US2015038484A1PendingUtilityA1

Indole and indazole compounds that activate ampk

51
Assignee: PFIZERPriority: Apr 10, 2012Filed: Oct 20, 2014Published: Feb 5, 2015
Est. expiryApr 10, 2032(~5.7 yrs left)· nominal 20-yr term from priority
A61P 3/06A61P 35/00A61P 3/10A61P 3/04A61P 3/00A61P 13/12C07D 403/04C07D 209/30C07D 209/42A61K 31/4155C07D 401/12C07D 401/04C07D 401/10C07D 413/12A61K 31/416A61K 31/404C07D 405/12C07D 403/12C07D 401/14C07D 231/56C07D 405/10C07D 403/10C07D 413/14C07D 405/14C07D 405/04
51
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Claims

Abstract

The present invention relates to indole and indazole compounds of Formula (I) that activate 5′ adenosine monophosphate-activated protein kinase (AMPK). The invention also encompasses pharmaceutical compositions containing these compounds and methods for treating or preventing diseases, conditions, or disorders ameliorated by activation of AMPK.

Claims

exact text as granted — not AI-modified
We claim: 
     
         1 . A method of treating or preventing chronic kidney disease, diabetic nephropathy, acute kidney injury or polycystic kidney disease in a human comprising administering to the human in need of such treatment a therapeutically effective amount of a compound of Formula (I), wherein 
       
         
           
           
               
               
           
         
         X is N or CH; 
         R 1  is —C(O)OR A , —C(O)NR B R C , —S(O 2 )OR A , —S(O 2 )NHC(O)R D , 5-oxo-4,5-dihydro-1,2,4-oxadiazol-3-yl, or 1H-tetrazol-5-yl; 
         R A  is H or (C 1 -C 6 )alkyl; 
         R B  and R C  are independently H, (C 1 -C 6 )alkyl, or —S(O 2 )R D ; 
         R D  is (C 1 -C 6 )alkyl, —CF 3 , or phenyl, wherein the phenyl is optionally substituted with 1, 2, 3, 4, or 5 substituents that are independently (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkyl, cyano, halogen, halo(C 1 -C 6 )alkoxy, halo(C 1 -C 6 )alkyl, hydroxy, mercapto, nitro, or NR E R F ; 
         R E  and R F  are independently H or (C 1 -C 6 )alkyl; 
         R 2 , R 3 , and R 4  are independently H, (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkyl, (C 1 -C 6 )alkylthio, carboxy, cyano, halogen, halo(C 1 -C 6 )alkoxy, halo(C 1 -C 6 )alkyl, hydroxy, hydroxy(C 1 -C 8 )alkyl, mercapto, nitro, —NR G R H  or (NR G R H )carbonyl; 
         R G  and R H  are independently H, (C 1 -C 6 )alkyl, or (C 1 -C 6 )alkylcarbonyl; 
         R 5  is H or (C 1 -C 6 )alkyl; 
         L is a bond, O, S, NR A , (C 1 -C 6 )alkylene, (C 2 -C 6 )alkenylene, or (C 2 -C 6 )alkynylene; 
         A is phenyl, 2,3-dihydrobenzo[b][1,4]dioxinyl, 2,3-dihydrobenzofuranyl, 2,3-dihydro-1H-indenyl, imidazolyl, pyrazinyl, pyrazolyl, pyridinyl, pyrimidinyl, or thiazolyl, wherein each is optionally substituted with 1, 2, 3, 4, or 5 substituents that are independently (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkoxy(C 1 -C 6 )alkoxy, (C 1 -C 6 )alkoxy(C 1 -C 6 )alkyl, (C 1 -C 6 )alkoxycarbonyl, (C 1 -C 6 )alkyl, (C 1 -C 6 )alkylcarbonyl, (C 1 -C 6 )alkylthio, aryl, aryl(C 1 -C 6 )alkoxy, aryl(C 1 -C 6 )alkyl, arylcarbonyl, aryloxy, carboxy, carboxy(C 1 -C 6 )alkoxy, carboxy(C 1 -C 6 )alkyl, cyano, (C 3 -C 8 )cycloalkyl, (C 3 -C 8 )cycloalkyl(C 1 -C 6 )alkoxy, (C 3 -C 8 )cycloalkyl(C 1 -C 6 )alkyl, (C 3 -C 8 )cycloalkylcarbonyl, (C 3 -C 8 )cycloalkyloxy, halogen, halo(C 1 -C 6 )alkoxy, halo(C 1 -C 6 )alkyl, heteroaryl, heteroaryl(C 1 -C 6 )alkoxy, heteroaryl(C 1 -C 6 )alkyl, heteroarylcarbonyl, heteroaryloxy, (C 3 -C 7 )heterocycle, (C 3 -C 7 )heterocycle(C 1 -C 6 )alkoxy, (C 3 -C 7 )heterocycle(C 1 -C 6 )alkyl, (C 3 -C 7 )heterocyclecarbonyl, (C 3 -C 7 )heterocyclecarbonyl(C 1 -C 6 )alkyl, (C 3 -C 7 )heterocycleoxy, hydroxy, hydroxy(C 1 -C 6 )alkoxy, hydroxy(C 1 -C 6 )alkyl, mercapto, nitro, —NR J R K , (NR J R K )carbonyl, —NR M R N , —NR M R N (C 1 -C 6 )alkoxy, (NR M R N )carbonyl, (NR M R N )carbonyl(C 1 -C 6 )alkyl, or (NR M R N )carbonyl(C 1 -C 6 )alkoxy; wherein the aryl, aryl(C 1 -C 6 )alkoxy, aryl(C 1 -C 6 )alkyl, arylcarbonyl, and aryloxy are optionally substituted with 1, 2, 3, 4, or 5 substituents that are independently (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkoxycarbonyl, (C 1 -C 6 )alkyl, (C 1 -C 6 )alkylcarbonyl, (C 1 -C 6 )alkylthio, carboxy, cyano, halogen, halo(C 1 -C 6 )alkoxy, halo(C 1 -C 6 )alkyl, hydroxy, hydroxy(C 1 -C 6 )alkyl, mercapto, nitro, —NR M R N , or (NR M R N )carbonyl; wherein the halo(C 1 -C 6 )alkyl is optionally substituted with 1 or 2 hydroxy groups; wherein the (C 3 -C 8 )cycloalkyl, (C 3 -C 8 )cycloalkyl(C 1 -C 6 )alkoxy, (C 3 -C 8 )cycloalkyl(C 1 -C 6 )alkyl, (C 3 -C 8 )cycloalkylcarbonyl, and (C 3 -C 8 )cycloalkyloxy are optionally substituted with 1, 2, or 3 substituents that are independently (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkoxycarbonyl, (C 1 -C 6 )alkyl, (C 1 -C 6 )alkylcarbonyl, (C 1 -C 6 )alkylthio, carboxy, cyano, halogen, halo(C 1 -C 6 )alkoxy, halo(C 1 -C 6 )alkyl, hydroxy, hydroxy(C 1 -C 6 )alkyl, mercapto, nitro, —NR M R N , or (NR M R N )carbonyl; wherein the heteroaryl, heteroaryl(C 1 -C 6 )alkoxy, heteroaryl(C 1 -C 6 )alkyl, heteroarylcarbonyl, and heteroaryloxy, are optionally substituted with 1, 2, or 3 substituents that are independently (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkoxycarbonyl, (C 1 -C 6 )alkyl, (C 1 -C 6 )alkylcarbonyl, (C 1 -C 6 )alkylthio, carboxy, cyano, halogen, halo(C 1 -C 6 )alkoxy, halo(C 1 -C 6 )alkyl, hydroxy, hydroxy(C 1 -C 6 )alkyl, mercapto, nitro, —NR M R N , or (NR M R N )carbonyl; and wherein the (C 3 -C 7 )heterocycle, (C 3 -C 7 )heterocycle(C 1 -C 6 )alkoxy, (C 3 -C 7 )heterocycle(C 1 -C 6 )alkyl, (C 3 -C 7 )heterocyclecarbonyl, (C 3 -C 7 )heterocyclecarbonyl(C 1 -C 6 )alkyl, and (C 3 -C 7 )heterocycleoxy, are optionally substituted with 1, 2, or 3 substituents that are independently (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkoxycarbonyl, (C 1 -C 6 )alkoxysulfonyl, (C 1 -C 6 )alkyl, (C 1 -C 6 )alkylcarbonyl, (C 1 -C 6 )alkylsulfonyl, (C 1 -C 6 )alkylthio, carboxy, cyano, halogen, halo(C 1 -C 6 )alkoxy, halo(C 1 -C 6 )alkyl, hydroxy, hydroxy(C 1 -C 6 )alkyl, mercapto, nitro, —NR M R N , (NR M R N )carbonyl, or oxo; 
         R J  and R K  are independently H or (C 1 -C 6 )alkyl; and 
         R M  and R N  are independently H, (C 1 -C 6 )alkyl, or (C 1 -C 6 )alkylcarbonyl; or R M  and R N  together with the nitrogen they are attached to form a 3 to 8 membered ring; 
       
       or a pharmaceutically acceptable salt thereof. 
     
     
         2 . The method according to  claim 1  wherein
 X is N or CH; 
 L is a bond or (C 2 -C 6 )alkynylene; 
 A is 
 
       
         
           
           
               
               
           
         
         R 1  is —C(O)OR A , —C(O)NR B R C , —S(O 2 )OR A ; 
         R A  is H; 
         R B  and R C  are independently H or —S(O 2 )R D ; 
         R D  is (C 1 -C 6 )alkyl, —CF 3 , or phenyl; 
         R 2 , R 3 , and R 4  are independently H, (C 1 -C 6 )alkyl, cyano, or halogen; 
         R 5  is H; 
         R 6 , R 7 , R 9 , and R 10  are independently H, (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkyl, cyano, halogen, hydroxy, or hydroxy(C 1 -C 6 )alkyl; 
         R 8  is H, (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkoxy(C 1 -C 6 )alkyl, (C 1 -C 6 )alkyl, (C 1 -C 6 )alkylcarbonyl, aryl, carboxy(C 1 -C 6 )alkoxy, (C 3 -C 8 )cycloalkyl, (C 3 -C 8 )cycloalkyl(C 1 -C 6 )alkyl, (C 3 -C 8 )cycloalkyloxy, halo(C 1 -C 6 )alkyl, heteroaryl(C 1 -C 6 )alkoxy, (C 3 -C 7 )heterocycle, (C 3 -C 7 )heterocycle(C 1 -C 6 )alkoxy, (C 3 -C 7 )heterocyclecarbonyl(C 1 -C 6 )alkyl, (C 3 -C 7 )heterocycleoxy, hydroxy(C 1 -C 6 )alkoxy, hydroxy(C 1 -C 6 )alkyl, —NR M R N , (NR M R N )carbonyl(C 1 -C 6 )alkyl, or (NR M R N )carbonyl(C 1 -C 6 )alkoxy; wherein the aryl is optionally substituted with 1 substituent that is (C 1 -C 6 )alkoxy or hydroxy; wherein the halo(C 1 -C 6 )alkyl is optionally with 1 hydroxy group; wherein the (C 3 -C 8 )cycloalkyl, (C 3 -C 8 )cycloalkyl(C 1 -C 6 )alkyl, and (C 3 -C 8 )cycloalkyloxy are optionally substituted with 1 substituent that is carboxy, hydroxy, hydroxy(C 1 -C 6 )alkyl, or (NR M R N )carbonyl; and wherein the (C 3 -C 7 )heterocycle and (C 3 -C 7 )heterocycle(C 1 -C 6 )alkoxy are optionally substituted with 1 substituent that is (C 1 -C 6 )alkoxycarbonyl, (C 1 -C 6 )alkyl, (C 1 -C 6 )alkylcarbonyl, (C 1 -C 6 )alkylsulfonyl, hydroxy, hydroxy(C 1 -C 6 )alkyl, or oxo; and 
         R M  and R N  are independently H, (C 1 -C 6 )alkyl, or (C 1 -C 6 )alkylcarbonyl; or R M  and R N  together with the nitrogen they are attached to form a 3 to 8 membered ring; 
       
       or a pharmaceutically acceptable salt thereof. 
     
     
         3 . A method of treating or preventing chronic kidney disease, diabetic nephropathy, acute kidney injury or polycystic kidney disease in a human comprising administering to the human in need of such treatment a therapeutically effective amount of a compound of Formula (II), wherein 
       
         
           
           
               
               
           
         
       
       wherein
 X is N or CH; 
 L is a bond, O, S, NR A , (C 1 -C 6 )alkylene, (C 2 -C 6 )alkenylene, or (C 2 -C 6 )alkynylene; 
 R 1  is —C(O)OR A , —C(O)NR B R C , —S(O 2 )OR A , —S(O 2 )NHC(O)R D , 5-oxo-4,5-dihydro-1,2,4-oxadiazol-3-yl, or 1H-tetrazol-5-yl; 
 R A  is H or (C 1 -C 6 )alkyl; 
 R B  and R C  are independently H, (C 1 -C 6 )alkyl, or —S(O 2 )R D ; 
 R D  is (C 1 -C 6 )alkyl, —CF 3 , or phenyl, wherein the phenyl is optionally substituted with 1, 2, 3, 4, or 5 substituents that are independently (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkyl, cyano, halogen, halo(C 1 -C 6 )alkoxy, halo(C 1 -C 6 )alkyl, hydroxy, mercapto, nitro, or NR E R F ; 
 R E  and R F  are independently H or (C 1 -C 6 )alkyl; 
 R 2 , R 3 , and R 4  are independently H, (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkyl, (C 1 -C 6 )alkylthio, carboxy, cyano, halogen, halo(C 1 -C 6 )alkoxy, halo(C 1 -C 6 )alkyl, hydroxy, hydroxy(C 1 -C 8 )alkyl, mercapto, nitro, —NR G R H , or (NR G R H )carbonyl; 
 R G  and R H  are independently H, (C 1 -C 6 )alkyl, or (C 1 -C 6 )alkylcarbonyl; 
 R 5  is H or (C 1 -C 6 )alkyl; 
 R 6 , R 7 , R 9 , and R 10  are independently H, (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkoxycarbonyl, (C 1 -C 6 )alkyl, (C 1 -C 6 )alkylcarbonyl, (C 1 -C 6 )alkylthio, carboxy, cyano, halogen, halo(C 1 -C 6 )alkoxy, halo(C 1 -C 6 )alkyl, hydroxy, hydroxy(C 1 -C 6 )alkyl, mercapto, nitro, —NR J R K , or (NR J R K )carbonyl; 
 R J  and R K  are independently H or (C 1 -C 6 )alkyl; 
 R 8  is H, (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkoxy(C 1 -C 6 )alkoxy, (C 1 -C 6 )alkoxy(C 1 -C 6 )alkyl, (C 1 -C 6 )alkoxycarbonyl, (C 1 -C 6 )alkyl, (C 1 -C 6 )alkylcarbonyl, (C 1 -C 6 )alkylthio, aryl, aryl(C 1 -C 6 )alkoxy, aryl(C 1 -C 6 )alkyl, arylcarbonyl, aryloxy, carboxy, carboxy(C 1 -C 6 )alkoxy, carboxy(C 1 -C 6 )alkyl, cyano, (C 3 -C 8 )cycloalkyl, (C 3 -C 8 )cycloalkyl(C 1 -C 6 )alkoxy, (C 3 -C 8 )cycloalkyl(C 1 -C 6 )alkyl, (C 3 -C 8 )cycloalkylcarbonyl, (C 3 -C 8 )cycloalkyloxy, halogen, halo(C 1 -C 6 )alkoxy, halo(C 1 -C 6 )alkyl, heteroaryl, heteroaryl(C 1 -C 6 )alkoxy, heteroaryl(C 1 -C 6 )alkyl, heteroarylcarbonyl, heteroaryloxy, (C 3 -C 7 )heterocycle, (C 3 -C 7 )heterocycle(C 1 -C 6 )alkoxy, (C 3 -C 7 )heterocycle(C 1 -C 6 )alkyl, (C 3 -C 7 )heterocyclecarbonyl, (C 3 -C 7 )heterocyclecarbonyl(C 1 -C 6 )alkyl, (C 3 -C 7 )heterocycleoxy, hydroxy, hydroxy(C 1 -C 6 )alkoxy, hydroxy(C 1 -C 6 )alkyl, mercapto, nitro, —NR M R N , —NR M R N (C 1 -C 6 )alkoxy, (NR M R N )carbonyl, (NR M R N )carbonyl(C 1 -C 6 )alkyl, or (NR M R N )carbonyl(C 1 -C 6 )alkoxy; wherein the aryl, aryl(C 1 -C 6 )alkoxy, aryl(C 1 -C 6 )alkyl, arylcarbonyl, and aryloxy are optionally substituted with 1, 2, 3, 4, or 5 substituents that are independently (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkoxycarbonyl, (C 1 -C 6 )alkyl, (C 1 -C 6 )alkylcarbonyl, (C 1 -C 6 )alkylthio, carboxy, cyano, halogen, halo(C 1 -C 6 )alkoxy, halo(C 1 -C 6 )alkyl, hydroxy, hydroxy(C 1 -C 6 )alkyl, mercapto, nitro, —NR M R N , or (NR M R N )carbonyl; wherein the halo(C 1 -C 6 )alkyl is optionally substituted with 1 or 2 hydroxy groups; wherein the (C 3 -C 8 )cycloalkyl, (C 3 -C 8 )cycloalkyl(C 1 -C 6 )alkoxy, (C 3 -C 8 )cycloalkyl(C 1 -C 6 )alkyl, (C 3 -C 8 )cycloalkylcarbonyl, and (C 3 -C 8 )cycloalkyloxy are optionally substituted with 1, 2, or 3 substituents that are independently (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkoxycarbonyl, (C 1 -C 6 )alkyl, (C 1 -C 6 )alkylcarbonyl, (C 1 -C 6 )alkylthio, carboxy, cyano, halogen, halo(C 1 -C 6 )alkoxy, halo(C 1 -C 6 )alkyl, hydroxy, hydroxy(C 1 -C 6 )alkyl, mercapto, nitro, —NR M R N , or (NR M R N )carbonyl; wherein the heteroaryl, heteroaryl(C 1 -C 6 )alkoxy, heteroaryl(C 1 -C 6 )alkyl, heteroarylcarbonyl, and heteroaryloxy, are optionally substituted with 1, 2, or 3 substituents that are independently (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkoxycarbonyl, (C 1 -C 6 )alkyl, (C 1 -C 6 )alkylcarbonyl, (C 1 -C 6 )alkylthio, carboxy, cyano, halogen, halo(C 1 -C 6 )alkoxy, halo(C 1 -C 6 )alkyl, hydroxy, hydroxy(C 1 -C 6 )alkyl, mercapto, nitro, —NR M R N , or (NR M R N )carbonyl; and wherein the (C 3 -C 7 )heterocycle, (C 3 -C 7 )heterocycle(C 1 -C 6 )alkoxy, (C 3 -C 7 )heterocycle(C 1 -C 6 )alkyl, (C 3 -C 7 )heterocyclecarbonyl, (C 3 -C 7 )heterocyclecarbonyl(C 1 -C 6 )alkyl, and (C 3 -C 7 )heterocycleoxy, are optionally substituted with 1, 2, or 3 substituents that are independently (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkoxycarbonyl, (C 1 -C 6 )alkoxysulfonyl, (C 1 -C 6 )alkyl, (C 1 -C 6 )alkylcarbonyl, (C 1 -C 6 )alkylsulfonyl, (C 1 -C 6 )alkylthio, carboxy, cyano, halogen, halo(C 1 -C 6 )alkoxy, halo(C 1 -C 6 )alkyl, hydroxy, hydroxy(C 1 -C 6 )alkyl, mercapto, nitro, —NR M R N , (NR M R N )carbonyl, or oxo; and 
 R M  and R N  are independently H, (C 1 -C 6 )alkyl, or (C 1 -C 6 )alkylcarbonyl; or R M  and R N  together with the nitrogen they are attached to form a 3 to 8 membered ring; 
 
       or a pharmaceutically acceptable salt thereof. 
     
     
         4 . The method according to  claim 3  wherein
 X is CH; 
 L is a bond; 
 R 1  is —C(O)OR A ; 
 R A  is H; 
 R 2  is H or F; 
 R 3  is Cl, F, or CN; 
 R 4  and R 5  are H; 
 R 6  and R 7  are independently H, F, or methoxy; 
 R 9  and R 10  are H; and 
 R 8  is hydroxy(C 1 -C 6 )alkoxy; 
 
       or a pharmaceutically acceptable salt thereof. 
     
     
         5 . The method according to  claim 3  wherein
 X is CH; 
 L is a bond; 
 R 1  is —C(O)OR A ; 
 R A  is H; 
 R 2  is H or F; 
 R 3  is Cl, F, or CN; 
 R 4  and R 5  are H; 
 R 6  and R 7  are independently H, F, or methoxy; 
 R 9  and R 10  are H; and 
 R 8  is (C 1 -C 6 )alkoxy; 
 
       or a pharmaceutically acceptable salt thereof. 
     
     
         6 . The method according to  claim 3  wherein
 X is CH; 
 L is a bond; 
 R 1  is —C(O)OR A ; 
 R A  is H; 
 R 2  is H or F; 
 R 3  is Cl, F, or CN; 
 R 4  and R 5  are H; 
 R 6  and R 7  are independently H, F, or methoxy; 
 R 9  and R 10  are H; and 
 R 8  is hydroxy(C 1 -C 6 )alkyl; 
 
       or a pharmaceutically acceptable salt thereof. 
     
     
         7 . The method according to  claim 3  wherein
 X is CH; 
 L is a bond; 
 R 1  is —C(O)OR A ; 
 R A  is H; 
 R 2  is H or F; 
 R 3  is Cl, F, or CN; 
 R 4  and R 5  are H: 
 R 6  and R 7  are independently H, F, or methoxy; 
 R 9  and R 10  are H; 
 R 8  is aryl wherein the aryl is phenyl substituted with 1 substituent that is hydroxy; 
 
       or a pharmaceutically acceptable salt thereof. 
     
     
         8 . The method according to  claim 3  wherein
 X is CH; 
 L is a bond; 
 R 1  is —C(O)OR A ; 
 R A  is H; 
 R 2  is H or F; 
 R 3  is Cl, F, or CN; 
 R 4  and R 5  are H; 
 R 6  and R 7  are independently H, F, or methoxy; 
 R 9  and R 10  are H; 
 R 8  is (C 3 -C 7 )heterocycle wherein the (C 3 -C 7 )heterocycle is azetidinyl, morpholinyl, oxetanyl, piperazinyl, piperidinyl, pyrrolidinyl, tetrahydrofuran, tetrahydro-2H-pyran, or triazolyl, wherein each is optionally substituted with 1 substituent that is (C 1 -C 6 )alkoxycarbonyl, (C 1 -C 6 )alkyl, (C 1 -C 6 )alkylcarbonyl, (C 1 -C 6 )alkylsulfonyl, hydroxy, hydroxy(C 1 -C 6 )alkyl, or oxo; 
 
       or a pharmaceutically acceptable salt thereof. 
     
     
         9 . The method according to  claim 3  wherein
 X is CH; 
 L is a bond; 
 R 1  is —C(O)OR A ; 
 R A  is H; 
 R 2  is H or F; 
 R 3  is Cl, F, or CN; 
 R 4  and R 5  are H; 
 R 6  and R 7  are independently H, F, or methoxy; 
 R 9  and R 10  are H; 
 R 8  is (C 3 -C 7 )heterocycle(C 1 -C 6 )alkoxy, wherein the (C 3 -C 7 )heterocycle is azetidinyl, morpholinyl, oxetanyl, piperazinyl, piperidinyl, pyrrolidinyl, tetrahydrofuran, tetrahydro-2H-pyran, or triazolyl, wherein each is optionally substituted with 1 substituent that is (C 1 -C 6 )alkoxycarbonyl, (C 1 -C 6 )alkyl, (C 1 -C 6 )alkylcarbonyl, (C 1 -C 6 )alkylsulfonyl, hydroxy, hydroxy(C 1 -C 6 )alkyl, or oxo; 
 
       or a pharmaceutically acceptable salt thereof. 
     
     
         10 . The method according to  claim 3  wherein
 X is CH; 
 L is a bond; 
 R 1  is —C(O)OR A ; 
 R A  is H; 
 R 2  is H or methoxy; 
 R 3  is Cl, F, or CN; 
 R 4  and R 5  are H; 
 R 6  and R 7  are independently H, F, or methoxy; 
 R 9  and R 10  are H; 
 R 8  is (C 3 -C 8 )cycloalkyl wherein the (C 3 -C 8 )cycloalkyl is cyclopropyl or cyclobutyl substituted with hydroxy(C 1 -C 6 )alkyl; 
 
       or a pharmaceutically acceptable salt thereof. 
     
     
         11 . The method according to  claim 3  wherein
 X is CH; 
 L is a bond; 
 R 1  is —C(O)OR A ; 
 R A  is H; 
 R 2  is H or F; 
 R 3  is Cl, F, or CN; 
 R 4  and R 5  are H; 
 R 6  and R 7  are independently H, F, or methoxy; 
 R 9  and R 10  are H; 
 R 8  is (C 3 -C 8 )cycloalkyl wherein the (C 3 -C 8 )cycloalkyl is cyclobutyl substituted with hydroxy; 
 
       or a pharmaceutically acceptable salt thereof. 
     
     
         12 . The method according to  claim 11  wherein the compound is
 6-chloro-5-[2-fluoro-4-(1-hydroxycyclobutyl)phenyl]-1H-indole-3-carboxylic acid; 
 6-chloro-5-[3-fluoro-4-(1-hydroxycyclobutyl)phenyl]-1H-indole-3-carboxylic acid; or 
 6-chloro-5-[4-(1-hydroxycyclobutyl)-3-methoxyphenyl]-1H-indole-3-carboxylic acid; 
 or a pharmaceutically acceptable salt thereof. 
 
     
     
         13 . The method according to  claim 11  wherein the compound is 6-chloro-5-(4-(1-hydroxycyclobutyl)phenyl)-1H-indole-3-carboxylic acid or a pharmaceutically acceptable salt thereof. 
     
     
         14 . The method according to  claim 11  wherein the compound is 
       
         
           
           
               
               
           
         
       
     
     
         15 . A method of treating or preventing chronic kidney disease, diabetic nephropathy, acute kidney injury or polycystic kidney disease in a human comprising administering to the human in need of such treatment a therapeutically effective amount of a compound of Formula (III), wherein 
       
         
           
           
               
               
           
         
         X is N or CH; 
         L is a bond, O, S, NR A , (C 1 -C 6 )alkylene, (C 2 -C 6 )alkenylene, or (C 2 -C 6 )alkynylene; 
         R 1  is —C(O)OR A , —C(O)NR B R C , —S(O 2 )OR A , —S(O 2 )NHC(O)R D , 5-oxo-4,5-dihydro-1,2,4-oxadiazol-3-yl, or 1H-tetrazol-5-yl; 
         R A  is H or (C 1 -C 6 )alkyl; 
         R B  and R C  are independently H, (C 1 -C 6 )alkyl, or —S(O 2 )R D ; 
         R D  is (C 1 -C 6 )alkyl, —CF 3 , or phenyl, wherein the phenyl is optionally substituted with 1, 2, 3, 4, or 5 substituents that are independently (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkyl, cyano, halogen, halo(C 1 -C 6 )alkoxy, halo(C 1 -C 6 )alkyl, hydroxy, mercapto, nitro, or NR E R F ; 
         R E  and R F  are independently H or (C 1 -C 6 )alkyl; 
         R 2 , R 3 , and R 4  are independently H, (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkyl, (C 1 -C 6 )alkylthio, carboxy, cyano, halogen, halo(C 1 -C 6 )alkoxy, halo(C 1 -C 6 )alkyl, hydroxy, hydroxy(C 1 -C 8 )alkyl, mercapto, nitro, —NR G R H , or (NR G R H )carbonyl; 
         R G  and R H  are independently H, (C 1 -C 6 )alkyl, or (C 1 -C 6 )alkylcarbonyl; 
         R 5  is H or (C 1 -C 6 )alkyl; 
         R 6 , R 7 , and R 10  are independently H, (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkoxycarbonyl, (C 1 -C 6 )alkyl, (C 1 -C 6 )alkylcarbonyl, (C 1 -C 6 )alkylthio, carboxy, cyano, halogen, halo(C 1 -C 6 )alkoxy, halo(C 1 -C 6 )alkyl, hydroxy, hydroxy(C 1 -C 6 )alkyl, mercapto, nitro, —NR J R K , or (NR J R K )carbonyl; 
         R J  and R K  are independently H or (C 1 -C 6 )alkyl; 
         R 8  is H, (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkoxy(C 1 -C 6 )alkoxy, (C 1 -C 6 )alkoxy(C 1 -C 6 )alkyl, (C 1 -C 6 )alkoxycarbonyl, (C 1 -C 6 )alkyl, (C 1 -C 6 )alkylcarbonyl, (C 1 -C 6 )alkylthio, aryl, aryl(C 1 -C 6 )alkoxy, aryl(C 1 -C 6 )alkyl, arylcarbonyl, aryloxy, carboxy, carboxy(C 1 -C 6 )alkoxy, carboxy(C 1 -C 6 )alkyl, cyano, (C 3 -C 8 )cycloalkyl, (C 3 -C 8 )cycloalkyl(C 1 -C 6 )alkoxy, (C 3 -C 8 )cycloalkyl(C 1 -C 6 )alkyl, (C 3 -C 8 )cycloalkylcarbonyl, (C 3 -C 8 )cycloalkyloxy, halogen, halo(C 1 -C 6 )alkoxy, halo(C 1 -C 6 )alkyl, heteroaryl, heteroaryl(C 1 -C 6 )alkoxy, heteroaryl(C 1 -C 6 )alkyl, heteroarylcarbonyl, heteroaryloxy, (C 3 -C 7 )heterocycle, (C 3 -C 7 )heterocycle(C 1 -C 6 )alkoxy, (C 3 -C 7 )heterocycle(C 1 -C 6 )alkyl, (C 3 -C 7 )heterocyclecarbonyl, (C 3 -C 7 )heterocyclecarbonyl(C 1 -C 6 )alkyl, (C 3 -C 7 )heterocycleoxy, hydroxy, hydroxy(C 1 -C 6 )alkoxy, hydroxy(C 1 -C 6 )alkyl, mercapto, nitro, —NR M R N , —NR M R N (C 1 -C 6 )alkoxy, (NR M R N )carbonyl, (NR M R N )carbonyl(C 1 -C 6 )alkyl, or (NR M R N )carbonyl(C 1 -C 6 )alkoxy; wherein the aryl, aryl(C 1 -C 6 )alkoxy, aryl(C 1 -C 6 )alkyl, arylcarbonyl, and aryloxy are optionally substituted with 1, 2, 3, 4, or 5 substituents that are independently (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkoxycarbonyl, (C 1 -C 6 )alkyl, (C 1 -C 6 )alkylcarbonyl, (C 1 -C 6 )alkylthio, carboxy, cyano, halogen, halo(C 1 -C 6 )alkoxy, halo(C 1 -C 6 )alkyl, hydroxy, hydroxy(C 1 -C 6 )alkyl, mercapto, nitro, —NR M R N , or (NR M R N )carbonyl; wherein the halo(C 1 -C 6 )alkyl is optionally substituted with 1 or 2 hydroxy groups; wherein the (C 3 -C 8 )cycloalkyl, (C 3 -C 8 )cycloalkyl(C 1 -C 6 )alkoxy, (C 3 -C 8 )cycloalkyl(C 1 -C 6 )alkyl, (C 3 -C 8 )cycloalkylcarbonyl, and (C 3 -C 8 )cycloalkyloxy are optionally substituted with 1, 2, or 3 substituents that are independently (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkoxycarbonyl, (C 1 -C 6 )alkyl, (C 1 -C 6 )alkylcarbonyl, (C 1 -C 6 )alkylthio, carboxy, cyano, halogen, halo(C 1 -C 6 )alkoxy, halo(C 1 -C 6 )alkyl, hydroxy, hydroxy(C 1 -C 6 )alkyl, mercapto, nitro, —NR M R N , or (NR M R N )carbonyl; wherein the heteroaryl, heteroaryl(C 1 -C 6 )alkoxy, heteroaryl(C 1 -C 6 )alkyl, heteroarylcarbonyl, and heteroaryloxy, are optionally substituted with 1, 2, or 3 substituents that are independently (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkoxycarbonyl, (C 1 -C 6 )alkyl, (C 1 -C 6 )alkylcarbonyl, (C 1 -C 6 )alkylthio, carboxy, cyano, halogen, halo(C 1 -C 6 )alkoxy, halo(C 1 -C 6 )alkyl, hydroxy, hydroxy(C 1 -C 6 )alkyl, mercapto, nitro, —NR M R N , or (NR M R N )carbonyl; and wherein the (C 3 -C 7 )heterocycle, (C 3 -C 7 )heterocycle(C 1 -C 6 )alkoxy, (C 3 -C 7 )heterocycle(C 1 -C 6 )alkyl, (C 3 -C 7 )heterocyclecarbonyl, (C 3 -C 7 )heterocyclecarbonyl(C 1 -C 6 )alkyl, and (C 3 -C 7 )heterocycleoxy, are optionally substituted with 1, 2, or 3 substituents that are independently (C 1 -C 6 )alkoxy, (C 1 -C 6 )alkoxycarbonyl, (C 1 -C 6 )alkoxysulfonyl, (C 1 -C 6 )alkyl, (C 1 -C 6 )alkylcarbonyl, (C 1 -C 6 )alkylsulfonyl, (C 1 -C 6 )alkylthio, carboxy, cyano, halogen, halo(C 1 -C 6 )alkoxy, halo(C 1 -C 6 )alkyl, hydroxy, hydroxy(C 1 -C 6 )alkyl, mercapto, nitro, —NR M R N , (NR M R N )carbonyl, or oxo; and R M  and R N  are independently H, (C 1 -C 6 )alkyl, or (C 1 -C 6 )alkylcarbonyl; and 
         R M  and R N  together with the nitrogen they are attached to form a 3 to 8 membered ring; 
       
       or a pharmaceutically acceptable salt thereof. 
     
     
         16 . The method according to  claim 15  wherein
 X is CH; 
 L is a bond; 
 R 1  is —C(O)OR A ; 
 R A  is H; 
 R 2  is H or halogen; 
 R 3  is (C 1 -C 6 )alkyl, cyano, or halogen; 
 R 4  is H; 
 R 5  is H; 
 R 6  and R 7  are H; 
 R 10  is H or (C 1 -C 6 )alkoxy; 
 R 8  is (C 3 -C 7 )heterocycle wherein the (C 3 -C 7 )heterocycle is morpholinyl or pyrrolidinyl where the pyrrolidinyl is optionally substituted with (C 1 -C 6 )alkoxy or hydroxy; 
 
       or a pharmaceutically acceptable salt thereof. 
     
     
         17 . The method according to  claim 15  wherein the compound is
 6-chloro-5-[6-(dimethylamino)-2-methoxypyridin-3-yl]-1H-indole-3-carboxylic acid; 
 6-chloro-5-[2-methoxy-6-(morpholin-4-yl)pyridin-3-yl]-1H-indole-3-carboxylic acid; 
 6-chloro-5-{2-methoxy-6-[(3R)-3-methoxypyrrolidin-1-yl]pyridin-3-yl}-1H-indole-3-carboxylic acid; 
 6-chloro-5-{2-methoxy-6-[(3S)-3-methoxypyrrolidin-1-yl]pyridin-3-yl}-1H-indole-3-carboxylic acid; 
 6-chloro-5-{6-[(3S)-3-hydroxypyrrolidin-1-yl]-2-methoxypyridin-3-yl}-1H-indole-3-carboxylic acid; or 
 6-chloro-5-{6-[(3R)-3-hydroxypyrrolidin-1-yl]-2-methoxypyridin-3-yl}-1H-indole-3-carboxylic acid; 
 
       or a pharmaceutically acceptable salt thereof.

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