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2R,6S)-2-[4-(5-Ethoxy-2-fluoro-phenyl)-6-methyl-pyrimidin-2-yl]-1,8-diazaspiro[4.5]decan-7 one hydrochloride;
- (2S,6S)-2-[4-(5-Ethoxy-2-fluoro-phenyl)-6-methyl-pyrimidin-2-yl]-1,8-diazaspiro[4.5]decan-7-one hydrochloride;
- (2R,5R)-2-[4-(5-Ethoxy-2-fluoro-phenyl)pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5R)-2-[4-(5-Ethoxy-2-fluoro-phenyl)pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5S)-2-[4-(5-Ethoxy-2-fluoro-phenyl)pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2R,5S)-2-[4-(5-Ethoxy-2-fluoro-phenyl)pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2R,5S)-7-Methyl-2-[4-[3-(trifluoromethoxy)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6 one hydrochloride;
- (2S,5S)-7-Methyl-2-[4-[3-(trifluoromethoxy)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6 one hydrochloride;
- (2S,5R)-7-Methyl-2-[4-[3-(trifluoromethoxy)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6 one hydrochloride;
- (2R,5R)-7-Methyl-2-[4-[3-(trifluoromethoxy)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6 one hydrochloride;
- (2S,5S)-7-Methyl-2-[4-methyl-6-[4-(trifluoromethyl)-phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2R,5R)-2-[4-(4-Isopropoxyphenyl)pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5R)-2-[4-(4-Isopropoxyphenyl)pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5R)-2-[4-(4-Isopropoxyphenyl)pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5S)-2-[4-(4-Isopropoxyphenyl)pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2R,5S)-7-Methyl-2-[4-methyl-6-[4-(trifluoromethoxy)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5S)-7-Methyl-2-[4-methyl-6-[4-(trifluoromethoxy)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5R)-7-Methyl-2-[4-methyl-6-[4-(trifluoromethoxy)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2R,5R)-7-Methyl-2-[4-methyl-6-[4-(trifluoromethoxy)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5S)-2-[4-[2-Fluoro-5-(trifluoromethoxy)phenyl]-6-methyl-pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2R,5S)-2-[4-[2-Fluoro-5-(trifluoromethoxy)phenyl]-6-methyl-pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2R,5R)-2-[4-[2-Fluoro-5-(trifluoromethoxy)phenyl]-6-methyl-pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5R)-2-[4-[2-Fluoro-5-(trifluoromethoxy)phenyl]-6-methyl-pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2R,5S)-7-Methyl-2-[4-methyl-6-[3-(trifluoromethoxy)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5S)-7-Methyl-2-[4-methyl-6-[3-(trifluoromethoxy)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2R,6R)-2-[4-(5-Ethoxy-2-fluoro-phenyl)-6-methyl-pyrimidin-2-yl]-1,8-diazaspiro[4.5]decan-7-one hydrochloride;
- (2S,6R)-2-[4-(5-Ethoxy-2-fluoro-phenyl)-6-methyl-pyrimidin-2-yl]-1,8-diazaspiro[4.5]decan-7-one hydrochloride;
- (2R,5S)-2-[4-Methyl-6-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5R)-2-[4-Methyl-6-[4-(trifluoromethyl)phenyl]-pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5S)-2-[4-Methyl-6-[4(trifluoromethyl)-phenyl]-pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2R,5R)-2-[4-Methyl-6-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2R,5S)-8,8-Dimethyl-2-[4-methyl-6-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5S)-8,8-Dimethyl-2-[4-methyl-6-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5R)-8,8-Dimethyl-2-[4-methyl-6-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- and
- (2R,5R)-8,8-Dimethyl-2-[4-methyl-6-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride
- or free base preparation thereof.
44 more elements
A compound selected from a compound of
- (2R,5S)-7-Methyl-2-[4-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5S)-7-Methyl-2-[4-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5R)-7-Methyl-2-[4-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2R,5R)-7-Methyl-2-[4-[4-(trifluoromethyl)-phenyl]-pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5R)-7-Methyl-2-[4-methyl-6-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2R,5R)-7-Methyl-2-[4-methyl-6-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5R)-2-[4-(5-Ethoxy-2-fluoro-phenyl)-6-methyl-pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2R,5R)-2-[4-(5-Ethoxy-2-fluoro-phenyl)-6-methyl-pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2R,5S)-2-[4-(5-Ethoxy-2-fluoro-phenyl)-6-methyl-pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5S)-2-[4-(5-Ethoxy-2-fluoro-phenyl)-6-methyl-pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2R,6S)-2-[4-(5-Ethoxy-2-fluoro-phenyl)-6-methyl-pyrimidin-2-yl]-1,8-diazaspiro[4.5]decan-7 one hydrochloride;
- (2S,6S)-2-[4-(5-Ethoxy-2-fluoro-phenyl)-6-methyl-pyrimidin-2-yl]-1,8-diazaspiro[4.5]decan-7-one hydrochloride;
- (2R,5R)-2-[4-(5-Ethoxy-2-fluoro-phenyl)pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5R)-2-[4-(5-Ethoxy-2-fluoro-phenyl)pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5S)-2-[4-(5-Ethoxy-2-fluoro-phenyl)pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2R,5S)-2-[4-(5-Ethoxy-2-fluoro-phenyl)pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2R,5S)-7-Methyl-2-[4-[3-(trifluoromethoxy)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5S)-7-Methyl-2-[4-[3-(trifluoromethoxy)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2S,5R)-7-Methyl-2-[4-[3-(trifluoromethoxy)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- (2R,5R)-7-Methyl-2-[4-[3-(trifluoromethoxy)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride;
- and
- (2S,5S)-7-Methyl-2-[4-methyl-6-[4-(trifluoromethyl)-phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one hydrochloride.
19 more elements
A compound selected from a compound of
- (2R,5S)-7-Methyl-2-[4-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one;
- (2S,5S)-7-Methyl-2-[4-[4-(trifluoromethyl)phenyl] pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one;
- (2S,5R)-7-Methyl-2-[4-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1 ,7-diazaspiro[4.4]nonan-6-one;
- (2R,5R)-7-Methyl-2-[4[4-(trifluoromethyl)-phenyl]-pyrimidin-2-yl]-1,7-diazaspiro [4.4]nonan -6- one;
- (2S,5R)-7-Methyl-2-[4-methyl-6-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one;
- (2R,5R)-7-Methyl-2-[4-methyl-6-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one;
- (2S,5R)-2-[4-(5-Ethoxy-2-fluoro-phenyl)-6-methyl-pyrimidin-2-yl]-7-methyl-1,7-diazaspiro [4.4]nonan-6-one;
- (2R,5R)-2-[4-(5-Ethoxy-2-fluoro-phenyl)-6-methyl-pyrimidin-2-yl]-7-methyl-1,7-diazaspiro [4.4]nonan-6-one;
- 2R,5S)-2-[4-(5-Ethoxy-2-fluoro-phenyl)-6-methyl-pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one;
- (2S,5S)-2-[4-(5-Ethoxy-2-fluoro-phenyl)-6-methyl-pyrimidin-2-yl]-7-methyl- 1,7-diazaspiro[4.4]nonan-6-one;
- (2R,6S)-2-[4-(5-Ethoxy-2-fluoro-phenyl)-6-methyl-pyrimidin-2-yl]-1,8-diazaspiro[4.5]decan-7 one;
- (2S,6S)-2-[4-(5-Ethoxy-2-fluoro-phenyl)-6-methyl-pyrimidin-2-yl]-1 ,8-diazaspiro[4.5]decan-7-one;
- (2R,5R)-2-[4-(5-Ethoxy-2-fluoro-phenyl)pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one;
- (2S,5R)-2-[4-(5-Ethoxy-2-fluoro-phenyl)pyrimidin-2-yl]-7-methyl-1,7-diazaspiro [4.4]nonan-6-one;
- (2S,5S)-2-[4-(5-Ethoxy-2-fluoro-phenyl)pyrimidin-2-yl]-7-methyl-1,7-diazaspiro [4.4]nonan-6-one;
- (2R,5S)-2-[4-(5-Ethoxy-2-fluoro-phenyl)pyrimidin-2-yl]-7-methyl-1,7-diazaspiro [4. 4]nonan-6-one;
- (2R,5S)-7-Methyl-2- [4- [3-(trifluoromethoxy)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6 one;
- (2S,5S)-7-Methyl-2- [4- [3-(trifluoromethoxy)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6 one;
- (2S,5R)-7-Methyl-2- [4-[3 -(trifluoromethoxy)phenyl]pyrimidin-2-yl-1,7-diazaspiro[4.4]nonan-6 one;
- (2R,5R)-7-Methyl-2-[4-[3-(trifluoromethoxy)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6 one;
- (2S,5S)-7-Methyl-2-[4-methyl-6-[4-(trifluoromethyl)-phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one;
- (2R,5R)-2-[4-(4-Isopropoxyphenyl)pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one;
- (2S,5R)-2-[4-(4-Isopropoxyphenyl)pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one;
- (2S,5R)-2-[4-(4-Isopropoxyphenyl)pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one;
- (2S,5S)-2-[4-(4-Isopropoxyphenyl)pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one;
- (2R,5S)-7-Methyl-2-[4-methyl-6-[4-(trifluoromethoxy)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one;
- (2S,5S)-7-Methyl-2-[4-methyl-6-[4-(trifluoromethoxy)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one;
- (2S,5R)-7-Methyl-2-[4-methyl-6-[4-(trifluoromethoxy)phenyl]pyrimidin-2-yl]- 1,7-diazaspiro[4.4]nonan-6-one;
- (2R,5R)-7-Methyl-2-[4-methyl-6-[4-(trifluoromethoxy)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one;
- (2S,5S)-2-[4-[2-Fluoro-5-(trifluoromethoxy)phenyl]-6-methyl-pyrimidin-2-yl]-7-methyl-1,7-diazaspiro [4.4]nonan-6-one;
- (2R,5S)-2-[4-[2-Fluoro-5-(trifluoromethoxy)phenyl]-6-methyl-pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one;
- (2R,5R)-2-[4-[2-Fluoro-5-(trifluoromethoxy)phenyl]-6-methyl-pyrimidin-2-yl]-7-methyl-1,7-diazaspiro[4.4]nonan-6-one;
- (2S,5R)-2-[4-[2-Fluoro-5-(trifluoromethoxy)phenyl]-6-methyl-pyrimidin-2-yl]-7-methyl-1,7-diazaspiro [4.4]nonan-6-one;
- (2R,5S)-7-Methyl-2-[4-methyl-6-[3-(trifluoromethoxy)phenyl]pyrimidin-2-yl]- 1,7-diazaspiro [4.4]nonan-6-one;
- (2S,5S)-7-Methyl-2-[4-methyl-6-[3-(trifluoromethoxy)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one;
- (2R,6R)-2-[4-(5-Ethoxy-2-fluoro-phenyl)-6-methyl-pyrimidin-2-yl]-1,8-diazaspiro[4.5]decan-7-one;
- (2S,6R)-2-[4-(5-Ethoxy-2-fluoro-phenyl)-6-methyl-pyrimidin-2-yl]-1,8-diazaspiro[4.5]decan-7-one;
- (2R,5S)-2-[4-Methyl-6-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one;
- one;
- (2S,5R)-2-[4-Methyl-6-[4-(trifluoromethyl)phenyl]-pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one;
- (2S,5S)-2-[4-Methyl-6-[4(trifluoromethyl)-phenyl]-pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one;
- (2R,5R)-2-[4-Methyl-6-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro [4.4]nonan-6-one;
- (2R,5S)-8,8-Dimethyl-2-[4-methyl-6-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one;
- (2S,5S)-8,8-Dimethyl-2-[4-methyl-6-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one;
- (2S,5R)-8,8-Dimethyl-2-[4-methyl-6-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one;
- and
- (2R,5R)-8,8-Dimethyl-2-[4-methyl-6-[4-(trifluoromethyl)phenyl]pyrimidin-2-yl]-1,7-diazaspiro[4.4]nonan-6-one or a pharmaceutically acceptable salt thereof.
44 more elements
Dependencies are inferred from the claim text.