Nlrp3 modulators

Abstract

This disclosure features chemical entities (e.g., a compound or a pharmaceutically acceptable salt, and/or hydrate, and/or cocrystal, and/or drug combination of the compound) that modulate (e.g., agonizes or partially agonizes) NLRP3 that are useful, e.g., for treating a condition, disease or disorder in which an increase in NLRP3 signaling may correct a deficiency in innate immune activity (e.g., a condition, disease or disorder associated with an insufficient immune response) that contributes to the pathology and/or symptoms and/or progression of the condition, disease or disorder (e.g., cancer) in a subject (e.g., a human). This disclosure also features compositions as well as other methods of using and making the same.

What is claimed is: 
     
         1 . A method of treating cancer, comprising administering to a subject in need of such treatment an effective amount of a compound of Formula (II): 
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof, wherein:
 R 1  is independently unsubstituted C 1-6  alkyl or C(═O)R a ; 
 R 2  is independently H or unsubstituted C 1-6  alkyl; 
 R 3  is: 
 (1) H; 
 (ii) unsubstituted C 1-2  alkyl; or 
 (iii) X—R 8 , wherein X is an unbranched C 1-6  alkylene, and R 8  is —OH, C 1-4  alkoxy, C 1-4  haloalkoxy, CO2R a , or —CONR c R d ; 
 R 4  is independently H or halo; 
 R 5  is independently selected from: 
 (i) C 3-6  cycloalkyl substituted with 0 to 2 R f ; 
 (ii) phenyl substituted with 0 to 3 R g ; 
 (iii) heteroaryl including from 5 to 6 ring atoms, wherein from 1 to 3 ring atoms are each independently selected from: N, NH, O, and S, wherein the heteroaryl is substituted with 0 to 3 R g ; 
 (iv) C 1-6  alkyl substituted with 0 to 2 R h ; and 
 (v) C 5-6  cycloalkenyl substituted with 0 to 2 R f ; 
 R a  is: 
 (i) C 1-6  alkyl substituted with 0 to 2 R h ; 
 (ii) —(C 0-3  alkylene)-C 3-6  cycloalkyl, wherein the cycloalkyl is substituted with 0 to 2 R f ; 
 (iii) —(C 1-3  alkylene)-heterocyclyl including from 5 to 6 ring atoms, wherein from 1 to 3 ring atoms are each independently selected from N(R e ), O, and S, wherein the heterocyclyl is substituted with 0 to 4 independently selected R f ; 
 (iv) —(C 0-3  alkylene)-phenyl substituted with 0 to 4 independently selected R g ; or 
 (v) —(C 0-3  alkylene)-heteroaryl including from 5 to 10 ring atoms, wherein from 1 to 4 ring atoms are each independently selected from N, N(R e ), O, and S, wherein the heteroaryl is substituted with 0 to 3 independently selected R g ; 
 each occurrence of R c  and R d  is independently H or C 1-4  alkyl; 
 each occurrence of R e  is independently H or C 1-4  alkyl; 
 each occurrence of R f  is independently C 1-6  alkyl, C 1-4  haloalkyl, —OH, F, Cl, C 1-4  alkoxy, C 1-4  haloalkoxy, or cyano; 
 each occurrence of R g  is independently halo, cyano, C 1-6  alkyl, C 1-4  haloalkyl, C 1-4  alkoxy, or C 1-4  haloalkoxy; and 
 each occurrence of R h  is independently —OH, F, C 1-4  alkoxy, C 1-4  haloalkoxy, or cyano. 
 
     
     
         2 . The method of  claim 1 , wherein the compound is of Formula (II) or a pharmaceutically acceptable salt thereof, wherein:
 R 2  is independently H or unsubstituted C 1-3  alkyl;   R 3  is H, unsubstituted C 1-2  alkyl, or X—R 8 , wherein X is an unbranched C 2-4  alkylene, and R 8  is CO 2 R a , or —CONR c R d ; and   R a  is H, C 1-4  alkyl substituted with 0 to 1-OH, C 3-6  cycloalkyl, phenyl, or heteroaryl including from 5 to 6 ring atoms, wherein from 1 to 4 ring atoms are each independently selected from N, N(R e ), O, and S.   
     
     
         3 . The method of  claim 2 , wherein the compound is of Formula (II) or a pharmaceutically acceptable salt thereof, wherein:
 R 2  is independently H, CH 3  or CH 2 CH 3 ,   R 3  is H, CH 3 , or —(CH 2 ) 3 C(═O)OCH 3 ;   R 5  is independently CH 3 , cyclopentyl, cyclopentenyl, phenyl, pyrazol-1-yl, or pyrazol-3-yl; and   R a  is H, CH 3 , CH 2 CH 3 , CH(CH 3 ) 2 , C(CH 3 ) 3 , cyclopropyl, or thiazolyl.   
     
     
         4 . The method of  claim 3 , wherein the compound is of Formula (II) or a pharmaceutically acceptable salt thereof, wherein:
 R 2  is independently H, CH 3  or CH 2 CH 3 ,   R 3  is H or CH 3 ;   R 5  is independently CH 3 , cyclopentyl, cyclopentenyl, phenyl, pyrazol-1-yl, or pyrazol-3-yl; and   R a  is CH 3 , CH 2 CH 3 , CH(CH 3 ) 2 , C(CH 3 ) 3 , or cyclopropyl.   
     
     
         5 . The method of  claim 1 , wherein the compound is of Formula (II) or a pharmaceutically acceptable salt thereof, wherein:
 R 1  is C(═O)R a ;   R 2  is independently H, CH 3  or CH 2 CH 3 ;   R 3  is independently H, CH 3 , CH 2 CH 3  or CH 2 CH 2 OH;   R 4  is H;   R 5  is independently cyclopentyl, cyclopentenyl, thienyl, pyrazol-1-yl, pyrazol-3-yl, pyrazol-5-yl or (phenyl substituted with 0-1 C 1-4  alkyl); and   R a  is CH 3 , CH 2 CH 3 , CH(CH 3 ) 2 , C(CH 3 ) 3 , —(CH) 2 CH(CH 3 ) 2 , cyclopropyl, 1-methyl-1H-pyrrol-2-yl, or (phenyl substituted with C 1-4  alkoxy or Cl).   
     
     
         6 . The method of  claim 1 , wherein the compound is of Formula (II) or a pharmaceutically acceptable salt thereof, wherein:
 R 1  is independently CH 3 , CH 2 CH 3 , CH(CH 3 ) 2 , or C(CH 3 ) 3 ;   R 2  is independently H, CH 3  or CH 2 CH 3 ;   R 3  is independently H, CH 3  or CH 2 CH 3 ;   R 4  is H; and   R 5  is independently pyrazol-1-yl, pyrazol-3-yl or pyrazol-5-yl.   
     
     
         7 . A method of treating cancer, comprising administering to a subject in need of such treatment an effective amount of a compound selected from: 
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof. 
     
     
         8 . The method of  claim 1 , wherein the cancer is selected from acute myeloid leukemia, adrenocortical carcinoma, Kaposi sarcoma, lymphoma, anal cancer, appendix cancer, teratoid/rhabdoid tumor, basal cell carcinoma, bile duct cancer, bladder cancer, bone cancer, brain cancer, breast cancer, bronchial tumor, carcinoid tumor, cardiac tumor, cervical cancer, chordoma, chronic lymphocytic leukemia, chronic myeloproliferative neoplasm, colon cancer, colorectal cancer, craniopharyngioma, endometrial cancer, ependymoma, esophageal cancer, esthesioneuroblastoma, Ewing sarcoma, eye cancer, fallopian tube cancer, gallbladder cancer, gastrointestinal carcinoid tumor, gastrointestinal stromal tumor, germ cell tumor, hairy cell leukemia, head and neck cancer, heart cancer, liver cancer, hypopharngeal cancer, pancreatic cancer, kidney cancer, laryngeal cancer, chronic myelogenous leukemia, lip and oral cavity cancer, lung cancer, melanoma, Merkel cell carcinoma, mesothelioma, mouth cancer, oral cancer, osteosarcoma, ovarian cancer, penile cancer, pharyngeal cancer, prostate cancer, rectal cancer, salivary gland cancer, skin cancer, small intestine cancer, soft tissue sarcoma, testicular cancer, throat cancer, thyroid cancer, urethral cancer, uterine cancer, vaginal cancer, and vulvar cancer. 
     
     
         9 . The method of  claim 1 , wherein the cancer is a refractory cancer. 
     
     
         10 . The method of  claim 1 , wherein the cancer is selected from breast cancer, colon cancer, rectal cancer, colorectal cancer, pancreatic cancer, and prostate cancer. 
     
     
         11 . The method of  claim 1 , wherein the cancer is selected from hormone receptor positive breast cancer, microsatellite stable colon or rectal cancer, pancreatic cancer and prostate cancer. 
     
     
         12 . The method of  claim 1 , wherein the compound is administered in combination with one or more additional cancer therapies. 
     
     
         13 . The method of  claim 12 , wherein the one or more additional cancer therapies comprise surgery, radiotherapy, chemotherapy, toxin therapy, immunotherapy, cryotherapy or gene therapy, or a combination thereof. 
     
     
         14 . The method of  claim 12 , wherein the additional cancer therapy comprises one or more agents selected from nivolumab, pembrolizumab, PDR001, MEDI-0680, cemiplimab, JS001, BGB-A317, INCSHR1210, TSR-042, GLS-010, AM-0001, STI-1110, AGEN2034, MGD013, IBI308, BMS-936559, atezolizumab, durvalumab, avelumab, STI-1014, CX-072, LY3300054, CK-301, urelumab, PF-05082566, MEDI6469, TRX518, varlilumab, CP-870893, BMS-986016, MGA271, lirilumab, IPH2201, emactuzumab, INCB024360, galunisertib, ulocuplumab, BKT140, Bavituximab, CC-90002, bevacizumab, MNRP1685A, ipilimumab, MK-1308, AGEN-1884, and tremelimumab. 
     
     
         15 . The method of  claim 12 , wherein the additional cancer therapy comprises one or more agents selected from nivolumab, ipilimumab, pembrolizumab, atezolizumab, durvalumab and avelumab. 
     
     
         16 . The method of  claim 1 , wherein the compound is administered intratumorally. 
     
     
         17 . The method of  claim 1 , wherein the compound is administered systemically. 
     
     
         18 . The method of  claim 1 , wherein the method further comprises identifying the subject. 
     
     
         19 . The method of  claim 1 , wherein the subject is a human.