INHIBITORS OF GLUCOCORTICOID RECEPTOR

Info

Publication number: 20210379084
Type: Application
Filed: Jul 21, 2021
Publication Date: Dec 9, 2021
Inventors: Daqing SUN (Foster City, CA), Lawrence R. McGEE (Pacifica, CA), Xiaohui DU (Belmont, CA), Liusheng ZHU (Foster City, CA), Xuelei YAN (Foster City, CA), Yosup REW (Foster City, CA), John EKSTEROWICZ (San Francisco, CA), Julio C. MEDINA (San Carlos, CA), Haiying ZHOU (San Bruno, CA), Minna Delarae BALBAS (San Francisco, CA), Valeria R. FANTIN (Burlingame, CA)
Application Number: 17/381,430

Abstract

The present invention relates generally to compositions and methods for treating cancer and hypercortisolism. Provided herein are substituted steroidal derivative compounds and pharmaceutical compositions comprising said compounds. The subject compounds and compositions are useful for inhibition of glucocorticoid receptors. Furthermore, the subject compounds and compositions are useful for the treatment of cancer and hypercortisolism.

Description

Description

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a continuation of U.S. application Ser. No. 16/065,625, filed Jun. 22, 2018, which is a § 371 U.S. National Stage Entry of International Application No. PCT/US2016/068435, filed Dec. 22, 2016, which claims the benefit of U.S. Application Ser. No. 62/387,253, filed Dec. 23, 2015, each of which are hereby incorporated by reference in their entirety.

BACKGROUND

A need exists in the art for an effective treatment of cancer, neoplastic disease, and hypercortisolism.

BRIEF SUMMARY OF THE INVENTION

Provided herein are substituted steroidal derivative compounds and pharmaceutical compositions comprising said compounds. The subject compounds and compositions are useful as inhibitors of glucocorticoid receptors (GR). Furthermore, the subject compounds and compositions are useful for the treatment of cancer, such as prostate cancer, breast cancer, lung cancer, and ovarian cancer, and hypercortisolism.

Some embodiments provided herein describe compounds having the structure of Formula (I), or a pharmaceutically acceptable salt, solvate, or prodrug thereof;

wherein

R¹is —NR³S(O)₂R⁶, —NR³S(O)₂NR³R⁴, -alkylNR³S(O)₂R⁶, -alkylNR³S(O)₂NR³R⁴, —NR³S(O)R⁶, —NR³aralkyl, —Oaralkyl, —C(O)NR³R⁴, —OC(O)OR⁵, —C(O)OR⁵, —OC(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —S(O)R⁶, or —SR⁶;
R³and R⁴are each independently —H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted heteroaryl, —S(O)₂R⁶, —C(O)N(R¹⁰)₂, —C(O)R⁵, or —C(O)OR⁵;
- or R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted heterocycle;
R⁵is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted heterocyclyl, or optionally substituted heteroaryl:
R⁶is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
R⁷and R⁸are each independently —H, optionally substituted alkyl, haloalkyl, halo, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, —OH, —OR⁵, —R³R⁴, —C(O)NR³R⁴, —CN, —S(O)₂R⁶, —C(O)₂H, —C(O)R⁵, or —C(O)OR⁵;
- or R⁷and R⁸are taken together with the atom to which they are attached to form a substituted or unsubstituted ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR⁶—, —S—, and —S(O)₂—; and
each R¹⁰is independently H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl.

In some embodiments,

R¹is —NR³S(O)₂R⁶, —NR³S(O)₂NR³R⁴, -alkylNR³S(O)₂R⁶, -alkylNR³S(O)₂NR³R⁴, —NR³aralkyl, —C(O)NR³R⁴, —S(O)₂NR³R⁴, or —S(O)₂R⁶;
R³and R⁴are each independently —H, optionally substituted alkyl, fluoroalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted aryl, optionally substituted heterocyclyl, optionally substituted heterocycylalkyl, optionally substituted heteroaryl, —C(O)N(R¹⁰)₂, or —S(O)₂R⁶;
- or R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted 3-, 4-, 5-, or 6-membered heterocycle;
R⁵is optionally substituted alkyl, fluoroalkyl, optionally substituted carbocyclyl, or optionally substituted heterocyclyl;
R⁶is optionally substituted alkyl, fluoroalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
R⁷and R⁸are each independently —H, optionally substituted alkyl, fluoroalkyl, halo, —OR⁵, —NR³R⁴, —C(O)NR³R⁴, —CN, optionally substituted carbocyclyl, or optionally substituted carbocyclylalkyl;
- or R⁷and R⁸are taken together with the atom to which they are attached to form a substituted or unsubstituted 3-, 4-, 5-, or 6-membered ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR⁶—, —S—, and —S(O)₂—; and
each R¹⁰is independently H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl.

In some embodiments, R¹is —NR³S(O)₂R⁶, —NR³aralkyl, —C(O)NR³R⁴, —S(O)₂NR³R⁴, or —S(O)₂R⁶. In certain embodiments, R¹is —NR³S(O)₂R⁶or —S(O)₂NR³R⁴. In some embodiments, R³and R⁴are each independently —H, optionally substituted alkyl, fluoroalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, —C(O)N(R¹⁰)₂, or —S(O)₂R⁶. In certain embodiments, R³and R⁴are each independently —H, alkyl, or —S(O)₂R⁶. In other embodiments, R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted 4-, 5-, or 6-membered ring heterocycle containing 0-3 heteroatoms selected from —O—, —NH—, —NR⁵—, —S—, and —S(O)₂—; and R⁵is alkyl. In some embodiments, R⁶is alkyl, carbocyclyl, optionally substituted aryl, optionally substituted aralkyl, or optionally substituted heterocyclyl. In some embodiments, R⁶is C_1-6alkyl, C_3-6carbocyclyl, optionally substituted phenyl, optionally substituted benzyl, or optionally substituted heterocyclyl. In some embodiments, R⁷and R⁸are each independently —H, alkyl, or carbocyclyl. In certain embodiments, R⁷and R⁸are —H.

Also provided herein, in some embodiments, are prodrugs of a compound of Formula (I), having the structure of Formula (Id):

wherein R⁹is —X—Y; X is a bond or —C(O); and Y is optionally substituted alkyl.

Other embodiments provided herein describe compounds having the structure of Formula (II), or a pharmaceutically acceptable salt, solvate, or prodrug thereof:

wherein

R¹is optionally substituted C_2-10alkyl, optionally substituted C_2-10alkoxy, C_2-10fluoroalkyl, C_1-10bromoalkyl, C_1-10chloroalkyl, optionally substituted hydroxyalkyl, optionally substituted alkylheteroalkyl, optionally substituted alkylNMe₂, optionally substituted alkylNH₂, optionally substituted alkylNHMe, optionally substituted alkylNR³R⁴, —NR³R⁴, optionally substituted carbocyclyl, optionally substituted heterocyclyl, —C(O)R⁵, —OH, —CN, —CO₂H, or —NO₂;
R³and R⁴are each independently —H, optionally substituted C_2-10alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted aryl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted heteroaryl, —S(O)₂R⁶, —C(O)N(R¹⁰)₂, —C(O)R⁵, or —C(O)OR⁵;
- or R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted heterocycle:
R⁵is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted heterocyclyl, or optionally substituted heteroaryl:
R⁶is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
R⁷and R⁸are each independently —H, optionally substituted alkyl, haloalkyl, halo, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, —OH, —OR, —NR³R⁴, —C(O)NR³R⁴, —CN, —S(O)₂R⁶, —C(O)₂H, —C(O)R⁵, or —C(O)OR⁵;
- or R⁷and R⁸are taken together with the atom to which they are attached to form a substituted or unsubstituted ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR⁶—, —S—, and —S(O)₂—; and
each R¹⁰is independently H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl.

In some embodiments,

R¹is optionally substituted C_2-10alkyl, optionally substituted C_2-10alkoxy, C_2-10fluoroalkyl, optionally substituted hydroxyalkyl, optionally substituted alkylheteroalkyl, optionally substituted alkylNMe₂, optionally substituted alkylNH₂, optionally substituted alkylNHMe, optionally substituted alkylNR³R⁴, —NR³R⁴, optionally substituted carbocyclyl, optionally substituted heterocyclyl, or —C(O)R⁵;
R³and R⁴are each independently —H, optionally substituted C_2-10alkyl, fluoroalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, —C(O)N(R¹⁰)₂, or —S(O)₂R⁶;
- or R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted 3-, 4-, 5-, or 6-membered heterocycle;
R⁵is alkyl, fluoroalkyl, carbocyclyl, optionally substituted aryl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
R⁶is alkyl, fluoroalkyl, carbocyclyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl; and
R⁷and R⁸are each independently —H, optionally substituted alkyl, fluoroalkyl, halo, —OR⁵, —NR³R⁴, —C(O)NR³R⁴, —CN, optionally substituted carbocyclyl, or optionally substituted carbocyclylalkyl:
or R⁷and R⁸are taken together with the atom to which they are attached to form a substituted or unsubstituted 3-, 4-, 5-, or 6-membered ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR⁶—, —S—, and —S(O)₂—; and
each R¹⁰is independently H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl.

In some embodiments, R¹is C_2-10alkyl, C_2-10alkoxy, C_2-10fluoroalkyl, hydroxyalkyl, alkylheteroalkyl, alkylNMe₂, alkylNH₂, alkylNHMe, alkylNR³R⁴, —NR³R⁴, carbocyclyl, heterocyclyl, or —C(O)R⁵. In certain embodiments, R¹is C_2-10alkyl, hydroxyalkyl, or alkylalkoxy. In further embodiments, R¹is carbocyclyl, heterocyclyl, or —C(O)R⁵. In some embodiments, R⁵is alkyl, carbocyclyl, or heterocyclyl; and R⁶is alkyl, carbocyclyl, aralkyl, or heterocyclyl. In some embodiments, R⁷and R⁸are each independently —H, alkyl, or carbocyclyl. In certain embodiments, R⁷and R⁸are —H.

Also provided herein, in some embodiments, are compounds having the structure of Formula (III), or a pharmaceutically acceptable salt, solvate, or prodrug thereof:

wherein

R¹is —H, —NR³R⁴, optionally substituted alkylNR³R⁴, halo, —OR⁵, —OH, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted hydroxyalkyl, —C(O)R⁵, —C(O)OR⁵, —C(O)NR³R⁴, —OC(O)OR⁵, —OC(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —S(O)R⁶, —SR⁶, —NR³S(O)₂NR³R⁴, —CN, —CO₂H, or —NO₂;
each R²is —NR³R⁴, optionally substituted alkylNR³R⁴, halo, —OR⁵, —OH, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted hydroxyalkyl, —C(O)R⁵, —C(O)OR⁵, —C(O)NR³R⁴, —OC(O)OR⁵, —OC(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —S(O)R⁶, —SR⁶, —NR³S(O)₂NR³R⁴, —CN, —CO₂H, or —NO₂;
R³and R⁴are each independently —H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted aryl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted heteroaryl, —S(O)₂R⁶, —C(O)N(R¹⁰)₂, —C(O)R⁵, or —C(O)OR⁵; or R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted heterocycle:
R⁵is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted heterocyclyl, or optionally substituted heteroaryl:
R⁶is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
R⁷and R⁸are each independently —H, optionally substituted alkyl, haloalkyl, halo, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, —OH, —OR⁵, —R³R⁴, —C(O)NR³R⁴, —CN, —S(O)₂R⁶, —C(O)₂H, —C(O)R⁵, or —C(O)OR⁵;
- or R⁷and R⁸are taken together with the atom to which they are attached to form a substituted or unsubstituted ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR⁶—, —S—, and —S(O)₂—;
each R¹⁰is independently H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl; and
n is 1, 2, 3, or 4;
wherein if R¹is H, then n=2, 3, or 4; if R¹is OMe and R⁷and R⁸are H, then R²is not Me, OMe, or F; if R¹is OH and R⁷and R⁸are H, then R²is not Me; if R¹is NHMe, n is 1, and R⁷and R⁸are H, then R²is not F; and if R¹is Cl, n is 1, and R⁷and R⁸are H, then R²is not CF₃.

In some embodiments, R¹is —H, —NR³R⁴, optionally substituted alkylNR³R⁴, halo, —OR⁵, optionally substituted alkyl, fluoroalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, —C(O)R⁵, —C(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —NR³S(O)₂NR³R⁴, —CN, or —CO₂H. In certain embodiments, R¹is —H, —NR³R⁴, alkylNR³R⁴, halo, —OR⁵, alkyl, fluoroalkyl, carbocyclyl, heterocyclyl, or —CN. In further embodiments, R¹is —NR³R⁴, halo, —OR⁵, alkyl, or heterocyclyl. In other embodiments, R¹is —NMe₂, —NHMe, —NH₂, methyl, ethyl, propyl, iso-propyl, butyl, iso-butyl, sec-butyl, tert-butyl, methoxy, ethoxy, propoxy, iso-propoxy, morpholino, or pyrrolidino. In some embodiments, each R²is —NR³R⁴, halo, —OR⁵, alkyl, carbocyclyl, alkoxy, or —CN. In some embodiments, R; and R⁴are alkyl. In some embodiments, R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a 4-, 5- or 6-membered heterocycle containing 0 or 1 oxygen heteroatom. In certain embodiments, R⁵is alkyl. In some embodiments, R⁷and R⁸are each independently —H, alkyl, or carbocyclyl. In certain embodiments, R⁷and R⁸are —H. In certain embodiments, n is 1. In other embodiments, n is 2.

Also provided herein, in some embodiments, are prodrugs of a compound of Formula (III), having the structure of Formula (IIIo):

wherein R⁹is —X—Y; X is a bond or —C(O); and Y is optionally substituted alkyl.

Some embodiments provided herein describe a pharmaceutical composition comprising a pharmaceutically acceptable excipient and a compound of Formula (I), Formula (II), or Formula (III), or a pharmaceutically acceptable salt, solvate, or prodrug thereof.

Also provided herein are methods for treating or preventing cancer in a subject, the method comprising administering to the subject a therapeutically effective amount of a compound having the structure of Formula (I), Formula (II), or Formula (III), or a pharmaceutically acceptable salt, solvate, or prodrug thereof. Also provided herein are methods for reducing incidences of cancer recurrence, the method comprising administering to a subject in cancer remission a therapeutically effective amount of a compound having the structure of Formula (I), Formula (II), or Formula (III), or a pharmaceutically acceptable salt, solvate, or prodrug thereof. Some embodiments provided herein describe methods for treating a chemo-resistant cancer in a subject, the method comprising administering to the subject a therapeutically effective amount of a compound having the structure of Formula (I), Formula (II), or Formula (III), or a pharmaceutically acceptable salt, solvate, or prodrug thereof.

In some embodiments, the cancer is triple negative breast cancer, high grade serous ovarian cancer, castration resistant prostate cancer, or doubly resistant prostate cancer. In some embodiments, the cancer is non-small cell lung cancer. In some embodiments, the methods further comprise administering a second therapeutic agent to the subject. In some embodiments, the methods further comprise administering one or more additional therapeutic agents. In some embodiments, the second or additional therapeutic agent is an androgen receptor signaling inhibitor. In specific embodiments, the androgen receptor signaling inhibitor is 3,3′-diindolylmethane (DIM), abiraterone acetate, ARN-509, bexlosteride, bicalutamide, dutasteride, epristeride, enzalutamide, finasteride, flutamide, izonsteride, ketoconazole, N-butylbenzene-sulfonamide, nilutamide, megestrol, steroidal antiandrogens, turosteride, or any combinations thereof. In some embodiments, the second or additional therapeutic agent is a chemotherapeutic agent. In other embodiments, the second or additional therapeutic agent is cisplatin, carboplatin, paclitaxel, gemcitabine, doxorubicin, camptothecin, topotecan, or any combinations thereof. In some embodiments, the second or additional therapeutic agent is an immunotherapy agent (e.g., an anti-PD-L1 agent or an anti-PD1 agent). In certain embodiments, the second or additional therapeutic agent is an anti-PD-L1 agent. In certain embodiments, the second or additional therapeutic agent is an anti-PD1 agent.

Other embodiments provided herein describe methods for treating a hypercortisolism disease or disorder in a subject, the method comprising administering to the subject in need thereof a therapeutically effective amount of a compound having the structure of Formula (I), Formula (II), or Formula (III), or a pharmaceutically acceptable salt, solvate, or prodrug thereof. In certain embodiments, the hypercortisolism disease or disorder is Cushing's syndrome. In certain embodiments, the hypercortisolism disease or disorder is refractory Cushing's syndrome.

In some embodiments of Formula (III):

R¹is —H, —NR³R⁴, optionally substituted alkylNR³R⁴, halo, —OR⁵, —OH, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted hydroxyalkyl, —C(O)R⁵, —C(O)OR⁵, —C(O)NR³R⁴, —OC(O)OR⁵, —OC(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —S(O)R⁶, —SR⁶, —CN, —CO₂H, or —NO₂;
R²is —NR³R⁴, optionally substituted alkylNR³R⁴, halo, —OR⁵, —OH, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted hydroxyalkyl, —C(O)R⁵, —C(O)OR⁵, —C(O)NR³R⁴, —OC(O)OR⁵, —OC(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —S(O)R⁶, —SR⁶, —CN, —CO₂H, or —NO₂;
R³and R⁴are each independently —H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted aryl, optionally substituted heterocyclyl, optionally substituted heterocycylalkyl, optionally substituted heteroaryl, —S(O)₂R⁶, —C(O)R⁵, or —C(O)OR⁵;
- or R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted heterocycle:
R⁵is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
R⁶is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
R⁷and R⁸are each independently —H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, —OH, —S(O)₂R⁶, —C(O)₂H, —C(O)R⁵, or —C(O)OR⁵;
- or R⁷and R⁸are taken together with the atom to which they are attached to form a substituted or unsubstituted ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR⁶—, —S—, and —S(O)₂—; and
n is 1, 2, 3, or 4; wherein if R¹is H, then n=2, 3, or 4.

INCORPORATION BY REFERENCE

All publications, patents, and patent applications mentioned in this specification are herein incorporated by reference for the specific purposes identified herein.

DETAILED DESCRIPTION OF THE INVENTION

As used herein and in the appended claims, the singular forms “a,” “and,” and “the” include plural referents unless the context clearly dictates otherwise. Thus, for example, reference to “an agent” includes a plurality of such agents, and reference to “the cell” includes reference to one or more cells (or to a plurality of cells) and equivalents thereof known to those skilled in the art, and so forth. When ranges are used herein for physical properties, such as molecular weight, or chemical properties, such as chemical formulae, all combinations and subcombinations of ranges and specific embodiments therein are intended to be included. The term “about” when referring to a number or a numerical range means that the number or numerical range referred to is an approximation within experimental variability (or within statistical experimental error), and thus the number or numerical range, in some instances, will vary between 1% and 15% of the stated number or numerical range. The term “comprising” (and related terms such as “comprise” or “comprises” or “having” or “including”) is not intended to exclude that in other certain embodiments, for example, an embodiment of any composition of matter, composition, method, or process, or the like, described herein. “consist of” or “consist essentially of” the described features.

Definitions

As used in the specification and appended claims, unless specified to the contrary, the following terms have the meaning indicated below.

“Amino” refers to the —NH₂radical.

“Cyano” refers to the —CN radical.

“Nitro” refers to the —NO₂radical.

“Oxa” refers to the —O— radical.

“Oxo” refers to the ═O radical.

“Thioxo” refers to the ═S radical.

“Imino” refers to the ═N—H radical.

“Oximo” refers to the ═N—OH radical.

“Hydrazino” refers to the ═N—NH₂radical.

“Alkyl” refers to a straight or branched hydrocarbon chain radical consisting solely of carbon and hydrogen atoms, containing no unsaturation, having from one to fifteen carbon atoms (e.g., C₁-C₁₅alkyl). In certain embodiments, an alkyl comprises one to thirteen carbon atoms (e.g., C₁-C₁₃alkyl). In certain embodiments, an alkyl comprises one to eight carbon atoms (e.g., C₁-C₈alkyl). In other embodiments, an alkyl comprises one to five carbon atoms (e.g., C₁-C₅alkyl). In other embodiments, an alkyl comprises one to four carbon atoms (e.g., C₁-C₄alkyl). In other embodiments, an alkyl comprises one to three carbon atoms (e.g., C₁-C₃alkyl). In other embodiments, an alkyl comprises one to two carbon atoms (e.g., C₁-C₂alkyl). In other embodiments, an alkyl comprises one carbon atom (e.g., C₁alkyl). In other embodiments, an alkyl comprises five to fifteen carbon atoms (e.g., C₅-C₁₅alkyl). In other embodiments, an alkyl comprises five to eight carbon atoms (e.g., C₅-C₈alkyl). In other embodiments, an alkyl comprises two to five carbon atoms (e.g., C₂-C₅alkyl). In other embodiments, an alkyl comprises three to five carbon atoms (e.g., C₃-C₅alkyl). In other embodiments, the alkyl group is selected from methyl, ethyl. I-propyl (n-propyl), 1-methylethyl (iso-propyl), 1-butyl (n-butyl), 1-methylpropyl (sec-butyl), 2-methylpropyl (iso-butyl), 1,1-dimethylethyl (tert-butyl), 1-pentyl (n-pentyl). The alkyl is attached to the rest of the molecule by a single bond. Unless stated otherwise specifically in the specification, an alkyl group is optionally substituted by one or more of the following substituents: halo, cyano, nitro, oxo, thioxo, imino, oximo, trimethylsilanyl, —OR^a, —SR^a, —OC(O)—R^a, —N(R^a)₂, —C(O)R^a, —C(O)OR^a, —C(O)N(R^a)₂, —N(R^a)C(O)OR^a, —OC(O)—N(R^a)₂, —N(R^a)C(O)R^a, —N(R^a)S(O)_tR^a(where t is 1 or 2), —S(O)_tOR^a(where t is 1 or 2), —S(O)_tR^a(where t is 1 or 2) and —S(O)_tN(R^a)₂(where t is 1 or 2) where each R^ais independently hydrogen, alkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), fluoroalkyl, carbocyclyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), carbocyclylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), aryl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), aralkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heterocyclyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heterocyclylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heteroaryl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), or heteroarylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl).

“Alkoxy” refers to a radical bonded through an oxygen atom of the formula —O— alkyl, where alkyl is an alkyl chain as defined above.

“Alkenyl” refers to a straight or branched hydrocarbon chain radical group consisting solely of carbon and hydrogen atoms, containing at least one carbon-carbon double bond, and having from two to twelve carbon atoms. In certain embodiments, an alkenyl comprises two to eight carbon atoms. In other embodiments, an alkenyl comprises two to four carbon atoms. The alkenyl is attached to the rest of the molecule by a single bond, for example, ethenyl (i.e., vinyl), prop-1-enyl (i.e., allyl), but-1-enyl, pent-1-enyl, penta-1,4-dienyl, and the like. Unless stated otherwise specifically in the specification, an alkenyl group is optionally substituted by one or more of the following substituents: halo, cyano, nitro, oxo, thioxo, imino, oximo, trimethylsilanyl, —OR^a, —SR^a, —OC(O)—R^a, —N(R^a)₂, —C(O)R^a, —C(O)OR^a, —C(O)N(R^a)₂, —N(R^a)C(O)OR^a, —OC(O)—N(R^a)₂, —N(R^a)C(O)R^a, —N(R^a)S(O)_tR^a(where t is 1 or 2), —S(O)_tOR^a(where t is 1 or 2), —S(O)_tR^a(where t is 1 or 2) and —S(O)_tN(R^a)₂(where t is 1 or 2) where each R^ais independently hydrogen, alkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), fluoroalkyl, carbocyclyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), carbocyclylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), aryl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), aralkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heterocyclyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heterocyclylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heteroaryl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), or heteroarylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl).

“Alkynyl” refers to a straight or branched hydrocarbon chain radical group consisting solely of carbon and hydrogen atoms, containing at least one carbon-carbon triple bond, having from two to twelve carbon atoms. In certain embodiments, an alkynyl comprises two to eight carbon atoms. In other embodiments, an alkynyl comprises two to six carbon atoms. In other embodiments, an alkynyl comprises two to four carbon atoms. The alkynyl is attached to the rest of the molecule by a single bond, for example, ethynyl, propynyl, butynyl, pentynyl, hexynyl, and the like. Unless stated otherwise specifically in the specification, an alkynyl group is optionally substituted by one or more of the following substituents: halo, cyano, nitro, oxo, thioxo, imino, oximo, trimethylsilanyl, —OR^a, —SR^a, —OC(O)—R^a, —N(R^a)₂, —C(O)R^a, —C(O)OR^a, —C(O)N(R^a)₂, —N(R^a)C(O)OR^a, —OC(O)—N(R^a)₂, —N(R^a)C(O)R^a, —N(R^a)S(O)_tR^a(where t is 1 or 2), —S(O)_tOR^a(where t is 1 or 2), —S(O)_tR^a(where t is 1 or 2) and —S(O)_tN(R^a)₂(where t is 1 or 2) where each R^ais independently hydrogen, alkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), fluoroalkyl, carbocyclyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), carbocyclylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), aryl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), aralkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heterocyclyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heterocyclylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heteroaryl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), or heteroarylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl).

“Alkylene” or “alkylene chain” refers to a straight or branched divalent hydrocarbon chain linking the rest of the molecule to a radical group, consisting solely of carbon and hydrogen, containing no unsaturation and having from one to twelve carbon atoms, for example, methylene, ethylene, propylene, n-butylene, and the like. The alkylene chain is attached to the rest of the molecule through a single bond and to the radical group through a single bond. The points of attachment of the alkylene chain to the rest of the molecule and to the radical group is through one carbon in the alkylene chain or through any two carbons within the chain. In certain embodiments, an alkylene comprises one to eight carbon atoms (e.g., C₁-C₈alkylene). In other embodiments, an alkylene comprises one to five carbon atoms (e.g., C₁-C₅alkylene). In other embodiments, an alkylene comprises one to four carbon atoms (e.g., C₁-C₄alkylene). In other embodiments, an alkylene comprises one to three carbon atoms (e.g., C₁-C₃alkylene). In other embodiments, an alkylene comprises one to two carbon atoms (e.g., C₁-C₂alkylene). In other embodiments, an alkylene comprises one carbon atom (e.g., C₁alkylene). In other embodiments, an alkylene comprises five to eight carbon atoms (e.g., C₅-C₈alkylene). In other embodiments, an alkylene comprises two to five carbon atoms (e.g., C₂-C₅alkylene). In other embodiments, an alkylene comprises three to five carbon atoms (e.g., C₃-C₅alkylene). Unless stated otherwise specifically in the specification, an alkylene chain is optionally substituted by one or more of the following substituents: halo, cyano, nitro, oxo, thioxo, imino, oximo, trimethylsilanyl, —OR^a, —SR^a, —OC(O)—R^a, —N(R^a)₂, —C(O)R^a, —C(O)OR^a, —C(O)N(R^a)₂, —N(R^a)C(O)OR^a, —OC(O)—N(R^a)₂, —N(R^a)C(O)R^a, —N(R^a)S(O)_tR^a(where t is 1 or 2), —S(O)_tOR^a(where t is 1 or 2), —S(O)_tR^a(where t is 1 or 2) and —S(O)_tN(R^a)₂(where t is 1 or 2) where each R^ais independently hydrogen, alkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), fluoroalkyl, carbocyclyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), carbocyclylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), aryl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), aralkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heterocyclyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heterocyclylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heteroaryl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), or heteroarylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl).

“Alkynylene” or “alkynylene chain” refers to a straight or branched divalent hydrocarbon chain linking the rest of the molecule to a radical group, consisting solely of carbon and hydrogen, containing at least one carbon-carbon triple bond, and having from two to twelve carbon atoms. The alkynylene chain is attached to the rest of the molecule through a single bond and to the radical group through a single bond. In certain embodiments, an alkynylene comprises two to eight carbon atoms (e.g., C₂-C₈alkynylene). In other embodiments, an alkynylene comprises two to five carbon atoms (e.g., C₂-C₃alkynylene). In other embodiments, an alkynylene comprises two to four carbon atoms (e.g., C₂-C₄alkynylene). In other embodiments, an alkynylene comprises two to three carbon atoms (e.g., C₂-C₃alkynylene). In other embodiments, an alkynylene comprises two carbon atom (e.g., C₂alkylene). In other embodiments, an alkynylene comprises five to eight carbon atoms (e.g., C₅-C₈alkynylene). In other embodiments, an alkynylene comprises three to five carbon atoms (e.g., C₃-C₅alkynylene). Unless stated otherwise specifically in the specification, an alkynylene chain is optionally substituted by one or more of the following substituents: halo, cyano, nitro, oxo, thioxo, imino, oximo, trimethylsilanyl, —OR^aSR^a, —OC(O)—R^a, —N(R^a)₂, —C(O)R^a, —C(O)OR^a, —C(O)N(R^a)₂, —N(R^a)C(O)OR^a, —OC(O)—N(R^a)₂, —N(R^a)C(O)R^a, —N(R^a)S(O)_tR^a(where t is 1 or 2), —S(O)_tOR^a(where t is 1 or 2), —S(O_tR^a(where t is 1 or 2) and —S(O)_tN(R^a)₂(where t is 1 or 2) where each R^ais independently hydrogen, alkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), fluoroalkyl, carbocyclyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), carbocyclylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), aryl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), aralkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heterocyclyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heterocyclylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heteroaryl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), or heteroarylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl).

“Aryl” refers to a radical derived from an aromatic monocyclic or multicyclic hydrocarbon ring system by removing a hydrogen atom from a ring carbon atom. The aromatic monocyclic or multicyclic hydrocarbon ring system contains only hydrogen and carbon from five to eighteen carbon atoms, where at least one of the rings in the ring system is fully unsaturated, i.e., it contains a cyclic, delocalized (4n+2) π-electron system in accordance with the Hückel theory. The ring system from which aryl groups are derived include, but are not limited to, groups such as benzene, fluorene, indane, indene, tetralin and naphthalene. Unless stated otherwise specifically in the specification, the term “aryl” or the prefix “ar-” (such as in “aralkyl”) is meant to include aryl radicals optionally substituted by one or more substituents independently selected from alkyl, alkenyl, alkynyl, halo, fluoroalkyl, cyano, nitro, optionally substituted aryl, optionally substituted aralkyl, optionally substituted aralkenyl, optionally substituted aralkynyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted heteroaryl, optionally substituted heteroarylalkyl, —R^b—OR^a, —R^b—OC(O)—R^a, —R^b—OC(O)—OR^a, —R^b—OC(O)—N(R^a)₂, —R^b—N(R^a)₂, —R^b—C(O)R^a, —R^b—C(O)OR^a, —R^b—C(O)N(R^a)₂, —R^b—O—R^c—C(O)N(R^a)₂, —R^b—N(R^a)C(O)OR^a, —R^b—N(R^a)C(O)R^a, —R^b—N(R^a)S(O) R^a(where t is 1 or 2), —R^b—S(O)_tR^a(where t is 1 or 2), —R^b—S(O)_tOR^a(where t is 1 or 2) and —R^b—S(O)_tN(R^a)₂(where t is 1 or 2), where each R^ais independently hydrogen, alkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), fluoroalkyl, cycloalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), cycloalkylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), aryl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), aralkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heterocyclyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heterocyclylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heteroaryl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), or heteroarylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), each R^bis independently a direct bond or a straight or branched alkylene or alkenylene chain, and R^cis a straight or branched alkylene or alkenylene chain, and where each of the above substituents is unsubstituted unless otherwise indicated.

“Aralkyl” refers to a radical of the formula —R^c-aryl where R^cis an alkylene chain as defined above, for example, methylene, ethylene, and the like. The alkylene chain part of the aralkyl radical is optionally substituted as described above for an alkylene chain. The aryl part of the aralkyl radical is optionally substituted as described above for an aryl group.

“Aralkenyl” refers to a radical of the formula —R^d-aryl where R^dis an alkenylene chain as defined above. The aryl part of the aralkenyl radical is optionally substituted as described above for an aryl group. The alkenylene chain part of the aralkenyl radical is optionally substituted as defined above for an alkenylene group.

“Aralkynyl” refers to a radical of the formula —R^e-aryl, where R^eis an alkynylene chain as defined above. The aryl part of the aralkynyl radical is optionally substituted as described above for an aryl group. The alkynylene chain part of the aralkynyl radical is optionally substituted as defined above for an alkynylene chain.

“Aralkoxy” refers to a radical bonded through an oxygen atom of the formula —O—R^c-aryl where R^cis an alkylene chain as defined above, for example, methylene, ethylene, and the like. The alkylene chain part of the aralkyl radical is optionally substituted as described above for an alkylene chain. The aryl part of the aralkyl radical is optionally substituted as described above for an aryl group.

“Carbocyclyl” refers to a stable non-aromatic monocyclic or polycyclic hydrocarbon radical consisting solely of carbon and hydrogen atoms, which includes fused or bridged ring systems, having from three to fifteen carbon atoms. In certain embodiments, a carbocyclyl comprises three to ten carbon atoms. In other embodiments, a carbocyclyl comprises five to seven carbon atoms. The carbocyclyl is attached to the rest of the molecule by a single bond. Carbocyclyl is saturated (i.e., containing single C—C bonds only) or unsaturated (i.e., containing one or more double bonds or triple bonds). A fully saturated carbocyclyl radical is also referred to as “cycloalkyl.” Examples of monocyclic cycloalkyls include, e.g., cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, and cyclooctyl. An unsaturated carbocyclyl is also referred to as “cycloalkenyl.” Examples of monocyclic cycloalkenyls include, e.g., cyclopentenyl, cyclohexenyl, cycloheptenyl, and cyclooctenyl. Polycyclic carbocyclyl radicals include, for example, adamantyl, norbornyl (i.e., bicyclo[2.2.1]heptanyl), norbornenyl, decalinyl, 7,7-dimethyl-bicyclo[2.2.1]heptanyl, and the like. Unless otherwise stated specifically in the specification, the term “carbocyclyl” is meant to include carbocyclyl radicals that are optionally substituted by one or more substituents independently selected from alkyl, alkenyl, alkynyl, halo, fluoroalkyl, oxo, thioxo, cyano, nitro, optionally substituted aryl, optionally substituted aralkyl, optionally substituted aralkenyl, optionally substituted aralkynyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted heteroaryl, optionally substituted heteroarylalkyl, —R^b—OR^a, —R^b—OC(O)—R^a, —R^b—OC(O)—OR^a, —R^b—OC(O)—N(R^a)₂, —R^b—N(R^a)₂, —R^b—C(O)R^a, —R^b—C(O)OR^a, —R^b—C(O)N(R^a)₂, —R^b—O—R^c—C(O)N(R^a)₂, —R^b—N(R^a)C(O)OR^a, —R^b—N(R^a)C(O)R^a, —R^b—N(R^a)S(O)_tR^a(where t is 1 or 2), —R^b—S(O)_tR^a(where t is 1 or 2), —R^b—S(O)_tOR^a(where t is 1 or 2) and —R^b—S(O)N(R^a)₂(where t is 1 or 2), where each R^ais independently hydrogen, alkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), fluoroalkyl, cycloalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), cycloalkylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), aryl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), aralkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heterocyclyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heterocyclylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heteroaryl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), or heteroarylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), each R^bis independently a direct bond or a straight or branched alkylene or alkenylene chain, and R^cis a straight or branched alkylene or alkenylene chain, and where each of the above substituents is unsubstituted unless otherwise indicated.

“Carbocyclylalkyl” refers to a radical of the formula —R^c-carbocyclyl where R^cis an alkylene chain as defined above. The alkylene chain and the carbocyclyl radical is optionally substituted as defined above.

“Carbocyclylalkynyl” refers to a radical of the formula —R^c-carbocyclyl where R^cis an alkynylene chain as defined above. The alkynylene chain and the carbocyclyl radical is optionally substituted as defined above.

“Carbocyclylalkoxy” refers to a radical bonded through an oxygen atom of the formula —O—R^c-carbocyclyl where R^cis an alkylene chain as defined above. The alkylene chain and the carbocyclyl radical is optionally substituted as defined above.

As used herein, “carboxylic acid bioisostere” refers to a functional group or moiety that exhibits similar physical, biological and/or chemical properties as a carboxylic acid moiety. Examples of carboxylic acid bioisosteres include but are not limited to,

and the like.

“Halo” or “halogen” refers to bromo, chloro, fluoro or iodo substituents.

“Haloalkyl” refers to an alkyl radical, as defined above, that is substituted by one or more halo radicals, as defined above, for example, trifluoromethyl, difluoromethyl, fluoromethyl, 2,2,2-trifluoroethyl, 1-fluoromethyl-2-fluoroethyl, trichloromethyl, dichloromethyl, chloromethyl, 2,2,2-trichloroethyl, 1-chloromethyl-2-chloroethyl, tribromomethyl, dibromomethyl, bromomethyl, 2,2,2-tribromoethyl, 1-bromomethyl-2-bromoethyl, and the like. In some embodiments, the alkyl part of the haloalkyl radical is optionally substituted as defined above for an alkyl group.

“Fluoroalkyl” refers to an alkyl radical, as defined above, that is substituted by one or more fluoro radicals, as defined above, for example, trifluoromethyl, difluoromethyl, fluoromethyl, 2,2,2-trifluoroethyl, 1-fluoromethyl-2-fluoroethyl, and the like. In some embodiments, the alkyl part of the fluoroalkyl radical is optionally substituted as defined above for an alkyl group.

“Heteroalkyl” refers to an alkyl group in which one or more skeletal atoms of the alkyl are selected from an atom other than carbon, e.g., oxygen, nitrogen (e.g. —NH—, —N(alkyl)-), sulfur, or combinations thereof. A heteroalkyl is attached to the rest of the molecule at a carbon atom of the heteroalkyl. In one aspect, a heteroalkyl is a C₁-C₆heteroalkyl. Unless stated otherwise specifically in the specification, an heteroalkyl chain is optionally substituted by one or more of the following substituents: halo, cyano, nitro, oxo, thioxo, imino, oximo, trimethylsilanyl, —OR^a, —SR^a, —OC(O)—R^a, —N(R^a)₂, —C(O)R^a, —C(O)OR^a, —C(O)N(R^a)₂, —N(R^a)C(O)OR^a, —OC(O)—N(R^a), —N(R^a)C(O)R^a, —N(R^a)S(O)_tR^a(where t is 1 or 2), —S(O)OR³(where t is 1 or 2), —S(O)_tNR^a(where t is 1 or 2) and —S(O)_tN(R^a)₂(where t is 1 or 2) where each R^ais independently hydrogen, alkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), fluoroalkyl, carbocyclyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), carbocyclylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), aryl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), aralkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heterocyclyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heterocyclylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heteroaryl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), or heteroarylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl).

“Heterocyclyl” refers to a stable 3- to 18-membered non-aromatic ring radical that comprises two to twelve carbon atoms and from one to six heteroatoms selected from nitrogen, oxygen and sulfur. Unless stated otherwise specifically in the specification, the heterocyclyl radical is a monocyclic, bicyclic, tricyclic or tetracyclic ring system, which optionally includes fused or bridged ring systems. The heteroatoms in the heterocyclyl radical are optionally oxidized. One or more nitrogen atoms, if present, are optionally quaternized. The heterocyclyl radical is partially or fully saturated. The heterocyclyl is attached to the rest of the molecule through any atom of the ring(s). Examples of such heterocyclyl radicals include, but are not limited to, dioxolanyl, thienyl[1,3]dithianyl, decahydroisoquinolyl, imidazolinyl, imidazolidinyl, isothiazolidinyl, isoxazolidinyl, morpholinyl, octahydroindolyl, octahydroisoindolyl, 2-oxopiperazinyl, 2-oxopiperidinyl, 2-oxopyrrolidinyl, oxazolidinyl, piperidinyl, piperazinyl, 4-piperidonyl, pyrrolidinyl, pyrazolidinyl, quinuclidinyl, thiazolidinyl, tetrahydrofuryl, trithianyl, tetrahydropyranyl, thiomorpholinyl, thiamorpholinyl, 1-oxo-thiomorpholinyl, and 1,1-dioxo-thiomorpholinyl. Unless stated otherwise specifically in the specification, the term “heterocyclyl” is meant to include heterocyclyl radicals as defined above that are optionally substituted by one or more substituents selected from alkyl, alkenyl, alkynyl, halo, fluoroalkyl, oxo, thioxo, cyano, nitro, optionally substituted aryl, optionally substituted aralkyl, optionally substituted aralkenyl, optionally substituted aralkynyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted heteroaryl, optionally substituted heteroarylalkyl, —R^b—OR^a, —R^b—OC(O)—R^a, —R^b—OC(O)—OR^a, —R^b—OC(O)—N(R^a)₂, —R^b—N(R^a)₂, —R^b—C(O)R^a, —R^b—C(O)OR^a, —R^b—C(O)N(R^a)₂, —R^b—O—R^c—C(O)N(R^a)₂, —R^b—N(R^a)C(O)OR^a, —R^b—N(R^a)C(O)R^a, —R^b—N(R^a)S(O)_tNR^a(where t is 1 or 2), —R^b—S(O)_tR^a(where t is 1 or 2), —R^b—S(O)_tOR^a(where t is 1 or 2) and —R^b—S(O)_tN(R^a)₂(where t is 1 or 2), where each R^ais independently hydrogen, alkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), fluoroalkyl, cycloalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), cycloalkylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), aryl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), aralkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heterocyclyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heterocyclylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heteroaryl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), or heteroarylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), each R^bis independently a direct bond or a straight or branched alkylene or alkenylene chain, and R^cis a straight or branched alkylene or alkenylene chain, and where each of the above substituents is unsubstituted unless otherwise indicated.

“N-heterocyclyl” or “N-attached heterocyclyl” refers to a heterocyclyl radical as defined above containing at least one nitrogen and where the point of attachment of the heterocyclyl radical to the rest of the molecule is through a nitrogen atom in the heterocyclyl radical. An N-heterocyclyl radical is optionally substituted as described above for heterocyclyl radicals. Examples of such N-heterocyclyl radicals include, but are not limited to, 1-morpholinyl, 1-piperidinyl, 1-piperazinyl, 1-pyrrolidinyl, pyrazolidinyl, imidazolinyl, and imidazolidinyl.

“C-heterocyclyl” or “C-attached heterocyclyl” refers to a heterocyclyl radical as defined above containing at least one heteroatom and where the point of attachment of the heterocyclyl radical to the rest of the molecule is through a carbon atom in the heterocyclyl radical. A C-heterocyclyl radical is optionally substituted as described above for heterocyclyl radicals. Examples of such C-heterocycyl radicals include, but are not limited to, 2-morpholinyl, 2- or 3- or 4-piperidinyl, 2-piperazinyl, 2- or 3-pyrrolidinyl, and the like.

“Heterocyclylalkyl” refers to a radical of the formula —R^c-heterocyclyl where R^cis an alkylene chain as defined above. If the heterocyclyl is a nitrogen-containing heterocyclyl, the heterocyclyl is optionally attached to the alkyl radical at the nitrogen atom. The alkylene chain of the heterocyclylalkyl radical is optionally substituted as defined above for an alkylene chain. The heterocyclyl part of the heterocyclylalkyl radical is optionally substituted as defined above for a heterocyclyl group.

“Heterocyclylalkoxy” refers to a radical bonded through an oxygen atom of the formula —O—R^c-heterocyclyl where R^cis an alkylene chain as defined above. If the heterocyclyl is a nitrogen-containing heterocyclyl, the heterocyclyl is optionally attached to the alkyl radical at the nitrogen atom. The alkylene chain of the heterocyclylalkoxy radical is optionally substituted as defined above for an alkylene chain. The heterocyclyl part of the heterocyclylalkoxy radical is optionally substituted as defined above for a heterocyclyl group.

“Heteroaryl” refers to a radical derived from a 3- to 18-membered aromatic ring radical that comprises two to seventeen carbon atoms and from one to six heteroatoms selected from nitrogen, oxygen and sulfur. As used herein, the heteroaryl radical is a monocyclic, bicyclic, tricyclic or tetracyclic ring system, wherein at least one of the rings in the ring system is fully unsaturated. i.e., it contains a cyclic, delocalized (4n+2) π-electron system in accordance with the Hückel theory. Heteroaryl includes fused or bridged ring systems. The heteroatom(s) in the heteroaryl radical is optionally oxidized. One or more nitrogen atoms, if present, are optionally quaternized. The heteroaryl is attached to the rest of the molecule through any atom of the ring(s). Examples of heteroaryls include, but are not limited to, azepinyl, acridinyl, benzimidazolyl, benzindolyl, 1,3-benzodioxolyl, benzofuranyl, benzooxazolyl, benzo[d]thiazolyl, benzothiadiazolyl, benzo[b][1,4]dioxepinyl, benzo[b][1,4]oxazinyl, 1,4-benzodioxanyl, benzonaphthofuranyl, benzoxazolyl, benzodioxolyl, benzodioxinyl, benzopyranyl, benzopyranonyl, benzofuranyl, benzofuranonyl, benzothienyl (benzothiophenyl), benzothieno[3,2-d]pyrimidinyl, benzotriazolyl, benzo[4,6]imidazo[1,2-a]pyridinyl, carbazolyl, cinnolinyl, cyclopenta[d]pyrimidinyl, 6,7-dihydro-5H-cyclopenta[4,5]thieno[2,3-d]pyrimidinyl, 5,6-dihydrobenzo[h]quinazolinyl, 5,6-dihydrobenzo[h]cinnolinyl, 6,7-dihydro-5H-benzo[6,7]cyclohepta[1,2-c]pyridazinyl, dibenzofuranyl, dibenzothiophenyl, furanyl, furanonyl, furo[3,2-c]pyridinyl, 5,6,7,8,9,10-hexahydrocycloocta[d]pyrimidinyl, 5,6,7,8,9,10-hexahydrocycloocta[d]pyridazinyl, 5,6,7,8,9,10-hexahydrocycloocta[d]pyridinyl, isothiazolyl, imidazolyl, indazolyl, indolyl, indazolyl, isoindolyl, indolinyl, isoindolinyl, isoquinolyl, indolizinyl, isoxazolyl, 5,8-methano-5,6,7,8-tetrahydroquinazolinyl, naphthyridinyl, 1,6-naphthyridinonyl, oxadiazolyl, 2-oxoazepinyl, oxazolyl, oxiranyl, 5,6,6a,7,8,9,10,10a-octahydrobenzo[h]quinazolinyl, 1-phenyl-1H-pyrrolyl, phenazinyl, phenothiazinyl, phenoxazinyl, phthalazinyl, pteridinyl, purinyl, pyrrolyl, pyrazolyl, pyrazolo[3,4-d]pyrimidinyl, pyridinyl, pyrido[3,2-d]pyrimidinyl, pyrido[3,4-d]pyrimidinyl, pyrazinyl, pyrimidinyl, pyridazinyl, pyrrolyl, quinazolinyl, quinoxalinyl, quinolinyl, isoquinolinyl, tetrahydroquinolinyl, 5,6,7,8-tetrahydroquinazolinyl, 5,6,7,8-tetrahydrobenzo[4,5]thieno[2,3-d]pyrimidinyl, 6,7,8,9-tetrahydro-5H-cyclohepta[4,5]thieno[2,3-d]pyrimidinyl, 5,6,7,8-tetrahydropyrido[4,5-c]pyridazinyl, thiazolyl, thiadiazolyl, triazolyl, tetrazolyl, triazinyl, thieno[2,3-d]pyrimidinyl, thieno[13,2-d]pyrimidinyl, thieno[2,3-c]pyridinyl, and thiophenyl (i.e. thienyl). Unless stated otherwise specifically in the specification, the term “heteroaryl” is meant to include heteroaryl radicals as defined above which are optionally substituted by one or more substituents selected from alkyl, alkenyl, alkynyl, halo, fluoroalkyl, haloalkenyl, haloalkynyl, oxo, thioxo, cyano, nitro, optionally substituted aryl, optionally substituted aralkyl, optionally substituted aralkeyl, optionally substituted aralkynyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted heteroaryl, optionally substituted heteroarylalkyl, —R^b—OR^a, —R^b—OC(O)—R^a, —R^b—OC(O)—OR^a, —R^b—OC(O)—N(R^a)₂, —R^b—N(R^a)₂, —R^b—C(O)R^a, —R^b—C(O)OR^a, —R^b—C(O)N(R^a)₂, —R^b—O—R^c—C(O)N(R^a)₂, —R^b—N(R^a)C(O)OR^a, —R^b—N(R^a)C(O)R^a, —R^b—N(R^a)S(O)_tR^a(where t is 1 or 2), —R^b—S(O)_tNR^a(where t is 1 or 2), —R^b—S(O)_tOR^a(where t is 1 or 2) and —R^b—S(O)_tN(R^a)₂(where t is 1 or 2), where each R^ais independently hydrogen, alkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), fluoroalkyl, cycloalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), cycloalkylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), aryl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), aralkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heterocyclyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heterocyclylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), heteroaryl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), or heteroarylalkyl (optionally substituted with halogen, hydroxy, methoxy, or trifluoromethyl), each R^bis independently a direct bond or a straight or branched alkylene or alkenylene chain, and R^cis a straight or branched alkylene or alkenylene chain, and where each of the above substituents is unsubstituted unless otherwise indicated.

“N-heteroaryl” refers to a heteroaryl radical as defined above containing at least one nitrogen and where the point of attachment of the heteroaryl radical to the rest of the molecule is through a nitrogen atom in the heteroaryl radical. An N-heteroaryl radical is optionally substituted as described above for heteroaryl radicals.

“C-heteroaryl” refers to a heteroaryl radical as defined above and where the point of attachment of the heteroaryl radical to the rest of the molecule is through a carbon atom in the heteroaryl radical. A C-heteroaryl radical is optionally substituted as described above for heteroaryl radicals.

“Heteroarylalkyl” refers to a radical of the formula —R^c-heteroaryl, where R^cis an alkylene chain as defined above. If the heteroaryl is a nitrogen-containing heteroaryl, the heteroaryl is optionally attached to the alkyl radical at the nitrogen atom. The alkylene chain of the heteroarylalkyl radical is optionally substituted as defined above for an alkylene chain. The heteroaryl part of the heteroarylalkyl radical is optionally substituted as defined above for a heteroaryl group.

“Heteroarylalkoxy” refers to a radical bonded through an oxygen atom of the formula —O—R^c-heteroaryl, where R^cis an alkylene chain as defined above. If the heteroaryl is a nitrogen-containing heteroaryl, the heteroaryl is optionally attached to the alkyl radical at the nitrogen atom. The alkylene chain of the heteroarylalkoxy radical is optionally substituted as defined above for an alkylene chain. The heteroaryl part of the heteroarylalkoxy radical is optionally substituted as defined above for a heteroaryl group.

The compounds disclosed herein, in some embodiments, contain one or more asymmetric centers and thus give rise to enantiomers, diastereomers, and other stereoisomeric forms that are defined, in terms of absolute stereochemistry, as (R)- or (S)—. Unless stated otherwise, it is intended that all stereoisomeric forms of the compounds disclosed herein are contemplated by this disclosure. When the compounds described herein contain alkene double bonds, and unless specified otherwise, it is intended that this disclosure includes both E and Z geometric isomers (e.g., cis or trans.) Likewise, all possible isomers, as well as their racemic and optically pure forms, and all tautomeric forms are also intended to be included. The term “geometric isomer” refers to E or Z geometric isomers (e.g., cis or trans) of an alkene double bond. The term “positional isomer” refers to structural isomers around a central ring, such as ortho-, meta-, and para-isomers around a benzene ring.

The compounds described herein may exhibit their natural isotopic abundance, or one or more of the atoms may be artificially enriched in a particular isotope having the same atomic number, but an atomic mass or mass number different from the atomic mass or mass number predominantly found in nature. All isotopic variations of the compounds of the present invention, whether radioactive or not, are encompassed within the scope of the present invention. For example, hydrogen has three naturally occurring isotopes, denoted ¹H (protium), ²H (deuterium), and ³H (tritium). Protium is the most abundant isotope of hydrogen in nature. Enriching for deuterium may afford certain therapeutic advantages, such as increased in vivo half-life and/or exposure, or may provide a compound useful for investigating in vivo routes of drug elimination and metabolism. Isotopically-enriched compounds may be prepared by conventional techniques well known to those skilled in the art or by processes analogous to those described in the Scheme and Examples herein using appropriate isotopically-enriched reagents and/or intermediates. In some embodiments, the compounds described herein contain one or more isotopic variants (e.g., deuterium, tritium, ¹³C, and/or ¹⁴C).

A “tautomer” refers to a molecule wherein a proton shift from one atom of a molecule to another atom of the same molecule is possible. The compounds presented herein, in certain embodiments, exist as tautomers. In circumstances where tautomerization is possible, a chemical equilibrium of the tautomers will exist. The exact ratio of the tautomers depends on several factors, including physical state, temperature, solvent, and pH. Some examples of tautomeric equilibrium include:

“Pharmaceutically acceptable salt” includes both acid and base addition salts. A pharmaceutically acceptable salt of any one of the substituted steroidal derivative compounds described herein is intended to encompass any and all pharmaceutically suitable salt forms. Preferred pharmaceutically acceptable salts of the compounds described herein are pharmaceutically acceptable acid addition salts and pharmaceutically acceptable base addition salts.

“Pharmaceutically acceptable acid addition salt” refers to those salts which retain the biological effectiveness and properties of the free bases, which are not biologically or otherwise undesirable, and which are formed with inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoic acid, hydroiodic acid, hydrofluoric acid, phosphorous acid, and the like. Also included are salts that are formed with organic acids such as aliphatic mono- and dicarboxylic acids, phenyl-substituted alkanoic acids, hydroxy alkanoic acids, alkanedioic acids, aromatic acids, aliphatic and, aromatic sulfonic acids, etc. and include, for example, acetic acid, trifluoroacetic acid, propionic acid, glycolic acid, pyruvic acid, oxalic acid, maleic acid, malonic acid, succinic acid, fumaric acid, tartaric acid, citric acid, benzoic acid, cinnamic acid, mandelic acid, methanesulfonic acid, ethanesulfonic acid, p-toluenesulfonic acid, salicylic acid, and the like. Exemplary salts thus include sulfates, pyrosulfates, bisulfates, sulfites, bisulfiles, nitrates, phosphates, monohydrogenphosphates, dihydrogenphosphates, metaphosphates, pyrophosphates, chlorides, bromides, iodides, acetates, trifluoroacetates, propionates, caprylates, isobutyrates, oxalates, malonales, succinate suberates, sebacates, fumarates, maleates, mandelates, benzoates, chlorobenzoates, methylbenzoates, dinitrobenzoates, phthalates, benzenesulfonates, toluenesulfonates, phenylacetates, citrates, lactates, malates, tartrates, methanesulfonates, and the like. Also contemplated are salts of amino acids, such as arginates, guconates, and galacturonales (see, for example, Berge S M et al., “Pharmaceutical Salts.” Journal of Pharmaceutical Science. 66:1-19 (1997)). Acid addition salts of basic compounds are, in some embodiments, prepared by contacting the free base forms with a sufficient amount of the desired acid to produce the salt according to methods and techniques with which a skilled artisan is familiar.

“Pharmaceutically acceptable base addition salt” refers to those salts that retain the biological effectiveness and properties of the free acids, which are not biologically or otherwise undesirable. These salts are prepared from addition of an inorganic base or an organic base to the free acid. Pharmaceutically acceptable base addition salts are, in some embodiments, formed with metals or amines, such as alkali and alkaline earth metals or organic amines. Salts derived from inorganic bases include, but are not limited to, sodium, potassium, lithium, ammonium, calcium, magnesium, iron, zinc, copper, manganese, aluminum salts and the like. Salts derived from organic bases include, but are not limited to, salts of primary, secondary, and tertiary amines, substituted amines including naturally occurring substituted amines, cyclic amines and basic ion exchange resins, for example, isopropylamine, trimethylamine, diethylamine, triethylamine, tripropylamine, ethanolamine, diethanolamine, 2-dimethylaminoethanol, 2-diethylaminoethanol, dicyclohexylamine, lysine, arginine, histidine, caffeine, procaine, N,N-dibenzylethylenediamine, chloroprocaine, hydrabamine, choline, betaine, ethylenediamine, ethylenedianiline, N-methylglucamine, glucosamine, methylglucamine, theobronine, purines, piperazine, piperidine, N-ethylpiperidine, poly amine resins and the like. See Berge et al., supra.

As used herein, “treatment” or “treating” or “palliating” or “ameliorating” are used interchangeably. These terms refer to an approach for obtaining beneficial or desired results including but not limited to therapeutic benefit and/or a prophylactic benefit. By “therapeutic benefit” is meant eradication or amelioration of the underlying disorder being treated. Also, a therapeutic benefit is achieved with the eradication or amelioration of one or more of the physiological symptoms associated with the underlying disorder such that an improvement is observed in the patient, notwithstanding that the patient is still afflicted with the underlying disorder. For prophylactic benefit, the compositions are, in some embodiments, administered to a patient at risk of developing a particular disease, or to a patient reporting one or more of the physiological symptoms of a disease, even though a diagnosis of this disease has not been made.

“Prodrug” is meant to indicate a compound that is, in some embodiments, converted under physiological conditions or by solvolysis to a biologically active compound described herein. Thus, the term “prodrug” refers to a precursor of a biologically active compound that is pharmaceutically acceptable. A prodrug is typically inactive when administered to a subject, but is converted in vivo to an active compound, for example, by hydrolysis. The prodrug compound often offers advantages of solubility, tissue compatibility or delayed release in a mammalian organism (see. e.g. Bundgard, H., Design of Prodrugs (1985). pp. 7-9, 21-24 (Elsevier, Amsterdam).

Abbreviations used herein have their conventional meaning within the chemical and biological arts. The following abbreviations have the indicated meaning throughout: Na₂HPO₄=disodium phosphate, AcOH=acetic acid, aq.=aqueous, NH4Cl=ammonium chloride, DCM=dichloromethane, DMPU=1,3-dimethyl-3,4,5,6-tetrahydro-2(1H)-pyrimidinone, ESI=electrospray ionization, EtOAc=ethyl acetate, g=gram, h=hour, LCMS=liquid chromatography mass spectrometry. LDA=lithium diisopropylamide, MgSO₄=magnesium sulfate, m/s=mass-to-charge ratio, mg=milligram, MeOH=methanol, min=minute, NMR=nuclear magnetic resonance, RT or rt=room temperature, sat.=saturated, NaHCO₃=sodium bicarbonate, NaBH₄=sodium borohydride, Na₂CO₃=sodium carbonate, NaCl=sodium chloride, Na₂SO₄=sodium sulfate, Na₂S₂O₃=sodium thiosulfate, TFA=trifluoroacetic acid, and THF=tetrahydrofuran.

Substituted Steroidal Derivative Compounds

Substituted steroidal derivative compounds are described herein that are GR inhibitors. These compounds, and compositions comprising these compounds, are useful for the treatment of cancer, neoplastic disease, and hypercortisolism diseases and disorders.

Some embodiments provided herein describe a compound having the structure of Formula (I), or a pharmaceutically acceptable salt, solvate, or prodrug thereof:

wherein

- R¹is —NR³S(O)₂R⁶, —NR³S(O)₂NR³R⁴, -alkylNR³S(O)₂R⁶, -alkylNR³S(O)₂NR³R⁴, —NR³S(O)R⁶, —NR³aralkyl, —C(O)NR³R⁴, —OC(O)OR⁵, —C(O)OR⁵, —OC(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —S(O)R⁶, or —SR⁶;
- R³and R⁴are each independently —H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted heteroaryl, —S(O)₂R⁶, —C(O)N(R¹⁰)₂, —C(O)R⁵, or —C(O)OR⁵:
  - or R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted heterocycle;
- R⁵is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
- R⁶is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
- R⁷and R⁸are each independently —H, optionally substituted alkyl, haloalkyl, halo, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, —OH, —OR⁵, —NR³R⁴, —C(O)NR³R⁴, —CN, —S(O)₂R⁶, —C(O)₂H, —C(O)R⁵, or —C(O)OR⁵;
  - or R⁷and R⁸are taken together with the atom to which they are attached to form a substituted or unsubstituted ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —R⁶—, —S—, and —S(O)₂—; and
- each R¹⁰is independently H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl.

In some embodiments,

R¹is —NR³S(O)₂R⁶, —NR³S(O)₂NR³R⁴, -alkylNR³S(O)₂R⁶, -alkylNR³S(O)₂NR³R⁴, -NR³aralkyl, —C(O)NR³R⁴, —S(O)₂NR³R⁴, or —S(O)₂R⁶;
R³and R⁴are each independently —H, optionally substituted alkyl, fluoroalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted aryl, optionally substituted heterocyclyl, optionally substituted heterocycylalkyl, optionally substituted heteroaryl, —C(O)N(R¹⁰)₂or —S(O)₂R⁶;
- or R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted 3-, 4-, 5-, or 6-membered heterocycle;
R⁵is optionally substituted alkyl, fluoroalkyl, optionally substituted carbocyclyl, or optionally substituted heterocyclyl:
R⁶is optionally substituted alkyl, fluoroalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
R⁷and R⁸are each independently —H, optionally substituted alkyl, fluoroalkyl, optionally substituted carbocyclyl, or optionally substituted carbocyclylalkyl;
- or R⁷and R⁸are taken together with the atom to which they are attached to form a substituted or unsubstituted 3-, 4-, 5-, or 6-membered ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR⁶—, —S—, and —S(O)₂—; and
- each R¹⁰is independently H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl.

In some embodiments,

R¹is —NR³S(O)₂R⁶, —NR³aralkyl, —C(O)NR³R⁴, —S(O)₂NR³R⁴, or —S(O)₂R⁶;
R³and R⁴are each independently —H, optionally substituted alkyl, fluoroalkyl, or optionally substituted carbocyclyl;
- or R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted 3-, 4-, 5-, or 6-membered heterocycle optionally containing an oxygen or sulfur atom;
- wherein if R³or R⁴is substituted. R³or R⁴is substituted with alkyl, halo, hydroxy, alkoxy, or fluoroalkyl;
R⁶is optionally substituted alkyl, optionally substituted carbocyclyl, or optionally substituted aryl; and
wherein if R⁶is substituted, R⁶is substituted with alkyl or halo;
R⁷and R⁸are each independently —H, optionally alkyl, carbocyclyl, or carbocyclylalkyl;
- or R⁷and R⁸are taken together with the atom to which they are attached to form a 3-, 4-, 5-, or 6-membered carbocyclyl.

For any and all of the embodiments of Formula (I), substituents are selected from among a subset of the listed alternatives.

In some embodiments, R¹is —NR³S(O)₂R⁶, —NR³aralkyl, —Oaralkyl, —C(O)NR³R⁴, —C(O)OR⁵, —S(O)₂NR³R⁴, —NR³S(O)₂NR³R⁴, or —S(O)₂R⁶. In some embodiments, R¹is —NR³S(O)₂R⁶or —NR³S(O)₂NR³R⁴. In some embodiments. R¹is -alkylNR³S(O)₂R⁶or -alkylNR³S(O)₂NR³R⁴. In some embodiments, R¹is —NR³S(O)₂R⁶, —S(O)_tNR³R⁴or —S(O)₂R⁶. In some embodiments, R¹is —C(O)OR⁵or —C(O)NR³R⁴. In some embodiments, R¹is —NR³aralkyl or —Oaralkyl. In some embodiments, R¹is —NR³S(O)₂R⁶. In some embodiments, R¹is —S(O)₂NR³R⁴. In some embodiments, R¹is —S(O)₂R⁶.

In some embodiments, R³and R⁴are each independently —H, optionally substituted alkyl, fluoroalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, —C(O)N(R¹⁰)₂, or —S(O)₂R⁶. In some embodiments, R³and R⁴are each independently —H, C_1-6alkyl, C_1-6fluoroalkyl, C_3-6carbocyclyl, C_3-5heterocyclyl, —C(O)N(R¹⁰)₂, or —S(O)₂R⁶. In some embodiments, R³and R⁴are each independently —H, C_1-6alkyl, or —S(O)₂R⁶. In some embodiments, R³and R⁴are each independently —H, methyl, ethyl, propyl, iso-propyl, butyl, sec-butyl, iso-butyl, tert-butyl, or —S(O)₂R⁶. In some embodiments, R³and R⁴are each independently —H, methyl, or —S(O)₂R⁶. In certain embodiments, R³and R⁴are each independently —H or —C(O)N(R¹⁰)₂.

In other embodiments, R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted 4-, 5-, or 6-membered ring heterocycle containing 0-3 heteroatoms selected from —O—, —NH—, —NR⁵—, —S—, and —S(O)₂—. In other embodiments, R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted 4-, 5-, or 6-membered ring heterocycle containing 1 heteroatoms selected from —O—, —NH—, —NR⁵—, —S—, and —S(O)₂—. In other embodiments, R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a 4-, 5-, or 6-membered ring heterocycle containing 1 oxygen heteroatom. In other embodiments, R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a 4-, 5-, or 6-membered ring. In some embodiments, the 4-, 5-, or 6-membered ring is

In certain embodiments, R³and R⁴are optionally substituted with halo, alkyl, hydroxy, alkoxy, or fluoroalkyl. In some embodiments, R³and R⁴are optionally substituted with fluoro or C_1-6alkyl. In some embodiments. R³and R⁴are optionally substituted with fluoro or methyl.

In some embodiments, R⁵is optionally substituted alkyl, fluoroalkyl, optionally substituted carbocyclyl, or optionally substituted heterocyclyl. In some embodiments, R⁵is C_1-6alkyl, C_1-6fluoroalkyl, C_3-6carbocyclyl, or C_3-6heterocyclyl. In certain embodiments, R⁵is C_1-6alkyl. In certain embodiments, R⁵is methyl, ethyl, propyl, iso-propyl, butyl, sec-butyl, iso-butyl, or tert-butyl.

In some embodiments, R⁶is alkyl, carbocyclyl, optionally substituted aryl, optionally substituted aralkyl, or optionally substituted heterocyclyl. In some embodiments, R⁶is C_1-6alkyl, C_3-6carbocyclyl, or aryl optionally substituted with halo or alkyl. In some embodiments. R⁶is C_1-6alkyl, C_3-6carbocyclyl, or phenyl optionally substituted with halo or alkyl. In some embodiments, R⁶is optionally substituted benzyl. In some embodiments, R⁶is C_3-6carbocyclyl. In some embodiments, R⁶is phenyl. In some embodiments, R⁶is phenyl substituted with 1-4 C_1-6alkyl or fluoro substituents. In some embodiments, R⁶is phenyl substituted with a C_1-6alkyl or fluoro substituent.

In certain embodiments, R⁶is optionally substituted with halo, alkyl, hydroxy, alkoxy, or fluoroalkyl. In some embodiments, R⁶is optionally substituted with fluoro or C_1-6alkyl. In some embodiments, R⁶is optionally substituted with fluoro or methyl.

In some embodiments, R⁷and R⁸are each independently —H, C_1-6alkyl, C_1-6haloalkyl, C_3-6carbocyclyl, C_1-6alkyl C_3-6carbocyclyl. C_1-6heteroalkyl, C_3-6heterocyclyl. C_1-6alkylC_3-6heterocyclyl, —OH, —OR⁵, —NR³R⁴, —C(O)NR³R⁴, —CN, —S(O)₂R⁶, —C(O)₂H, —C(O)R⁵, or —C(O)OR⁵or R⁷and R⁸are taken together with the atom to which they are attached to form a ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR⁶—, —S—, and —S(O)₂—. In some embodiments, R⁸and R⁹are each independently —H, C_1-6alkyl, or C_3-6carbocyclyl, methoxy, ethoxy, propoxy, iso-propoxy, —NH₂, —NMe₂, —NHMe, —NEt₂, —C(O)NH₂, —C(O)NMe₂, —C(O)NHMe, or —CN. In some embodiments, R⁷and R⁸are each independently —H, C_1-6alkyl, C_1-6fluoroalkyl, or C_3-6carbocyclyl. In some embodiments, R⁷and R⁸are each independently —H, C_1-6alkyl, or C_3-6carbocyclyl. In some embodiments, R⁷is —H and R⁸is C_1-6alkyl, C_1-6fluoroalkyl, or C_3-6carbocyclyl. In some embodiments, R⁷is —H and R⁸is alkyl. In some embodiments, R⁷is C_1-6alkyl, C_1-6fluoroalkyl, or C_3-6carbocyclyl and R⁸is —H. In some embodiments, R⁷is methyl and R⁸is —H. In some embodiments, R⁷and R⁸are —H. In some embodiments, R⁷and R⁸are C_1-6alkyl. In some embodiments, R⁷and R⁸are methyl.

In other embodiments, R⁷and R⁸are taken together with the atom to which they are attached to form a 3-, 4-, 5-, or 6-membered ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —R⁶—, —S—, and —S(O)₂—. In some embodiments, R⁷and R⁸are taken together with the atom to which they are attached to form a 3-, 4-, 5-, or 6-membered carbocycle ring.

In some embodiments, each R¹⁰is independently hydrogen, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl. In some embodiments, each R¹⁰is independently hydrogen, optionally substituted alkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, or optionally substituted aryl. In some embodiments, each R¹⁰is independently optionally substituted alkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, or heteroaryl. In some embodiments, each R¹⁰is independently alkyl or aryl. In some embodiments, each R¹⁰is independently hydrogen or C_1-6alkyl. In some embodiments, each R¹⁰is independently hydrogen, methyl, ethyl, propyl, iso-propyl, butyl, iso-butyl, sec-butyl, tert-butyl, pentyl or hexyl. In some embodiments, each R¹⁰is independently hydrogen, methyl, ethyl, propyl, iso-propyl, butyl, or tert-butyl. In some embodiments, each R¹⁰is independently hydrogen or methyl.

In some embodiments, compounds described herein have the following structure of Formula (Ia):

In some embodiments, compounds described herein have the following structure of Formula (Ib):

In some embodiments, compounds described herein have the following structure of Formula (Ic):

In some embodiments, compounds described herein have the following structure of Formula (Ie):

Some embodiments provided herein describe a prodrug of a compound of Formula (I) having the structure of Formula (Id):

wherein

- R⁹is —X—Y;
  - X is a bond or —C(O); and
  - Y is optionally substituted alkyl.

In some embodiments, X is a bond. In other embodiments, X is —C(O). In certain embodiments, Y is C_1-10alkyl.

Other embodiments provided herein describe a compound having the structure of Formula (II), or a pharmaceutically acceptable salt, solvate, or prodrug thereof:

wherein

- R¹is optionally substituted alkyl, optionally substituted alkoxy, fluoroalkyl, bromoalkyl, chloroalkyl, optionally substituted hydroxyalkyl, optionally substituted alkylheteroalkyl, optionally substituted alkylNMe₂, optionally substituted alkylNH₂, optionally substituted alkylNHMe, optionally substituted alkylNR³R⁴, —NR³R⁴, optionally substituted carbocyclyl, optionally substituted heterocyclyl, —C(O)R⁵, —OH, —CN, —CO₂H, or —NO₂;
- R³and R⁴are each independently —H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted aryl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted heteroaryl, —S(O)₂R⁶, —C(O)N(R¹⁰)₂, —C(O)R⁵, or —C(O)OR⁵;
  - or R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted heterocycle;
- R⁵is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
- R⁶is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
- R⁷and R⁸are each independently —H, optionally substituted alkyl, haloalkyl, halo, optionally substituted carbocycyl, optionally substituted carbocycylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, —OH, —OR⁵, —NR³R⁴, —C(O)NR³R⁴, —CN, —S(O)₂R⁶, —C(O)_ZH, —C(O)R⁵, or —C(O)OR⁵;
  - or R⁷and R⁸are taken together with the atom to which they are attached to form a substituted or unsubstituted ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR⁶—, —S—, and —S(O)₂—; and
- each R¹⁰is independently H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl.

In some embodiments,

R¹is optionally substituted C_2-10alkyl, optionally substituted C_2-10alkoxy, C_2-10fluoroalkyl, C_1-10bromoalkyl, C_1-10chloroalkyl, optionally substituted hydroxyalkyl, optionally substituted alkylheteroalkyl, optionally substituted alkylNMe₂, optionally substituted alkylNH₂, optionally substituted alkylNHMe, optionally substituted alkylNR³R⁴, —NR³R⁴, optionally substituted carbocyclyl, optionally substituted heterocyclyl, —C(O)R⁵, —OH, —CN, —CO₂H, or —NO₂;
R³and R⁴are each independently —H, optionally substituted C_2-10alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted aryl, optionally substituted heterocyclyl, optionally substituted heterocycylalkyl, optionally substituted heteroaryl, —S(O)₂R⁶, —C(O)N(R¹⁰)₂, —C(O)R⁵, or —C(O)OR⁵;
- or R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted heterocycle;
R⁵is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
R⁶is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl; and
R⁷and R⁸are each independently —H, optionally substituted alkyl, haloalkyl, halo, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, —OH, —OR⁵, —NR³R⁴, —C(O)NR³R⁴, —CN, —S(O)₂R⁶, —C(O)₂H, —C(O)R⁵, or —C(O)OR⁵;
- or R⁷and R⁸are taken together with the atom to which they are attached to form a substituted or unsubstituted ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR⁶—, —S—, and —S(O)₂—; and
each R¹⁰is independently H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl.

In some embodiments,

R¹is C_2-10alkyl, C_2-10alkoxy, C_2-10fluoroalkyl, hydroxy alkyl, alkylheteroalkyl, C_1-6alkylNMe₂, C_1-6alkylNH₂, C_1-6alkylNHMe, C_1-6alkylNR³R⁴, —NR³R⁴, optionally substituted carbocyclyl, optionally substituted heterocyclyl, or —C(O)R⁵;
R³and R⁴are each independently —H, optionally substituted C_2-10alkyl, fluoroalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, or —S(O)₂R⁶;
- or R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted 3-, 4-, 5-, or 6-membered heterocycle:
R⁵is alkyl, fluoroalkyl, carbocyclyl, optionally substituted aryl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
R⁶is alkyl, fluoroalkyl, carbocyclyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl; and
R⁷and R⁸are each independently —H, optionally substituted alkyl, fluoroalkyl, halo, optionally substituted carbocyclyl, or optionally substituted carbocyclylalkyl:
- or R⁷and R⁸are taken together with the atom to which they are attached to form a substituted or unsubstituted 3-, 4-, 5-, or 6-membered ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR⁶—, —S—, and —S(O)₂—.

In some embodiments,

R¹is C_2-10alkyl, C_2-6alkoxy, C_2-6fluoroalkyl, C_1-6hydroxyalkyl, C_1-6alkylheteroC_1-6alkyl, or C_3-6carbocyclyl; and
R⁷and R⁸are each independently —H, C_1-4alkyl, C_1-6fluoroalkyl, or C_3-6carbocyclyl;
- or R⁷and R⁸are taken together with the atom to which they are attached to form a 3-, 4-, 5-, or 6-membered carbocycle.

For any and all of the embodiments of Formula (II), substituents are selected from among a subset of the listed alternatives.

In some embodiments, R¹is optionally substituted C_2-10alkyl, optionally substituted C_2-10alkoxy, C_2-10fluoroalkyl, optionally substituted hydroxyalkyl, optionally substituted alkylheteroalkyl, optionally substituted alkylNMe₂, optionally substituted alkylNH₂, optionally substituted alkylNHMe, optionally substituted alkylNR³R⁴, —NR³R⁴, optionally substituted carbocyclyl, optionally substituted heterocycyl, —C(O)R⁵, —OH, —CN, —CO₂H, or —NO₂. In some embodiments, R¹is C_2-10alkyl, C_2-10alkoxy, C_2-10fluoroalkyl, hydroxyalkyl, alkylheteroalkyl, alkylNMe₂, alkylNH₂, alkylNHMe, alkylNR³R⁴, —NR³R⁴, carbocyclyl, heterocyclyl, or —C(O)R⁵. In some embodiments, R¹is C_3-8alkyl, C_2-10alkoxy, C_1-6hydroxyalkyl, C_1-6alkylheteroC_1-6alkyl, C_1-6alkylNMe₂, C_1-6alkylNH₂, C_1-6alkylNHMe, C_1-6alkylNR³R⁴, —NR³R⁴, C_3-6carbocyclyl, C_3-6heterocyclyl, or —C(O)R⁵. In some embodiments, R¹is C_1-6alkylNMe₂, C_1-6alkylNH₂, C_1-6alkylNHMe, C_1-6alkylNR³R⁴, —NR³R⁴. In some embodiments, R¹is alkylNMe₂, alkylNH₂, or alkylNHMe. In some embodiments, R¹is —NR³R⁴. In some embodiments, R¹is alkylNR³R⁴. In some embodiments. R¹is C_3-8alkyl. In some embodiments, R¹is C_2-10alkoxy, C_1-6hydroxyalkyl, or C_1-6alkylheteroC_1-6alkyl. In some embodiments. R¹is C_2-10alkyl, hydroxyalkyl, or alkylalkoxy. In some embodiments, R¹is carbocyclyl, heterocyclyl, or —C(O)R⁵. In some embodiments, R¹is C_3-6carbocyclyl. In some embodiments, R¹is C_3-6heterocyclyl. In some embodiments, R¹is —C(O)R⁵.

In certain embodiments, R¹is optionally substituted with halo, alkyl, hydroxy, alkoxy, or fluoroalkyl. In some embodiments, R¹is optionally substituted with fluoro or C_1-6alkyl. In some embodiments, R¹is optionally substituted with fluoro or methyl.

In some embodiments, R³and R⁴are each independently —H, C_2-6alkyl, C_1-6fluoroalkyl, C_3-6carbocyclyl, C_1-6carbocyclylalkyl, C_2-6heterocyclyl, C_1-6alkylC_3-6heterocyclyl, —C(O)N(R¹⁰)₂, or —S(O)₂R⁶. In some embodiments, R³and R⁴are each independently —H, C_2-6alkyl, C_1-6fluoroalkyl, C_3-6carbocyclyl, C_3-5heterocyclyl, or —S(O)₂R⁶. In some embodiments, R³and R⁴are each independently —H, C_2-6alkyl, —C(O)N(R¹⁰)₂, or —S(O)₂R⁶. In some embodiments, R³and R⁴are each independently —H, ethyl, propyl, iso-propyl, butyl, sec-butyl, iso-butyl, tert-butyl, or —S(O)₂R⁶. In some embodiments, R³and R⁴are each independently —H. In certain embodiments, R³and R⁴are each independently —H or —C(O)N(R¹⁰)₂.

In other embodiments, R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted 4-, 5-, or 6-membered ring heterocycle containing 0-3 heteroatoms selected from —O—, —NH—, —NR⁵—, —S—, and —S(O)₂—. In other embodiments, R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted 4-, 5-, or 6-membered ring heterocycle containing 1 heteroatoms selected from —O—, —NH—, —NR⁵—, —S—, and —S(O)₂—. In other embodiments, R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to forma 4-, 5-, or 6-membered ring heterocycle containing 1 oxygen heteroatom. In other embodiments, R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a 4-, 5-, or 6-membered ring. In some embodiments, the 4-, 5-, or 6-membered ring is

In certain embodiments, R³and R⁴are optionally substituted with halo, alkyl, hydroxy, alkoxy, or fluoroalkyl. In some embodiments, R³and R⁴are optionally substituted with fluoro or C_1-6alkyl. In some embodiments. R³and R⁴are optionally substituted with fluoro or methyl.

In some embodiments, R⁵is optionally substituted alkyl, fluoroalkyl, optionally substituted carbocyclyl, or optionally substituted heterocyclyl. In some embodiments, R⁵is alkyl, carbocyclyl, or heterocyclyl. In some embodiments. R⁵is C_1-6alkyl, C_1-6fluoroalkyl, C_3-6carbocyclyl, or C_3-6heterocyclyl. In certain embodiments, R is C_1-6alkyl. In certain embodiments, R⁵is methyl, ethyl, propyl, iso-propyl, butyl, sec-butyl, iso-butyl, or tert-butyl.

In some embodiments, R⁶is alkyl, carbocyclyl, optionally substituted aryl, optionally substituted aralkyl, or optionally substituted heterocyclyl. In some embodiments. R⁶is C_1-6alkyl, C_3-6carbocyclyl, or aryl optionally substituted with halo or alkyl. In some embodiments, R⁶is C_1-6alkyl, C_3-6carbocyclyl, or phenyl optionally substituted with halo or alkyl. In some embodiments, R⁶is optionally substituted benzyl. In some embodiments, R⁶is C_3-6carbocyclyl. In some embodiments, R⁶is phenyl. In some embodiments. R⁶is phenyl substituted with 1-4 C_1-6alkyl or fluoro substituents. In some embodiments, R⁶is phenyl substituted with a C_1-6alkyl or fluoro substituent. In some embodiments, R⁶is alkyl, carbocyclyl, aralkyl, or heterocyclyl

In certain embodiments, R⁶is optionally substituted with halo, alkyl, hydroxy, alkoxy, or fluoroaralkyl. In some embodiments, R⁶is optionally substituted with fluoro or C_1-6alkyl. In some embodiments, R⁶is optionally substituted with fluoro or methyl.

In some embodiments, R⁷and R⁸are each independently —H, C_1-6alkyl, C_1-6haloalkyl, halo, C_3-6carbocyclyl, C_1-6alkyl C_3-6carbocyclyl, C_1-6heteroalkyl, C_3-6heterocyclyl, C_1-6alkylC_3-6heterocyclyl, —OH, —S(O)₂R⁶, —C(O)₂H, —C(O)R⁵, or —C(O)OR⁵or R⁷and R⁸are taken together with the atom to which they are attached to form a ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR⁶—, —S—, and —S(O)₂—. In some embodiments, R⁷and R⁸are each independently —H, C_1-6alkyl, halo, C_3-6carbocyclyl, methoxy, ethoxy, propoxy, iso-propoxy, —NH₂, —NMe₂, —NHMe, —NEt₂, —C(O)NH₂, —C(O)NMe₂, —C(O)NHMe, or —CN. In some embodiments, R⁷and R⁸are each independently —H, C_1-6alkyl, C_1-6fluoroalkyl, halo, or C_3-6carbocyclyl. In some embodiments, R⁷and R⁸are each independently —H, C_1-6alkyl, or C_3-6carbocyclyl. In some embodiments. R⁷is —H and R⁸is C_1-6alkyl, C_1-6fluoroalkyl, or C_3-6carbocyclyl. In some embodiments, R⁷is —H and R⁸is alkyl. In some embodiments, R⁷is C_1-6alkyl, C_1-6fluoroalkyl, or C_1-6carbocyclyl and R⁸is —H. In some embodiments, R⁷is methyl and R⁸is —H. In some embodiments, R⁷and R⁸are —H. In some embodiments, Rand R⁸are C_1-6alkyl. In some embodiments, R⁷and R⁸are methyl.

In other embodiments, R⁷and R⁸are taken together with the atom to which they are attached to form a 3-, 4-, 5-, or 6-membered ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —R⁶—, —S—, and —S(O)₂—. In some embodiments. R⁷and R⁸are taken together with the atom to which they are attached to form a 3-, 4-, 5-, or 6-membered carbocycle ring.

In some embodiments, each R¹⁰is independently hydrogen, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl. In some embodiments, each R¹⁰is independently hydrogen, optionally substituted alkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, or optionally substituted aryl. In some embodiments, each R¹⁰is independently optionally substituted alkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, or heteroaryl. In some embodiments, each R¹⁰is independently alkyl or aryl. In some embodiments, each R¹⁰is independently hydrogen or C_1-6alkyl. In some embodiments, each R¹⁰is independently hydrogen, methyl, ethyl, propyl, iso-propyl, butyl, iso-butyl, sec-butyl, tert-butyl, pentyl or hexyl. In some embodiments, each R¹⁰is independently hydrogen, methyl, ethyl, propyl, iso-propyl, butyl, or tert-butyl. In some embodiments, each R¹⁰is independently hydrogen or methyl. In some embodiments, R¹⁰is H. In other embodiments, R¹⁰is alkyl. In other embodiments, R¹⁰is aryl.

In some embodiments, compounds described herein have the following structure of Formula (IIa):

In some embodiments, compounds described herein have the following structure of Formula (IIb):

In some embodiments, compounds described herein have the following structure of Formula (IIc):

Other embodiments provided herein describe a compound having the structure of Formula (III), or a pharmaceutically acceptable salt, solvate, or prodrug thereof:

wherein

- R¹is —H, —NR³R⁴, optionally substituted alkylNR³R⁴, halo, —OR⁵, —OH, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted hydroxyalkyl, —C(O)R⁵, —C(O)OR⁵, —C(O)NR³R⁴, —OC(O)OR⁵, —OC(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —S(O)R⁶, —SR⁶, —NR³S(O)₂NR³R⁴, —CN, —CO₂H, or —NO₂; each R²is independently —NR³R⁴, optionally substituted alkylNR³R⁴, halo, —OR⁵, —OH, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted hydroxyalkyl, —C(O)R⁵, —C(O)OR⁵—, —C(O)NR³R⁴, —OC(O)OR⁵, —OC(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —S(O)R⁶, —SR⁶, —NR³S(O)₂NR³R⁴, —CN, —CO₂H, or —NO₂;
- R³and Rare each independently —H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted aryl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted heteroaryl, —S(O)₂R⁶, —C(O)N(R¹⁰)₂, —C(O)R⁵, or —C(O)OR⁵;
  - or R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted heterocycle;
- R⁵is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
- R⁶is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl; R⁷and R⁸are each independently —H, optionally substituted alkyl, haloalkyl, halo, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, —OH, —OR⁵, —NR³R⁴, —C(O)NR³R⁴, —CN, —S(O)₂R⁶, —C(O)₂H, —C(O)R⁵, or —C(O)OR⁵;
  - or R⁷and R⁸are taken together with the atom to which they are attached to form a substituted or unsubstituted ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR⁶—, —S—, and —S(O)₂—;
- each R¹⁰is independently H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl; and
- n is 1, 2, 3, or 4;
- wherein if R¹is H, then n=2, 3, or 4.

In some embodiments, if R¹is OMe and R⁷and R⁸are H, then R²is not Me, OMe, or F. In some embodiments, if R¹is OH and R⁷and R⁸are H, then R²is not Me. In some embodiments, if R¹is NHMe, n is 1, and R⁷and R⁸are H, then R²is not F. In some embodiments, if R¹is Cl, n is 1, and R⁷and R⁸are H, then R²is not CF₃.

In some embodiments, if R¹is —OR⁵, then each R²is independently —NR³R⁴, optionally substituted alkylNR³R⁴, Br, Cl, optionally substituted C_2-10alkoxy, —OH, optionally substituted C_2-10alkyl, fluoroalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted hydroxyalkyl, —C(O)R⁵, —C(O)OR⁵, —C(O)NR³R⁴, —OC(O)OR⁵, —OC(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —S(O)R⁶, —SR⁶, —NR³S(O)₂NR³R⁴, —CN, —CO₂H, or —NO₂. In some embodiments, if R¹is —OR⁵, then each R²is independently —NR³R⁴, alkylNR³R⁴, C_2-0alkyl, fluoroalkyl, carbocyclyl, or —CN. In some embodiments, if R¹is —OR⁵, then R⁷or R⁸is not H. In some embodiments, if R¹is —OR⁵, then R⁷or R⁸is alkyl or carbocyclyl. In some embodiments, if R¹is OMe, then each R²is independently —NR³R⁴, optionally substituted alkylNR³R⁴, Br, Cl, optionally substituted C_2-10alkoxy, —OH, optionally substituted C_2-10alkyl, fluoroalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted hydroxyalkyl, —C(O)R⁵, —C(O)OR⁵, —C(O)NR³R⁴, —OC(O)OR⁵, —OC(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —S(O)R⁶, —SR⁶, —CN, —CO₂H, or —NO₂. In some embodiments, if R¹is OMe, then R⁷or R⁸is not H. In some embodiments, if R¹is OMe, then R⁷or R⁸is alkyl or carbocyclyl.

In some embodiments, if R¹is —OH, then each R²is independently —NR³R⁴, optionally substituted alkylNR³R⁴, halo, —OR⁵, —OH, optionally substituted C_2-10alkyl, fluoroalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted hydroxyalkyl, —C(O)R⁵, —C(O)OR⁵, —C(O)NR³R⁴, —OC(O)OR⁵, —OC(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —S(O)R⁶, —SR⁶, —NR³S(O)₂NR³R⁴, —CN, —CO₂H, or —NO₂. In some embodiments, if R¹is-OH, then each R²is independently —NR³R⁴, optionally substituted alkylNR³R⁴, halo, —OR⁵, —OH, fluoroalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted hydroxyalkyl, —C(O)R⁵, —C(O)OR⁵, —C(O)NR³R⁴, —OC(O)OR⁵, —OC(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —S(O)R⁶, —SR⁶, —CN, —CO₂H, or —NO₂. In some embodiments, if R¹is —OH, then each R²is independently —NR³R⁴, alkylNR³R⁴, halo, fluoroalkyl, carbocyclyl, or —CN. In some embodiments, if R¹is —OH, then then R⁷or R⁸is not H. In some embodiments, if R¹is-OH, then R⁷or R⁸is alkyl or carbocyclyl.

In other embodiments, if R¹is —NHMe, then each R²is independently —NR³R⁴, optionally substituted alkylNR³R⁴, Br, Cl, —OR⁵, —OH, optionally substituted alkyl, fluoroalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted hydroxy alkyl, —C(O)R⁵, —C(O)OR⁵, —C(O)NR³R⁴, —OC(O)OR⁵, —OC(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —S(O)R⁶, —SR⁶, —NR³S(O)₂NR³R⁴, —CN, —CO₂H, or —NO₂. In other embodiments, if R¹is —NHMe, then each R²is independently —NR³R⁴, optionally substituted alkylNR³R⁴, —OR, —OH, optionally substituted alkyl, fluoroalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocycyl, optionally substituted heterocyclylalkyl, optionally substituted hydroxyalkyl, —C(O)R⁵, —C(O)OR⁵, —C(O)NR³R⁴, —OC(O)OR⁵, —OC(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —S(O)R⁶, —SR⁶, —NR³S(O)₂NR³R⁴, —CN. —CO₂H, or —NO₂. In other embodiments, if R¹is —NHMe, then each R²is independently —NR³R⁴, alkylNR³R⁴, —OR⁵, —OH, alkyl, fluoroalkyl, carbocyclyl, or —CN. In some embodiments, if R¹is —NHMe, then n is 2, 3, or 4. In some embodiments, if R¹is —NHMe, then then R⁷or R⁸is not H. In some embodiments, if R¹is —NHMe, then R⁷or R⁸is alkyl or carbocyclyl.

In some embodiments, if R¹is halo, then each R²is independently —NR³R⁴, optionally substituted alkylNR³R⁴, halo, —OR⁵, —OH, alkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted hydroxyalkyl, —C(O)R⁵, —C(O)OR⁵, —C(O)NR³R⁴, —OC(O)OR⁵, —OC(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —S(O)R⁶, —SR⁶, —NR³S(O)₂NR³R⁴, —CN, —CO₂H, or —NO₂. In some embodiments, if R¹is halo, then each R²is independently —NR³R⁴, alkylNR³R⁴, halo, —OR⁵, —OH, alkyl, carbocyclyl, or —CN. In other embodiments, if R¹is halo, then n is 2, 3, or 4. In some embodiments, if R¹is halo, then R¹or R⁸is not H. In some embodiments, if R¹is halo, then R⁷or R⁸is alkyl or carbocyclyl. In some embodiments, if R¹is Cl, then each R²is independently —NR³R⁴, optionally substituted alkylNR³R⁴, halo, —OR⁵, —OH, alkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted hydroxyalkyl, —C(O)R⁵, —C(O)OR⁵, —C(O)NR³R⁴, —OC(O)OR⁵, —OC(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —S(O)R⁶, —SR⁶, —NR³S(O)₂NR³R⁴, —CN, —CO₂H, or —NO₂. In some embodiments, if R¹is Cl, then each R²is independently —NR³R⁴, alkylNR³R⁴, halo, —OR⁵, —OH, alkyl, carbocyclyl, or —CN. In other embodiments, if R¹is Cl, then n is 2, 3, or 4. In some embodiments, if R¹is Cl, then R⁷or R⁸is not H. In some embodiments, if R¹is Cl, then R⁷or R⁸is alkyl or carbocyclyl.

In some embodiments,

R¹is —H, —NR³R⁴, optionally substituted alkylNR³R⁴, halo, —OR⁵, —OH, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted hydroxyalkyl, —C(O)R⁵, —C(O)OR⁵, —C(O)NR³R⁴, —OC(O)OR⁵, —OC(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —S(O)R⁶, —SR⁶, —NR³S(O)₂NR³R⁴, —CN, —CO₂H, or —NO₂.
each R²is independently —NR³R⁴, optionally substituted alkylNR³R⁴, halo, —OR, —OH, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted hydroxyalkyl, —C(O)R⁵, —C(O)OR⁵, —C(O)NR³R⁴, —OC(O)OR⁵, —OC(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —S(O)R⁶, —SR⁶, —NR³S(O)₂NR³R⁴, —CN, —CO₂H, or —NO₂;
R³and R⁴are each independently —H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted aryl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted heteroaryl, —S(O)₂R⁶, —C(O)N(R¹⁰)₂, —C(O)R⁵, or —C(O)OR⁵;
- or R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted heterocycle;
R⁵is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
R⁶is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
R⁷is optionally substituted alkyl, haloalkyl, halo, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, —OH. —OR⁵, —NR³R⁴, —C(O)NR³R⁴, —CN, —S(O)₂R⁶, —C(O)₂H, —C(O)R⁵, or —C(O)OR⁵;
R⁸is —H, optionally substituted alkyl, haloalkyl, halo, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, —OH, —OR⁵, —NR³R⁴, —C(O)NR³R⁴, —CN, —S(O)₂R⁶, —C(O)₂H, —C(O)R⁵, or —C(O)OR⁵;
- or R⁷and R⁸are taken together with the atom to which they are attached to form a substituted or unsubstituted ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR⁶—, —S—, and —S(O)₂—:
each R¹⁰is independently H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl; and
n is 1, 2, 3, or 4;
wherein if R¹is H, then n=2, 3, or 4.

In some embodiments,

R¹is —H, —NR³R⁴, optionally substituted alkylNR³R⁴. —F, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted hydroxyalkyl, —C(O)R⁵, —C(O)OR⁵—, —C(O)NR³R⁴, —OC(O)OR⁵, —OC(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —S(O)R⁶, —SR⁶, —NR³S(O)₂NR³R⁴, —CN, —CO₂H, or —NO₂;
each R²is independently —NR³R⁴, optionally substituted alkylNR³R⁴, halo, —OR⁵, —OH, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocycylalkyl, optionally substituted hydroxyalkyl, —C(O)R⁵, —C(O)OR⁵, —C(O)NR³R⁴, —OC(O)OR⁵, —OC(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —S(O)R⁶, —SR⁶, —NR³S(O)₂NR³R⁴, —CN, —CO_ZH, or —NO₂;
R³and R⁴are each independently optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted aryl, optionally substituted heterocyclyl, optionally substituted heterocycylalkyl, optionally substituted heteroaryl, —S(O)₂R⁶, —C(O)N(R¹⁰)₂, —C(O)R⁵, or —C(O)OR⁵;
- or R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted heterocycle;
R⁵is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted heterocyclyl, or optionally substituted heteroaryl:
R⁶is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
R⁷and R⁸are each independently —H, optionally substituted alkyl, haloalkyl, halo, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, —OH, —OR⁵, —R³R⁴, —C(O)NR³R⁴, —CN, —S(O)₂R⁶, —C(O)₂H, —C(O)R⁵, or —C(O)OR⁵;
- or R⁷and R⁸are taken together with the atom to which they are attached to form a substituted or unsubstituted ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR⁶—, —S—, and —S(O)₂—;
each R¹⁰is independently H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl; and
n is 1, 2, 3, or 4:
wherein if R¹is H, then n=2, 3, or 4.

For any and all of the embodiments of Formula (III), substituents are selected from among a subset of the listed alternatives.

In some embodiments, R¹is —H, —NR³R⁴, optionally substituted alkylNR³R⁴, halo, —OR⁵, optionally substituted alkyl, fluoroalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, —C(O)R⁵, —C(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —NR³S(O)₂NR³R⁴, —CN, or —CO₂H. In some embodiments, R¹is —H, —NR³R⁴, alkylNR³R⁴, halo, —OR⁵, alkyl, fluoroalkyl, carbocyclyl, carbocyclylalkyl, heteroalkyl, heterocyclyl, heterocyclylalkyl, —C(O)R⁵, —C(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —NR³S(O)₂NR³R⁴, —CN, or —CO₂H. In some embodiments, R¹is —H, —NR³R⁴, C_1-6alkylNR³R⁴, halo, —OR⁵, C_1-6alkyl, C_1-6fluoroalkyl, C_3-6carbocyclyl, C_1-6heteroalkyl, C_3-6heterocyclyl. In some embodiments, R¹is —S(O)₂NR³R⁴, —S(O)₂R⁶, —NR³S(O)₂NR³R⁴, —CN, or —CO₂H. In some embodiments, R¹is —H, —NR³R⁴, alkylNR³R⁴, halo, —OR⁵, alkyl, fluoroalkyl, carbocyclyl, heterocyclyl, or —CN. In other embodiments, R¹is —NMe₂, —NHMe, —NH₂, methyl, ethyl, propyl, iso-propyl, butyl, iso-butyl, sec-butyl, tert-butyl, methoxy ethoxy, propoxy, iso-propoxy, morpholino, or pyrrolidino. In some embodiments, R¹is —NR³R⁴, halo, —OR⁵, alkyl, or heterocyclyl. In some embodiments, R¹is —H, —NR³R⁴, halo, —OR⁵, or alkyl. In some embodiments, R¹is —H. In some embodiments, R¹is —NR³R⁴. In some embodiments, R¹is —NMe₂. In some embodiments, R¹is —NHMe. In some embodiments, R¹is —NH. In some embodiments, R¹is —NMeEt. In some embodiments, R¹is —NEt₂. In some embodiments, R¹is -halo. In some embodiments, R¹is fluoro. In some embodiments, R¹is chloro. In some embodiments, R¹is —OR⁵. In some embodiments, R¹is methoxy. In some embodiments, R¹is ethoxy. In some embodiments, R¹is propoxy. In some embodiments, R¹is iso-propoxy. In some embodiments, R¹is alkyl. In some embodiments, R¹is C_1-6alkyl. In some embodiments, R¹is methyl. In some embodiments, R¹is ethyl. In some embodiments, R¹is propyl. In some embodiments, R¹is iso-propyl. In some embodiments, R¹is C_3-6carbocyclyl. In some embodiments, R¹is cyclopropyl, cyclobutyl, or cyclopentyl. In some embodiments, R¹is azetadino, morpholino, thiomorpholino, piperidino, piperazino, or pyrrolidino. In some embodiments, R¹is morpholino. In some embodiments, R¹is pyrrolidino. In some embodiments. R¹is azetadino.

In certain embodiments. R¹is optionally substituted with halo, alkyl, hydroxy, alkoxy, or fluoroalkyl. In some embodiments, R¹is optionally substituted with fluoro or C_1-6alkyl. In some embodiments, R¹is optionally substituted with fluoro or methyl.

In some embodiments, each R²is independently —NR³R⁴, optionally substituted alkylNR³R⁴, halo, —OR⁵, —OH, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted hydroxyalkyl, —C(O)R⁵, —C(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —NR³S(O)₂NR³R⁴, or —CN. In some embodiments, each R²is independently —NR³R⁴, alkylNR³R⁴, halo, —OR⁵, —OH, alkyl, haloalkyl, carbocyclyl, carbocyclylalkyl, heteroalkyl, heterocyclyl, heterocyclylalkyl, hydroxyalkyl, —C(O)R⁵, —C(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —NR³S(O)₂NR³R⁴, or —CN. In some embodiments, each R²is independently —NR³R⁴, C_1-6alkylNR³R⁴, halo, —OR⁵, —OH, C_1-6alkyl, C_1-6fluoroalkyl, C_3-6carbocyclyl, C_1-6alkylC_3-6carbocycyl, C_1-6heteroalkyl, C_3-6heterocyclyl, C_1-6alkylC_3-6heterocyclyl, C_1-6hydroxyalkyl, or —CN. In some embodiments, each R²is independently —C(O)R⁵, —C(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —NR³S(O)₂NR³R⁴, or —CN. In some embodiments, each R²is independently —NR³R⁴, halo, —OR⁵, C_1-6alkyl, C_1-6fluoroalkyl, C_3-6carbocyclyl, C_1-6heteroalkyl, C_3-6heterocyclyl, or —CN. In some embodiments, each R²is independently —NR³R⁴, halo, alkyl, carbocyclyl, alkoxy, or —CN. In some embodiments, each R²is independently methyl, methoxy, ethyl, propyl, iso-propyl, cyclopropyl, fluoro, chloro, or —NMe₂. In some embodiments, each R²is independently methyl, methoxy, iso-propyl, cyclopropyl, fluoro, chloro, or —NMe₂. In some embodiments, R²is methoxy. In some embodiments. R²is methyl. In some embodiments R²is ethyl. In some embodiments, R²is iso-propyl. In some embodiments, R²is propyl. In some embodiments, R²is cyclopropyl. In some embodiments. R²is cyclobutyl. In some embodiments, R¹is fluoro. In some embodiments, R²is chloro. In some embodiments, R²is —NMe₂. In some embodiments, R²is —NH₂. In some embodiments, R²is —NHMe. In some embodiments, R²is —NMeEt.

In certain embodiments, each R²is independently optionally substituted with halo, alkyl, hydroxy, alkoxy, or fluoroalkyl. In some embodiments, each R²is independently optionally substituted with fluoro or C_1-6alkyl. In some embodiments, each R²is independently optionally substituted with fluoro or methyl.

In some embodiments, R³and R⁴are each independently —H, C_1-6alkyl, C_1-6fluoroalkyl, C_3-6carbocyclyl, C_1-6carbocyclylalkyl, C_2-6heterocyclyl, C_1-6alkylC_3-6heterocyclyl, —C(O)N(R¹⁰)₂, or —S(O)₂R⁶. In some embodiments, R³and R⁴are each independently —H, C_1-6alkyl, C_1-6fluoroalkyl, C_3-6carbocyclyl, C_3-6heterocyclyl. —C(O)N(R¹⁰)₂, or —S(O)₂R⁶. In some embodiments, R and R⁴are each independently —H, C_1-6alkyl, or —S(O)₂R⁶. In some embodiments, R³and R⁴are each independently —H, methyl, ethyl, propyl, iso-propyl, butyl, sec-butyl, iso-butyl, tert-butyl, or —S(O)₂R⁶. In some embodiments, R³and R⁴are —H. In some embodiments, R³and R⁴are methyl.

In other embodiments, R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted 4-, 5-, or 6-membered ring heterocycle containing 0-3 heteroatoms selected from —O—, —NH—, —NR₅—, —S—, and —S(O)₂—. In some embodiments, R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a 4-, 5- or 6-membered heterocycle containing 0 or 1 oxygen heteroatom. In other embodiments, R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted 4-, 5-, or 6-membered ring heterocycle containing 1 heteroatoms selected from —O—, —NH—, —NR⁵—, —S—, and —S(O)₂—. In other embodiments, R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a 4-, 5-, or 6-membered ring heterocycle containing 1 oxygen heteroatom. In other embodiments, R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to forma 4-, 5-, or 6-membered ring. In some embodiments, the 4-, 5-, or 6-membered ring is

In certain embodiments, R³and R⁴are each independently optionally substituted with halo, alkyl, hydroxy, alkoxy, or fluoroalkyl. In some embodiments, R³and R⁴are each independently optionally substituted with fluoro or C_1-6alkyl. In some embodiments, R³and R⁴are each independently optionally substituted with fluoro or methyl.

In some embodiments, R⁵is optionally substituted alkyl, fluoroalkyl, optionally substituted carbocyclyl, or optionally substituted heterocyclyl. In some embodiments, R⁵is alkyl, carbocyclyl, or heterocyclyl. In some embodiments, R⁵is C_1-6alkyl, C_1-6fluoroalkyl, C_3-6carbocyclyl, or C_3-6heterocyclyl. In certain embodiments, R⁸is C_1-6alkyl. In certain embodiments, R⁵is methyl, ethyl, propyl, iso-propyl, butyl, sec-butyl, iso-butyl, or tert-butyl.

In some embodiments, R⁶is alkyl, carbocyclyl, optionally substituted aryl, optionally substituted aralkyl, or optionally substituted heterocyclyl. In some embodiments, R⁶is C_1-6alkyl, C_3-6carbocyclyl, or aryl optionally substituted with halo or alkyl. In some embodiments, R⁶is C_1-6alkyl, C_3-6carbocyclyl, or phenyl optionally substituted with halo or alkyl. In some embodiments, R⁶is optionally substituted benzyl. In some embodiments, R⁶is C_3-6carbocyclyl. In some embodiments, R⁶is phenyl. In some embodiments, R⁶is phenyl substituted with 1-4 C_1-6alkyl or fluoro substituents. In some embodiments, R⁶is phenyl substituted with a C_1-6alkyl or fluoro substituent. In some embodiments. R⁶is alkyl, carbocyclyl, aralkyl, or heterocyclyl

In certain embodiments, R⁶is optionally substituted with halo, alkyl, hydroxy, alkoxy, or fluoroaralkyl. In some embodiments, R⁶is optionally substituted with fluoro or C_1-6alkyl. In some embodiments, R⁶is optionally substituted with fluoro or methyl.

In some embodiments, R⁷and R⁸are each independently —H, C_1-6alkyl, C_1-6haloalkyl, halo, C_3-6carbocyclyl, C_1-6alkylC_3-6carbocyclyl, C_1-6heteroalkyl, C_3-6heterocyclyl, C_1-6alkylC_3-6heterocyclyl, —OH, —OR⁵, —NR³R⁴, —C(O)NR³R⁴, —CN, —S(O)₂R⁶, —C(O)₂H, —C(O)R⁵, or —C(O)OR⁵or R⁷and R⁸are taken together with the atom to which they are attached to form a ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR⁶—, —S—, and —S(O)₂—. In some embodiments, R⁷and R⁸are each independently —H, C_1-6alkyl, C_1-6fluoroalkyl, halo, or C_3-6carbocyclyl. In some embodiments, R⁷and R⁸are each independently —H, C_1-6alkyl, or C_3-6carbocyclyl. In some embodiments, R is —H and R⁸is C_1-6alkyl, C_1-6fluoroalkyl, halo, or C_3-6carbocyclyl. In some embodiments, R⁷is —H and R¹is alkyl. In some embodiments, R⁷is C_1-6alkyl, C_1-6fluoroalkyl, or C_3-6carbocyclyl and R⁸is —H. In some embodiments, R⁷is methyl and R⁸is —H. In some embodiments, R⁷and R⁸are —H. In some embodiments, R⁷and R⁸are C_1-6alkyl. In some embodiments, R⁷and R⁸are methyl.

In other embodiments, R⁷and R⁸are taken together with the atom to which they are attached to form a 3-, 4-, 5-, or 6-membered ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR⁶—, —S—, and —S(O)₂—. In some embodiments, R⁷and R⁸are taken together with the atom to which they are attached to form a 3-, 4-, 5-, or 6-membered carbocycle ring.

In some embodiments, each R¹⁰is independently hydrogen, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl. In some embodiments, each R¹⁰is independently hydrogen, optionally substituted alkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, or optionally substituted aryl. In some embodiments, each R¹⁰is independently optionally substituted alkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, or heteroaryl. In some embodiments, each R¹⁰is independently alkyl or aryl. In some embodiments, each R¹⁰is independently hydrogen or C_1-6alkyl. In some embodiments, each R¹⁰is independently hydrogen, methyl, ethyl, propyl, iso-propyl, butyl, iso-butyl, sec-butyl, tert-butyl, pentyl or hexyl. In some embodiments, each R¹⁰is independently hydrogen, methyl, ethyl, propyl, iso-propyl, butyl, or tert-butyl. In some embodiments, each R¹⁰is independently hydrogen or methyl. In some embodiments, R¹⁰is H. In other embodiments, R¹⁰is alkyl. In other embodiments. R¹⁰is aryl.

In some embodiments, n is 1 or 2. In some embodiments, n is 1. In some embodiments, n is 2. In some embodiments, n is 3 or 4.

In some embodiments, compounds described herein have the following structure of Formula (IIIa):

In some embodiments, compounds described herein have the following structure of Formula (IIIb):

In some embodiments, compounds described herein have the following structure of Formula (IIIc):

In some embodiments, compounds described herein have the following structure of Formula (IIId):

In some embodiments, compounds described herein have the following structure of Formula (IIIe):

In some embodiments, compounds described herein have the following structure of Formula (IIIf):

In some embodiments, compounds described herein have the following structure of Formula (IIIg):

In some embodiments, compounds described herein have the following structure of Formula (IIIh):

In some embodiments, compounds described herein have the following structure of Formula (IIIi):

In some embodiments, compounds described herein have the following structure of Formula (IIIj):

In some embodiments, compounds described herein have the following structure of Formula (IIIk):

In some embodiments, compounds described herein have the following structure of Formula (IIIm):

In some embodiments, compounds described herein have the following structure of Formula (IIIn):

Some embodiments provided herein describe a prodrug of a compound of Formula (III) having the structure of Formula (IIIo):

wherein

- R⁹is —X—Y;
  - X is a bond or —C(O); and
  - Y is optionally substituted alkyl.

In some embodiments, X is a bond. In other embodiments, X is —C(O). In certain embodiments, Y is C_1-10alkyl.

Some embodiments provided herein describe a compound having the structure of Formula (IV), or a pharmaceutically acceptable salt or prodrug thereof:

wherein

- ring A is a heteroaryl, aryl, carbocyclyl, or heterocyclyl;
- R¹is —H, —NR³R⁴, alkylNR³R⁴, halo, —OR⁵, —OH, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted hydroxyalkyl, —C(O)R⁵, —C(O)OR⁵, —C(O)NR³R⁴, —OC(O)OR⁵, —OC(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —S(O)R⁶, —SR⁶, —NR³S(O)₂NR³R⁴, —CN, —CO₂H, or —NO₂;
- n is 0, 1, 2, 3, or 4;
- R³and R⁴are each independently —H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted aryl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted heteroaryl, —S(O)₂R⁶, —C(O)N(R¹⁰)₂, —C(O)R⁵, or —C(O)OR⁵;
  - or R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted heterocycle;
- R⁵is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
- R⁶is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
- R⁷and R⁸are each independently —H, optionally substituted alkyl, haloalkyl, halo, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, —OH, —OR⁵, —NR³R⁴, —C(O)NR³R⁴, —CN, —S(O)₂R⁶, —C(O)₂H, —C(O)R⁵, or —C(O)OR⁵;
  - or R⁷and R⁸are taken together with the atom to which they are attached to form a substituted or unsubstituted ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR⁶—, —S—, and —S(O)₂—;
- each R¹⁰is independently H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl.

In some embodiments, ring A is a monocyclic heteroaryl, bicyclic heteroaryl, or naphthyl. In some embodiments, ring A is a bicyclic heteroaryl.

In some embodiments, a compound of formula (IV) has a structure of:

In other embodiments, ring A is a monocyclic heteroaryl. In some embodiments, ring A is pyridyl. In some embodiments, R¹is alkyl or H.

In some embodiments, a compound of formula (IV) has a structure of:

Some embodiments provided herein describe a compound having the structure of Formula (IV), wherein

ring A is a heteroaryl, aryl, carbocyclyl, or heterocyclyl;
R¹is —H. —NR³R⁴, optionally substituted alkylNR³R⁴, halo, —OR⁵, —OH, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted hydroxyalkyl, optionally substituted aryl, optionally substituted heteroaryl, —C(O)OR⁵, —C(O)NR³R⁴, —OC(O)OR⁵, —OC(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —S(O)R⁶, —SR⁶, —NR³S(O)₂NR³R⁴, —P(O)(OR⁵)₂, —P(O)(R⁵)₂, —CN, —CO₂H, or —NO₂;
R³and R⁴are each independently —H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted heterocyclyl, optionally substituted heteroaryl, —S(O)₂R⁶, —C(O)N(R¹⁰)₂, —C(O)R⁵, or —C(O)OR⁵;
- or R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted heterocycle:
each R⁵is independently optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
R⁶is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
R⁷is optionally substituted alkyl, haloalkyl, halo, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, —OH, —OR⁵, —NR³R⁴, —C(O)NR³R⁴, —CN, —S(O)₂R⁶, —C(O)₂H, —C(O)R⁵, or —C(O)OR⁵;
R⁸is —H, optionally substituted alkyl, haloalkyl, halo, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, —OH, —OR⁵, —NR³R⁴, —C(O)NR³R⁴, —CN, —S(O)₂R⁶, —C(O)₂H, —C(O)R⁵, or —C(O)OR⁵;
- or R⁷and R⁸are taken together with the atom to which they are attached to form a substituted or unsubstituted ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR⁵—, —S—, and —S(O)₂—;
each R¹⁰is independently H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
and n is 0, 1, 2, 3, or 4.

Other embodiments provided herein describe a compound having the structure of Formula (IV), wherein

ring A is a heteroaryl, aryl, carbocyclyl, or heterocyclyl;
R¹is —H, —NR³R⁴, optionally substituted alkylNR³R⁴, halo, —OR⁵, —OH, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted hydroxyalkyl, optionally substituted aryl, optionally substituted heteroaryl, —C(O)OR⁵, —C(O)NR³R⁴, —OC(O)OR⁵, —OC(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —S(O)R⁶, —SR⁶, —NR³S(O)₂NR³R⁴, —P(O)(OR⁵)₂, —P(O)(R⁵)₂, —CN, —CO₂H, or —NO₂;
R³and R⁴are each independently —H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted heterocyclyl, optionally substituted heteroaryl, —S(O)₂R⁶, —C(O)N(R¹⁰)₂, —C(O)R⁵, or —C(O)OR⁵;
- or R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted heterocycle;
each R⁵is independently optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
R⁶is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;
R⁷is —H, optionally substituted alkyl, haloalkyl, halo, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, —OH, —OR⁵, —NR³R⁴, —C(O)NR³R⁴, —CN, —S(O)₂R₆, —C(O)₂H, —C(O)R⁵, or —C(O)OR⁵;
R⁸is optionally substituted alkyl, haloalkyl, halo, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, —OH, —OR⁵, —NR³R⁴, —C(O)NR³R⁴, —CN, —S(O)₂R⁶, —C(O)₂H, —C(O)R⁵, or —C(O)OR⁵;
- or R⁷and R⁸are taken together with the atom to which they are attached to form a substituted or unsubstituted ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR⁵, —S—, and —S(O)₂—:
each R¹⁰is independently H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl:
and n is 0, 1, 2, 3, or 4.

For any and all of the embodiments of Formula (IV), substituents are selected from among a subset of the listed alternatives.

In some embodiments, R¹is —H, —NR³R⁴, optionally substituted alkylNR³R⁴, halo, —OR⁵, optionally substituted alkyl, fluoroalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, —C(O)R⁵, —C(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —NR³S(O)₂NR³R⁴, —CN, or —CO₂H. In some embodiments. R¹is —H, —NR³R⁴, alkylNR³R⁴, halo, —OR⁵, alkyl, fluoroalkyl, carbocyclyl, carbocyclylalkyl, heteroalkyl, heterocyclyl, heterocyclylalkyl, —C(O)R⁵, —C(O)NR³R⁴, —S(O)₂NR³R⁴, —S(O)₂R⁶, —NR³S(O)₂NR³R⁴, —CN, or —CO₂H. In some embodiments, R¹is —H, —NR³R⁴, C_1-6alkylNR³R⁴, halo, —OR⁵, C_1-6alkyl, C_1-6fluoroalkyl, C_3-6carbocyclyl, C_1-6heteroalkyl, C_3-6heterocyclyl. In some embodiments, R¹is —S(O)₂NR³R⁴, —S(O)₂R⁶, —NR³S(O)₂NR³R⁴, —CN, or —CO₂H. In some embodiments, R¹is —H, —NR³R⁴, alkylNR³R⁴, halo, —OR⁵, alkyl, fluoroalkyl, carbocyclyl, heterocyclyl, or —CN. In other embodiments, R¹is —NMe₂, —NHMe, —NH₂, methyl, ethyl, propyl, iso-propyl, butyl, iso-butyl, sec-butyl, tert-butyl, methoxy ethoxy, propoxy, iso-propoxy, morpholino, or pyrrolidino. In some embodiments, R¹is —NR³R⁴, halo, —OR⁵, alkyl, or heterocyclyl. In some embodiments, R¹is —H, —NR³R⁴, halo, —OR⁵, or alkyl. In some embodiments, R¹is —H. In some embodiments. R¹is —NR³R⁴. In some embodiments, R¹is —NMe₂. In some embodiments, R¹is —NHMe. In some embodiments, R¹is —NH₂. In some embodiments, R¹is —NMeEt. In some embodiments, R¹is —NEt₂. In some embodiments, R¹is -halo. In some embodiments, R¹is fluoro. In some embodiments, R¹is chloro. In some embodiments, R¹is —OR⁵. In some embodiments, R¹is methoxy. In some embodiments, R¹is ethoxy. In some embodiments, R¹is propoxy. In some embodiments, R¹is iso-propoxy. In some embodiments, R¹is alkyl. In some embodiments, R¹is C_1-6alkyl. In some embodiments, R¹is methyl. In some embodiments, R¹is ethyl. In some embodiments, R¹is propyl. In some embodiments, R¹is iso-propyl. In some embodiments, R¹is C_3-6carbocyclyl. In some embodiments, R¹is cyclopropyl, cyclobutyl, or cyclopentyl. In some embodiments, R¹is azetadino, morpholino, thiomorpholino, piperidino, piperazino, or pyrrolidino. In some embodiments, R¹is morpholino. In some embodiments, R¹is pyrrolidino. In some embodiments, R¹is azetadino.

In certain embodiments, R¹is optionally substituted with halo, alkyl, hydroxy, alkoxy, or fluoroalkyl. In some embodiments. R¹is optionally substituted with fluoro or C_1-6alkyl. In some embodiments, R¹is optionally substituted with fluoro or methyl.

In some embodiments, R³and R⁴are each independently —H, C_1-6alkyl, C_1-6fluoroalkyl, C_3-6carbocyclyl, C_1-6carbocyclylalkyl, C_2-4heterocyclyl, C_1-6alkylC_3-6heterocyclyl, —C(O)N(R¹⁰)₂, or —S(O)₂R⁶. In some embodiments, R³and R⁴are each independently —H, C_1-6alkyl, C_1-6fluoroalkyl, C_3-6carbocyclyl, C_3-5heterocyclyl, —C(O)N(R¹⁰)₂, or —S(O)₂R⁶. In some embodiments, R³and R⁴are each independently —H, C_1-6alkyl, or —S(O)₂R⁶. In some embodiments, R³and R⁴are each independently —H, methyl, ethyl, propyl, iso-propyl, butyl, sec-butyl, iso-butyl, tert-butyl, or —S(O)₂R⁶. In some embodiments, R³and R⁴are —H. In some embodiments, R³and R⁴are methyl.

In other embodiments, R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted 4-, 5-, or 6-membered ring heterocycle containing 0-3 heteroatoms selected from —O—, —NH—, —NR⁵—, —S—, and —S(O)₂—. In some embodiments, R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a 4-, 5- or 6-membered heterocycle containing 0 or 1 oxygen heteroatom. In other embodiments, R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted 4-, 5-, or 6-membered ring heterocycle containing 1 heteroatoms selected from —O—, —NH—, —NR⁵—, —S—, and —S(O)₂—. In other embodiments, R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a 4-, 5-, or 6-membered ring heterocycle containing 1 oxygen heteroatom. In other embodiments, R³and R⁴attached to the same N atom are taken together with the N atom to which they are attached to form a 4-, 5-, or 6-membered ring. In some embodiments, the 4-, 5-, or 6-membered ring is

In certain embodiments, R³and R⁴are each independently optionally substituted with halo, alkyl, hydroxy, alkoxy, or fluoroalkyl. In some embodiments. R³and R⁴are each independently optionally substituted with fluoro or C_1-6alkyl. In some embodiments, R³and R⁴are each independently optionally substituted with fluoro or methyl.

In some embodiments, R⁵is optionally substituted alkyl, fluoroalkyl, optionally substituted carbocyclyl, or optionally substituted heterocyclyl. In some embodiments, R⁵is alkyl, carbocyclyl, or heterocyclyl. In some embodiments, R⁵is C_1-6alkyl, C_1-6fluoroalkyl, C_3-6carbocyclyl, or C_3-6heterocyclyl. In certain embodiments, R⁵is C_1-6alkyl. In certain embodiments, R⁵is methyl, ethyl, propyl, iso-propyl, butyl, sec-butyl, iso-butyl, or tert-butyl.

In some embodiments, R⁶is alkyl, carbocyclyl, optionally substituted aryl, optionally substituted aralkyl, or optionally substituted heterocyclyl. In some embodiments, R⁶is C_1-6alkyl, C_3-6carbocyclyl, or aryl optionally substituted with halo or alkyl. In some embodiments, R⁶is C_1-6alkyl, C_3-6carbocyclyl, or phenyl optionally substituted with halo or alkyl. In some embodiments, R⁶is optionally substituted benzyl. In some embodiments, R⁶is C_3-6carbocyclyl. In some embodiments, R⁶is phenyl. In some embodiments, R⁶is phenyl substituted with 1-4 C_1-6alkyl or fluoro substituents. In some embodiments, R⁶is phenyl substituted with a C_1-6alkyl or fluoro substituent. In some embodiments, R⁶is alkyl, carbocyclyl, aralkyl, or heterocyclyl

In certain embodiments, R⁶is optionally substituted with halo, alkyl, hydroxy, alkoxy, or fluoroaralkyl. In some embodiments, R⁶is optionally substituted with fluoro or C_1-6alkyl. In some embodiments, R⁶is optionally substituted with fluoro or methyl.

In some embodiments, R⁷is —H and R⁸is C_1-6alkyl, C_1-6haloalkyl, halo, C_3-6carbocyclyl, C_1-6alkylC_3-6carbocyclyl, C_1-6heteroalkyl, C_3-6heterocyclyl, C_1-6alkylC_3-6heterocyclyl, —OH, —OR⁵, —NR³R⁴, —C(O)NR³R⁴, —CN, —S(O)₂R⁶, —C(O)₂H, —C(O)R⁵, or —C(O)OR⁵or R⁷and R⁸are taken together with the atom to which they are attached to form a ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR⁶—, —S—, and —S(O)₂—. In some embodiments, R⁷is —H and R⁸is C_1-6alkyl, C_1-6fluoroalkyl, halo, or C_3-6carbocyclyl. In some embodiments, R⁷is —H and R⁸is C_1-6alkyl, or C_3-6carbocyclyl. In some embodiments, R⁷is —H and R⁷is alkyl. In some embodiments. R⁷is —H and R⁸is methyl. In some embodiments, R⁷is —H and R⁸is ethyl.

In some embodiments, R⁸is —H and R⁷is C_1-6alkyl, C_1-6haloalkyl, halo, C_3-6carbocyclyl, C_1-6alkylC_3-6carbocyclyl, C_1-6heteroalkyl, C_3-6heterocyclyl, C_1-6alkylC_3-6heterocyclyl, —OH, —OR⁵, —NR³R⁴, —C(O)NR³R⁴, —CN, —S(O)₂R⁶, —C(O)₂H, —C(O)R⁵, or —C(O)OR⁵or R⁷and R⁸are taken together with the atom to which they are attached to form a ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR⁶—, —S—, and —S(O)₂—. In some embodiments, R⁸is —H and R⁷is C_1-6alkyl, C_1-6fluoroalkyl, halo, or C_3-6carbocyclyl. In some embodiments, R⁸is —H and R⁷is C_1-6alkyl, or C_3-6carbocyclyl. In some embodiments. R⁸is —H and R⁷is alkyl. In some embodiments, R⁸is —H and R⁷is methyl. In some embodiments, R⁸is —H and R⁷is ethyl.

In some embodiments, R⁷and R⁸are C_1-6alkyl. In some embodiments, R⁷and R⁸are methyl. In some embodiments, R⁷and R⁸are halo.

In other embodiments, R⁷and R⁸are taken together with the atom to which they are attached to form a 3-, 4-, 5-, or 6-membered ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR⁶—, —S—, and —S(O)—. In some embodiments, R⁷and R⁸are taken together with the atom to which they are attached to form a 3-, 4-, 5-, or 6-membered carbocycle ring. In some embodiments, R⁷and R⁸are taken together with the atom to which they are attached to form a cyclopropyl.

In some embodiments, each R¹⁰is independently hydrogen, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl. In some embodiments, each R¹⁰is independently hydrogen, optionally substituted alkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, or optionally substituted aryl. In some embodiments, each R¹⁰is independently optionally substituted alkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, or heteroaryl. In some embodiments, each R¹⁰is independently alkyl or aryl. In some embodiments, each R¹⁰is independently hydrogen or C_1-6alkyl. In some embodiments, each R¹⁰is independently hydrogen, methyl, ethyl, propyl, iso-propyl, butyl, iso-butyl, sec-butyl, tert-butyl, pentyl or hexyl. In some embodiments, each R¹⁰is independently hydrogen, methyl, ethyl, propyl, iso-propyl, butyl, or tert-butyl. In some embodiments, each R¹⁰is independently hydrogen or methyl. In some embodiments, R¹⁰is H. In other embodiments, R¹⁰is alkyl. In other embodiments, R¹⁰is aryl.

In some embodiments, n is 0, 1, or 2. In some embodiments, n is 0. In some embodiments, n is 1. In some embodiments, n is 2. In some embodiments, n is 3 or 4.

In some embodiments, compounds of Formula (IV) described herein have the following structure of Formula (IVa) or Formula (IVb):

wherein

- ring B is an optionally substituted fused carbocyclyl, optionally substituted fused heterocyclyl, optionally substituted fused aryl, or optionally substituted fused heteroaryl;
- and n is 0, 1, 2, or 3.

In some embodiments, the substituted steroidal derivative compound described in Formulas provided herein has a structure provided in Table 1.

TABLE 1 Mass, [M + Structure H]⁺ 534.3 507.4 556.3 472.2 456.1 480.6 486.4 405.3 506.3 444.4 506.3 494.3 536.3 570.3 458.3 498.4 493.3 506.3 459.3 500.3 444.4 534.3 551.3 448.3 429.4 431.3 427.3 415.3 431.3 445.4 443.3 453.4 455.3 440.3 415.4 419.3 459.4 431.3 423.2 444.4 459.4 430.3 463.3 472.4 456.4 472.4 451.3 435.4 464.3 448.4 461.3 460.2 444.2 444.1 430.59 444.4 486.4 460.4 447.4 460.4 464.3 502.4 437.3 498.3 508.4 492.4 480.4 466.3 451.3 462.4 437.3 466.3 453.3 453.2 457.66 466.3 462.4 — — 445.3 459.4 442.4 458.3 431.2 467.3 458.3 455.3 402.4 402.4 388.3 — — 479.3 493.3 451.3 563.3 500.3 — — 458.3 548.3 433.3 522.3 480.4 520.3 433.3 508.3 492.4 492.4 480.4 415.4 521.3 451.4 458.4 444.3 401.3 419.3 514.4 459.3 548.3 472.4 456.4 514.4 473.3 473.3 474.4 472.4 458.3 526.4 470.3 444.4 469.3 480.4 492.4 552.3

Preparation of the Substituted Steroidal Derivative Compounds

The compounds used in the reactions described herein are made according to organic synthesis techniques known to those skilled in this art, starting from commercially available chemicals and/or from compounds described in the chemical literature. “Commercially available chemicals” are obtained from standard commercial sources including Acros Organics (Pittsburgh, Pa.), Aldrich Chemical (Milwaukee. Wis. including Sigma Chemical and Fluka), Apin Chemicals Ltd. (Milton Park, UK), Avocado Research (Lancashire, U.K.), BDH Inc. (Toronto, Canada), Bionet (Comwall, U.K.), Chemservice Inc. (West Chester, Pa.), Crescent Chemical Co. (Hauppauge, N.Y.), Eastman Organic Chemicals, Eastman Kodak Company (Rochester, N.Y.), Fisher Scientific Co. (Pittsburgh, Pa.), Fisons Chemicals (Leicestershire, UK), Frontier Scientific (Logan, Utah), ICN Biomedicals. Inc. (Costa Mesa, Calif.), Key Organics (Comwall, U.K.), Lancaster Synthesis (Windham, N.H.), Maybridge Chemical Co. Ltd. (Cornwall, U.K.), Parish Chemical Co. (Orem, Utah). Pfaltz& Bauer, Inc. (Waterbury, Conn.), Polyorganix (Houston, Tex.), Pierce Chemical Co. (Rockford, Ill.), Riedel de Haen AG (Hanover, Germany), Spectrum Quality Product, Inc. (New Brunswick, N.J.), TCI America (Portland, Oreg.), Trans World Chemicals, Inc. (Rockville, Md.), and Wako Chemicals USA, Inc. (Richmond, Va.).

Suitable reference books and treatise that detail the synthesis of reactants useful in the preparation of compounds described herein, or provide references to articles that describe the preparation, include for example, “Synthetic Organic Chemistry”, John Wiley & Sons, Inc., New York; S. R. Sandler et al., “Organic Functional Group Preparations,” 2nd Ed., Academic Press, New York, 1983; H. O. House, “Modern Synthetic Reactions”, 2nd Ed., W. A. Benjamin, Inc. Menlo Park. Calif. 1972; T. L. Gilchrist. “Heterocyclic Chemistry”, 2nd Ed., John Wiley & Sons, New York, 1992; J. March, “Advanced Organic Chemistry: Reactions, Mechanisms and Structure”, 4th Ed., Wiley-Interscience, New York, 1992. Additional suitable reference books and treatise that detail the synthesis of reactants useful in the preparation of compounds described herein, or provide references to articles that describe the preparation, include for example, Fuhrhop, J. and Penzlin G. “Organic Synthesis: Concepts, Methods, Starting Materials”, Second, Revised and Enlarged Edition (1994) John Wiley & Sons ISBN: 3-527-29074-5; Hoffman, R.V. “Organic Chemistry. An Intermediate Text” (1996) Oxford University Press, ISBN 0-19-509618-5; Larock, R. C. “Comprehensive Organic Transformations: A Guide to Functional Group Preparations” 2nd Edition (1999) Wiley-VCH, ISBN: 0-471-19031-4; March, J. “Advanced Organic Chemistry: Reactions, Mechanisms, and Structure” 4th Edition (1992) John Wiley & Sons, ISBN: 0-471-60180-2; Otera, J. (editor) “Modern Carbonyl Chemistry” (2000) Wiley-VCH, ISBN: 3-527-29871-1; Patai, S. “Patai's 1992 Guide to the Chemistry of Functional Groups” (1992) Interscience ISBN: 0-471-93022-9, Solomons, T. W. G. “Organic Chemistry” 7th Edition (2000) John Wiley & Sons, ISBN: 0-471-19095-0; Stowell, J. C., “Intermediate Organic Chemistry” 2nd Edition (1993) Wiley-Interscience, ISBN: 0-471-57456-2; “Industrial Organic Chemicals: Starting Materials and Intermediates: An Ullmann's Encyclopedia” (1999) John Wiley & Sons, ISBN: 3-527-29645-X, in 8 volumes; “Organic Reactions” (1942-2000) John Wiley & Sons, in over 55 volumes; and “Chemistry of Functional Groups” John Wiley & Sons, in 73 volumes.

Specific and analogous reactants are optionally identified through the indices of known chemicals prepared by the Chemical Abstract Service of the American Chemical Society, which are available in most public and university libraries, as well as through on-line databases (contact the American Chemical Society, Washington, D.C for more details). Chemicals that are known but not commercially available in catalogs are optionally prepared by custom chemical synthesis houses, where many of the standard chemical supply houses (e.g., those listed above) provide custom synthesis services. A reference for the preparation and selection of pharmaceutical salts of the substituted steroidal derivative compounds described herein is P. H. Stahl & C. G. Wermuth “Handbook of Pharmaceutical Salts”, Verlag Helvetica Chimica Acta, Zurich, 2002.

The substituted steroidal derivative compounds are prepared by the general synthetic route described below in Scheme 1. Further exemplification is found in the specific examples provided.

As shown in Scheme 1, compounds of the present invention can be prepared by reacting a ketone 1 and a commercially available prop-1-yn-1-ylmagnesium bromide in THF to provide a compound 2. Treatment of 2 with 30% hydrogen peroxide and 1,1,1,3,3,3-hexafluoropropan-2-one trihydrate in the presence of Na₂HPO₄in DCM produces an epoxide 3. Reaction of 3 with an arylmagnesium bromide in the presence of copper (I) iodide, followed by treatment with 70% acetic acid aq. solution to give compound 5. Arylmagnesium bromide is commercially available or prepared from a corresponding bromide or iodide using methods well known to those of ordinary skill in the art.

Pharmaceutical Compositions of the Substituted Steroidal Derivative Compounds

In certain embodiments, the substituted steroidal derivative compound as described herein is administered as a pure chemical. In other embodiments, the substituted steroidal derivative compound described herein is combined with a pharmaceutically suitable or acceptable carrier (also referred to herein as a pharmaceutically suitable (or acceptable) excipient, physiologically suitable (or acceptable) excipient, or physiologically suitable (or acceptable) carrier) selected on the basis of a chosen route of administration and standard pharmaceutical practice as described, for example, in Remington: The Science and Practice of Pharmacy (Gennaro, 21^stEd. Mack Pub. Co., Easton, Pa. (2005)).

Provided herein is a pharmaceutical composition comprising at least one substituted steroidal derivative compound, or a stereoisomer, pharmaceutically acceptable salt, hydrate, solvate, or N-oxide thereof, together with one or more pharmaceutically acceptable carriers. The carrier(s)(or excipient(s)) is acceptable or suitable if the carrier is compatible with the other ingredients of the composition and not deleterious to the recipient (i.e., the subject) of the composition.

One embodiment provides a pharmaceutical composition comprising a compound of any of the Formulas provided herein, or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable excipient.

In certain embodiments, the substituted steroidal derivative compound as described by any of the Formulas provided herein is substantially pure, in that it contains less than about 5%, or less than about 1%, or less than about 0.1%, of other organic small molecules, such as unreacted intermediates or synthesis by-products that are created, for example, in one or more of the steps of a synthesis method.

Suitable oral dosage forms include, for example, tablets, pills, sachets, or capsules of hard or soft gelatin, methylcellulose or of another suitable material easily dissolved in the digestive tract. In some embodiments, suitable nontoxic solid carriers are used which include, for example, pharmaceutical grades of mannitol, lactose, starch, magnesium stearate, sodium saccharin, talcum, cellulose, glucose, sucrose, magnesium carbonate, and the like. (See, e.g., Remington: The Science and Practice of Pharmacy (Gennaro, 21^stEd. Mack Pub. Co., Easton, Pa. (2005)).

The dose of the composition comprising at least one substituted steroidal derivative compound as described herein differ, depending upon the patient's (e.g., human) condition, that is, stage of the disease, general health status, age, and other factors.

Pharmaceutical compositions are administered in a manner appropriate to the disease to be treated (or prevented). An appropriate dose and a suitable duration and frequency of administration will be determined by such factors as the condition of the patient, the type and severity of the patient's disease, the particular form of the active ingredient, and the method of administration. In general, an appropriate dose and treatment regimen provides the composition(s) in an amount sufficient to provide therapeutic and/or prophylactic benefit (e.g., an improved clinical outcome, such as more frequent complete or partial remissions, or longer disease-free and/or overall survival, or a lessening of symptom severity. Optimal doses are generally determined using experimental models and/or clinical trials. The optimal dose depends upon the body mass, weight, or blood volume of the patient.

Oral doses typically range from about 1.0 mg to about 1000 mg, one to four times, or more, per day.

Use of the Substituted Steroidal Derivative Compounds Glucocorticoid Receptor Modulators

Mifepristone is a non-selective modulator of several nuclear receptors. Mifepristone has been referred to as a GR antagonist, a progesterone receptor (PR) antagonist, a GR partial agonist, an androgen receptor (AR) antagonist and an AR partial agonist in the scientific literature. The activity observed at multiple hormone receptors leads to various undesirable side effects and in some instances, the promotion of cancer. Thus, AR agonism is an undesirable feature for GR antagonists used in the treatment of cancer (e.g., AR positive or AR dependent cancers including “castration resistant” prostate cancer (CRPC), breast cancer, or ovarian cancer). Antagonists of GR that have minimized binding to other hormone receptors, such as the androgen receptor (AR), are needed to effectively treat the diseases described herein with reduced side effects.

Some embodiments provided herein describe compounds that are modulators of glucocorticoid receptors (GR). In some embodiments, the compounds alter the level and/or activity of GR. In some embodiments, the compounds described herein are GR inhibitors. In some embodiments, the GR inhibitors are GR antagonists. In some instances, glucocorticoid receptor antagonists bind to the receptor and prevent glucocorticoid receptor agonists from binding and eliciting GR mediated events, including transcription. Thus, in some embodiments, the compounds described herein inhibit GR transcriptional activation activity. In some embodiments, the compounds described herein are selective GR antagonists. In some embodiments, the compounds described herein are not GR agonists. In some embodiments, the compounds described herein are not GR partial agonists. In some embodiments, the GR inhibitors lessen cortisol activity in cells and make secondary therapeutic agents more effective.

GR antagonists are useful for treating or preventing weight gain (e.g., Olanzapine induced weight gain), uterine fibrosis, alcoholism, alcohol abuse disorders, cocaine dependence, bipolar depression, adrenal hypercortisolism, post-traumatic stress disorder, anxiety disorders, mood disorders, hyperglycemia, and to induce abortion.

In some embodiments, the GR inhibitors described herein are also androgen receptor (AR) signaling inhibitors. In certain embodiments, the AR signaling inhibitors are AR antagonists. In some instances, AR antagonists bind to AR and prevent AR agonists from binding and eliciting AR mediated events, including transcription. In other embodiments, the GR inhibitors are not androgen receptor (AR) signaling inhibitors. In these instances, the GR inhibitors do not significantly activate AR levels and/or activity.

In some embodiments, the GR inhibitors described herein have minimized binding to the androgen receptor (AR). In some embodiments, the compounds described herein are not AR agonists. In some embodiments, the compounds described herein are not partial AR agonists. In some embodiments, the compounds described herein have minimized partial AR agonism compared to mifepristone.

In some embodiments, the GR inhibitors described herein are not partial AR agonists or partial GR agonists.

In some embodiments, the GR inhibitors described herein do not modulate progesterone receptors. In some embodiments, the GR inhibitors described herein are not progesterone receptor (PR) inhibitors. In these instances, the GR inhibitors do not significantly activate PR levels and/or activity. In some embodiments, the GR inhibitors are not PR agonists. In some embodiments, the GR inhibitors are not PR partial agonists. In some embodiments, the GR inhibitors are not PR antagonists.

In some embodiments, the GR inhibitors (e.g., GR antagonists) are selective inhibitors. In some embodiments, use of the GR inhibitors in a patient does not cause or result in vaginal bleeding, cramping, nausea, vomiting, diarrhea, dizziness, back pain, weakness, tiredness, or combinations thereof. In certain embodiments, use of the GR inhibitors in a patient does not cause or result in vaginal bleeding. In certain embodiments, use of the GR inhibitors in a patient does not cause or result in cramping. In some embodiments, use of the GR inhibitors in a patient does not cause or result in allergic reactions, low blood pressure, loss of consciousness, shortness of breath, rapid heartbeat, or combinations thereof.

Methods of Treatment Cancer

One embodiment provides a method of treating cancer in a subject in need thereof, comprising administering to the subject a compound of any of the Formulas provided herein, or a pharmaceutically acceptable salt thereof. In some embodiments, a GR inhibitor described herein is used in combination with a second therapeutic agent (e.g., an anti-cancer agent) for treating cancer. In some embodiments, the combination of the GR inhibitor with the second therapeutic agent (e.g., an anti-cancer agent) provides a more effective initial therapy for treating cancer compared to the second therapeutic agent (e.g., an anti-cancer agent) administered alone. In some embodiments, a GR inhibitor described herein is used in combination with one or more additional therapeutic agents (e.g., anti-cancer agents) for treating cancer. In some embodiments, the combination of the GR inhibitor with the one or more additional therapeutic agents (e.g., an anti-cancer agents) provides a more effective initial therapy for treating cancer compared to the one or more therapeutic agents (e.g., an anti-cancer agents) administered alone.

In some embodiments, the cancer is chemoresistant cancer, radio resistant cancer, or refractory cancer. In some embodiments, the cancer is relapsed cancer, persistent cancer, or recurrent cancer. Another embodiment provided herein describes a method of reducing incidences of cancer recurrence. Also provided herein some embodiments, is a method of for treating a chemo-resistant cancer.

Prostate Cancer

Prostate cancer is the second most common cause of cancer death in men in the United States, and approximately one in every six American men will be diagnosed with the disease during his lifetime. Treatment aimed at eradicating the tumor is unsuccessful in 30% of men.

One embodiment provides a method of treating prostate cancer in a subject in need thereof, comprising administering to the subject a compound of any of the Formulas provided herein, or a pharmaceutically acceptable salt thereof. In some embodiments, a GR inhibitor described herein is used in combination with a second therapeutic agent (e.g., an anti-cancer agent) for treating prostate cancer. In some embodiments, the combination of the GR inhibitor with the second therapeutic agent (e.g., an anti-cancer agent) provides a more effective initial therapy for treating prostate cancer compared to the second therapeutic agent (e.g., an anti-cancer agent) administered alone. In some embodiments, a GR inhibitor described herein is used in combination with one or more additional therapeutic agents (e.g., anti-cancer agents) for treating prostate cancer. In some embodiments, the combination of the GR inhibitor with the one or more additional therapeutic agents (e.g., an anti-cancer agents) provides a more effective initial therapy for treating prostate cancer compared to the one or more therapeutic agents (e.g., an anti-cancer agents) administered alone.

In some embodiments, the prostate cancer is chemoresistant cancer, radio resistant cancer, antiandrogen resistant, or refractory cancer. In some embodiments, the prostate cancer is relapsed cancer, persistent cancer, or recurrent cancer.

In some embodiments, the prostate cancer is acinar adenocarcinoma, atrophic carcinoma, foamy carcinoma, colloid carcinoma, or signet ring carcinoma. In some embodiments, the prostate cancer is ductal adenomcarcinoma, transitional cell cancer, urothelial cancer, squamous cell cancer, carcinoid cancer, small cell cancer, sarcoma cancer, or sarcomatoid cancer. In some embodiments, the prostate cancer is metastatic castration-resistant prostate cancer, doubly-resistant prostate cancer, castration-resistant prostate cancer, hormone-resistant prostate cancer, androgen-independent, or androgen-refractory cancer.

In some instances, antiandrogens are useful for the treatment of prostate cancer during its early stages. In some instances, prostate cancer cells depend on androgen receptor (AR) for their proliferation and survival. Some prostate cancer patients are physically castrated or chemically castrated by treatment with agents that block production of testosterone (e.g. GnRH agonists), alone or in combination with antiandrogens, which antagonize effects of any residual testosterone.

In some instances, prostate cancer advances to a hormone-refractory state in which the disease progresses despite continued androgen ablation or antiandrogen therapy. The hormone-refractory state to which most patients eventually progresses in the presence of continued androgen ablation or anti-androgen therapy is known as “castration resistant” prostate cancer (CRPC). CRPC is associated with an overexpression of AR. AR is expressed in most prostate cancer cells and overexpression of AR is necessary and sufficient for androgen-independent growth of prostate cancer cells. Failure in hormonal therapy, resulting from development of androgen-independent growth, is an obstacle for successful management of advanced prostate cancer.

While a small minority of CRPC does bypass the requirement for AR signaling, the vast majority of CRPC, though frequently termed “androgen independent prostate cancer” or “hormone refractory prostate cancer,” retains its lineage dependence on AR signaling.

Recently approved therapies that target androgen receptor (AR) signaling such as abiraterone and enzalutamide have been utilized for treating CRPC. Despite these successes, sustained response with these agents is limited by acquired resistance which typically develops within 6-12 months. Doubly resistant prostate cancer is characterized in that tumor cells have become castration resistant and overexpress AR, a hallmark of CRPC. However, cells remain resistant when treated with second generation antiandrogens. Doubly resistant prostate cancer cells are characterized by a lack of effectiveness of second generation antiandrogens in inhibiting tumor growth.

As discussed above, resistant prostate cancer (e.g., doubly resistant and castration resistant prostate cancers) occurs when cancer cells overexpress androgen receptors (AR). AR target gene expression is inhibited when the cells are treated with a second generation antiandrogen. In some instances, increased signaling through the glucocorticoid receptor (GR) compensates for inhibition of androgen receptor signaling in resistant prostate cancer. Double resistant prostate cancer develops when expression of a subset of those AR target genes is restored. In some instances, GR activation is responsible for this target gene activation. In some embodiments, GR transcription is activated in patients susceptible to or suffering from resistant prostate cancer (e.g., doubly resistant and castration resistant prostate cancers). In some instances, GR upregulation in cancer cells confers resistance to antiandrogens.

Some embodiments provided herein describe the use of the GR inhibitors for treating prostate cancer in a subject in need thereof, including doubly resistant prostate cancer and castration resistant prostate cancer. In some embodiments, the subject in need has elevated tumor GR expression. In some embodiments, the GR inhibitor is also an AR signaling inhibitor or antiandrogen.

In some embodiments, the GR inhibitor is used in combination with a second therapeutic agent. In some embodiments, the GR inhibitor is used in combination with one or more additional therapeutic agents. In some embodiments, the second or additional agent is an anti-cancer agent. In certain embodiments, the anti-cancer agent is useful for AR positive or AR negative prostate cancer.

In some embodiments, the second or additional agent is an AR signaling inhibitor or antiandrogen. In certain embodiments, the AR signaling inhibitor is an AR antagonist. In some embodiments, the second or additional therapeutic agent is selected from finasteride, dutasteride, alfatradiol, cyproterone acetate, spironolactone, danazol, gestrinone, ketoconazole, abiraterone acetate, enzalutamide, ARN-509, danazol, gestrinone, danazol, simvastatin, aminoglutethimide, atorvastatin, simvastatin, progesterone, cyproterone acetate, medroxyprogesterone acetate, megestrol acetate, chlormadinone acetate, spironolactone, drospirenone, estradiol, ethinyl estradiol, diethylstilbestrol, conjugated equine estrogens, buserelin, deslorelin, gonadorelin, goserelin, histrelin, leuprorelin, nafarelin, triptorelin, abarelix, cetrorelix, degarelix, ganirelix, or any combinations or any salts thereof. In some embodiments, the second or additional therapeutic agent is selected from flutamide, nilutamide, bicalutamide, enzalutamide, apalutamide, cyproteroneacetate, megestrol acetate, chlormadinoneacetate, spironolactone, canrenone, drospirenone, ketoconazole, topilutamide, cimetidine, or any combinations or any salts thereof. In some embodiments, the AR signaling inhibitor is 3,3′-diindolylmethane (DIM), abiraterone acetate, ARN-5R), bexlosteride, bicalutamide, dutasteride, epristeride, enzalutamide, finasteride, flutamide, izonsteride, ketoconazole, N-butylbenzene-sulfonamide, nilutamide, megestrol, steroidal antiandrogens, turosteride, or any combinations thereof. In some embodiments, the AR signaling inhibitor is flutamide, nilutamide, bicalutamide, or megestrol. In some embodiments, the AR signaling inhibitor is ARN-509. In other embodiments, the AR signaling inhibitor is enzalutamide.

In some embodiments, the anti-cancer agent is mitoxantrone, estramustine, etoposide, vinblastine, carboplatin, vinorelbine, paclitaxel, daunomycin, darubicin, epirubicin, docetaxel, cabazitaxel, or doxorubicin. In some embodiments, the anti-cancer agent is paclitaxel, daunomycin, darubicin, epirubicin, docetaxel, cabazitaxel, or doxorubicin. In certain embodiments, the anti-cancer agent is docetaxel.

Breast Cancer

Breast cancer is the second leading cause of cancer among women in the United States. Triple-negative breast cancers are among the most aggressive and difficult to treat of all the breast cancer types. Triple-negative breast cancer is a form of the disease in which the three receptors that fuel most breast cancer growth—estrogen, progesterone and the HER-2—are not present. Because the tumor cells lack these receptors, treatments that target estrogen, progesterone and HER-2 are ineffective Approximately 40.000 women are diagnosed with triple-negative breast cancer each year. It is estimated that more than half of these women's tumor cells express significant amounts of GR.

In some instances, GR expression is associated with a poor prognosis in estrogen receptor (ER)-negative early stage breast cancer. In some instances, GR activation in triple-negative breast cancer cells initiates an anti-apoptotic gene expression profile that is associated with inhibiting chemotherapy-induced tumor cell death. GR activity in these cancer cells correlate with chemotherapy resistance and increased recurrence of cancer.

Provided herein in some embodiments are methods of treating breast cancer, the method comprising administering to a subject in need thereof a compound of any of the Formulas provided herein, or a pharmaceutically acceptable salt thereof. In some embodiments, a GR inhibitor described herein is used in combination with a second therapeutic agent (e.g., a chemotherapeutic agent) for treating breast cancer. In some embodiments, the combination of the GR inhibitor with the second therapeutic agent (e.g., a chemotherapeutic agent) provides a more effective initial therapy for treating breast cancer compared to the second therapeutic agent (e.g., a chemotherapeutic agent) administered alone. In some embodiments, a GR inhibitor described herein is used in combination with one or more additional therapeutic agents (e.g., anti-cancer agents) for treating breast cancer. In some embodiments, the combination of the GR inhibitor with the one or more additional therapeutic agents (e.g., an anti-cancer agents) provides a more effective initial therapy for treating breast cancer compared to the one or more therapeutic agents (e.g., an anti-cancer agents) administered alone.

In some embodiments, the breast cancer is chemoresistant cancer, radio resistant cancer, or refractory cancer. In some embodiments, the breast cancer is relapsed cancer, persistent cancer, or recurrent cancer. Breast cancers may include, but are not limited to, ductal carcinoma, invasive ductal carcinoma, tubular carcinoma of the breast, medullary carcinoma of the breast, mecinous carcinoma of the breast, papillary carcinoma of the breast, cribriform carcinoma of the breast, invasive lobular carcinoma, inflammatory breast cancer, lobular carcinoma in situ, male breast cancer, Paget disease of the nipple, phyllodes tumor of the breast, recurrent and metastatic breast cancer, triple-negative breast cancer, or combinations thereof.

In some embodiments, the breast cancer is recurrent and metastatic breast cancer, triple-negative breast cancer, or combinations thereof. In some embodiments, the breast cancer is chemoresistant triple-negative breast cancer or estrogen receptor (ER)negative breast cancer. In some embodiments, the breast cancer is chemoresistant triple-negative breast cancer. In some embodiments, the breast cancer is estrogen receptor (ER)negative breast cancer. In some embodiments, the breast cancer is GR+ triple-negative breast cancer. In some embodiments, the breast cancer is GR+ estrogen receptor (ER)negative breast cancer.

Some embodiments provided herein describe the use of GR inhibitors for treating breast cancer in a patient, including triple negative breast cancer or ER negative breast cancer. In some embodiments, GR inhibitors inhibit the anti-apoptotic signaling pathways of GR and increase the cytotoxic efficiency of secondary chemotherapeutic agents. In some embodiments, the GR inhibitors described herein enhance the efficacy of chemotherapy in breast cancer patients, such as triple negative breast cancer patients. In some embodiments, the breast cancer patient has elevated tumor GR expression.

In some embodiments, a GR inhibitor described herein is used in combination with a second therapeutic agent, such as chemotherapy or immunotherapy. In some embodiments, a GR inhibitor described herein is used in combination with one or more additional therapeutic agents. In some embodiments, the second or additional chemotherapeutic agent is cisplatin, carboplatin, cyclophosphamide, capecitabine, gemcitabine, paclitaxel, nab-paclitaxel, altretamine, docetaxel, epirubicin, melphalan, methotrexate, mitoxantrone, ixabepilone, ifosfamide, irinotecan, eribulin, etoposide, doxorubicin, liposomal doxorubicin, camptothecin, pemetrexed, topotecan, vinorelbine, daunorubicin, fluorouracil, mitomycin, thiotepa, vincristine, everolimus, veliparib, glembatumumab vedotin, pertuzumab, trastuzumab, or any combinations or any salts thereof. In some embodiments, the second or additional therapeutic agent is an anti-PD-L1 agent. In certain embodiments, the anti-PD-L1 agent is MPDL3280A or avelumab. In some embodiments, the second or additional therapeutic agent is an anti-PD1 agent. In certain embodiments, the anti-PD1 agent is nivolumab or permbrolizumab.

Some embodiments provided herein describe methods of treating estrogen positive breast cancer. In some instances, estrogen positive breast cancer patients become resistant to estrogen receptor modulators. In some embodiments, the GR inhibitors described herein enhance the efficacy of estrogen receptor modulators in estrogen positive breast cancer patients. In some embodiments, the breast cancer patient has elevated tumor GR expression. In some embodiments, a GR inhibitor described herein is used in combination with an estrogen receptor modulator. In some embodiments, the estrogen receptor modulator is tamoxifen, raloxifene, toremifene, tibolone, fulvestrant, lasofoxifene, clomifene, ormeloxifene, or ospemifene. In some embodiments, the estrogen receptor modulator is tamoxifen, raloxifene, toremifene, tibolone, or fulvestrant. In some embodiments, the estrogen receptor modulatoris tamoxifen, raloxifene, or toremifene. In certain embodiments, the estrogen receptor modulator is tamoxifen.

Ovarian Cancer

Ovarian cancer is the leading cause of death from gynecologic malignancies. Some ovarian cancers (e.g., high grade serous ovarian cancer) are initially sensitive to platinum-based therapy, but relapse rates remain high.

One embodiment provides a method of treating ovarian cancer in a patient in need thereof, comprising administering to the patient a compound of any of the Formulas provided herein, or a pharmaceutically acceptable salt thereof. In some embodiments, the patient has elevated tumor GR expression. In some embodiments, a GR inhibitor described herein is used in combination with a second therapeutic agent (e.g., a chemotherapeutic agent) for treating ovarian cancer. In some embodiments, the combination of the GR inhibitor with the second therapeutic agent (e.g., a chemotherapeutic agent) provides a more effective initial therapy for treating ovarian cancer compared to the second therapeutic agent (e.g., a chemotherapeutic agent) administered alone. In some embodiments, a GR inhibitor described herein is used in combination with one or more additional therapeutic agents (e.g., anti-cancer agents) for treating ovarian cancer. In some embodiments, the combination of the GR inhibitor with the one or more additional therapeutic agents (e.g., an anti-cancer agents) provides a more effective initial therapy for treating ovarian cancer compared to the one or more therapeutic agents (e.g., an anti-cancer agents) administered alone.

In some instances, GR activation increases resistance to chemotherapy in ovarian cancer (e.g., high-grade serous ovarian cancer). In some instances, GR activation significantly inhibits chemotherapy induced apoptosis in ovarian cancer cells. Provided herein in some embodiments are methods of treating ovarian cancer in a subject, the method comprising treating the subject with a GR inhibitor (e.g., GR antagonist) to improve sensitivity to chemotherapy. In some embodiments, the ovarian cancer has become resistant to chemotherapy. In some embodiments, the ovarian cancer cells are resistant to cisplatin, paclitaxel, carboplatin, gemcitabine, alone or in combination. In some embodiments, the GR inhibitor or antagonist reverses the cell survival effect.

Ovarian cancers may include, but are not limited to, epithelial ovarian cancers, such as serous epithelial ovarian cancer, endometrioid epithelial ovarian cancer, clear cell epithelial ovarian cancer, mucinous epithelial ovarian cancer, undifferentiated or unclassifiable epithelial ovarian cancer, refractory ovarian cancer, sex cord-stromal tumors, Sertoli and Sertoli-Leydig cell tumors, germ cell tumors, such as dysgerminoma and nondysgerminomatous tumors, Brenner tumors, primary peritoneal carcinoma, fallopian tube cancer, or combinations thereof.

In some embodiments, the GR inhibitor is used in combination with at least a second therapeutic agent, such as chemotherapy or immunotherapy. In some embodiments, the GR inhibitor is used in combination with one or more additional therapeutic agents. In some embodiments, the second or additional chemotherapeutic agent is cisplatin, carboplatin, cyclophosphamide, capecitabine, gemcitabine, paclitaxel, nab-paditaxel, altretamine, docetaxel, epirubicin, melphalan, methotrexate, mitoxantrone, ixabepilone, ifosfamide, irinotecan, eribulin, etoposide, doxorubicin, liposomal doxorubicin, camptothecin, pemetrexed, topotecan, vinorelbine, daunorubicin, fluorouracil, mitomycin, thiotepa, vincristine, everolimus, veliparib, glembatumumab vedotin, pertuzumab, trastuzumab, or any combinations or any salts thereof. In some embodiments, the second or additional chemotherapeutic agent is gemcitabine. In some embodiments, the second or additional chemotherapeutic agent is carboplatin. In some embodiments, the second or additional chemotherapeutic agent is cisplatin. In some embodiments, the second or additional agent is paclitaxel. In some embodiments, the GR inhibitor is used in combination with gemcitabine and carboplatin. In some embodiments, the GR inhibitor is used in combination with carboplatin and cisplatin. In some embodiments, the second or additional therapeutic agent is an anti-PD-L1 agent. In certain embodiments, the anti-PD-L1 agent is MPDL3280A or avelumab. In some embodiments, the second or additional therapeutic agent is an anti-PD1 agent. In certain embodiments, the anti-PD1 agent is nivolumab or pembrolizumab.

Non-Small Cell Lung Cancer

One embodiment provides a method of treating non-small cell lung cancer (NSCLC) in a patient in need thereof, comprising administering to the patient a compound of any of the Formulas provided herein, or a pharmaceutically acceptable salt thereof. In some embodiments, the patient has elevated tumor GR expression. In some embodiments, a GR inhibitor described herein is used in combination with a second therapeutic agent (e.g., a chemotherapeutic agent) for treating NSCLC. In some embodiments, the combination of the GR inhibitor with the second therapeutic agent (e.g., a chemotherapeutic agent) provides a more effective initial therapy for treating NSCLC compared to the second therapeutic agent (e.g., a chemotherapeutic agent) administered alone. In some embodiments, a GR inhibitor described herein is used in combination with one or more additional therapeutic agents (e.g., anti-cancer agents) for treating NSCLC. In some embodiments, the combination of the GR inhibitor with the one or more additional therapeutic agents (e.g., an anti-cancer agents) provides a more effective initial therapy for treating NSCLC compared to the one or more therapeutic agents (e.g., an anti-cancer agents) administered alone.

In some embodiments, the GR inhibitor is used in combination with at least a second therapeutic agent, such as a chemotherapeutic agent or immunotherapy. In some embodiments, the GR inhibitor is used in combination with one or more additional therapeutic agents. In some embodiments, the second or additional chemotherapeutic agent is cisplatin, carboplatin, cyclophosphamide, capecitabine, gemcitabine, paclitaxel, nab-paclitaxel, altretamine, docetaxel, epirubicin, melphalan, methotrexate, mitoxantrone, ixabepilone, ifosfamide, irinotecan, eribulin, etoposide, doxorubicin, liposomal doxorubicin, camptothecin, pemetrexed, topotecan, vinorelbine, vinblastine, daunorubicin, fluorouracil, mitomycin, thiotepa, vincristine, everolimus, veliparib, glembatumumab vedotin, pertuzumab, trastuzumab, or any combinations or any salts thereof. In some embodiments, the second or additional chemotherapeutic agent is gemcitabine. In some embodiments, the second or additional chemotherapeutic agent is carboplatin. In some embodiments, the second or additional chemotherapeutic agent is cisplatin. In some embodiments, the second or additional agent is paclitaxel. In some embodiments, the GR inhibitor is used in combination with gemcitabine and carboplatin. In some embodiments, the GR inhibitor is used in combination with carboplatin and cisplatin. In some embodiments, the second or additional therapeutic agent is an anti-PD-L1 agent. In certain embodiments, the anti-PD-L1 agent is MPDL3280A or avelumab. In some embodiments, the second or additional therapeutic agent is an anti-PD1 agent. In certain embodiments, the anti-PD1 agent is nivolumab or pembrolizumab.

Hypercortisolism/Cushing's Disease

One embodiment provides a method of treating hypercortisolism or Cushing's disease in a patient in need thereof, comprising administering to the patient a compound of any of the Formulas provided herein, or a pharmaceutically acceptable salt thereof.

Types of Cushing's disease include, but are not limited to, recurrent Cushing's disease, refractory Cushing's disease, persistent Cushing's disease, endogenous Cushing's disease, spontaneous hypercortisolism, Adrenocorticotropic hormone dependent. Adrenocorticotropic hormone independent, or combinations thereof.

Causes of hypercortisolism may include, but are not limited to, prolonged exposure to cortisol, a tumor that produces excessive cortisol, a tumor that results in the excess production of cortisol, or combinations thereof.

Other embodiments and uses will be apparent to one skilled in the art in light of the present disclosures. The following examples are provided merely as illustrative of various embodiments and shall not be construed to limit the invention in any way.

EXAMPLES I. Chemical Synthesis

Unless otherwise noted, reagents and solvents were used as received from commercial suppliers. Anhydrous solvents and oven-dried glassware were used for synthetic transformations sensitive to moisture and/or oxygen. Yields were not optimized. Reaction times are approximate and were not optimized. Column chromatography and thin layer chromatography (TLC) were performed on silica gel unless otherwise noted.

The substituted steroidal derivative compounds are prepared by the general synthetic route described in Scheme 1.

Example 1: Synthesis of (8S,11R,13S,14S,17S)-11-(3,5-Difluoro-4-methylphenyl)-17-hydroxy-13-methyl-17-(prop-1-yn-1-yl)-1,2,6,7,8,11,12,13,14,15,16,17-dodecahydro-3H-cyclopenta[a]phenanthren-3-one

Step A. (8S,13S,14S,17S)-13-Methyl-17-(prop-1-yn-1-yl)-1,2,4,6,7,8,12,13,14,15,16,17-dodecahydrospiro[cyclopenta[a]phenanthrene-3,2′-[1,3]dioxolan]-17-ol

To a stirred solution of (8S,13S,14S)-13-methyl-1,4,6,7,8,12,13,14,15,16-decahydrospiro[cyclopenta[a]phenanthrene-3,2′-[1,3]dioxolan]-17(2H)-one (3.4 g, 10.9 mmol) in THF (45 mL) at 0° C. was added bromo(prop-1-ynyl)magnesium (0.5 M in THF, 65.4 mL, 32.7 mmol) slowly, the reaction was allowed to warm up to rt and stirred for 60 min. The reaction mixture was quenched (sat. NH₄Cl), extracted (EtOAc), and washed (brine). The combined organic layers were dried (Na₂SO₄) and concentrated under reduced pressure. The residue was purified by flash column chromatography to provide 3.0 g of the title compound as a white solid.

Step B. (5′R,8′S,10′R,13'S,14'S,17′S)-13′-Methyl-17′-(prop-1-yn-1-yl)-1′,2′,7′,8′,12′,13′,14′,15′,16′,17-decahydro-4′H,6′H-spiro[[1,3]dioxolane-2,3′-[5,10]epoxycyclopenta[a]phenanthren]-17′-ol

To a stirred solution of (13S,16R,17S)-13-methyl-17-prop-1-ynyl-spiro[1,2,4,6,7,8,12,14,15,16-decahydrocyclopenta[a]phenanthrene-3,2′-1,3-dioxolane]-17-ol (Step A)(2.88 g, 8.14 mmol) in DCM (60 mL) at 0° C. was added Na₂HPO₄(2.89 g, 20.35 mmol), followed by hexafluoroacetone trihydrate (1.12 mL, 8.14 mmol) and H₂O₂(30% aq, 2.0 mL, 24.4 mmol). The mixture was stirred at 0° C. for 10 min and then at rt for 2 h. The resulting mixture was cooled in ice bath and 10% Na₂S₂O₃aq. solution (8 ml) was added slowly. After being stirred at rt for 30 min, the mixture was quenched (sat. NH₄Cl), extracted (2×EtOAc), and washed (brine). The combined organic layers were dried (Na₂SO₄) and concentrated under reduced pressure. The residue was purified by flash column chromatography to provide 1.8 g of the title compound as a white solid.

Step C. (5R,8S,11R,13S,14S,17S)-11-(3,5-Difluoro-4-methylphenyl)-13-methyl-17-(prop-1-yn-1-yl)-1,2,6,7,8,11,12,13,14,15,16,17-dodecahydrospiro[cyclopenta[a]phenanthrene-3,2′-[1,3]dioxolane]-5,17(4H)-diol

A small piece of iodine was added to magnesium pieces (757.88 mg, 31.18 mmol) under argon and the mixture was heated with heat-gun to activate magnesium metal. A solution of 5-bromo-1,3-difluoro-2-methylbenzene (5.28 g, 25.5 mmol) in THF (25 mL) was added to the mixture dropwise. The mixture was stirred at rt for 30 min and then at 55° C. for 1 h. To a solution of copper(I) iodide (539.8 mg, 2.8 mmol) and (5′R,8'S,10′R,13'S,14'S,17S)-13′-methyl-17′-(prop-1-yn-1-yl)-1′,2′,7′,8′,12′,13′,14′,15′,16′,17′-decahydro-4′H,6′H-spiro[[1,3]dioxolane-2,3′-[5,10]epoxcycyclopenta[a]phenanthren]-17′-ol (Step B)(2.1 g, 5.67 mmol) in THF (60 mL) was added the Grignard reagent (26 mL) prepared above dropwise at 0° C. After being stirred at 0° C. for 30 min, the reaction mixture was quenched (sat. NH₄Cl), extracted (EtOAc), and washed (brine). The combined organic layers were dried (Na₂SO₄) and concentrated under reduced pressure. The residue was purified by flash column chromatography provided the title compound as a colorless foam.

Step D. (8S,11R,13S,14S,17S)-11-(3,5-Difluoro-4-methylphenyl)-17-hydroxy-13-methyl-17-(prop-1-yn-1-yl)-1,2,6,7,8,11,12,13,14,15,16,17-dodecahydro-3H-cyclopenta[a]phenanthren-3-one

A solution of (5R,8S,11R,13S,14S,17S)-11-(3,5-Difluoro-4-methylphenyl)-13-methyl-17-(prop-1-yn-1-yl)-1,2,6,7,8,11,12,13,14,15,16,17-dodecahydrospiro[cyclopenta[a]phenanthrene-3,2′-[1,3]dioxolane]-5,17(4H)-diol (Step C) (2.0 g, 4.0 mmol) in 70% acetic acid aq. solution (8.0 mL) was stirred at 55° C. for 1.5 h. The reaction mixture was cooled to rt, quenched (sat. NaHCO₃), extracted (EtOAc), and washed (brine). The combined organic layers were dried (MgSO4), and concentrated under reduced pressure. Purification of the residue by flash column chromatography provided 1.3 g of the title compound as a white solid. ¹H NMR (400 MHz, CHLOROFORM-d) δ ppm 6.65-6.73 (2H, m), 5.82 (1H, s), 4.37 (1H, br d, J=7.45 Hz), 2.69-2.81 (1H, m), 2.57-2.65 (2H, m), 2.22-2.52 (6H, m), 2.16 (3H, s), 2.08-1.94 (3H, m), 1.92 (3H, s), 1.66-1.84 (2H, m), 1.32-1.53 (2H, m), 0.55 (3H, s). m/z (ESI, +ve ion) 437.3 (M+H)⁺.

Example 2: Synthesis of (8S,11R,13S,14S,16R,17S)-11-(4-(Dimethylamino)phenyl)-16-ethyl-17-hydroxy-13-methyl-17-(prop-1-yn-1-yl)-1,2,6,7,8,11,12,13,14,15,16,17-dodecahydro-3H-cyclopenta[a]phenanthren-3-one or (8S,11R,13S,14S,16S,17S)-11-(4-(dimethylamino)phenyl)-16-ethyl-17-hydroxy-13-methyl-17-(prop-1-yn-1-yl)-1,2,6,7,8,11,12,13,14,15,16,17-dodecahydro-3H-cyclopenta[a]phenanthren-3-one

Step A. (8S,13S,14S,16R)-16-Ethyl-13-methyl-1,4,6,7,8,12,13,14,15,16-decahydrospiro[cyclopenta[a]phenanthrene-3,2′-[1,3]dioxolan]-17(2H)-one or (8S,13S,14S,16S)-16-ethyl-13-methyl-1,4,6,7,8,12,13,14,15,16-decahydrospiro[cyclopenta[a]phenanthrene-3,2′-[1,3]dioxolan]-17(2H)-one

A solution of (8S,13S,14S)-13-methyl-1,4,6,7,8,12,13,14,15,16-decahydrospiro[cyclopenta[a]phenanthrene-3,2′-[1,3dioxolan]-17(2H)-one (1.00 g, 3.18 mmol) and 0.8 mL of DMPU in THF (3 mL) was added dropwise to a solution ibis(trimethylsilyl)amino]lithium (6.36 mL, 6.36 mmol) in THF (10 mL) at −45° C. After being stirred at −40° C. for 30 min, iodoethane (1.28 mL, 15.9 mmol) was added. The reaction was allowed to warm up to rt and stirred for another 1 h. The reaction was quenched with sat. NH₄Cl, extracted with EtOAc. The organics were washed with water, brine solution, separated, and dried (Na₂SO₄) before concentrating to dryness. The crude was purified by flash column chromatography to give the title compound as a white solid.

Step B. (8S,11R,13S,14S,16R,17S)-11-(4-(Dimethylamino)phenyl)-16-ethyl-17-hydroxy-13-methyl-17-(prop-1-yn-1-yl)-1,2,6,7,8,11,12,13,14,15,16,17-dodecahydro-3H-cyclopenta[a]phenanthren-3-one or (8S,11R,13S,14S,16S,17S)-11-(4-(dimethylamino)phenyl)-16-ethyl-17-hydroxy-13-methyl-17-(prop-1-yn-1-yl)-1,2,6,7,8,11,12,13,14,15,16,17-dodecahydro-3H-cyclopenta[a]phenanthren-3-one

The title compound was prepared from (8S,13S,14S,16R)-16-ethyl-13-methyl-1,4,6,7,8,12,13,14,15,16-decahydrospiro[cyclopenta[a]phenanthrene-3,2′-[1,3]dioxolan]-17(2H)-one or (8S,13S,14S,16S)-16-ethyl-13-methyl-1,4,6,7,8,12,13,14,15,16-decahydrospiro[cyclopenta[a]phenanthrene-3,2′-[1,3]dioxolan]-17(2H)-one (Step A) by procedures similar to those described in Example 1, Steps A-D. ¹H NMR (400 MHz, CDCl₃) δ ppm 7.01 (2H, d, J=8.4 Hz), 6.60 (2H, d, J=8.4 Hz), 5.75 (1H, s), 4.36 (1H, d, J=6.2 Hz), 2.90 (6H, s), 2.80-1.91 (8H, m), 1.90 (3H, s), 1.75-1.20 (9H, m), 0.91 (3H, t, J=5.6 Hz), 0.56 (3H, s). m/z (ESI, +ve ion) 458.3 (M+H)⁺.

Example 3: Synthesis of (8S,11R,13S,14S,17S)-11-(3,5-dichloro-4-(dimethylamino)phenyl)-17-hydroxy-13-methyl-17-(prop-1-yn-1-yl)-1,2,6,7,8,11,12,13,14,15,16,17-dodecahydro-3H-cyclopenta[a]phenanthren-3-one

Trichloroisocyanuric acid (63.4 mg, 0.246 mmol) was added to a solution of mifepristone [TCI M1732] (0.157 g, 0.366 mmol) in DCM (1.5 ml). The slurry was allowed to stir at rt for 15 h. Water and more DCM were added and the mixture was washed with sat. NaHCO₃solution. The organic layer was dried over magnesium sulfate, filtered and concentrated under vacuum. The residue was fractionated by silica gel chromatography. Fractions containing the desired compound were combined and repurified by flash chromatography to afford 33.5 mg (18%) of the title compound. ¹H NMR (400 MHz, CDCl3) δ ppm 7.05 (2H, s), 5.81 (1H, s), 4.32 (1H, d, J=7.2 Hz) 2.87 (6H, s), 2.60 (I H, br s) 1.7-2.9 (17H, various m), 1.58 (2H, br s), 0.55 (3H, s). m/z (ESI, +ve ion) 498.3, 500.3 [Cl2 isotope pattern] (M+H)⁺

Example 4. (8S,11R,13S,14S,17S)-11-(2,3-Dihydrobenzo[b][1,4]dioxin-6-yl)-17-hydroxy-13-methyl-17-(prop-1-yn-1-yl-d3)-1,2,6,7,8,11,12,13,14,15,16,17-dodecahydro-3H-cyclopenta[a]phenanthren-3-one

Step A. (8S,13S,14S,17R)-17-Ethynyl-13-methyl-1,2,4,6,7,8,12,13,14,15,16,17-dodecahydrospiro[cyclopenta[a]phenanthrene-3,2′-[1,3]dioxolan]-17-ol

To a stirred solution of (8S,13S,14S)-13-methyl-1,4,6,7,8,12,13,14,15,16-decahydrospiro[cyclopenta[a]phenanthrene-3,2′-[1,3]dioxolan]-17(2H)-one (2 g, 6.4 mmol) in THF (12 mL) at 0° C. was added ethynylmagnesium bromide (0.5 M in THF, 44.5 mL, 22.3 mmol) slowly. The reaction was allowed to warm up to rt and stirred for 60 min. The reaction mixture was quenched (sat. NH₄Cl), extracted (EtOAc), and washed (brine). The combined organic layers were dried (Na₂SO₄) and concentrated under reduced pressure. The residue was purified by flash column chromatography to provide 1.1 g of the title compound as a white solid.

Step B. (8S,13S,14S,17S)-13-Methyl-17-(prop-1-yn-1-yl-d3)-1,2,4,6,7,8,12,13,14,15,16,17-dodecahydrospiro[cyclopenta[a]phenanthrene-3,2′-[1,3]dioxolan]-17-ol

N-Butyllithium (1.84 mL, 2.94 mmol) was added to a solution of (8S,13S,14S,17R)-17-ethynyl-13-methyl-spiro[1,2,4,6,7,8,12,14,15,16-decahydrocyclopenta[a]phenanthrene-3,2′-1,3-dioxolane]-17-ol (Step A) (500 mg, 1.47 mmol) in THF (2 mL) at 0° C. After being stirred at 0° C. for 10 min, trideuterio(iodo)methane (0.1 mL, 1.62 mmol) was added slowly. The reaction was stirred at rt overnight, then quenched with sat. NH₄Cl, and extracted with EtOAc. The organics were washed with water and brine solution, separated and dried (MgSO₄) before concentration to dryness. The crude material was purified by flash column chromatography to give the title compound as a white solid.

Step C. (8S,11R,13S,14S,17S)-11-(2,3-Dihydrobenzo[b][1,4]dioxin-6-yl)-17-hydroxy-13-methyl-17-(prop-1-yn-1-yl-d3)-1,2,6,7,8,11,12,13,14,15,16,17-dodecahydro-3H-cyclopenta[a]phenanthren-3-one

The title compound was prepared from (8S,13S,14S,17S)-13-methyl-17-(prop-1-yn-1-yl-d3)-1,2,4,6,7,8,12,13,14,15,16,17-dodecahydrospiro[cyclopenta[a]phenanthrene-3,2′-[1,3]dioxolan]-17-ol (Step B) by procedures similar to those described in Example 1, Steps B, C and D, substituting (2,3-dihydrobenzo[b][1,4]dioxin-6-yl)magnesium bromide for (3,5-difluoro-4-methylphenyl)magnesium bromide in Step C. ¹H NMR (400 MHz, CHLOROFORM-d) δ ppm 6.74-6.83 (1H, m), 6.65-6.67 (2H, m), 5.77(1H, s), 4.32-4.39 (1H, m), 4.25 (4H, s), 2.72-2.83 (1H, m), 2.54-2.62 (2H, m), 2.30-2.51 (4H, m), 2.20-2.28 (2H, m), 1.97-2.08 (2H, m), 1.90-1.97 (1H, m), 1.57-1.83 (2H, m), 1.29-1.56 (2H, m), 0.56 (3H, s). m/z (ESI, +ve ion) 448.3 (M+H)⁺.

II. Biological Evaluation Example 5: In Vitro GR Luciferase Reporter Assay

Cell Line: CHO-K1-GR-MMTV-Luc reporter cells
Culture Media: DMEM (with phenol red)+10% FBS
Assay Media: DMEM (without phenol red)+10% CSS

Culture CHO-K1-GR-MMTV-Luc reporter cells in 15 cm plates in Culture Media at conditions less than 90% confluence.

Prepare 200×DMSO 1:5 serial dilutions of control and test compounds in 96-well non-sterile V bottom plate in DMSO, 8 serial dilutions for each compound.

Prepare 5× Assay Media diluted compound serial dilutions in 96-well non-sterile V bottom plate: Add 97.5 uL/well of Assay Media into 96-well then add 2.5 ul of 200× concentration of compounds and mix well.

Seed cells for Antagonist Assay: 1.5×10⁶CHO-K1-GR-MMTV-Luc reporter cells were seeded in a Corning 3707 flat clear bottom 384-well white TC plate in 20 ul of Assay Media containing 12.5 nM Dexamethasone (final concentration=10 nM).

Add compounds; 5 ul of assay media diluted compounds were added to appropriate wells and followed a quick spin (100 rpm, 10 sec) to bring media and cells to the bottom of plate. The plates were covered with SealMate film to avoid evaporation and placed in 37° C. incubator for approximately 18-24 hours.

Read plates: Equilibrate appropriate amount of Promega OneGlo luciferase reagent to room temperature. Remove the plates from incubator and add 25 uL of OneGlo reagent/well by multiple channel pipette and read the plates with Tecan F500 luminometer within 3 minutes.

The ability of the compounds disclosed herein to inhibit GR activity was quantified and the respective IC₅₀value was determined. Table 2 provides the cellular IC₅₀values of various substituted steroidal compounds disclosed herein.

TABLE 2 GR IC₅₀ Structure (nM) A A B B A A A A A B B A A A A A A A A A A B B B B B B B A A A A A A A A A A A A A B B A A A A A A A A A A A A B B B A A Note: Cellular assay IC₅₀data are designated within the following ranges: A: ≤100 nM B: >100 nM

Example 6: In Vitro AR Agonism Assay

The AR agonism assay was done in the LNAR reporter cell line which has overexpressed AR and 4×ARE-Luc genes. This cell line is sensitive to even minor partial AR agonism activity in hormone-deprived media (CSS). The assays were done in RPMI (without phenol red)+10% CSS using 6000 LNAR cells/well in 384-well plates and compounds were incubated with cells in 370 C incubator for 18-24 hrs. OneGlo reagent (25 uL/well) was added and plates were read with luminometer within 3 minutes.

Mifepristone shows strong partial AR agonism in concentrations as low as 10 nM, and is known to significantly promote CRPC growth both in vivo and in vitro. To gauge the AR partial agonism activity, Mifepristone is included as a standard in the assay. AR agonism assay results are quantified by determining the ratio of the maximum response of individual compounds to the maximum response of Mifepristone (arbitrarily set to 1). Values of Table 3 are reported as Relative Maximum Response to Mifepristone. This general trend of AR agonism was shown for the class of compounds described herein.

TABLE 3 Relative Maxi- mum Re- sponse to Mife- Structure pristone A A A A A A B A A A A A A A A B Note: AR agonism response assay data relative maximum response to Mifepristone is designated within the following ranges: A: ≤0.4 B: >0.4

Claims

1.-58. (canceled)

59. A method of treating cancer in a subject, wherein the cancer expresses glucocorticoid receptor (GR), the method comprising administering to the subject a compound having the structure of Formula (I), or a pharmaceutically acceptable salt thereof: wherein

R1 is —NR3S(O)2R6, —NR3S(O)2NR3R4, -alkylNR3S(O)2R6, -alkylNR3S(O)2NR3R4, —NR3S(O)R6, —Oaralkyl, —C(O)NR3R4, —OC(O)OR5, —C(O)OR5, —OC(O)NR3R4, —S(O)2NR3R4, —S(O)2R6, or —S(O)R6;

R3 and R4 are each independently —H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted heteroaryl, —S(O)2R6, —C(O)N(R10)2, —C(O)R5, or —C(O)OR5;

or R3 and R4 attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted heterocycle;

R5 is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;

R6 is optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;

R7 and R8 are each independently —H, optionally substituted alkyl, haloalkyl, halo, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, —OH, —OR5, —NR3R4, —C(O)NR3R4, —CN, —S(O)2R6, —C(O)2H, —C(O)R5, or —C(O)OR5;

or R7 and R8 are taken together with the atom to which they are attached to form a substituted or unsubstituted ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR6—, —S—, and —S(O)2—; and

each R10 is independently H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl.

60. The method of claim 59, wherein in the compound of Formula (I), or a pharmaceutically acceptable salt thereof,

R1 is —NR3S(O)2R6, —NR3S(O)2NR3R4, -alkylNR3S(O)2R6, -alkylNR3S(O)2NR3R4, —C(O)NR3R4, —S(O)2NR3R4, or —S(O)2R6;

R3 and R4 are each independently —H, optionally substituted alkyl, fluoroalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted aryl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, optionally substituted heteroaryl, —C(O)N(R10)2, or —S(O)2R6;

or R3 and R4 attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted 3-, 4-, 5-, or 6-membered heterocycle;

R5 is optionally substituted alkyl, fluoroalkyl, optionally substituted carbocyclyl, or optionally substituted heterocyclyl;

R6 is optionally substituted alkyl, fluoroalkyl, optionally substituted carbocyclyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl;

R7 and R8 are each independently —H, optionally substituted alkyl, fluoroalkyl, halo, —OR5, —NR3R4, —C(O)NR3R4, —CN, optionally substituted carbocyclyl, or optionally substituted carbocyclylalkyl;

or R7 and R8 are taken together with the atom to which they are attached to form a substituted or unsubstituted 3-, 4-, 5-, or 6-membered ring containing 0-2 heteroatoms selected from the group consisting of —O—, —NH—, —NR6—, —S—, and —S(O)2—; and

each R10 is independently H, optionally substituted alkyl, haloalkyl, optionally substituted carbocyclyl, optionally substituted heteroalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heterocyclyl, or optionally substituted heteroaryl.

61. The method of claim 59, wherein in the compound of Formula (I), or a pharmaceutically acceptable salt thereof, R1 is —NR3S(O)2R6, —C(O)NR3R4, —S(O)2NR3R4, or —S(O)2R6.

62. The method of claim 59, wherein in the compound of Formula (I), or a pharmaceutically acceptable salt thereof, R1 is —NR3S(O)2R6 or —S(O)2NR3R4.

63. The method of claim 59, wherein in the compound of Formula (I), or a pharmaceutically acceptable salt thereof, R3 and R4 are each independently —H, optionally substituted alkyl, fluoroalkyl, optionally substituted carbocyclyl, optionally substituted carbocyclylalkyl, optionally substituted heterocyclyl, optionally substituted heterocyclylalkyl, —C(O)N(R10)2, or —S(O)2R6.

64. The method of claim 59, wherein in the compound of Formula (I), or a pharmaceutically acceptable salt thereof, R3 and R4 are each independently —H, alkyl, or —S(O)2R6.

65. The method of claim 59, wherein in the compound of Formula (I), or a pharmaceutically acceptable salt thereof,

R3 and R4 attached to the same N atom are taken together with the N atom to which they are attached to form a substituted or unsubstituted 4-, 5-, or 6-membered ring heterocycle containing 0-3 heteroatoms selected from —O—, —NH—, —NR5—, —S—, and —S(O)2—, and

R5 is alkyl.

66. The method of claim 59, wherein in the compound of Formula (I), or a pharmaceutically acceptable salt thereof, R6 is alkyl, carbocyclyl, optionally substituted aryl, optionally substituted aralkyl, or optionally substituted heterocyclyl.

67. The method of claim 59, wherein in the compound of Formula (I), or a pharmaceutically acceptable salt thereof, R6 is C1-6 alkyl, C3-6 carbocyclyl, optionally substituted phenyl, optionally substituted benzyl, or optionally substituted heterocyclyl.

68. The method of claim 59, wherein in the compound of Formula (I), or a pharmaceutically acceptable salt thereof, R7 and R8 are each independently —H, alkyl, or carbocyclyl.

69. The method of claim 59, wherein in the compound of Formula (I), or a pharmaceutically acceptable salt thereof, R7 and R8 are —H.

70. The method of claim 59, wherein the cancer is chemo-resistant cancer.

71. The method of claim 59, wherein the cancer is non-small cell lung cancer, triple negative breast cancer, ovarian cancer, castration resistant prostate cancer, or doubly resistant prostate cancer.

72. The method of claim 71, wherein the cancer is non-small cell lung cancer.

73. The method of claim 71, wherein the cancer is triple negative breast cancer.

74. The method of claim 71, wherein the cancer is ovarian cancer.

75. The method of claim 71, wherein the cancer is castrate resistant prostate cancer.

76. The method of claim 59, further comprising administering one or more additional therapeutic agents to the subject.

77. The method of claim 76, wherein the one or more additional therapeutic agents is one or more androgen receptor signaling inhibitors.

78. The method of claim 76, wherein the one or more additional therapeutic agents is one or more chemotherapeutic agents.