Apoptosis-inducing agents for the treatment of cancer and immune and autoimmune diseases

Abstract

Disclosed are compounds which inhibit the activity of anti-apoptotic Bcl-2 proteins, compositions containing the compounds and methods of treating diseases during which is expressed anti-apoptotic Bcl-2 protein.

1 . A compound having Formula (I) 
       
         
           
           
               
               
           
         
       
       or a therapeutically acceptable salt, prodrug or salt of prodrug thereof, wherein
 A 1  is N or C(A 2 ); 
 A 2  is H, R 1 , OR 1 , SR 1 , S(O)R 1 , SO 2 R 1 , C(O)R 1 , C(O)OR 1 , OC(O)R 1 , NHR 1 , N(R 1 ) 2 , C(O)NHR 1 , C(O)N(R 1 ) 2 , NHC(O)R 1 , NR 1 C(O)R 1 , NHC(O)OR 1 , NR 1 C(O)OR 1 , NHC(O)NH 2 , NHC(O)NHR 1 , NHC(O)N(R 1 ) 2 , NR 1 C(O)NHR 1 , NR 1 C(O)N(R 1 ) 2 , SO 2 NH 2 , SO 2 NHR 1 , SO 2 N(R 1 ) 2 ,NHSO 2 R 1 ,NR 1 SO 2 R 1 ,NHSO 2 NHR 1 ,NHSO 2 N(R 1 ) 2 , NR 1 SO 2 NHR 1 , NR 1 SO 2 N(R 1 ) 2 , C(O)NHNOH, C(O)NHNOR 1 , C(O)NHSO 2 R 1 , C(NH)NH 2 , C(NH)NHR 1 , C(NH)N(R 1 ) 2  NHSO 2 NHR 1 , NHSO 2 N(CH 3 )R 1 , N(CH 3 )SO 2 N(CH 3 )R 1 , F, Cl, Br, I, CN, NO 2 , N 3 , OH, C(O)H, CHNOH, CH(NOCH 3 ), CF 3 , C(O)OH, C(O)NH 2  or C(O)OR 1A ; 
 B 1  is H, R 1 , OR 1 , SR 1 , S(O)R 1 , SO 2 R 1 , C(O)R 1 , C(O)OR 1 , OC(O)R 1 , NHR 1 , N(R 1 ) 2 , C(O)NHR 1 , C(O)N(R 1 ) 2 , NHC(O)R 1 , NR 1 C(O)R 1 , NHC(O)OR 1 , NR 1 C(O)OR 1 , NHC(O)NH 2 , NHC(O)NHR 1 , NHC(O)N(R 1 ) 2 , NR 1 C(O)NHR 1 , NR 1 C(O)N(R 1 ) 2 , SO 2 NH 2 , SO 2 NHR 1 , SO 2 N(R 1 ) 2 , NHSO 2 R 1 , NR 1 SO 2 R 1 , NHSO 2 NHR 1 , NHSO 2 N(R 1 ) 2 , NR 1 SO 2 NHR 1 , NR 1 SO 2 N(R 1 ) 2 , C(O)NHNOH, C(O)NHNOR 1 , C(O)NHSO 2 R 1 , C(NH)NH 2 , C(NH)NHR 1 , C(NH)N(R 1 ) 2  NHSO 2 NHR 1 , NHSO 2 N(CH 3 )R 1 , N(CH 3 )SO 2 N(CH 3 )R 1 , F, Cl, Br, I, CN, NO 2 , N 3 , OH, C(O)H, CHNOH, CH(NOCH 3 ), CF 3 , C(O)OH, C(O)NH 2  or C(O)OR 1A ; 
 D 1  is H, R 1 , OR 1 , SR 1 , S(O)R 1 , SO 2 R 1 , C(O)R 1 , C(O)OR 1 , OC(O)R 1 , NHR 1 , N(R 1 ) 2 , C(O)NHR 1 , C(O)N(R 1 ) 2 , NHC(O)R 1 , NR 1 C(O)R 1 , NHC(O)OR 1 , NR 1 (O)R 1 , NHC(O)NH 2 , NHC(O)NHR 1 , NHC(O)N(R 1 ) 2 , NR 1 C(O)NHR 1 , NR 1 C(O)N(R 1 ) 2 , SO 2 NH 2 , SO 2 NHR 1 , SO 2 N(R 1 ) 2 , NHSO 2 R 1 , NR 1 SO 2 R 1 , NHSO 2 NHR 1 , NHSO 2 N(R 1 ) 2 , NR 1 SO 2 NHR 1 , NR 1 SO 2 N(R 1 ) 2 , C(O)NHNOH, C(O)NHNOR 1 , C(O)NHSO 2 R 1 , C(NH)NH 2 , C(NH)NHR 1 , C(NH)N(R 1 ) 2  NHSO 2 NHR 1 , NHSO 2 N(CH 3 )R 1 ,N(CH 3 )SO 2 N(CH 3 )R 1 , F, Cl, Br, I, CN, NO 2 , N 3 , OH, C(O)H, CHNOH, CH(NOCH 3 ), CF 3 , C(O)OH, C(O)NH 2  or C(O)OR 1A ; 
 E 1  is H, R 1 , OR 1 , SR 1 , S(O)R 1 , SO 2 R 1 , C(O)R 1 , C(O)OR 1 , OC(O)R 1 , NHR 1 , N(R 1 ) 2 , C(O)NHR 1 , C(O)N(R 1 ) 2 , NHC(O)R 1 , NR 1 C(O)R 1 , NHC(O)OR 1 , NR 1 C(O)OR 1 , NHC(O)NH 2 , NHC(O)NHR 1 , NHC(O)N(R 1 ) 2 , NR 1 C(O)NHR 1 , NR 1 C(O)N(R 1 ) 2 , SO 2 NH 2 , SO 2 NHR 1 , SO 2 N(R 1 ) 2 , NHSO 2 R 1 , NR 1 SO 2 R 1 , NHSO 2 NHR 1 , NHSO 2 N(R 1 ) 2 , NR 1 SO 2 NHR 1 , NR 1 SO 2 N(R 1 ) 2 , C(O)NHNOH, C(O)NHNOR 1 , C(O)NHSO 2 R 1 , C(NH)NH 2 , C(NH)NHR 1 , C(NH)N(R 1 ) 2  NHSO 2 NHR 1 , NHSO 2 N(CH 3 )R 1 ,N(CH 3 )SO 2 N(CH 3 )R 1 , F, Cl, Br, I, CN, NO 2 ,N 3 , OH, C(O)H, CHNOH, CH(NOCH 3 ), CF 3 , C(O)OH, C(O)NH 2  or C(O)OR 1A ; and 
 Y 1  is H, CN, NO 2 , C(O)OH, F, Cl, Br, I, CF 3 , OCF 3 , CF 2 CF 3 , OCF 2 CF 3 , R 17 , OR 17 , C(O)R 17 , C(O)OR 17 , SR 17 , SO 2 R 17 , NH 2 , NHR 17 , N(R 17 ) 2 , NHC(O)R 17 , C(O)NH 2 , C(O)NHR 17 , C(O)N(R 17 ) 2 , NHS(O)R 17  or NHSO 2 R 17 ; or 
 E 1  and Y 1 , together with the atoms to which they are attached, are benzene, naphthylene, heteroarene cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; and 
 A 2 , B 1 , and D 1  are independently selected H, R 1 , OR 1 , SR 1 , S(O)R 1 , SO 2 R 1 , C(O)R 1 , C(O)OR 1 , OC(O)R 1 , NHR 1 , N(R 1 ) 2 , C(O)NHR 1 , C(O)N(R 1 ) 2 , NHC(O)R 1 , NR 1 C(O)R 1 , NHC(O)OR 1 , NR 1 C(O)OR 1 , NHC(O)NH 2 , NHO(O)NHR 1 , NHC(O)N(R 1 ) 2 , NR 1 C(O)NHR 1 , NR 1 C(O)N(R 1 ) 2 , SO 2 NH 2 , SO 2 NHR 1 , SO 2 N(R 1 ) 2 , NHSO 2 R 1 , NR 1 SO 2 R 1 , NHSO 2 NHR 1 , NHSO 2 N(R 1 ) 2 , NR 1 SO 2 NHR 1 , NR 1 SO 2 N(R 1 ) 2 , C(O)NHNOH, C(O)NHNOR 1 , C(O)NHSO 2 R 1 , C(NH)NH 2 , C(NH)NHR 1 , C(NH)N(R 1 ) 2  NHSO 2 NHR 1 , NHSO 2 N(CH 3 )R 1 , N(CH 3 )SO 2 N(CH 3 )R 1 , F, Cl, Br, I, CN, NO 2 , N 3 , OH, C(O)H, CHNOH, CH(NOCH 3 ), CF 3 , C(O)OH, C(O)NH 2  or C(O)OR 1A ; or 
 Y 1  and B 1 , together with the atoms to which they are attached, are benzene, naphthylene, heteroarene cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; and 
 A 2 , D 1 , and E 1  are independently selected H, R 1 , OR 1 , SR 1 , S(O)R 1 , SO 2 R 1 , C(O)R 1 , C(O)OR 1 , OC(O)R 1 , NHR 1 , N(R 1 ) 2 , C(O)NHR 1 , C(O)N(R 1 ) 2 , NHC(O)R 1 , NR 1 C(O)R 1 , NHC(O)OR 1 , NR 1 C(O)OR 1 , NHC(O)NH 2 , NHC(O)NHR 1 , NHC(O)N(R 1 ) 2 , NR 1 C(O)NHR 1 , NR 1 (O)N(R 1 ) 2 , SO 2 NH 2 , SO 2 NHR 1 , SO 2 N(R 1 ) 2 , NHSO 2 R 1 , NR 1 SO 2 R 1 , NHSO 2 NHR 1 , NHSO 2 N(R 1 ) 2 , NR 1 SO 2 NHR 1 , NR 1 SO 2 N(R 1 ) 2 , C(O)NHNOH, C(O)NHNOR 1 , C(O)NHSO 2 R 1 , C(NH)NH 2 , C(NH)NHR, C(NH)N(R 1 ) 2  NHSO 2 NHR 1 , NHSO 2 N(CH 3 )R 1 , N(CH 3 )SO 2 N(CH 3 )R 1 , F, Cl, Br, I, CN, NO 2 ,N 3 , OH, C(O)H, CHNOH, CH(NOCH 3 ), CF 3 , C(O)OH, C(O)NH 2  or C(O)OR 1A ; or 
 A 2  and B 1 , together with the atoms to which they are attached, are benzene, naphthylene, heteroarene cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; and 
 D 1 , E 1 , and Y 1  are independently selected H, R 1 , OR 1 , SR 1 , S(O)R 1 , SO 2 R 1 , C(O)R 1 , C(O)OR 1 , OC(O)R 1 , NHR 1 , N(R 1 ) 2 , C(O)NHR 1 , C(O)N(R 1 ) 2 , NHC(O)R 1 , NR 1 C(O)R 1 , NHCC(O)OR 1 , NR 1 C(O)OR 1 , NHC(O)NH 2 , NHC(O)NHR 1 , NHC(O)N(R 1 ) 2 , NR 1 C(O)NHR 1 , NR 1 C(O)N(R 1 ) 2 , SO 2 NH 2 , SO 2 NHR 1 , SO 2 N(R 1 ) 2 , NHSO 2 R 1 , NR 1 SO 2 R 1 , NHSO 2 NHR 1 , NHSO 2 N(R 1 ) 2 , NR 1 SO 2 NHR 1 , NR 1 SO 2 N(R 1 ) 2 , C(O)NHNOH, C(O)NHNOR 1 , C(O)NHSO 2 R 1 , C(NH)NH 2 , C(NH)NHR 1 , C(NH)N(R 1 ) 2  NHSO 2 NHR 1 , NHSO 2 N(CH 3 )R 1 , N(CH 3 )SO 2 N(CH 3 )R 1 , F, Cl, Br, I, CN, NO 2 , N 3 , OH, C(O)H, CHNOH, CH(NOCH 3 ), CF 3 , C(O)OH, C(O)NH 2  or C(O)OR 1A ; or 
 A 2  and D 1 , together with the atoms to which they are attached, are benzene, naphthalene, heteroarene, cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; and 
 B 1 , E 1 , and Y 1  are independently selected H, R 1 , OR 1 , SR 1 , S(O)R 1 , SO 2 R 1 , C(O)R 1 , C(O)OR 1 , OC(O)R 1 , NHR 1 , N(R 1 ) 2 , C(O)NHR 1 , C(O)N(R 1 ) 2 , NHC(O)R 1 , NR 1 C(O)R 1 , NHC(O)OR 1 , NR 1 C(O)OR 1 , NHC(O)NH 2 , NHC(O)NHR 1 , NHC(O)N(R 1 ) 2 , NR 1 C(O)NHR 1 , NR 1 C(O)N(R 1 ) 2 , SO 2 NH 2 , SO 2 NHR 1 , SO 2 N(R 1 ) 2 , NHSO 2 R 1 , NR 1 SO 2 R 1 , NHSO 2 NHR 1 , NHSO 2 N(R 1 ) 2 , NR 1 SO 2 NHR 1 , NR 1 SO 2 N(R 1 ) 2 , C(O)NHNOH, C(O)NHNOR 1 , C(O)NHSO 2 R 1 , C(NH)NH 2 , C(NH)NHR 1 , C(NH)N(R 1 ) 2 , NHSO 2 NHR 1 , NHSO 2 N(CH 3 )R 1 , N(CH 3 )SO 2 N(CH 3 )R 1 , F, Cl, Br, I, CN, NO 2 ,N 3 , OH, C(O)H, CHNOH, CH(NOCH 3 ), CF 3 , C(O)OH, C(O)NH 2 or C(O)OR 1A ; 
 R 1  is R 2 , R 3 , R 4  or R 5 ; 
 R 1A  is cycloalkyl, cycloalkenyl or cycloalkynyl; 
 R 2  is phenyl, which is unfused or fused with benzene, heteroarene or R 2A ; R 2A  is cycloalkane or heterocycloalkane; 
 R 3  is heteroaryl, which is unfused or fused with benzene, heteroarene or R 3A ; R 3A  is cycloalkane or heterocycloalkane; 
 R 4  is cycloalkyl, cycloalkenyl, heterocycloalkyl or heterocycloalkenyl, each of which is unfused or fused with benzene, heteroarene or R 4A ; R 4A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 5  is alkyl, alkenyl or alkynyl, each of which is unsubstituted or substituted with one or two or three of independently selected R 6 , NC(R 6A )(R 6B ), R 7 , OR 7 , SR 7 , S(O)R 7 , SO 2 R 7 , NHR 7 , N(R 7 ) 2 , C(O)R 7 , C(O)NH 2 ,C(O)NHR 7 , C(O)N(R 7 ) 2 , NHC(O)R 7 , NR 7 C(O)R 7 , NHSO 2 R 7 , NHC(O)OR 7 , SO 2 NH 2 , SO 2 NHR 7 , SO 2 N(R 7 ) 2 , NHC(O)NH 2 , NHC(O)NHR 7 , NHC(O)CH(CH 3 )NHC(O)CH(CH 3 )NH 2 , NHC(O)CH(CH 3 )NHC(O)CH(CH 3 )NHR 1 , OH, (O), C(O)OH, N 3 , CN, NH 2 , CF 3 , CF 2 CF 3 , F, Cl, Br or I; 
 R 6  is C 2 -C 5 -spiroalkyl, each of which is unsubstituted or substituted with OH, (O), N 3 , CN, CF 3 , CF 2 CF 3 , F, Cl, Br, I, NH 2 , NH(CH 3 ) or N(CH 3 ) 2 ; 
 R 6A  and R 6B  are independently selected alkyl or, together with the N to which they are attached, R 6C ; 
 R 6C  is aziridin-l-yl, azetidin-l-yl, pyrrolidin-l-yl or piperidin-l-yl, each having one CH 2  moiety unreplaced or replaced with O, C(O), CNOH, CNOCH 3 , S, S(O), SO 2  or NH; 
 R 7  is R 8 , R 9 , R 10  or R 11 ; 
 R 8  is phenyl, which is unfused or fused with benzene, heteroarene or R 8A ; R 8A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 9  is heteroaryl, which is unfused or fused with benzene, heteroarene or R 9A ; R 9A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 10  is cycloalkyl, cycloalkenyl, heterocycloalkyl or heterocycloalkenyl each of which is unfused or fused with benzene, heteroarene or R 10A ; R 10A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 11  is alkyl, alkenyl or alkynyl, each of which is unsubstituted or substituted with one or two or three of independently selected R 12 , OR 12 , SR 12 , S(O)R 12 , SO 2 R 12 , C(O)R 12 , CO(O)R 12 , OC(O)R 12 , OC(O)OR 12 , NH 2 , NHR 12 , N(R 12 ) 2 , NHC(O)R 12 , NR 12 C(O)R 12 , NHS(O) 2 R 12 , NR 12 S(O) 2 R 12 , NHC(O)OR 12 , NR 12 C(O)OR 12 , NHC(O)NH 2 , NHC(O)NHR 12 , NHC(O)N(R 12 ) 2 , NR 12 C(O)NHR 12 , NR 12 C(O)N(R 12 ) 2 , C(O)NH 2 , C(O)NHR 12 , C(O)N(R 12 ) 2 , C(O)NHOH, C(O)NHOR 12 , C(O)NHSO 2 R 12 , C(O)NR 12 SO 2 R 12 , SO 2 NH 2 , SO 2 NHR 12 , SO 2 N(R 12 ) 2 , C(O)H, C(O)OH, C(N)NH 2 , C(N)NHR 12 , C(N)N(R 12 ) 2 , CNOH, CNOCH 3 , OH, (O), CN, N 3 , NO 2 , CF 3 , CF 2 CF 3 , OCF 3 , OCF 2 CF 3 , F, Cl, Br or I; 
 R 12  is R 13 , R 14 , R 15  or R 16 ; 
 R 13 is phenyl, which is unfused or fused with benzene, heteroarene or R 13A ; R 13A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 14  is heteroaryl, which is unfused or fused with benzene, heteroarene or R 14A ; R 14A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 15  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene, each of which is unfused or fused with benzene, heteroarene or R 15A ; R 15A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 16  is alkyl, alkenyl or alkynyl; 
 R 17  is R 18 , R 19 , R 20  or R 21 ; 
 R 18  is phenyl, which is unfused or fused with benzene, heteroarene or R 18A ; R 18A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 19  is heteroaryl, which is unfused or fused with benzene, heteroarene or R 19A ; R 19A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 20  is cycloalkyl, cycloalkenyl, heterocycloalkyl or heterocycloalkenyl each of which is unfused or fused with benzene, heteroarene or R 20A ; R 20A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 21  is alkyl, alkenyl or alkynyl, each of which is unsubstituted or substituted with one or two or three of independently selected R 22 , OR 22 , SR 22 , S(O)R 22 , SO 2 R 22 , C(O)R 22 , CO(O)R 22 , OC(O)R 22 , OC(O)OR 22 , NH 2 , NHR 22 , N(R 22 ) 2 , NHC(O)R 22 , NR 22 C(O)R 22 , NHS(O) 2 R 22 , NR 22 S(O) 2 R 22 , NHC(O)OR 22 , NR 22 C(O)OR 22 , NHC(O)NH 2 , NHC(O)NHR 22 , NHC(O)N(R 22 ) 2 , NR 22 C(O)NHR 22 , NR 22 C(O)N(R 22 ) 2 , C(O)NH 2 , C(O)NHR 22 , C(O)N(R 22 ) 2 , C(O)NHOH, C(O)NHOR 22 , C(O)NHSO 2 R 22 , C(O)NR 22 SO 2 R 22 , SO 2 NH 2 , SO 2 NHR 22 , SO 2 N(R 22 ) 2 , C(O)H, C(O)OH, C(N)NH 2 , C(N)NHR 22 , C(N)N(R 22 ) 2 , CNOH, CNOCH 3 , OH, (O), CN, N 3 , NO 2 , CF 3 , CF 2 CF 3 , OCF 3 , OCF 2 CF 3 , F, Cl, Br or I; 
 R 22  is R 23 , R 24  or R 25 ; 
 R 23  is phenyl, which is unfused or fused with benzene, heteroarene or R 23A ; R 23A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 24  is heteroarene, which is unfused or fused with benzene, heteroarene or R 24A ; R 24A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 25  is cycloalkyl, cycloalkenyl, heterocycloalkyl or heterocycloalkenyl each of which is unfused or fused with benzene, heteroarene or R 25A ; R 25A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 Z 1  is R 26  or R 27 ; 
 Z 2  is R 28 , R 29  or R 30 ; 
 Z 1A  and Z 2A  are both absent or are taken together to form CH 2 , CH 2 CH 2  or Z 12A ; 
 Z 12A  is C 2 -C 6 -alkylene having one or two CH 2  moieties replaced by NH, N(CH 3 ), S, S(O) or SO 2 ; 
 L 1  is a R 37 , OR 37 , SR 37 , S(O)R 37 , SO 2 R 37 , C(O)R 37 , CO(O)R 37 , OC(O)R 37 , OC(O)OR 37 , NHR 37 , C(O)NH, C(O)NR 37 , C(O)NHOR 37 , C(O)NHSO 2 R 37 , SO 2 NH, SO 2 NHR 37 , C(N)NH, C(N)NHR 37 ; 
 R 26  is phenylene, which is unfused or fused with benzene or heteroarene or R 26A ; R 26A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 27  is heteroarylene, which is unfused or fused with benzene or heteroarene or R 27A ; R 27A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 28  is phenylene, which is unfused or fused with benzene, heteroarene or R 28A ; R 28A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 29  is heteroarylene, which is unfused or fused with benzene or heteroarene or R 29A ; R 29A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 30  is cycloalkylene, cycloalkenylene, heterocycloalkylene or heterocycloalkenylene, each of which is unfused or fused with benzene, heteroarene or R 30A ; R 30A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 37  is a bond or R 27A ; 
 R 37A  is alkylene, alkenylene, or alkynylene, each of which is unsubstituted or substituted with one or two or three independently selected R 37B , OR 37B , SR 37B , S(O)R 37B , SO 2 R 37B , C(O)R 37B , CO(O)R 37B , OC(O)R 37B , OC(O)OR 37B , NH 2 , NHR 37B , N(R 37B ) 2 , NHC(O)R 37B , NR 37B C(O)R 37B , NHS(O) 2 R 37B , NR 37B S(O) 2 R 37B , NHC(O)OR 37B , NR 37B C(O)OR 37B , NHC(O)NH 2 , NHC(O)NHR 37B , NHC(O)N(R 37B ) 2 , NR 37B C(O)NHR 37B , NR 37B C(O)N(R 37B ) 2 , C(O)NH 2 , C(O)NHR 37B , C(O)N(R 37B ) 2 , C(O)NHOH, C(O)NHOR 37B , C(O)NHSO 2 R 37B , C(O)NR 37B SO 2 R 37B , SO 2 NH 2 , SO 2 NHR 37B , SO 2 N(R 37B ) 2 , C(O)H, C(O)OH, C(N)NH 2 , C(N)NHR 37B , C(N)N(R 37B ) 2 , CNOH, CNOCH 3 ,OH, (O), CN, N 3 , NO 2 , CF 3 , CF 2 CF 3 , OCF 3 , OCF 2 CF 3 , F, Cl, Br and I substituents; 
 R 37B  is alkyl, alkenyl, alkynyl, phenyl, heteroaryl, cycloalkyl, cycloalkenyl, heterocycloalkyl, or heterocycloalkenyl; 
 Z 3  is R 38 , R 39  or R 40 ; 
 R 38  is phenyl, which is unfiised or fused with benzene, heteroarene or R 38A ; R 38A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 39  is heteroaryl, which is unfused or fused with benzene, heteroarene or R 39A ; R 39A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 40  is cycloalkyl, cycloalkenyl, heterocycloalkyl or heterocycloalkenyl, each of which is unfused or fused with benzene, heteroarene or R 40A ; R 40A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 wherein the moieties represented by  26  and R 27  are substituted (i.e., if Z 1A  and Z 2A  are absent) or further substituted (i.e., if Z 1A  and Z 2A  are present) with one or two or three or four of independently selected R 41 , OR 41 , SR 41 , S(O)R 41 , SO 2 R 41 , C(O)R 41 , CO(O)R 41 , OC(O)R 41 , OC(O)OR 41 , NH 2 , NHR 41 , N(R 41 ) 2 , NHC(O)R 41 , NR 41 C(O)R 41 , NHS(O) 2 R 41 , NR 41 S(O) 2 R 41 , NHC(O)OR 41 , NR 41 C(O)OR 41 , NHC(O)NH 2 , NHC(O)NHR 41 , NHC(O)N(R 41 ) 2 , NR 41 C(O)NHR 41 , NR 41 C(O)N(R 41 ) 2 , C(O)NH 2 , C(O)NHR 41 , C(O)N(R 41 ) 2 , C(O)NHOH, C(O)NHOR 41 , C(O)NHSO 2 R 41 , C(O)NR 41 SO 2 R 41 , SO 2 NH 2 , SO 2 NHR 41 , SO 2 N(R 41 ) 2 , C(O)H, C(O)OH, C(N)NH 2 , C(N)NHR 41 , C(N)N(R 41 ) 2 , CNOH, CNOCH 3 , OH, (O), CN, N 3 , NO 2 , CF 3 , CF 2 CF 3 , OCF 3 , OCF 2 CF 3 , F, Cl, Br or I; 
 R 41  is R 42 , R 43 , R 44  or R 45 ; 
 R 42  is phenyl, which is unfused or fused with benzene, heteroarene or R 42A ; R 42A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 43  is heteroaryl, which is unfused or fused with benzene, heteroarene or R 43A ; R 43A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 44  is cycloalkyl, cycloalkenyl, heterocycloalkyl or heterocycloalkenyl, each of which is unfused or fused with benzene, heteroarene or R 44A ; R 44A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 45  is alkyl, alkenyl or alkynyl, each of which is unsubstitutcd or substituted with one or two or three of independently selected R 46 , OR 46 , SR 46 , S(O)R 46 , SO 2 R 46 , C(O)R 46 , CO(O)R 46 , OC(O)R 46 , OC(O)OR 46 , NH 2 , NHR 46 , N(R 46 ) 2 , NHC(O)R 46 , NR 46 C(O)R 46 , NHS(O) 2 R 46 , NR 46 S(O) 2 R 46 , NHC(O)OR 46 , NR 46 C(O)OR 46 , NHC(O)NH 2 , NHC(O)NHR 46 , NHC(O)N(R 46 ) 2 , NR 46 C(O)NHR 46 , NR 46 C(O)N(R 46 ) 2 , C(O)NH 2 , C(O)NHR 46 , C(O)N(R 46 ) 2 , C(O)NHOH, C(O)NHOR 46 , C(O)NHSO 2 R 46 , C(O)NR 46 SO 2 R 46 , SO 2 NH 2 , SO 2 NHR 46 , SO 2 N(R 46 ) 2 , C(O)H, C(O)OH, C(N)NH 2 , C(N)NHR 4   46 , C(N)N(R 46 ) 2   2 , CNOH, CNOCH 3 , OH, (O), CN, N 3 , NO 2 , CF 3 , CF 2 CF 3 , OCF 3 , OCF 2 CF 3 , F, Cl, Br or I; 
 R 46  is alkyl, alkenyl, alkynyl, R 47 , R 48  or R 49 ; 
 R 47  is phenyl, which is unfased or fused with benzene, heteroarene or R 47A ; R 47A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 48  is heteroaryl, which is unfused or fused with benzene, heteroarene or R 48A ; R 48A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 49  is cycloalkyl, cycloalkenyl, heterocycloalkyl or heterocycloalkenyl, each of which is unfused or fused with benzene, heteroarene or R 49A ; R 49A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 wherein the moieties represented by R 42 , R 42A , R 43 , R 43A , R 44 , R 44A , R 47 , R 47A , R 48 , R 48A , R 49 , and R 49A  are independently substituted with one or two or three or four of independently selected R 50 , OR 50 , SR 50 , S(O)R 50 , SO 2 R 50 , C(O)R 50 , CO(O)R 50 , OC(O)R 50 , OC(O)OR 50 , NH 2 , NHR 50 , N(R 50 ) 2 , NHC(O)R 50 , NR 50 C(O)R 50 , NHS(O) 2 R 50 , NR 50 S(O) 2 R 50 , NHC(O)OR 50 , NR 50 C(O)OR 50 , NHC(O)NH 2 , NHC(O)NHR 50 , NHC(O)N(R 50 ) 2 , NR 50 C(O)NHR 50 , NR 50 C(O)N(R 50 ) 2 , C(O)NH 2 , C(O)NHR 50 , C(O)N(R 50 ) 2 , C(O)NHOH, C(O)NHOR 50 , C(O)NHSO 2 R 50 , C(O)NR 50 SO 2 R 50 , SO 2 NH 2 , SO 2 NHR 50 , SO 2 N(R 50 ) 2 , C(O)H, C(O)OH, C(N)NH 2 , C(N)NHR 50 , C(N)N(R 50 ) 2 , CNOH, CNOCH 3 , OH, (O), CN, N 3 , NO 2 , CF 3 , CF 2 CF 3 , OCF 3 , OCF 2 CF 3 , F, Cl, Br or I; 
 R 50  is R 51 , R 52 , R 53  or R 54 ; 
 R 51 is phenyl, which is unfused or fused with benzene, heteroarene or R 51A ; R 51A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 52  is heteroaryl, which is unfused or fused with benzene, heteroarene or R 52A ; R 52A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 53  is cycloalkyl, cycloalkenyl, heterocycloalkyl or heterocycloalkenyl, each of which is unfused or fused with benzene, heteroarene or R 53A ; R 53A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 54  is alkyl, alkenyl or alkynyl, each of which is unsubstituted or substituted with one or two or three of independently selected R 55 , OR 55 , SR 55 , S(O)R 55 , SO 2 R 55 , C(O)R 55 , CO(O)R 55 , OC(O)R 55 , OC(O)OR 55 , NH 2 , NHR 55 , N(R 55 ) 2 , NHC(O)R 55 , NR 55 C(O)R 55 , NHS(O) 2 R 55 , NR 55 S(O) 2 R 55 , NHC(O)OR 55 , NR 55 C(O)OR 55 , NHC(O)NH 2 , NHC(O)NHR 55 , NHC(O)N(R 55 ) 2 , NR 55 C(O)NHR 55 , NR 55 C(O)N(R 55 ) 2 , C(O)NH 2 , C(O)NHR 55 , C(O)N(R 55 ) 2 , C(O)NHOH, C(O)NHOR 55 , C(O)NHSO 2 R 55 , C(O)NR 55 SO 2 R 55 , SO 2 NH 2 , SO 2 NHR 55 , SO 2 N(R 55 ) 2 , C(O)H, C(O)OH, C(N)NH 2 , C(N)NHR 55 , C(N)N(R 55 ) 2 , CNOH, CNOCH 3 , OH, (O), CN, N 3 , NO 2 , CF 3 , CF 2 CF 3 , OCF 3 , OCF 2 CF 3 , F, Cl, Br or I; 
 R 55  is alkyl, alkenyl, alkynyl, phenyl, heteroaryl, cycloalkyl, cycloalkenyl, heterocycloalkyl or heterocycloalkenyl; and 
 wherein each foregoing cyclic moiety is independently unsubstituted, further unsubstituted, substituted or further substituted with one or two or three or four or five of independently selected R 57A , R 57 , OR 57 , SR 57 , S(O)R 57 , SO 2 R 57 , C(O)R 57 , CO(O)R 57 , OC(O)R 57 , OC(O)OR 57 , NH 2 , NHR 57 , N(R 57 ) 2 , NHC(O)R 57 , NR 57 C(O)R 57 , NHS(O) 2 R 57 , NR 57 S(O) 2 R 57 , NHC(O)OR 57 , NR 57 C(O)OR 57 , NHC(O)NH 2 , NHC(O)NHR 57 , NHC(O)N(R 57 ) 2  NR 57 C(O)NHR 57 , NR 57 C(O)N(R 57 ) 2 , C(O)NH 2 , C(O)NHR 57 , C(O)N(R 57 ) 2 , C(O)NHOH, C(O)NHOR 57 , C(O)NHSO 2 R 57 , C(O)NR 57 SO 2 R 57 , SO 2 NH 2 , SO 2 NHR 57 , SO 2 N(R 57 ) 2 , C(O)H, C(O)OH, C(N)NH 2 , C(N)NHR 57 , C(N)N(R 57 ) 2 , CNOH, CNOCH 3 , OH, (O), CN, N 3 , NO 2 , CF 3 , CF 2 CF 3 , OCF 3 , OCF 2 CF 3 , F, Cl, Br or I; 
 R 57A  is spirocyclyl; 
 R 57  is R 58 , R 59 , R 60  or R 61  ; 
 R 58  is phenyl, which is unfused or fused with benzene, heteroarene or R 58A ; R 58A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 59  is heteroaryl, which is unfused or fused with benzene, heteroarene or R 59A ; R 59A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 60  is cycloalkyl, cycloalkenyl, heterocycloalkyl or heterocycloalkenyl, each of which is unfused or fused with benzene, heteroarene or R 60A ; R 60A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 61  is alkyl, alkenyl or alkynyl, each of which is unsubstituted or substituted with one or two or three of independently selected R 62 , OR 62 , SR 62 , S(O)R 62 , SO 2 R 62 , C(O)R 62 , CO(O)R 62 , OC(O)R 62 , OC(O)O 62 , NH 2 , NHR 62 , N(R 62 ) 2 , NHC(O)R 62 , N 62 C(O)R 62 , NHS(O) 2 R 62 , N 62 S(O) 2 R 62 , NHC(O)OR 62 , N 62 C(O)OR 62 , NHC(O)NH 2 , NHC(O)NH 62 , NHC(O)N(R 62 ) 2 , N 62 C(O)NHR 62 , NR 62 C(O)N(R 62 ) 2 , C(O)NH 2 , C(O)NHR 62 , C(O)N(R 62 ) 2 , C(O)NH 0 H, C(O)NHOR 62 , CfOJNHSO 2 R 62 , C(O)NR 62 SO 2 R 62 , SO 2 NH 2 , SO 2 NHR 62 , SO 2 N(R 62 ) 2 , C(O)H, C(O)OH, C(N)NH 2 , C(N)NHR 62 , C(N)N(R 62 ) 2 , CNOH, CNOCH 3 , OH, (O), CN, N 3 , NO 2 , CF 3 , CF 2 CF 3 , OCF 3 , OCF 2 CF 3 , F, Cl, Br or I; 
 R 62  is R 63 , R 64 , R 65  or R 66 ; 
 R 63  is phenyl, which is unfused or fused with benzene, heteroarene or R 63A ; R 63A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 64  is heteroaryl, which is unfused or fused with benzene, heteroarene or R 64A ; R 64A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 65  is cycloalkyl, cycloalkenyl, heterocycloalkyl or heterocycloalkenyl, each of which is unfused or fused with benzene, heteroarene or R 65A ; R 65A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 66  is alkyl, alkenyl or alkenyl, each of which is unsubstituted or substituted with one or two or three of independently selected R 67 , OR 67 , SR 67 , S(O)R 67 , SO 2 R 67 , C(O)R 67 , CO(O)R 67 , OC(O)R 67 , OC(O)OR 67 , NH 2 , NHR 67 , N(R 67 ) 2 , NHC(O)R 67 , NR 67 C(O)R 67 , NHS(O) 2 R 67 , NR 67 S(O) 2 R 67 , NHC(O)OR 67 , NR 67 C(O)OR 67 , NHC(O)NH 2 , NHC(O)NHR 67 , NHC(O)N(R 67 ) 2 , NR 67 C(O)NHR 67 , NR 67 C(O)N(R 6   67 ) 2 , C(O)NH 2 , C(O)NHR 67 , C(O)N(R 67 ) 2 , C(O)NHOH, C(O)NHOR 67 , C(O)NHSO 2 R 67 , C(O)NR 67 SO 2 R 67 , SO 2 NH 2 , SO 2 NHR 67 , SO 2 N(R 67 ) 2 , C(O)H, C(O)OH, C(N)NH 2 , C(N)NHR 67 , C(N)N(R 67 ) 2 , CNOH, CNOCH 3 , OH, (O), CN, N 3 , NO 2 , CF 3 , CF 2 CF 3 , OCF 3 , OCF 2 CF 3 , F, Cl, Br or I substituents; 
 R 67  is alkyl, alkenyl, alkynyl, phenyl, heteroaryl, cycloalkyl, cycloalkenyl, heterocycloalkyl or heterocycloalkenyl; 
 wherein the moieties represented by R 57A , R 58 , R 59 , R 60 , R 63 , R 64 , R 65 , and R 67  are unsubstituted or substituted with one or two or three or four of independently selected R 68 , OR 68 , SR 68 , S(O)R 68 , SO 2 R 68 , C(O)R 68 , CO(O)R 68 ,OC(O)R 68 , OC(O)OR 68 , NH 2 , NHR 68 , N(R 68 ) 2 , NHC(O)R 68 , NR 68 C(O)R 68 , NHS(O) 2 R 68 , NR 68 S(O) 2 R 68 , NHC(O)OR 68 , NR 68 C(O)OR 68 , NHC(O)NH 2 , NHC(O)NHR 68 , NHCC(O)N(R 68 ) 2 , NR 68 C(O)NHR 68 , NR 68 C(O)N(R 68 ) 2 , C(O)NH 2 , C(O)NHR 68 , C(O)N(R 68 ) 2 , C(O)NHOH, C(O)NHOR 68 , C(O)NHSO 2 R 68 , C(O)NR 68 SO 2 R 68 , SO 2 NH 2 , SO 2 NHR 68 , SO 2 N(R 68 ) 2 , C(O)H, C(O)OH, C(N)NH 2 , C(N)NHR 68 , C(N)N(R 68 ) 2 , CNOH, CNOCH 3 , OH, (O), CN, N 3 , NO 2 , CF 3 , CF 2 CF 3 , OCF 3 , OCF 2 CF 3 , F, Cl, Br or I; 
 R 68  is R 6   69 , R 70 , R 71  or R 72 ; 
 R 69  is phenyl, which is unfused or fused with benzene, heteroarene or R 69A ; R 69A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 70  is heteroaryl, which is unfused or fused with benzene, heteroarene or R 70A  ; R 70A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 71  is cycloalkyl, cycloalkenyl, heterocycloalkyl or heterocycloalkenyl, each of which is unfused or fused with benzene, heteroarene or R 71A ; R 71A  is cycloalkane, cycloalkene, heterocycloalkane or heterocycloalkene; 
 R 72  is alkyl, alkenyl or alkenyl, each of which is unsubstituted or substituted with one or two or three of independently selected R 73 , OR 73 , SR 73 , S(O)R 73 , SO 2 R 73 , C(O)R 73 , CO(O)R 73 , OC(O)R 73 , OC(O)OR 73 , NH 2 , NHR 73 , N(R 73 ) 2 , NHC(O)R 73 , NR 73 C(O)R 73 , NHS(O) 2 R 73 , NR 73 S(O) 2 R 73 , NHC(O)OR 73 , NR 73 C(O)OR 73 , NHC(O)NH 2 , NHC(O)NHR 73 , NHC(O)N(R 73 ) 2 , NR 73 C(O)NHR 73 , NR 73 C(O)N(R 73 ) 2 , C(O)NH 2 , C(O)NHR 73 , C(O)N(R 73 ) 2 , C(O)NHOH, C(O)NHOR 73 , C(O)NHSO 2 R 73 , C(O)NR 73 SO 2 R 73 , SO 2 NH 2 , SO 2 NHR 73 , SO 2 N(R 73 ) 2 , C(O)H, C(O) 0 H, C(N)NH 2 , C(N)NHR 73 , C(N)N(R 73 ) 2 , CNOH, CNOCH 3 , OH, (O), CN, N 3 , NO 2 , CF 3 , CF 2 CF 3 , OCF 3 , OCF 2 CF 3 , F, Cl, Br or I; 
 R 73  is alkyl, alkenyl, alkenyl, phenyl, heteroaryl, cycloalkyl, cycloalkenyl, heterocycloalkyl or heterocycloalkenyl; and the moieties represented by R 69 , R 70  , and R 71  are unsubstituted or substituted with one or two or three or four of independently selected NH 2 , C(O)NH 2 , C(O)NHOH, SO 2 NH 2 , CF 3 , CF 2 CF 3 , C(O)H, C(O)OH, C(N)NH 2 , OH, (O), CN, N 3 , NO 2 , CF 3 , CF 2 CF 3 , OCF 3 , OCF 2 CF 3 , F, Cl, Br or I. 
 
     
     
         2 - 12 . (canceled)