WO2025026252A1

WO2025026252A1 - Nlrp3 inflammasome inhibitors

Info

Publication number: WO2025026252A1
Application number: PCT/CN2024/108045
Authority: WO
Inventors: Congxin Liang; Shuangjiang Li
Original assignee: Hangzhou Highlightll Pharmaceutical Co Ltd
Current assignee: Hangzhou Highlightll Pharmaceutical Co Ltd
Priority date: 2023-08-02
Filing date: 2024-07-29
Publication date: 2025-02-06
Anticipated expiration: 2026-02-02

Abstract

The present invention provides compounds of Formula (I), wherein all of the variables are as defined herein, which inhibit NOD-like receptor protein 3 (NLRP3) inflammasome activity. The invention further relates to the processes for their preparation, pharmaceutical compositions and medicaments containing them, and their use in the treatment of disease and disorders mediated by NLRP3.

Description

NLRP3 INFLAMMASOME INHIBITORS

FIELD OF THE INVENTION

This disclosure features chemical entities (e.g., a compound or a pharmaceutically acceptable salt, and/or hydrate, and/or cocrystal, and/or drug combination of the compound) that are useful as inhibitors of NOD-like receptor protein 3 (NLRP3) inflammasome pathway. The present invention also relates to processes for the preparation of said compounds, pharmaceutical compositions comprising said compounds, methods of using said compounds in the treatment of various diseases and disorders, and medicaments containing them, and their use in diseases and disorders mediated by NLRP3.

BACKGROUND OF THE INVENTION

The NOD-like receptor protein 3 (NLRP3) is a protein-coding gene: the protein belongs to the family of nucleotide-binding and oligomerization domain-like receptors (NLRs) and is also known as “pyrin domain-containing protein 3” (Inoue et al., Immunology, 2013, 139, 11-18) . This gene encodes a protein containing a pyrin domain, a nucleotide-binding site domain (NBD) , and a leucine-rich repeat (LRR) motif. In response to sterile inflammatory danger signals, NLRP3 interacts with an adapter protein, apoptosis-associated speck-like protein (ASC) and procaspase-l to form the NLRP3 inflammasome. NLRP3 inflammasome activation then leads to the release of the inflammatory cytokines IL-lβ (interleukin-lβ) and IL-18 (interleukin-18) , and when dysregulated, can drive pathology in a number of disease settings.

NLRP3 inflammasome activation normally requires two steps. The first step involves a priming signal in which pathogen activated molecular patterns (PAMPs) or danger-activated molecular patterns (DAMPs) are recognized by Toll-like receptors, leading to activation of nuclear factor kappa B (NF-κB) -mediated signaling, which in turn up-regulates transcription of inflammasome-related components, including inactive NLRP3 and pro-IL-lβ (pro-interleukin-1β) (Bauernfeind et al., J. Immunol. 2009, 183, 787 -791; Franchi et al., Nat. Immunol. 2012, 13, 325 -332, Franchi et al., J. Immunol. 2014, 193, 4214 -4222) . The second step is the oligomerization of NLRP3 and subsequent assembly of NLRP3, ASC, and procaspase-l into an inflammasome complex. This triggers the transformation of procaspase-l to caspase-l, and the production and secretion of mature IL-lβ and IL-18 (Kim et al., J. Inflamm. 2015, 12, 41; Ozaki et al., J. Inflamm. Res. 2015, 8, 15 -27; Rabeony et al., Eur. J. Immunol. 2015, 45, 2847 -2857) .

NLRP3 inflammasome activation has been linked to various inflammasome-related diseases/disorders, immune diseases, inflammatory diseases, auto-immune diseases and auto-inflammatory diseases, for example, autoinflammatory fever syndrome such as cryopyrin associated periodic syndrome (CAPS) (Mortimer et al., Nature Immunol. 2016, 17 (10) , 1176-1188) ; sickle cell disease; systemic lupus erythematosus (SLE) ; liver related diseases /disorders such as chronic liver disease, viral hepatitis, non-alcoholic steatohepatitis (NASH) , alcoholic steatohepatitis, and alcoholic liver disease (Petrasek et al., J. Clin. Invest. 2012, 122, 3476-89; Petrasek et al., Nat. Rev. Gastroenterol. Hepatol. 2015, 12, 387-400; Mridha et al J. Hepatol. 2017, 66, 1037-46) ; inflammatory arthritis related disorders, such as gout, pseudogout (chondrocalcinosis) , osteoarthritis (Ridker et al., N. Engl. J. Med. 2017, 377, 1 119-31) , and rheumatoid arthritis (Mathews et al Ann. Rheum. Dis. 2014, 73, 1202-10) , acute or chronic arthropathy; kidney related diseases such as hyperoxaluria (Knauf et al., Kidney Int. 2013, 84, 895-901) , lupus nephritis, hypertensive nephropathy (Krishnan et al., Br. J. Pharmacol. 2016, 173, 752-65) , hemodialysis related inflammation and diabetic nephropathy which is a kidney related complication of diabetes (Type 1, Type 2 and mellitus diabetes) , also called diabetic kidney disease (Shahzad et al., Kidney Int. 2015, 87, 74-84) . Emerging studies have revealed the involvement of the increased production of IL-lβ and IL-18 by the NLRP3 inflammasome can contribute to the onset and progression of various diseases such as neuroinflammation related disorders, e.g., brain infection, acute injury, multiple sclerosis, Alzheimer’s disease, and neurodegenerative diseases (Shao et al., Front. Pharmacol. 2015, 6, 262) ; cardiovascular/metabolic disorders/diseases, e.g., cardiovascular risk reduction (CvRR) , atherosclerosis, type I and type II diabetes and related complications (e.g., nephropathy, retinopathy) , peripheral artery disease (PAD) , acute heart failure and hypertension (Ridker et al., N. Engl. J. Med. 2017, 377, 1119-31; Vandanmasgar et al., Nat. Med. 2011, 17, 179-88; Hu et al., Proc. Natl. Acad. Sci. 2015, 112, 11318-23; Antonopoulos et al., Cum. opin. Pharmacol. 2017, 39, 1-8; Toldo S et al., Nat. Rev. Cardiol. 2018, 15, 203-214) ; wound healing and scar formation; inflammatory skin diseases, e.g. acne, hidradenitis suppurativa (Sweeney et al., Br. J. Dermatol. 2015, 173, 1361) , asthma, sarcoidosis, age-related macular degeneration; cancer related diseases /disorders, e.g., myeloproliferative neoplasms, leukemias, myelodysplastic syndromes (MDS) , myelofibrosis, lung cancer, colon cancer (Ridker et al., Lancet 2017, 390, 1833-42; Derangere et al., Cell. Death Differ. 2014, 21, 1914-24, Gelfo et al., Oncotarget 2016, 7, 72167-83, Baiorka et al., Blood 2016, 128, 2960-75; Carey et al., Cell. Rep. 2017, 18, 3204-18) . Those diseases /disorders that are immune or inflammatory in nature usually are difficult to diagnose or treat efficiently. Most treatments include treating of the symptoms, slowing down the progression of the disease /disorder, change in lifestyle and surgery as a last resort (e.g., open heart surgery for advance forms of atherosclerosis) . Recent studies have linked mitochondrial dysfunction and NLRP3 activation in neuroinflammation related diseases such as Parkinson’s (Sarkar et al., npj Parkinson’s disease 2017, 3: 30; Zhou et al., Nature, 2011, 469, 221) . One of the major problems associated with the mitochondrial modulators is their poor metabolic stability; thus, there is a need for selective and stable inhibitors in neuroinflammation of this nature (Lee et al., Eur J. org. Chem. 2017, 141, 240) .

Therefore, there is a need for inhibitors of the NLRP3 inflammasome pathway to provide new and/or alternative treatments for these inflammasome-related diseases/disorders and others such as autoinflammatory fever syndrome cryopyrin-associated periodic syndrome (e.g., CAPS) , sickle cell disease, chronic liver disease, nonalcoholic steatohepatitis (NASH) , gout, hyperoxaluria, pseudogout (chondrocalcinosis) , Type I/Type II diabetes and related complications (e.g. nephropathy, retinopathy) , neuroinflammation-related disorders (e.g., multiple sclerosis, brain infection, acute injury, neurodegenerative diseases, Alzheimer’s disease) , atherosclerosis and cardiovascular risk (e.g., cardiovascular risk reduction (CvRR) , hypertension) , hidradenitis suppurativa, wound healing and scar formation, and cancer (e.g., colon cancer, lung cancer, myeloproliferative neoplasms, leukemias, myelodysplastic syndromes (MDS) , myelofibrosis) .

Published patent application NO. WO98/32733, WO2001/019390, WO2014/190015, WO2016/123229,WO2016/131098 disclosed sulfonylureas derivatives and related compounds as NLRP3 inflammasome inhibitors. WO2017/017469 disclosed certain cyclic diarylboron derivatives as NLRP3 inflammasome inhibitors for the treatment of diseases or conditions in which interleukin 1β activity is implicated. Recent patents WO2020/234715, WO2022/135567, and US11, 319, 319 disclosed pyridazine compounds as NLRP3 inflammasome inhibitors for the treatment of diseases and disorders mediated by NLRP3. Some of the recent patent applications such as WO2017/031161, WO2017/079352, WO2017/129897, WO2017/184623, WO2018/225018, WO2019/043610, WO2019/023147, WO2019/068772, WO2020/035466, WO2020/208249, WO2020/035465, WO2020/254697, US 2022340567, WO2023028534, WO2023003002, WO2023278438, WO2022216971, CN115417856, also disclosed certain class of compounds as NLRP3 inhibitors.

SUMMARY OF THE INVENTION

The invention provides compounds or pharmaceutically acceptable salts thereof, pharmaceutical compositions thereof, and combination thereof, which compounds inhibit the NLRP3 inflammasome pathway. The invention further provides methods of treating, or preventing, disease and/or disorders related to NLRP3, comprising administering to a subject in need thereof an effective amount of the compounds of the invention, or a pharmaceutically acceptable salt thereof.

Various embodiments of the invention are described herein.

Within certain aspects, provided herein is a compound of Formula (I) ,

or a pharmaceutically acceptable salt thereof; or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; wherein:

R¹ is selected from

wherein each R^a is independently and optionally selected from the group consisting of H, halo, OH, CN, and alkyl; m is 0, 1, 2, or 3; Y is O, CH₂, or NR; R² is H, C_1-6 alkyl, C_3-7 cycloalkyl, or 3 to 7 membered heterocycloalkyl, optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halo, OH, CN, R, OR, NHR, NRR’, N (R) C (O) R’, N (R) C (O) OR’, OC (O) NRR’, C (O) R, C (O) NRR’, N (R) S (O) ₂R’, S (O) ₂R, and S (O) ₂NRR’;

is a double bond, single bond, or absent;

X¹, and X⁶, each is independently C, or N;

X², X³, X⁴, and X⁵, each is independently C-R⁸, N-R⁸, S, O, absent, or a bond, wherein each R⁸ is independently selected from the group consisting of R^b, oxo, halo, OH, CN, OR, NHR, NRR’, N (R) C (O) R’, N (R) C (O) OR’, OC (O) NRR’, C (O) R, C (O) NRR’, N (R) S (O) ₂R’, S (O) ₂R, and S (O) ₂NRR’; or R⁸ is absent;

R³ is OH, CF₂H, or OCF₂H;

R⁴, R⁵, R⁶, and R⁷ are independently selected from the group consisting of R^b, oxo, halo, OH, CN, OR, NHR, NRR’, N (R) C (O) R’, N (R) C (O) OR’, OC (O) NRR’, C (O) R, C (O) NRR’, N (R) S (O) ₂R’, S (O) ₂R, and S (O) ₂NRR’; optionally R⁴ and R⁵, together with the connected carbon atoms form Ring A, wherein Ring A is selected from C₄-C₆ cycloalkenyl, 3 to 8 membered heterocycloalkenyl, aryl, and 3 to 8 membered heteroaryl;

R^b is H, C_1-3 alkyl, C_3-7 cycloalkyl, or 3 to 7 membered heterocycloalkyl optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halo, OH, CN, R, OR, NHR, NRR’, N (R) C (O) R’, N (R) C (O) OR’, OC (O) NRR’, C (O) R, C (O) NRR’, N (R) S (O) ₂R’, S (O) ₂R, and S (O) ₂NRR’;

R, R’ each is independently H, C_1-3 alkyl or C_3-7 cycloalkyl optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of H, halo, OH, and CN;

n is 0, 1, 2, or 3.

In another aspect, the invention provides a pharmaceutical composition comprising a therapeutically effective amount of a compound according to the definition of the compound of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof, or a tautomer, stereoisomer, isotopically labeled derivative thereof; and one or more pharmaceutically acceptable carriers. The pharmaceutical composition is useful in the treatment of diseases and/or disorders related to the NLRP3 activity.

In another aspect, the invention provides a combination, in particular a pharmaceutical combination, comprising a therapeutically effective amount of a compound according to the definition of compound of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; and one or more therapeutic agents.

In another aspect, the invention provides a combination, in particular a pharmaceutical combination, as disclosed herein, for use as a medicament.

In another aspect, the invention provides a compound of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; for use in the treatment of a disease or disorder in which the NLRP3 signaling contributes to the pathology, and/or symptoms, and/or progression, of said disease or disorder.

In another aspect, the invention provides a method of treating a disease or disorder in which the NLRP3 signaling contributes to the pathology, and/or symptoms, and/or progression, of said disease or disorder, comprising administering a therapeutically effective amount of a compound of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof, or a tautomer, stereoisomer, isotopically labeled derivative thereof.

In another aspect, the invention provides a method of inhibiting the NLRP3 inflammasome activity in a subject in need thereof, the method comprises administering to the subject in need thereof a therapeutically effective amount of a compound of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof.

Another aspect of the invention, relates to the use of a compound of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof, in preparation of a medicament.

Another aspect of the invention, relates to a compound of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; for use as a medicament.

Another aspect of the invention, also provides a compound of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof, for use in the treatment of a disease or disorder selected from inflammasome-related disease disorders, immune diseases, inflammatory diseases, auto-immune diseases, and autoinflammatory diseases.

DETAILED DESCRIPTION OF THE INVENTION

Definitions

For purpose of interpreting this specification, the following definitions will apply unless specified otherwise and when appropriate, terms used in the singular will also include the plural and vice versa. It must be noted that as used herein and in the appended claims, the singular forms “a” , “an” and “the” , and similar terms, used in the context of the present invention (especially in the context of the claims) are to be construed to cover both the singular and the plural referents unless the context clearly dictates otherwise, or clearly contradicted by the context. Thus, for example, reference to “the compound” includes reference to one or more compounds; and so forth.

Whenever a group is described as being “optionally substituted” that group may be unsubstituted or substituted with one or more of the indicated substituents. Likewise, when a group is described as being “unsubstituted or substituted” if substituted, the substituent (s) may be selected from one or more the indicated substituents. If no substituents are indicated, it is meant that the indicated “optionally substituted” or “substituted” group may be substituted with one or more group (s) individually and independently selected from alkyl, alkenyl, alkynyl, cycloalkyl, cycloalkenyl, cycloalkynyl, aryl, heteroaryl, heteroalicyclyl, aralkyl, heteroaralkyl, (heteroalicyclyl) alkyl, hydroxy, protected hydroxyl, alkoxy, aryloxy, acyl, mercapto, alkylthio, arylthio, cyano, halogen, thiocarbonyl, O-carbamyl, N-carbamyl, O-thiocarbamyl, N-thiocarbamyl, C-amido, N-amido, S-sulfonamido, N-sulfonamido, C-carboxy, protected C-carboxy, O-carboxy, isocyanato, thiocyanato, isothiocyanato, nitro, silyl, sulfenyl, sulfinyl, sulfonyl, haloalkyl, haloalkoxy, trihalomethanesulfonyl, trihalomethanesulfonamido, an amino, a mono-substituted amino group and a di-substituted amino group, and protected derivatives thereof.

As used herein, “alkyl” refers to a straight or branched hydrocarbon chain that comprises a fully saturated (no double or triple bonds) hydrocarbon group. The alkyl group may have 1 to 20 carbon atoms (whenever it appears herein, a numerical range such as “1 to 20” refers to each integer in the given range; e.g., “1 to 20 carbon atoms” means that the alkyl group may consist of 1 carbon atom, 2 carbon atoms, 3 carbon atoms, 4 carbon atoms, 5 carbon atoms, 6 carbon atoms, 7 carbon atoms, 8 carbon atoms, 9 carbon atoms, 10 carbon atoms, 11 carbon atoms, 12 carbon atoms, 13 carbon atoms, 14 carbon atoms, 15 carbon atoms, 16 carbon atoms, 17 carbon atoms, 18 carbon atoms, 19 carbon atoms, 20 carbon atoms, although the present definition also covers the occurrence of the term “alkyl” where no numerical range is designated) . The alkyl group may also be a medium size alkyl having 1 to 10 carbon atoms. The alkyl group could also be a lower alkyl having 1 to 6 carbon atoms. The alkyl group of the compounds may be designated as “C₁-C₄ alkyl” or similar designations. By way of example only, “C₁-C₄ alkyl” indicates that there are one to four carbon atoms in the alkyl chain, i.e., the alkyl chain is selected from methyl, ethyl, propyl, iso-propyl, n-butyl, iso-butyl, sec-butyl, and t-butyl. Typical alkyl groups include, but are in no way limited to, methyl, ethyl, propyl, isopropyl, butyl, isobutyl, tertiary butyl, pentyl and hexyl. The alkyl group may be substituted or unsubstituted.

As used herein, “alkenyl” refers to an alkyl group that contains in the straight or branched hydrocarbon chain one or more double bonds. An alkenyl group may be unsubstituted or substituted.

As used herein, “alkynyl” refers to an alkyl group that contains in the straight or branched hydrocarbon chain one or more triple bonds. An alkynyl group may be unsubstituted or substituted.

As used herein, “cycloalkyl” refers to a completely saturated (no double or triple bonds) monocyclic, bicyclic, tricyclic or multi-cyclic hydrocarbon ring system. When composed of two or more rings, the rings may be joined together in a fused fashion. Cycloalkyl groups can contain 3 to 10 (such as 3, 4, 5, 6, 7, 8, 9, or 10) atoms in the ring (s) or 3 to 8 atoms in the ring (s) . A cycloalkyl group may be unsubstituted or substituted. Typical cycloalkyl groups include, but are in no way limited to, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl and cyclooctyl.

As used herein, “cycloalkenyl” refers to a mono-, bi-, tri-or multi-cyclic hydrocarbon ring system that contains one or more double bonds in at least one ring; although, if there is more than one, the double bonds cannot form a fully delocalized pi-electron system throughout all the rings (otherwise the group would be “aryl, ” as defined herein) . When composed of two or more rings, the rings may be connected together in a fused fashion. A cycloalkenyl group may be unsubstituted or substituted.

As used herein, “cycloalkynyl” refers to a mono-, bi-, tri-or multi-cyclic hydrocarbon ring system that contains one or more triple bonds in at least one ring. If there is more than one triple bond, the triple bonds cannot form a fully delocalized pi-electron system throughout all the rings. When composed of two or more rings, the rings may be joined together in a fused fashion. A cycloalkynyl group may be unsubstituted or substituted.

As used herein, “heterocyclyl” or “heteroalicyclyl” refers to saturated (no double or triple bonds) 3 to 18-membered (such as 3-, 4-, 5-, 6-, 7-, 8-, 9-, 10-, 11-, 12-, 13-, 14-, 15-, 16-, 17-, or 18-membered) monocyclic, bicyclic, and tricyclic ring system wherein carbon atoms together with from 1 to 5 (such as 1, 2, 3, 4, or 5) heteroatoms constitute said ring system. The heteroatom (s) is an element other than carbon including, but not limited to, oxygen, sulfur, and nitrogen. A heterocycle may further contain one or more carbonyl or thiocarbonyl functionalities, so as to make the definition include oxo-systems and thio-systems such as lactams, lactones, cyclic imides, cyclic thioimides and cyclic carbamates. When composed of two or more rings, the rings may be joined together in a fused fashion. Additionally, any nitrogens in a heteroalicyclic may be quaternized. Heterocyclyl or heteroalicyclic groups may be unsubstituted or substituted. Examples of such “heterocyclyl” or “heteroalicyclyl” groups include but are not limited to, 1, 3-dioxin, 1, 3-dioxane, 1, 4-dioxane, 1, 2-dioxolane, 1, 3-dioxolane, 1, 4-dioxolane, 1, 3-oxathiane, 1, 4-oxathiin, 1, 3-oxathiolane, 1, 3-dithiole, 1, 3-dithiolane, 1, 4-oxathiane, tetrahydro-1, 4-thiazine, 2H-1, 2-oxazine, maleimide, succinimide, barbituric acid, thiobarbituric acid, dioxopiperazine, hydantoin, dihydrouracil, trioxane, hexahydro-1, 3, 5-triazine, imidazoline, imidazolidine, isoxazoline, isoxazolidine, oxazoline, oxazolidine, oxazolidinone, thiazoline, thiazolidine, morpholine, oxirane, piperidine N-Oxide, piperidine, piperazine, pyrrolidine, pyrrolidone, pyrrolidione, 4-piperidone, pyrazoline, pyrazolidine, 2-oxopyrrolidine, tetrahydropyran, 4H-pyran, tetrahydrothiopyran, thiamorpholine, thiamorpholine sulfoxide, thiamorpholine sulfone, and their benzo-fused analogs (e.g., benzimidazolidinone, tetrahydroquinoline, and 3, 4-methylenedioxyphenyl) .

As used herein, “heterocycloalkenyl” refers to a mono-, bi-, tri-or multi-cyclic hydrocarbon ring system that contains one or more double bonds and 1 to 5 (such as 1, 2, 3, 4, or 5) heteroatoms constitute said ring system in at least one ring. The heteroatom (s) is an element other than carbon including, but not limited to, oxygen, sulfur, and nitrogen. Although, if there is more than one, the double bonds cannot form a fully delocalized pi-electron system throughout all the rings (otherwise the group would be “aryl, ” as defined herein) . When composed of two or more rings, the rings may be connected together in a fused fashion. A heterocycloalkenyl group may be unsubstituted or substituted.

As used herein, “heterocycloalkyl” refers to a completely saturated (no double or triple bonds) monocyclic, bicyclic, tricyclic or multi-cyclic hydrocarbon ring system having 1 to 5 (such as 1, 2, 3, 4, or 5) heteroatoms constitute said ring system in at least one ring. The heteroatom (s) is an element other than carbon including, but not limited to, oxygen, sulfur, and nitrogen. When composed of two or more rings, the rings may be joined together in a fused fashion. A heterocycloalkyl group can contain 3 to 10 (such as 3, 4, 5, 6, 7, 8, 9, or 10) atoms in the ring (s) or 3 to 8 atoms in the ring (s) . A heterocycloalkyl group may be unsubstituted or substituted.

As used herein, “aryl” refers to a carbocyclic (all carbon) monocyclic, bicyclic, tricyclic or multicyclic aromatic ring system (including fused ring systems where two carbocyclic rings share a chemical bond) that has a fully delocalized pi-electron system throughout all the rings. The number of carbon atoms (such as 5, 6, 7, 8, 9, or 10 carbon atoms) in an aryl group can vary. For example, the aryl group can be a C₆-C₁₄ aryl group, a C₆-C₁₀ aryl group, or a C₆ aryl group. Examples of aryl groups include, but are not limited to, benzene, naphthalene and azulene. An aryl group may be substituted or unsubstituted.

As used herein, “heteroaryl” refers to a monocyclic, bicyclic, tricyclic or multicyclic aromatic ring system (a ring system with fully delocalized pi-electron system) that contain (s) one or more (such as 1, 2, 3, or 4) heteroatoms, that is, an element other than carbon, including but not limited to, nitrogen, oxygen and sulfur. The number of atoms (such as 5, 6, 7, 8, 9, 10, 11, 12, 13, or 14 atoms) in the ring (s) of a heteroaryl group can vary. For example, the heteroaryl group can contain 4 to 14 atoms in the ring (s) , 5 to 10 atoms in the ring (s) or 5 to 6 atoms in the ring (s) . Furthermore, the term “heteroaryl” includes fused ring systems where two rings, such as at least one aryl ring and at least one heteroaryl ring, or at least two heteroaryl rings, share at least one chemical bond. Examples of heteroaryl rings include, but are not limited to, furan, furazan, thiophene, benzothiophene, phthalazine, pyrrole, oxazole, benzoxazole, 1, 2, 3-oxadiazole, 1, 2, 4-oxadiazole, thiazole, 1, 2, 3-thiadiazole, 1, 2, 4-thiadiazole, benzothiazole, imidazole, benzimidazole, indole, indazole, pyrazole, benzopyrazole, isoxazole, benzoisoxazole, isothiazole, triazole, benzotriazole, thiadiazole, tetrazole, pyridine, pyridazine, pyrimidine, pyrazine, purine, pteridine, quinoline, isoquinoline, quinazoline, quinoxaline, cinnoline, and triazine. A heteroaryl group may be substituted or unsubstituted.

As used herein, “aralkyl” and “aryl (alkyl) ” refer to an aryl group connected, as a substituent, via a lower alkylene group. The lower alkylene and aryl group of an aralkyl may be substituted or unsubstituted. Examples include but are not limited to benzyl, 2-phenylalkyl, 3-phenylalkyl, and naphthylalkyl.

As used herein, “heteroaralkyl” and “heteroaryl (alkyl) ” refer to a heteroaryl group connected, as a substituent, via a lower alkylene group. The lower alkylene and heteroaryl group of heteroaralkyl may be substituted or unsubstituted. Examples include but are not limited to 2-thienylalkyl, 3-thienylalkyl, furylalkyl, thienylalkyl, pyrrolylalkyl, pyridylalkyl, isoxazolylalkyl, imidazolylalkyl, and their benzo-fused analogs.

As used herein, “ (heteroalicyclyl) alkyl” and “ (heterocyclyl) alkyl” refer to a heterocyclic or a heteroalicyclylic group connected, as a substituent, via a lower alkylene group. The lower alkylene and heterocyclyl of a (heteroalicyclyl) alkyl may be substituted or unsubstituted. Examples include but are not limited tetrahydro-2H-pyran-4-yl) methyl, (piperidin-4-yl) ethyl, (piperidin-4-yl) propyl, (tetrahydro-2H-thiopyran-4-yl) methyl, and (1, 3-thiazinan-4-yl) methyl.

As used herein, “lower alkylene groups” are straight-chained -CH₂-tethering groups, forming bonds to connect molecular fragments via their terminal carbon atoms. Examples include but are not limited to methylene (-CH₂-) , ethylene (-CH₂CH₂-) , propylene (-CH₂CH₂CH₂-) , and butylene (-CH₂CH₂CH₂CH₂-) . A lower alkylene group can be substituted by replacing one or more hydrogen of the lower alkylene group with a substituent (s) listed under the definition of “substituted. ”

As used herein, “alkoxy” refers to the formula –OR wherein R is an alkyl, a cycloalkyl, a heteroalicyclyl, or (heteroalicyclyl) alkyl. A non-limiting list of alkoxys are methoxy, ethoxy, n-propoxy, 1-methylethoxy (isopropoxy) , n-butoxy, iso-butoxy, sec-butoxy, or tert-butoxy. An alkoxy may be substituted or unsubstituted.

As used herein, “acyl” refers to a hydrogen, alkyl, alkenyl, alkynyl, or aryl connected, as substituents, via a carbonyl group. Examples include formyl, acetyl, propanoyl, benzoyl, and acryl. An acyl may be substituted or unsubstituted.

As used herein, “hydroxyalkyl” refers to an alkyl group in which one or more of the hydrogen atoms are replaced by a hydroxy group. Exemplary hydroxyalkyl groups include but are not limited to, 2-hydroxyethyl, 3-hydroxypropyl, 2-hydroxypropyl, and 2, 2-dihydroxyethyl. A hydroxyalkyl may be substituted or unsubstituted.

As used herein, “haloalkyl” refers to an alkyl group in which one or more of the hydrogen atoms are replaced by a halogen (e.g., mono-haloalkyl, di-haloalkyl and tri-haloalkyl) . Such groups include but are not limited to, chloromethyl, fluoromethyl, difluoromethyl, trifluoromethyl, 1-chloro-2-fluoromethyl and 2-fluoroisobutyl. A haloalkyl may be substituted or unsubstituted.

As used herein, “haloalkoxy” refers to an alkoxy group in which one or more of the hydrogen atoms are replaced by a halogen (e.g., mono-haloalkoxy, di-haloalkoxy and tri-haloalkoxy) . Such groups include but are not limited to, chloromethoxy, fluoromethoxy, difluoromethoxy, trifluoromethoxy, 1-chloro-2-fluoromethoxy and 2-fluoroisobutoxy. A haloalkoxy may be substituted or unsubstituted.

As used herein, the term “Halogen” or “Halo” refers to bromo, chloro, fluoro, or iodo.

Various embodiments of the invention are described herein, it will be recognized that features specified in each embodiment may be combined with other specified features to provide further embodiments of the present invention.

In one aspect, provided herein is a compound of Formula (I) ,

R¹ is selected from

is a double bond, single bond, or absent;

X¹, and X⁶, each is independently C, or N;

R³ is OH, CF₂H, or OCF₂H;

n is 0, 1, 2, or 3.

In another aspect, the invention provides a compound of Formula (II) ,

R¹ is selected from:

R² is H, C_1-6 alkyl, C_3-7 cycloalkyl, or 3 to 7 membered heterocycloalkyl, optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halo, OH, CN, R, OR, NHR, NRR’, N (R) C (O) R’, N (R) C (O) OR’, OC (O) NRR’, C (O) R, C (O) NRR’, N (R) S (O) ₂R’, S (O) ₂R, and S (O) ₂NRR’;

R³ is OH;

R⁴, R⁶, and R⁷ are independently selected from the group consisting of H, halo, and C_1-3 alkyl;

R⁵ is R, halo, CN, OR;

or R⁴ and R⁵, together with the connected carbon atoms form Ring A, wherein Ring A is selected from C₄-C₆ cycloalkenyl, 3 to 8 membered heterocycloalkenyl, and 3 to 8 membered heteroaryl;

each R⁸ is independently H, halo, or R;

n is 0, 1, or 2.

In another aspect, the invention provides a compound of Formula (III) ,

R¹ is selected from:

R³ is OH;

R⁵ is R, halo, CN, OR;

each R⁸ is independently H, halo, or R;

n is 0, 1, 2, or 3.

In another aspect, the invention provides a compound of Formula (IV) ,

R¹ is selected from:

R³ is OH;

R⁵ is R, halo, CN, OR;

each R⁸ is independently H, halo, or R;

n is 0, 1, 2, or 3.

In another aspect, the invention provides a compound of Formula (I) , or subFormulae thereof, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; wherein:

R¹ is

R² is H, C_1-6 alkyl, C_3-7 cycloalkyl, or 3 to 7 membered heterocycloalkyl, optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halo, OH, CN, R, OR, NHR, NRR’, N (R) C (O) R’, N (R) C (O) OR’, OC (O) NRR’, C (O) R, C (O) NRR’, N (R) S (O) ₂R’, S (O) ₂R, and S (O) ₂NRR’.

In some embodiments, the invention provides a compound of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; wherein:

R¹ is

R² is C_1-6 alkyl, optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halo, OH, CN, R, and OR.

In some embodiments, the invention provides a compound of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; wherein: R¹ is

In some embodiments, the invention provides a compound of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; wherein: each R⁸ is independently H, halo, or C_1-3 alkyl optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of H, halo, OH, and CN.

In some embodiments, the invention provides a compound of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; wherein: each R⁸ is independently H, F, or CH₃.

In some embodiments, the invention provides a compound of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; wherein: R⁸ is H.

In some embodiments, the invention provides a compound of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; wherein R⁵ is Cl, CH₃, or CN.

In some embodiments, the invention provides a compound of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; wherein R⁴, R⁶, and R⁷ are independently H, F, or CH₃.

In some embodiments, the invention provides a compound of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; wherein R⁴, R⁶, and R⁷ are H.

In some embodiments, the invention provides a compound of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; wherein R⁴ and R⁵, together with the connected carbon atoms form Ring A, wherein Ring A is selected from C₄-C₆ cycloalkenyl, 4 to 6 membered heterocycloalkenyl, and 3 to 8 membered heteroaryl.

In some embodiments, the invention provides a compound of the Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; wherein the compound is depicted in Table 1:

Table 1:

Representative compounds of the invention are listed below:

5-methyl-2- (8- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) phenol (1) ;

5-methyl-2- (8- ( (4aS, 8aR) -6-methyloctahydro-4H-pyrido [4, 3-b] [1, 4] oxazin-4-yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) phenol (2) ;

5-chloro-2- (8- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) phenol (3) ;

3-hydroxy-4- (8- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) benzonitrile (4) ;

5-methyl-2- (8- ( (1R, 6S) -3-methyl-3, 8-diazabicyclo [4.2.0] octan-8-yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) phenol (5) ;

5-methyl-2- (8- ( (3aR, 6aR) -5-methylhexahydropyrrolo [3, 4-b] pyrrol-1 (2H) -yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) phenol (6) ;

2- (8- ( (3aS, 6aR) -hexahydro-1H-furo [3, 4-b] pyrrol-1-yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) -5-methylphenol (7) .

In some embodiments, the invention provides a compound of the Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; wherein the compound is depicted in Table 2:

Table 2:

Representative compounds of the invention are listed below:

5-chloro-2- (4- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) pyrido [3, 4-d] pyridazin-1-yl) phenol (8) ;

3-hydroxy-4- (4- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) pyrido [3, 4-d] pyridazin-1-yl) benzonitrile (9) ;

5-chloro-2- (8- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) pyrido [2, 3-d] pyridazin-5-yl) phenol (10) ;

3-hydroxy-4- (8- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) pyrido [2, 3-d] pyridazin-5-yl) benzonitrile (11) .

In some embodiments, the invention relates to a pharmaceutical composition comprising a therapeutically effective amount of a compound of any one of the Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; and one or more pharmaceutically acceptable carriers.

In some embodiments, the invention relates to a combination comprising a therapeutically effective amount of a compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; and one or more therapeutic agents.

In some embodiments, the invention relates to a combination comprising a therapeutically effective amount of a compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; wherein one or more therapeutic agents are independently selected from farnesoid X receptor (FXR) agonists; antisteatotics; anti-fibrotics; JAK inhibitors; checkpoint inhibitors including anti-PDI inhibitors, antiLAG-3 inhibitors, anti-TIM-3 inhibitors, or anti-PDL1 inhibitors; chemotherapy, radiation therapy and surgical procedures; urate-lowering therapies; anabolics and cartilage regenerative therapy; blockade of IL-17; complement inhibitors; Bruton’s tyrosine Kinase inhibitors (BTK inhibitors) ; Toll like receptor inhibitors (TLR7/8 inhibitors) ; CAR-T therapy; anti-hypertensive agents; cholesterol lowering agents; leukotriene A4 hydrolase (LTAH4) inhibitors; SGLT2 inhibitors; β2-agonists; anti-inflammatory agents; nonsteroidal anti-inflammatory drugs ( “NSAIDs” ) ; acetylsalicylic acid drugs (ASA) including aspirin; paracetamol; regenerative therapy treatments; cystic fibrosis treatments; and atherosclerotic treatment.

In some embodiment, the invention relates to a method of inhibiting NLRP3 activity in a subject, comprising administering to the subject a therapeutically effective amount of a compound of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof.

In some embodiments, the invention relates to a compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof, for use as a medicament. In particular, the invention relates to a compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, for use as a medicament for inhibiting NLRP3 pathway. In another particular embodiment, the invention relates to a combination according to some of the embodiments above, for use as a medicament.

In some embodiments, the invention relates to a compound according to any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof, for use in the treatment of a disease or disorder in which the NLRP3 signaling contributes to the pathology, and/or symptoms, and/or progression, of said disease or disorder.

In some embodiments, the invention relates to a method of treating a disease or disorder in which the NLRP3 signaling contributes to the pathology, and/or symptoms, and/or progression, of said disease or disorder, comprising administering a therapeutically effective amount of a compound according to any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof wherein the disease or disorder is selected from inflammasome related diseases /disorders, immune diseases, inflammatory diseases, auto-immune diseases, or auto-inflammatory diseases, for example, autoinflammatory fever syndromes (e.g. cryopyrin associated periodic syndrome) , liver related diseases /disorders (e.g. chronic liver disease, viral hepatitis, non-alcoholic steatohepatitis (NASH) , alcoholic steatohepatitis, and alcoholic liver disease) , inflammatory arthritis related disorders (e.g. gout, pseudogout (chondrocalcinosis) , osteoarthritis, rheumatoid arthritis, arthropathy e.g acute, chronic) , kidney related diseases (e.g. hyperoxaluria, lupus nephritis, Type I/Type II diabetes and related complications (e.g. nephropathy, retinopathy) , hypertensive nephropathy, hemodialysis related inflammation) , neuroinflammation-related diseases (e.g. multiple sclerosis, brain infection, acute injury, neurodegenerative diseases, Alzheimer’s disease, Parkinson’s disease, Amyotrophic lateral sclerosis (ALS) ) , cardiovascular /metabolic diseases /disorders (e.g. cardiovascular risk reduction (CvRR) , hypertension, atherosclerosis, Type I/Type II diabetes and related complications, peripheral artery disease (PAD) , acute heart failure) , inflammatory skin diseases (e.g. hidradenitis suppurativa, acne) , wound healing and scar formation, asthma, sarcoidosis, age-related macular degeneration, and cancer related diseases /disorders (e.g. colon cancer, lung cancer, myeloproliferative neoplasms, leukaemia, myelodysplastic syndromes (MDS) , myelofibrosis) . In a particular aspect, the invention relates to a compound of any one of Formula (I) , or a pharmaceutically acceptable salt thereof, wherein the disease or disorder is selected from autoinflammatory fever syndromes (e.g. CAPS) , sickle cell disease, Type I/Type II diabetes and related complications (e.g. nephropathy, retinopathy) , hyperoxaluria, gout, pseudogout (chondrocalcinosis) , chronic liver disease, NASH, neuroinflammation-related disorders (e.g. multiple sclerosis, brain infection, acute injury, neurodegenerative diseases, Alzheimer’s disease) , atherosclerosis and cardiovascular risk (e.g. cardiovascular risk reduction (CvRR) , hypertension) , hidradenitis suppurativa, wound healing and scar formation, and cancer (e.g. colon cancer, lung cancer, myeloproliferative neoplasms, leukemias, myelodysplastic syndromes (MDS) , myelofibrosis) .

In one embodiment, the invention relates to a compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, for use in the treatment of a disease or disorder selected from inflammasome-related diseases/disorders, immune diseases, inflammatory diseases, autoimmune diseases, or auto-inflammatory diseases, for example, autoinflammatory fever syndromes (e.g cryopyrin-associated periodic syndrome) , liver related diseases/disorders (e.g. chronic liver disease, viral hepatitis, non-alcoholic steatohepatitis (NASH) , alcoholic steatohepatitis, and alcoholic liver disease) , inflammatory arthritis related disorders (e.g. gout, pseudogout (chondrocalcinosis) , osteoarthritis, rheumatoid arthritis, arthropathy e.g acute, chronic) , kidney related diseases (e.g. hyperoxaluria, lupus nephritis, Type I/Type II diabetes and related complications (e.g. nephropathy, retinopathy) , hypertensive nephropathy, hemodialysis related inflammation) , neuroinflammation-related diseases (e.g. multiple sclerosis, brain infection, acute injury, neurodegenerative diseases, Alzheimer’s disease, Parkinson’s disease, Amyotrophic lateral sclerosis (ALS) ) , cardiovascular/metabolic diseases/disorders (e.g. cardiovascular risk reduction (CvRR) , hypertension, atherosclerosis, type I and type II diabetes and related complications, peripheral artery disease (PAD) , acute heart failure) , inflammatory skin diseases (e.g. hidradenitis suppurativa, acne) , wound healing and scar formation, asthma, sarcoidosis, age-related macular degeneration, and cancer related diseases/disorders (e.g. colon cancer, lung cancer, myeloproliferative neoplasms, leukemias, myelodysplastic syndromes (MDS) , myelofibrosis) . In a particular aspect, the invention relates to a compound of any one of Formula (I) , or a pharmaceutically acceptable salt thereof, wherein the disease or disorder is selected from autoinflammatory fever syndromes (e.g. CAPS) , sickle cell disease, Type I/Type II diabetes and related complications (e.g. nephropathy, retinopathy) , hyperoxaluria, gout, pseudogout (chondrocalcinosis) , chronic liver disease, NASH, neuroinflammation-related disorders (e.g. multiple sclerosis, brain infection, acute injury, neurodegenerative diseases, Alzheimer’s disease) , atherosclerosis and cardiovascular risk (e.g. cardiovascular risk reduction (CvRR) , hypertension) , hidradenitis suppurativa, wound healing and scar formation, and cancer (e.g. colon cancer, lung cancer, myeloproliferative neoplasms, leukemias, myelodysplastic syndromes (MDS) , myelofibrosis) .

In some embodiments, the invention relates to a method of inhibiting the NLRP3 inflammasome activity in a subject in need thereof, the method comprising administering to a subject in need thereof a therapeutically effective amount of a compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof.

In one embodiment, the invention relates to a method of inhibiting NLRP3 activity in a subject, wherein the method comprises administering to the subject a therapeutically effective amount of a compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof.

In one embodiment , the invention relates to a method of treating a disease or disorder selected from inflammasome-related diseases/disorders, immune diseases, inflammatory diseases, auto-immune diseases, or auto-inflammatory diseases, for example, autoinflammatory fever syndromes (e.g cryopyrin-associated periodic syndrome) , sickle cell disease, systemic lupus erythematosus (SLE) , liver related diseases/disorders (e.g. chronic liver disease, viral hepatitis, non-alcoholic steatohepatitis (NASH) , alcoholic steatohepatitis, and alcoholic liver disease) , inflammatory arthritis related disorders (e.g. gout, pseudogout (chondrocalcinosis) , osteoarthritis, rheumatoid arthritis, acute or chronic arthropathy , kidney related diseases (e.g. hyperoxaluria, lupus nephritis, diabetic nephropathy, hypertensive nephropathy, hemodialysis related inflammation) , neuroinflammation-related diseases (e.g. multiple sclerosis, brain infection, acute injury, neurodegenerative diseases, Alzheimer’s disease) , cardiovascular/metabolic diseases/disorders (e.g. cardiovascular risk reduction (CvRR) , hypertension, atherosclerosis, type I and type II diabetes and related complications, peripheral artery disease (PAD) , acute heart failure) , inflammatory skin diseases (e.g. hidradenitis suppurativa, acne) , wound healing and scar formation, asthma, sarcoidosis, agerelated macular degeneration, and cancer related diseases/disorders (e.g. colon cancer, lung cancer, myeloproliferative neoplasms, leukemias, myelodysplastic syndromes (MDS) , myelofibrosis) , wherein the method comprises administering to the subject a therapeutically effective amount of a compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof. In particular the disease or disorder is selected from autoinflammatory fever syndromes (e.g. CAPS) , sickle cell disease, Type I/Type II diabetes and related complications (e.g. nephropathy, retinopathy) , hyperoxaluria, gout, pseudogout (chondrocalcinosis) , chronic liver disease, NASH, neuroinflammation-related disorders (e.g. multiple sclerosis, brain infection, acute injury, neurodegenerative diseases, Alzheimer’s disease) , atherosclerosis and cardiovascular risk (e.g cardiovascular risk reduction (CvRR) , hypertension) , hidradenitis suppurativa, wound healing and scar formation, and cancer (e.g. colon cancer, lung cancer, myeloproliferative neoplasms, leukemias, myelodysplastic syndromes (MDS) , myelofibrosis) .

Depending on the choice of the starting materials and procedures, the compounds can be present in the form of one of the possible stereoisomers or as mixtures thereof, for example as pure optical isomers, or as stereoisomer mixtures, such as racemates and diastereoisomer mixtures, depending on the number of asymmetric carbon atoms. The present invention is meant to include all such possible stereoisomers, including racemic mixtures, diastereoisomeric mixtures, and optically pure forms. Optically active (R) -and (S) -stereoisomers may be prepared using chiral synthons or chiral reagents, or resolved using conventional techniques. If the compound contains a disubstituted cycloalkyl, the cycloalkyl substituent may have a cis or trans-configuration. All tautomeric forms are also intended to be included. The invention is also meant to include any pseudo-asymmetric carbon atom, represented herein as (r) -and (s) -, and which are invariant on reflection in a mirror but are reversed by exchange of any two entities, (PAC 1996, 68, 2193, Basic terminology of stereochemistry IUPAC recommendations 1996) .

As used herein, the terms “salt” or “salts” refers to an acid addition or base addition salt of a compound of the invention. “Salts” include in particular “pharmaceutical acceptable salts” . The term “pharmaceutically acceptable salts” refers to salts that retain the biological effectiveness and properties of the compounds of this invention and, which typically are not biologically or otherwise undesirable. In many cases, the compounds of the present invention are capable of forming acid and/or base salts by virtue of the presence of amino and /or carboxyl groups, or groups similar thereto.

Pharmaceutically acceptable acid addition salts can be formed with inorganic acids and organic acids.

Inorganic acids from which salts can be derived include, for example, hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, and the like.

Organic acids from which salts can be derived include, for example, acetic acid, propionic acid, glycolic acid, oxalic acid, maleic acid, malonic acid, succinic acid, fumaric acid, tartaric acid, citric acid, benzoic acid, mandelic acid, methanesulfonic acid, ethanesulfonic acid, toluenesulfonic acid, sulfosalicylic acid, and the like.

Pharmaceutically acceptable base addition salts can be formed with inorganic and organic bases.

Inorganic bases from which salts can be derived include, for example, ammonium salts and metals from columns I to XII of the periodic table. In certain embodiments, the salts are derived from sodium, potassium, ammonium, calcium, magnesium, iron, silver, zinc, and copper; particularly suitable salts include ammonium, potassium, sodium, calcium and magnesium salts.

Organic bases from which salts can be derived include, for example, primary, secondary, and tertiary amines, substituted amines including naturally occurring substituted amines, cyclic amines, basic ion exchange resins, and the like. Certain organic amines include isopropylamine, benzathine, cholinate, diethanolamine, diethylamine, lysine, meglumine, piperazine and tromethamine.

In another aspect, the present invention provides compounds of any one of Formula (I) , or subFormulae thereof in acetate, ascorbate, adipate, aspartate, benzoate, besylate, bromide/hydrobromide, bicarbonate/carbonate, bisulfate/sulfate, camphorsulfonate, caprate, chloride/hydrochloride, chlortheophyllonate, citrate, ethandisulfonate, fumarate, gluceptate, gluconate, glucuronate, glutamate, glutarate, glycolate, hippurate, hydroiodide/iodide, isethionate, lactate, lactobionate, laurylsulfate, malate, maleate, malonate, mandelate, mesylate, methylsulphate, mucate, naphthoate, napsylate, nicotinate, nitrate, octadecanoate, oleate, oxalate, palmitate, pamoate, phosphate/hydrogen phosphate/dihydrogen phosphate, polygalacturonate, propionate, sebacate, stearate, succinate, sulfosalicylate, sulfate, tartrate, tosylate trifenatate, trifluoroacetate, or xinafoate salt form.

In another aspect, the present invention provides compounds of any one of Formula (I) , or subFormulae thereof in sodium, potassium, ammonium, calcium, magnesium, iron, silver, zinc, copper, isopropylamine, benzathine, cholinate, diethanolamine, diethylamine, lysine, meglumine, piperazine or tromethamine salt form.

Any Formula given herein is also intended to represent unlabeled forms as well as isotopically labeled forms of the compounds. Isotopically labeled compounds have structures depicted by the Formulae given herein except that one or more atoms are replaced by an atom having a selected atomic mass or mass number. Isotopes that can be incorporated into compounds of the invention include, for example, isotopes of hydrogen.

Unless otherwise provided, formulae and structures depicted herein include compounds that do not include isotopically enriched atoms, and also include compounds that include isotopically enriched atoms. For example, compounds having the present structures except for the replacement of hydrogen by deuterium or tritium, replacement of ¹⁹F with ¹⁸F, or the replacement of a carbon by a ¹³C-or ¹⁴C-enriched carbon are within the scope of the disclosure. Such compounds are useful, for example, as analytical tools or probes in biological assays.

In some embodiments, the compounds described herein exist in their isotopically labeled forms. In some embodiments, the methods disclosed herein include methods of treating diseases by administering such isotopically labeled compounds. In some embodiments, the methods disclosed herein include methods of treating diseases by administering such isotopically labeled compounds as pharmaceutical compositions. Thus, in some embodiments, the compounds disclosed herein include isotopically labeled compounds, which are identical to those recited herein, but for the fact that one or more atoms are replaced by an atom having an atomic mass or mass number different from the atomic mass or mass number usually found in nature. Examples of isotopes that can be incorporated into compounds described herein, or a solvate, or stereoisomer thereof, include isotopes of hydrogen, carbon, nitrogen, oxygen, phosphorous, sulfur, fluorine, and chloride, such as ²H, ³H, ¹³C, ¹⁴C, ¹⁵N, ¹⁸O, ¹⁷O, ³¹P, ³²P, ³⁵S, ¹⁸F, and ³⁶Cl, respectively. Compounds described herein, and the pharmaceutically acceptable salts, solvates, or stereoisomers thereof which contain the aforementioned isotopes and/or other isotopes of other atoms are within the scope of this disclosure. Certain isotopically labeled compounds, for example those into which radioactive isotopes such as ³H and ¹⁴C are incorporated, are useful in drug and/or substrate tissue distribution assays. Tritiated, i.e., ³H and carbon-14, i.e., ¹⁴C, isotopes are particularly preferred for their ease of preparation and detectability. Further, substitution with heavy isotopes such as deuterium, i.e., ²H, produces certain therapeutic advantages resulting from greater metabolic stability, for example increased in vivo half-life or reduced dosage requirements. In some embodiments, the isotopically labeled compound or a pharmaceutically acceptable salt, solvate, or stereoisomer thereof is prepared by any suitable method.

The term “isotopes” refers to variants of a particular chemical element such that, while all isotopes of a given element share the same number of protons in each atom of the element, those isotopes differ in the number of neutrons.

Further, incorporation of certain isotopes, particularly deuterium (i.e., ² H or D) may afford certain therapeutic advantages resulting from greater metabolic stability, for example increased in vivo half-life or reduced dosage requirements or an improvement in therapeutic index or tolerability. It is understood that deuterium in this context is regarded as a substituent of a compound of Formula (I) , or subFormulae thereof, as disclosed herein. The concentration of deuterium, may be defined by the isotopic enrichment factor. The term “isotopic enrichment factor” as used herein means the ratio between the isotopic abundance and the natural abundance of a specified isotope. If a substituent in a compound of this invention is denoted as being deuterium, such compound has an isotopic enrichment factor for each designated deuterium atom of at least 3500 (52.5%deuterium incorporation at each designated deuterium atom) , at least 4000 (60%deuterium incorporation) , at least 4500 (67.5%deuterium incorporation) , at least 5000 (75%deuterium incorporation) , at least 5500 (82.5%deuterium incorporation) , at least 6000 (90%deuterium incorporation) , at least 6333.3 (95%deuterium incorporation) , at least 6466.7 (97%deuterium incorporation) , at least 6600 (99%deuterium incorporation) , or at least 6633.3 (99.5%deuterium incorporation) . It should be understood that the term “isotopic enrichment factor’ can be applied to any isotope in the same manner as described for deuterium.

PHARMACEUTICAL COMPOSITION

As used herein, the term “pharmaceutical composition” refers to a compound of the invention, or a pharmaceutically acceptable salt thereof, together with at least one pharmaceutically acceptable carrier, in a form suitable for oral or parenteral administration.

As used herein, the term “pharmaceutically acceptable carrier” refers to a substance useful in the preparation or use of a pharmaceutical composition and includes, for example, suitable diluents, solvents, dispersion media, surfactants, antioxidants, preservatives, isotonic agents, buffering agents, emulsifiers, absorption delaying agents, salts, drug stabilizers, binders, excipients, disintegration agents, lubricants, wetting agents, sweetening agents, flavoring agents, dyes, and combinations thereof, as would be known to those skilled in the art (see, for example, Remington The Science and Practice of Pharmacy, 22^nd Ed. Pharmaceutical Press, 2013, pp. 1049-1070) .

The term “atherapeutically effective amount” of a compound of the present invention refers to an amount of the compound of the present invention that will elicit the biological or medical response of a subject, for example, reduction or inhibition of an enzyme or a protein activity, or ameliorate symptoms, alleviate conditions, slow or delay disease progression, or prevent a disease, etc. In one non-limiting embodiment, the term “atherapeutically effective amount” refers to the amount of the compound of the present invention that, when administered to a subject, is effective to (1) at least partially alleviate, inhibit, prevent and /or ameliorate a condition, or a disorder or a disease (i) mediated by NLRP3, or (ii) associated with NLRP3 activity, or (iii) characterized by activity (normal or abnormal) of NLRP3; or (2) reduce or inhibit the activity of NLRP3; or (3) reduce or inhibit the expression of NLRP3. In another non-limiting embodiment, the term “atherapeutically effective amount” of a compound of the present invention refers to the amount that when administered to a cell, or a tissue, or a non-cellular biological material, or a medium, is effective to at least partially reduce or inhibit the activity of NLRP3; or at least partially reduce or inhibit the expression of NLRP3.

As used herein, the term “subject” refers to primates (e.g., humans, male or female) , dogs, rabbits, guinea pigs, pigs, rats and mice. In certain embodiments, the subject is a primate. In yet another embodiment, the subject is a human.

As used herein, the term “inhibit” , “inhibition” or “inhibiting” refers to the reduction or suppression of a given condition, symptom, or disorder, or disease, or a significant decrease in the baseline activity of a biological activity or process. Specifically, inhibiting NLRP3 or inhibiting NLRP3 inflammasome pathway comprises reducing the ability of NLRP3 or NLRP3 inflammasome pathway to induce the production of IL-1 beta and/or IL-18. This can be achieved by mechanisms, including, but not limited to, inactivating, destabilizing, and/or altering distribution of NLRP3.

As used herein, the term “NLRP3” is meant to include, without limitation, nucleic acids, polynucleotides, oligonucleotides, sense and anti-sense polynucleotide strands, complementary sequences, peptides, polypeptides, proteins, homologous and/or orthologous NLRP molecules, isoforms, precursors, mutants, variants, derivatives, splice variants, alleles, different species, and active fragments thereof.

As used herein, the term “treat” , “treating” or “treatment” of any disease or disorder refers to alleviating or ameliorating the disease or disorder (i.e., slowing or arresting the development of the disease or at least one of the clinical symptoms thereof) ; or alleviating or ameliorating at least one physical parameter or biomarker associated with the disease or disorder, including those which may not be discernible to the patient.

As used herein, the term “prevent” , “preventing” or “prevention” of any disease or disorder refers to the prophylactic treatment of the disease or disorder; or delaying the onset or progression of the disease or disorder.

As used herein, a subject is “in need of’ or “in need thereof” a treatment if such subject would benefit biologically, medically or in quality of life from such treatment.

All methods described herein can be performed in any suitable order unless otherwise indicated herein or otherwise clearly contradicted by context. The use of any and all examples, or exemplary language (e.g., “such as” ) provided herein is intended merely to better illuminate the invention and does not pose a limitation on the scope of the invention otherwise claimed.

Any asymmetric atom (e.g., carbon or the like) of the compound (s) of the present invention can be present in racemic or enantiomerically enriched, for example the (R) -, (S) -or (R, S) -configuration. In certain embodiments, each asymmetric atom has at least 50 %enantiomeric excess, at least 60 %enantiomeric excess, at least 70 %enantiomeric excess, at least 80 %enantiomeric excess, at least 90 %enantiomeric excess, at least 95 %enantiomeric excess, or at least 99 %enantiomeric excess in the (R) -or (S) -configuration.

Accordingly, as used herein a compound of the present invention can be in the form of one of the possible stereoisomers, rotamers, atropisomers, tautomers or mixtures thereof, for example, as substantially pure geometric (cis or trans) stereoisomers, diastereomers, optical isomers (antipodes) , racemates, or mixtures thereof.

Any resulting mixtures of stereoisomers can be separated on the basis of the physicochemical differences of the constituents, into the pure or substantially pure geometric or optical isomers, diastereomers, racemates, for example, by chromatography and /or fractional crystallization.

Any resulting racemates of compounds of the present invention or of intermediates can be resolved into the optical antipodes by known methods, e.g., by separation of the diastereomeric salts thereof, obtained with an optically active acid or base, and liberating the optically active acidic or basic compound. In particular, a basic moiety may thus be employed to resolve the compounds of the present invention into their optical antipodes, e.g., by fractional crystallization of a salt formed with an optically active acid, e.g. tartaric acid, dibenzoyl tartaric acid, diacetyl tartaric acid, di-O, O’-p-toluoyl tartaric acid, mandelic acid, malic acid or camphor-10-sulfonic acid. Racemic products can also be resolved by chiral chromatography, e.g., high performance liquid chromatography (HPLC) using a chiral adsorbent.

METHOD OF SYNTHESIZING THE COMPOUNDS OF THE INVENTION

The compounds of the present invention may be prepared in accordance to the definition of compound of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, by the routes described in the following Schemes or the Examples. All methods described herein can be performed in any suitable order unless otherwise indicated herein or otherwise clearly contradicted by context. The use of any and all examples, or exemplary language (e.g., “such as” ) provided herein is intended merely to better illuminate the invention and does not pose a limitation on the scope of the invention otherwise claimed.

The processes can be extended to prepare a compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, as described herein. Depending on the starting materials and the selected route, a skilled person in the art would know how to prepare compound of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof. Certain variants or alternative processes are described herein below in the experimental section.

The invention further includes any variant of the present processes, in which an intermediate product obtainable at any stage thereof is used as starting material and the remaining steps are carried out, or in which the starting materials are formed in situ under the reaction conditions, or in which the reaction components are used in the form of their salts or optically pure material. Compounds of the invention and intermediates can also be converted into each other according to methods generally known to those skilled in the art.

In another aspect, the present invention provides a pharmaceutical composition comprising a compound of the present invention, or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier. In a further embodiment, the composition comprises at least two pharmaceutically acceptable carriers, such as those described herein. The pharmaceutical composition can be Formulated for particular routes of administration such as oral administration, parenteral administration (e.g., by injection, infusion, transdermal or topical administration) , and rectal administration. Topical administration may also pertain to inhalation or intranasal application. The pharmaceutical compositions of the present invention can be made up in a solid form (including, without limitation, capsules, tablets, pills, granules, powders or suppositories) , or in a liquid form (including, without limitation, solutions, suspensions or emulsions) . Tablets may be either film coated or enteric coated according to methods known in the art. Typically, the pharmaceutical compositions are tablets or gelatin capsules comprising the active ingredient together with one or more of:

a) Diluents, e.g., lactose, dextrose, sucrose, mannitol, sorbitol, cellulose and /or glycine;

b) Lubricants, e.g., silica, talcum, stearic acid, its magnesium or calcium salt and /or polyethylene glycol; for tablets also

c) Binders, e.g., magnesium aluminum silicate, starch paste, gelatin, tragacanth, methylcellulose, sodium carboxymethylcellulose and /or polyvinylpyrrolidone; if desired

d) Disintegrants, e.g., starches, agar, alginic acid or its sodium salt, or effervescent mixtures; and

e) Absorbents, colorants, flavours and sweeteners.

METHOD OF USE OF THE INVENTION

There is evidence for a role of NLRP3-induced IL-1 and IL-18 in the inflammatory responses occurring in connection with, or as a result of, a multitude of different disorders (Menu et al, Clinical and Experimental Immunology, 2011, 166, 1-15; Strowig et al, Nature, 2012, 481, 278-286) . NLRP3 mutations have been found to be responsible for a set of rare autoinflammatory diseases known as CAPS (Ozaki et al, J. Inflammation Research, 2015, 8, 1527; Schroder et al, Cell, 2010, 140: 821-832; Menu et al, Clinical and Experimental Immunology, 2011, 166, 1-15) . CAPS are heritable diseases characterized by recurrent fever and inflammation and are comprised of three autoinflammatory disorders that form a clinical continuum. These diseases, in order of increasing severity, are familial cold autoinflammatory syndrome (FCAS) , Muckle-Wells syndrome (MWS) , and chronic infantile cutaneous neurological articular syndrome (CINCA; also called neonatal-onset multisystem inflammatory disease, NOMID) , and all have been shown to result from gain-of-function mutations in the NLRP3 gene, which leads to increased secretion of IL-1 beta. NLRP3 has also been implicated in a number of autoinflammatory diseases, including pyogenic arthritis, pyoderma gangrenosum and acne (PAPA) , Sweet’s syndrome, chronic nonbacterial osteomyelitis (CNO) , and acne vulgaris (Cook et al, Eur. J. Immunol., 2010, 40, 595-653) .

A number of autoimmune diseases have been shown to involve NLRP3 including, in particular, multiple sclerosis, type-1 diabetes (T1D) , psoriasis, rheumatoid arthritis (RA) , Behcet’s disease, Schnitzler syndrome, macrophage activation syndrome (Braddock et al. Nat. Rev. Drug Disc. 2004, 3, 1-10; Inoue et al., Immunology, 2013, 139, 11-18, coll et al, Nat. Med. 2015, 21 (3) , 248-55; Scott et al, Clin. Exp. Rheumatol. 2016, 34 (1) , 88-93) , systemic lupus erythematosus and its complications such as lupus nephritis (Lu et al, J. Immunol., 2017, 198 (3) , 1119-29) , and systemic sclerosis (Artlett et al, Arthritis Rheum. 2011, 63 (11) , 3563-74) . NLRP3 has also been shown to play a role in a number of lung diseases including chronic obstructive pulmonary disorder (COPD) , asthma (including steroid-resistant asthma) , asbestosis, and silicosis (De Nardo et al, Am. J. Pathol., 2014, 184: 42-54; Kim et al. Am. J. Respir. Crit. Care Med, 2017, 196 (3) , 283-97) . NLRP3 has also been suggested to have a role in a number of central nervous system conditions, including Multiple Sclerosis (MS) , Parkinson’s disease (PD) , Alzheimer’s disease (AD) , dementia, Huntington’s disease, cerebral malaria, brain injury from pneumococcal meningitis (Walsh et al, Nature Reviews, 2014, 15, 8497; and Dempsey et al. Brain. Behav. Immun. 2017, 61, 306-16) , intracranial aneurysms (Zhang et al. J. Stroke and Cerebrovascular Dis., 2015, 24, 5, 972-9) , and traumatic brain injury (Ismael et al. J. Neurotrauma., 2018, 35 (11) , 1294-1303) . NRLP3 activity has also been shown to be involved in various metabolic diseases including type 2 diabetes (T2D) and its organ-specific complications, atherosclerosis, obesity, gout, pseudo-gout, metabolic syndrome (Wen et al, Nature Immunology, 2012, 13, 352-357; Duewell et al, Nature, 2010, 464, 1357-1361; Strowig et al, Nature, 2014, 481, 278-286) , and non-alcoholic steatohepatitis (Mridha et al. J. Hepatol. 2017, 66 (5) , 1037-46) . A role for NLRP3 via IL-1 beta has also been suggested in atherosclerosis, myocardial infarction (van Hout et al. Eur. Heart J. 2017, 38 (11) , 828-36) , heart failure (Sano et al. J. Am. Coll. Cardiol. 2018, 71 (8) , 875-66) , aortic aneurysm and dissection (Wu et al. Arterioscler. Thromb. Vase. Biol., 2017, 37 (4) , 694-706) , and other cardiovascular events (Ridker et al., N. Engl. J. Med., 2017, 377 (12) , 1119-31) .

Other diseases in which NLRP3 has been shown to be involved include: ocular diseases such as both wet and dry age-related macular degeneration (Doyle et al. Nature Medicine, 2012, 18, 791-798; Tarallo et al. Cell 2012, 149 (4) , 847-59) , diabetic retinopathy (Loukovaara et al. Acta Ophthalmol., 2017, 95 (8) , 803-8) , non-infectious uveitis and optic nerve damage (Puyang et al. Sci. Rep. 2016, 6, 20998) ; liver diseases including non-alcoholic steatohepatitis (NASH) and acute alcoholic hepatitis (Henao-Meija et al, Nature, 2012, 482, 179-185) ; inflammatory reactions in the lung and skin (Primiano et al. J. Immunol. 2016, 197 (6) , 2421-33) including contact hypersensitivity (such as bullous pemphigoid (Fang et al. J Dermatol Sci. 2016, 83 (2) , 116-23) ) , atopic dermatitis (Niebuhr et al. Allergy, 2014, 69 (8) , 1058-67) , Hidradenitis suppurativa (Alikhan et al. J. Am. Acad Dermatol., 2009 , 60 (4) , 539-61) , and sarcoidosis (Jager et al. Am. J. Respir. Crit. Care Med., 2015, 191, A5816) ; inflammatory reactions in the joints (Braddock et al, Nat. Rev. Drug Disc, 2004, 3, 1-10) ; amyotrophic lateral sclerosis (Gugliandolo et al. Int. J. Mol. Sci., 2018, 19 (7) , E1992) ; cystic fibrosis (lannitti et al. Nat. Commun., 2016, 7, 10791) ; stroke (Walsh et al, Nature Reviews, 2014, 15, 84-97) ; chronic kidney disease (Granata et al. PLoS One 2015, 10 (3) , eoi22272) ; and inflammatory bowel diseases including ulcerative colitis and Crohn’s disease (Braddock et al., Nat. Rev. Drug Disc, 2004, 3, 1-10; Neudecker et al. J. Exp. Med. 2017, 214 (6) , 1737-52; Lazaridis et al. Dig. Dis. Sci. 2017, 62 (9) , 2348-56) . The NLRP3 inflammasome has been found to be activated in response to oxidative stress. NLRP3 has also been shown to be involved in inflammatory hyperalgesia (Dolunay et al, Inflammation, 2017, 40, 366-86) .

Activation of the NLRP3 inflammasome has been shown to potentiate some pathogenic infections such as influenza and Leishmaniasis (Tate et al., Sci Rep., 2016, 10 (6) , 27912-20; Novias et al., PLOS Pathogens 2017, 13 (2) , e1006196) .

NLRP3 has also been implicated in the pathogenesis of many cancers (Menu et al, Clinical and Experimental Immunology, 2011, 166, 1-15) . For example, several previous studies have suggested a role for IL-1 beta in cancer invasiveness, growth and metastasis, and inhibition of IL-1 beta with canakinumab has been shown to reduce the incidence of lung cancer and total cancer mortality in a randomised, double-blind, placebo-controlled trial (Ridker et al. Lancet., 2017, 390 (10105) , 1833-42) . Inhibition of the NLRP3 inflammasome or IL-1 beta has also been shown to inhibit the proliferation and migration of lung cancer cells in vitro (Wang et al. Oncol Rep., 2016, 35 (4) , 2053-64) . A role for the NLRP3 inflammasome has been suggested in myelodysplastic syndromes, myelofibrosis and other myeloproliferative neoplasms, and acute myeloid leukemia (AML) (Basiorka et al. Blood, 2016, 128 (25) , 2960-75. ) and also in the carcinogenesis of various other cancers including glioma (Li et al. Am. J. Cancer Res. 2015, 5 (1) , 442-9) , inflammation-induced tumors (Allen et al. J. Exp. Med. 2010, 207 (5) , 1045-56; Hu et al. PNAS., 2010, 107 (50) , 21635-40) , multiple myeloma (Li et al. Hematology, 2016 21 144-51) , and squamous cell carcinoma of the head and neck (Huang et al. J. Exp. Clin. Cancer Res., 2017, 36 (1) , 116) . Activation of the NLRP3 inflammasome has also been shown to mediate chemoresistance of tumor cells to 5-Fluorouracil (Feng et al. J. Exp. Clin. Cancer Res., 20 2017, 36 (1) , 81) , and activation of NLRP3 inflammasome in peripheral nerve contributes to chemotherapy-induced neuropathic pain (Jia et al., Mol. Pain., 2017, 13, 1-11) . NLRP3 has also been shown to be required for the efficient control of viruses, bacteria, and fungi.

The activation of NLRP3 leads to cell pyroptosis and this feature plays an important part in the manifestation of clinical disease (Yan-gang et al., Cell Death and Disease, 2017, 8 (2) , 25 2579; Alexander et al., Hepatolgy, 2014, 59 (3) , 898-910; Baldwin et al., J. Med. Chem., 2016, 59 (5) , 1691-1710; Ozaki et al., J. Inflammation Research, 2015, 8, 15-27; Zhen et al., Neuroimmunology Neuroinflammation, 2014, 1 (2) , 60-65; Mattia et al., J. Med. Chem., 2014, 57 (24) , 10366-82; Satoh et al., Cell Death and Disease, 2013, 4, 644) . Therefore, it is anticipated that inhibitors of NLRP3 will block pyroptosis, as well as the release of proinflammatory cytokines (e.g. IL-1 beta) from the cell.

The compounds of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a compound according to any one of the preceding embodiments, or a compound according to exemplified examples, in pharmaceutically acceptable salt form, exhibit valuable pharmacological NRLP3 inhibiting properties on the NLRP3 pathway, e.g. as indicated by any one of the free form or in properties, e.g. in vitro tests as provided in the next section, and are therefore indicated for therapy or for use as research chemicals, e.g. as tool compounds.

Compounds of the invention may be useful in the treatment of an indication selected from: inflammasome-related disease/disorders, immune diseases, inflammatory diseases, auto-immune diseases, or auto-inflammatory diseases, for example, of diseases, disorders or conditions in which NLRP3 signaling contributes to the pathology, and/or symptoms, and/or progression, and which may be responsive to NLRP3 inhibition and which may be treated or prevented, or a compound according to any one of the exemplified examples, of the present invention include:

I. Inflammation, including inflammation occurring as a result of an inflammatory disorder, e.g. an autoinflammatory disease, inflammation occurring as a symptom of a noninflammatory disorder, inflammation occurring as a result of infection, or inflammation secondary to trauma, injury or autoimmunity. Examples of inflammation that may be treated or prevented include inflammatory responses occurring in connection with, or as a result of:

(a) a skin condition such as contact hypersensitivity, bullous pemphigoid, sunburn, psoriasis, atopical dermatitis, contact dermatitis, allergic contact dermatitis, seborrhoetic dermatitis, lichen planus, scleroderma, pemphigus, epidermolysis bullosa, urticaria, erythemas, or alopecia;

(b) a joint condition such as osteoarthritis, systemic juvenile idiopathic arthritis, adult-onset Still’s disease, relapsing polychondritis, rheumatoid arthritis, juvenile chronic arthritis, crystal induced arthropathy (e.g. pseudo-gout, gout) , or a seronegative spondyloarthropathy (e.g. ankylosing spondylitis, psoriatic arthritis or Reiter’s disease) ;

(c) a muscular condition such as polymyositis or myasthenia gravis;

(d) a gastrointestinal tract condition such as inflammatory bowel disease (including Crohn’s disease and ulcerative colitis) , gastric ulcer, coeliac disease, proctitis, pancreatitis, eosinopilic gastro-enteritis, mastocytosis, antiphospholipid syndrome, or a food-related allergy which may have effects remote from the gut (e.g., migraine, rhinitis or eczema) ;

(e) a respiratory system condition such as chronic obstructive pulmonary disease (COPD) , asthma (including bronchial, allergic, intrinsic, extrinsic or dust asthma, and particularly chronic or inveterate asthma, such as late asthma and airways hyper-responsiveness) , bronchitis, rhinitis (including acute rhinitis, allergic rhinitis, atrophic rhinitis, chronic rhinitis, rhinitis caseosa, hypertrophic rhinitis, rhinitis pumlenta, rhinitis sicca, rhinitis medicamentosa, membranous rhinitis, seasonal rhinitis e.g. hay fever, and vasomotor rhinitis) , sinusitis, idiopathic pulmonary fibrosis (IPF) , sarcoidosis, farmer’s lung, silicosis, asbestosis, adult respiratory distress syndrome, hypersensitivity pneumonitis, or idiopathic interstitial pneumonia;

(f) a vascular condition such as atherosclerosis, Behcet’s disease, vasculitides, or Wegener’s granulomatosis;

(g) an immune condition, e.g. autoimmune condition, such as systemic lupus erythematosus (SLE) , Sjogren’s syndrome, systemic sclerosis, Hashimoto’s thyroiditis, type I diabetes, idiopathic thrombocytopenia purpura, or Graves disease;

(h) an ocular condition such as uveitis, allergic conjunctivitis, or vernal conjunctivitis;

(i) a nervous condition such as multiple sclerosis or encephalomyelitis;

(j) an infection or infection-related condition, such as Acquired Immunodeficiency Syndrome (AIDS) , acute or chronic bacterial infection, acute or chronic parasitic infection, acute or chronic viral infection, acute or chronic fungal infection, meningitis, hepatitis (A, B or C, or other viral hepatitis) , peritonitis, pneumonia, epiglottitis, malaria, dengue hemorrhagic fever, leishmaniasis, streptococcal myositis, mycobacterium tuberculosis, mycobacterium avium intracellulare, Pneumocystis carinii pneumonia, orchitis/epidydimitis, legionella, Lyme disease, influenza A, epstein-barr virus, viral encephalitis/aseptic meningitis, or pelvic inflammatory disease;

(k) a renal condition such as mesangial proliferative glomerulonephritis, nephrotic syndrome, nephritis, glomerular nephritis, acute renal failure, uremia, or nephritic syndrome;

(i) a lymphatic condition such as Castleman’s disease;

(m) a condition of, or involving, the immune system, such as hyper IgE syndrome, lepromatous leprosy, familial hemophagocytic lymphohistiocytosis, or graft versus host disease;

(n) a hepatic condition such as chronic active hepatitis, non-alcoholic steatohepatitis (NASH) , alcohol-induced hepatitis, non-alcoholic fatty liver disease (NAFLD) , alcoholic fatty liver disease (AFLD) , alcoholic steatohepatitis (ASH) or primary biliary cirrhosis;

(o) a cancer, including those cancers listed herein below;

(p) a burn, wound, trauma, haemorrhage or stroke;

(q) radiation exposure; and/or

(r) obesity; and/or

(s) pain such as inflammatory hyperalgesia.

II. Inflammatory disease, including inflammation occurring as a result of an inflammatory disorder, e.g. an autoinflammatory disease, such as cryopyrin-associated periodic syndromes (CAPS) , Muckle-Wells syndrome (MWS) , familial cold autoinflammatory syndrome (FCAS) , familial Mediterranean fever (FMF) , neonatal onset multisystem inflammatory disease (NOMID) , Majeed syndrome, pyogenic arthritis, pyoderma gangrenosum and acne syndrome (PAPA) , adult-onset Still’s disease (AOSD) , haploinsufficiency of A20 (HA20) , pediatric granulomatous arthritis (PGA) , PLCG2-associated antibody deficiency and immune dysregulation (PLAID) , PLCG2-associated autoinflammatory, antibody deficiency and immune dysregulation (APLAID) , or sideroblastic anemia with B-cell immunodeficiency, periodic fevers and developmental delay (SIFD) .

III. Immune diseases, e.g. auto-immune diseases, such as acute disseminated encephalitis, Addison’s disease, ankylosing spondylitis, antiphospholipid antibody syndrome (APS) , anti-synthetase syndrome, aplastic anemia, autoimmune adrenalitis, autoimmune hepatitis, autoimmune oophoritis, autoimmune polyglandular failure, autoimmune thyroiditis, Coeliac disease, Crohn’s disease, type 1 diabetes (T1D) , Goodpasture’s syndrome, Grave’s disease, Guillain-Barre syndrome (GBS) , Hashimoto’s disease, idiopathic thrombocytopenic purpura, Kawasaki’s disease, lupus erythematosus including systemic lupus erythematosus (SLE) , multiple sclerosis (MS) including primary progressive multiple sclerosis (PPMS) , secondary progressive multiple sclerosis (SPMS) and relapsing remitting multiple sclerosis (RRMS) , myasthenia gravis, opsoclonus myoclonus syndrome (OMS) , optic neuritis, Ord’s thyroiditis, pemphigus, pernicious anemia, polyarthritis, primary biliary cirrhosis, rheumatoid arthritis (RA) , psoriatic arthritis, juvenile idiopathic arthritis or Still’s disease, refractory gouty arthritis, Reiter’s syndrome, Sjogren’s syndrome, systemic sclerosis a systemic connective tissue disorder, Takayasu’s arteritis, temporal arteritis, warm autoimmune hemolytic anemia, Wegener’s granulomatosis, alopecia universalis, Beliefs disease, Chagas’ disease, dysautonomia, endometriosis, hidradenitis suppurativa (HS) , interstitial cystitis, neuromyotonia, psoriasis, sarcoidosis, scleroderma, ulcerative colitis, Schnitzler syndrome, macrophage activation syndrome, Blau syndrome, giant cell arteritis, vitiligo or vulvodynia;

IV. Cancer including lung cancer, renal cell carcinoma, non-small cell lung carcinoma (NSCLC) , Langerhans cell histiocytosis (LCH) , myeloproliferative neoplams (MPN) , pancreatic cancer, gastric cancer, myelodysplastic syndrome (MDS) , leukaemia including acute lymphocytic leukaemia (ALL) and acute myeloid leukaemia (AML) , promyelocytic leukemia (APML, or APL) , adrenal cancer, anal cancer, basal and squamous cell skin cancer, bile duct cancer, bladder cancer, bone cancer, brain and spinal cord tumours, breast cancer, cervical cancer, chronic lymphocytic leukaemia (CLL) , chronic myeloid leukaemia (CML) , chronic myelomonocytic leukaemia (CMML) , colorectal cancer, endometrial cancer, oesophagus cancer, Ewing family of tumours, eye cancer, gallbladder cancer, gastrointestinal carcinoid tumours, gastrointestinal stromal tumour (GIST) , gestational trophoblastic disease, glioma, Hodgkin lymphoma, Kaposi sarcoma, kidney cancer, laryngeal and hypopharyngeal cancer, liver cancer, lung carcinoid tumour, lymphoma including cutaneous T cell lymphoma, malignant mesothelioma, melanoma skin cancer, Merkel cell skin cancer, multiple myeloma, nasal cavity and paranasal sinuses cancer, nasopharyngeal cancer, neuroblastoma, nonHodgkin lymphoma, non-small cell lung cancer, oral cavity and oropharyngeal cancer, osteosarcoma, ovarian cancer, penile cancer, pituitary tumours, prostate cancer, retinoblastoma, rhabdomyosarcoma, salivary gland cancer, skin cancer, small cell lung cancer, small intestine cancer, soft tissue sarcoma, stomach cancer, testicular cancer, thymus cancer, thyroid cancer including anaplastic thyroid cancer, uterine sarcoma, vaginal cancer, vulvar cancer, Waldenstrom macroglobulinemia, and Wilms tumour;

V. Infections including viral infections (e.g. from influenza virus, human immunodeficiency virus (HIV) , alphavirus (such as Chikungunya and Ross River virus) , flaviviruses (such as Dengue virus and Zika virus) , herpes viruses (such as Epstein Barr Virus, cytomegalovirus, Varicella-zoster virus, and KSHV) , poxviruses (such as vaccinia virus (Modified vaccinia virus Ankara) and Myxoma virus) , adenoviruses (such as Adenovirus 5) , or papillomavirus) , bacterial infections (e.g. from Staphylococcus aureus, Helicobacter pylori, Bacillus anthracis, Bordatella pertussis, Burkholderia pseudomallei, Corynebacterium diptheriae, Clostridium tetani, Clostridium botulinum, Streptococcus pneumoniae, Streptococcus pyogenes, Listeria monocytogenes, Hemophilus influenzae, Pasteurella multicida, Shigella dysenteriae, Mycobacterium tuberculosis, Mycobacterium leprae, Mycoplasma pneumoniae, Mycoplasma hominis, Neisseria meningitidis, Neisseria gonorrhoeae, Rickettsia rickettsii, Legionella pneumophila, Klebsiella pneumoniae, Pseudomonas aeruginosa, Propionibacterium acnes, Treponema pallidum, Chlamydia trachomatis, Vibrio cholerae, Salmonella typhimurium, Salmonella typhi, Borrelia burgdorferi or Yersinia pestis) , fungal infections (e.g. from Candida or Aspergillus species) , protozoan infections (e.g. from Plasmodium, Babesia, Giardia, Entamoeba, Leishmania or Trypanosomes) , helminth infections (e.g. from schistosoma, roundworms, tapeworms or flukes) , and prion infections;

VI. Central nervous system diseases such as Parkinson’s disease, Alzheimer’s disease, dementia, motor neuron disease, Huntington’s disease, cerebral malaria, brain injury from pneumococcal meningitis, intracranial aneurysms, traumatic brain injury, multiple sclerosis, and amyotrophic lateral sclerosis;

VII. Metabolic diseases such as type 2 diabetes (T2D) , atherosclerosis, obesity, gout, and pseudo-gout;

VIII. Cardiovascular diseases such as hypertension, ischaemia, reperfusion injury including post-MI ischemic reperfusion injury, stroke including ischemic stroke, transient ischemic attack, myocardial infarction including recurrent myocardial infarction, heart failure including congestive heart failure and heart failure with preserved ejection fraction, embolism, aneurysms including abdominal aortic aneurysm, cardiovascular risk reduction (CvRR) , and pericarditis including Dressler’s syndrome;

IX. Respiratory diseases including chronic obstructive pulmonary disorder (COPD) , asthma such as allergic asthma and steroid-resistant asthma, asbestosis, silicosis, nanoparticle induced inflammation, cystic fibrosis, and idiopathic pulmonary fibrosis;

X. Liver diseases including non-alcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH) including advanced fibrosis stages F3 and F4, alcoholic fatty liver disease (AFLD) , and alcoholic steatohepatitis (ASH) ;

XI. Renal diseases including acute kidney disease, hyperoxaluria, chronic kidney disease, oxalate nephropathy, nephrocalcinosis, glomerulonephritis, and diabetic nephropathy;

XII. Ocular diseases including those of the ocular epithelium, age-related macular degeneration (AMD) (dry and wet) , uveitis, corneal infection, diabetic retinopathy, optic nerve damage, dry eye, and glaucoma;

XIII. Skin diseases including dermatitis such as contact dermatitis and atopic dermatitis, contact hypersensitivity, sunburn, skin lesions, hidradenitis suppurativa (HS) , other cyst-causing skin diseases, and acne conglobata;

XIV. Lymphatic conditions such as lymphangitis, and Castleman’s disease;

XV. Psychological disorders such as depression, and psychological stress;

XVI. Graft versus host disease;

XVII. Bone diseases including osteoporosis, osteopetrosis;

XVIII. Blood disease including sickle cell disease;

XVIX. Allodynia including mechanical allodynia; and

XVX. Any disease where an individual has been determined to carry a germline or somatic non-silent mutation in NLRP3.

More specifically the compounds of the invention may be useful in the treatment of an indication selected from : inflammasome-related disease/disorders, immune diseases, inflammatory diseases, auto-immune diseases, or auto-inflammatory diseases, for example, autoinflammatory fever syndromes (e.g., cryopyrin-associated periodic syndrome) , sickle cell disease, systemic lupus erythematosus (SLE) , liver related disease /disorders (e.g. chronic liver disease, viral hepatitis, non-alcoholic steatohepatitis (NASH) , alcoholic steatohepatitis, and alcoholic liver disease) , inflammatory arthritis related disorders (e.g. gout, pseudogout (chondrocalcinosis) , osteoarthritis, rheumatoid arthritis, arthropathy e.g acute, chronic) , kidney related diseases (e.g. hyperoxaluria, lupus nephritis, Type I/Type II diabetes and related complications (e.g. nephropathy, retinopathy) , hypertensive nephropathy, hemodialysis related inflammation) , neuroinflammation-related diseases (e.g. multiple sclerosis, brain infection, acute injury, neurodegenerative diseases, Alzheimer’s disease, Parkinson’s disease, Amyotrophic lateral sclerosis (ALS) ) , cardiovascular /metabolic diseases/disorders (e.g. cardiovascular risk reduction (CvRR) , hypertension, atherosclerosis, type I and type II diabetes and related complications, peripheral artery disease (PAD) , acute heart failure) , inflammatory skin diseases (e.g. hidradenitis suppurativa, acne) , wound healing and scar formation, asthma, sarcoidosis, age-related macular degeneration, and cancer related diseases/disorders (e.g. colon cancer, lung cancer, myeloproliferative neoplasms, leukemias, myelodysplastic syndromes (MDS) , myelofibrosis) . In particular, autoinflammatory fever syndromes (e.g. CAPS) , sickle cell disease, Type I/Type II diabetes and related complications (e.g. nephropathy, retinopathy) , gout, pseudogout (chondrocalcinosis) , chronic liver disease, NASH, neuroinflammation-related disorders (e.g. multiple sclerosis, brain infection, acute injury, neurodegenerative diseases, Alzheimer’s disease) , atherosclerosis and cardiovascular risk (e.g. cardiovascular risk reduction (CvRR) , hypertension) , hidradenitis suppurativa, wound healing and scar formation, and cancer (e.g. colon cancer, lung cancer, myeloproliferative neoplasms, leukemias, myelodysplastic syndromes (MDS) , myelofibrosis) .

In particular, compounds of the invention, or a pharmaceutically acceptable salt thereof, may be useful in the treatment of a disease or disorder selected from autoinflammatory fever syndromes (e.g. CAPS) , sickle cell disease, Type I/Type II diabetes and related complications (e.g. nephropathy, retinopathy) , hyperoxaluria, gout, pseudogout (chondrocalcinosis) , chronic liver disease, NASH, neuroinflammation-related disorders (e.g. multiple sclerosis, brain infection, acute injury, neurodegenerative diseases, Alzheimer’s disease) , atherosclerosis and cardiovascular risk (e.g. cardiovascular risk reduction (CvRR) , hypertension) , hidradenitis suppurativa, wound healing and scar formation, and cancer (e.g. colon cancer, lung cancer, myeloproliferative neoplasms, leukemias, myelodysplastic syndromes (MDS) , myelofibrosis) .

Thus, as a further aspect, the present invention provides the use of a compound of any one of Formula (I) , or a compound according to any one of the preceding embodiments, or a compound according to any one of the exemplified examples, or a pharmaceutically acceptable salt thereof, in therapy. In a further embodiment, the therapy is selected from a disease, which may be treated by inhibition of NLRP3 inflammasome pathway. In another embodiment, the disease is selected from the afore-mentioned list, suitably inflammasome-related diseases/disorders, immune diseases, inflammatory diseases, autoimmune diseases, or auto-inflammatory diseases, for example, autoinflammatory fever syndromes (e.g cryopyrin-associated periodic syndrome) , sickle cell disease, systemic lupus erythematosus (SLE) , liver related disease/disorders (e.g. chronic liver disease, viral hepatitis, non-alcoholic steatohepatitis (NASH) , alcoholic steatohepatitis, and alcoholic liver disease) , inflammatory arthritis related disorders (e.g. gout, pseudogout (chondrocalcinosis) , osteoarthritis, rheumatoid arthritis, arthropathy e.g acute, chronic) , kidney related diseases (e.g. hyperoxaluria, lupus nephritis, Type I/Type II diabetes and related complications (e.g. nephropathy, retinopathy) hypertensive nephropathy, hemodialysis related inflammation) , neuroinflammation-related diseases (e.g. multiple sclerosis, brain infection, acute injury, neurodegenerative diseases, Alzheimer’s disease, Parkinson’s disease, Amyotrophic lateral sclerosis (ALS) ) , cardiovascular/metabolic diseases/disorders (e.g. cardiovascular risk reduction (CvRR) , hypertension, atherosclerosis, type I and type II diabetes and related complications, peripheral artery disease (PAD) , acute heart failure) , inflammatory skin diseases (e.g. hidradenitis suppurativa, acne) , wound healing and scar formation, asthma, sarcoidosis, age-related macular degeneration, and cancer related diseases /disorders (e.g. colon cancer, lung cancer, myeloproliferative neoplasms, leukemias, myelodysplastic syndromes (MDS) , myelofibrosis) . In particular, autoinflammatory fever syndromes (e.g. CAPS) , sickle cell disease, Type I/Type II diabetes and related complications (e.g. nephropathy, retinopathy) , hyperoxaluria, gout, pseudogout (chondrocalcinosis) , chronic liver disease, NASH, neuroinflammation-related disorders (e.g. multiple sclerosis, brain infection, acute injury, neurodegenerative diseases, Alzheimer’s disease) , atherosclerosis and cardiovascular risk (e.g. cardiovascular risk reduction (CvRR) , hypertension) , hidradenitis suppurativa, wound healing and scar formation, and cancer (e.g. colon cancer, lung cancer, myeloproliferative neoplasms, leukemias, myelodysplastic syndromes (MDS) , myelofibrosis) .

Thus, as a further aspect, the present invention provides a compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a compound according to any one of the preceding embodiments, or a compound according to any one of the exemplified examples, or a pharmaceutically acceptable salt thereof, for use in therapy. In a further embodiment, the therapy is selected from a disease, which may be treated by inhibition of NLRP3 inflammasome pathway. In another embodiment, the disease is selected from the afore-mentioned list, suitably inflammasome-related diseases/disorders, immune diseases, inflammatory diseases, autoimmune diseases, or auto-inflammatory diseases, for example, autoinflammatory fever syndromes (e.g cryopyrin-associated periodic syndrome) , sickle cell disease, systemic lupus erythematosus (SLE) , liver related disease/disorders (e.g. chronic liver disease, viral hepatitis, non-alcoholic steatohepatitis (NASH) , alcoholic steatohepatitis, and alcoholic liver disease) , inflammatory arthritis related disorders (e.g. gout, pseudogout (chondrocalcinosis) , osteoarthritis, rheumatoid arthritis, arthropathy e.g acute, chronic) , kidney related diseases (e.g. hyperoxaluria, lupus nephritis, Type I/Type II diabetes and related complications (e.g. nephropathy, retinopathy) , hypertensive nephropathy, hemodialysis related inflammation) , neuroinflammation-related diseases (e.g. multiple sclerosis, brain infection, acute injury, neurodegenerative diseases, Alzheimer’s disease, Parkinson’s disease, Amyotrophic lateral sclerosis (ALS) ) , cardiovascular/metabolic diseases/disorders (e.g. cardiovascular risk reduction (CvRR) , hypertension, atherosclerosis, type I and type II diabetes and related complications, peripheral artery disease (PAD) , acute heart failure) , inflammatory skin diseases (e.g. hidradenitis suppurativa, acne) , wound healing and scar formation, asthma, sarcoidosis, age-related macular degeneration, and cancer related disease/disorders (e.g. colon cancer, lung cancer, myeloproliferative neoplasms, leukemias, myelodysplastic syndromes (MDS) , myelofibrosis) . In particular, autoinflammatory fever syndromes (e.g. CAPS) , sickle cell disease, Type I/Type II diabetes and related complications (e.g. nephropathy, retinopathy) , hyperoxaluria, gout, pseudogout (chondrocalcinosis) , chronic liver disease, NASH, neuroinflammation-related disorders (e.g. multiple sclerosis, brain infection, acute injury, neurodegenerative diseases, Alzheimer’s disease) , atherosclerosis and cardiovascular risk (e.g. cardiovascular risk reduction (CvRR) , hypertension) , hidradenitis suppurativa, wound healing and scar formation, and cancer (e.g. colon cancer, lung cancer, myeloproliferative neoplasms, leukemias, myelodysplastic syndromes (MDS) , myelofibrosis) .

In another aspect, the invention provides a method of treating a disease which is treated by inhibiting NLRP3 comprising administration of a therapeutically effective amount of a compound of any one of Formula (I) , or a compound according to any one of the preceding embodiments, or a compound according to any one of the exemplified examples, or a pharmaceutically acceptable salt thereof. In a further embodiment, the disease is selected from the afore-mentioned list, suitably inflammasome-related diseases/disorders, immune diseases, inflammatory diseases, auto-immune diseases, or autoinflammatory diseases, for example, autoinflammatory fever syndromes (e.g. cryopyrin associated periodic syndrome) , sickle cell disease, systemic lupus erythematosus (SLE) , liver related diseases /disorders (e.g. chronic liver disease, viral hepatitis, non-alcoholic steatohepatitis (NASH) , alcoholic steatohepatitis, and alcoholic liver disease) , inflammatory arthritis related disorders (e.g. gout, pseudogout (chondrocalcinosis) , osteoarthritis, rheumatoid arthritis, arthropathy e.g. acute, chronic) , kidney related diseases (e.g. hyperoxaluria, lupus nephritis, Type I/Type II diabetes and related complications (e.g. nephropathy, retinopathy) , hypertensive nephropathy, hemodialysis related inflammation) , neuroinflammation-related diseases (e.g. multiple sclerosis, brain infection, acute injury, neurodegenerative diseases, Alzheimer’s disease, Parkinson’s disease, Amyotrophic lateral sclerosis (ALS) ) , cardiovascular/metabolic diseases/disorders (e.g. cardiovascular risk reduction (CvRR) , hypertension, atherosclerosis, Type I/Type II diabetes and related complications, peripheral artery disease (PAD) , acute heart failure) , inflammatory skin diseases (e.g. hidradenitis suppurativa, acne) , wound healing and scar formation, asthma, sarcoidosis, age-related macular degeneration, and cancer related diseases/disorders (e.g. colon cancer, lung cancer, myeloproliferative neoplasms, leukemias, myelodysplastic syndromes (MDS) , myelofibrosis) . In particular, autoinflammatory fever syndromes (e.g., CAPS) , sickle cell disease, Type I /Type II diabetes and related complications (e.g., nephropathy, retinopathy) , hyperoxaluria, gout, pseudogout (chondrocalcinosis) , chronic liver disease, NASH, neuroinflammation-related disorders (e.g., multiple sclerosis, brain infection, acute injury, neurodegenerative diseases, Alzheimer’s disease) , atherosclerosis and cardiovascular risk (e.g. cardiovascular risk reduction (CvRR) , hypertension) , hidradenitis suppurativa, wound healing and scar formation, and cancer (e.g. colon cancer, lung cancer, myeloproliferative neoplasms, leukemias, myelodysplastic syndromes (MDS) , myelofibrosis) .

In a further aspect, the present invention provides a compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a compound according to any one of the preceding embodiments, or a compound according to any one of the exemplified examples, or a pharmaceutically acceptable salt thereof, useful in the treatment of a disease, disorder or condition substantially or entirely mediated by NLRP3 inflammasome activity, as disclosed herein, and/or NLRP3induced IL-1 beta, and/or NLRP3-induced IL-18. Some of the diseases, disorders or conditions mentioned herein arise due to mutations in NLRP3, in particular, result in an increased NLRP3 activity.

Thus, as a further aspect, the present invention provides the use of a compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a compound according to any one of the preceding embodiments, or a compound according to any one of the exemplified examples, or a pharmaceutically acceptable salt thereof, for the manufacture of a medicament. In a further embodiment, the medicament is for the treatment of a disease, which is treated by inhibition of NLRP3 inflammasome pathway. In another embodiment, the disease is selected from the aforementioned list, suitably inflammasome-related diseases/disorders, immune diseases, inflammatory diseases, auto-immune diseases, or auto-inflammatory diseases, for example, autoinflammatory fever syndromes (e.g. cryopyrin-associated periodic syndrome) , sickle cell disease, systemic lupus erythematosus (SLE) , liver related diseases /disorders (e.g. chronic liver disease, viral hepatitis, non-alcoholic steatohepatitis (NASH) , alcoholic steatohepatitis, and alcoholic liver disease) , inflammatory arthritis related disorders (e.g. gout, pseudogout (chondrocalcinosis) , osteoarthritis, rheumatoid arthritis, arthropathy e.g. acute, chronic) , kidney related diseases (e.g. hyperoxaluria, lupus nephritis, Type I/Type II diabetes and related complications (e.g. nephropathy, retinopathy) , hypertensive nephropathy, hemodialysis related inflammation) , neuroinflammation-related diseases (e.g. multiple sclerosis, brain infection, acute injury, neurodegenerative diseases, Alzheimer’s disease, Parkinson’s disease, Amyotrophic lateral sclerosis (ALS) ) , cardiovascular/metabolic diseases/disorders (e.g. cardiovascular risk reduction (CvRR) , hypertension, atherosclerosis, type I and type II diabetes and related complications, peripheral artery disease (PAD) , acute heart failure) , inflammatory skin diseases (e.g. hidradenitis suppurativa, acne) , wound healing and scar formation, asthma, sarcoidosis, age-related macular degeneration, and cancer related diseases /disorders (e.g. colon cancer, lung cancer, myeloproliferative neoplasms, leukemias, myelodysplastic syndromes (MDS) , myelofibrosis) . In particular, autoinflammatory fever syndromes (e.g., CAPS) , sickle cell disease, Type I/Type II diabetes and related complications (e.g. nephropathy, retinopathy) , hyperoxaluria, gout, pseudogout (chondrocalcinosis) , chronic liver disease, NASH, neuroinflammation-related disorders (e.g. multiple sclerosis, brain infection, acute injury, neurodegenerative diseases, Alzheimer’s disease) , atherosclerosis and cardiovascular risk (e.g. cardiovascular risk reduction (CvRR) , hypertension) , hidradenitis suppurativa, wound healing and scar formation, and cancer (e.g. colon cancer, lung cancer, myeloproliferative neoplasms, leukemias, myelodysplastic syndromes (MDS) , myelofibrosis) .

The pharmaceutical composition or combination of the present invention can be in unit dosage of about 1-1000 mg of active ingredient (s) for a subject of about 50 -70 kg, or about 1 -500 mg, or about 1 -250 mg, or about 1 -150 mg, or about 1 -100 mg, or about 1 -50 mg of active ingredients. The therapeutically effective dosage of a compound, the pharmaceutical composition, or the combinations thereof, is dependent on the species of the subject, the body weight, age and individual condition, the disorder or disease or the severity thereof being treated. A physician, clinician or veterinarian of ordinary skill can readily determine the effective amount of each of the active ingredients necessary to prevent, treat or inhibit the progress of the disorder or disease.

The above-cited dosage properties are demonstrable in vitro and in vivo tests using advantageously mammals, e.g., mice, rats, dogs, monkeys or isolated organs, tissues and preparations thereof. The compounds of the present invention can be applied in vitro in the form of solutions, e.g., aqueous solutions, and in vivo either enterally, parenterally, advantageously intravenously, e.g., as a suspension or in aqueous solution. The dosage in vitro may range between about 10^-3 molar and 10^-9 molar concentrations. A therapeutically effective amount in vivo may range depending on the route of administration, between about 0.1 -500 mg/kg, or between about 1 -100 mg/kg.

COMBINATION PRODUCT AND COMBINATION THERAPY OF THE INVENTION

“Combination” refers to either a fixed combination in one dosage unit form, or a combined administration where a compound of the present invention and a combination partner (e.g., another drug as explained below, also referred to as “therapeutic agent” or “co-agent” ) may be administered independently at the same time or separately within time intervals, especially where these time intervals allow that the combination partners show a cooperative, e.g., synergistic effect. The single components may be packaged in a kit or separately. One or both of the components (e.g., powders or liquids) may be reconstituted or diluted to a desired dose prior to administration. The terms “co-administration” or “combined administration” or the like as utilized herein are meant to encompass administration of the selected combination partner to a single subject in need thereof (e.g., a patient) , and are intended to include treatment regimens in which the agents are not necessarily administered by the same route of administration or at the same time. The term “pharmaceutical combination” as used herein means a product that results from the mixing or combining of more than one therapeutic agent and includes both fixed and non-fixed combinations of the therapeutic agents. The term “pharmaceutical combination” as used herein refers to either a fixed combination in one dosage unit form, or non-fixed combination or a kit of parts for the combined administration where two or more therapeutic agents may be administered independently at the same time or separately within time intervals, especially where these time intervals allow that the combination partners show a cooperative, e.g., synergistic effect. The term “fixed combination” means that the therapeutic agents, e.g., a compound of the present invention and a combination partner, are both administered to a patient simultaneously in the form of a single entity or dosage. The term “non-fixed combination” means that the therapeutic agents, e.g., a compound of the present invention and a combination partner, are both administered to a patient as separate entities either simultaneously, concurrently or sequentially with no specific time limits, wherein such administration provides therapeutically effective levels of the two compounds in the body of the patient. The latter also applies to cocktail therapy, e.g., the administration of three or more therapeutic agent.

The term “combination therapy” refers to the administration of two or more therapeutic agents to treat a therapeutic condition or disorder described in the present disclosure. Such administration encompasses co-administration of these therapeutic agents in a substantially simultaneous manner, such as in a single capsule having a fixed ratio of active ingredients. Alternatively, such administration encompasses co-administration in multiple, or in separate containers (e.g., tablets, capsules, powders, and liquids) for each active ingredient. Powders and /or liquids may be reconstituted or diluted to a desired dose prior to administration. In addition, such administration also encompasses use of each type of therapeutic agent in a sequential manner, either at approximately the same time or at different times. In either case, the treatment regimen will provide beneficial effects of the drug combination in treating the conditions or disorders described herein.

The compound of the present invention may be administered either simultaneously with, or before or after, one or more other therapeutic agent. The compound of the present invention may be administered separately, by the same or different route of administration, or together in the same pharmaceutical composition as the other agents. A therapeutic agent is, for example, a chemical compound, peptide, antibody, antibody fragment or nucleic acid, which is therapeutically active or enhances the therapeutic activity when administered to a patient in combination with a compound of the invention.

In one embodiment, the invention provides a product comprising a compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutical acceptable salt thereof, and at least one other therapeutic agent as a combined preparation for simultaneous, separate or sequential use in therapy. In one embodiment, the therapy is the treatment of a disease or condition mediated by NLRP3. Products provided as a combined preparation include a composition comprising the compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, and the other therapeutic agent (s) together in the same pharmaceutical composition, or the compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, and the other therapeutic agent (s) in separate form, e.g. in the form of a kit.

In one embodiment, the invention provides a pharmaceutical combination comprising a compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a compound according to any one of the preceding embodiments, or a pharmaceutical acceptable salt thereof, and another therapeutic agent (s) . Optionally, the pharmaceutical combination may comprise a pharmaceutically acceptable carrier, as described above.

In one embodiment, the invention provides a kit comprising two or more separate pharmaceutical compositions, at least one of which contains a compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a compound according to any one of the preceding embodiments, or a pharmaceutical acceptable salt thereof. In one embodiment, the kit comprises means for separately retaining said compositions, such as a container, divided bottle, or divided foil packet. An example of such a kit is a blister pack, as typically used for the packaging of tablets, capsules and the like.

The kit of the invention may be used for administering different dosage forms, for example, oral and parenteral, for administering the separate compositions at different dosage intervals, or for titrating the separate compositions against one another. To assist compliance, the kit of the invention typically comprises directions for administration.

In the combination therapies of the invention, the compound of the invention and the other therapeutic agent may be manufactured and /or Formulated by the same or different manufacturers. Moreover, the compound of the invention and the other therapeutic may be brought together into a combination therapy: (i) prior to release of the combination product to physicians (e.g. in the case of a kit comprising the compound of the invention and the other therapeutic agent) ; (ii) by the physician themselves (or under the guidance of the physician) shortly before administration; (iii) in the patient themselves, e.g. during sequential administration of the compound of the invention and the other therapeutic agent.

Accordingly, the invention provides the use of a compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, for treating a disease or condition mediated by NLRP3, wherein the medicament is prepared for administration with another therapeutic agent. The invention also provides the use of another therapeutic agent for treating a disease or condition mediated by NLRP3 wherein the medicament is administered with a compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a compound according to any one of the preceding embodiments, or a pharmaceutical acceptable salt thereof.

The invention also provides a compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a compound according to any one of the preceding embodiments, or a pharmaceutical acceptable salt thereof, for use in a method of treating a disease or condition mediated by NLRP3, wherein the compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a compound according to any one of the preceding embodiments, or pharmaceutical acceptable salt thereof, is prepared for administration with another therapeutic agent. The invention also provides another therapeutic agent for use in a method of treating a disease or condition mediated by NLRP3, wherein the other therapeutic agent is prepared for administration with a compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a compound according to any one of the preceding embodiments, or pharmaceutical acceptable salt thereof. The invention also provides a compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a compound according to any one of the preceding embodiments, or pharmaceutical acceptable salt thereof, for use in a method of treating a disease or condition mediated by NLRP3, wherein the compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a compound according to any one of the preceding embodiments, or pharmaceutical acceptable salt thereof, is administered with another therapeutic agent. The invention also provides another therapeutic agent for use in a method of treating a disease or condition mediated by NLRP3, wherein the other therapeutic agent is administered with a compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a compound according to any one of the preceding embodiments, or a pharmaceutical acceptable salt thereof.

The invention also provides the use of a compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a compound according to any one of the preceding embodiments, or pharmaceutical acceptable salt thereof, for treating a disease or condition mediated by NLRP3, wherein the patient has previously (e.g., within 24 hours) been treated with another therapeutic agent. The invention also provides the use of another therapeutic agent for treating a disease or condition mediated by NLRP3 inflammasome pathway, wherein the patient has previously (e.g. within 24 hours) been treated with a compound of any one of Formula (I) , or subFormulae thereof, as disclosed herein, or a pharmaceutically acceptable salt thereof, or a compound according to any one of the preceding embodiments, or a pharmaceutical acceptable salt thereof.

In one embodiment, the other therapeutic agent is a therapeutic agent useful in the treatment of inflammasome-related diseases /disorders, immune diseases, inflammatory diseases, auto-immune diseases, or auto-inflammatory diseases, as disclosed herein.

In one embodiment, the other therapeutic agent useful in the combination therapy is selected from farnesoid X receptor (FXR) agonists; anti-steatotics; anti-fibrotics; JAK inhibitors; checkpoint inhibitors; chemotherapy, radiation therapy and surgical procedures; urate-lowering therapies; anabolics and cartilage regenerative therapy; blockade of IL-17; complement inhibitors; Bruton’s tyrosine Kinase inhibitors (BTK inhibitors) ; Toll Like receptor inhibitors (TLR7/8 inhibitors) ; CAR-T therapy; anti-hypertensive agents; cholesterol lowering agents; leukotriene A4 hydrolase (LTAH4) inhibitors; SGLT2 inhibitors; β2-agonists; anti-inflammatory agents; nonsteroidal anti-inflammatory drugs ( “NSAlDs” ) ; acetylsalicylic acid drugs (ASA) including aspirin; paracetamol; regenerative therapy treatments; cystic fibrosis treatments; and atherosclerotic treatment.

Suitable leukotriene A4 hydrolase (LTA4H) inhibitors for use in the combination include, but are not limited to, compounds disclosed in WO2015/092740 (attorney docket PAT056044WO-PCT) .

Suitable sodium-dependent glucose transporter 2 (SGLT2) inhibitors for use in the combination include, but are not limited to, compounds disclosed in US 8, 163, 704 (attorney docket PAT053854-WO-PCT) , W02011/048112, W02011/048148, or in W02010/128152.

Suitable β2-agonists for use in the combination include, but are not limited to, arformoterol, bambuterol, bitolterol, broxaterol, carbuterol, clenbuterol, dopexamine, fenoterol, formoterol, hexoprenaline, ibuterol, Isoetharine, isoprenaline, levosalbutamol, mabuterol, meluadrine, metaprotenerol, nolomirole, orciprenaline, pirbuterol, procaterol, reproterol, ritodrine, rimoterol, salbutamol, salmefamol, salmeterol, sibenadet, sotenerot, sulfonterol, terbutaline, tiaramide, tulobuterol, CSK-597901, CSK-159797, GSK-678007, CSK-642444, CSK-159802, HOKU-81, (-) -2- [7 (S) - [2 (R) -hydroxy-2- (4-hydroxyphenyl) ethylamino] -5, 6, 7, 8tetrahydro-2-naphthyloxy] -N, N-dimethylacetamide hydrochloride monohydrate, carmoterol, QAB-149 and 5- [2- (5, 6-diethyl-2-ylamino) -1-hydroxyethyl] -8-hydroxy-1H-quinolin-2-one, 4-hydroxy-7- [2- { [2- { [3- (2-phenylethoxy) propyl] sulfonyl} ethyl] amino} ethyl] -2 (3H) benzothiazolone, 1- (1-fluoro-4-hydroxyphenyl) -2- [4- (1-benzimidazolyl) -2-methyl-2-butylamino] ethanol, 1- [3- (4-methoxybenzyl amino) -4-hydroxyphenyl] -2- [4 (1-benzimidazolyl) -2-methyl-2-butylamino] ethanol, 1- [2H-5-hydroxy-3-oxo-4H-1, 4-benzoxazin-8-yl] -2- [3- (4-N, N-dimethyl aminophenyl) -2-methyl-2-propyl amino] ethanol, 1- [2H-5-hydroxy-3-oxo-4H-1, 4-benzoxazin-8-yl] -2- [3- (4-methoxyphenyl) -2-methyl-2-propylamino] ethanol, 1- [2H-5-hydroxy-3-oxo-4H-1, 4benzoxazin-8-yl] -2- [3- (4-n-butyloxyphenyl) -2-methyl-2-propylamino] ethanol, 1- [2H-5-hydroxy-3-oxo-4H-1, 4-benzoxazin-8-yl] -2- {4- [3- (4-methoxyphenyl) -1, 2, 4-triazol-3-yl] -2-methyl-2-butylamino} ethanol, 5-hydroxy-8- (1-hydroxy-2-isopropylaminobutyl) -2H-1, 4benzoxazin-3- (4H) -one, 1- (4-amino-3-chloro-5trifluoromethylphenyl) -2-tert-butylamino) ethanol, 1- (4-ethoxy carbonylamino-3-cyano-5-fluoro phenyl) -2- (tert-butylamino) ethanol, and combinations thereof, each of which is optionally in the form of a racemate, enantiomer, diastereomer, or mixtures thereof, and also optionally in the form of a pharmacologically-compatible acid addition salt.

Suitable cartilage regenerative therapy for use in the combination includes, but are not limited to, ANGPTL3 peptidomimetics disclosed in WO2014/138687 (attorney docket number PAT055625-WO-PCT) , or a chondrogenesis activator disclosed in WO2015/175487 (attorney docket number PAT055940-WO-PCT) .

Suitable checkpoint inhibitors for use in the combination include, but are not limited to, anti-PD1 inhibitors, anti-LAG-3 inhibitors, anti-TIM-3 inhibitors, anti-PDL1 inhibitors. Suitable anti-PD1 inhibitors, include, but are not limited to, an antibody molecule disclosed in WO2015/112900. Suitable anti-LAG-3 inhibitors, include, but are not limited to, an antibody molecule disclosed in WO2015/138920. Suitable anti-TIM-3 inhibitors include, but are not limited to, an antibody molecule disclosed in WO2015/117002. Suitable anti-TIM-3 inhibitors include, but are not limited to, an antibody molecule disclosed in WO2015/117002. Suitable anti-PDL1 inhibitors include, but are not limited to, an antibody molecule disclosed in WO/2016/061142.

Suitable Toll Like receptor inhibitors (TLR7/8 inhibitors) for use in the combination include, but are not limited to, a compound disclosed in WO2018/04081.

Suitable FXR agonists for use in the combination include, but are not limited to, obeticholic acid (so called OCA, Intercept) , GS9674, elafibranor (GFT505) , GW4064, UPF987, FXR-450, fexaramine, methylcolate, methyl deoxycholate, 5β-cholanic acid, 5β-chloanic acid, 7α, 12α diol, NIHS700, marchantin A, marchantin E, MFA-1 INT767 (also called 6α-ethyl-CDCA disclosed in WO2014/085474) , MET409 (Metacrine) , EDP-305 (Enanta) , 2- [ (1R, 3r, 5S) -3- ( {5-cyclopropyl-3- [2- (trifluoromethoxy) phenyl] -1, 2-oxazol-4-yl} methoxyl-8-azabicyclo [3.2.1] octan-8-yl] -4-fluoro-1, 3-benzothiazole-6-carboxylic acid (also known under the name Tropifexor) , or a pharmaceutically acceptable salt thereof, or a compound disclosed in WO 2012/087519, or a compound disclosed in WO 2015/069666.

Suitable JAK inhibitors for use in the combination include, but are not limited to Ruxolitinib.

Suitable NSAIDs for use in the combination include, but are not limited to, Aceclofenac, acemetacin, acetylsalicylic acid, alclofenac, alminoprofen, amfenac, Ampiroxicam, Antolmetinguacil, Anirolac, antrafenine, azapropazone, benorylate, Bermoprofen, bindarit, bromfenac, bucloxic acid, Bucolom, Bufexamac, Bumadizon, butibufen, Butixirat, Carbasalatcalcium, carprofen, choline magnesium trisalicylate, celecoxib, Cinmetacin, Cinnoxicam, clidanac Clobuzarit Deboxamet, dexibuprofen, Dexketoprofen, diclofenac, diflunisal, droxicam, Eltenac, Enfenaminsaure, Etersalat, etodolac, etofenamate, etoricoxib, Feclobuzon, felbinac, fenbufen, fenclofenac, fenoprofen, fentiazac, Fepradinol, Feprazon, Flobufen,

floctafenine, flufenamic acid, flufenisal, Flunoxaprofen, flurbiprofen, Flurbiprofenaxetil, Furofenac, Furprofen, Glucametacin, ibufenac, ibuprofen, Indobufen, indomethacin, Indometacinfarnesil, indoprofen, Isoxepac, Isoxicam, ketoprofen, ketorolac, lobenzarit, Lonazolac, lornoxicam, Loxoprofen, lumiracoxib, meclofenamic, Meclofen, mefenamic acid, meloxicam, mesalazine, Miro Profen, Mofezolac, nabumetone, naproxen, niflumic acid, olsalazine, oxaprozin, Oxipinac, oxyphenbutazone, parecoxib, phenylbutazone, Pelubiprofen, Pimeprofen, Pirazolac, Priroxicam, pirprofen, Pranoprofen, Prifelon, Prinomod, Proglumetacin, Proquazon, Protizininsaure, rofecoxib, Romazarit, salicylamide, salicylic acid, Salmi Stein, Salnacedin, salsalate, sulindac, sudoxicam, suprofen, Talniflumate, tenidap, Tenosal, tenoxicam, tepoxalin, tiaprofenic acid, Taramid, Tilnoprofenarbamel, timegadine, Tinoridin, Tiopinac, tolfenamic acid, tolmetin, Ufenamat, valdecoxib, Ximoprofen, zaltoprofen, Zoliprofen and combinations thereof.

Suitable BTK inhibitors include for example Ibrutinib, Acalabrutinib (ACP-196) , Evobrutinib; Fenebrutinib; Tirabrutinib (ONO-4059, GS-4059) ; Zanubrutinib (BGB-3111) , Spebrutinib (CC-292, AVL-292) , Poseltinib (HM-71224, LY3337641) , Vecabrutinib (SNS-062) , BMS-986142; BMS986195; PRN2246; PRN1008, M7583, CT1530, BllBO68, AC-0058TA, ARQ-531 , TAK-020, TG1701 or a compound described in WO2015/079417, WO2015/083008, WO2015/110923, WO2014/173289, WO2012/021444, WO2013/081016, WO2013/067274, WO2012/170976, WO2011/162515, US2017/119766, WO2016/065226, WO2016/201280, WO2017/059702, US2014/0256734, WO2017/118277, WO2014/039899, WO/16/105531, WO2018/005849, WO2013/185082 or in J. Med. Chem., 2016, 59 (19) , 9173-9200. Of particular interest, BTK inhibitors include compound of example 31 described in WO2014/039899, compound of example 14f in Journal of Medicinal Chemistry, 2016, 59 (19) , 9173-9200; compound of example 2 described in US2017/119766, compound of example 223 described in WO2016/065226, or compound 1 described in WO2016/201280, or compound 1 described in WO2017/059702, or compound 1 described in WO2017/118277; or a pharmaceutically acceptable salt thereof.

EXAMPLES EXEMPLIFICATION OF THE INVENTION

The disclosure is further illustrated by the following examples and synthesis schemes, which are not to be construed as limiting this disclosure in scope or spirit to the specific procedures herein described. It is to be understood that the examples are provided to illustrate certain embodiments and that no limitation to the scope of the disclosure is intended thereby. It is to be further understood that resort may be had to various other embodiments, modifications, and equivalents thereof, which may suggest themselves to those skilled in the art without departing from the spirit of the present disclosure and /or scope of the appended claims. In case the preparative examples are obtained as a mixture of enantiomers, the pure enantiomers can be obtained by methods described herein or by methods known to those skilled in the art, such as e.g. chiral chromatography or crystallization.

Compounds of the present disclosure may be prepared by methods known in the art of organic synthesis. In all of the methods it is understood that protecting groups for sensitive or reactive groups may be employed where necessary in accordance with general principles of chemistry. Protecting groups are manipulated according to standard methods of organic synthesis (T. W. Green and P. G. M. Wuts (2014) Protective Groups in Organic Synthesis, 5th edition, John Wiley &Sons) . These groups are removed at a convenient stage of the compound synthesis using methods that are readily apparent to those skilled in the art.

Unless otherwise noted, reagents and solvents were used as received from commercial suppliers.

Temperatures are given in degrees Celsius. If not mentioned otherwise, all evaporations are performed under reduced pressure. The structure of final products, intermediates and starting materials is confirmed by standard analytical methods, e.g., microanalysis and spectroscopic characteristics, e.g., MS, IR, NMR. Abbreviations used are those conventional in the art.

ABBREVIATIONS
AcOH   Acetic acid
ASC   Apoptosis-associated speck-like protein
BINAP   (2, 2’-Bis (diphenylphosphino) -1, 1’-binaphthyl)
BippyPhos  5- (Di-tert-butylphosphino) -1’, 3’, 5’-triphenyl-1-’ H-1, 4-bipyrazole
Boc   tert-Butyloxycarbonyl
CAPS        Cryopyrin-Associated Periodic Syndromes
DAMPs  Danger-activated molecular patterns
DIAD  Diisopropyl azodicarboxylate
DIEA  N-Diisopropylethylamine
DIPEA  N-Diisopropylethylamine
DMA        N, N-Dimethylacetamide
DME         1 , 2-Dimethoxyethane
DMF        N, N-Dimethylformamide
DMSO   Dimethylsulfoxide
dppf         1, 1’-Bis (diphenylphosphino) ferrocene
EA   Ethyl acetate
EtOAc   Ethyl acetate
EtOH        Ethanol
h             Hour (s)
HCl          Hydrogen chloride
HTRF  homogeneous time resolved fluorescence
HPLC  High-performance liquid chromatography
Hz/MHz Hertz/Mega Hertz
IC₅₀          Half maximal inhibitory concentration
IL-lβ         Interleukin 1 beta
IR            Infrared
LC-MS  Liquid chromatography -mass spectrometry
LPS          Lipopolysaccharides from Escherichia coli 0111B4
LRR         Leucine-rich repeat
M             Molar
mCPBA  3-Chlorobenzoperoxoic acid
MEK  Methyl ethyl ketone; Butan-2-one
MeOTf  Methyl trifluoromethanesulfonate
MTBE  Methyl tert-butyl ether
MeOH  Methanol
min   Minute
mL/L  Milliliter /Liter
mmol  Millimol
NaSEt  Sodium ethanethiolate
NASH  Non-alcoholic steatohepatitis
NBD        Nucleotide-binding site domain
NLRs        NOD-Iike receptors
NMP         1-Methylpyrrolidin-2-one
NMR        Nuclear magnetic resonance
PAD         Peripheral artery disease
PAMPs  Pathogen activated molecular patterns
Pd/C  Palladium on carbon
Pd (PPh₃) ₄ Tetrakis (triphenylphosphine) palladium (0)
Pd₂ (dba) ₃ Tris (dibenzylideneacetone) dipalladium (0)
PMA        Phorbol 12-myristate 13-acetate
ppm         parts per million
RP            Reverse phase
RT            Room temperature -in Celsius
Rt            Retention time
SFC          Supercritical fluid chromatography
SLE          systemic lupus erythematosus
Sphos        2-Dicyclohexylphosphino-2′, 6′-dimethoxybiphenyl
TEA         triethyl amine
TFA         Trifluoroacetic acid
THF         Tetrahydrofuran
TMEDA N, N, N’, N’-Tetramethylethane-1 , 2-diamine
TMS  Tetramethylsilane
TNF-α  Tumor necrosis factor-α
UPLC  Ultra performance liquid chromatography
XantPhos Chloro [ (4, 5-bis (diphenylphosphino) -9, 9-dimethylxanthene) -2- (2’-amino-1, 1’-biphenyl) ]
Xphos  2-Dicyclohexylphosphino-2′, 4′, 6′-triisopropylbiphenyl

EXAMPLES

Example 1: synthesis of Intermediate INT1.

Step 1. To a mixture of compound 1a (70 g, 0.421 mol, 1.0 eq) in DCM (1000 mL) and DMF (1 mL) , was added dropwise oxalyl chloride (70 g, 0.548 mol, 1.3 eq) at 5-10 ℃ in an ice bath. The mixture was stirred at 25℃ for 2 hours. Solvents were removed in vacuo to give compound 1b (78 g) as a yellow oil.

Step 2. To a solution of N-methylaniline (58.6 g, 0.548 mol, 1.3 eq) and TEA (85 g, 0.842 mol, 2.0 eq) in DCM (1000 mL) , was added dropwise a solution of compound 1b (78 g, 0.421 mol, 1.0 eq) in DCM (200 mL) at 5-10 ℃. The mixture was stirred at 25 ℃ for 2 hours and then threated with ice-water (1000mL) , extracted two times with DCM. The extract was washed with 1.0 N HCl and brine, dried over sodium sulfate concentrated, and purified by a flash column chromatography on silica gel to give compound 1c (102 g, yield₂ _steps 95.0%) as a colorless oil.

Step 3. To a solution of compound 1c (102 g, 0.4 mol, 1.0 eq) in DCM (300 mL) , was added dropwise methyl trifluoromethanesulfonate (85.3 g, 0.52 mol, 1.3 eq) at 5-10 ℃ under nitrogen atmosphere. The mixture was stirred at 25℃ for 12 hours. Solvents were removed in vacuo to give compound 1d (176 g) as a yellow viscous liquid.

Step 4. To a solution of compound 1d (176 g) in DCM (500 mL) was added dropwise a solution of sodium methoxide (54 g, 1.0 mol, 2.5 eq) in methanol (500 mL) was then added dropwise at 0-5 ℃ over a period of 30 mins under nitrogen atmosphere. The mixture was stirred at 25℃ for 30mins, and then the solvent was removed in vacuo, added ice-water (2000 mL) , extracted two times with MTBE. The extract was washed with brine, dried over sodium sulfate, concentrated, purified by flash column chromatography on silica gel, and distilled at 0.1 mmHg to give compound 1e (28.5g, yield 31.5%) as a colorless oil. ¹H NMR (CDCl₃, 400 MHz) : δ 7.53-7.56 (d, 1H) , 6.74-6.77 (m, 2H) , 3.85 (s, 3H) , 3.12 (s, 9H) , 2.36 (s, 3H) .

Step 5: To a 250 mL flask was added compound 1a’ (25 g, 178.4 mmol, 1.0eq) , hydrazine hydrate (10 mL) and EtOH (100 mL) . The reaction mixture stirred at 80 ℃ for 8h. Most of the solvent was removed under reduced pressure. The mixture was filtered, washed with water and the filter cake was dried to afford 1b’ (19.3 g, 86%yield) as a white solid. LCMS: [M+H] ⁺: 127.

Step 6: To a 100 mL pressure tube was added compound 1b’ (2.5 g, 19.8 mmol, 1.0 eq. ) , compound 1e (5 mL, 25.74 mmol, 1.3 eq. ) and MeOH (65 mL) . The reaction was stirred at 110 ℃ for 35h. Solvents were removed in vacuo and the crude residue was washed by methyl tert-butyl ether (30 mL) and petroleum ether (20 mL) to provide compound 1f as a white solid. LCMS: [M+H] ⁺: 289.

Step 7: To a 40 mL vial was added compound 1f (from last step) and diphenyl ether (8.0 mL) . The reaction mixture was heated at 265-275 ℃ for 3h. The reaction was cooled to room temperature and purified by column chromatography to provide compound 1g as a yellow solid. LCMS: [M+H] ⁺: 257.

Step 8: To a 40 mL vial was added compound 1g (from last step) and POCl₃ (8 mL) . The reaction mixture was heated at 100 ℃ for 16h. The reaction was cooled to room temperature and POCl₃ was removed in vacuo. The crude residue was added to ice-water (200 mL) , extracted with ethyl acetate, purified by column chromatography to provide compound INT1 (363 mg, 1.32 mmol, yield₃ _steps 6.67%) as a yellow solid. LCMS: [M+H] ⁺: 275.

Example 2: synthesis of Intermediate INT2.

Step 1. To a mixture of compound 2a (100 g, 0.536 mol, 1.0 eq) in DCM (1000 mL) and DMF (1 mL) , was added dropwise oxalyl chloride (88.5 g, 0.697 mol, 1.3 eq) at 5-10 ℃ in an ice bath. The mixture was stirred at 25℃ for 2 hours. Solvents were removed in vacuo to give compound 2b (110 g) as a yellow oil.

Step 2. To a solution of N-methylaniline (68.8 g, 0.643 mol, 1.2 eq) and TEA (108.2 g, 1.072 mol, 2.0 eq) in DCM (1000 mL) , was added dropwise a solution of compound 2b (110 g, 0.536 mol, 1.0 eq) in DCM (400 mL) at 5-10 ℃. The mixture was stirred at 25 ℃ for 2 hours and then threated with ice-water (1500mL) , extracted two times with DCM. The extract was washed with 1.0 N HCl and brine, dried over sodium sulfate concentrated, and recrystallized in petroleum ether to give compound 2c (141 g, yield 95 %) as light yellow solid.

Step 3. To a solution of compound 2c (141 g, 0.511 mol, 1.0 eq) in DCM (300 mL) , was added dropwise methyl trifluoromethanesulfonate (109 g, 0.665 mol, 1.3 eq) at 5-10 ℃ under nitrogen atmosphere. The mixture was stirred at 25℃ for 12 hours. Solvents were removed in vacuo to give compound 2d (225 g) as a yellow viscous liquid.

Step 4. To a solution of compound 2d (225 g) in DCM (500 mL) was added dropwise a solution of sodium methoxide (69 g, 1.277 mol, 2.5 eq) in methanol (1000 mL) was then added dropwise at 0-5 ℃ over a period of 45 mins under nitrogen atmosphere. The mixture was stirred at 25℃ for 30mins, and then the solvent was removed in vacuo, added ice-water (2000 mL) , extracted two times with MTBE. The extract was washed with brine, dried over sodium sulfate, concentrated, purified by flash column chromatography on silica gel, and distilled at 0.1 mmHg to give compound 2e (41.5 g, yield 33%) as a colorless oil. ¹H NMR (CDCl₃, 400 MHz) : δ 7.61-7.63 (d, 1H) , 6.91-6.95 (m, 2H) , 3.86 (s, 3H) , 3.11 (s, 9H) .

Step 5: To a 100 mL sealed tube was added compound 1b’ (3.5 g, 27.8 mmol, 1.0 eq) , compound 2e (13.7 g, 55.6 mmol, 2.0 eq) and MeOH (70 mL) . The reaction mixture was stirred at 120 ℃ for 15h. Solvent was removed under reduced pressure. The solid was washed with water (2×30mL) and filtered. The filter cake was washed with petroleum ether (30 mL×2) and dried to afford 2f (5.0 g, 16.2 mmol, yield 58.3%) as a light-yellow solid. LCMS: [M+H] ⁺: 309.

Step 6: To a 40 mL flask was added compound 2f (5.0 g, 16.2 mmol) and diphenyl ether (15 mL) . The reaction mixture was stirred at 260 ℃ for 0.5 h. The mixture was purified by column chromatography to provide compound 2g (1.3 g, 4.7 mmol, yield 29.1 %) as a light-yellow solid. LCMS: [M+H] ⁺: 277.

Step 7: To a 40 mL flask was added compound 2g (1.3 g, 4.7 mmol) and POCl₃ (5 mL) . The reaction mixture was stirred at 100 ℃ for 15 h. The solvents were evaporated in vacuo. The residue was purified by column chromatography to provide compound INT2 (380 mg, 1.29 mmol, yield 27.4%) as a yellow solid. LCMS: [M+H] ⁺: 295.

Example 3: synthesis of 5-methyl-2- (8- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) phenol (1)

Step 1: To a 4 mL flask was added compound INT1 (30 mg, 0.109 mmol, 1.0 eq. ) , tert-butyl (3aR, 7aR) -octahydro-6H-pyrrolo [2, 3-c] pyridine-6-carboxylate (24.7 mg, 0.109 mmol, 1.0 eq. ) , DIPEA (2 drops) and DMA (0.5 mL) . The reaction mixture was heated at 110 ℃ for 16h. The reaction was cooled to room temperature. Solvents were removed under vacuum and the crude residue was purified by column chromatography to provide compound 1h as a yellow oil. LCMS: [M+H] ⁺: 465.

Step 2: To a 10 mL flask was added compound 1h (from last step) , DCM (4 mL) and TFA (0.8 mL) . The reaction was stirred at rt for 16 h. The solvents were evaporated under vacuum. The residue was purified by column chromatography to provide compound 1i as a yellow oil (70 mg, yield 99.9 %) . LCMS: [M+H] ⁺: 365.

Step 3: To a 10 mL flask was added compound 1i (70 mg, 0.19 mmol, 1.0 eq) , formaldehyde (2 drops, 37-40%in water) , NaBH (OAc) ₃ (122 mg, 0.57 mmol, 3 eq) and THF (4 mL) . The reaction was stirred at rt for 2 h. The reaction was cooled to 0 ℃ and MeOH was added. The solvents were evaporated under vacuum. The crude residue was purified by column chromatography on silica gel to provide the compound 1j as a yellow solid. LCMS: [M+H] ⁺: 379.

Step 4: To a 10 mL flask was added compound 1j (from last step) , and dichloromethane (4 mL) . The reaction was cooled to 0 ℃ and BBr₃ (0.3 mL, 1M in DCM) was added slowly at 0 ℃. The reaction was stirred at rt for 2h before quenched with MeOH. Solvents were removed under vacuum and the crude residue was purified by column chromatography to provide 5-methyl-2- (8- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) phenol (1) as a white solid (17.3 mg, yield₄ _steps 43.5%) . LCMS: [M+H] ⁺: 365. ¹H NMR (400 MHz, Methanol-d₄) δ 7.59 (d, J = 1.4 Hz, 1H) , 7.46 (d, J = 1.4 Hz, 1H) , 7.36 (d, J = 7.7 Hz, 1H) , 6.87 –6.81 (m, 2H) , 5.30 –5.10 (m, 1H) , 4.12 –3.88 (m, 2H) , 3.61 –3.52 (m, 1H) , 2.92 –2.85 (m, 1H) , 2.71 –2.46 (m, 3H) , 2.50 (s, 3H) , 2.36 (s, 3H) , 2.26 –2.07 (m, 2H) , 2.07 –1.97 (m, 1H) , 1.97 –1.88 (m, 1H) .

Example 4: synthesis of 5-methyl-2- (8- ( (4aS, 8aR) -6-methyloctahydro-4H-pyrido [4, 3-b] [1, 4] oxazin-4-yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) phenol (2)

Step 1: To a 4 mL flask was added compound INT1 (30 mg, 0.109 mmol, 1.0 eq. ) , tert-butyl (4aS, 8aR) -hexahydro-2H-pyrido [4, 3-b] [1, 4] oxazine-6 (5H) -carboxylate (29.1 mg, 0.12 mmol, 1.1 eq. ) , DIPEA (3 drops) and DMA (0.5 mL) . The reaction mixture was heated at 110 ℃ for 16h. The reaction was cooled to room temperature. Solvents were removed under vacuum and the crude residue was purified by column chromatography to provide compound 2h as a yellow oil. LCMS: [M+H] ⁺: 481.

Step 2: To a 10 mL flask was added compound 2h (from last step) , DCM (4 mL) and TFA (1 mL) . The reaction was stirred at rt for 3 h. The solvents were evaporated under vacuum. The residue was purified by column chromatography to provide compound 2i as a white solid (20 mg, yield₂ _steps 48 %) . LCMS: [M+H] ⁺: 381.

Step 3: To a 10 mL flask was added compound 2i (20 mg, 0.05 mmol, 1.0 eq) , formaldehyde (3 drops, 37-40%in water) , NaBH (OAc) ₃ (33.4 mg, 0.15 mmol, 3 eq) and THF (4 mL) . The reaction was stirred at rt for 1 h. The reaction was cooled to 0 ℃ and MeOH was added. The solvents were evaporated under vacuum. The crude residue was purified by column chromatography on silica gel to provide the compound 2j as a white solid (10 mg, yield 48%) . LCMS: [M+H] ⁺: 395.

Step 4: To a 10 mL flask was added compound 2j (10 mg, 0.025 mmol) , and dichloromethane (3 mL) . The reaction was cooled to 0 ℃ and BBr₃ (0.3 mL, 1M in DCM) was added slowly at 0 ℃. The reaction was stirred at rt for 1h before quenched with MeOH. Solvents were removed under vacuum and the crude residue was purified by column chromatography to provide 5-methyl-2- (8- ( (4aS, 8aR) -6-methyloctahydro-4H-pyrido [4, 3-b] [1, 4] oxazin-4-yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) phenol (2) as a white solid (5.0 mg, yield 52%) . LCMS: [M+H] ⁺: 381. ¹H NMR (400 MHz, Methanol-d₄) δ 7.62 (d, J = 1.4 Hz, 1H) , 7.49 (d, J = 1.4 Hz, 1H) , 7.38 (d, J = 8.3 Hz, 1H) , 6.90 –6.83 (m, 2H) , 5.74 –5.61 (m, 1H) , 4.14 –4.10 (m, 1H) , 3.94 (q, J = 3.0 Hz, 1H) , 3.88 –3.78 (m, 1H) , 3.56 –3.46 (m, 2H) , 2.84 –2.77 (m, 1H) , 2.71 (t, J = 11.0 Hz, 1H) , 2.64 –2.58 (m, 1H) , 2.38 (s, 3H) , 2.37 –2.27 (m, 1H) , 2.29 (s, 3H) , 2.06 –1.89 (m, 2H) .

Example 5: synthesis of 5-chloro-2- (8- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) phenol (3)

Step 1: To a 25 mL flask was added compound INT2 (200 mg, 0.68 mmol, 1.0 eq. ) , tert-butyl (3aR, 7aR) -octahydro-6H-pyrrolo [2, 3-c] pyridine-6-carboxylate (184 mg, 0.81 mmol, 1.2 eq. ) , DIPEA (176 mg, 1.36 mmol, 2 eq. ) and DMA (5 mL) . The reaction mixture was heated at 120 ℃ for 17h. The reaction was cooled to room temperature. Solvents were removed under vacuum and the crude residue was purified by column chromatography to provide compound 3a as a yellow oil. LCMS: [M+H] ⁺: 485.

Step 2: To a 25 mL flask was added compound 3a (from last step) , DCM (7 mL) and TFA (1.5 mL) . The reaction was stirred at rt for 3h. The solvents were evaporated under vacuum. The residue was purified by column chromatography to provide compound 3b as a yellow solid (170 mg, yield₂ _steps 65 %) . LCMS: [M+H] ⁺: 385.

Step 3: To a 25 mL flask was added compound 3b (170 mg, 0.44 mmol, 1.0 eq) , formaldehyde (132 mg, 37-40%in water) , NaBH (OAc) ₃ (280 mg, 1.3 mmol, 3 eq) and THF (7 mL) . The reaction was stirred at rt for 1h. The reaction was cooled to 0 ℃ and MeOH was added. The solvents were evaporated under vacuum. The crude residue was purified by column chromatography on silica gel to provide the compound 3c as a white solid (106 mg, yield 60%) . LCMS: [M+H] ⁺: 399.

Step 4: To a 10 mL flask was added compound 3c (106 mg, 0.27 mmol) , and dichloromethane (5 mL) . The reaction was cooled to 0 ℃ and BBr₃ (0.6 mL, 1M in DCM) was added slowly at 0 ℃. The reaction was stirred at rt for 1h before quenched with MeOH. Solvents were removed under vacuum and the crude residue was purified by column chromatography to provide 5-chloro-2- (8- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) phenol (3) as a white solid (85 mg, yield 83%) . LCMS: [M+H] ⁺: 385.

Example 6: synthesis of 3-hydroxy-4- (8- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) benzonitrile (4)

Step 1: Compound 3 (80 mg, 0.2 mmol, 1.0 eq. ) , zinc cyanide (244 mg, 2.0 mmol, 10 eq. ) , Pd₂ (dba) ₃ (190 mg, 0.2 mmol, 1.0 eq. ) , Xphos (198 mg, 0.4 mmol, 2.0 eq. ) , dioxane (10 mL) were combined in a 25 mL flask under nitrogen atmosphere. The reaction mixture was heated at 85 ℃ for 16h. The reaction was cooled to room temperature and filtered. The filtrate was collected, and solvents were evaporated under vacuum. The crude residue was purified by column chromatography on silica gel to provide 3-hydroxy-4- (8- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) benzonitrile (4) as a white solid (28 mg, yield 36%) . LCMS: [M+H] ⁺: 376. ¹H NMR (400 MHz, DMSO-d₆) δ 7.66 –7.59 (m, 2H) , 7.46 (d, J = 1.3 Hz, 1H) , 7.39 (dd, J = 7.8, 1.6 Hz, 1H) , 7.34 (d, J = 1.5 Hz, 1H) , 3.21 –3.13 (m, 1H) , 2.59 –2.52 (m, 1H) , 2.43 –2.33 (m, 1H) , 2.16 (s, 3H) , 2.13 –2.03 (m, 2H) , 1.99 –1.84 (m, 3H) , 1.74 –1.66 (m, 1H) .

Example 7: synthesis of 5-methyl-2- (8- ( (1R, 6S) -3-methyl-3, 8-diazabicyclo [4.2.0] octan-8-yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) phenol (5)

Step 1: To a 2 mL flask was added compound INT1 (28 mg, 0.10 mmol, 1.0 eq. ) , tert-butyl (1R, 6S) -3, 8-diazabicyclo [4.2.0] octane-3-carboxylate (2 drops) . The reaction mixture was heated at 120 ℃ for 1h. The reaction was cooled to room temperature. The reaction mixture was purified by column chromatography to provide compound 5a as a yellow oil. LCMS: [M+H] ⁺: 451.

Step 2: To a 10 mL flask was added compound 5a (from last step) , DCM (4 mL) and TFA (1 mL) . The reaction was stirred at rt for 1h. The solvents were evaporated under vacuum. The residue was purified by column chromatography to provide compound 5b as a white solid (38 mg) . LCMS: [M+H] ⁺: 351.

Step 3: To a 10 mL flask was added compound 5b (38 mg) , formaldehyde (3 drops, 37-40%in water) , NaBH (OAc) ₃ (65 mg) and THF (4 mL) . The reaction was stirred at rt for 1h. The reaction was cooled to 0 ℃and MeOH was added. The solvents were evaporated under vacuum. The crude residue was purified by column chromatography on silica gel to provide the compound 5c as a white solid. LCMS: [M+H] ⁺: 365.

Step 4: To a 10 mL flask was added compound 5c (from last step) , and dichloromethane (4 mL) . The reaction was cooled to 0 ℃ and BBr₃ (0.4 mL, 1M in DCM) was added slowly at 0 ℃. The reaction was stirred at rt for 1.5h before quenched with MeOH. Solvents were removed under vacuum and the crude residue was purified by column chromatography to provide 5-methyl-2- (8- ( (1R, 6S) -3-methyl-3, 8-diazabicyclo [4.2.0] octan-8-yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) phenol (5) as a white solid (4.4 mg, yield₄ _steps 12%) . LCMS: [M+H] ⁺: 351. ¹H NMR (400 MHz, Methanol-d₄) δ 7.64 (d, J = 1.3 Hz, 1H) , 7.52 (d, J = 1.4 Hz, 1H) , 7.36 (d, J = 7.7 Hz, 1H) , 6.88 –6.83 (m, 2H) , 5.00 –4.95 (m, 1H) , 4.49 (dd, J = 8.6, 7.2 Hz, 1H) , 4.27 (d, J = 13.9 Hz, 1H) , 4.14 (dd, J = 8.6, 2.8 Hz, 1H) , 3.54 –3.44 (m, 1H) , 3.28 –3.24 (m, 1H) , 3.00 (td, J = 11.5, 10.3, 3.3 Hz, 1H) , 2.88 (tt, J = 8.5, 4.3 Hz, 1H) , 2.83 (s, 3H) , 2.49 –2.40 (m, 1H) , 2.36 (s, 3H) , 2.27 –2.14 (m, 1H) .

Example 8: synthesis of 5-methyl-2- (8- ( (3aR, 6aR) -5-methylhexahydropyrrolo [3, 4-b] pyrrol-1 (2H) -yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) phenol (6)

Step 1: To a 4 mL flask was added compound INT1 (20 mg, 0.07 mmol, 1.0 eq. ) , (3aS, 6aS) -5-methyloctahydropyrrolo [3, 4-b] pyrrole hydrochloride salt (17 mg, 0.08 mmol, 1.2 eq. ) , DIPEA (4 drops) and DMA (0.5 mL) . The reaction mixture was heated at 110 ℃ for 16h. The reaction was cooled to room temperature. Solvents were removed under vacuum and the crude residue was purified by column chromatography to provide compound 6a as a white solid (26 mg, yield 97 %) . LCMS: [M+H] ⁺: 365.

Step 2: To a 10 mL flask was added compound 6a (26 mg, 0.07 mmol) , and dichloromethane (4 mL) . The reaction was cooled to 0 ℃ and BBr₃ (0.3 mL, 1M in DCM) was added slowly at 0 ℃. The reaction was stirred at rt for 1.5h before quenched with MeOH. Solvents were removed under vacuum and the crude residue was purified by column chromatography to provide 5-methyl-2- (8- ( (3aR, 6aR) -5-methylhexahydropyrrolo [3, 4-b] pyrrol-1 (2H) -yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) phenol (6) as a white solid (8.3 mg, yield₂ _steps 32%) . LCMS: [M+H] ⁺: 351. ¹H NMR (400 MHz, Methanol-d₄) δ 7.58 (d, J = 1.3 Hz, 1H) , 7.45 (d, J = 1.4 Hz, 1H) , 7.39 –7.33 (m, 1H) , 6.87 –6.80 (m, 2H) , 5.25 –5.10 (m, 1H) , 4.37 –4.25 (m, 1H) , 4.17 –3.99 (m, 1H) , 3.11 –3.03 (m, 1H) , 2.99 (dd, J = 10.8, 6.3 Hz, 1H) , 2.75 –2.68 (m, 2H) , 2.59 (dd, J = 9.7, 5.0 Hz, 1H) , 2.36 (s, 3H) , 2.30 (s, 3H) , 2.24 –2.12 (m, 1H) , 2.03 –1.92 (m, 1H) .

Example 9: synthesis of 2- (8- ( (3aS, 6aR) -hexahydro-1H-furo [3, 4-b] pyrrol-1-yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) -5-methylphenol (7)

Step 1: To a 25 mL flask was added compound INT1 (20 mg, 0.07 mmol, 1.0 eq. ) , (3aR, 6aS) -hexahydro-1H-furo [3, 4-b] pyrrole p-toluenesulfonic acid (52 mg, 0.18 mmol, 2.5 eq. ) , DIPEA (47 mg, 0.35 mmol, 5.0 eq. ) and DMA (1 mL) . The reaction mixture was heated at 110 ℃ for 1h. The reaction was cooled to room temperature. Solvents were removed under vacuum and the crude residue was purified by column chromatography to provide compound 7a as a yellow oil. LCMS: [M+H] ⁺: 352.

Step 2: To a 10 mL flask was added compound 7a (from last step) , and dichloromethane (4 mL) . The reaction was cooled to -20 ℃ and BBr₃ (0.2 mL, 1M in DCM) was added slowly at -20 ℃. The reaction was stirred at -20 ℃ for 3h before quenched with MeOH. Solvents were removed under vacuum and the crude residue was purified by column chromatography to provide 2- (8- ( (3aS, 6aR) -hexahydro-1H-furo [3, 4-b] pyrrol-1-yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) -5-methylphenol (7) as a white solid (8.1 mg, yield₂ _steps 34%) . LCMS: [M+H] ⁺: 338. ¹H NMR (400 MHz, Methanol-d₄) δ 7.58 (d, J = 1.3 Hz, 1H) , 7.46 (d, J = 1.3 Hz, 1H) , 7.37 (d, J = 7.6 Hz, 1H) , 6.87 –6.81 (m, 2H) , 5.28 –5.18 (m, 1H) , 4.34 –4.20 (m, 1H) , 4.09 –3.99 (m, 1H) , 3.98 –3.93 (m, 2H) , 3.86 (dd, J = 9.1, 6.8 Hz, 1H) , 3.78 (dd, J = 8.9, 3.4 Hz, 1H) , 3.17 –3.06 (m, 1H) , 2.36 (s, 3H) , 2.30 –2.17 (m, 1H) , 2.05 –1.93 (m, 1H) .

Example 10: synthesis of 5-chloro-2- (4- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) pyrido [3, 4-d] pyridazin-1-yl) phenol (8)

Step 1: To a 25 mL flask was added 1, 4-dichloropyrido [3, 4-d] pyridazine (8a) (300 mg, 1.5 mmol, 1.0 eq. ) , tert-butyl (3aR, 7aR) -octahydro-6H-pyrrolo [2, 3-c] pyridine-6-carboxylate (407 mg, 1.8 mmol, 1.2 eq. ) , DIPEA (292 mg, 2.25 mmol, 1.5 eq. ) and DMA (5 mL) . The reaction mixture was heated at 140 ℃ for 17h. The reaction was cooled to room temperature. Solvents were removed under vacuum and the crude residue was purified by column chromatography to provide compound 8b as a yellow solid (488 mg, yield 83%) . LCMS: [M+H] ⁺: 390.

Step 2: Compound 8b (488 mg, 1.25 mmol, 1.0 eq. ) , (4-chloro-2-hydroxyphenyl) boronic acid (216 mg, 1.25 mmol, 1.0 eq. ) , Pd (PPh₃) ₄ (144 mg, 10 %) , Na₂CO₃ (199 mg, 1.88 mmol, 1.5 eq. ) , dioxane (40 mL) and water (4 mL) were combined in a 100 mL flask under nitrogen atmosphere. The reaction mixture was heated at 80 ℃ for 10h. The reaction was cooled to room temperature and filtered. The filtrate was collected, and solvents were evaporated. The crude residue was purified by column chromatography on silica gel to provide the compound 8c as a yellow solid (455 mg, 0.94 mmol, yield 75%) . LCMS: [M+H] ⁺: 482.

Step 3: To a 25 mL flask was added compound 8c (455 mg, 0.94 mmol, 1 eq. ) , DCM (8 mL) and TFA (2 mL) . The reaction was stirred at rt for 1 h. The solvents were evaporated under vacuum. The residue was purified by column chromatography to provide compound 8d as a yellow solid (362 mg, yield 99.9 %) . LCMS: [M+H] ⁺: 382.

Step 4: To a 25 mL flask was added compound 8d (362 mg, 0.95 mmol, 1.0 eq) , formaldehyde (285 mg, 37-40%in water) , NaBH (OAc) ₃ (604 mg, 2.9 mmol, 3 eq) and THF (8 mL) . The reaction was stirred at rt for 1h.The reaction was cooled to 0 ℃ and MeOH was added. The solvents were evaporated under vacuum. The crude residue was purified by column chromatography on silica gel to provide 5-chloro-2- (4- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) pyrido [3, 4-d] pyridazin-1-yl) phenol (8) as a yellow solid (174.5 mg, yield₂ _steps 46%) . LCMS: [M+H] ⁺: 396.

Example 11: synthesis of 3-hydroxy-4- (4- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) pyrido [3, 4-d] pyridazin-1-yl) benzonitrile (9)

Step 1: Compound 8 (172 mg, 0.4 mmol, 1.0 eq. ) , zinc cyanide (510 mg, 4 mmol, 10 eq. ) , Pd₂ (dba) ₃ (397 mg, 0.4 mmol, 1.0 eq. ) , Xphos (414 mg, 0.8 mmol, 2.0 eq. ) , dioxane (10 mL) were combined in a 25 mL flask under nitrogen atmosphere. The reaction mixture was heated at 90 ℃ for 4h. The reaction was cooled to room temperature and filtered. The filtrate was collected, and solvents were evaporated. The crude residue was purified by column chromatography on silica gel to provide 3-hydroxy-4- (4- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) pyrido [3, 4-d] pyridazin-1-yl) benzonitrile (9) as a yellow solid (38 mg, yield 23%) . LCMS: [M+H] ⁺: 387. ¹H NMR (400 MHz, Methanol-d₄) δ 9.68 (s, 1H) , 8.84 (d, J = 5.6 Hz, 1H) , 7.55 (d, J = 7.8 Hz, 1H) , 7.49 (d, J = 5.6 Hz, 1H) , 7.40 –7.35 (m, 1H) , 7.29 (s, 1H) , 4.81 –4.77 (m, 1H) , 4.52 – 4.43 (m, 1H) , 4.00 (d, J = 13.1 Hz, 1H) , 3.88 (t, J = 9.0 Hz, 1H) , 3.39 –3.31 (m, 1H) , 3.27 –3.20 (m, 1H) , 2.97 –2.91 (m, 1H) , 2.70 (s, 3H) , 2.65 –2.57 (m, 1H) , 2.19 –1.94 (m, 4H) .

Example 12: synthesis of 5-chloro-2- (8- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) pyrido [2, 3-d] pyridazin-5-yl) phenol (10)

Step 1: To a 25 mL flask was added compound 5, 8-dichloropyrido [2, 3-d] pyridazine (10a) (300 mg, 1.5 mmol, 1.0 eq. ) , tert-butyl (3aR, 7aR) -octahydro-6H-pyrrolo [2, 3-c] pyridine-6-carboxylate (407 mg, 1.8 mmol, 1.2 eq. ) , DIPEA (292 mg, 2.25 mmol, 1.5 eq. ) and DMA (5 mL) . The reaction mixture was heated at 140 ℃for 17h. The reaction was cooled to room temperature. Solvents were removed under vacuum and the crude residue was purified by column chromatography to provide compound 10b as a yellow solid (485 mg, yield 83%) . LCMS: [M+H] ⁺: 390.

Step 2: Compound 10b (485 mg, 1.24 mmol, 1.0 eq. ) , (4-chloro-2-hydroxyphenyl) boronic acid (214 mg, 1.24 mmol, 1.0 eq. ) , Pd (PPh₃) ₄ (143 mg, 10 %) , Na₂CO₃ (197 mg, 1.86 mmol, 1.5 eq. ) , dioxane (40 mL) and water (4 mL) were combined in a 100 mL flask under nitrogen atmosphere. The reaction mixture was heated at 80 ℃ for 12h. The reaction was cooled to room temperature and filtered. The filtrate was collected, and solvents were evaporated. The crude residue was purified by column chromatography on silica gel to provide the compound 10c as a yellow oil. LCMS: [M+H] ⁺: 482.

Step 3: To a 25 mL flask was added compound 10c (from last step) , DCM (8 mL) and TFA (2 mL) . The reaction was stirred at rt for 5h. The solvents were evaporated under vacuum. The residue was purified by column chromatography to provide compound 10d as a yellow solid (328 mg, yield₂ _steps 69 %) . LCMS: [M+H] ⁺: 382.

Step 4: To a 25 mL flask was added compound 10d (328 mg, 0.86 mmol, 1.0 eq) , formaldehyde (258 mg, 37-40%in water) , NaBH (OAc) ₃ (547 mg, 2.6 mmol, 3 eq) and THF (8 mL) . The reaction was stirred at rt for 2h. The reaction was cooled to 0 ℃ and MeOH was added. The solvents were evaporated under vacuum. The crude residue was purified by column chromatography on silica gel to provide 5-chloro-2- (8- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) pyrido [2, 3-d] pyridazin-5-yl) phenol (10) as a yellow solid (122.4 mg, yield 35%) . LCMS: [M+H] ⁺: 396.

Example 11: synthesis of 3-hydroxy-4- (8- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) pyrido [2, 3-d] pyridazin-5-yl) benzonitrile (11)

Step 1: Compound 10 (121 mg, 0.3 mmol, 1.0 eq. ) , zinc cyanide (359 mg, 4 mmol, 10 eq. ) , Pd₂ (dba) ₃ (280 mg, 0.3 mmol, 1.0 eq. ) , Xphos (291 mg, 0.6 mmol, 2.0 eq. ) , dioxane (10 mL) were combined in a 25 mL flask under nitrogen atmosphere. The reaction mixture was heated at 90 ℃ for 4h. The reaction was cooled to room temperature and filtered. The filtrate was collected, and solvents were evaporated. The crude residue was purified by column chromatography on silica gel to provide 3-hydroxy-4- (8- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) pyrido [2, 3-d] pyridazin-5-yl) benzonitrile (11) as a brown solid (22 mg, yield 18%) . LCMS: [M+H] ⁺: 387. ¹H NMR (400 MHz, Methanol-d₄) δ 9.18 –9.13 (m, 1H) , 8.01 (dd, J = 8.3, 1.5 Hz, 1H) , 7.81 (dd, J = 8.3, 4.1 Hz, 1H) , 7.58 (d, J = 7.7 Hz, 1H) , 7.40 (d, J = 7.6 Hz, 1H) , 7.30 (s, 1H) , 5.31 –5.14 (m, 1H) , 4.54 –4.34 (m, 1H) , 4.19 –4.06 (m, 1H) , 3.91 –3.79 (m, 1H) , 3.28 –3.19 (m, 2H) , 2.83 (s, 3H) , 2.30 –2.01 (m, 4H) .

BIOLOGY ASSAYS AND DATA

Example 12: IL-1β activities

The compounds of the present disclosure were tested for their inhibitory activity against IL-1β release upon NLRP3 activation in peripheral blood mono nuclear cells (PBMC) .

PBMC IL-1β ASSAY:

1. PBMCs were seeded at 500,000/well in 96-well plates

2. PBMCs were pretreated with compounds at 500nM, 50nM for 1 hour in incubator.

3. PBMCs were stimulated by 1ug/mL LPS for 20 hours in incubator.

4. Supernatant was harvested by centrifuge at 2000rpm for 5 minutes.

5. The supernatant was diluted 50-fold, and then measured IL-1β by ELISA kit.

Activities of some compounds are summarized in Table 1 based on the range of IC₅₀: +: >0.5 μM; ++: 0.1-0.5 μM; +++: <0.05 μM.

Table 1: L-1β activities of compounds

Incorporation by Reference

The present application refers to various issued patent, published patent applications, scientific journal articles, and other publications, all of which are incorporated herein by reference. The details of one or more embodiments of the invention are set forth herein. Other features, objects, and advantages of the invention will be apparent from the Detailed Description, the Figures, the Examples, and the Claims.

EQUIVALENTS AND SCOPE

In the claims articles such as “a, ” “an, ” and “the” may mean one or more than one unless indicated to the contrary or otherwise evident from the context. Claims or descriptions that include “or” between one or more members of a group are considered satisfied if one, more than one, or all of the group members are present in, employed in, or otherwise relevant to a given product or process unless indicated to the contrary or otherwise evident from the context. The present disclosure includes embodiments in which exactly one member of the group is present in, employed in, or otherwise relevant to a given product or process. The present disclosure includes embodiments in which more than one, or all of the group members are present in, employed in, or otherwise relevant to a given product or process.

Furthermore, the present disclosure encompasses all variations, combinations, and permutations in which one or more limitations, elements, clauses, and descriptive terms from one or more of the listed claims is introduced into another claim. For example, any claim that is dependent on another claim can be modified to include one or more limitations found in any other claim that is dependent on the same base claim. Where elements are presented as lists, e.g., in Markush group format, each subgroup of the elements is also disclosed, and any element (s) can be removed from the group. It should it be understood that, in general, where the present disclosure, or aspects of the present disclosure, is/are referred to as comprising particular elements and/or features, certain embodiments of the present disclosure or aspects of the present disclosure consist, or consist essentially of, such elements and/or features. For purposes of simplicity, those embodiments have not been specifically set forth in haec verba herein. It is also noted that the terms “comprising” and “containing” are intended to be open and permits the inclusion of additional elements or steps. Where ranges are given, endpoints are included. Furthermore, unless otherwise indicated or otherwise evident from the context and understanding of one of ordinary skill in the art, values that are expressed as ranges can assume any specific value or sub-range within the stated ranges in different embodiments of the present disclosure, to the tenth of the unit of the lower limit of the range, unless the context clearly dictates otherwise.

This application refers to various issued patents, published patent applications, journal articles, and other publications, all of which are incorporated herein by reference. If there is a conflict between any of the incorporated references and the instant specification, the specification shall control. In addition, any particular embodiment of the present disclosure that falls within the prior art may be explicitly excluded from any one or more of the claims. Because such embodiments are deemed to be known to one of ordinary skill in the art, they may be excluded even if the exclusion is not set forth explicitly herein. Any particular embodiment of the present disclosure can be excluded from any claim, for any reason, whether or not related to the existence of prior art.

Those skilled in the art will recognize or be able to ascertain using no more than routine experimentation many equivalents to the specific embodiments described herein. The scope of the present embodiments described herein is not intended to be limited to the above Description, but rather is as set forth in the appended claims. Those of ordinary skill in the art will appreciate that various changes and modifications to this description may be made without departing from the spirit or scope of the present disclosure, as defined in the following claims.

Claims

A compound of Formula (I) ,

or a pharmaceutically acceptable salt thereof; or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; wherein:

R¹ is selected from

wherein each R^a is independently and optionally selected from the group consisting of H, halo, OH, CN, and alkyl; m is 0, 1, 2, or 3; Y is O, CH₂, or NR; R² is H, C_1-6 alkyl, C_3-7 cycloalkyl, or 3 to 7 membered heterocycloalkyl, optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halo, OH, CN, R, OR, NHR, NRR’, N (R) C (O) R’, N (R) C (O) OR’, OC (O) NRR’, C (O) R, C (O) NRR’, N (R) S (O) ₂R’, S (O) ₂R, and S (O) ₂NRR’;

is a double bond, single bond, or absent;

X¹, and X⁶, each is independently C, or N;

X², X³, X⁴, and X⁵, each is independently C-R⁸, N-R⁸, S, O, absent, or a bond, wherein each R⁸ is independently selected from the group consisting of R^b, oxo, halo, OH, CN, OR, NHR, NRR’, N (R) C (O) R’, N (R) C (O) OR’, OC (O) NRR’, C (O) R, C (O) NRR’, N (R) S (O) ₂R’, S (O) ₂R, and S (O) ₂NRR’; or R⁸ is absent;

R³ is OH, CF₂H, or OCF₂H;

R⁴, R⁵, R⁶, and R⁷ are independently selected from the group consisting of R^b, oxo, halo, OH, CN, OR, NHR, NRR’, N (R) C (O) R’, N (R) C (O) OR’, OC (O) NRR’, C (O) R, C (O) NRR’, N (R) S (O) ₂R’, S (O) ₂R, and S (O) ₂NRR’; optionally R⁴ and R⁵, together with the connected carbon atoms form Ring A, wherein Ring A is selected from C₄-C₆ cycloalkenyl, 3 to 8 membered heterocycloalkenyl, aryl, and 3 to 8 membered heteroaryl;

R^b is H, C_1-3 alkyl, C_3-7 cycloalkyl, or 3 to 7 membered heterocycloalkyl, optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halo, OH, CN, R, OR, NHR, NRR’, N (R) C (O) R’, N (R) C (O) OR’, OC (O) NRR’, C (O) R, C (O) NRR’, N (R) S (O) ₂R’, S (O) ₂R, and S (O) ₂NRR’;

R, R’ each is independently H, C_1-3 alkyl or C_3-7 cycloalkyl optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of H, halo, OH, and CN;

n is 0, 1, 2, or 3.
The compound of claim 1, having Formula (II) ,

or a pharmaceutically acceptable salt thereof; or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; wherein:

R¹ is selected from:

R² is H, C_1-6 alkyl, C_3-7 cycloalkyl, or 3 to 7 membered heterocycloalkyl, optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halo, OH, CN, R, OR, NHR, NRR’, N (R) C (O) R’, N (R) C (O) OR’, OC (O) NRR’, C (O) R, C (O) NRR’, N (R) S (O) ₂R’, S (O) ₂R, and S (O) ₂NRR’;

R³ is OH;

R⁴, R⁶, and R⁷ are independently selected from the group consisting of H, halo, and C_1-3 alkyl;

R⁵ is R, halo, CN, OR;

or R⁴ and R⁵, together with the connected carbon atoms form Ring A, wherein Ring A is selected from C₄-C₆ cycloalkenyl, 3 to 8 membered heterocycloalkenyl, and 3 to 8 membered heteroaryl;

each R⁸ is independently H, halo, or R;

R, R’ each is independently H, C_1-3 alkyl or C_3-7 cycloalkyl optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of H, halo, OH, and CN;

n is 0, 1, or 2.
The compound of claim 1, having Formula (III) ,

or a pharmaceutically acceptable salt thereof; or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; wherein:

R¹ is selected from:

R² is H, C_1-6 alkyl, C_3-7 cycloalkyl, or 3 to 7 membered heterocycloalkyl, optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halo, OH, CN, R, OR, NHR, NRR’, N (R) C (O) R’, N (R) C (O) OR’, OC (O) NRR’, C (O) R, C (O) NRR’, N (R) S (O) ₂R’, S (O) ₂R, and S (O) ₂NRR’;

R³ is OH;

R⁴, R⁶, and R⁷ are independently selected from the group consisting of H, halo, and C_1-3 alkyl;

R⁵ is R, halo, CN, OR;

or R⁴ and R⁵, together with the connected carbon atoms form Ring A, wherein Ring A is selected from C₄-C₆ cycloalkenyl, 3 to 8 membered heterocycloalkenyl, and 3 to 8 membered heteroaryl;

each R⁸ is independently H, halo, or R;

R, R’ each is independently H, C_1-3 alkyl or C_3-7 cycloalkyl optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of H, halo, OH, and CN;

n is 0, 1, 2, or 3.
The compound of claim 1, having Formula (IV) ,

or a pharmaceutically acceptable salt thereof; or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; wherein:

R¹ is selected from:

R² is H, C_1-6 alkyl, C_3-7 cycloalkyl, or 3 to 7 membered heterocycloalkyl, optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halo, OH, CN, R, OR, NHR, NRR’, N (R) C (O) R’, N (R) C (O) OR’, OC (O) NRR’, C (O) R, C (O) NRR’, N (R) S (O) ₂R’, S (O) ₂R, and S (O) ₂NRR’;

R³ is OH;

R⁴, R⁶, and R⁷ are independently selected from the group consisting of is H, halo, and C_1-3 alkyl;

R⁵ is R, halo, CN, OR;

or R⁴ and R⁵, together with the connected carbon atoms form Ring A, wherein Ring A is selected from C₄-C₆ cycloalkenyl, 3 to 8 membered heterocycloalkenyl, and 3 to 8 membered heteroaryl;

each R⁸ is independently H, halo, or R;

R, R’ each is independently H, C_1-3 alkyl or C_3-7 cycloalkyl optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of H, halo, OH, and CN;

n is 0, 1, 2, or 3.
The compound according to any claim from 1 to 4, or a pharmaceutically acceptable salt thereof, wherein:

R¹ is

R² is H, C_1-6 alkyl, C_3-7 cycloalkyl, or 3 to 7 membered heterocycloalkyl, optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halo, OH, CN, R, OR, NHR, NRR’, N (R) C (O) R’, N (R) C (O) OR’, OC (O) NRR’, C (O) R, C (O) NRR’, N (R) S (O) ₂R’, S (O) ₂R, and S (O) ₂NRR’ .
The compound according to claim 5, or a pharmaceutically acceptable salt thereof, wherein:

R¹ is

R² is C_1-6 alkyl, optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halo, OH, CN, R, and OR.
The compound according to claim 6, or a pharmaceutically acceptable salt thereof, wherein:

R¹ is
The compound according to any claim of 1 to 7, or a pharmaceutically acceptable salt thereof, wherein:

each R⁸ is independently H, halo, or C_1-3 alkyl optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of H, halo, OH, and CN.
The compound according to claim 8, or a pharmaceutically acceptable salt thereof, wherein: each R⁸ is independently H, F, or CH₃.
The compound according to claim 9, or a pharmaceutically acceptable salt thereof, wherein: R⁸ is H.
The compound according to any claim of 1 to 10, or a pharmaceutically acceptable salt thereof, wherein:

R⁵ is Cl, CH₃, or CN.
The compound according to any claim of 1 to 11, or a pharmaceutically acceptable salt thereof, wherein:

R⁴, R⁶, and R⁷ are independently H, F, or CH₃.
The compound according to claim 12, or a pharmaceutically acceptable salt thereof, wherein:

R⁴, R⁶, and R⁷ are H.
The compound according to any claim of 1 to 10, or a pharmaceutically acceptable salt thereof, wherein:

R⁴ and R⁵, together with the connected carbon atoms form Ring A, wherein Ring A is selected from C₄-C₆ cycloalkenyl, 4 to 6 membered heterocycloalkenyl, and 3 to 8 membered heteroaryl.
The compound according to any claim from 1 to 14, or a pharmaceutically acceptable salt thereof, wherein the compound is selected from:

5-methyl-2- (8- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) phenol (1) ;

5-methyl-2- (8- ( (4aS, 8aR) -6-methyloctahydro-4H-pyrido [4, 3-b] [1, 4] oxazin-4-yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) phenol (2) ;

5-chloro-2- (8- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) phenol (3) ;

3-hydroxy-4- (8- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) benzonitrile (4) ;

5-methyl-2- (8- ( (1R, 6S) -3-methyl-3, 8-diazabicyclo [4.2.0] octan-8-yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) phenol (5) ;

5-methyl-2- (8- ( (3aR, 6aR) -5-methylhexahydropyrrolo [3, 4-b] pyrrol-1 (2H) -yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) phenol (6) ;

2- (8- ( (3aS, 6aR) -hexahydro-1H-furo [3, 4-b] pyrrol-1-yl) imidazo [1, 2-d] [1, 2, 4] triazin-5-yl) -5-methylphenol (7) .
The compound according to any claim from 1 to 14, or a pharmaceutically acceptable salt thereof, wherein the compound is selected from:

5-chloro-2- (4- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) pyrido [3, 4-d] pyridazin-1-yl) phenol (8) ;

3-hydroxy-4- (4- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) pyrido [3, 4-d] pyridazin-1-yl) benzonitrile (9) ;

5-chloro-2- (8- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) pyrido [2, 3-d] pyridazin-5-yl) phenol (10) ;

3-hydroxy-4- (8- ( (3aS, 7aR) -6-methyloctahydro-1H-pyrrolo [2, 3-c] pyridin-1-yl) pyrido [2, 3-d] pyridazin-5-yl) benzonitrile (11) .
A pharmaceutical composition comprising a therapeutically effective amount of a compound of any one of claims 1 to 16, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; and one or more pharmaceutically acceptable carriers.
A combination comprising a therapeutically effective amount of a compound according to any one of claims 1 to 16, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; and one or more therapeutic agents.
The combination according to claim 18, wherein one or more therapeutic agents are independently selected from the group consisting of farnesoid X receptor (FXR) agonists; anti-steatotics; antifibrotics; JAK inhibitors; checkpoint inhibitors; chemotherapy, radiation therapy and surgical procedures; urate-lowering therapies; anabolics and cartilage regenerative therapy; blockade of IL-17; complement inhibitors; Bruton’s tyrosine Kinase inhibitors (BTK inhibitors) ; Toll Like receptor inhibitors (TLR7/8 inhibitors) ; CAR-T therapy; anti-hypertensive agents; cholesterol lowering agents; leukotriene A4 hydrolase (LTAH4) inhibitors; SGLT2 inhibitors; β2-agonists; anti-inflammatory agents; nonsteroidal anti-inflammatory drugs ( “NSAIDs” ) ; acetylsalicylic acid drugs (ASA) ; regenerative therapy treatments; cystic fibrosis treatments; and atherosclerotic treatment.
The compound according to any one of claims 1 to 16, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; the composition of claim 17, or the combination according to any one of claims 18 to 19, for use as a medicament.
The compound according to any one of claims 1 to 16, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; the composition of claim 17, or the combination according to any one of claims 18 to 19, for use in the treatment of a disease or disorder in which the NLRP3 signaling contributes to the pathology, and/or symptoms, and/or progression, of said disease or disorder.
A method of treating a disease or disorder in which the NLRP3 signaling contributes to the pathology, and/or symptoms, and/or progression, of said disease or disorder, comprising administering a therapeutically effective amount of a compound according to any one of claims 1 to 16, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; the composition of claim 17, or the combination according to any one of claims 18 to 19.
[Corrected under Rule 26, 23.10.2024]
The compound, composition or combination according to claim 21, or the method according to claim 22, wherein the disease or disorder is selected from the group consisting of inflammasome-related diseases /disorders, immune diseases, inflammatory diseases, auto-immune diseases, or auto-inflammatory diseases.
The compound, composition or combination according to claim 21, or the method according to claim 22, wherein the disease or disorder is selected from autoinflammatory fever syndromes (e.g. cryopyrin-associated periodic syndrome) , liver related diseases /disorders (e.g. chronic liver disease, viral hepatitis, non-alcoholic steatohepatitis (NASH) , alcoholic steatohepatitis, and alcoholic liver disease) , inflammatory arthritis related disorders (e.g. gout, pseudogout (chondrocalcinosis) , osteoarthritis, rheumatoid arthritis, arthropathy e.g. acute, chronic) , kidney related diseases (e.g. hyperoxaluria, lupus nephritis, Type I /Type II diabetes and related complications (e.g. nephropathy, retinopathy) , hypertensive nephropathy, hemodialysis related inflammation) , neuroinflammation-related diseases (e.g. multiple sclerosis, brain infection, acute injury, neurodegenerative diseases, Alzheimer’s disease, Parkinson’s disease, Amyotrophic lateral sclerosis (ALS) ) , cardiovascular /metabolic diseases /disorders (e.g. cardiovascular risk reduction (CvRR) , hypertension, atherosclerosis, type I and type II diabetes and related complications, peripheral artery disease (PAD) , acute heart failure) , inflammatory skin diseases (e.g. hidradenitis suppurativa, acne) , wound healing and scar formation, asthma, sarcoidosis, age-related macular degeneration, and cancer related diseases /disorders (e.g. colon cancer, lung cancer, myeloproliferative neoplasms, leukemias, myelodysplastic syndromes (MDS) , myelofibrosis) .
A method of inhibiting the NLRP3 inflammasome activity in a subject in need thereof, the method comprising administering to a subject in need thereof a therapeutically effective amount of a compound according to any one of claims 1 to 16, or a pharmaceutically acceptable salt thereof, or a prodrug, or a pharmaceutically acceptable salt of a prodrug thereof; or a hydrate, solvate, or polymorph thereof; or a tautomer, stereoisomer, isotopically labeled derivative thereof; the composition of claim 17, or the combination according to any one of claims 18 to 19.