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WO2018149925A1 - Compositions anti-inflammatoires comprenant des inhibiteurs d'irak et de jak - Google Patents

Compositions anti-inflammatoires comprenant des inhibiteurs d'irak et de jak Download PDF

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Publication number
WO2018149925A1
WO2018149925A1 PCT/EP2018/053803 EP2018053803W WO2018149925A1 WO 2018149925 A1 WO2018149925 A1 WO 2018149925A1 EP 2018053803 W EP2018053803 W EP 2018053803W WO 2018149925 A1 WO2018149925 A1 WO 2018149925A1
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Prior art keywords
compound
diseases
alkyl
independently selected
composition according
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PCT/EP2018/053803
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Inventor
Reginald Christophe Xavier Brys
René Alexandre GALIEN
Steve Irma Joel DE VOS
David Amantini
Philippe CLÉMENT-LACROIX
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Galapagos NV
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Galapagos NV
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Priority to BR112019016949-0A priority Critical patent/BR112019016949A2/pt
Priority to CA3054652A priority patent/CA3054652A1/fr
Priority to JP2019544638A priority patent/JP2020507612A/ja
Priority to CN201880012183.5A priority patent/CN110300586A/zh
Priority to KR1020197027092A priority patent/KR20190117672A/ko
Priority to AU2018221761A priority patent/AU2018221761A1/en
Priority to EP18707866.2A priority patent/EP3582775A1/fr
Priority to SG11201907492TA priority patent/SG11201907492TA/en
Priority to MX2019009658A priority patent/MX2019009658A/es
Application filed by Galapagos NV filed Critical Galapagos NV
Publication of WO2018149925A1 publication Critical patent/WO2018149925A1/fr
Priority to PH12019501853A priority patent/PH12019501853A1/en
Anticipated expiration legal-status Critical
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D471/00Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00
    • C07D471/02Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00 in which the condensed system contains two hetero rings
    • C07D471/04Ortho-condensed systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/4427Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems
    • A61K31/444Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems containing a six-membered ring with nitrogen as a ring heteroatom, e.g. amrinone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/54Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one sulfur as the ring hetero atoms, e.g. sulthiame
    • A61K31/541Non-condensed thiazines containing further heterocyclic rings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • A61P37/02Immunomodulators
    • A61P37/06Immunosuppressants, e.g. drugs for graft rejection
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • A61P37/08Antiallergic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2300/00Mixtures or combinations of active ingredients, wherein at least one active ingredient is fully defined in groups A61K31/00 - A61K41/00

Definitions

  • the present invention relates to compositions, useful in the prophylaxis and/or treatment of inflammatory diseases, autoimmune diseases, proliferative diseases, allergic diseases, transplant rejection, diseases involving impairment of cartilage turnover, congenital cartilage malformations, and/or diseases associated with hypersecretion of IL6 or interferons.
  • the composition comprises a first compound having IRAK inhibitory activity, and a second compound having JAK inhibitory activity.
  • the present invention also provides pharmaceutical compositions comprising the combination of the invention and methods for the prophylaxis and/or treatment of diseases including inflammatory diseases, autoimmune diseases, proliferative diseases, allergic diseases, transplant rejection, diseases involving impairment of cartilage turnover, congenital cartilage malformations, and/or diseases associated with hypersecretion of IL6 or interferons by administering the combination of the invention.
  • diseases including inflammatory diseases, autoimmune diseases, proliferative diseases, allergic diseases, transplant rejection, diseases involving impairment of cartilage turnover, congenital cartilage malformations, and/or diseases associated with hypersecretion of IL6 or interferons by administering the combination of the invention.
  • Protein kinases are involved in many essential processes of cell physiology, for example protein phosphorylation.
  • protein and lipid kinases are involved in the activation, growth, differentiation, and survival of cells.
  • Protein kinases can be divided between those preferentially phosphorylating tyrosine residues, and those preferentially phosphorylating serine and/or threonine residues.
  • kinases have grown to become very important targets for the development of anti-inflammatory drugs (Cohen, 2009) .
  • Interleukin-1 receptor-associated kinases IRAK
  • IRAK-4 Interleukin-1 receptor-associated kinases
  • IRAKs are expressed in many cell types and mediate signals from various cell receptors including interleukin-1 (IL-1) and toll-like receptors (TLRs).
  • IL-1 interleukin-1
  • TLRs toll-like receptors
  • 4 members have been identified namely IRAK 1-4 (Wang et al., 2009), and IRAK-4, the newest member of the family represents an attractive therapeutic target (Li et al., 2002).
  • IRAK-4 is believed to be the key protein kinase activated early downstream of the IL-1 receptor and TLRs (except TLR3), initiating signaling via rapid activation of IRAK-1 and IRAK-2, leading to innate immune responses.
  • interleukins such as IL-18 and IL-33
  • IL-18 and IL-33 are dependent on IRAK-4 for signaling.
  • diseases for which these cytokines are involved in the pathogenic process e.g., fibrosis (Li et al., 2014; McHedlidze et al., 2013; Rankin et al., 2010) and atopic dermatitis (Salimi et al., 2013)
  • fibrosis Li et al., 2014; McHedlidze et al., 2013; Rankin et al., 2010
  • atopic dermatitis Salimi et al., 2013
  • mice expressing an inactive IRAK-4 mutant instead of wild type complete resistance to septic shock triggered by several TLR agonists as well as impaired response to IL-1 is observed.
  • mice expressing an inactive IRAK-4 mutant instead of wild type are partially protected in several models of auto-immune diseases, such as rheumatoid arthritis (Koziczak-Holbro et al., 2009) and multiple sclerosis (Staschke et al., 2009).
  • rheumatoid arthritis Keratid arthritis
  • multiple sclerosis Staschke et al., 2009
  • the serum of rheumatoid arthritis and systemic lupus erythematosus patients has been shown to activate plasmacytoid dendritic cells in an IRAK-4 dependent manner (Chiang et al., 2011).
  • recurring pyogenic bacterial infection has been observed in children suffering from genetic defects leading to IRAK-4 inactivity. As these pyogenic infections are not observed in adults carrying inactivating IRAK-4 mutations, the IRAK-4 signaling system appears to be redundant for certain aspects of adult innate immunity.
  • IL-1 plays a direct role in tumor cell growth, angiogenesis, invasion, drug resistance, and metastasis (Carmi et al., 2013; Vidal-Vanaclocha et al., 2000).
  • TLRs are involved in a multitude of protumor responses, depending on the tumor cell context.
  • IRAK family kinases represent promising cancer drug targets.
  • MYD88 an adaptor molecule downstream of the TLR and IL-1R, which activates IRAK-4.
  • Activating MYD88 mutations have been identified in e.g., diffuse large B-cell lymphomas (DLBCL) (Ngo et al, 2011), and in Waldenstrom macroglobulinemia (Treon et al., 2012).
  • DLBCL diffuse large B-cell lymphomas
  • T-ALL T-cell acute lymphoblastic leukemia
  • the pharmacological inhibition of IRAK-4 has been shown to enhance the sensitivity of T-ALL to chemotherapeutic agents.
  • IL-33 has been shown to play a role in the development of fibrotic and allergic diseases, asthma and atopic dermatitis in particular (Nabe, 2014). As this cytokine signals through an IRAK-4 dependent pathway (Kroeger et al., 2009) , these diseases might also represent a target for IRAK-4 inhibitors.
  • cytokine signaling may help in reducing disease outcome in immune-inflammatory diseases (Sundberg et al., 2014).
  • cytokines may play a role in the defense of organisms against pathogens and infections.
  • Janus kinases are cytoplasmic tyrosine kinases that transduce cytokine signaling from membrane receptors to STAT transcription factors.
  • JAK family members Four JAK family members are described, JAK1, JAK2, JAK3 and TYK2.
  • JAK family members Upon binding of the cytokine to its receptor, JAK family members auto- and/or transphosphorylate each other, followed by phosphorylation of STATs that then migrate to the nucleus to modulate transcription.
  • JAK-STAT intracellular signal transduction serves the interferons, most interleukins, as well as a variety of cytokines and endocrine factors such as EPO, TPO, GH, OSM, LIF, CNTF, GM-CSF and PRL (Vainchenker W. et al. (2008)).
  • JAK3 is validated by mouse and human genetics as an immune- suppression target (O'Shea J. et al. (2004)). JAK3 inhibitors were successfully taken into clinical development, initially for organ transplant rejection but later also in other immuno-inflammatory indications such as rheumatoid arthritis (RA), psoriasis and Crohn's disease (http://clinicaltrials.gov/).
  • RA rheumatoid arthritis
  • psoriasis http://clinicaltrials.gov/.
  • TYK2 is a potential target for immuno-inflammatory diseases, being validated by human genetics and mouse knock-out studies (Levy D. and Loomis C. (2007)).
  • JAK1 is a novel target in the immuno-inflammatory disease area. JAK1 heterodimerizes with the other JAKs to transduce cytokine- driven pro-inflammatory signaling. Therefore, inhibition of JAK1 and/or other JAKs is expected to be of therapeutic benefit for a range of inflammatory diseases as well as for other diseases driven by JAK-mediated signal transduction.
  • Figure 1 describes the clinical scores in a therapeutic CIA model for the illustrative Compound 1 at 1 mg/kg bid (filled triangles), 3 mg/kg bid (crosses), 10 mg/kg bid (asterisks), and 30 mg/kg bid (filled circles) compared to vehicle (filed diamonds) over the period from day 31 days to day 46.
  • Figure 2 describes the clinical scores in a therapeutic CIA model for the illustrative Compound XXb at 7.5 mg/kg bid (filled triangle), and 15 mg/kg bid (tilted crosses), and the Compound 1 (30 mg/kg bid) + Compound XXb (15 mg/kg bid) (filled circles) compared to vehicle (filled diamonds) from day 31 to day 41.
  • the present invention is based on the identification of composition of the invention, useful in the prophylaxis and/or treatment of inflammatory diseases, autoimmune diseases, proliferative diseases, allergic diseases, transplant rejection, diseases involving impairment of cartilage turnover, congenital cartilage malformations, and/or diseases associated with hypersecretion of IL6 or interferons.
  • the composition comprises a first compound having IRAK inhibitory activity, and a second compound having JAK inhibitory activity.
  • the present invention also provides pharmaceutical compositions comprising the combination of the invention and methods for the prophylaxis and/or treatment of diseases including inflammatory diseases, autoimmune diseases, proliferative diseases, allergic diseases, transplant rejection, diseases involving impairment of cartilage turnover, congenital cartilage malformations, and/or diseases associated with hypersecretion of IL6 or interferons by administering the combination of the invention.
  • diseases including inflammatory diseases, autoimmune diseases, proliferative diseases, allergic diseases, transplant rejection, diseases involving impairment of cartilage turnover, congenital cartilage malformations, and/or diseases associated with hypersecretion of IL6 or interferons by administering the combination of the invention.
  • the JAK inhibitor has JAKl inhibitory activity.
  • the JAK inhibitor is a JAKl selective inhibitor.
  • the IRAK inhibitor has IRAK4 inhibitory activity.
  • the IRAK inhibitor is a IRAK4 selective inhibitor.
  • composition of the invention comprising:
  • Ci_ 6 alkyl is optionally substituted with one or more independently selected R 4 groups;
  • R 2 is H or C1.4 alkyl
  • each R 3 is independently selected from:
  • each R 4 is independently selected from:
  • R 5a and R 5B are independently H or CM alkyl
  • compositions of the invention are provided for use in the prophylaxis and / or treatment of inflammatory diseases, autoimmune diseases, proliferative diseases, allergic diseases, transplant rejection, diseases involving impairment of cartilage turnover, congenital cartilage malformations, and/or diseases associated with hypersecretion of IL6 or interferons.
  • the combination of the invention may inhibit the IRAK kinase family members, and more particularly IRAK-4.
  • the combination of the invention may inhibit the JAK kinase family members, and more particularly JAK1.
  • the combination of the invention may show selectivity towards IRAK-4 and JAK1, which may result in improved safety and lower off-target related side effects.
  • the combination of the invention may be selective inhibitors of IL-1.
  • the combinations of the invention exhibit increased efficacy compared to each member taken individually.
  • the combination of the invention may show a synergy, which in turn may allow for a reduced dosage of each component of the composition of the invention This may be advantageous in avoiding taking unnecessary drug amounts while maintaining efficacy, and thus reducing the risk of adverse drug events.
  • the present invention provides pharmaceutical compositions comprising a composition of the invention, and a pharmaceutical carrier, excipient or diluent.
  • the pharmaceutical composition may additionally comprise further therapeutically active ingredients suitable for use in combination with the compounds of the invention.
  • the further therapeutically active ingredient is an agent for the treatment of inflammatory diseases, autoimmune diseases, proliferative diseases, allergic diseases, transplant rejection, diseases involving impairment of cartilage turnover, congenital cartilage malformations, and/or diseases associated with hypersecretion of IL6 or interferons.
  • compositions of the invention useful in the pharmaceutical compositions and treatment methods disclosed herein, are pharmaceutically acceptable as prepared and used.
  • this invention provides a method of treating a mammal, in particular humans, afflicted with a condition selected from among those listed herein, and particularly inflammatory diseases, autoimmune diseases, proliferative diseases, allergic diseases, transplant rejection, diseases involving impairment of cartilage turnover, congenital cartilage malformations, and/or diseases associated with hypersecretion of IL6 or interferons, which method comprises administering an effective amount of the pharmaceutical composition or combinations of the invention as described herein.
  • the present invention also provides pharmaceutical compositions comprising a composition of the invention, and a suitable pharmaceutical carrier, excipient or diluent for use in medicine.
  • the pharmaceutical composition is for use in the prophylaxis and/or treatment of inflammatory diseases, autoimmune diseases, proliferative diseases, allergic diseases, transplant rejection, diseases involving impairment of cartilage turnover, congenital cartilage malformations, and/or diseases associated with hypersecretion of IL6 or interferons.
  • this invention provides methods for synthesizing the compounds of compositions of the invention, with representative synthetic protocols and pathways disclosed later on herein. [0031] Other objects and advantages will become apparent to those skilled in the art from a consideration of the ensuing detailed description.
  • the articles 'a' and 'an' may be used herein to refer to one or to more than one (i.e. at least one) of the grammatical objects of the article.
  • 'an analogue' means one analogue or more than one analogue.
  • alkyl means straight or branched aliphatic hydrocarbon having the specified number of carbon atoms. Particular alkyl groups have 1 to 6 carbon atoms or 1 to 4 carbon atoms. Branched means that one or more alkyl groups such as methyl, ethyl or propyl is attached to a linear alkyl chain.
  • alkyl groups are methyl (-CH 3 ), ethyl (-CH 2 -CH 3 ), n-propyl (-CH 2 -CH 2 -CH 3 ), isopropyl (- CH(CH 3 ) 2 ), n-butyl (-CH 2 -CH 2 -CH 2 -CH 3 ), tert-butyl (-CH 2 -C(CH 3 ) 3 ), sec-butyl (-CH 2 -CH(CH 3 ) 2 ), n- pentyl (-CH 2 -CH 2 -CH 2 -CH 2 -CH 3 ), n-hexyl (-CH 2 -CH 2 -CH 2 -CH 2 -CH 2 -CH 3 ), and 1,2-dimethylbutyl (-CHCH 3 )-C(CH )H 2 -CH 2 -CH 3 ).
  • Particular alkyl groups have between 1 and 4 carbon atoms.
  • alkenyP refers to monovalent olefinically (unsaturated) hydrocarbon groups with the number of carbon atoms specified.
  • Particular alkenyl has 2 to 8 carbon atoms, and more particularly, from 2 to 6 carbon atoms, which can be straight-chained or branched and having at least 1 and particularly from 1 to 2 sites of olefinic unsaturation.
  • 'Alkylene' refers to divalent alkene radical groups having the number of carbon atoms specified, in particular having 1 to 6 carbon atoms and more particularly 1 to 4 carbon atoms which can be straight-chained or branched. This term is exemplified by groups such as methylene (-CH 2 -), ethylene (-CH 2 -CH 2 -), or -CH(CH 3 )- and the like.
  • 'Alkynylene' refers to divalent alkyne radical groups having the number of carbon atoms and the number of triple bonds specified, in particular 2 to 6 carbon atoms and more particularly 2 to 4 carbon atoms which can be straight-chained or branched. This term is exemplified by groups such as -C ⁇ C-, -CH2-OC-, and -C(CH 3 )H-C ⁇ CH-.
  • alkoxy' refers to the group O-alkyl, where the alkyl group has the number of carbon atoms specified. In particular the term refers to the group -O-C1.6 alkyl.
  • Particular alkoxy groups are methoxy, ethoxy, n-propoxy, isopropoxy, n-butoxy, tert-butoxy, sec-butoxy, n-pentoxy, n-hexoxy, and 1,2-dimethylbutoxy.
  • Particular alkoxy groups are lower alkoxy, i.e. with between 1 and 6 carbon atoms. Further particular alkoxy groups have between 1 and 4 carbon atoms.
  • 'Amino' refers to the radical -NH 2 .
  • 'AryP refers to a monovalent aromatic hydrocarbon group derived by the removal of one hydrogen atom from a single carbon atom of a parent aromatic ring system.
  • aryl refers to an aromatic ring structure, monocyclic or fused polycyclic, with the number of ring atoms specified.
  • the term includes groups that include from 6 to 10 ring members.
  • Particular aryl groups include phenyl, and naphthyl.
  • 'CycloalkyF refers to a non-aromatic hydrocarbyl ring structure, monocyclic, fused polycyclic, bridged polycyclic, or spirocyclic, with the number of ring atoms specified.
  • a cycloalkyl may have from 3 to 12 carbon atoms, in particular from 3 to 10, and more particularly from 3 to 7 carbon atoms.
  • Such cycloalkyl groups include, by way of example, single ring structures such as cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, and cycloheptyl.
  • 'Halo' or 'halogen' refers to fluoro (F), chloro (CI), bromo (Br) and iodo (I). Particular halo groups are either fluoro or chloro.
  • Hetero when used to describe a compound or a group present on a compound means that one or more carbon atoms in the compound or group have been replaced by a nitrogen, oxygen, or sulfur heteroatom. Hetero may be applied to any of the hydrocarbyl groups described above such as alkyl, e.g. heteroalkyl, cycloalkyl, e.g. heterocycloalkyl, aryl, e.g. heteroaryl, and the like having from 1 to 4, and particularly from 1 to 3 heteroatoms, more typically 1 or 2 heteroatoms, for example a single heteroatom.
  • Heteroaryl means an aromatic ring structure, monocyclic or fused polycyclic, that includes one or more heteroatoms independently selected from O, N and S and the number of ring atoms specified.
  • the aromatic ring structure may have from 5 to 9 ring members.
  • the heteroaryl group can be, for example, a five membered or six membered monocyclic ring or a fused bicyclic structure formed from fused five and six membered rings or two fused six membered rings or, by way of a further example, two fused five membered rings.
  • Each ring may contain up to four heteroatoms typically selected from nitrogen, sulphur and oxygen.
  • the heteroaryl ring will contain up to 4 heteroatoms, more typically up to 3 heteroatoms, more usually up to 2, for example a single heteroatom.
  • the heteroaryl ring contains at least one ring nitrogen atom.
  • the nitrogen atoms in the heteroaryl rings can be basic, as in the case of an imidazole or pyridine, or essentially non-basic as in the case of an indole or pyrrole nitrogen. In general the number of basic nitrogen atoms present in the heteroaryl group, including any amino group substituents of the ring, will be less than five.
  • Examples of five membered monocyclic heteroaryl groups include but are not limited to pyrrolyl, furanyl, thiophenyl, imidazolyl, furazanyl, oxazolyl, oxadiazolyl, oxatriazolyl, isoxazolyl, thiazolyl, isothiazolyl, pyrazolyl, triazolyl and tetrazolyl groups.
  • Examples of six membered monocyclic heteroaryl groups include but are not limited to pyridinyl, pyrazinyl, pyridazinyl, pyrimidinyl and triazinyl.
  • bicyclic heteroaryl groups containing a five membered ring fused to another five-membered ring include but are not limited to imidazothiazolyl and imidazoimidazolyl.
  • bicyclic heteroaryl groups containing a six membered ring fused to a five membered ring include but are not limited to benzofuranyl, benzothiophenyl, benzoimidazolyl, benzoxazolyl, isobenzoxazolyl, benzisoxazolyl, benzothiazolyl, benzoisothiazolyl, isobenzofuranyl, indolyl, isoindolyl, indolizinyl, purinyl (e.g. adenine, guanine), indazolyl, pyrazolopyrimidinyl, triazolopyrimidinyl, and pyrazolopyridinyl groups.
  • bicyclic heteroaryl groups containing two fused six membered rings include but are not limited to quinolinyl, isoquinolinyl, pyridopyridinyl, quinoxalinyl, quinazolinyl, cinnolinyl, phthalazinyl, naphthyridinyl, and pteridinyl groups.
  • Particular heteroaryl groups are those derived from thiophenyl, pyrrolyl, benzothiophenyl, benzofuranyl, indolyl, pyridinyl, quinolinyl, imidazolyl, oxazolyl and pyrazinyl.
  • Heterocycloalkyl means a non-aromatic fully saturated ring structure, monocyclic, fused polycyclic, spirocyclic, or bridged polycyclic, that includes one or more heteroatoms independently selected from O, N and S and the number of ring atoms specified.
  • the heterocycloalkyl ring structure may have from 4 to 12 ring members, in particular from 4 to 10 ring members and more particularly from 4 to 7 ring members.
  • Each ring may contain up to four heteroatoms typically selected from nitrogen, sulphur and oxygen.
  • the heterocycloalkyl ring will contain up to 4 heteroatoms, more typically up to 3 heteroatoms, more usually up to 2, for example a single heteroatom.
  • heterocyclic rings include, but are not limited to azetidinyl, oxetanyl, thietanyl, pyrrolidinyl (e.g. 1- pyrrolidinyl, 2-pyrrolidinyl and 3 -pyrrolidinyl), tetrahydrofuranyl (e.g. 1-tetrahydrofuranyl, 2- tetrahydrofuranyl and 3-tetrahydrofuranyl), tetrahydrothiophenyl (e.g. 1 -tetrahydrothiophenyl, 2- tetrahydrothiophenyl and 3 -tetrahydrothiophenyl), piperidinyl (e.g.
  • heterocycloalkenyl means a 'heterocycloalkyl', which comprises at least one double bond.
  • heterocycloalkenyl groups are shown in the following illustrative examples:
  • each W and Y is independently selected from -CH 2 -, -NH-, -O- and -S-.
  • each W and Y is independently selected from -CH 2 -, -NH-, -O- and -S-.
  • each W and Y is independently selected from -CH 2 -, -NH-, -O- and -S- and each Z is selected from N or CH.
  • each Y is selected from -CH 2 -, -NH-, -O- and -S-.
  • 'HydroxyF refers to the radical -OH.
  • 'Substituted' refers to a group in which one or more hydrogen atoms are each independently replaced with the same or different substituent(s).
  • 'Sulfo' or 'sulfonic acid' refers to a radical such as -S0 3 H.
  • 'Thiol' refers to the group -SH.
  • term 'substituted with one or more' refers to one to four substituents. In one embodiment it refers to one to three substituents. In further embodiments it refers to one or two substituents. In a yet further embodiment it refers to one substituent.
  • 'Thioalkoxy' refers to the group -S-alkyl where the alkyl group has the number of carbon atoms specified. In particular the term refers to the group -S-Ci_e alkyl.
  • Particular thioalkoxy groups are thiomethoxy, thioethoxy, n-thiopropoxy, isothiopropoxy, n-thiobutoxy, tert-thiobutoxy, sec- thiobutoxy, n-thiopentoxy, n-thiohexoxy, and 1,2-dimethylthiobutoxy.
  • Particular thioalkoxy groups are lower thioalkoxy, i.e. with between 1 and 6 carbon atoms. Further particular alkoxy groups have between 1 and 4 carbon atoms.
  • heterocyclic ring may have one to four heteroatoms so long as the hetero aromatic ring is chemically feasible and stable.
  • 'Pharmaceutically acceptable means approved or approvable by a regulatory agency of the Federal or a state government or the corresponding agency in countries other than the United States, or that is listed in the U.S. Pharmacopoeia or other generally recognized pharmacopoeia for use in animals, and more particularly, in humans.
  • 'Pharmaceutically acceptable salt' refers to a salt of a compound of the invention that is pharmaceutically acceptable and that possesses the desired pharmacological activity of the parent compound.
  • such salts are non-toxic may be inorganic or organic acid addition salts and base addition salts.
  • such salts include: (1) acid addition salts, formed with inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, and the like; or formed with organic acids such as acetic acid, propionic acid, hexanoic acid, cyclopentanepropionic acid, glycolic acid, pyruvic acid, lactic acid, malonic acid, succinic acid, malic acid, maleic acid, fumaric acid, tartaric acid, citric acid, benzoic acid, 3-(4-hydroxybenzoyl) benzoic acid, cinnamic acid, mandelic acid, methanesulfonic acid, ethanesulfonic acid, 1,2-ethane-disulfonic acid, 2- hydroxyethanesulfonic acid, benzenesulfonic acid, 4-chlorobenzenesulfonic acid, 2- naphthalenesulfonic acid, 4-toluenesulf
  • Salts further include, by way of example only, sodium, potassium, calcium, magnesium, ammonium, tetraalkylammonium, and the like; and when the compound contains a basic functionality, salts of non-toxic organic or inorganic acids, such as hydrochloride, hydrobromide, tartrate, mesylate, acetate, maleate, oxalate and the like.
  • the term 'pharmaceutically acceptable cation' refers to an acceptable cationic counter-ion of an acidic functional group. Such cations are exemplified by sodium, potassium, calcium, magnesium, ammonium, tetraalkylammonium cations, and the like.
  • 'Pharmaceutically acceptable vehicle refers to a diluent, adjuvant, excipient or carrier with which a compound of the invention is administered.
  • Prodrugs' refers to compounds, including derivatives of the compounds of the invention, which have cleavable groups and become by solvolysis or under physiological conditions the compounds of the invention which are pharmaceutically active in vivo.
  • Such examples include, but are not limited to, choline ester derivatives and the like, N-alkylmorpholine esters and the like.
  • 'Solvate' refers to forms of the compound that are associated with a solvent, usually by a solvolysis reaction. This physical association includes hydrogen bonding.
  • solvents include water, EtOH, acetic acid and the like.
  • the compounds of the invention may be prepared e.g. in crystalline form and may be solvated or hydrated.
  • Suitable solvates include pharmaceutically acceptable solvates, such as hydrates, and further include both stoichiometric solvates and non- stoichiometric solvates. In certain instances the solvate will be capable of isolation, for example when one or more solvent molecules are incorporated in the crystal lattice of the crystalline solid.
  • 'Solvate' encompasses both solution-phase and isolable solvates.
  • Representative solvates include hydrates, ethanolates and methanolates.
  • 'Subject' includes humans.
  • the terms 'human', 'patient' and 'subject' are used interchangeably herein.
  • 'Effective amount means the amount of a compound of the invention that, when administered to a subject for treating a disease, is sufficient to effect such treatment for the disease.
  • the "effective amount” can vary depending on the compound, the disease and its severity, and the age, weight, etc., of the subject to be treated.
  • 'Preventing' or 'prevention' refers to a reduction in risk of acquiring or developing a disease or disorder (i.e. causing at least one of the clinical symptoms of the disease not to develop in a subject that may be exposed to a disease-causing agent, or predisposed to the disease in advance of disease onset.
  • 'prophylaxis' is related to 'prevention', and refers to a measure or procedure the purpose of which is to prevent, rather than to treat or cure a disease.
  • prophylactic measures may include the administration of vaccines; the administration of low molecular weight heparin to hospital patients at risk for thrombosis due, for example, to immobilization; and the administration of an anti-malarial agent such as chloroquine, in advance of a visit to a geographical region where malaria is endemic or the risk of contracting malaria is high.
  • 'Treating' or 'treatment' of any disease or disorder refers, in one embodiment, to ameliorating the disease or disorder (i.e. arresting the disease or reducing the manifestation, extent or severity of at least one of the clinical symptoms thereof).
  • 'treating' or 'treatment' refers to ameliorating at least one physical parameter, which may not be discernible by the subject.
  • 'treating' or 'treatment' refers to modulating the disease or disorder, either physically, (e.g. stabilization of a discernible symptom), physiologically, (e.g. stabilization of a physical parameter), or both.
  • "treating" or "treatment” relates to slowing the progression of the disease.
  • the term 'inflammatory disease(s)' refers to the group of conditions including, rheumatoid arthritis, osteoarthritis, juvenile idiopathic arthritis, psoriasis, psoriatic arthritis, ankylosing spondylitis, allergic airway disease (e.g. asthma, rhinitis), chronic obstructive pulmonary disease (COPD), inflammatory bowel diseases (e.g. Crohn's disease, ulcerative colitis), sarcoidosis, endotoxin-driven disease states (e.g. complications after bypass surgery or chronic endotoxin states contributing to e.g. chronic cardiac failure), and related diseases involving cartilage, such as that of the joints.
  • allergic airway disease e.g. asthma, rhinitis
  • COPD chronic obstructive pulmonary disease
  • COPD chronic obstructive pulmonary disease
  • inflammatory bowel diseases e.g. Crohn's disease, ulcerative colitis
  • endotoxin-driven disease states
  • the term refers to rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, osteoarthritis, allergic airway disease (e.g. asthma), sarcoidosis, chronic obstructive pulmonary disease (COPD) and inflammatory bowel diseases. More particularly the term refers to rheumatoid arthritis, sarcoidosis, psoriatic arthritis, ankylosing spondylitis, and inflammatory bowel diseases.
  • autoimmune disease(s)' refers to the group of diseases including obstructive airways disease, including conditions such as COPD, asthma (e.g intrinsic asthma, extrinsic asthma, dust asthma, infantile asthma) particularly chronic or inveterate asthma (for example late asthma and airway hyperreponsiveness), bronchitis, including bronchial asthma, systemic lupus erythematosus (SLE), cutaneous lupus erythematosus, membranous lupus nephritis, dermatomyositis, Sjogren's syndrome, multiple sclerosis, psoriasis, dry eye disease, type I diabetes mellitus and complications associated therewith, atopic eczema (atopic dermatitis), thyroiditis (Hashimoto's and autoimmune thyroiditis), contact dermatitis and further eczematous dermatitis, inflammatory bowel disease (e.g.
  • COPD chronic or inveterate asthma
  • the term refers to COPD, asthma, cutaneous lupus erythrematosus, membranous lupus nephritis, alopecia areata, vitiligo, type I diabetes mellitus and inflammatory bowel disease.
  • the term 'proliferative disease(s)' refers to conditions such as cancer (e.g. uterine leiomyosarcoma or prostate cancer), myeloproliferative disorders (e.g. polycythemia vera, essential thrombocytosis and myelofibrosis), leukemia (e.g. acute myeloid leukaemia, acute and chronic lymphoblastic leukemia), multiple myeloma, psoriasis, restenosis, scleroderma or fibrosis.
  • cancer e.g. uterine leiomyosarcoma or prostate cancer
  • myeloproliferative disorders e.g. polycythemia vera, essential thrombocytosis and myelofibrosis
  • leukemia e.g. acute myeloid leukaemia, acute and chronic lymphoblastic leukemia
  • multiple myeloma psoriasis
  • restenosis scleroderma or
  • the term 'cancer' refers to a malignant or benign growth of cells in skin or in body organs, for example but without limitation, breast, prostate, lung, kidney, pancreas, stomach or bowel.
  • a cancer tends to infiltrate into adjacent tissue and spread (metastasise) to distant organs, for example to bone, liver, lung or the brain.
  • cancer includes both metastatic tumour cell types (such as but not limited to, melanoma, lymphoma, leukaemia, fibrosarcoma, rhabdomyosarcoma, and mastocytoma) and types of tissue carcinoma (such as but not limited to, colorectal cancer, prostate cancer, small cell lung cancer and non-small cell lung cancer, breast cancer, pancreatic cancer, bladder cancer, renal cancer, gastric cancer, glioblastoma, primary liver cancer, ovarian cancer, prostate cancer and uterine leiomyosarcoma).
  • metastatic tumour cell types such as but not limited to, melanoma, lymphoma, leukaemia, fibrosarcoma, rhabdomyosarcoma, and mastocytoma
  • types of tissue carcinoma such as but not limited to, colorectal cancer, prostate cancer, small cell lung cancer and non-small cell lung cancer, breast cancer, pancreatic cancer, bladder cancer, renal cancer, gastric cancer, glioblastoma
  • the term 'cancer' refers to acute lymphoblastic leukemia, acute myeloidleukemia, adrenocortical carcinoma, anal cancer, appendix cancer, astrocytomas, atypical teratoid/rhabdoid tumor, basal cell carcinoma, bile duct cancer, bladder cancer, bone cancer (osteosarcoma and malignant fibrous histiocytoma), brain stem glioma, brain tumors, brain and spinal cord tumors, breast cancer, bronchial tumors, Burkitt lymphoma, cervical cancer, chronic lymphocytic leukemia, chronic myelogenous leukemia, colon cancer, colorectal cancer, craniopharyngioma, cutaneous T -Cell lymphoma, embryonal tumors, endometrial cancer, ependymoblastoma, ependymoma, esophageal cancer, ewing sarcoma family of tumors, eye
  • leukemia refers to neoplastic diseases of the blood and blood forming organs. Such diseases can cause bone marrow and immune system dysfunction, which renders the host highly susceptible to infection and bleeding.
  • leukemia refers to acute myeloid leukaemia (AML), and acute lymphoblastic leukemia (ALL) and chronic lymphoblastic leukaemia (CLL).
  • 'allergic disease(s)' refers to the group of conditions characterized by a hypersensitivity disorder of the immune system including, allergic airway disease (e.g. asthma, rhinitis), sinusitis, eczema and hives, as well as food allergies or allergies to insect venom.
  • allergic airway disease e.g. asthma, rhinitis
  • sinusitis e.g. rhinitis
  • eczema eczema
  • hives as well as food allergies or allergies to insect venom.
  • 'asthma' refers to any disorder of the lungs characterized by variations in pulmonary gas flow associated with airway constriction of whatever cause (intrinsic, extrinsic, or both; allergic or non-allergic).
  • the term asthma may be used with one or more adjectives to indicate the cause.
  • the term 'transplant rejection' refers to the acute or chronic rejection of cells, tissue or solid organ alio- or xenografts of e.g. pancreatic islets, stem cells, bone marrow, skin, muscle, corneal tissue, neuronal tissue, heart, lung, combined heart-lung, kidney, liver, bowel, pancreas, trachea or oesophagus, or graft-versus-host diseases.
  • pancreatic islets e.g. pancreatic islets, stem cells, bone marrow, skin, muscle, corneal tissue, neuronal tissue, heart, lung, combined heart-lung, kidney, liver, bowel, pancreas, trachea or oesophagus, or graft-versus-host diseases.
  • the term 'diseases involving impairment of cartilage turnover' includes conditions such as osteoarthritis, psoriatic arthritis, juvenile rheumatoid arthritis, gouty arthritis, septic or infectious arthritis, reactive arthritis, reflex sympathetic dystrophy, algodystrophy, Tietze syndrome or costal chondritis, fibromyalgia, osteochondritis, neurogenic or neuropathic arthritis, arthropathy, endemic forms of arthritis like osteoarthritis deformans endemica, Mseleni disease and Handigodu disease; degeneration resulting from fibromyalgia, systemic lupus erythematosus, scleroderma and ankylosing spondylitis.
  • the term 'congenital cartilage malformation(s)' includes conditions such as hereditary chondrolysis, chondrodysplasias and pseudochondrodysplasias, in particular, but without limitation, microtia, anotia, metaphyseal chondrodysplasia, and related disorders.
  • the term 'disease(s) associated with hypersecretion of IL6' includes conditions such as Castleman's disease, multiple myeloma, psoriasis, Kaposi's sarcoma and/or mesangial proliferative glomerulonephritis.
  • the term 'disease(s) associated with hypersecretion of interferons includes conditions such as systemic and cutaneous lupus erythematosis, lupus nephritis, dermatomyositis, Sjogren's syndrome, psoriasis, rheumatoid arthritis.
  • composition(s) of the invention', and equivalent expressions are meant to embrace compounds of the Formula(e) as herein described, which expression includes the pharmaceutically acceptable salts, and the solvates, e.g. hydrates, and the solvates of the pharmaceutically acceptable salts where the context so permits.
  • reference to intermediates, whether or not they themselves are claimed, is meant to embrace their salts, and solvates, where the context so permits.
  • Prodrugs include acid derivatives well know to practitioners of the art, such as, for example, esters prepared by reaction of the parent acid with a suitable alcohol, or amides prepared by reaction of the parent acid compound with a substituted or unsubstituted amine, or acid anhydrides, or mixed anhydrides. Simple aliphatic or aromatic esters, amides and anhydrides derived from acidic groups pendant on the compounds of this invention are particularly useful prodrugs.
  • double ester type prodrugs such as (acyloxy)alkyl esters or ((alkoxycarbonyl)oxy)alkylesters.
  • Particular such prodrugs are the Ci- 8 alkyl, C 2 -8 alkenyl, C 6 -io optionally substituted aryl, and (C 6 -io aryl)-(Ci_ 4 alkyl) esters of the compounds of the invention.
  • the term 'isotopic variant' refers to a compound that contains unnatural proportions of isotopes at one or more of the atoms that constitute such compound.
  • an 'isotopic variant' of a compound can contain one or more non-radioactive isotopes, such as for example, deuterium ( 2 H or D), carbon-13 ( 13 C), nitro ( 15 N), or the like.
  • non-radioactive isotopes such as for example, deuterium ( 2 H or D), carbon-13 ( 13 C), nitro ( 15 N), or the like.
  • the following atoms, where present may vary, so that for example, any hydrogen may be 2 H/D, any carbon may be 13 C, or any nitrogen may be 15 N, and that the presence and placement of such atoms may be determined within the skill of the art.
  • the invention may include the preparation of isotopic variants with radioisotopes, in the instance for example, where the resulting compounds may be used for drug and/or substrate tissue distribution studies.
  • the radioactive isotopes tritium, i.e. 3 H, and carbon-14, i.e. 14 C, are particularly useful for this purpose in view of their ease of incorporation and ready means of detection.
  • compounds may be prepared that are substituted with positron emitting isotopes, such as n C, 18 F, 15 0 and 13 N, and would be useful in Positron Emission Topography (PET) studies for examining substrate receptor occupancy.
  • PET Positron Emission Topography
  • Stereoisomers that are not mirror images of one another are termed 'diastereomers' and those that are non-superimposable mirror images of each other are termed 'enantiomers'.
  • a compound has an asymmetric center, for example, it is bonded to four different groups, a pair of enantiomers is possible.
  • An enantiomer can be characterized by the absolute configuration of its asymmetric center and is described by the R- and S-sequencing rules of Cahn and Prelog, or by the manner in which the molecule rotates the plane of polarized light and designated as dextrorotatory or levorotatory (i.e. as (+) or (-)-isomers respectively).
  • a chiral compound can exist as either individual enantiomer or as a mixture thereof. A mixture containing equal proportions of the enantiomers is called a 'racemic mixture' .
  • 'Tautomers' refer to compounds that are interchangeable forms of a particular compound structure, and that vary in the displacement of hydrogen atoms and electrons. Thus, two structures may be in equilibrium through the movement of ⁇ electrons and an atom (usually H).
  • enols and ketones are tautomers because they are rapidly interconverted by treatment with either acid or base.
  • Another example of tautomerism is the aci- and nitro- forms of phenylnitromethane, that are likewise formed by treatment with acid or base.
  • Tautomeric forms may be relevant to the attainment of the optimal chemical reactivity and biological activity of a compound of interest.
  • the compounds of the invention may possess one or more asymmetric centers; such compounds can therefore be produced as individual (R)- or (S)- stereoisomers or as mixtures thereof.
  • the present invention is based on the identification of composition of the invention, useful in the prophylaxis and/or treatment of inflammatory diseases, autoimmune diseases, proliferative diseases, allergic diseases, transplant rejection, diseases involving impairment of cartilage turnover, congenital cartilage malformations, and/or diseases associated with hypersecretion of IL6 or interferons.
  • the composition comprises a first compound having IRAK inhibitory activity, and a second compound having JAK inhibitory activity.
  • the present invention also provides pharmaceutical compositions comprising the combination of the invention and methods for the prophylaxis and/or treatment of diseases including inflammatory diseases, autoimmune diseases, proliferative diseases, allergic diseases, transplant rejection, diseases involving impairment of cartilage turnover, congenital cartilage malformations, and/or diseases associated with hypersecretion of IL6 or interferons by administering the combination of the invention.
  • diseases including inflammatory diseases, autoimmune diseases, proliferative diseases, allergic diseases, transplant rejection, diseases involving impairment of cartilage turnover, congenital cartilage malformations, and/or diseases associated with hypersecretion of IL6 or interferons by administering the combination of the invention.
  • the JAK inhibitor has JAKl inhibitory activity.
  • the JAK inhibitor is a JAKl selective inhibitor.
  • the IRAK inhibitor has IRAK4 inhibitory activity.
  • the IRAK inhibitor is a IRAK4 selective inhibitor.
  • composition of the invention comprising:
  • Ci_ 6 alkyl which Ci_ 6 alkyl is optionally substituted with one or more independently selected R 4 groups;
  • R is H or Ci_4 alkyl;
  • each R 3 is independently selected from:
  • each R 4 is independently selected from:
  • R 5a and R 5b are independently H or C w alkyl
  • the composition of the invention comprises the compound according to Formula I, wherein Cy is monocyclic C3. 7 cycloalkyl. In a particular embodiment, Cy is cyclohexyl.
  • the composition of the invention comprises the compound according to Formula I, wherein Cy is monocyclic C 3 . 7 cycloalkyl substituted with one, two or three independently selected R 3 .
  • Cy is cyclohexyl substituted with one, two or three independently selected R 3 .
  • Cy is monocyclic C3. 7 cycloalkyl substituted with one or two R 3 .
  • Cy is cyclohexyl substituted with one or two independently selected R 3 .
  • composition of the invention comprises the compound according to Formula I, wherein Cy is 4-7 membered monocyclic heterocycloalkyl comprising one or two heteroatoms independently selected from N, S, and O.
  • Cy is 4-7 membered monocyclic heterocycloalkyl comprising one or two heteroatoms independently selected from N, S, and O.
  • Cy is 4-7 membered monocyclic heterocycloalkyl comprising one or two heteroatoms independently selected from N, S, and O.
  • Cy is
  • the composition of the invention comprises the compound according to Formula I , wherein Cy is monocyclic 4-7 membered monocyclic heterocycloalkyl comprising one or two heteroatoms independently selected from N, S, and O, substituted with one, two or three independently selected R 3 .
  • Cy is tetrahydropyranyl or tetrahydrothiopyranyl, each of which is substituted with one, two or three independently selected R 3 .
  • Cy is 4-7 membered monocyclic heterocycloalkyl comprising one or two heteroatoms independently selected from N, S, and O, substituted with one or two R 3 .
  • Cy is tetrahydro ranyl, or tetrahydrothiopyranyl, each of which is subst with one
  • each R 3 is selected from OH, and -C3 ⁇ 4.
  • each R 3 is F.
  • composition of the invention comprises the compound according to Form la Ila, lib, lie, lid, He, or Ilf:
  • the composition of the invention comprises the compound according to any one of Formulae I-IIF, wherein R 1 is C M alkyl.
  • R 1 is -C3 ⁇ 4, -CH 2 CH 3 , or -CH(CH 3 ) 2 .
  • R 1 is -CH 3 .
  • R 1 is alkyl, which Ci_ 6 alkyl is selected from -CH 3 , -CH 2 CH 3 , -CH 2 CH 2 CH 3 , or -CH 2 (CH(CH 3 ) 2 ), each of which is substituted with one or more independently selected R 4 .
  • R 1 is alkyl, which Ci_ 6 alkyl is substituted with one or two independently selected R 4 .
  • the composition of the invention comprises the compound according to any one of Formulae I-IIf, and R 4 is -NR 5a R 5b , wherein each R 5a and R 5b is independently H or C M alkyl.
  • each R 5a and R 5b is independently H, -CH 3 , or -CH 2 CH 3 .
  • R 5a is H
  • R 5b is H, -CH 3 , or -CH 2 CH 3 .
  • R 4 is -NH 2 , -NHCH 3 , or -N(CH 3 ) 2 .
  • the composition of the invention comprises the compound according to any one of Formulae I-IIf, wherein R 4 is 4-7 membered monocyclic heterocycloalkyl comprising one or two heteroatoms independently selected from N, S, and O, optionally substituted with one or more independently selected C M alkyl.
  • R 4 is morpholinyl, piperidinyl, or piperazinyl, each of which is optionally substituted with one or more independently selected C alkyl.
  • R 4 is 4-7 membered monocyclic heterocycloalkyl comprising one or two heteroatoms independently selected from N, S, and O, optionally substituted with one C M alkyl.
  • R 4 is 4-7 membered monocyclic heterocycloalkyl comprising one or two heteroatoms independently selected from N, S, and O, optionally substituted with one -CH 3 .
  • R 4 is morpholinyl, piperidinyl, or piperazinyl, each of which is optionally substituted with one or more -CH .
  • R 4 is morpholinyl, piperidinyl, or piperazinyl, each of which is optionally substituted with one -CH 3 .
  • composition of the invention comprises the compound according to any one of Formulae I-IIf, wherein R 2 is H.
  • the composition of the invention comprises the compound according to any one of Formulae I-IIf, wherein R 2 is C 1 .4 alkyl. In a particular embodiment, R 2 is -CH 3 .
  • composition of the invention comprises the compound according to Formula I, wherein the compound is selected from:
  • the composition of the invention comprises the compound according to Formula I, wherein the compound is 6-[6-[2-(2-hydroxy-ethoxy)-ethoxy]-5-(tetrahydro-pyran-4- ylamino)-imidazo[4,5-b]pyridin-3-yl]-nicotinonitrile.
  • the composition of the invention comprises the compound according to Formula I, wherein the compound is not 6-[6-[2-(2-hydroxy-ethoxy)-ethoxy]-5-(tetrahydro-pyran-4- ylamino)-imidazo[4,5-b]pyridin-3-yl]-nicotinonitrile.
  • the composition of the invention comprises the compound according to Formula I, wherein the compound is (S)-2-amino-3 -methyl-butyric acid 2- ⁇ 2-[3-(5-cyano-pyridin-2- yl)-5-(tetrahydro-pyran-4-ylamino)-3H-imidazo[4,5-b]pyridin-6-yloxy] -ethoxy ⁇ -ethyl ester.
  • the composition of the invention comprises the compound according to Formula I, wherein the compound is not (S)-2-amino-3 -methyl-butyric acid 2- ⁇ 2-[3-(5-cyano-pyridin- 2-yl)-5-(tetrahydro-pyran-4-ylamino)-3H-imidazo[4,5-b]pyridin-6-yloxy]-ethoxy ⁇ -ethyl ester.
  • the composition of the invention comprises a compound having a JAK inhibiting activity.
  • the compound having a JAK inhibiting activity is a compound disclosed in WO 2010/010190.
  • composition of the invention comprises a compound having a JAK1 inhibiting activity.
  • the compound having a JAK1 inhibiting activity is according to Formula
  • composition of the invention comprises:
  • composition of the invention comprises:
  • composition of the invention comprises:
  • the compound from the composition of the invention is not an isotopic variant.
  • the compound from the composition of the invention according to any one of the embodiments herein described is present as the free base.
  • the compound from the composition of the invention according to any one of the embodiments herein described is a pharmaceutically acceptable salt.
  • the compound from the composition of the invention according to any one of the embodiments herein described is a solvate of the compound.
  • a compound of composition of the invention according to any one of the embodiments herein described is a solvate of a pharmaceutically acceptable salt of a compound.
  • a compound of the invention may be one for which one or more variables (for example, R groups) is selected from one or more embodiments according to any of the Formula(e) listed above. Therefore, the present invention is intended to include all combinations of variables from any of the disclosed embodiments within its scope.
  • the present invention provides prodrugs and derivatives of the compounds according to the formulae above.
  • Prodrugs are derivatives of the compounds of the composition of the invention, which have metabolically cleavable groups and become by solvolysis or under physiological conditions the compounds of the invention, which are pharmaceutically active, in vivo.
  • Such examples include, but are not limited to, choline ester derivatives and the like, N- alkylmorpholine esters and the like.
  • Prodrugs include acid derivatives well known to practitioners of the art, such as, for example, esters prepared by reaction of the parent acid with a suitable alcohol, or amides prepared by reaction of the parent acid compound with a substituted or unsubstituted amine, or acid anhydrides, or mixed anhydrides. Simple aliphatic or aromatic esters, amides and anhydrides derived from acidic groups pendant on the compounds of this invention are preferred prodrugs.
  • double ester type prodrugs such as (acyloxy)alkyl esters or ((alkoxycarbonyl)oxy)alkylesters.
  • Particularly useful are the Ci to Cg alkyl, C 2 -C 8 alkenyl, aryl, C7-C12 substituted aryl, and C 7 -Ci 2 arylalkyl esters of the compounds of the invention.
  • compositions of the invention When employed as a pharmaceutical, a composition of the invention is typically administered in the form of a pharmaceutical composition. Such compositions can be prepared in a manner well known in the pharmaceutical art and comprise at least one active compound of the invention according to Formula I. Generally, a composition of the invention is administered in a pharmaceutically effective amount. The amount of compound of the invention actually administered will typically be determined by a physician, in the light of the relevant circumstances, including the condition to be treated, the chosen route of administration, the actual compound of the invention administered, the age, weight, and response of the individual patient, the severity of the patient's symptoms, and the like.
  • compositions of this invention can be administered by a variety of routes including oral, rectal, transdermal, subcutaneous, intra-articular, intravenous, intramuscular, and intranasal.
  • routes including oral, rectal, transdermal, subcutaneous, intra-articular, intravenous, intramuscular, and intranasal.
  • a compound of the invention is preferably formulated as either injectable or oral compositions or as salves, as lotions or as patches all for transdermal administration.
  • compositions for oral administration can take the form of bulk liquid solutions or suspensions, or bulk powders. More commonly, however, the compositions are presented in unit dosage forms to facilitate accurate dosing.
  • the term 'unit dosage forms' refers to physically discrete units suitable as unitary dosages for human subjects and other mammals, each unit containing a predetermined quantity of active material calculated to produce the desired therapeutic effect, in association with a suitable pharmaceutical excipient, vehicle or carrier.
  • Typical unit dosage forms include prefilled, premeasured ampules or syringes of the liquid compositions or pills, tablets, capsules or the like in the case of solid compositions.
  • the composition of the invention is usually a minor component (from about 0.1 to about 50% by weight or preferably from about 1 to about 40% by weight) with the remainder being various vehicles or carriers and processing aids helpful for forming the desired dosing form.
  • Liquid forms suitable for oral administration may include a suitable aqueous or non-aqueous vehicle with buffers, suspending and dispensing agents, colorants, flavors and the like.
  • Solid forms may include, for example, any of the following ingredients, or compound of the inventions of a similar nature: a binder such as microcrystalline cellulose, gum tragacanth or gelatin; an excipient such as starch or lactose, a disintegrating agent such as alginic acid, Primogel, or corn starch; a lubricant such as magnesium stearate; a glidant such as colloidal silicon dioxide; a sweetening agent such as sucrose or saccharin; or a flavoring agent such as peppermint or orange flavoring.
  • a binder such as microcrystalline cellulose, gum tragacanth or gelatin
  • an excipient such as starch or lactose, a disintegrating agent such as alginic acid, Primogel, or corn starch
  • a lubricant
  • Injectable compositions are typically based upon injectable sterile saline or phosphate- buffered saline or other injectable carriers known in the art.
  • the active compounds of the composition of the invention in such compositions is typically a minor component, often being from about 0.05 to 10% by weight with the remainder being the injectable carrier and the like.
  • Transdermal compositions are typically formulated as a topical ointment or cream containing the active ingredient(s), generally in an amount ranging from about 0.01 to about 20% by weight, preferably from about 0.1 to about 20% by weight, preferably from about 0.1 to about 10%> by weight, and more preferably from about 0.5 to about 15% by weight.
  • the active ingredients When formulated as an ointment, the active ingredients will typically be combined with either a paraffinic or a water-miscible ointment base. Alternatively, the active ingredients may be formulated in a cream with, for example an oil-in- water cream base.
  • Such transdermal formulations are well-known in the art and generally include additional ingredients to enhance the dermal penetration of stability of the active ingredients or the formulation. All such known transdermal formulations and ingredients are included within the scope of this invention.
  • a composition of the invention can also be administered by a transdermal device. Accordingly, transdermal administration can be accomplished using a patch either of the reservoir or porous membrane type, or of a solid matrix variety.
  • a composition of the invention can also be administered in sustained release forms or from sustained release drug delivery systems.
  • sustained release materials can be found in Remington's Pharmaceutical Sciences.
  • a composition of the invention comprising a compound according to Formula I and a JAK inhibitor may be admixed as a dry powder with a dry gelatin binder in an approximate 1 :2 weight ratio.
  • a minor amount of magnesium stearate may be added as a lubricant.
  • the mixture may be formed into 240-270 mg tablets (80-90 mg of active compound of the invention according to Formula I per tablet) in a tablet press.
  • a composition of the invention comprising a compound according to Formula I and a JAK inhibitor may be admixed as a dry powder with a starch diluent in an approximate 1 :1 weight ratio.
  • the mixture may be filled into 250 mg capsules (125 mg of active compositon of the invention according to Formula I per capsule).
  • a composition of the invention comprising a compound according to Formula I and a JAK inhibitor (125 mg), may be admixed with sucrose (1.75 g) and xanthan gum (4 mg) and the resultant mixture may be blended, passed through a No. 10 mesh U.S. sieve, and then mixed with a previously made solution of microcrystalline cellulose and sodium carboxymethyl cellulose (11 :89, 50 mg) in water.
  • Sodium benzoate (10 mg) flavor, and color may be diluted with water and added with stirring. Sufficient water may then be added with stirring. Further sufficient water may be then added to produce a total volume of 5 mL.
  • a composition of the invention comprising a compound according to Formula I and a JAK inhibitor may be admixed as a dry powder with a dry gelatin binder in an approximate 1 :2 weight ratio.
  • a minor amount of magnesium stearate may be added as a lubricant.
  • the mixture may be formed into 450-900 mg tablets (150-300 mg of active compound of the invention according to Formula I) in a tablet press.
  • a composition of the invention comprising a compound according to Formula I and a JAK inhibitor may be dissolved or suspended in a buffered sterile saline injectable aqueous medium to a concentration of approximately 5 mg/mL.
  • Stearyl alcohol (250 g) and a white petrolatum (250 g) may be melted at about 75°C and then a mixture of a composition of the invention comprising a compound according to Formula I and a JAK inhibitor (50 g) methylparaben (0.25 g), propylparaben (0.15 g), sodium lauryl sulfate (10 g), and propylene glycol (120 g) dissolved in water (about 370 g) may be added and the resulting mixture may be stirred until it congeals.
  • a JAK inhibitor 50 g
  • methylparaben (0.25 g)
  • propylparaben (0.15 g
  • propylene glycol (120 g) dissolved in water about 370 g
  • the present invention provides a composition of the invention, or pharmaceutical compositions comprising a composition of the invention, for use in medicine.
  • the present invention provides composition of the invention or pharmaceutical compositions comprising a composition of the invention, for use in the prophylaxis and/or treatment of inflammatory diseases, autoimmune diseases, proliferative diseases, allergic diseases, transplant rejection, diseases involving impairment of cartilage turnover, congenital cartilage malformations, and/or diseases associated with hypersecretion of IL6 or interferons.
  • the present invention provides compositions of the invention, or pharmaceutical compositions comprising a composition of the invention for use in the manufacture of a medicament for use in the prophylaxis and/or treatment of inflammatory diseases, autoimmune diseases, proliferative diseases, allergic diseases, transplant rejection, diseases involving impairment of cartilage turnover, congenital cartilage malformations, and/or diseases associated with hypersecretion of IL6 or interferons.
  • this invention provides methods of prophylaxis and/or treatment of a mammal afflicted with inflammatory diseases, autoimmune diseases, proliferative diseases, allergic diseases, transplant rejection, diseases involving impairment of cartilage turnover, congenital cartilage malformations, and/or diseases associated with hypersecretion of IL6 or interferons, which methods comprise the administration of an effective amount of a composition of the invention or one or more of the pharmaceutical compositions herein described for the treatment or prophylaxis of said condition.
  • the present invention provides pharmaceutical compositions comprising a composition of the invention, and another therapeutic agent.
  • the other therapeutic agent is an agent for the treatment of inflammatory diseases, autoimmune diseases, proliferative diseases, allergic diseases, transplant rejection, diseases involving impairment of cartilage turnover, congenital cartilage malformations, and/or diseases associated with hypersecretion of IL6 or interferons treatment agent.
  • the present invention provides a composition of the invention, or pharmaceutical compositions comprising a composition of the invention, for use in the prophylaxis and/or treatment of inflammatory diseases.
  • the inflammatory disease is selected from rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, osteoarthritis, allergic airway disease, sarcoidosis, chronic obstructive pulmonary disease (COPD) and inflammatory bowel diseases.
  • the inflammatory disease is selected from rheumatoid arthritis, sarcoidosis, psoriatic arthritis, ankylosing spondylitis, and inflammatory bowel diseases.
  • the present invention provides compositions of the invention, or pharmaceutical compositions comprising a composition of the invention for use in the manufacture of a medicament for use in the prophylaxis and/or treatment of inflammatory diseases.
  • the inflammatory disease is selected from rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, osteoarthritis, allergic airway disease, sarcoidosis, chronic obstructive pulmonary disease (COPD) and inflammatory bowel diseases.
  • COPD chronic obstructive pulmonary disease
  • the inflammatory disease is selected from rheumatoid arthritis, sarcoidosis, psoriatic arthritis, ankylosing spondylitis, and inflammatory bowel diseases.
  • this invention provides methods of prophylaxis and/or treatment of a mammal afflicted with inflammatory diseases, which methods comprise the administration of an effective amount of a composition of the invention or one or more of the pharmaceutical compositions herein described for the treatment or prophylaxis of said condition.
  • the inflammatory disease is selected from rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, osteoarthritis, allergic airway disease, sarcoidosis, chronic obstructive pulmonary disease (COPD) and inflammatory bowel diseases.
  • the inflammatory disease is selected from rheumatoid arthritis, sarcoidosis, psoriatic arthritis, ankylosing spondylitis, and inflammatory bowel diseases.
  • the present invention provides pharmaceutical compositions comprising a composition of the invention, and another therapeutic agent.
  • the other therapeutic agent is an agent for the treatment of inflammatory diseases.
  • the inflammatory disease is selected from rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, osteoarthritis, allergic airway disease, sarcoidosis, chronic obstructive pulmonary disease (COPD) and inflammatory bowel diseases.
  • the inflammatory disease is selected from rheumatoid arthritis, sarcoidosis, psoriatic arthritis, ankylosing spondylitis, and inflammatory bowel diseases.
  • the present invention provides a composition of the invention, or pharmaceutical compositions comprising a composition of the invention, for use in the prophylaxis and/or treatment of autoimmune diseases.
  • the autoimmune disease is selected from COPD, asthma, cutaneous lupus erythrematosus, membranous lupus nephritis, alopecia areata, vitiligo, type I diabetes mellitus and inflammatory bowel disease.
  • the present invention provides compositions of the invention, or pharmaceutical compositions comprising a composition of the invention for use in the manufacture of a medicament for use in the prophylaxis and/or treatment of autoimmune diseases.
  • the autoimmune disease is selected from COPD, asthma, cutaneous lupus erythrematosus, membranous lupus nephritis, alopecia areata, vitiligo, type I diabetes mellitus and inflammatory bowel disease.
  • this invention provides methods of prophylaxis and/or treatment of a mammal afflicted with autoimmune diseases, which methods comprise the administration of an effective amount of a composition of the invention or one or more of the pharmaceutical compositions herein described for the treatment or prophylaxis of said condition.
  • the autoimmune disease is selected from COPD, asthma, cutaneous lupus erythrematosus, membranous lupus nephritis, alopecia areata, vitiligo, type I diabetes mellitus and inflammatory bowel disease.
  • the present invention provides pharmaceutical compositions comprising a composition of the invention, and another therapeutic agent.
  • the other therapeutic agent is an agent for the treatment of autoimmune diseases.
  • the autoimmune disease is selected from COPD, asthma, cutaneous lupus erythrematosus, membranous lupus nephritis, alopecia areata, vitiligo, type I diabetes mellitus and inflammatory bowel disease.
  • the present invention provides a composition of the invention, or pharmaceutical compositions comprising a composition of the invention, for use in the prophylaxis and/or treatment of proliferative diseases.
  • the proliferative disease is selected from cancer, leukemia, multiple myeloma and psoriasis.
  • the present invention provides compositions of the invention, or pharmaceutical compositions comprising a composition of the invention for use in the manufacture of a medicament for use in the prophylaxis and/or treatment of proliferative diseases.
  • the proliferative disease is selected from cancer, leukemia, multiple myeloma and psoriasis.
  • this invention provides methods of prophylaxis and/or treatment of a mammal afflicted with proliferative diseases, which methods comprise the administration of an effective amount of a composition of the invention or one or more of the pharmaceutical compositions herein described for the treatment or prophylaxis of said condition.
  • the proliferative disease is selected from cancer, leukemia, multiple myeloma and psoriasis.
  • the present invention provides pharmaceutical compositions comprising a composition of the invention, and another therapeutic agent.
  • the other therapeutic agent is an agent for the treatment of proliferative diseases.
  • the proliferative disease is selected from cancer, leukemia, multiple myeloma and psoriasis.
  • the present invention provides a composition of the invention, or pharmaceutical compositions comprising a composition of the invention, for use in the prophylaxis and/or treatment of allergic diseases.
  • the allergic disease is eczema.
  • the present invention provides compositions of the invention, or pharmaceutical compositions comprising a composition of the invention for use in the manufacture of a medicament for use in the prophylaxis and/or treatment of allergic diseases.
  • the allergic disease is eczema.
  • this invention provides methods of prophylaxis and/or treatment of a mammal afflicted with allergic diseases, which methods comprise the administration of an effective amount of a composition of the invention or one or more of the pharmaceutical compositions herein described for the treatment or prophylaxis of said condition.
  • the allergic disease is eczema.
  • the present invention provides pharmaceutical compositions comprising a composition of the invention, and another therapeutic agent.
  • the other therapeutic agent is an agent for the treatment of allergic diseases.
  • the allergic disease is eczema.
  • the present invention provides a composition of the invention, or pharmaceutical compositions comprising a composition of the invention, for use in the prophylaxis and/or treatment of transplant rejection.
  • the transplant rejection is graft- versus-host diseases.
  • the present invention provides compositions of the invention, or pharmaceutical compositions comprising a composition of the invention for use in the manufacture of a medicament for use in the prophylaxis and/or treatment of transplant rejection.
  • the transplant rejection is graft-versus-host diseases.
  • this invention provides methods of prophylaxis and/or treatment of a mammal afflicted with transplant rejection, which methods comprise the administration of an effective amount of a composition of the invention or one or more of the pharmaceutical compositions herein described for the treatment or prophylaxis of said condition.
  • the transplant rejection is graft-versus-host diseases.
  • the present invention provides pharmaceutical compositions comprising a composition of the invention, and another therapeutic agent.
  • the other therapeutic agent is an agent for the treatment of transplant rejection.
  • the transplant rejection is graft-versus-host diseases.
  • the present invention provides a composition of the invention, or pharmaceutical compositions comprising a composition of the invention, for use in the prophylaxis and/or treatment of diseases involving impairment of cartilage turnover.
  • the disease involving impairment of cartilage turnover is ankylosing spondylitis.
  • the present invention provides compositions of the invention, or pharmaceutical compositions comprising a composition of the invention for use in the manufacture of a medicament for use in the prophylaxis and/or treatment of diseases involving impairment of cartilage turnover.
  • the disease involving impairment of cartilage turnover is ankylosing spondylitis.
  • this invention provides methods of prophylaxis and/or treatment of a mammal afflicted with diseases involving impairment of cartilage turnover, which methods comprise the administration of an effective amount of a composition of the invention or one or more of the pharmaceutical compositions herein described for the treatment or prophylaxis of said condition.
  • the disease involving impairment of cartilage turnover is ankylosing spondylitis.
  • the present invention provides pharmaceutical compositions comprising a composition of the invention, and another therapeutic agent.
  • the other therapeutic agent is an agent for the treatment of diseases involving impairment of cartilage turnover treatment agent.
  • the disease involving impairment of cartilage turnover is ankylosing spondylitis.
  • the present invention provides a composition of the invention, or pharmaceutical compositions comprising a composition of the invention, for use in the prophylaxis and/or treatment of congenital cartilage malformations.
  • the present invention provides compositions of the invention, or pharmaceutical compositions comprising a composition of the invention for use in the manufacture of a medicament for use in the prophylaxis and/or treatment of congenital cartilage malformations.
  • this invention provides methods of prophylaxis and/or treatment of a mammal afflicted with congenital cartilage malformations, which methods comprise the administration of an effective amount of a composition of the invention or one or more of the pharmaceutical compositions herein described for the treatment or prophylaxis of said condition.
  • the present invention provides pharmaceutical compositions comprising a composition of the invention, and another therapeutic agent.
  • the other therapeutic agent is an agent for the treatment of congenital cartilage malformations treatment agent.
  • the present invention provides a composition of the invention, or pharmaceutical compositions comprising a composition of the invention, for use in the prophylaxis and/or treatment of diseases associated with hypersecretion of IL6 or interferons.
  • the present invention provides compositions of the invention, or pharmaceutical compositions comprising a composition of the invention for use in the manufacture of a medicament for use in the prophylaxis and/or treatment of diseases associated with hypersecretion of IL6 or interferons.
  • this invention provides methods of prophylaxis and/or treatment of a mammal afflicted with diseases associated with hypersecretion of IL6 or interferons, which methods comprise the administration of an effective amount of a composition of the invention or one or more of the pharmaceutical compositions herein described for the treatment or prophylaxis of said condition.
  • the present invention provides pharmaceutical compositions comprising a composition of the invention, and another therapeutic agent.
  • the other therapeutic agent is an agent for the treatment of diseases associated with hypersecretion of IL6 or interferons treatment agent.
  • Injection dose levels range from about 0.1 mg/kg/h to at least 10 mg/kg/h, all for from about 1 to about 120 h and especially 24 to 96 h.
  • a preloading bolus of from about 0.1 mg/kg to about 10 mg/kg or more may also be administered to achieve adequate steady state levels.
  • the maximum total dose is not expected to exceed about 1 g/day for a 40 to 80 kg human patient.
  • the regimen for treatment usually stretches over many months or years so oral dosing is preferred for patient convenience and tolerance.
  • one to four (1-4) regular doses daily especially one to three (1-3) regular doses daily, typically one to two (1-2) regular doses daily, and most typically one (1) regular dose daily are representative regimens.
  • dosage regimen can be every 1-14 days, more particularly 1-10 days, even more particularly 1-7 days, and most particularly 1-3 days.
  • each dose provides from about 1 to about 1000 mg of a composition of the invention, with particular doses each providing from about 10 to about 500 mg and especially about 30 to about 250 mg.
  • Transdermal doses are generally selected to provide similar or lower blood levels than are achieved using injection doses.
  • a composition of the invention When used to prevent the onset of a condition, a composition of the invention will be administered to a patient at risk for developing the condition, typically on the advice and under the supervision of a physician, at the dosage levels described above.
  • Patients at risk for developing a particular condition generally include those that have a family history of the condition, or those who have been identified by genetic testing or screening to be particularly susceptible to developing the condition.
  • a composition of the invention can be administered as the sole active agent or it can be administered in combination with other therapeutic agents, including other compound of the inventions that demonstrate the same or a similar therapeutic activity and that are determined to be safe and efficacious for such combined administration.
  • co-administration of two (or more) agents allows for significantly lower doses of each to be used, thereby reducing the side effects seen.
  • a composition of the invention or a pharmaceutical composition comprising a composition of the invention is administered as a medicament.
  • said pharmaceutical composition additionally comprises a further active ingredient.
  • a composition of the invention is co-administered with another therapeutic agent for the treatment and/or prophylaxis of a disease involving inflammation
  • agents include, but are not limited to, immunoregulatory agents e.g. azathioprine, corticosteroids (e.g. prednisolone or dexamethasone), cyclophosphamide, cyclosporin A, tacrolimus, mycophenolate, mofetil, muromonab-CD3 (OKT3, e.g. Orthocolone®), ATG, aspirin, acetaminophen, ibuprofen, naproxen, and piroxicam.
  • immunoregulatory agents e.g. azathioprine, corticosteroids (e.g. prednisolone or dexamethasone), cyclophosphamide, cyclosporin A, tacrolimus, mycophenolate, mofetil, muromonab-CD3 (
  • a composition of the invention is co-administered with another therapeutic agent for the treatment and/or prophylaxis of arthritis (e.g. rheumatoid arthritis), particular agents include but are not limited to analgesics, non-steroidal anti-inflammatory drugs (NSAIDS), steroids, synthetic DMARDS (for example but without limitation methotrexate, leflunomide, sulfasalazine, auranofin, sodium aurothiomalate, penicillamine, chloroquine, hydroxychloroquine, azathioprine, tofacitinib, baricitinib, fostamatinib, and cyclosporin), and biological DMARDS (for example but without limitation infliximab, etanercept, adalimumab, rituximab, and abatacept).
  • NSAIDS non-steroidal anti-inflammatory drugs
  • DMARDS for example but without limitation methotrexate, leflunom
  • a composition of the invention is co-administered with another therapeutic agent for the treatment and/or prophylaxis of proliferative disorders
  • therapeutic agents include but are not limited to: methotrexate, leukovorin, adriamycin, prednisone, bleomycin, cyclophosphamide, 5-fluorouracil, paclitaxel, docetaxel, vincristine, vinblastine, vinorelbine, doxorubicin, tamoxifen, toremifene, megestrol acetate, anastrozole, goserelin, anti-HER2 monoclonal antibody (e.g.
  • composition of the invention comprising a compound according to Formula I and a JAK inhibitor may be administered in combination with other therapies including, but not limited to, radiotherapy or surgery.
  • the proliferative disorder is selected from cancer, myeloproliferative disease or leukaemia.
  • a composition of the invention is co-administered with another therapeutic agent for the treatment and/or prophylaxis of autoimmune diseases
  • agents include but are not limited to: glucocorticoids, cytostatic agents (e.g. purine analogs), alkylating agents, (e.g nitrogen mustards (cyclophosphamide), nitrosoureas, platinum compound of the inventions, and others), antimetabolites (e.g. methotrexate, azathioprine and mercaptopurine), cytotoxic antibiotics (e.g. dactinomycin anthracyclines, mitomycin C, bleomycin, and mithramycin), antibodies (e.g.
  • anti-CD20, anti-CD25 or anti-CD3 (OTK3) monoclonal antibodies Atgam® and Thymoglobuline®
  • cyclosporin tacrolimus, rapamycin (sirolimus), interferons (e.g. IFN- ⁇ ), TNF binding proteins (e.g. infliximab, etanercept, or adalimumab), mycophenolate, fingolimod and myriocin.
  • a composition of the invention is co-administered with another therapeutic agent for the treatment and/or prophylaxis of transplant rejection
  • agents include but are not limited to: calcineurin inhibitors (e.g. cyclosporin or tacrolimus (FK506)), mTOR inhibitors (e.g. sirolimus, everolimus), anti-proliferatives (e.g. azathioprine, mycophenolic acid), corticosteroids (e.g. prednisolone, hydrocortisone), antibodies (e.g. monoclonal anti-IL-2Ra receptor antibodies, basiliximab, daclizumab), polyclonal anti-T-cell antibodies (e.g. anti-thymocyte globulin (ATG), anti-lymphocyte globulin (ALG)).
  • calcineurin inhibitors e.g. cyclosporin or tacrolimus (FK506)
  • mTOR inhibitors e.g. sirol
  • a composition of the invention is co-administered with another therapeutic agent for the treatment and/or prophylaxis of asthma and/or rhinitis and/or COPD
  • therapeutic agents include but are not limited to: beta2-adrenoceptor agonists (e.g. salbutamol, levalbuterol, terbutaline and bitolterol), epinephrine (inhaled or tablets), anticholinergics (e.g. ipratropium bromide), glucocorticoids (oral or inhaled).
  • beta2-adrenoceptor agonists e.g. salbutamol, levalbuterol, terbutaline and bitolterol
  • epinephrine inhaled or tablets
  • anticholinergics e.g. ipratropium bromide
  • glucocorticoids oral or inhaled.
  • Long-acting e.g.
  • salmeterol, formoterol, bambuterol, and sustained-release oral albuterol combinations of inhaled steroids and long-acting bronchodilators (e.g. fluticasone/salmeterol, budesonide/formoterol), leukotriene antagonists and synthesis inhibitors (e.g. montelukast, zafirlukast and zileuton), inhibitors of mediator release (e.g. cromoglycate and ketotifen), biological regulators of IgE response (e.g. omalizumab), antihistamines (e.g. ceterizine, cinnarizine, fexofenadine) and vasoconstrictors (e.g. oxymethazoline, xylomethazoline, nafazoline and tramazoline).
  • bronchodilators e.g. fluticasone/salmeterol, budesonide/formote
  • a composition of the invention may be administered in combination with emergency therapies for asthma and/or COPD, such therapies include oxygen or heliox administration, nebulized salbutamol or terbutaline (optionally combined with an anticholinergic (e.g. ipratropium), systemic steroids (oral or intravenous, e.g. prednisone, prednisolone, methylprednisolone, dexamethasone, or hydrocortisone), intravenous salbutamol, non-specific beta-agonists, injected or inhaled (e.g.
  • oxygen or heliox administration ebulized salbutamol or terbutaline
  • an anticholinergic e.g. ipratropium
  • systemic steroids oral or intravenous, e.g. prednisone, prednisolone, methylprednisolone, dexamethasone, or hydrocortisone
  • intravenous salbutamol e.g. pred
  • epinephrine isoetharine, isoproterenol, metaproterenol
  • anticholinergics IV or nebulized, e.g. glycopyrrolate, atropine, ipratropium
  • methylxanthines theophylline, aminophylline, bamiphylline
  • inhalation anesthetics that have a bronchodilatory effect (e.g. isoflurane, halothane, enflurane), ketamine and intravenous magnesium sulfate.
  • a composition of the invention is co-administered with another therapeutic agent for the treatment and/or prophylaxis of inflammatory bowel disease (IBD), particular agents include but are not limited to: glucocorticoids (e.g. prednisone, budesonide) synthetic disease modifying, immunomodulatory agents (e.g. methotrexate, leflunomide, sulfasalazine, mesalazine, azathioprine, 6-mercaptopurine and cyclosporin) and biological disease modifying, immunomodulatory agents (infliximab, adalimumab, rituximab, and abatacept).
  • glucocorticoids e.g. prednisone, budesonide
  • immunomodulatory agents e.g. methotrexate, leflunomide, sulfasalazine, mesalazine, azathioprine, 6-mercaptopurine and
  • a composiotion of the invention is co-administered with another therapeutic agent for the treatment and/or prophylaxis of SLE
  • therapeutic agents include but are not limited to: human monoclonal antibodies (belimumab (Benlysta)), Disease-modifying antirheumatic drugs (DMARDs) such as antimalarials (e.g. plaquenil, hydroxychloroquine), immunosuppressants (e.g. methotrexate and azathioprine), cyclophosphamide and mycophenolic acid, immunosuppressive drugs and analgesics, such as nonsteroidal anti- inflammatory drugs, opiates (e.g.
  • a composition of the invention is co-administered with another therapeutic agent for the treatment and/or prophylaxis of psoriasis, particular agents include but are not limited to: topical treatments such as bath solutions, moisturizers, medicated creams and ointments containing coal tar, dithranol (anthralin), corticosteroids like desoximetasone (TopicortTM), fluocinonide, vitamin D3 analogues (for example, calcipotriol), argan oil and retinoids (etretinate, acitretin, tazarotene), systemic treatments such as methotrexate, cyclosporine, retinoids, tioguanine, hydroxyurea,
  • a composition of the invention is co-administered with another therapeutic agent for the treatment and/or prophylaxis of allergic reaction
  • agents include but are not limited to: antihistamines (e.g. cetirizine, diphenhydramine, fexofenadine, levocetirizine), glucocorticoids (e.g. prednisone, betamethasone, beclomethasone, dexamethasone), epinephrine, theophylline or anti-leukotrienes (e.g. montelukast or zafirlukast), anti-cholinergics and decongestants.
  • antihistamines e.g. cetirizine, diphenhydramine, fexofenadine, levocetirizine
  • glucocorticoids e.g. prednisone, betamethasone, beclomethasone, dexamethasone
  • epinephrine epin
  • any means of delivering two or more therapeutic agents to the patient as part of the same treatment regime is included any means of delivering two or more therapeutic agents to the patient as part of the same treatment regime, as will be apparent to the skilled person.
  • the two or more agents may be administered simultaneously in a single formulation, i.e. as a single pharmaceutical composition, this is not essential.
  • the agents may be administered in different formulations and at different times.
  • a compound of the composition of the invention can be prepared from readily available starting materials using the following general methods and procedures. It will be appreciated that where typical or preferred process conditions (i.e., reaction temperatures, times, mole ratios of reactants, solvents, pressures, etc.) are given, other process conditions can also be used unless otherwise stated. Optimum reaction conditions may vary with the particular reactants or solvent used, but such conditions can be determined by one skilled in the art by routine optimization procedures.
  • Electrospray MS spectra are obtained on a Waters platform LC/MS spectrometer or with a Waters Acquity UPLC with Waters Acquity PDA detector and SQD mass spectrometer.
  • the reaction is cooled to 0 °C, NaH (0.5 g, 13 mmol, 0.5 eq.) is added and the reaction is stirred for 1 h at 0 °C then for 2 h at r.t.
  • the reaction mixture is poured into icy water and stirred for 2 h.
  • the precipitate is filtered off, washed with H 2 0, and air dried under vacuum.
  • the obtained solid is taken up in MeCN (75 mL), stirred at r.t. for 1 h 30 min and at 0 °C for 1 h. It is then filtered and washed with MeOH to afford the desired compound.
  • NBS (1.1 to 2 eq.) is added to a solution of 3-nitro-pyridine-2,6-diamino derivative (1 eq.) in dry MeCN, the reaction is stirred at r.t. and monitored by UPLC-MS. If full completion is not reached, additional NBS is added until no starting material is left. The precipitate formed is filtered off, washed with Et 2 0 and air dried under vacuum to provide the desired compound.
  • NBS (2.04 g, 11.46 mmol, 1.3 eq.) is added to a solution of 6-[3-nitro-6-(tetrahydro-pyran-4- ylamino)-pyridin-2-ylamino]-nicotinonitrile (Int 8, 3 g, 8.81 mmol, 1 eq.) in dry MeCN (150 mL) and the reaction is stirred at r.t. for 4 h. NBS (0.31 g, 1.76 mmol, 0.2 eq.) is added and the reaction is stirred at r.t. for another 16 h. The precipitate formed is filtered off, washed with Et 2 0 and air dried under vacuum to provide the desired compound.
  • LiOtBu (3 eq.) is added portionwise to a solution of the corresponding alcohol (5 eq.) in dry 1,4-dioxane, or in the corresponding alcohol used as the solvent.
  • 2-amino-3-bromo pyridine derivative (1 eq.) is then added followed by Cul (0.6 eq.).
  • the reaction is heated to 80-120 °C, or at 110-150 °C under microwaves irradiation, until completion of the reaction.
  • the mixture is poured into icy water or a 1 N aqueous solution of HC1 is added.
  • the precipitate is filtered off and air dried under vacuum.
  • the residue is then purified by flash chromatography on silica gel to obtain the desired compound.
  • LiOtBu (2.87 g, 35.8 mmol, 3 eq.) is added portionwise to a solution of 2-(2-hydroxy-ethoxy)-ethanol (5.7 mL, 59.7 mmol, 5 eq.) in dry 1,4-dioxane (50 mL).
  • 6-[5-bromo-3- nitro-6-(tetrahydro-pyran-4-ylamino)-pyridin-2-ylamino]-nicotinonitrile (Int 11, 5.0 g, 11.9 mmol, 1 eq.) is added followed by Cul (1.36 g, 7.2 mmol, 0.6 eq.).
  • the reaction is then heated to 120 °C for 4 h.
  • the mixture is cooled to 0 °C, a 1 N aqueous solution of HC1 (50 mL) is added and the resulting mixture is stirred at r.t. for 20 min.
  • the precipitate is filtered and dried under vacuum.
  • the residue is then purified by flash chromatography on silica gel, eluting from 0 to 5% of MeOH in DCM to give the desired compound.
  • the solid is filtered and submitted to aqueous work-up with DCM/CHCk and a 2% formic acid aqueous solution to afford the desired compound.
  • Benzoyl chloride (78 ⁇ ⁇ , 0.68 mmol, 1 eq.) is added dropwise to an ice-cooled solution of (3,4 anti)-3-benzylamino-tetrahydro-pyran-4-ol from previous step (140 mg, 0.68 mmol, 1 eq.) and TEA (280 ]iL, 2.03 mmol, 3 eq.) in DCM (2 mL).
  • the reaction mixture is stirred at r.t. for 1 h.
  • the mixture is then washed twice with a 2 N aqueous HCl solution.
  • the aqueous layers are extracted with DCM, and the combined organic layers are then dried over Na2SO i, filtered and concentrated in vacuo to afford the desired compound.
  • Formaldehyde (3.1 ⁇ ⁇ , 0.11 mmol, 1 eq.) is added to a solution of Compound 12 (50 mg, 0.11 mmol, 1 eq.) in a mixture of TFA/DCM (2 niL, 1/1). After stirring at r.t. for 30 min, NaBH(OAc)3 (47 mg, 0.22 mmol, 2 eq.) is added and the reaction is stirred for 1 h at r.t. The reaction mixture is then evaporated to dryness and the crude product is purified by preparative HPLC-MS to obtain the desired compound.
  • the IC 5 o value for IRAK-4 is determined in a radioactive filter plate assay.
  • the principle of the assay consists in the measurement of incorporated 33 P into the RIP 140 substrate upon phosphorylation by the enzyme IRAK-4 using [ ⁇ - 33 ⁇ ] ⁇ and ATP. Unincorporated 33 P is removed by loading the samples on a filter plate (using a harvester, PerkinElmer) and 6 subsequent washing steps. Incorporated 33 P in RIP140 is measured by a scintillation counter (Topcount, PerkinElmer) after addition of MicroScintTM-20 (PerkinElmer, 6013621) to the filter plates.
  • the reaction is started by addition of 9 ⁇ iL of 1 ⁇ ATP (Sigma, A6419-5G) + 0.25 ⁇ [ ⁇ - 33 ⁇ ] ⁇ (PerkinElmer, NEG602K001MC), diluted in the same buffer as enzyme and substrate. The mixture is incubated at 30 °C for 45 min. The reaction is terminated by adding 25 ⁇ of 150 mM phosphoric acid (VWR, 1.00573.1000). Samples are transferred to filter plates and incorporated radioactivity is measured using a scintillation counter.
  • IC 5 o a compound is tested at 10 doses starting from 10 ⁇ (highest concentration), with 3 -fold serial dilutions. IC 5 o values are derived by fitting dose-response curves of % Remaining Enzyme Activity (relative to DMSO controls).
  • the purpose of this assay is to determine the activity and selectivity of a compound of the invention on a selected range of human kinases which may result in undesirable side-effects when inhibited (Dy and Adjei, 2013; Force and Kolaja, 2011).
  • the IC 5 0 value for off-target kinases is determined in radioactive filter plate assays.
  • the principle of the assays consists in the measurement of incorporated 33 P into a peptide substrate upon phosphorylation by the kinase enzyme using [ ⁇ - 33 ⁇ ] ⁇ and ATP. Unincorporated 33 P is removed by loading the samples on a filter plate (using a harvester, PerkinElmer) and 6 subsequent washing steps. Incorporated 33 P in the peptide substrate is measured by a scintillation counter (Topcount, PerkinElmer) after addition of MicroScintTM-20 (PerkinElmer, 6013621) to the filter plates.
  • the compounds of the invention are tested in a cellular assay using primary isolated human peripheral blood mononuclear cells (PBMCs) to measure the secretion of the inflammatory cytokine TNFa upon TLR activation using the specific TLR7/8 agonist, CL097.
  • PBMCs peripheral blood mononuclear cells
  • the release of TNFa protein in the cell culture supernatant is quantified by a human TNFa enzyme-linked immunosorbent assay (ELISA) protocol.
  • ELISA enzyme-linked immunosorbent assay
  • a human buffy coat (provided by the Wegn Institute for Transfusion Medicine) is kept overnight at 4 °C and processed the next day for isolation of PBMCs.
  • PBMCs are isolated by density gradient centrifugation using Ficoll-PaqueTM PLUS (GE HealthCare, 17-1440-02).
  • Equal volumes of a buffy coat are diluted 1 :4 with sterile PBS (IX) and 35 mL is carefully layered on top of 15 mL Ficoll-Paque PLUS in appropriate 50 mL Falcon ® tubes. The tubes are centrifuged for 35 min at 1500 rpm at r.t. without acceleration or break.
  • the isolated cell suspension is diluted in PBS up to 50 mL followed by a centrifugation step at 1300 rpm for 10 min at r.t. After 2 additional washing steps in PBS and cell pooling, the remaining erythrocytes are lysed by resuspension of the cell pellet in 50 mL of AKL lysis buffer (150 mM NH 4 C1, 10 mM NaHC0 3 , 1 mM Na 2 EDTA, pH 7.4) followed by gentle mixture. The 50 mL suspension is then centrifuged at 1300 rpm for 10 min at r.t.
  • AKL lysis buffer 150 mM NH 4 C1, 10 mM NaHC0 3 , 1 mM Na 2 EDTA, pH 7.4
  • Final test concentrations in the assay start from 20 ⁇ , with subsequent 3-fold serial dilutions and equal final DMSO concentrations of 0.2%.
  • the PBMCs are triggered by adding 20 vL of a 10 ⁇ g/mL CL097 solution (InvivoGen, tlrl-c97-5) to the wells with final assay volume of 200 ⁇ ⁇ per well and 1 ⁇ g/mL final CL097 trigger concentration. Negative controls are adjusted with equal DMSO concentrations without CL097 trigger.
  • the assay plates are then incubated for 4 h in a humidified incubator at 37 °C and 5% CO 2 . Cell supernatants are then harvested by transferring the cell medium into a 384 deep well plate and immediately transferred to the ELISA plate for quantification of human TNFa.
  • the levels of secreted TNFa in the cell supernatants are quantified in an antibody capture activity assay (ELISA).
  • ELISA antibody capture activity assay
  • a white Greiner LumitracTM 384-well plate is coated with 40 ⁇ L ⁇ per well of a 1 ⁇ g/mL anti-human TNFa antibody solution (MAbl ; BD Biosciences, 551220) diluted in PBS for an overnight incubation at 4 °C. After washing the wells with 100 PBS, the remaining binding sites are blocked with 100 ⁇ ⁇ of blocking buffer (PBS + 1% bovine serum albumin + 5% sucrose) and incubated for 4 h at r.t.
  • MAbl 1 ⁇ g/mL anti-human TNFa antibody solution
  • the wells are washed once with PBS with Tween 20 (PBST), followed by addition of samples and standards.
  • Samples containing TNFa are diluted 1/3 in dilution buffer and 40 ⁇ . is added for an overnight incubation at 4 °C.
  • the wells are then washed 3 times, twice with PBST and once with PBS, following addition of 35 ⁇ ⁇ of secondary biotinylated anti-TNF detection antibody (MAbl 1; BD Biosciences, 554511) in a 1/2000 diluted format at final concentration of 250 ng/mL. After 2 hours of incubation at r.t.
  • MAbl 1 secondary biotinylated anti-TNF detection antibody
  • the wells are incubated with 35 of a 1/4000 diluted horseradish peroxidase-conjugated streptavidin solution (Life Technologies, SNN2004), followed by a 45 min incubation step at r.t. in the dark.
  • the wells are then washed 3 times (2x PBST, lx PBS), followed by 5 min incubation with 50 of Chemiluminescence ELISA Substrate solution (Roche, 11582950001).
  • the converted substrate luminescent signal is measured in a PerkinElmer EnVision 2104 Multilabel Plate Reader.
  • Unstimulated samples (no trigger/vehicle (0.2% DMSO)) are used as positive control (100% inhibition).
  • negative control 0% inhibition
  • the stimulated samples (trigger/vehicle (0.2% DMSO)) are used.
  • the positive and negative controls are used to calculate Z' and percent inhibition (PIN) values, according to the following formula:
  • PIN values are plotted for compounds tested in concentration-response mode, and IC 50 values are derived using the GraphPad Prism ® software applying a non- linear regression (sigmoidal) curve fitting.
  • Human lymphoma cells from the OCI-Ly3, OCI-LylO, OCI-Ly7, and OCI-Lyl9 cell lines are cultured in IMDM (Gibco ® , 21980-032) supplemented with 10% fetal bovine serum (Invitrogen, S7524) or 20% human serum (Invitrogen, 34005100) at 37 °C in 5% C0 2 .
  • Lymphoma cells (2-7 ⁇ 10 3 ) are plated in 96 well plates, and treated with different doses of test compounds from 30 ⁇ (1/3 dilutions, 8 points). The treated cells are incubated for 7 days at 37 °C in 5% C0 2 . Staurosporin (10 ⁇ ) is used as positive control.
  • the aim of this assay is to evaluate the selectivity of compounds of the invention for the activated TLR / IRA -4 pathway in an in vitro human cellular assay setting.
  • SW1353 cells are from a chondrocyte cell line and are responsive to both the interleukin 1 (IL-1) and the TNFa cytokine triggers. Both cytokine triggers induce the expression of interleukin 6 (IL-6) and MMP13 by these cells. IL-6 and MMP13 releases are used as readouts in this assay and represent a measure for the level of inhibition of the TLR / IRAK-4 pathway by the tested compound.
  • the IL-1 trigger signals through an IRAK-4 dependent pathway, whereas TNFa does not require IRAK-4 for signaling. Therefore, compounds selectively inhibiting IRAK-4 only impact IL-1 driven expression of MMP13 or IL-6 by SW1353 cells and do not impact TNFa driven expression of these proteins.
  • SW1353 cells are cultured in DMEM supplemented with 10% FBS and 1% Penicillin/Streptomycin. Cells are incubated at 37°C in a humidified atmosphere of 5% CO 2 and subcultured twice a week. During subculturing, trypsin-EDTA is used to detach the cells, followed by a neutralization step with cell culture medium. After centrifugation (1,000 rpm during 5 min), the pellet is resuspended in cell culture medium and cells are counted using an automated cell counter (Invitrogen CountessTM).
  • Cells are used at passage 16 and plated at a density of 15,000 cells per well in 120 ⁇ L cell culture medium in 96-well culture plates. Cells are allowed to attach during overnight incubation.
  • SW1353 cells are pre-incubated with test compound by addition of 15 ⁇ L of 10X concentrated compound solution for 2 h at 37 °C and 5% C0 2 .
  • the compounds are tested at different concentrations and prepared by 3-fold serial dilutions from the 10 mM stock solution in DMSO followed by a 1/50 dilution step in cell culture medium. Final test concentrations in the assay start from 20 ⁇ , with subsequent 3-fold serial dilutions with equal final DMSO concentrations of 0.2%.
  • the SW1353 cells are triggered by addition of 15 ⁇ L ⁇ of 10X concentrated IL- ⁇ (Peprotech, 200-0 IB) or TNFa trigger (Peprotech, 300-01 A) to the wells with final assay volume of 150 per well and final trigger concentration of 1 ng/mL and 10 ng/mL, respectively. Negative controls are adjusted with equal DMSO concentrations without trigger.
  • the assay plates are then incubated in a humidified incubator at 37 °C and 5% CO 2 . Cell supernatants are harvested 24 h and 48 h later by transferring the cell medium into a V-bottom polypropylene 96-well plate and stored at -80°C until ELISA readout.
  • the levels of secreted IL-6 in the cell supernatants are quantified in an enzyme-linked immunosorbent assay (ELISA).
  • ELISA enzyme-linked immunosorbent assay
  • a white LumitracTM 384-well plate is coated overnight with 40 ⁇ ⁇ per well of a 1 ⁇ g/mL anti-human IL-6 mouse antibody (R&D Systems, MAB206) solution diluted in PBS at 4 °C. After washing the wells twice with 100 ⁇ ⁇ PBST and once with PBS, the remaining binding sites are blocked with 100 ⁇ ⁇ of blocking buffer (1% BSA and 5% sucrose in PBS) and incubated for 4 h at r.t.
  • blocking buffer 1% BSA and 5% sucrose in PBS
  • the wells are washed once with PBST followed by addition of either samples or recombinant human IL-6 (R&D Systems, 206-IL-050) as standard. Samples are diluted 1/20 in dilution buffer and 40 ⁇ ⁇ is added for an overnight incubation at 4 °C. The wells are then washed 3 times, twice with PBST and once with PBS, following addition of 35 of secondary biotinylated anti-IL-6 detection antibody (human IL-6 biotinylated goat polyclonal antibody (R&D Systems, BAF206)) at a final concentration of 50 ng/mL. After 2 h of incubation at r.t.
  • secondary biotinylated anti-IL-6 detection antibody human IL-6 biotinylated goat polyclonal antibody
  • the wells are incubated with 35 ⁇ , of a 1/2,000 diluted streptavidin-HRP solution (Invitrogen, SN 2004), followed by a 45 min incubation at r.t. in the dark.
  • the wells are then washed 3 times (twice with PBST and once with PBS), followed by 5 min incubation with a 50 ⁇ ⁇ of chemiluminescence ELISA substrate solution (Roche, 11 582 950 001).
  • Luminescence of the converted substrate is measured with a LuminoskanTM Ascent luminometer.
  • the levels of secreted MMP13 in the cell supernatants are quantified in an antibody capture activity assay.
  • black Nunc ® MaxiSorpTM 384-well plates are coated with 35 ⁇ ⁇ of a 1.5 ⁇ g/mL anti-human MMP13 antibody solution overnight at 4 °C.
  • the remaining binding sites are blocked with 100 ⁇ ⁇ 5% non-fat dried milk in PBS for 24 h at 4 °C.
  • the wells are washed twice with PBST followed by addition of samples and standards. Samples are 1/5 diluted in dilution buffer and 35 ⁇ ⁇ is added for 4 h at r.t.
  • MMP13 protein is fully activated by addition of 35 of a 1.5 mM APMA solution (Sigma- Aldrich, A9563) and incubated at 37 °C for 1 h.
  • the wells are then washed twice with PBST and 35 MMP13 substrate (OMNIMMP ® fluorogenic substrate (BIOMOL, P-126)) is added. After incubation for 1 h at 37 °C, fluorescence of the converted substrate is measured with a PerkinElmer En Vision ® (excitation wavelength: 320 nm, emission wavelength: 405 nm).
  • Unstimulated samples (no trigger/vehicle (0.2% DMSO)) are used as positive control (100% inhibition).
  • As a negative control (0% inhibition), the stimulated samples (trigger/vehicle (0.2% DMSO)) are used.
  • the positive and negative controls are used to calculate Z' and percent inhibition (PIN) values.
  • Percentage inhibition ((RUtrigger/veh - RUtest compound)/(RUtrigger/veh - RUno trigger/veh)* 100); with RU meaning relative chemiluminescent light units or relative fluorescence units for IL-6 and MMP13 ELISA, respectively. PIN values are plotted for test compounds tested in concentration-response and IC 50 values are derived using the GraphPad Prism ® software applying nonlinear regression (sigmoidal) curve fitting. Table IX. SW1353 cellular selectivity assay results of illustrative compounds of the invention
  • the assay plates are sealed and incubated for 1 h at 37 °C while shaking at 230 rpm.
  • the plates are then scanned under a white light microscope, yielding individual pictures (50x magnification) of the precipitate per concentration.
  • Each well is analyzed by image analysis software, and the highest concentration at which the compound appears completely dissolved is reported.
  • a 10 mM stock solution of compound in DMSO is diluted three- fold in DMSO. This pre-diluted compound solution is then diluted to 2 ⁇ in a 105 mM phosphate buffer (pH 7.4) in a 96 deep well plate (Nunc, 278752 ) and pre-warmed at 37 °C.
  • a glucose-6-phosphate-dehydrogenase (G6PDH, Roche, 10127671001) working stock solution of 700 U/mL is diluted with a factor 1 :700 in a 105 mM phosphate buffer, pH 7.4.
  • a co-factor mix containing 0.528 M MgCl 2 .6H 2 0 (Sigma, M2670), 0.528 M D-glucose-6-phosphate (Sigma, G7879) and 0.208 M NADP+ (Sigma, N0505) is diluted with a factor 1 : 8 in a 105 mM phosphate buffer, pH 7.4.
  • a working solution is made containing 1 mg/mL liver microsomes (Tebu-bio) of the species of interest (e.g., human, mouse, rat, dog), 1.2 U/mL G6PDH and co-factor mix (6.6 mM MgCl 2 , 6.6 mM glucose-6-phosphate, 2.6 mM NADP+). This mix is pre-incubated for 15 min, but never more than 20 min, at r.t.
  • the species of interest e.g., human, mouse, rat, dog
  • co-factor mix 6.6 mM MgCl 2 , 6.6 mM glucose-6-phosphate, 2.6 mM NADP+
  • the compound dilution and the mix containing the microsomes are added together in equal amount and incubated for 30 min at 300 rpm. For the 0 min time point, two volumes of MeCN are added to the compound dilution before the microsome mix is added. The final concentrations during incubation are: 1 ⁇ test compound or control compound, 0.2% DMSO, 0.5 mg/mL microsomes, 0.6 U/mL G6PDH, 3.3 mM MgCl 2 , 3.3 mM glucose-6-phosphate and 1.3 mM NaDP+.
  • microsomal stability are expressed as a percentage of the total amount of compound remaining after 30 min incubation.
  • the aim of this assay is to assess compound metabolism by aldehyde oxidase by determination of their in vitro metabolic stability in S9 subcellular fraction.
  • a 10 mM stock solution of compound in DMSO is first diluted in DMSO (40 fold) to obtain 250 ⁇ concentration. This compound solution is further diluted with water (5 fold) to obtain a 50 ⁇ compound working solution (to obtain compound final concentration of 1 ⁇ ). Hydralazine (selective inhibitor of aldehyde oxidase) is prepared in water at 5 mM (to obtain final concentration of 100 ⁇ ). Incubation mixtures are prepared by adding 10 ⁇ L of liver S9 suspension (human, rat, mouse, monkey, BD GentestTM, 20 mg/mL) to 86 ⁇ L ⁇ of 50 mM potassium phosphate buffer, pH 7.4 at 37 °C (final concentration of 2 mg protein/mL).
  • Test compounds can be classified as substrates of aldehyde oxidase if clearance by S9 is inhibited by hydralazine. Species specific clearance of test compound may also indicate metabolism by aldehyde oxidase.
  • a 10 mM stock solution of test compound in DMSO is first diluted in DMSO to 3 mM, and then in modified Krebs-Henseleit buffer (Sigma, K3753) to 5 ⁇ . This compound dilution is added to a suspension of pooled cryopreserved hepatocytes (BioreclamationlVT) at 37 °C under gentle shaking. Final reaction conditions are: 1 ⁇ of test compound, 0.03% DMSO, 0.5 million viable hepatocytes/mL, and 75 iL incubation volume. Testosterone (1 ⁇ ) and 7-hydroxycoumarin (1 ⁇ ) are used, respectively as phase I and phase II metabolic reaction controls.
  • the inhibitory potential of a test compound for human cytochrome P450 isoenzymes (CYP1A2, 2C9, 2C19, 2D6 and 3A4) is assessed using cDNA-expressed human cytochrome P450 isoenzymes and non-fluorescent substrates which are metabolized to fluorescent metabolites.
  • Fluorescence is read either immediately (for CEC, AMMC, BFC), or after 20 min (for CYP2C9 and CYP3A4 using DBF as substrate) on a PerkinElmer En Vision ® reader at the appropriate excitation and emission wavelength (cf. Table X).
  • the percentage inhibition of CYP by the test compound is then calculated by normalizing the data to blank samples: 100% inhibition is the blank sample stopped before addition of the enzyme/substrate mix, and 0% inhibition is the blank sample stopped after the enzymatic reaction has occurred (50 min).
  • AMMC aminoethyl-7-methoxy-4-methylcoumarin
  • CEC 3-cyano-7-ethoxycoumarin
  • MDCKII-MDRl cells are Madin-Darby canine kidney epithelial cells, overexpressing the human multi-drug resistance (MDRl) gene, coding for P-glycoprotein (P-gp). Cells are obtained from the Netherlands Cancer Institute and used after a 3-4 day culture in 24-well Millicell ® cell culture insert plates (Millipore, PSRP010R5). A bi-directional MDCKII-MDRl permeability assay is performed as described below.
  • Test and reference compounds are prepared in Dulbecco's phosphate buffer saline (D-PBS, pH 7.4; Sigma, D8662) and added to either the apical (400 ⁇ 3 ⁇ 4 or basolateral (800 ⁇ .) chambers of the Millicell cell culture plates assembly at a final concentration of 10 ⁇ (0.5 ⁇ in case of amprenavir) with a final DMSO concentration of 1%.
  • D-PBS + 1% DMSO is added to the opposite chamber of the Millicell cell culture plate.
  • Lucifer yellow (Sigma, L0259) is added to all donor buffer solutions, in order to assess integrity of the cell monolayers by monitoring Lucifer yellow permeation. Lucifer yellow is a fluorescent marker for the paracellular transport pathway and is used as internal control to verify tight junction integrity of every cell monolayer during the assay.
  • Lucifer yellow is measured with a Thermo Scientific Fluoroskan Ascent FL (excitation wavelength: 485nm, measurement wavelength: 530nm) in a 96 well plate containing 150 ⁇ ⁇ of liquid from all receiver wells (basolateral or apical side).
  • TLRs Toll-like receptors
  • PAMPs pathogen-associated molecular patterns
  • Human TLR7 and TLR8 recognize imidazoquinoline compounds (e.g., CL097) and single stranded RNAs as their natural ligands.
  • Activation of TLRs leads to the production of several cytokines (e.g., TNFa , IL-8, IL-6) by the TLR agonist-treated cells.
  • Cytokine release is used as readout in this assay and represents a measure for the level of inhibition of the TLR / IRAK-4 pathway by the tested compound. It should be noted that in the context of the complete organism, other sources for these cytokines exist that are not dependent on the TLR / IRAK-4 pathway, such as e.g., macrophages (upon activation of the Fey receptor (Yan et al., 2012)) or T cells (upon activation of the T cell receptor (Brehm et al., 2005)). 5.1.1. Experimental design
  • Blood is collected from healthy volunteers into lithium heparin tubes by venipuncture, then gently inverted several times to prevent clotting and incubated for at least 15 min at 37 °C on a rocking mixer shaker. Then, 200 iL of blood is dispensed into 2 mL-microtubes and pre-incubated in duplicate with DMSO 0.3% or test compound at different concentrations (from 10 to 0.01 ⁇ , 3 fold dilutions in RPMI 1640 without glutamine (Life Technologies, 31870)) for 15 min at 37 °C.
  • a standard curve is created by plotting the mean absorbance on the y-axis against the concentration on the x-axis and a best fit curve is drawn through the points on the graph.
  • the TNFa concentration is calculated, taking into account the dilution factor using the formula:
  • TNFa concentration sam i e i 40*(OD samplel - b)/a
  • PIN samplel mean TNFa with CL097 - mean TNFa with vehicle x 100
  • 'mean TNFa with CL097' is the mean TNFa concentration of replicate samples triggered with CL097
  • 'TNFa samplel ' is the TNFa concentration of sample l
  • 'mean TNFa with vehicle' is the mean TNFa concentration of replicate samples treated with vehicle.
  • Curve fittings are generated using mean PFN ⁇ SEM. Graphs and IC 5 o calculations are derived using the GraphPad Prism ® software.
  • TLRs Toll-like receptors
  • PAMPs pathogen-associated molecular patterns
  • human TLR7 and TLR8 both recognize imidazoquinoline compounds (e.g., CL097) and single stranded RNAs as their natural ligands
  • rodent TLR8 needs additional factors such as oligodeoxynucleotides ⁇ e.g., poly(dT)) for activation.
  • Blood obtained by exsanguination, is collected from at least 2 rats into lithium heparinate tubes and then pre- incubated for at least 15 min at 37 °C on a rocking mixer shaker. Blood from all rats is mixed into a 50 mL polypropylene tube to get a unique blood batch. Then, 200 ⁇ L of blood is dispensed into 2 mL-microtubes and incubated in duplicate with DMSO 0.3% or test compound at different concentrations (from 10 to 0.01 ⁇ , 3 fold dilutions in RPMI 1640 without glutamine (Life Technologies, 31870)) for 15 min at 37 °C.
  • TNFa is performed on plasma (1 :3 diluted) using the rat TNF-alpha Quantikine ELISA kit (R&D Systems, SRTA00), according to manufacturer's instructions.
  • the optical density (OD) is determined at 450 nm on a PerkinElmer En Vision 2102 Multilabel plate reader.
  • a standard curve is created by plotting the mean absorbance on the y-axis against the concentration on the x-axis and a best fit curve is drawn through the points on the graph.
  • TNFa concentration sa mpiei 40*(OD samplel - b)/a
  • 'mean TNFa with CL097' is the mean TNFa concentration of replicate samples triggered with CL097 + poly(dT);
  • 'TNFa samplel ' is the TNFa concentration of sample l;
  • 'mean TNFa with vehicle' is the mean TNFa concentration of replicate samples treated with vehicle.
  • Curve fittings are generated using mean PIN ⁇ SEM. Graphs and IC 50 calculations are derived using the GraphPad Prism ® software.
  • Aldara ® 5% imiquimod cream is obtained from MED A.
  • Anti-mouse IL-12/IL-23 p40 FG purified antibody (C17.8) is obtained from Affymetrix eBioscience (cat no. 16-7123-85).
  • Balb/cJ mice female, 18-20 g body weight
  • Mice are kept on a 12 h light/dark cycle (07:00 - 19:00).
  • Temperature is maintained at 22 ⁇ 2 °C, food and water are provided ad libitum.
  • mice On the first day, the mice are shaved around the two ears under light anaesthesia with isoflurane.
  • mice are dosed with test compound, 10 or 30 mg/kg, p.o., b.i.d. in methyl cellulose 0.5%, before application of imiquimod (on day 5, the mice are dosed only once, 2 h before euthanasia).
  • the animals receive two intraperitoneal injections of anti-mouse IL-12/IL-23 p40 antibody, 10 mg/kg, on day 1 and 3 days before day 1.
  • the thickness of both ears is measured daily with a thickness gage (Mitutoyo, Absolute Digimatic, 547-321). Body weight is assessed at initiation of the experiment and at sacrifice. At day 5, 2 h after the last dosing, the mice are sacrificed. The pinnae of the ear are cut, excluding cartilage. The pinnae are weighed and then immersed in a vial containing 1 niL of RNA/afer ® solution to assess gene expression or in formalin for histology.
  • mice There are 14 mice per group. The results are expressed as mean ⁇ SEM and statistical analysis is performed using one-way ANOVA followed by Dunnett's post-hoc test versus imiquimod- ehicle group.
  • ears are collected and fixed in 3.7% formaldehyde before embedding in paraffin. 2 ⁇ thick sections are cut and stained with haematoxylin and eosin. Ear epidermis thickness is measured by image analysis (SisNcom software) with 6 images per ear captured at 20x magnification. Data are expressed as mean ⁇ SEM and statistical analysis is performed using one-way ANOVA followed by Dunnett's post-hoc test versus imiquimod-vehicle group.
  • Ears are removed from the KNAlater ® solution and put in Trizol® after disruption with 1.4 mm ceramic beads in a Precellys device. Total RNA is then purified using NucleoSpin® RNA kit. cDNA is prepared and quantitative PCR is performed with gene-specific primers from Qiagen using SYBR Green technology in a ViiA7 real-time PCR system (Applied Biosystems). Expression levels of each gene (IL17A, ILIB, IL22, LCN2, S100A8 and S 100A9) are calculated relative to the cyclophilin A housekeeping gene expression level.
  • Mouse recombinant IL-23, carrier free (14-8231 , CF) is provided by e-Bioscience.
  • Balb/c mice female, 18-20g body weight
  • Mice are kept on a 12 h light/dark cycle (07:00 - 19:00). Temperature is maintained at 22 °C, food and water are provided ad libitum.
  • mice receive a daily intradermal dose of mouse recombinant IL-23 (1 ⁇ g/20 iL in PBS/0.1% BSA) in the right pinna ear and 20 of PBS/0.1% BSA in the left pinna ear under anesthesia induced by inhalation of isoflurane.
  • mice are dosed with test-compound (10, 30, or lOO mg/kg, p.o., q.d. in methylcellulose 0.5%) or with vehicle, 1 h prior IL-23 injection.
  • the thickness of both ears is measured daily with an automatic caliper. Body weight is assessed at initiation and at sacrifice. On fifth day, 2 h after the last dosing, the mice are sacrificed. The pinnae of the ear are cut, excluding cartilage. The pinnae are weighed and then, placed in a vial containing 1 niL of KNAlater® solution or in formaldehyde.
  • blood samples are also collected from the retro-orbital sinus for PK profiling just before dosing (TO) and 1 h, 3 h, 6 h post-dosing.
  • mice There are 8 mice per group. The results are expressed as mean ⁇ SEM and statistical analysis is performed using one-way ANOVA followed by Dunnett's post-hoc test versus IL-23 vehicle groups.
  • ears are collected and fixed in 3.7% formaldehyde before embedding in paraffin. 2 ⁇ thick sections are done and stained with hematoxylin and eosin. Ear epidermis thickness is measured by image analysis (Sis'Ncom software) with 6 images per ear captured at magnification x20. Data are expressed as mean ⁇ SEM and statistical analysis is performed using one-way ANOVA followed by Dunnett's post- hoc test versus IL-23 vehicle groups.
  • Half ears are removed from RNA/afer ® solution and put in Trizol ® after disruption with 1.4 mm ceramic beads in a Precellys device. Total RNA is then purified using NucleoSpin ® RNA kit. cDNA is prepared and quantitative PCR is performed with gene-specific primers from Qiagen using SYBR Green technology in a ViiA7 real-time PCR system (Applied Biosystems). Expression levels of each gene (IL17A, ILIB, IL22, LCN2, S100A8 and S100A9) are calculated relative to the cyclophilin A housekeeping gene expression level.
  • PK/PD model TNFa release induced by CL097, a specific TLR7/8 agonist
  • the aim of this assay is to determine the relationship between the inhibition of an IRAK-4 dependent event in vivo upon administration of a compound of the invention and the circulating concentration levels of this compound.
  • CL097 (cat no. tlrl-c97) and poly(dT) (cat no. tlrl-ptl7) are obtained from InvivoGen.
  • AlphaLISA ® mouse TNFa kits are obtained from Perkin-Elmer (cat no. AL505C).
  • DBAI1J mice male, 18-20 g body weight
  • Mice are kept on a 12 h light/dark cycle (07:00 - 19:00).
  • Temperature is maintained at 22 ⁇ 2 °C, food and water are provided ad libitum.
  • mice receive an oral dose of test-compound.
  • Plasma concentrations of each test compound are determined by an LC-MS/MS method.
  • Each blood sample is stimulated with CL097 and poly(dT) for 2 h at 37 °C. Then, plasma is collected and analyzed for TNFa by AlphaLISA according to the manufacturer's instructions.
  • Methylcellulose 0.5% is obtained from VWR (cat no. AX021233).
  • MC903 (calcipotriol) is obtained from Tocris Bioscience (cat no. 2700/50).
  • ProSense ® 680 is obtained from PerkinElmer (cat no. NEV10003).
  • RNA/afer ® is obtained from Ambion (cat no. AM7021).
  • Imalgene ® 1000 (Merial) and Rompun ® 2% (Bayer) are obtained from Centravet (cat no. IMA004-6827812 and ROM001-6835444).
  • BALB/cN mice female, 18-20 g body weight
  • CDl/Swiss mice female, 24-26 g body weight
  • Mice are kept on a 12 h light/dark cycle (07:00 - 19:00). Temperature is maintained at 22 ⁇ 2 °C, food and water are provided ad libitum.
  • mice On the first day (Dl), the mice are anesthetized with an intraperitoneal injection of Imalgene and Rompun (7.5% / 2.5%; 0.1 niL/10 g) and shaved around the two ears.
  • mice are dosed with test compound (15 or 30 mg/kg, p.o., b.i.d. in methylcellulose 0.5%) or dexamethasone (5 mg/kg, .o., q.d. in methylcellulose 0.5%), or with vehicle.
  • Plasma concentrations of each test compound are determined by an LC-MS/MS method in which the mass spectrometer is operated in positive or negative electrospray mode.
  • Pharmacokinetic parameters are calculated using Phoenix ® WinNonlin ® (Pharsight ® , United States).
  • mice from all groups receive ProSense ® 680 probe (0.8 nmol/10 g, IP).
  • the mice are anesthetized with an intraperitoneal injection of Imalgene and Rompun (7.5% / 2.5%; 0.1 mL/10 g).
  • Granulocyte infiltration is measured using in vivo molecular imaging (Bruker In- Vivo Xtreme imaging system, excitation wavelength: 630 nm, emission wavelength: 700 nm, acquisition time: 5 seconds).
  • mice are sacrificed and total blood is collected on EDTA-coated tubes and plasma is frozen for further measurements (including circulating compound). A sample of blood is also collected in heparin-coated tubes.
  • mice There are 8 mice per group. The results are expressed as mean ⁇ SEM and statistical analysis is performed using one-way ANOVA followed by Dunnett's post-hoc test versus MC903 vehicle groups for ear thickness and weight, versus EtOH vehicle group for body weight.
  • Ears are removed from RNA/a/er ® solution and placed in Trizol ® after disruption with 1.4 mm ceramic beads in a Bertin Instruments Precellys ® homogenizer. Total RNA is then extracted using a phenol/chloroform protocol and purified with a QIAcube using an RNeasy ® 96 QIAcube ® HT Kit (Qiagen, cat no. 74171). cDNA is prepared and quantitative PCR performed with gene-specific primers from Qiagen using SYBR Green technology in a ViiA 7 real-time PCR system (Applied Biosystems).
  • Methylcellulose 0.5% is obtained from VWR (cat no. AX021233).
  • MC903 (calcipotriol) is obtained from Tocris Bioscience (cat no. 2700/50).
  • ProSense ® 680 is obtained from PerkinElmer (cat no. NEV10003).
  • KNAlater ® is obtained from Ambion (cat no. AM7021).
  • Imalgene ® 1000 (Merial) and Rompun ® 2% (Bayer) are obtained from Centravet (cat no. IMA004-6827812 and ROM001-6835444).
  • BALB/cN mice female, 18-20 g body weight
  • CDl/Swiss mice female, 24-26 g body weight
  • Mice are kept on a 12 h light/dark cycle (07:00 - 19:00). Temperature is maintained at 22 ⁇ 2 °C, food and water are provided ad libitum.
  • mice On the first day (Dl), the mice are anesthetized with an intraperitoneal injection of Imalgene and Rompun (7.5% / 2.5%; 0.1 mL/10 g) and shaved around the two ears.
  • mice are dosed with test compound (15 or 30 mg/kg, >.o., b.i.d. in methylcellulose 0.5%) or dexamethasone (5 mg/kg,p.o., q.d. in methylcellulose 0.5%), or with vehicle, until D10, D12, or D16.
  • test compound 15 or 30 mg/kg, >.o., b.i.d. in methylcellulose 0.5%) or dexamethasone (5 mg/kg,p.o., q.d. in methylcellulose 0.5%), or with vehicle, until D10, D12, or D16.
  • Plasma concentrations of each test compound are determined by an LC-MS/MS method in which the mass spectrometer is operated in positive or negative electrospray mode.
  • Pharmacokinetic parameters are calculated using Phoenix ® WinNonlin ® (Pharsight ® , United States).
  • Body weight is assessed at initiation of the study, three times a week and at sacrifice.
  • mice from all groups receive ProSense ® 680 probe (0.8 nmol/10 g, IP).
  • ProSense ® 680 probe 0.8 nmol/10 g, IP.
  • the mice are anesthetized with an intraperitoneal injection of Imalgene and Rompun (7.5% / 2.5%; 0.1 mL/lO ).
  • Granulocyte infiltration is then measured using in vivo molecular imaging (Bruker In- Vivo Xtreme imaging system, excitation wavelength: 630 nm, emission wavelength: 700 nm, acquisition time: 5 seconds).
  • mice are sacrificed; total blood is collected on EDTA-coated tubes and plasma is frozen for further measurements (including circulating compound).
  • mice There are 8 mice per group. The results are expressed as mean ⁇ SEM and statistical analysis is performed using one-way ANOVA followed by Dunnett's post-hoc test versus MC903 vehicle groups for ear thickness and weight, versus EtOH vehicle group for body weight.
  • RNA/ater ® solution Ears are removed from RNA/ater ® solution and placed in Trizol ® after disruption with 1.4 mm ceramic beads in a Bertin Instruments Precellys ® homogenizer.
  • Total RNA is then extracted using a phenol/chloroform protocol and purified with a QIAcube using an RNeasy ® 96 QIAcube ® HT Kit (Qiagen, cat no. 74171).
  • cDNA is prepared and quantitative PCR performed with gene-specific primers from Qiagen using SYBR Green technology in a ViiA 7 real-time PCR system (Applied Biosystems).
  • Aldara ® 5% imiquimod cream is obtained from MEDA.
  • Mouse anti-double-stranded DNA antibodies ELISA kits are obtained from Alpha Diagnostic International (cat no. 5120).
  • Mouse urinary albumin ELISA kits are obtained from Abeam (cat no. abl08792).
  • Urine creatinine assay kits are obtained from Abnova (cat no. KA4344).
  • BALB/cJ mice female, 18-20 g body weight
  • Mice are kept on a 12 h light/dark cycle (07:00 - 19:00). Temperature is maintained at 22 ⁇ 2 °C, food and water are provided ad libitum.
  • mice receive an epicutaneous application of 1.25 mg of imiquimod 3 times per week on the right pinna ear for 12 consecutive weeks (Dl to D86).
  • the control group receives the same quantity of vaseline.
  • mice are dosed with test compound (30 mg/kg, p.o., q.d. in methylcellulose 0.5%) or with vehicle (10 mL/kg).
  • the thickness of the ears is measured once a week with an automatic gage (Mitutoyo, Absolute Digimatic, 547-321).
  • Body weight is assessed at initiation and once a week until sacrifice. At necropsy, the spleen weight is also measured. The mice are sacrificed 2 h after the last dosing.
  • mice are individually placed in a metabolic cage to perform urinalysis and assess proteinuria (albumin to creatinine ratio).
  • Serums are collected at different time points (e.g., on D28, D56 and D86) to assess anti-double stranded-DNA IgG levels.
  • blood samples are also collected from the retro-orbital sinus for PK profiling just before dosing (TO) and 1 h, 3 h, 6 h post-dosing.
  • mice There are 8-19 mice per group. The results are expressed as mean ⁇ SEM and statistical analysis is performed using one-way ANOVA followed by Dunnett's post-hoc test versus imiquimod vehicle groups.
  • Plasma concentrations of each test compound are determined by an LC-MS/MS method in which the mass spectrometer is operated in positive or negative electrospray mode.
  • Pharmacokinetic parameters are calculated using Phoenix ® WinNonlin ® (Pharsight ® , United States).
  • kidneys are collected and cut longitudinally into 2 parts. One part is fixed in 3.7% formaldehyde before embedding in paraffin. 4 ⁇ thick sections are made and stained with Period acid-Schiff (PAS) or immunostained with CD3 (T cells), CD20 (B cells) and F4/80 (macrophages).
  • PAS Period acid-Schiff
  • CD3 T cells
  • CD20 B cells
  • F4/80 macrophages
  • immunohistochemical analysis is performed using image analysis (CaloPix software, TRIBVN Healthcare) on the whole tissue section at a magnification of x20. Data are expressed as mean ⁇ SEM and statistical analysis is performed using one-way ANOVA followed by Dunnett's post- hoc test versus imiquimod vehicle group.
  • RNA is then purified with a QIAcube using an RNeasy ® 96 QIAcube ® HT Kit (Qiagen, cat no. 74171).
  • RNA is extracted using a phenol/chloroform process and then purified with a QIAcube using an RNeasy ® 96 QIAcube ® HT Kit (Qiagen, cat no. 74171).
  • cDNA is prepared and quantitative PCR performed with gene-specific primers from Qiagen using SYBR Green technology in a ViiA 7 real-time PCR system (Applied Biosystems).
  • Mouse IL-23 enhanced episomal expression vector (EEV) is obtained from System Biosciences (cat no. EEV651A-1). Ringers solution tablets are obtained from Sigma- Aldrich (cat no. 96724-100TAB). Mouse IL-23 Quantikine ELISA Kits are obtained from R&D Systems (cat no. M2300). ProSense ® 680 and OsteoSense ® 750EX are obtained from PerkinElmer (cat no. NEV10003 and NEV10053EX). RNA/ater ® is obtained from Ambion (cat no. AM7021). Imalgene ® 1000 (Merial) and Rompun ® 2% (Bayer) are obtained from Centravet (cat no. IMA004-6827812 and ROM001-6835444). 6.7.2. Animals
  • mice Male, 8-week old are obtained from Charles River (France). Mice are kept on a 12 h light/dark cycle (07:00 - 19:00). Temperature is maintained at 22 ⁇ 2 °C, food and water are provided ad libitum.
  • mice are scored for clinical symptoms until the end of the experiment.
  • mice from all groups receive ProSense ® 680 probe (0.8 nmol/10 g, IP).
  • the mice are anesthetized with an intraperitoneal injection of Imalgene and Rompun (7.5% / 2.5%; 0.1 niL/10 g).
  • Granulocyte infiltration is then measured using in vivo molecular imaging (Bruker In- Vivo Xtreme imaging system, excitation wavelength: 630 nm, emission wavelength: 700 nm, acquisition time: 5 seconds).
  • mice are dosed with test compound (30 mg/kg, p.o., b.i.d. in methylcellulose 0.5%) or with vehicle.
  • mice from all groups are sacrificed 2 h after last administration of compound. The following is collected:
  • Total blood is collected in a serum blood tube and mixed by gentle inversion 8-10 times. After clotting, blood samples are centrifuged lO min at 1800 x g. After centrifugation, serum is stored at - 80 °C.
  • mice from all groups receive ProSense ® 680 probe (0.8 nmol/10 g, IP).
  • the mice are anesthetized with an intraperitoneal injection of Imalgene and Rompun (7.5% / 2.5%; 0.1 mL/lO g).
  • Granulocyte infiltration is then measured using in vivo molecular imaging (Bruker In- Vivo Xtreme imaging system, excitation wavelength: 630 nm, emission wavelength: 700 nm, acquisition time: 5 seconds).
  • mice from all groups receive ProSense ® 680 probe (0.8 nmol/10 g, IP) and OsteoSense ® 750EX probe (0.8 nmol/10 g, IP).
  • ProSense ® 680 probe 0.8 nmol/10 g, IP
  • OsteoSense ® 750EX probe 0.8 nmol/10 g, IP
  • mice are anesthetized with an intraperitoneal injection of Imalgene and Rompun (7.5% / 2.5%; 0.1 mL/10 g).
  • Granulocyte infiltration and bone remodelling are measured using in vivo molecular imaging (Bruker In- Vivo Xtreme imaging system; excitation wavelength: 630 nm, emission wavelength: 700 nm, acquisition time: 5 seconds for ProSense ® 680 probe; excitation wavelength: 720 nm, emission wavelength: 790 nm, acquisition time: 5 seconds for OsteoSense ® 750EX probe).
  • mice There are 10 mice per group. The results are expressed as mean ⁇ SEM and statistical analysis is performed using one-way ANOVA followed by Dunnett's post-hoc test versus diseased vehicle group for scoring and imaging analysis, versus sham vehicle group for body weight.
  • CFA Completed Freund's adjuvant
  • IF A incomplete Freund's adjuvant
  • Bovine collagen type II CII
  • LPS lipopolysaccharide
  • Enbrel was obtained from Chondrex (Isle d'Abeau, France); Sigma (P4252, L'Isle d'Abeau, France), Whyett (25mg injectable syringe, France) Acros Organics (Palo Alto, CA), respectively. All other reagents used were of reagent grade and all solvents were of analytical grade.
  • CII solution (2 mg/mL) was prepared with 0.05 M acetic acid and stored at 4°C.
  • equal volumes of adjuvant (IF A) and CII were mixed by a homogenizer in a pre-cooled glass bottle in an ice water bath. Extra adjuvant and prolonged homogenization may be required if an emulsion is not formed.
  • 0.2 mL of the emulsion was injected intradermally at the base of the tail of each rat on day 1, a second booster intradermal injection (CII solution at 2 mg/mL in CFA 0.1 mL saline) was performed on day 9.
  • This immunization method was modified from published methods (Sims et al, 2004; Jou et al., 2005).
  • Rats were randomly divided into equal groups and each group contained 10 rats. All rats were immunized on day 1 and boosted on day 9. Therapeutic dosing lasted from day 16 to day 30.
  • the negative control group was treated with vehicle (MC 0.5%) and the positive control group with Enbrel (10 mg/kg, 3x week., s.c).
  • Enbrel 10 mg/kg, 3x week., s.c.
  • a compound of interest was typically tested at 4 doses, e.g. 1, 3, 10, 30 mg/kg, bid
  • Arthritis is scored according to the method of Khachigian 2006, Lin et al 2007 and Nishida et al. 2004).
  • the swelling of each of the four paws is ranked with the arthritic score as follows: 0-no symptoms; 1-mild, but definite redness and swelling of one type of joint such as the ankle or wrist, or apparent redness and swelling limited to individual digits, regardless of the number of affected digits; 2- moderate redness and swelling of two or more types of joints; 3-severe redness and swelling of the entire paw including digits; 4-maximally inflamed limb with involvement of multiple joints (maximum cumulative clinical arthritis score 16 per animal) (Nishida et al, 2004).
  • AUC of clinical score (AUC score): The area under the curve (AUC) from day 1 to day 14 was calculated for each individual rat. The AUC of each animal was divided by the average AUC obtained for the vehicle in the study from which the data on that animal was obtained and multiplied by 100 (i.e. the AUC was expressed as a percentage of the average vehicle AUC per study).
  • Clinical score increase from day 1 to day 14 (End point score): The clinical score difference for each animal was divided by the average clinical score difference obtained for the vehicle in the study from which the data on that animal was obtained and multiplied by 100 (i.e. the difference was expressed as a percentage of the average clinical score difference for the vehicle per study).
  • mice Body Weigh t(week5)
  • X-ray photos were taken of the hind paws of each individual animal. A random blind identity number was assigned to each of the photos, and the severity of bone erosion was ranked by two independent scorers with the radiological Larsen's score system as follows: 0- normal with intact bony outlines and normal joint space; 1- slight abnormality with any one or two of the exterior metatarsal bones showing slight bone erosion; 2-definite early abnormality with any three to five of the exterior metatarsal bones showing bone erosion; 3 -medium destructive abnormality with all the exterior metatarsal bones as well as any one or two of the interior metatarsal bones showing definite bone erosions; 4-severe destructive abnormality with all the metatarsal bones showing definite bone erosion and at least one of the inner metatarsal joints completely eroded leaving some bony joint outlines partly preserved; 5-mutilating abnormality without bony outlines.
  • This scoring system is a modification from Salvemini et al., 2001 ; Bush et al., 2002; Sims et al.,
  • mice were fixed in 10% phosphate-buffered formalin (pH 7.4), decalcified with rapid bone decalcifying for fine histology (Laboratories Eurobio) and embedded in paraffin.
  • pH 7.4 10% phosphate-buffered formalin
  • L&E hematoxylin and eosin
  • Histologic examinations for synovial inflammation and bone and cartilage damage were performed double blind.
  • four parameters were assessed using a four-point scale. The parameters were cell infiltration, pannus severity, cartilage erosion and bone erosion. Scoring was performed according as follows: 1 -normal, 2-mild, 3 -moderate, 4-marked. These four scores are summed together and represented as an additional score, namely the 'RA total score'.
  • Bone degradation observed in RA occurs especially at the cortical bone and can be revealed by ]i T analysis (Sims NA et al., Arthritis Rheum. 50 (2004) 2338-2346: Targeting osteoclasts with zoledronic acid prevents bone destruction in collagen-induced arthritis; Oste L et al., ECTC Montreal 2007: A high throughput method of measuring bone architectural disturbance in a murine CIA model by micro-CT morphometry). After scanning and 3D volume reconstruction of the calcaneus bone, bone degradation is measured as the number of discrete objects present per slide, isolated in silico perpendicular to the longitudinal axis of the bone. The more the bone is degraded, the more discrete objects are measured. 1000 slices, evenly distributed along the calcaneus (spaced by about 10.8 ⁇ ), are analyzed.
  • blood samples were collected at the retro-orbital sinus with lithium heparin as anti-coagulant at the following time points: predose, 1, 3 and 6 hrs.
  • Whole blood samples were centrifuged and the resulting plasma samples were stored at -20°C pending analysis.
  • Plasma concentrations of each test compound were determined by an LC-MS/MS method in which the mass spectrometer was operated in positive electrospray mode. Pharmacokinetic parameters were calculated using Winnonlin® (Pharsight®, United States) and it was assumed that the predose plasma levels were equal to the 24 hrs plasma levels.
  • Fabian M.A., Biggs, W.H.,kulturer, D.K., Atteridge, C.E., Azimioara, M.D., Benedetti, M.G., Carter, T.A., Ciceri, P., Edeen, P.T., Floyd, M., Ford, J.M., Galvin, M., Gerlach, J.L., Grotzfeld, R.M., Herrgard, S., Insko, D.E., Insko, M.A., Lai, A.G., Lelias, J.-M., Mehta, S.A., Milanov, Z.V., Velasco, A.M., Wodicka, L.M., Patel, H.K., Zarrinkar, P.P., Lockhart, D.J., 2005. A small molecule-kinase interaction map for clinical kinase inhibitors. Nat. Biotechnol. 23, 329-336. doi:
  • IL-33 promotes ST2- dependent lung fibrosis by the induction of alternatively activated macrophages and innate lymphoid cells in mice. J. Allergy Clin. Immunol. 134, 1422-1432. el 1. doi:10.1016/j.jaci.2014.05.011
  • Topical vitamin D3 and low- calcemic analogs induce thymic stromal lymphopoietin in mouse keratinocytes and trigger an atopic dermatitis.
  • IRAK-4 A novel member of the IRAK family with the properties of an IRAK-kinase. Proc. Natl. Acad. Sci. U. S. A. 99, 5567-5572. doi:10.1073/pnas.082100399
  • Interleukin (IL)-33 New Therapeutic Target for Atopic Diseases. J. Pharmacol. Sci. 126, 85-91. doi: 10.1254/jphs.l4R12CP
  • CD3+CD4-CD8- entheseal resident T cells Nat. Med. 18, 1069-1076. doi:10.1038/nm.2817 Staschke, K.A., Dong, S., Saha, J., Zhao, J., Brooks, N.A., Hepburn, D.L., Xia, J., Gulen, M.F., Kang, Z.,

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Abstract

La présente invention concerne des compositions comprenant des composés selon la formule I, dans laquelle R1, R2 et Cy sont tels que définis dans la description, et un second composé présentant une activité d'inhibition de JAK. La présente invention concerne des compositions, leurs procédés de production, des compositions pharmaceutiques les comprenant et des méthodes de traitement les utilisant, pour la prophylaxie et/ou le traitement de maladies inflammatoires, de maladies auto-immunes, de maladies prolifératives, de maladies allergiques, d'un rejet de greffe, de maladies impliquant une insuffisance du renouvellement du cartilage, de malformations congénitales du cartilage et/ou de maladies associées à une hypersécrétion d'IL6 ou d'interférons grâce à l'administration du composé de l'invention.
PCT/EP2018/053803 2017-02-17 2018-02-15 Compositions anti-inflammatoires comprenant des inhibiteurs d'irak et de jak Ceased WO2018149925A1 (fr)

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SG11201907492TA SG11201907492TA (en) 2017-02-17 2018-02-15 Novel compositions and pharmaceutical compositions thereof for the treatment of inflammatory disorders
CA3054652A CA3054652A1 (fr) 2017-02-17 2018-02-15 Compositions anti-inflammatoires comprenant des inhibiteurs d'irak et de jak
JP2019544638A JP2020507612A (ja) 2017-02-17 2018-02-15 Irak阻害剤及びjak阻害剤を含む抗炎症組成物
CN201880012183.5A CN110300586A (zh) 2017-02-17 2018-02-15 包含irak和jak抑制剂的抗炎组合物
KR1020197027092A KR20190117672A (ko) 2017-02-17 2018-02-15 Irak 및 jak 억제제를 포함하는 항염 조성물
BR112019016949-0A BR112019016949A2 (pt) 2017-02-17 2018-02-15 Composições anti-inflamatórias que compreendem inibidores de irak e jak
EP18707866.2A EP3582775A1 (fr) 2017-02-17 2018-02-15 Compositions anti-inflammatoires comprenant des inhibiteurs d'irak et de jak
AU2018221761A AU2018221761A1 (en) 2017-02-17 2018-02-15 Anti-inflammatory compositions comprising IRAK and JAK inhibitors
MX2019009658A MX2019009658A (es) 2017-02-17 2018-02-15 Composiciones antiinflamatorias que comprenden inhibidores de cinasas asociadas a receptor de interleucina 1 (irak) y cinasas janus (jak).
PH12019501853A PH12019501853A1 (en) 2017-02-17 2019-08-08 Novel compositions and pharmaceutical compositions thereof for the treatment of inflammatory disorders

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CN113713083A (zh) * 2020-05-25 2021-11-30 南京帝昌医药科技有限公司 一种用于治疗脱发的药物组合
KR20230038740A (ko) * 2020-08-07 2023-03-21 파마블럭 사이언시스 (난징), 인코포레이티드 Cdk9 억제제 및 이의 용도

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WO2019111218A1 (fr) 2017-12-08 2019-06-13 Cadila Healthcare Limited Nouveaux composés hétérocycliques utilisés en tant qu'inhibiteurs d'irak4

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