Methods of treating acute myeloid leukemia and managing cytopenia
US-2023027184-A1 · Jan 26, 2023 · US
US11897864B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-11897864-B2 |
| Application number | US-202217938835-A |
| Country | US |
| Kind code | B2 |
| Filing date | Oct 7, 2022 |
| Priority date | May 26, 2009 |
| Publication date | Feb 13, 2024 |
| Grant date | Feb 13, 2024 |
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Disclosed are compounds which inhibit the activity of anti-apoptotic Bcl-2 proteins, compositions containing the compounds and methods of treating diseases during which is expressed anti-apoptotic Bcl-2 protein.
Opening claim text (preview).
What is claimed is: 1. A compound having Formula (II) or a therapeutically acceptable salt thereof, wherein: n is 0; A 1 is C(A 2 ); A 2 , D 1 , and E 1 are H; B 1 is NHR 1 ; Y 1 is NO 2 ; R 1 is methyl, which is substituted with one heterocycloalkyl; Z 2 is piperazinyl; L 1 is methylene; Z 3 is cycloalkenyl substituted with R 57A and R 57 ; R 57A is spiroalkyl; and R 57 is phenyl substituted with one Cl. 2. The compound of claim 1 , or the therapeutically acceptable salt thereof, wherein the one heterocycloalkyl is tetrahydropyranyl. 3. The compound of claim 1 , or the therapeutically acceptable salt thereof, wherein the one heterocycloalkyl is 1,4-dioxanyl. 4. The compound of claim 1 , or the therapeutically acceptable salt thereof, wherein R 57A is C 2 -C 5 -spiroalkyl. 5. The compound of claim 1 , or the therapeutically acceptable salt thereof, wherein Z 3 is cyclohexenyl. 6. The compound of claim 5 , or the therapeutically acceptable salt thereof, wherein R 57A is C 2 -C 5 -spiroalkyl. 7. The compound of claim 6 , or the therapeutically acceptable salt thereof, wherein the one heterocycloalkyl is 1,4-dioxanyl. 8. The compound of claim 1 , or the therapeutically acceptable salt thereof, wherein the compound is: 4-(4-{[8-(4-chlorophenyl)spiro[4.5]dec-7-en-7-yl]methyl}piperazin-1-yl)-N-({3-nitro-4-[(tetrahydro-2H-pyran-4-ylmethyl)amino]phenyl}sulfonyl)-2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzamide. 9. A compound having Formula (II) or a therapeutically acceptable salt thereof, wherein: n is 0; A 1 is C(A 2 ); A 2 , D 1 , and E 1 are H; B 1 is OR 1 or NHR 1 ; Y 1 is NO 2 ; R 1 is methyl, which is substituted with one R 10 ; R 10 is cycloalkyl or heterocycloalkyl; wherein R 10 is unsubstituted or substituted with one or two of independently selected from cycloalkyl, heterocycloalkyl, alkyl, alkoxy, OH, or F; Z 2 is piperazinyl; L 1 is methylene; Z 3 is cycloalkenyl substituted with R 57A and R 57 ; R 57A is spiroalkyl; and R 57 is phenyl substituted with one Cl. 10. The compound of claim 9 , or the therapeutically acceptable salt thereof, wherein B 1 is OR 1 . 11. The compound of claim 9 , or the therapeutically acceptable salt thereof, wherein B 1 is NHR 1 . 12. The compound of claim 9 , or the therapeutically acceptable salt thereof, wherein R 10 is cycloalkyl. 13. The compound of claim 9 , or the therapeutically acceptable salt thereof, wherein R 10 is cyclohexyl. 14. The compound of claim 9 , or the therapeutically acceptable salt thereof, wherein R 10 is heterocycloalkyl. 15. The compound of claim 9 , or the therapeutically acceptable salt thereof, wherein R 10 is tetrahydropyranyl. 16. The compound of claim 9 , or the therapeutically acceptable salt thereof, wherein R 10 is 1,4-dioxanyl. 17. The compound of claim 9 , or the therapeutically acceptable salt thereof, wherein R 57A is C 2 -C 5 -spiroalkyl. 18. The compound of claim 9 , or the therapeutically acceptable salt thereof, wherein Z 3 is cyclohexenyl. 19. The compound of claim 18 , or the therapeutically acceptable salt thereof, wherein R 57A is C 2 -C 5 -spiroalkyl. 20. The compound of claim 19 , or the therapeutically acceptable salt thereof, wherein B 1 is OR 1 . 21. The compound of claim 19 , or the therapeutically acceptable salt thereof, wherein B 1 is NHR 1 . 22. The compound of claim 21 , or the therapeutically acceptable salt thereof, wherein R 10 is cycloalkyl. 23. The compound of claim 22 , or the therapeutically acceptable salt thereof, wherein R 10 is cyclohexyl. 24. The compound of claim 21 , or the therapeutically acceptable salt thereof, wherein R 10 is heterocycloalkyl. 25. The compound of claim 24 , or the therapeutically acceptable salt thereof, wherein R 10 is tetrahydropyranyl. 26. The compound of claim 24 , or the therapeutically acceptable salt thereof, wherein R 10 is 1,4-dioxanyl. 27. The compound of claim 9 , or the therapeutically acceptable salt thereof, wherein the compound is selected from the group consisting of: 4-(4-{[8-(4-chlorophenyl)spiro[4.5]dec-7-en-7-yl]methyl}piperazin-1-yl)-N-({4-[(4-fluorotetrahydro-2H-pyran-4-yl)methoxy]-3-nitrophenyl}sulfonyl)-2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzamide; trans-4-(4-{[8-(4-chlorophenyl)spiro[4.5]dec-7-en-7-yl]methyl}piperazin-1-yl)-N-[(4-{[(4-methoxycyclohexyl)methyl]amino}-3-nitrophenyl)sulfonyl]-2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzamide; and 4-(4-{[8-(4-chlorophenyl)spiro[4.5]dec-7-en-7-yl]methyl}piperazin-1-yl)-N-({3-nitro-4-[(tetrahydro-2H-pyran-4-ylmethyl)amino]phenyl}sulfonyl)-2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzamide.
linked by a chain containing hetero atoms as chain links · CPC title
Non-condensed piperazines containing further heterocyclic rings, e.g. rifampin, thiothixene or sparfloxacin · CPC title
Carbazoles; Hydrogenated carbazoles · CPC title
containing three or more hetero rings · CPC title
linked by a chain containing hetero atoms as chain links · CPC title
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