Amino-pyrimidine skeletal muscle modulators

Abstract

Provided are compounds of Formula I: or a pharmaceutically acceptable salt thereof, wherein R 1 , R 2 , R 3 , R 4 , R 5 , R 6 , R 7 , R 8 , R 9 , X and m are as defined herein. Also provided is a pharmaceutically acceptable composition comprising a compound of Formula I, or a pharmaceutically acceptable salt thereof. Also provided are methods of using a compound of Formula I, or a pharmaceutically acceptable salt thereof.

1 - 43 . (canceled) 
     
     
         44 : A method for treating a disease or condition selected from the group consisting of neuromuscular disorders, conditions of muscle wasting, muscular myopathies, rehabilitation-related deficits, muscle atrophy and fatigue, metabolic syndrome, chronic fatigue syndrome, Amyotrophic Lateral Sclerosis (ALS), Spinal Muscular Atrophy (SMA), myasthenia gravis, peripheral vascular disease, peripheral arterial disease, chronic pulmonary obstructive disorder (COPD), heart failure, frailty, and obesity, comprising administering to a patient in need thereof a therapeutically effective amount of a compound of Formula I, or a pharmaceutically acceptable salt thereof, at a daily dose of 7 mg to 700 mg per day: 
       
         
           
           
               
               
           
         
         R 1  is selected from hydrogen, halogen, CN, C 1-6  alkyl, C 1-6  haloalkyl, C(O)OR a , C(O)NR b R c , OR a , NR b R c , C 6-10  aryl and 5-10 membered heteroaryl; 
         R 2  is selected from C 3-8  cycloalkyl, C 3-8  cycloalkenyl, 3-8 membered heterocycloalkyl, 3-8 membered heterocycloalkenyl, C 6-10  aryl, 5-10 membered heteroaryl and NR b R c , wherein each of the C 3-8  cycloalkyl, C 3-8  cycloalkenyl, 3-8 membered heterocycloalkyl, 3-8 membered heterocycloalkenyl, C 6-10  aryl and 5-10 membered heteroaryl groups is optionally substituted with 1, 2, 3, 4 or 5 substituents selected from halogen, CN, oxo, (CH 2 ) n OR a , (CH 2 )˜ OC(O)R a , (CH 2 ) n OC(O)OR a , (CH 2 ) n OC(O)NR b R c , (CH 2 ) n NR b R c , (CH 2 ) n NR d C(O)R a , (CH 2 ) n NR d C(O)OR a , (CH 2 ) n NR d C(O)NR b R c , (CH 2 ) n NR d C(O)C(O)NR b R c , (CH 2 ) n NR d C(S)R a , (CH 2 ) n NR d C(S)OR a , (CH 2 ) n NR d C(S)NR b R c , (CH 2 ) n NR d C(NR e )NR b R c , (CH 2 ) n NR d S(O)R a , (CH 2 ) n NR d SO 2 R a , (CH 2 ) n NR d SO 2 NR b R c , (CH 2 ) n C(O)R a , (CH 2 ) n C(O)OR a , (CH 2 ) n C(O)NR b R c , (CH 2 ) n C(S)R a , (CH 2 ) n C(S)OR a , (CH 2 ) n C(S)NR b R c , (CH 2 ) n C(NR e )NR b R c , (CH 2 ) n SR a , (CH 2 ) n S(O)R a , (CH 2 ) n SO 2 R a , (CH 2 ) n SO 2 NR b R c , C 1-6  alkyl, C 1-6  haloalkyl, C 2-6  alkenyl, C 2-6  alkynyl, (CH 2 ) n C 3-8  cycloalkyl, (CH 2 ) n 3-8 membered heterocycloalkyl, (CH 2 ) n C 6-10  aryl and (CH 2 ) n 5-10 membered heteroaryl, wherein each of the C 1-6  alkyl, C 2-6  alkenyl, C 2-6  alkynyl, (CH 2 ) n C 3-8  cycloalkyl, (CH 2 ) n 3-8 membered heterocycloalkyl, (CH 2 ) n C 6-10  aryl and (CH 2 ) n 5-10 membered heteroaryl groups is optionally substituted with 1, 2, 3, 4 or 5 R f  substituents; 
         R 3  is selected from hydrogen, halogen, CN, C 1-6  alkyl, C 1-6  haloalkyl, C(O)OR a , C(O)NR b R c , OR a , NR b R c , C 6-10  aryl and 5-10 membered heteroaryl; 
         R 4  is selected from hydrogen, C 1-6  alkyl, C 1-6  haloalkyl, C(O)R a , C(O)OR a , C(O)NR b R c  and SO 2 R a ; 
         R 5  and R 6  are each independently selected from hydrogen, halogen, C 1-6  alkyl and C 1-6  haloalkyl; 
         or alternatively, R 5  and R 6  together with the carbon atom to which they are bound form a group selected from C 3-8  cycloalkyl, C 3-8  cycloalkenyl, 3-8 membered heterocycloalkyl and 3-8 membered heterocycloalkenyl, each optionally substituted with 1, 2, 3, 4 or 5 substituents selected from halogen, CN, oxo, OR a , OC(O)R a , OC(O)OR a , NR b R c , C(O)R a , C(O)OR a , C(O)NR b R c , S(O)R a , SO 2 R a , SO 2 NR b R c , C 1-6  alkyl and C 1-6  haloalkyl; 
         R 7  is selected from C 3-8  cycloalkyl, C 3-8  cycloalkenyl, 3-8 membered heterocycloalkyl, 3-8 membered heterocycloalkenyl, C 6-10  aryl and 5-10 membered heteroaryl, each optionally substituted with 1, 2, 3, 4 or 5 substituents selected from halogen, CN, oxo, OR a , OC(O)R a , OC(O)OR a , OC(O)NR b R c , NR b R c , NR d C(O)R a , NR d C(O)OR a , NR d C(O)NR b R c , NR d C(O)C(O)NR b R c , NR d C(S)R a , NR d C(S)OR a , NR d C(S)NR b R c , NR d C(NR e )NR b R c , NR d S(O)R a , NR d SO 2 R a , NR d SO 2 NR b R c , C(O)R a , C(O)OR a , C(O)NR b R c , C(S)R a , C(S)OR a , C(S)NR b R c , C(NR e )NR b R c , SR a , S(O)R a , SO 2 R a , SO 2 NR b R c , C 1-6  alkyl, C 1-6  haloalkyl, C 2-6  alkenyl, C 2-6  alkynyl, C 3-8  cycloalkyl, C 3-8  cycloalkenyl, 3-8 membered heterocycloalkyl, 3-8 membered heterocycloalkenyl, C 6-10  aryl, C 7-11  aralkyl, and 5-10 membered heteroaryl, wherein each of the C 1-6  alkyl, C 2-6  alkenyl, C 2-6  alkynyl, C 3-8  cycloalkyl, C 3-8  cycloalkenyl, 3-8 membered heterocycloalkyl, 3-8 membered heterocycloalkenyl, C 6-10  aryl, C 7-11  aralkyl and 5-10 membered heteroaryl groups is optionally substituted with 1, 2, 3, 4 or 5 R f  substituents; 
         R 8  and R 9 , at each occurrence, are each independently selected from hydrogen, halogen and C 1-6  alkyl; 
         X is selected from a bond, —(CH 2 ) p —, —(CH 2 ) p C(O)(CH 2 ) q —, —(CH 2 ) p O(CH 2 ) q —, —(CH 2 ) p S(CH 2 ) q —, —(CH 2 ) p NR d (CH 2 ) q —, —(CH 2 ) p C(O)O(CH 2 ) q —, —(CH 2 ) p OC(O)(CH 2 ) q —, —(CH 2 ) p NR d C(O)(CH 2 ) q —, —(CH 2 ) p C(O)NR d (CH 2 ) q —, —(CH 2 ) p NR d C(O)NR d (CH 2 ) q —, —(CH 2 ) p NR d SO 2 (CH 2 ) q —, and —(CH 2 ) p SO 2 NR d (CH 2 ) q —; 
         or alternatively, X, R 2  and R 3 , together with the carbon atoms to which they are bound, form a 5-6 membered ring optionally containing one or more heteroatoms selected from oxygen nitrogen and sulfur, and optionally containing one or more double bonds, and optionally substituted with 1, 2, 3, 4 or 5 R f  substituents; 
         R a , at each occurrence, is independently selected from hydrogen, C 1-6  alkyl, C 1-6  haloalkyl, C 2-6  alkenyl, C 2-6  alkynyl, C 3-8  cycloalkyl, C 3-8  cycloalkenyl, 3-8 membered heterocycloalkyl, 3-8 membered heterocycloalkenyl, C 6-10  aryl, C 7-11  aralkyl and 5-10 membered heteroaryl, wherein each of the C 1-6  alkyl, C 2-6  alkenyl, C 2-6  alkynyl, C 3-8  cycloalkyl, C 3-8  cycloalkenyl, 3-8 membered heterocycloalkyl, 3-8 membered heterocycloalkenyl, C 6-10  aryl, C 7-11  aralkyl and 5-10 membered heteroaryl groups is optionally substituted with 1, 2, 3, 4 or 5 R f  substituents; 
         R b  and R c , at each occurrence, are each independently selected from hydrogen, C 1-6  alkyl, C 1-6  haloalkyl, C 2-6  alkenyl, C 2-6  alkynyl, C 3-8  cycloalkyl, C 3-8  cycloalkenyl, 3-8 membered heterocycloalkyl, 3-8 membered heterocycloalkenyl, C 6-10  aryl, C 7-11  aralkyl, 5-10 membered heteroaryl, C(O)R g , C(O)OR g , C(O)NR i R j  and SO 2 R g , wherein each of the C 1-6  alkyl, C 2-6  alkenyl, C 2-6  alkynyl, C 3-8  cycloalkyl, C 3-8  cycloalkenyl, 3-8 membered heterocycloalkyl, 3-8 membered heterocycloalkenyl, C 6-10  aryl, C 7-11  aralkyl and 5-10 membered heteroaryl groups is optionally substituted with 1, 2, 3, 4 or 5 R f  substituents; 
         R d , at each occurrence, is independently selected from hydrogen and C 1-6  alkyl; 
         R e , at each occurrence, is independently selected from hydrogen, CN, OH, C 1-6  alkoxy, C 1-6  alkyl and C 1-6  haloalkyl; 
         R f , at each occurrence, is independently selected from halogen, CN, OR h , OC(O)R h , OC(O)OR h , OC(O)NR i R j , NR i R j , NR d C(O)R h , NR d C(O)OR h , NR d C(O)NR i R j , NR d C(O)C(O)NR i R j , NR d C(S)R h , NR d C(S)OR h , NR d C(S)NR i R j , NR d C(NR e )NR i R j , NR d S(O)R h , NR d SO 2 R h , NR d SO 2 NR i R j , C(O)R h , C(O)OR h , C(O)NR i R j , C(S)R h , C(S)OR h , C(S)NR i R j , C(NR e )NR i R j , SR h , S(O)R h , SO 2 R h , SO 2 NR i R j , C 1-6  alkyl, C 1-6  haloalkyl, C 2-6  alkenyl, C 2-6  alkynyl, C 3-8  cycloalkyl, C 3-8  cycloalkenyl, 3-8 membered heterocycloalkyl, 3-8 membered heterocycloalkenyl, C 6-10  aryl, C 7-11  aralkyl and 5-10 membered heteroaryl, wherein each of the C 1-6  alkyl, C 2-6  alkenyl, C 2-6  alkynyl, C 3-8  cycloalkyl, C 3-8  cycloalkenyl, 3-8 membered heterocycloalkyl, 3-8 membered heterocycloalkenyl, C 6-10  aryl, C 7-11  aralkyl and 5-10 membered heteroaryl groups is optionally substituted with 1, 2, 3, 4 or 5 R k  substituents; 
         or two R f  substituents bound to a single carbon atom, together with the carbon atom to which they are both bound, form a group selected from carbonyl, C 3-8  cycloalkyl and 3-8 membered heterocycloalkyl; 
         R g , at each occurrence, is independently selected from C 1-6  alkyl, C 1-6  haloalkyl, phenyl, naphthyl, and C 7-11  aralkyl, each optionally substituted with 1, 2, 3, 4 or 5 substituents selected from halogen, CN, OH, C 1-6  alkoxy, C 1-6  alkyl and C 1-6  haloalkyl; 
         R h , at each occurrence, is independently selected from hydrogen, C 1-6  alkyl, C 1-6  haloalkyl, C 2-6  alkenyl, C 2-6  alkynyl, C 3-8  cycloalkyl, C 3-8  cycloalkenyl, 3-8 membered heterocycloalkyl, 3-8 membered heterocycloalkenyl, C 6-10  aryl, C 7-11  aralkyl and 5-10 membered heteroaryl, wherein each of the C 1-6  alkyl, C 2-6  alkenyl, C 2-6  alkynyl, C 3-8  cycloalkyl, C 3-8  cycloalkenyl, 3-8 membered heterocycloalkyl, 3-8 membered heterocycloalkenyl, C 6-10  aryl, C 7-11  aralkyl and 5-10 membered heteroaryl groups is optionally substituted with 1, 2, 3, 4 or 5 R k  substituents; 
         R i  and R j , at each occurrence, are each independently selected from hydrogen, C 1-6  alkyl, C 1-6  haloalkyl, C 2-6  alkenyl, C 2-6  alkynyl, C 3-8  cycloalkyl, C 3-8  cycloalkenyl, 3-8 membered heterocycloalkyl, 3-8 membered heterocycloalkenyl, C 6-10  aryl, C 7-11  aralkyl, 5-10 membered heteroaryl, C(O)R g , and C(O)OR g , wherein each of the C 1-6  alkyl, C 1-6  haloalkyl, C 2-6  alkenyl, C 2-6  alkynyl, C 3-8  cycloalkyl, C 3-8  cycloalkenyl, 3-8 membered heterocycloalkyl, 3-8 membered heterocycloalkenyl, C 6-10  aryl, C 7-11  aralkyl and 5-10 membered heteroaryl groups is optionally substituted with 1, 2, 3, 4 or 5 substituents selected from halogen, CN, OH, C 1-6  alkoxy, C 1-6  alkyl and C 1-6  haloalkyl; 
         R k , at each occurrence, is independently selected from halogen, CN, OH, C 1-6  alkoxy, NH 2 , NH(C 1-6  alkyl), N(C 1-6  alkyl) 2 , NHC(O)C 1-6  alkyl, NHC(O)C 7-11  aralkyl, NHC(O)OC 1-6  alkyl, NHC(O)OC 7-11  aralkyl, OC(O)C 1-6  alkyl, OC(O)C 7-11  aralkyl, OC(O)OC 1-6  alkyl, OC(O)OC 7-11  aralkyl, C(O)C 1-6  alkyl, C(O)C 7-11  aralkyl, C(O)OC 1-6  alkyl, C(O)OC 7-11  aralkyl, C 1-6  alkyl, C 1-6  haloalkyl, C 2-6  alkenyl, and C 2-6  alkynyl, wherein each C 1-6  alkyl, C 2-6  alkenyl, C 2-6  alkynyl, and C 7-11  aralkyl substituent is optionally substituted with 1, 2 or 3 substituents selected from OH, C 1-6  alkoxy, NH 2 , NH(C 1-6  alkyl), N(C 1-6  alkyl) 2 , NHC(O)C 1-6  alkyl, NHC(O)C 7-11  aralkyl, NHC(O)OC 1-6  alkyl, and NHC(O)OC 7-11  aralkyl; 
         or two R k  substituents bound to a single carbon atom, together with the carbon atom to which they are both bound, form a carbonyl group; 
         m is 0, 1 or 2; 
         n, at each occurrence, independently is 0, 1 or 2; 
         p is 0, 1 or 2; and 
         q is 0, 1 or 2. 
       
     
     
         45 : The method of  claim 44 , wherein m is 1. 
     
     
         46 : The method of  claim 45 , wherein R 8  and R 9  are each hydrogen. 
     
     
         47 : The method of  claim 44 , wherein R 5  and R 6  together with the carbon atom to which they are bound form a group selected from C 3-8  cycloalkyl, C 3-8  cycloalkenyl, 3-8 membered heterocycloalkyl and 3-8 membered heterocycloalkenyl, each optionally substituted with 1, 2, 3, 4 or 5 substituents selected from halogen, CN, oxo, OR a , OC(O)R a , OC(O)OR a , NR b R c , C(O)R a , C(O)OR a , C(O)NR b R c , S(O)R a , SO 2 R a , SO 2 NR b R c , C 1-6  alkyl and C 1-6  haloalkyl. 
     
     
         48 : The method of  claim 44 , wherein R 5  and R 6  together with the carbon atom to which they are bound form cyclobutyl optionally substituted with 1, 2, 3, 4 or 5 substituents selected from halogen, CN, oxo, OR a , OC(O)R a , OC(O)OR a , NR b R c , C(O)R a , C(O)OR a , C(O)NR b R c , S(O)R a , SO 2 R a , SO 2 NR b R c , C 1-6  alkyl and C 1-6  haloalkyl. 
     
     
         49 : The method of  claim 48 , wherein R 5  and R 6  together with the carbon atom to which they are bound form cyclobutyl optionally substituted with one or two halogens. 
     
     
         50 : The method of  claim 49 , wherein R 5  and R 6  together with the carbon atom to which they are bound form a group selected from cyclobutyl, 3-fluorocyclobutyl and 3,3-difluorocyclobutyl. 
     
     
         51 : The method of  claim 44 , wherein the compound is of Formula V(b), or a pharmaceutically acceptable salt thereof: 
       
         
           
           
               
               
           
         
       
       wherein R m  and R n  are each independently selected from hydrogen, halogen and C 1-6  alkyl. 
     
     
         52 : The method of  claim 51 , wherein one of R m  and R n  is hydrogen and the other is halogen. 
     
     
         53 : The method of  claim 52 , wherein the halogen and R 7  are in a trans configuration with respect to one another on the cyclobutyl ring. 
     
     
         54 : The method of  claim 52 , wherein one of R m  and R n  is hydrogen and the other is fluorine. 
     
     
         55 : The method of  claim 44 , wherein R 7  is 5-10 membered heteroaryl optionally substituted with 1, 2, 3, 4 or 5 substituents selected from halogen, CN, oxo, OR a , OC(O)R a , OC(O)OR a , OC(O)NR b R c , NR b R c , NR d C(O)R a , NR d C(O)OR a , NR d C(O)NR b R c , NR d C(O)C(O)NR b R c , NR d C(S)R a , NR d C(S)OR a , NR d C(S)NR b R c , NR d C(NR e )NR b R c , NR d S(O)R a , NR d SO 2 R a , NR d SO 2 NR b R c , C(O)R a , C(O)OR a , C(O)NR b R c , C(S)R a , C(S)OR a , C(S)NR b R c , C(NR e )NR b R c , SR a , S(O)R a , SO 2 R a , SO 2 NR b R c , C 1-6  alkyl, C 1-6  haloalkyl, C 2-6  alkenyl, C 2-6  alkynyl, C 3-8  cycloalkyl, C 3-8  cycloalkenyl, 3-8 membered heterocycloalkyl, 3-8 membered heterocycloalkenyl, C 6-10  aryl, C 7-11  aralkyl, and 5-10 membered heteroaryl, wherein each of the C 1-6  alkyl, C 2-6  alkenyl, C 2-6  alkynyl, C 3-8  cycloalkyl, C 3-8  cycloalkenyl, 3-8 membered heterocycloalkyl, 3-8 membered heterocycloalkenyl, C 6-10  aryl, C 7-11  aralkyl and 5-10 membered heteroaryl groups is optionally substituted with 1, 2, 3, 4 or 5 R f  substituents. 
     
     
         56 : The method of  claim 55 , wherein R 7  is 2-pyridyl optionally substituted with 1, 2, 3, 4 or 5 substituents selected from halogen, CN, oxo, OR a , OC(O)R a , OC(O)OR a , OC(O)NR b R c , NR b R c , NR d C(O)R a , NR d C(O)OR a , NR d C(O)NR b R c , NR d C(O)C(O)NR b R c , NR d C(S)R a , NR d C(S)OR a , NR d C(S)NR b R c , NR d C(NR e )NR b R c , NR d S(O)R a , NR d SO 2 R a , NR d SO 2 NR b R c , C(O)R a , C(O)OR a , C(O)NR b R c , C(S)R a , C(S)OR a , C(S)NR b R c , C(NR e )NR b R c , SR a , S(O)R a , SO 2 R a , SO 2 NR b R c , C 1-6  alkyl, C 1-6  haloalkyl, C 2-6  alkenyl, C 2-6  alkynyl, C 3-6  cycloalkyl, C 3-6  cycloalkenyl, 3-6 membered heterocycloalkyl, 3-6 membered heterocycloalkenyl, phenyl, naphthyl, C 7-11  aralkyl, and 5-10 membered heteroaryl, wherein each of the C 1-6  alkyl, C 2-6  alkenyl, C 2-6  alkynyl, C 3-8  cycloalkyl, C 3-8  cycloalkenyl, 3-8 membered heterocycloalkyl, 3-8 membered heterocycloalkenyl, C 6-10  aryl, C 7-11  aralkyl and 5-10 membered heteroaryl groups is optionally substituted with 1, 2, 3, 4 or 5 R f  substituents. 
     
     
         57 : The method of  claim 44 , wherein the compound is of Formula XII(a), or a pharmaceutically acceptable salt thereof: 
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof. 
     
     
         58 : The method of  claim 44 , wherein R 2  is 5-10 membered heteroaryl optionally substituted with 1, 2, 3, 4 or 5 substituents selected from halogen, CN, oxo, (CH 2 ) n OR a , (CH 2 ) n OC(O)R a , (CH 2 ) n OC(O)OR a , (CH 2 ) n OC(O)NR b R c , (CH 2 ) n NR b R c , (CH 2 ) n NR d C(O)R a , (CH 2 ) n NR d C(O)OR a , (CH 2 ) n NR d C(O)NR b R c , (CH 2 ) n NR d C(O)C(O)NR b R c , (CH 2 ) n NR d C(S)R a , (CH 2 ) n NR d C(S)OR a , (CH 2 ) n NR d C(S)NR b R c , (CH 2 ) n NR d C(NR e )NR b R c , (CH 2 ) n NR d S(O)R a , (CH 2 ) n NR d SO 2 R a , (CH 2 ) n NR d SO 2 NR b R c , (CH 2 ) n C(O)R a , (CH 2 ) n C(O)OR a , (CH 2 ) n C(O)NR b R c , (CH 2 ) n C(S)R a , (CH 2 ) n C(S)OR a , (CH 2 ) n C(S)NR b R c , (CH 2 ) n C(NR e )NR b R c , (CH 2 ) n SR a , (CH 2 ) n S(O)R a , (CH 2 ) n SO 2 R a , (CH 2 ) n SO 2 NR b R c , C 1-6  alkyl, C 1-6  haloalkyl, C 2-6  alkenyl, C 2-6  alkynyl, (CH 2 ) n C 3-8  cycloalkyl, (CH 2 ) n 3-8 membered heterocycloalkyl, (CH 2 ) n phenyl, (CH 2 ) n naphthyl and (CH 2 ) n 5-10 membered heteroaryl, wherein each of the C 1-6  alkyl, C 2-6  alkenyl, C 2-6  alkynyl, (CH 2 ) n C 3-8  cycloalkyl, (CH 2 ) n 3-8 membered heterocycloalkyl, (CH 2 ) n phenyl, (CH 2 ) n naphthyl and (CH 2 ) n 5-10 membered heteroaryl groups is optionally substituted with 1, 2, 3, 4 or 5 R f  substituents. 
     
     
         59 : The method of  claim 58 , wherein R 2  is selected from furanyl, pyrrolyl, thiophenyl, thiazolyl, isothiazolyl, thiadiazolyl, oxazolyl, isoxazolyl, oxadiazolyl, imidazolyl, triazolyl and tetrazolyl, each optionally substituted with (CH 2 ) n C(O)NR b R c . 
     
     
         60 : The method of  claim 44 , wherein R 1  is hydrogen. 
     
     
         61 : The method of  claim 44 , wherein R 3  is hydrogen. 
     
     
         62 : The method of  claim 44 , wherein R 4  is hydrogen. 
     
     
         63 : The method of  claim 44 , wherein the compound of Formula (I), or pharmaceutically acceptable salt thereof, is: 
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof. 
     
     
         64 : The method of  claim 63 , wherein the compound, or pharmaceutically acceptable salt thereof, is administered by oral administration. 
     
     
         65 : The method of  claim 63 , wherein the disease or condition is Amyotrophic Lateral Sclerosis (ALS). 
     
     
         66 : The method of  claim 63 , wherein the disease or condition is Spinal Muscular Atrophy (SMA). 
     
     
         67 : The method of  claim 63 , wherein the disease or condition is myasthenia gravis. 
     
     
         68 : The method of  claim 63 , wherein the disease or condition is peripheral vascular disease or peripheral arterial disease. 
     
     
         69 : The method of  claim 63 , wherein the disease or condition is chronic pulmonary obstructive disorder (COPD). 
     
     
         70 : The method of  claim 63 , wherein the disease or condition is heart failure. 
     
     
         71 : The method of  claim 63 , wherein the disease or condition is frailty. 
     
     
         72 : The method of  claim 63 , wherein the daily dose is 70 mg to about 700.0 mg per day. 
     
     
         73 : The method of  claim 63 , wherein the daily dose is 100 mg to about 700.0 mg per day.