WO2016146651A1 - Macrocyclic activin-like receptor kinase inhibitors - Google Patents

Macrocyclic activin-like receptor kinase inhibitors Download PDF

Info

Publication number
WO2016146651A1
WO2016146651A1 PCT/EP2016/055628 EP2016055628W WO2016146651A1 WO 2016146651 A1 WO2016146651 A1 WO 2016146651A1 EP 2016055628 W EP2016055628 W EP 2016055628W WO 2016146651 A1 WO2016146651 A1 WO 2016146651A1
Authority
WO
WIPO (PCT)
Prior art keywords
alkyl
het
halo
cycloalkyl
optionally
Prior art date
Application number
PCT/EP2016/055628
Other languages
French (fr)
Inventor
Jan Marie Cyriel Jozef Hoflack
Cyril BERTHET
Pascal André René BENDERITTER
Petra Marcella Françoise BLOM
Sylvie Gomez
Mourad DAOUBI
Original Assignee
Oncodesign Sa
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Oncodesign Sa filed Critical Oncodesign Sa
Publication of WO2016146651A1 publication Critical patent/WO2016146651A1/en

Links

Classifications

    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D487/00Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00
    • C07D487/12Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00 in which the condensed system contains three hetero rings
    • C07D487/18Bridged systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/519Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00Drugs for skeletal disorders
    • A61P19/08Drugs for skeletal disorders for bone diseases, e.g. rachitism, Paget's disease
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D498/00Heterocyclic compounds containing in the condensed system at least one hetero ring having nitrogen and oxygen atoms as the only ring hetero atoms
    • C07D498/12Heterocyclic compounds containing in the condensed system at least one hetero ring having nitrogen and oxygen atoms as the only ring hetero atoms in which the condensed system contains three hetero rings
    • C07D498/18Bridged systems

Definitions

  • the present invention relates to macrocyclic compounds and compositions containing said compounds acting as kinase inhibitors, in particular as inhibitors of Activin-like receptor kinases, more in particular ALK1 and/or ALK2 and/or mutants thereof, for use in the diagnosis, prevention and/or treatment of ALK1 -kinase and/or ALK2-kinase associated diseases.
  • the present invention provides methods of using said compounds, for instance as a medicine or diagnostic agent.
  • Bone morphogenetic proteins are multi-functional growth factors that belong to the Transforming Growth Factor beta (TGFbeta) superfamily.
  • TGFbeta Transforming Growth Factor beta
  • the BMP family regulates a wide range of crucial cell growth and differentiation events, including early embryonic patterning and morphogenesis, notably in bone/cartilage formation.
  • Studies from transgenic and knockout mice and from animals and humans with naturally occurring mutations in BMPs and related genes have shown that BMP signaling plays critical roles in heart, neural and cartilage development (Growth Factors (2004) 22: 233-241 ).
  • BMPs also play an important role in postnatal bone formation.
  • BMPs signal through serine/threonine kinase receptors, composed of type I and II subtypes.
  • Three type I receptors have been shown to bind BMP ligands, type IA and IB BMP receptors (BMPR-IA or ALK3 and BMPR-IB or ALK6) and type IA activin receptor (ActR-IA, ALK2 or ACVR1 ) (Mol. Cell. Biol.
  • Smadl , 5 and 8 are the immediate downstream molecules of BMP receptors and play a central role in BMP signal transduction. Smad-dependant transcription leads to induction of Hox proteins, known to be essential in embryonic tissue patterning and postnatal tissue homeostasis (Ann. NY Acad. Sci.
  • BMPs Many disorders have been linked to either the BMPs or the molecules functioning downstream of BMP signalling pathway, such as ALK1 and/or ALK2.
  • Fibrodysplasia Ossificans Progressiva also known as Myositis Ossificans Progressiva
  • FOP Fibrodysplasia Ossificans Progressiva
  • Myositis Ossificans Progressiva is a severely disabling heritable disorder of connective tissue characterized by progressive heterotopic ossification that forms qualitatively normal bone in characteristic extraskeletal sites.
  • the worldwide prevalence is approximately 1/2,000,000.
  • Heterotopic ossification in FOP begins in childhood and can be induced by trauma, or may occur without warning. Bone formation is episodic and transforms skeletal muscles, tendons, ligaments, fascia, and aponeuroses into heterotopic bone, rendering movement impossible (Orphanet J. Rare. Dis.
  • BMP signalling is also critical for both epithelial and endothelial cell plasticity in embryonic development and disease progression. Transformation of epithelial cells into mesenchymal cells (epithelial-mesenchymal transition or EMT) is a mechanism that regulates gastrulation, neural crest and somite dissociation, craniofacial development, wound healing, organ fibrosis, and tumour metastasis. Similarly, endothelial-mesenchymal transition (EndMT) is a critical aspect of endocardial cushion formation during cardiac development and recent studies have shown that EndMT plays an essential role in the tumour microenvironment by generating carcinoma- associated fibroblasts and may be an essential mediator of cancer progression.
  • EMT epithelial-mesenchymal transition
  • EndMT has been implicated in atherosclerosis, pulmonary hypertension, and wound healing.
  • Therapeutic strategies targeting BMP-signalling provide a perspective on pharmacological interventions to mitigate several disease conditions related to EMT or EndMT.
  • ALK2 protein in the BMP signalling pathway and in postnatal tissue homeostasis, in particular its major implication in FOP, it was therefore an object of the present invention to provide a potent, selective, small molecule inhibitor of ALK2.
  • anemia anemia of iron deficiency, anemia of chronic disease
  • cardiovascular disorders pulmonary/vascular/systemic hypertension, atherosclerosis, Rendu-Osler disease, primary pulmonary hypertension
  • cancer solid tumors, ovarian cancer, DIPG, lung cancer, prostate cancer, breast cancer, head and neck squamous cancer, hepatocellular carcinoma cancer, metastatic cancers
  • fibrosis immunology/stem cell differentiation (immune modulation propagation, engraftment and differentiation of progenitor cells, transplantation)
  • neurological disorders spinal cord injury, treatment of demyelination
  • inflammatory diseases characterized in increased BMP-signalling and/or dysregulated ALK1 /ALK2 kinase activities.
  • macrocyclic compounds described herein act as Activin-like receptor kinase inhibitors, more in particular as ALK1 and/or ALK2 kinase inhibitors, and are thus very useful in the prevention and/or treatment of ALK1 -kinase and/or ALK2-kinase associated diseases.
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or redrug, salt, hydrate, N-oxide form, or solvate thereof,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-nR 12 , -0-Ci_ 6 alkyl, and -S-Ci_ 6 alkyl;
  • R 2 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 4 is independently selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 17 R 18 , -C 3 . 6 cycloalkyl, -Ar 8 and -Het 4 ;
  • each of said -d- 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -C 3 . 6 cycloalkyl, -Ar- ⁇ , -Het 9 , and -NR23R24;
  • Rg R-io, R11, Ri 2 , Ri 3 , Ri 4 , Ri5.
  • R20. R21. R22. R23. R24. R25. R26. R27. R28. R29. R30.
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 51 and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_
  • R 42 is selected from -H, -OH, -halo, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 46 R 47 , -C 3 . 6 cycloalkyl, -Ar 9 and -Het 8 ;
  • R 43 is selected from -H -Ci_ 6 alkyl, and -C 3 . 6 cycloalkyl; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -O-C1- 6alkyl, -S-Ci_ 6 alkyl, -Het 5 , -C 3 . 6 cycloalkyl -Ar 4 , and -NR 44 R 45 ;
  • -Ci- 6 alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d- 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -phenyl and -NR 39 R4o;
  • Y is selected from a direct bond, -CHR 42 -, -0-, -S-, and -NR 43 -;
  • Ar- ⁇ , Ar 2 , Ar 3 , Ar 4 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 9 , Ar 10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar- ⁇ , Ar 2 , Ar 3 , Ar 4 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 9 , Ar 10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S- Ci- 6 alkyl, and -NR 19 R 20 ; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 -halo;
  • Z-i , Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n and n are each independently 1 , 2, 3, or 4;
  • an Activin-like receptor kinase associated disease selected from anemia-related disorders or disorders characterized by abnormal bone formation.
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-nR 12 , -0-Ci_ 6 alkyl, and -S-Ci_ 6 alkyl;
  • R 2 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, - Het 3 , -Ar 2 , and -NRi 3 Ri 4 ;
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -d- 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -C 3 . 6 cycloalkyl, -Het 2 , -Ar 3 , and -NR 15 R 16 ;
  • R 4 is independently selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 17 R 18 , -C 3 . 6 cycloalkyl, -Ar 8 and -Het 4 ;
  • each of said -d_ 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci. 6 alkyl, -S-Ci. 6 alkyl, -C 3 . 6 cycloalkyl, - ⁇ , -Het 9 , and -NR 23 R 24 ;
  • each of said -d_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-d_ 6 alkyl, -S-d_ 6 alkyl, -C 3 . 6 cycloalkyl, -Het 7 , -Ar 5 and -NR 51 R 52 ;
  • R51 and R 52 are each independently selected from -H, -halo, -OH, -d_ 6 alkyl, -0-d_ 6 alkyl, -S-Ci_
  • R 43 is selected from -H -d_ 6 alkyl, and -C 3 . 6 cycloalkyl; wherein each of said -d. 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -O-C1-
  • 6 alkyl-, -(C 0)- NR 3 -Ci_ 6 alkyl-, -0-Ci. 6 alkyl-0-Ci. 6 alkyl- and -Ci. 6 alkyl-NR 3 -Ci.
  • each of said -Ci_ 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci. 6 alkyl, -S-Ci. 6 alkyl, -phenyl, and -NR 37 R 38 ;
  • Y is -NR 43 -;
  • Ar- ⁇ , Ar 2 , Ar 3 , Ar 4 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar- ⁇ , Ar 2 , Ar 3 , Ar 4 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-
  • Ci- 6 alkyl, and -NR 19 R 20 wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 -halo;
  • Z-i , Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n and n are each independently 1 , 2, 3, or 4;
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-nR 12 , -0-Ci_ 6 alkyl, and -S-Ci_ 6 alkyl;
  • R 2 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -d- 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, - Het 3 , -Ar 2 , and -NRi 3 R M ;
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 4 is independently selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 17 R 18 ,
  • Rg Rio, Rl 1 , Rl 2 , Rl 3 , Rl4, Rl5, Rl6, l > l8> Rl9> R20, 3 ⁇ 41 > R ⁇ 2, R ⁇ 5, R ⁇ 6, R ⁇ 7, R28, R ⁇ 9, R30, 3I > R32,
  • R 51 and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6alkyl, -C 3 . 6 cycloalkyl, -Ar 10 and -Het 10 ;
  • R 43 is selected from -H -Ci_ 6 alkyl, and -C 3 . 6 cycloalkyl; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6alkyl, -S-Ci_ 6 alkyl, -Het 5 , -C 3 . 6 cycloalkyl -Ar 4 , and -NR44R45;
  • A is selected from -(CH 2 ) n -Y-(CH 2 ) m -, -NR 6 -;
  • -Ci- 6 alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d- 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -phenyl and -NR 39 R4o;
  • Ar 2 , Ar 3 , Ar 4 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said
  • Ar 2 , Ar 3 , Ar 4 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, and - NR 19 R 20 ; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 -halo;
  • Z-i, Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n and n are each independently 1 , 2, 3, or 4;
  • an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation.
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-nR 12 , -0-Ci_ 6 alkyl, and -S-Ci_ 6 alkyl;
  • R 2 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, - Het 3 , -Ar 2 , and -NRi 3 Ri 4 ;
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -d- 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -C 3 . 6 cycloalkyl, -Het 2 , -Ar 3 , and -NR 15 R 16 ;
  • R 4 is independently selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 17 R 18 , -C 3 . 6 cycloalkyl, -Ar 8 and -Het 4 ;
  • R 51 and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_
  • A is selected from -NR 6 -;
  • Ar 2 , Ar 3 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar 2 , Ar 3 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d- 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, and - NR 19 R 2 o; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 -halo;
  • Z-i , Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n and n are each independently 1 , 2, 3, or 4;
  • an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation.
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein
  • R 2 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, - Het 3 , -Ar 2 , and -NRi 3 R M ;
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -C 3 . 6 cycloalkyl, -Het 2 , -Ar 3 , and -NR 15 R 16 ;
  • R 4 is independently selected from -halo, -OH, -d- 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 17 R 18 ,
  • R 6 is selected from -Ci_ 6 alkyl, -S0 2 , -S0 2 -Ci. 6 alkyl, -S0 2 -C 3 . 6 cycloalkyl, -Het 6 , -Ar 6 , and -C 3 .
  • Rg R10, R11 , Rl 2 , R"
  • R 51 and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6alkyl, -C 3 . 6 cycloalkyl, -Ar 10 and -Het 10 ;
  • R 43 is selected from -H -Ci_ 6 alkyl, and -C 3 . 6 cycloalkyl; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6alkyl, -S-Ci_ 6 alkyl, -Het 5 , -C 3 . 6 cycloalkyl -Ar 4 , and -NR44R45;
  • A is selected from -(CH 2 ) n -Y-(CH 2 ) m -, -NR 6 -;
  • Y is -NR 43 -;
  • Ar 2 , Ar 3 , Ar 4 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar 2 , Ar 3 , Ar 4 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -C-i_ 6 alkyl, -0-C-i_ 6 alkyl, -S-C-i_ 6 alkyl, and - NR 19 R 20 ; wherein each of said -C-i_ 6 alkyl is optionally and independently substituted with from 1 to 3 -halo;
  • Z-i , Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n and n are each independently 1 , 2, 3, or 4;
  • an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation.
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-n R 12 , -0-Ci_ 6 alkyl, and -S-Ci_ 6 alkyl;
  • R 2 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, - Het 3 , -Ar 2 , and -NRi 3 R M ;
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 4 is independently selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 17 R 18 ,
  • 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci. 6 alkyl, -S-Ci. 6 alkyl, -C 3 . 6 cycloalkyl, - ⁇ , -Het 9 , and -NR 23 R 2 ;
  • Rg R10, R11 , R12, Rl3, Rl4, Rl5, Rl6, Rl > Rl8, Rl9, R20, R ⁇ 1 , R ⁇ 2, R ⁇ 3, R ⁇ 4, R ⁇ 7, R2 8 , R ⁇ 9, R30, R37, R3 8 ,
  • R 51 and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6alkyl, -C 3 . 6 cycloalkyl, -Ar 10 and -Het 10 ;
  • Ar- ⁇ , Ar 2 , Ar 3 , Ar 5 , Ar 7 , Ar 8 , and Ar 10 are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar- ⁇ , Ar 2 , Ar 3 , Ar 5 , Ar 7 , Ar 8 , and Ar 10 being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, and -NR 19 R 20 ; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 - halo;
  • Z-i , Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n and n are each independently 1 , 2, 3, or 4;
  • an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation.
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein
  • a 2 is C, and A-i is N;
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-nR 12 , -0-Ci_ 6 alkyl, and -S-Ci_ 6 alkyl;
  • R 2 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, - Het 3 , -Ar 2 , and -NR 13 R 14 ;
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 4 is independently selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 17 R 18 , -C 3 . 6 cycloalkyl, -Ar 8 and -Het 4 ;
  • each of said -d_ 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci. 6 alkyl, -S-Ci. 6 alkyl, -C 3 . 6 cycloalkyl, - ⁇ , -Het 9 , and -NR 23 R 2 ;
  • R 51 and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_
  • Xi is -Ci- 6 alkyl-NR 3 -Ci- 6 alkyl-; wherein each of said -Ci_ 6 alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S- Ci- 6 alkyl, -phenyl, and -NR 37 R 38 ;
  • Z-i, Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n and n are each independently 1 , 2, 3, or 4;
  • an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation.
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -NR-nR 12 , and -S-Ci_ 6 alkyl;
  • R 2 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, - Het 3 , -Ar 2 , and -NRi 3 Ri 4 ;
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -d- 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -C 3 . 6 cycloalkyl, -Het 2 , -Ar 3 , and -NR 15 R 16 ;
  • R 4 is independently selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 17 R 18 , -C 3 . 6 cycloalkyl, -Ar 8 and -Het 4 ;
  • Rg Rio, Rl 1 , Rl 2 , Rl 3 , Rl4.
  • R 51 and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_
  • A is -NR 6 -;
  • Ar 2 , Ar 3 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar 2 , Ar 3 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d- 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, and - NR 19 R 2 o; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 -halo;
  • Z-i , Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n and n are each independently 1 , 2, 3, or 4;
  • an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, and myel in-related disorders.
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-nR 12 , -0-Ci_ 6 alkyl, and -S-Ci_ 6 alkyl;
  • R 2 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 4 is independently selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 17 R 18 , -C 3 . 6 cycloalkyl, -Ar 8 and -Het 4 ; R 5 is selected from -H, -OH, -halo, -d- 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -Het 9 , -Ar- ⁇ , -C 3 .
  • R 51 and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_
  • Xi is -Ci- 6 alkyl-NR 3 -Ci- 6 alkyl-; wherein each of said -Ci_ 6 alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S- Ci_ 6 alkyl, -phenyl, and -NR 37 R 38 ;
  • Ar- ⁇ , Ar 2 , Ar 3 , Ar 5 , Ar 7 , Ar 8 , and Ar 10 are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar- ⁇ , Ar 2 , Ar 3 , Ar 5 , Ar 7 , Ar 8 , and Ar 10 being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, and -NR 19 R 20 ; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 - halo;
  • Z-i , Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n and n are each independently 1 , 2, 3, or 4;
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein
  • R 2 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, - Het 3 , -Ar 2 , and -NRi 3 R M ;
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -C 3 . 6 cycloalkyl, -Het 2 , -Ar 3 , and -NR 15 R 16 ;
  • R 4 is independently selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -C 3 . 6 cycloalkyl, - Ar 8 and -Het 4 ;
  • R 5 i and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6alkyl, -C 3 . 6 cycloalkyl, -Ar 10 and -Het 10 ;
  • A is -NR 6 -;
  • 6 alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci. 6 alkyl, -0-Ci. 6 alkyl, -S-Ci. 6 alkyl, -phenyl, and -NR 37 R 38 ;
  • -Ci- 6 alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -phenyl and -NR 39 R 40 ;
  • Ar 2 , Ar 3 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar 2 , Ar 3 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -C-i_ 6 alkyl, -0-C-i_ 6 alkyl, -S-C-i_ 6 alkyl, and - NR 19 R 20 ; wherein each of said -C-i_ 6 alkyl is optionally and independently substituted with from 1 to 3 -halo;
  • Het-i , Het 2 , Het 3 , Het 4 , Het 6 , Het 7 , Het 10 , and Het 12 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said
  • Z-i , Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n and n are each independently 1 , 2, 3, or 4.
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-n R 12 , -0-Ci_ 6 alkyl, and -S-Ci_ 6 alkyl;
  • R 2 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, - Het 3 , -Ar 2 , and -NR 13 R 14 ;
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 4 is independently selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 17 R 18 ,
  • each of said -d_ 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci. 6 alkyl, -S-Ci. 6 alkyl, -C 3 . 6 cycloalkyl, - ⁇ , -Het 9 , and -NR 23 R 2 ;
  • R 51 and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6alkyl, -C 3 . 6 cycloalkyl, -Ar 10 and -Het 10 ;
  • Xi is -Ci- 6 alkyl-NR 3 -Ci- 6 alkyl-; wherein each of said -Ci_ 6 alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S- Ci- 6 alkyl, -phenyl, and -NR 37 R 38 ;
  • 6 alkyl-, -(C 0)- NR 2 -Ci_ 6 alkyl-, -0-Ci. 6 alkyl-0-Ci. 6 alkyl- and -Ci. 6 alkyl-NR 2 -Ci.
  • each of said -Ci- 6 alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -phenyl and -NR39R40;
  • Ar- ⁇ , Ar 2 , Ar 3 , Ar 5 , Ar 7 , Ar 8 , and Ar 10 are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar- ⁇ , Ar 2 , Ar 3 , Ar 5 , Ar 7 , Ar 8 , and Ar 10 being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, and -NR 19 R 20 ; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 - halo;
  • Z-i , Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n are each independently 1 , 2, 3, or 4.
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein
  • R-i and R 41 are not simultaneously -H
  • R 2 is selected from -H, -halo, -OH, -C 1-6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -d- 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 4 is independently selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -C 3 . 6 cycloalkyl, - Ar 8 and -Het 4 ;
  • each of said - Ci- 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci. 6 alkyl, -S-Ci. 6 alkyl, -C 3 . 6 cycloalkyl, -Het 7 , -Ar 5 and -NR 51 R 52 ;
  • R51 and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6alkyl, -C 3 . 6 cycloalkyl, -Ar 10 and -Het 10 ;
  • A is -NR 6 -;
  • 6 alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci. 6 alkyl, -0-Ci. 6 alkyl, -S-Ci. 6 alkyl, -phenyl, and -NR 37 R 38 ;
  • Ar 2 , Ar 3 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar 2 , Ar 3 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, and - NR 19 R 2 o; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 -halo;
  • Het- ⁇ , Het 2 , Het 3 , Het 4 , Het 6 , Het 7 , Het 10 , and Het 12 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said
  • Z-i , Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n and n are each independently 1 , 2, 3, or 4;
  • an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, myelin-related disorders, neurological disorders and cancer.
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-n R 12 , -0-Ci_ 6 alkyl, and -S-Ci_ 6 alkyl;
  • R 2 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, - Het 3 , -Ar 2 , and -NRi 3 R M ;
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 4 is independently selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 17 R 18 , -C 3 . 6 cycloalkyl, -Ar 8 and -Het 4 ;
  • each of said -d_ 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci. 6 alkyl, -S-Ci. 6 alkyl, -C 3 . 6 cycloalkyl, - ⁇ , -Het 9 , and -NR 23 R 24 ;
  • R 51 and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_
  • Xi is -Ci. 6 alkyl-NR 3 -Ci. 6 alkyl-; wherein each of said -Ci_ 6 alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-
  • -d_ 6 alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d_ 6 alkyl, -0-d_ 6 alkyl, -S-d_ 6 alkyl, -phenyl and -NR 39 R 40 ;
  • Ar- ⁇ , Ar 2 , Ar 3 , Ar 5 , Ar 7 , Ar 8 , and Ar 10 are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar- ⁇ , Ar 2 , Ar 3 , Ar 5 , Ar 7 , Ar 8 , and Ar 10 being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d_ 6 alkyl, -0-d_ 6 alkyl, -S-d_ 6 alkyl, and -NR 19 R 20 ; wherein each of said -d_ 6 alkyl is optionally and independently substituted with from 1 to 3 - halo;
  • Het- ⁇ , Het 2 , Het 3 , Het 4 , Het 7 , Het 9 , and Het 10 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said
  • Z-i , Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N; and m and n are each independently 1 , 2, 3, or 4;
  • an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, and myelin-related disorders, neurological disorders and cancer.
  • the present invention provides a compound selected from the list comprising:
  • the present invention provides a compound selected from the list comprising:
  • the present invention provides a compound according to the present invention for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease; wherein the pyrazolopyrimidine or the imidazopyridazine moiety is linked to the aryl or heteroaryl moiety at position Z 4 or Z 5 , in accordance with the numbering as provided in Formula I.
  • the present invention provides a compound according to the present invention for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease; wherein R-i is linked to the aryl or heteroaryl moiety at position Z-i , Z 2 or Z 3 , in accordance with the numbering as provided in Formula I.
  • the present invention further provides a pharmaceutical composition for use in the prevention and/or treatment of an ALK1 or ALK2-kinase associated disease comprising a compound according to this invention.
  • the present invention provides the use of a compound or composition according to this invention, suitable for inhibiting the activity of a kinase; in particular an Activin-like receptor kinase, more in particular and ALK1 or ALK2 kinase; or for the diagnosis, prevention and/or treatment of an ALK1 or ALK2-kinase associated disease.
  • the present invention provides a method for prevention and/or treatment of an ALK1 or ALK2-kinase associated disease; said method comprising administering to a subject in need thereof a compound or a composition according to the present invention.
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-nR 12 , -0-Ci_ 6 alkyl, and -S-Ci_ 6 alkyl;
  • R 2 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, - Het 3 , -Ar 2 , and -NRi 3 R M ;
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 4 is independently selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 17 R 18 ,
  • R 5 and R 7 are each independently selected from -H, -OH, -halo, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • Rg R-io, Rii, Ri 2 , Ri 3 , R"i 4 , Ri5. Ri6. Ri7. Ri8. Ri9.
  • R20 R21. R22. R23. R24. R25. R26. R27. R28. R29. R30.
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 51 and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_
  • R 42 is selected from -H, -OH, -halo, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 46 R 47 , -C 3 . 6 cycloalkyl,
  • R 43 is selected from -H -Ci_ 6 alkyl, and -C 3 . 6 cycloalkyl; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -O-C1- 6alkyl, -S-Ci_ 6 alkyl, -Het 5 , -C 3 . 6 cycloalkyl -Ar 4 , and -NR 44 R 45 ;
  • 6 alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci. 6 alkyl, -0-Ci. 6 alkyl, -S-Ci. 6 alkyl, -phenyl, and -NR 37 R 38 ;
  • -Ci- 6 alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -phenyl and -NR 39 R 40 ;
  • Y is selected from a direct bond, -CHR 42 -, -0-, -S-, and -NR 43 -;
  • Ar- ⁇ , Ar 2 , Ar 3 , Ar 4 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 9 , Ar 10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar-i, Ar 2 , Ar 3 , Ar 4 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 9 , Ar 10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d- 6 alkyl, -0-Ci_ 6 alkyl, -S- Ci- 6 alkyl, and -NR 19 R 2 o; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 -halo;
  • Z-i, Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n and n are each independently 1 , 2, 3, or 4;
  • an Activin-like receptor kinase associated disease selected from anemia-related disorders or disorders characterized by abnormal bone formation.
  • radicals can be read both ways.
  • A is such as the right part of the possible values of A (i.e.
  • X-i is such as the right part of the possible values of X-i (i.e.
  • X 2 is such as the left part of the possible values of X 2 (i.e.
  • X 2 is such as the right part of the possible values of X 2 (i.e.
  • alkyl by itself or as part of another substituent refers to fully saturated hydrocarbon radicals.
  • alkyl groups of this invention comprise from 1 to 6 carbon atoms.
  • Alkyl groups may be linear or branched and may be substituted as indicated herein.
  • the subscript refers to the number of carbon atoms that the named group may contain.
  • d- 6 alkyl means an alkyl of one to six carbon atoms.
  • alkyl groups are methyl, ethyl, n-propyl, i-propyl, butyl, and its isomers (e.g.
  • C C6 alkyl includes all linear, branched, or cyclic alkyl groups with between 1 and 6 carbon atoms, and thus includes methyl, ethyl, n-propyl, i-propyl, butyl and its isomers (e.g. n-butyl, i-butyl and t-butyl); pentyl and its isomers, hexyl and its isomers, cyclopropyl, cyclobutyl, cyclopentyl, and cyclohexyl.
  • optionally substituted alkyl refers to an alkyl group optionally substituted with one or more substituents (for example 1 to 3 substituents, for example 1 , 2 or 3 substituents or 1 to 2 substituents) at any available point of attachment.
  • substituents include -halo, -OH, primary and secondary amides, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, heteroaryl, aryl, and the like.
  • cycloalkyl by itself or as part of another substituent is a cyclic alkyl group, that is to say, a monovalent, saturated, or unsaturated hydrocarbyl group having a cyclic structure.
  • Cycloalkyl includes all saturated or partially saturated (containing 1 or 2 double bonds) hydrocarbon groups having a cyclic structure. Cycloalkyl groups may comprise 3 or more carbon atoms in the ring and generally, according to this invention comprise from 3 to 6 atoms. Examples of cycloalkyl groups include but are not limited to cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl.
  • alkyl groups as defined are divalent, i.e., with two single bonds for attachment to two other groups, they are termed "alkylene” groups.
  • alkylene groups includes methylene, ethylene, methylmethylene, trimethylene, propylene, tetramethylene, ethylethylene, 1 ,2- dimethylethylene, pentamethylene and hexamethylene.
  • alkylene groups of this invention preferably comprise the same number of carbon atoms as their alkyl counterparts. Where an alkylene or cycloalkylene biradical is present, connectivity to the molecular structure of which it forms part may be through a common carbon atom or different carbon atom. To illustrate this applying the asterisk nomenclature of this invention, a C 3 alkylene group may be for example *-CH 2 CH 2 CH 2 -*, *-CH(-CH 2 CH 3 )-*, or *-CH 2 CH(-CH 3 )-*. Likewise a C 3 cycloalkylene group may be
  • heterocycle refers to non-aromatic, fully saturated or partially unsaturated cyclic groups (for example, 3 to 6 membered monocyclic ring systems, or 8-10 membered bicyclic rings) which have at least one heteroatom in at least one carbon atom-containing ring.
  • Each ring of the heterocyclic group containing a heteroatom may have 1 , 2, 3 or 4 heteroatoms selected from nitrogen atoms, oxygen atoms and/or sulfur atoms.
  • An optionally substituted heterocyclic refers to a heterocyclic having optionally one or more substituents (for example 1 to 4 substituents, or for example 1 , 2, 3 or 4), selected from those defined above for substituted alkyl.
  • heterocyclic groups include piperidinyl, azetidinyl, imidazolinyl, imidazolidinyl, isoxazolinyl, oxazolidinyl, isoxazolidinyl, thiazolidinyl, isothiazolidinyl, piperidyl, succinimidyl, 3H- indolyl, isoindolinyl, chromenyl, isochromanyl, xanthenyl, 2H-pyrrolyl, 1 -pyrrolinyl, 2-pyrrolinyl, 3- pyrrolinyl, pyrrolidinyl, 4H-quinolizinyl, 4aH-carbazolyl, 2-oxopiperazinyl, piperazinyl, homopiperazinyl, 2-pyrazolinyl, 3-pyrazolinyl, pyranyl, dihydro-2H-pyranyl, 4H-pyranyl, 3,4-dihydr
  • 8-10 membered heterocyclic groups are also meant to include spiro-groups, which are bicyclic compounds with both rings connected through a single atom, such as for example spiro[4.5]decane, which is a spiro compound consisting of a cyclohexane ring and a cyclopentane ring.
  • aryl refers to a polyunsaturated, aromatic hydrocarbyl group having from 5-10 atoms.
  • Aryl is also intended to include the partially hydrogenated derivatives of the carbocyclic systems enumerated herein.
  • Non-limiting examples of aryl comprise phenyl, biphenylyl, biphenylenyl, 5- or 6-tetralinyl, 1 -, 2-, 3-, 4-, 5-, 6-, 7-, or 8-azulenyl, 1 - or 2-naphthyl, 1 -, 2-, or 3- indenyl, 1 -, 2-, or 9-anthryl, 1 - 2-, 3-, 4-, or 5-acenaphtylenyl, 3-, 4-, or 5-acenaphtenyl, 1 -, 2-, 3-, 4- , or 10-phenanthryl, 1 - or 2-pentalenyl, 1 , 2-, 3-, or 4-fluorenyl, 4- or 5-indany
  • the aryl ring can optionally be substituted by one or more substituents.
  • An "optionally substituted aryl” refers to an aryl having optionally one or more substituents (for example 1 to 5 substituents, for example 1 , 2, 3 or 4) at any available point of attachment, selected from those defined above for substituted alkyl.
  • heteroaryl ring where a carbon atom in an aryl group is replaced with a heteroatom, the resultant ring is referred to herein as a heteroaryl ring.
  • heteroaryl refers but is not limited to 5 to 10 carbon-atom aromatic rings in which one or more carbon atoms can be replaced by oxygen, nitrogen or sulfur atoms.
  • Non-limiting examples of such heteroaryl include: pyrrolyl, furanyl, thiophenyl, pyrazolyl, imidazolyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, triazolyl, oxadiazolyl, thiadiazolyl, tetrazolyl, oxatriazolyl, thiatriazolyl, pyridinyl, pyrimidyl, pyrazinyl, pyridazinyl, oxazinyl, dioxinyl, thiazinyl, triazinyl, imidazo[2,1 -b][1 ,3]thiazolyl, thieno[3,
  • an “optionally substituted heteroaryl” refers to a heteroaryl having optionally one or more substituents (for example 1 to 4 substituents, for example 1 , 2, 3 or 4), selected from those defined above for substituted alkyl.
  • halo or halogen as a group or part of a group is generic for fluoro, chloro, bromo, or iodo, as well as any suitable isotope thereof.
  • substituted is meant to indicate that one or more hydrogens on the atom indicated in the expression using “substituted” is replaced with a selection from the indicated group, provided that the indicated atom's normal valency is not exceeded, and that the substitution results in a chemically stable compound, i.e. a compound that is sufficiently robust to survive isolation to a useful degree of purity from a reaction mixture, and formulation into a therapeutic and/or diagnostic agent.
  • groups may be optionally substituted, such groups may be substituted once or more, and preferably once, twice or thrice.
  • Substituents may be selected from, those defined above for substituted alkyl.
  • alkyl, aryl, or cycloalkyl each being optionally substituted with” or “alkyl, aryl, or cycloalkyl, optionally substituted with” refers to optionally substituted alkyl, optionally substituted aryl and optionally substituted cycloalkyl.
  • the compounds of the invention may exist in the form of different isomers and/or tautomers, including but not limited to geometrical isomers, conformational isomers, E/Z-isomers, stereochemical isomers (i.e. enantiomers and diastereoisomers) and isomers that correspond to the presence of the same substituents on different positions of the rings present in the compounds of the invention. All such possible isomers, tautomers and mixtures thereof are included within the scope of the invention.
  • the invention includes isotopically-labelled compounds and salts, which are identical to compounds of formula (I), but for the fact that one or more atoms are replaced by an atom having an atomic mass or mass number different from the atomic mass or mass number most commonly found in nature.
  • isotopes that can be incorporated into compounds of formula (I) are isotopes of hydrogen, carbon, nitrogen, fluorine, such as 3 H, C, 3 N, 4 C, 5 0 and 8 F.
  • Such isotopically-labelled compounds of formula (I) are useful in drug and/or substrate tissue distribution assays.
  • C and 8 F isotopes are particularly useful in PET (Positron Emission Tomography).
  • PET is useful as a diagnostic or treatment follow-up tool that can be applied in a translational manner in a preclinical and clinical setting. It also has applications in PK determination of compounds, including biodistribution.
  • Isotopically labeled compounds of formula (I) can generally be prepared by carrying out the procedures disclosed below, by substituting a readily available non-isotopically labeled reagent with an isotopically labeled reagent.
  • the term "compounds of the invention” or a similar term is meant to include the compounds of general Formula I and any subgroup thereof. This term also refers to the compounds as depicted in Table 1 , their derivatives, /v-oxides, salts, solvates, hydrates, stereoisomeric forms, racemic mixtures, tautomeric forms, optical isomers, analogues, pro-drugs, esters, and metabolites, as well as their quaternized nitrogen analogues.
  • the v-oxide forms of said compounds are meant to comprise compounds wherein one or several nitrogen atoms are oxidized to the so-called /v-oxide.
  • a compound means one compound or more than one compound.
  • the present invention provides compounds of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof; for use in the diagnosis prevention and/or treatment of an Activin-like receptor kinase associated disease selected from anemia-related disorders or disorders characterized by abnormal bone formation; wherein one or more of the following applies:
  • each of said -d- 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-n R 12 , -0-Ci_ 6 alkyl, and -S-Ci_ 6 alkyl;
  • R 2 is selected from -H, -halo, -OH, -C 1-6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, - Het 3 , -Ar 2 , and -NRi 3 R M ;
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 4 is independently selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 17 R 18 ,
  • R 5 and R 7 are each independently selected from -H, -OH, -halo, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 9 R10, R11 , Ri 2 , R"i 3 , Ri 4 , R15. R16. Ri7 > R18. Ri9.
  • R20. R21. R22. R23. R24. R25. R26. R2 7 . R28. R29. R30.
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -C 3 . 6 cycloalkyl, -Het 7 , -Ar 5 and -NR 51 R 52 ;
  • R 5 i and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6alkyl, -C 3 . 6 cycloalkyl, -Ar 10 and -Het 10 ;
  • R 42 is selected from -H, -OH, -halo, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 46 R 4 7, -C 3 . 6 cycloalkyl, -Ar 9 and -Het 8 ;
  • R 43 is selected from -H -Ci_ 6 alkyl, and -C 3 . 6 cycloalkyl; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_
  • Y is selected from a direct bond, -CHR 42 -, -0-, -S-, and -NR 43 -;
  • Ar- ⁇ , Ar 2 , Ar 3 , Ar 4 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 9 , Ar 10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar- ⁇ , Ar 2 , Ar 3 , Ar 4 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 9 , Ar 10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S- Ci- 6 alkyl, and -NR 19 R 20 ; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 -halo;
  • Het- ⁇ , Het 2 , Het 3 , Het 4 , Het 5 , Het 6 , Het 7 , Het 8 , Het 9 , Het 10 , and Het 12 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het- ⁇ , Het 2 , Het 3 , He , Het 5 , Het 6 , Het 7 , Het 8 , Het 9 , Het 10 , and Het 12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d.
  • each of said -d- 6alkyl is optionally and independently substituted with from 1 to 3 -halo;
  • Z-i, Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n and n are each independently 1 , 2, 3, or 4; for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from anemia-related disorders or disorders characterized by abnormal bone formation.
  • X-i, and X 2 as used herein represent biradicals, which taken together with the radicals to which they are attached form a macrocyclic pyrazolopyrimidine compound. Said biradicals may be present in either of both directions in the macrocyclic pyrazolopyrimidine, but are preferably present in the direction as described below:
  • the present invention provides compounds of formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation; wherein
  • R-i and R 41 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_
  • R 2 is selected from -H, -halo, -OH, -C 1-6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 4 is independently selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 17 R 18 , -C 3 . 6 cycloalkyl, -Ar 8 and -Het 4 ;
  • each of said -d_ 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci. 6 alkyl, -S-Ci. 6 alkyl, -C 3 . 6 cycloalkyl, - ⁇ , -Het 9 , and -NR 23 R 24 ;
  • Rg, Rio, Rl 1 , Rl 2 , Rl 3 , Rl4, Rl5, Rl6, l7> Rl8, Rl9, R20, R ⁇ 1 , R ⁇ 2, R ⁇ 3, R ⁇ 4, R ⁇ 5, R ⁇ 6, R ⁇ 7, R28, R ⁇ 9, R30, R 3 i , R 32 , R 33 , R 37 , R 38 , R 3 9, R40, R44, R45, R48, R50, R53, R54 and R 55 are each independently selected from -H , -halo, 0, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -C 3 .
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -C 3 . 6 cycloalkyl, -Het 7 , -Ar 5 and -NR 51 R 52 ;
  • R51 and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_
  • R 43 is selected from -H -Ci_ 6 alkyl, and -C 3 . 6 cycloalkyl; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -O-C1-
  • 6 alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d_ 6 alkyl, -0-d_ 6 alkyl, -S-d_ 6 alkyl, -phenyl, and -NR 37 R 38 ;
  • 6 alkyl-, -(C 0)- NR 2 -Ci_ 6 alkyl-, -0-Ci. 6 alkyl-0-Ci. 6 alkyl- and -Ci. 6 alkyl-NR 2 -Ci.
  • each of said -Ci- 6 alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -phenyl and -NR39R40;
  • Ar- ⁇ , Ar 2 , Ar 3 , Ar 4 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar- ⁇ , Ar 2 , Ar 3 , Ar 4 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-
  • Ci- 6 alkyl, and -NR 19 R 20 wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 -halo;
  • Z-i , Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n are each independently 1 , 2, 3, or 4.
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation; wherein
  • R 2 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, - Het 3 , -Ar 2 , and -NRi 3 R M ;
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 4 is independently selected from -halo, -OH , -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl , -NR 17 R 18 , -C 3 . 6 cycloalkyl, -Ar 8 and -Het 4 ;
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -C 3 . 6 cycloalkyl , -Het 7 , -Ar 5 and -NR 51 R 52 ; R51 and R 52 are each independently selected from -H , -halo, -OH , -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6alkyl, -C 3 . 6 cycloalkyl , -Ar 10 and -Het 10 ;
  • R 43 is selected from -H -Ci_ 6 alkyl, and -C 3 . 6 cycloalkyl ; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -O-C1- 6alkyl, -S-Ci_ 6 alkyl, -Het 5 , -C 3 . 6 cycloalkyl -Ar 4 , and -NR44R45;
  • A is selected from -(CH 2 ) n -Y-(CH 2 ) m -, -NR 6 -;
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 -halo;
  • Z-i , Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n are each independently 1 , 2, 3, or 4.
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation; wherein
  • R 2 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, - Het 3 , -Ar 2 , and -NRi 3 R M ;
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -C 3 . 6 cycloalkyl, -Het 2 , -Ar 3 , and -NR 15 R 16 ;
  • R 4 is independently selected from -halo, -OH , -d- 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl , -NR 17 R 18 ,
  • R 5 i and R 52 are each independently selected from -H , -halo, -OH , -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6alkyl, -C 3 . 6 cycloalkyl , -Ar 10 and -Het 10 ;
  • A is selected from -NR 6 -;
  • 6 alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -Ci -6 alkyl , -0-Ci -6 alkyl , -S-Ci -6 alkyl, -phenyl , and -NR 37 R 38 ;
  • -Ci- 6 alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -Ci_ 6 alkyl , -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl , -phenyl and -NR 39 R 40 ;
  • Ar 2 , Ar 3 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar 2 , Ar 3 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -C-i_ 6 alkyl, -0-C-i_ 6 alkyl , -S-C-i_ 6 alkyl, and - NR 19 R 20 ; wherein each of said -C-i_ 6 alkyl is optionally and independently substituted with from 1 to 3 -halo;
  • Z-i , Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n are each independently 1 , 2, 3, or 4.
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation; wherein
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-n R 12 , -0-Ci_ 6 alkyl, and -S-Ci_ 6 alkyl;
  • R 2 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, - Het 3 , -Ar 2 , and -NRi 3 R M ;
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 4 is independently selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 17 R 18 ,
  • R 6 is selected from -Ci_ 6 alkyl, -S0 2 , -S0 2 -Ci_ 6 alkyl, -S0 2 -C 3 . 6 cycloalkyl, -Het 6 , -Ar 6 , and -C 3 .
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -C 3 . 6 cycloalkyl, -Het 6 , -Ar 6 , -
  • R 51 and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_
  • R 43 is selected from -H -Ci_ 6 alkyl, and -C 3 . 6 cycloalkyl; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6alkyl, -S-Ci_ 6 alkyl, -Het 5 , -C 3 . 6 cycloalkyl -Ar 4 , and -NR44R45;
  • A is selected from -(CH 2 )n-Y-(CH 2 )m-, -NR 6 -;
  • Y is -NR 43 -;
  • Ar 2 , Ar 3 , Ar 4 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar 2 , Ar 3 , Ar 4 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, and - NR 19 R 20 ; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 -halo;
  • Z-i , Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n and n are each independently 1 , 2, 3, or 4.
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation; wherein
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -NR-nR 12 , -0-Ci_ 6 alkyl, and -S-Ci_ 6 alkyl;
  • R 2 is selected from -H , -halo, -OH , -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -
  • R 3 is selected from -H , -halo, -OH , -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 4 is independently selected from -halo, -OH , -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl , -NR 17 R 18 , -C 3 . 6 cycloalkyl, -Ar 8 and -Het 4 ;
  • each of said -d_ 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH , -0-Ci. 6 alkyl, -S-Ci. 6 alkyl, -C 3 . 6 cycloalkyl, - ⁇ , -Het 9 , and -NR 23 R 2 ;
  • R 9 R-io, R11 , Ri 2 , Ri 3 , Ri 4 , R15. R16. Ri7> R18. Ri9.
  • R51 and R 52 are each independently selected from -H , -halo, -OH , -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6alkyl, -C 3 . 6 cycloalkyl , -Ar 10 and -Het 10 ;
  • Ar- ⁇ , Ar 2 , Ar 3 , Ar 5 , Ar 7 , Ar 8 , and Ar 10 are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said
  • Ar- ⁇ , Ar 2 , Ar 3 , Ar 5 , Ar 7 , Ar 8 , and Ar 10 being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, and -NR 19 R 20 ; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 - halo;
  • Z-i , Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n are each independently 1 , 2, 3, or 4.
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation; wherein
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-n R 12 , -0-Ci_ 6 alkyl, and -S-Ci_ 6 alkyl;
  • R 2 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, - Het 3 , -Ar 2 , and -NRi 3 R M ;
  • R 3 is selected from -H, -halo, -OH, -C 1-6 alkyl, -0-Ci -6 alkyl, -S-Ci -6 alkyl,
  • each of said -d- 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 4 is independently selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 17 R 18 , -C 3 . 6 cycloalkyl, -Ar 8 and -Het 4 ;
  • each of said -d_ 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci. 6 alkyl, -S-Ci. 6 alkyl, -C 3 . 6 cycloalkyl, - ⁇ , -Het 9 , and -NR 23 R 24 ;
  • R 51 and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6alkyl, -C 3 . 6 cycloalkyl, -Ar 10 and -Het 10 ;
  • Xi is -Ci- 6 alkyl-NR 3 -Ci- 6 alkyl-; wherein each of said -Ci_ 6 alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S- Ci_ 6 alkyl, -phenyl, and -NR 37 R 38 ;
  • Ar- ⁇ , Ar 2 , Ar 3 , Ar 5 , Ar 7 , Ar 8 , and Ar 10 are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar- ⁇ , Ar 2 , Ar 3 , Ar 5 , Ar 7 , Ar 8 , and Ar 10 being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d_ 6 alkyl, -0-d_ 6 alkyl, -S-d_ 6 alkyl, and -NR 19 R 20 ; wherein each of said -d_ 6 alkyl is optionally and independently substituted with from 1 to 3 - halo;
  • Z-i , Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n are each independently 1 , 2, 3, or 4.
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, and myelin-related disorders; wherein
  • R 2 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, - Het 3 , -Ar 2 , and -NRi 3 R M ;
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 4 is independently selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 17 R 18 ,
  • Rg R10, R11 , R12, Rl3, Rl4, Rl5, Rl6, Rl7> Rl8, Rl9, R20, R ⁇ 1 , R ⁇ 2, R ⁇ 5, R ⁇ 6, R ⁇ 7, R28, R ⁇ 9, R 3 0, R 3 1 , R 3 2,
  • R 51 and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6alkyl, -C 3 . 6 cycloalkyl, -Ar 10 and -Het 10 ;
  • A is -NR 6 -;
  • Ar 2 , Ar 3 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar 2 , Ar 3 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, and - NR 19 R 20 ; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 -halo;
  • Z-i , Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n and n are each independently 1 , 2, 3, or 4.
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, and myelin-related disorders; wherein
  • R 2 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, - Het 3 , -Ar 2 , and -NRi 3 R M ;
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -C 3 . 6 cycloalkyl, -Het 2 , -Ar 3 , and -NR 15 R 16 ;
  • R 4 is independently selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 17 R 18 , -C 3 . 6 cycloalkyl, -Ar 8 and -Het 4 ;
  • each of said - Ci- 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci. 6 alkyl, -S-Ci. 6 alkyl, -C 3 . 6 cycloalkyl, - ⁇ , -Het 9 , and -NR 23 R 2 ;
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, - OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -C 3 . 6 cycloalkyl, -Het 7 , -Ar 5 and -NR 51 R 52 ;
  • R 51 and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6alkyl, -C 3 . 6 cycloalkyl, -Ar 10 and -Het 10 ;
  • Xi is -Ci-6alkyl-NR 3 -Ci-6alkyl-; wherein each of said -d- 6 alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S- Ci- 6 alkyl, -phenyl, and -NR 3 7R 38 ;
  • Ar- ⁇ , Ar 2 , Ar 3 , Ar 5 , Ar 7 , Ar 8 , and Ar 10 are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said
  • Ar- ⁇ , Ar 2 , Ar 3 , Ar 5 , Ar 7 , Ar 8 , and Ar 10 being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, and -NR 19 R 20 ; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 - halo;
  • Z-i, Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n are each independently 1 , 2, 3, or 4.
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof;
  • R 2 is selected from -H, -halo, -OH, -C 1-6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -d- 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, - Het 3 , -Ar 2 , and -NRi 3 R M ;
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 4 is independently selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -C 3 . 6 cycloalkyl, - Ar 8 and -Het 4 ;
  • Ci- 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci. 6 alkyl, -S-Ci. 6 alkyl, -C 3 . 6 cycloalkyl, -Het 7 , -Ar 5 and -NR 51 R 52 ;
  • R 51 and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6alkyl, -C 3 . 6 cycloalkyl, -Ar 10 and -Het 10 ;
  • A is -NR 6 -;
  • Ar 2 , Ar 3 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar 2 , Ar 3 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, and - NR 19 R 20 ; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 -halo;
  • Z-i , Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n are each independently 1 , 2, 3, or 4.
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof; wherein
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-n R 12 , -0-Ci_ 6 alkyl, and -S-Ci_ 6 alkyl;
  • R 2 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, - Het 3 , -Ar 2 , and -NR 13 R 14 ;
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 4 is independently selected from -halo, -OH, -d- 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 17 R 18 , -C 3 . 6 cycloalkyl, -Ar 8 and -Het 4 ;
  • each of said -d_ 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci. 6 alkyl, -S-Ci. 6 alkyl, -C 3 . 6 cycloalkyl, - ⁇ , -Het 9 , and -NR 23 R 24 ;
  • Rg Rio, Rl 1 , Rl2. Rl3. Rl4, Rl5, Rl6, Rl > Rl8, Rl9. R ⁇ 0. R ⁇ 1. R ⁇ 2. R ⁇ 3. R ⁇ 4. R ⁇ 7. R ⁇ 8. R ⁇ 9. R30. R37. R38.
  • R 5 i and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6alkyl, -C 3 . 6 cycloalkyl, -Ar 10 and -Het 10 ;
  • Xi is -Ci- 6 alkyl-NR 3 -Ci- 6 alkyl-; wherein each of said -Ci_ 6 alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S- Ci- 6 alkyl, -phenyl, and -NR 37 R 38 ;
  • Ar- ⁇ , Ar 2 , Ar 3 , Ar 5 , Ar 7 , Ar 8 , and Ar 10 are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar- ⁇ , Ar 2 , Ar 3 , Ar 5 , Ar 7 , Ar 8 , and Ar 10 being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, and -NR 19 R 20 ; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 - halo;
  • Z-i , Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n and n are each independently 1 , 2, 3, or 4.
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof; for use in human or veterinary medicine, more in particular for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, myelin-related disorders, neurological disorders and cancer; wherein:
  • R 2 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, - Het 3 , -Ar 2 , and -NRi 3 R M ;
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 4 is independently selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -C 3 . 6 cycloalkyl, - Ar 8 and -Het 4 ;
  • each of said - Ci- 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci. 6 alkyl, -S-d- 6 alkyl, -C 3 . 6 cycloalkyl, -Het 7 , -Ar 5 and -NR 51 R 52 ;
  • R 51 and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6alkyl, -C 3 . 6 cycloalkyl, -Ar 10 and -Het 10 ;
  • A is -NR 6 -;
  • Ar 2 , Ar 3 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar 2 , Ar 3 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, and -
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 -halo;
  • Z-i , Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n are each independently 1 , 2, 3, or 4.
  • the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof; for use in human or veterinary medicine, more in particular for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, myelin-related disorders, neurological disorders and cancer; wherein:
  • a 2 is C, and A-i is N;
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -NR-nR 12 , -0-Ci_ 6 alkyl, and -S-Ci_ 6 alkyl;
  • R 2 is selected from -H , -halo, -OH , -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -
  • R 3 is selected from -H , -halo, -OH , -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 4 is independently selected from -halo, -OH , -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl , -NR 17 R 18 , -C 3 . 6 cycloalkyl, -Ar 8 and -Het 4 ;
  • each of said -d_ 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH , -0-d- 6 alkyl, -S-d_ 6 alkyl, -C 3 . 6 cycloalkyl, - ⁇ , -Het 9 , and -NR 23 R 2 ;
  • Rg R10, R11 , R12. Rl3. Rl4. Rl5. Rl6, Rl > Rl8> Rl9. R ⁇ 0. R ⁇ 1. R ⁇ 2. R ⁇ 3. R ⁇ 4. R ⁇ 7. R ⁇ 8. R ⁇ 9. R30. R37. R38.
  • R 5 i and R 52 are each independently selected from -H , -halo, -OH , -d_ 6 alkyl, -0-d_ 6 alkyl, -S-Ci_ 6alkyl, -C 3 . 6 cycloalkyl , -Ar 10 and -Het 10 ;
  • Xi is -Ci.6alkyl-NR 3 -Ci. 6 alkyl-; wherein each of said -d_ 6 alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -d_ 6 alkyl , -0-d_ 6 alkyl, -S- Ci_ 6 alkyl, -phenyl, and -NR 37 R 38 ;
  • each of said -d_ 6 alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -d_ 6 alkyl , -0-d_ 6 alkyl, -S-d_ 6 alkyl , -phenyl and -NR 39 R 40 ;
  • Ar- ⁇ , Ar 2 , Ar 3 , Ar 5 , Ar 7 , Ar 8 , and Ar 10 are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar- ⁇ , Ar 2 , Ar 3 , Ar 5 , Ar 7 , Ar 8 , and Ar 10 being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d- 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, and -NR 19 R 2 o; wherein each of said
  • Z-i , Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n are each independently 1 , 2, 3, or 4.
  • the present invention provides a compound or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, said compound being selected from the list comprising:
  • the present invention also provides a compound or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof; for use in human or veterinary medicine; more in particular for use in the diagnosis, prevention and/or treatment of an Activin- like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, and myelin-related disorders, neurological disorders and cancer; said compound being selected from the list comprising:
  • the pyrazolopyrimidine or the imidazopyridazine moiety is linked to the aryl or heteroaryl moiety at position Z 4 or Z 5 , in accordance with the numbering as provided in Formula I.
  • the R-i of the compounds according to this invention is preferably linked to the aryl or heteroaryl moiety at position Z-i , Z 2 or Z 3 , in accordance with the numbering as provided in Formula I.
  • the present invention provides a pharmaceutical composition comprising a compound of the present invention, for use in the prevention and/or treatment of a Activin-like receptor kinase associated disorder; more in particular for use use in the prevention and/or treatment of a ALK1 or ALK2-kinase associated disorder.
  • the present invention provides a pharmaceutical composition for use in the prevention and/or treatment of a Activin-like receptor kinase associated disorder; more in particular for use use in the prevention and/or treatment of a ALK1 or ALK2-kinase associated disorder.
  • a particularly preferred group of compounds are compounds of formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof wherein A is selected from -(CH 2 )n-Y-(CH 2 )m-, -NR 6 -; and Y is -NR 43 -. More in particular, a preferred group of compounds are compounds of formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof wherein the following restrictions apply:
  • A is selected from -(CH 2 )n-Y-(CH 2 )m-, -NR 6 -;
  • R 43 is selected from -H -Ci_ 6 alkyl, and -C 3 . 6 cycloalkyl; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -O-C1- 6alkyl, -S-Ci_ 6 alkyl, -Het 5 , -C 3 . 6 cycloalkyl -Ar 4 , and -NR44R45;
  • Xi is -0-Ci_ 6 alkyl-
  • X 2 is -NR 2 -Ci. 6 alkyl.
  • A is selected from -(CH 2 ) n -Y-(CH 2 ) m -, -NR 6 -;
  • R 6 is selected from -Ci_ 6 alkyl, -S0 2 , -S0 2 -Ci_ 6 alkyl, -S0 2 -C 3 . 6 cycloalkyl, -Het 6 , -Ar 6 , and -C 3 .
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -O-C1- 6alkyl, -S-Ci_ 6 alkyl, -Het 5 , -C 3 . 6 cycloalkyl -Ar 4 , and -NR44R45.
  • Compound having a central external amide are compounds wherein the following restrictions apply: A is -NR 6 -;
  • X-i is -O-C1- 6alkyl- and X 2 is -NR 2 -Ci. 6 alkyl.
  • 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci. 6 alkyl, -S-Ci. 6 alkyl, -C 3 . 6 cycloalkyl, - ⁇ , -Het 9 , and -NR 23 R 24 ;
  • compounds having a central internal amide preferably also:
  • Xi is -Ci- 6 alkyl-NR 3 -Ci- 6 alkyl-; wherein each of said -d- 6 alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S- Ci- 6 alkyl, -phenyl, and -NR 3 7R 38 ; and
  • X 2 is -N R 2 -Ci. 6 alkyl.
  • the present invention provides the use of a compound, or a pharmaceutical composition as defined herein, for inhibiting the activity of a kinase, more in particular for inhibiting the activity of an Activin-like receptor kinase, in particular an ALK1 or ALK2 kinase.
  • the present invention also provides a method for the prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation or anemia-related disorders; said method comprising administering to a subject in need thereof a compound of formula I or a composition comprising such compound, wherein
  • R 2 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, - Het 3 , -Ar 2 , and -NRi 3 R M ;
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -C 3 . 6 cycloalkyl, -Het 2 , -Ar 3 , and -NR 15 R 16 ;
  • R 4 is independently selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 17 R 18 , -C 3 . 6 cycloalkyl, -Ar 8 and -Het 4 ;
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -C 3 . 6 cycloalkyl, -Ar- ⁇ , -Het 9 , and -NR23R24;
  • Rg R10, R11, Ri 2 , R"i 3 , Ri 4 , R15. R16. Ri7. R18. Ri9.
  • R20 R21. R22. R23. R24. R25. R26. R27. R28. R29. R30.
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -C 3 . 6 cycloalkyl, -Het 7 , -Ar 5 and -NR 51 R 52 ;
  • R51 and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_
  • R 42 is selected from -H, -OH, -halo, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 46 R 47 , -C 3 . 6 cycloalkyl, -Ar 9 and -Het 8 ;
  • R 43 is selected from -H -Ci_ 6 alkyl, and -C 3 . 6 cycloalkyl; wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -O-C1-
  • Y is selected from a direct bond, -CHR 42 -, -0-, -S-, and -NR 43 -;
  • Ar- ⁇ , Ar 2 , Ar 3 , Ar 4 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 9 , Ar 10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar- ⁇ , Ar 2 , Ar 3 , Ar 4 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 9 , Ar 10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-
  • Ci- 6 alkyl, and -NR 19 R 20 wherein each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 -halo;
  • Z-i , Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n are each independently 1 , 2, 3, or 4.
  • the present invention also provides a method for the prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, and myelin-related disorders; said method comprising administering to a subject in need thereof a compound of formula I or a composition comprising such compound, wherein
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -NR-n R 12 , and -S-Ci_ 6 alkyl;
  • R 2 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, - Het 3 , -Ar 2 , and -NRi 3 R M ;
  • R 3 is selected from -H, -halo, -OH, -C 1-6 alkyl, -0-Ci -6 alkyl, -S-Ci -6 alkyl,
  • each of said -d- 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 4 is independently selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -NR 17 R 18 , -C 3 . 6 cycloalkyl, -Ar 8 and -Het 4 ;
  • R 51 and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6alkyl, -C 3 . 6 cycloalkyl, -Ar 10 and -Het 10 ;
  • A is -NR 6 -;
  • Ar 2 , Ar 3 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar 2 , Ar 3 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -C-i_ 6 alkyl, -0-C-i_ 6 alkyl, -S-C-i_ 6 alkyl, and - NR-19R20; wherein each of said -d- 6 alkyl is optionally and independently substituted with from 1 to 3 -halo;
  • Z-i , Z 2 , Z 3 , Z 4 and Z 5 are each independently selected from C and N;
  • n are each independently 1 , 2, 3, or 4
  • the present invention also provides a method for the prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, myelin-related disorders, neurological disorders and cancer; said method comprising administering to a subject in need thereof a compound of formula I or a composition comprising such compound, wherein
  • R 2 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • each of said -Ci_ 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, - Het 3 , -Ar 2 , and -NRi 3 R M ;
  • R 3 is selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl,
  • R 4 is independently selected from -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6 alkyl, -C 3 . 6 cycloalkyl, - Ar 8 and -Het 4 ;
  • each of said - Ci- 6 alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci. 6 alkyl, -S-Ci. 6 alkyl, -C 3 . 6 cycloalkyl, -Het 7 , -Ar 5 and -NR 51 R 52 ;
  • R 51 and R 52 are each independently selected from -H, -halo, -OH, -Ci_ 6 alkyl, -0-Ci_ 6 alkyl, -S-Ci_ 6alkyl, -C 3 . 6 cycloalkyl, -Ar 10 and -Het 10 ;
  • A is -NR 6 -;
  • X 2 is selected from -C-
  • Ar 2 , Ar 3 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar 2 , Ar 3 , Ar 5 , Ar 6 , Ar 7 , Ar 8 , Ar 10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -C-i_ 6 alkyl, -0-C-i_ 6 alkyl, -S-C-i_ 6 alkyl, and -
  • each of said -C-i_ 6 alkyl is optionally and independently substituted with from 1 to 3 -halo;

Abstract

The present invention relates to macrocyclic compounds and compositions containing said compounds acting as kinase inhibitors, in particular as inhibitors of Activin-like receptor kinases, more in particular ALK1 and/or ALK2 and/or mutants thereof, for use in the diagnosis, prevention and/or treatment of ALK1-kinase and/or ALK2-kinase associated diseases. Moreover, the present invention provides methods of using said compounds, for instance as a medicine or diagnostic agent.

Description

MACROCYCLIC ACTIVIN-LIKE RECEPTOR KINASE INHIBITORS
FIELD OF THE INVENTION
The present invention relates to macrocyclic compounds and compositions containing said compounds acting as kinase inhibitors, in particular as inhibitors of Activin-like receptor kinases, more in particular ALK1 and/or ALK2 and/or mutants thereof, for use in the diagnosis, prevention and/or treatment of ALK1 -kinase and/or ALK2-kinase associated diseases. Moreover, the present invention provides methods of using said compounds, for instance as a medicine or diagnostic agent.
BACKGROUND TO THE INVENTION
Bone morphogenetic proteins (BMPs) are multi-functional growth factors that belong to the Transforming Growth Factor beta (TGFbeta) superfamily. The BMP family regulates a wide range of crucial cell growth and differentiation events, including early embryonic patterning and morphogenesis, notably in bone/cartilage formation. Studies from transgenic and knockout mice and from animals and humans with naturally occurring mutations in BMPs and related genes have shown that BMP signaling plays critical roles in heart, neural and cartilage development (Growth Factors (2004) 22: 233-241 ). BMPs also play an important role in postnatal bone formation.
To date, around 20 BMP family members have been identified and characterized. BMPs signal through serine/threonine kinase receptors, composed of type I and II subtypes. Three type I receptors have been shown to bind BMP ligands, type IA and IB BMP receptors (BMPR-IA or ALK3 and BMPR-IB or ALK6) and type IA activin receptor (ActR-IA, ALK2 or ACVR1 ) (Mol. Cell. Biol.
(1994) 14: 5961 -5974). Signal transduction studies have revealed that Smadl , 5 and 8 are the immediate downstream molecules of BMP receptors and play a central role in BMP signal transduction. Smad-dependant transcription leads to induction of Hox proteins, known to be essential in embryonic tissue patterning and postnatal tissue homeostasis (Ann. NY Acad. Sci.
(2006) 1068: 26-40).
Many disorders have been linked to either the BMPs or the molecules functioning downstream of BMP signalling pathway, such as ALK1 and/or ALK2.
Among them, Fibrodysplasia Ossificans Progressiva (FOP), also known as Myositis Ossificans Progressiva, is a severely disabling heritable disorder of connective tissue characterized by progressive heterotopic ossification that forms qualitatively normal bone in characteristic extraskeletal sites. The worldwide prevalence is approximately 1/2,000,000. There is no ethnic, racial, gender, or geographic predilection to FOP. Heterotopic ossification in FOP begins in childhood and can be induced by trauma, or may occur without warning. Bone formation is episodic and transforms skeletal muscles, tendons, ligaments, fascia, and aponeuroses into heterotopic bone, rendering movement impossible (Orphanet J. Rare. Dis. (201 1 ) 1 : 80). All FOP patients carry a heterozygous mutation (617G>A; R206H) in the gene ALK2. Patients with atypical forms of FOP have been described and shown to have heterozygous ALK2 missense mutations in conserved amino acids (Shore et al, Nature Genetics (2006) 38: 525-527). There is no effective treatment, and soft-tissue trauma (eg, biopsies, surgical procedures, intramuscular injections, or mandibular blocks for dental procedures) and viral illnesses are likely to induce episodes of rapidly progressive heterotopic ossification, with resultant permanent loss of motion in the affected area.
BMP signalling is also critical for both epithelial and endothelial cell plasticity in embryonic development and disease progression. Transformation of epithelial cells into mesenchymal cells (epithelial-mesenchymal transition or EMT) is a mechanism that regulates gastrulation, neural crest and somite dissociation, craniofacial development, wound healing, organ fibrosis, and tumour metastasis. Similarly, endothelial-mesenchymal transition (EndMT) is a critical aspect of endocardial cushion formation during cardiac development and recent studies have shown that EndMT plays an essential role in the tumour microenvironment by generating carcinoma- associated fibroblasts and may be an essential mediator of cancer progression. Similarly, many fibroblasts formed during cardiac and renal fibrosis have been shown to be of endothelial origin. EndMT has also been implicated in atherosclerosis, pulmonary hypertension, and wound healing. Therapeutic strategies targeting BMP-signalling provide a perspective on pharmacological interventions to mitigate several disease conditions related to EMT or EndMT.
Taking into consideration the role of ALK2 protein in the BMP signalling pathway and in postnatal tissue homeostasis, in particular its major implication in FOP, it was therefore an object of the present invention to provide a potent, selective, small molecule inhibitor of ALK2. By this means, it provides a therapeutic benefit in FOP, anemia (anemia of iron deficiency, anemia of chronic disease), cardiovascular disorders (pulmonary/vascular/systemic hypertension, atherosclerosis, Rendu-Osler disease, primary pulmonary hypertension), cancer (solid tumors, ovarian cancer, DIPG, lung cancer, prostate cancer, breast cancer, head and neck squamous cancer, hepatocellular carcinoma cancer, metastatic cancers), fibrosis, immunology/stem cell differentiation (immune modulation propagation, engraftment and differentiation of progenitor cells, transplantation), neurological disorders (spinal cord injury, treatment of demyelination) and inflammatory diseases characterized in increased BMP-signalling and/or dysregulated ALK1 /ALK2 kinase activities.
We have now found that the macrocyclic pyrazolopyrimidines and imidazopyridazines and pharmaceutically acceptable compositions according to this invention are useful for the treatment of several disorders associated with ALK1 and/or ALK2 kinase activity (i.e. ALK1 -kinase and/or ALK2-kinase associated diseases). SUMMARY OF THE INVENTION
We have surprisingly found that the macrocyclic compounds described herein act as Activin-like receptor kinase inhibitors, more in particular as ALK1 and/or ALK2 kinase inhibitors, and are thus very useful in the prevention and/or treatment of ALK1 -kinase and/or ALK2-kinase associated diseases.
In a first objective the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or redrug, salt, hydrate, N-oxide form, or solvate thereof,
Figure imgf000004_0001
Wherein
Figure imgf000004_0002
R-i and R41 are each independently selected from -H, -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN, -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-nR12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000004_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3-6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -
Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000004_0004
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4;
R5 and R7 are each independently selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -Het9, -Ar-, , -C3.6cycloalkyl, -S02-Ar-, , -S02, -S02-Ci_6alkyl, -(C=0), -(C=0)-Ci_6alkyl, -(C=S), -(C=S)-C1.6alkyl, -0-(C=0)-C1.6alkyl, -0-(C=S)-C1.6alkyl, -(C=0)-0-C1.6alkyl, and
Figure imgf000005_0001
wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar-ι, -Het9, and -NR23R24;
R6 is selected from -Ci_6alkyl, -S02, -S02-Ci.6alkyl, -S02-C3.6cycloalkyl, -(C=0),
Figure imgf000005_0002
- (C=0)-C2-6alkenyl, -(C=0)-0-C1.6alkyl, -(C=0)-Het6, -(C=0)-Ar6, -(C=0)-C3-6cycloalkyl, -(C=0)- NR31 R32, -(C=0)-NR31-(C=0)-R32, -(C=S), -(C=S)-C1.6alkyl, -(C=S)-C2.6alkenyl, -(C=S)-0-d_ 6alkyl, -(C=S)-Het6, -(C=S)-Ar6, -(C=S)-C3-6cycloalkyl, -(C=S)-NR31R32, -(C=S)-NR31-(C=S)-R32, -Het6, -Ar6, and -C3.6cycloalkyl;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)- NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n, and -NR53R54, -(C=0)-NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)-
R8 is selected from -NR34-(C=0)-R35, -NR34-(C=S)-R35, -NR36-(C=0)-NR34R35, -NR36-(C=S)- NR34R35, -NR34-(S02)-R35, -NR34-(C=0)-0-R35, -NR34-(C=S)-0-R35, -0-(C=0)-NR34R35, and -0-(C=S)-NR34R35;
Rg, R-io, R11, Ri2, Ri3, Ri4, Ri5. R16. Ri7. R18. Ri9. R20. R21. R22. R23. R24. R25. R26. R27. R28. R29. R30.
R31. R32. R33. R34. R35. R36. R37. R38. R39. R40, R44. R45. R46. R47. R48, R49. R50. R53. R54 and R55 are each independently selected from -H, -halo, =0, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, - C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl,
-C3.6cycloalkyl, -Het7, -Ar5 and -NR51R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_
6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
R42 is selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR46R47, -C3.6cycloalkyl, -Ar9 and -Het8;
R43 is selected from -H -Ci_6alkyl, and -C3.6cycloalkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -O-C1- 6alkyl, -S-Ci_6alkyl, -Het5, -C3.6cycloalkyl -Ar4, and -NR44R45;
A is selected from -(CH2)n-Y-(CH2)m-, -(C=0)-, -(C=S)-, -(C=N)-R49-, -(S02)-, -S02-NR5-, -(C=0)- NR5-, -(C=S)-NR5-, -NR5-(C=0)-NR7-, -NR5-(C=S)-NR7-, -NR6-, -NR5-(C=0)-0-, -NR5-(C=S)-0-
, and -CHR8- ;
X-i is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-NR3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NRs-C^alkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR3-Ci.6alkyl-; wherein each of said -Ci_ 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci-6alkyl, -0-Ci-6alkyl, -S-Ci-6alkyl, -phenyl, and -NR37R38;
X2 is selected from -C1-6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci.6alkyl-NR2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-Ci-6alkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said
-Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R4o;
Y is selected from a direct bond, -CHR42-, -0-, -S-, and -NR43-;
Ar-ι , Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar9, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar-ι , Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar9, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S- Ci-6alkyl, and -NR19R20; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-ι , Het2, Het3, Het4, Het5, Het6, Het7, Het8, Het9, Het10, and Het12 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, He , Het5, Het6, Het7, Het8, Het9, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0,
Figure imgf000006_0001
and -NR21R22; wherein each of said -Ci_ 6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4;
for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from anemia-related disorders or disorders characterized by abnormal bone formation.
In a first embodiment, the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein
Figure imgf000006_0002
R-i and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN, -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι ; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-nR12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000006_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3.6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3Ri4;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000007_0001
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR29R3o, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3.
6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4;
R5 is selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het9, -Ar-ι , -C3.6cycloalkyl, - SOz-A^ , -S02, -S02-d_6alkyl, -(C=0), -(C=0)-C1.6alkyl, -(C=S), -(C=S)-C1.6alkyl, -0-(C=0)-d_ 6alkyl,
Figure imgf000007_0002
wherein each of said -d_ 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci.6alkyl, -S-Ci.6alkyl, -C3.6cycloalkyl, -Αη , -Het9, and -NR23R24;
R6 is selected from -Ci_6alkyl, -S02, -S02-Ci_6alkyl, -S02-C3.6cycloalkyl, -(C=0),
Figure imgf000007_0003
- (C=0)-C2.6alkenyl, -(C=0)-0-C1.6alkyl, -(C=0)-Het6, -(C=0)-Ar6, -(C=0)-C3.6cycloalkyl, -(C=0)- NR3i R32, -(C=0)-N R31-(C=0)-R32, -(C=S), -(C=S)-C1.6alkyl, -(C=S)-C2.6alkenyl, -(C=S)-0-d_ 6alkyl, -(C=S)-Het6, -(C=S)-Ar6, -(C=S)-C3.6cycloalkyl, -(C=S)-NR31 R32, -(C=S)-NR31-(C=S)-R32, -Het6, -Ar6, and -C3.6cycloalkyl;
wherein each of said -d_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH, -0-d_6alkyl, -S-d_6alkyl, -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)- NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -d_6alkyl, =0, -halo, -OH, -0-d_6alkyl, -S-d_6alkyl, -Het12, -Ar-n , and -NR53R54,
Figure imgf000007_0004
and -NR55(C=S)-
R9, R10, R11 , Ri2, Ri3, R"i4, R15, R16, Ri7> R18, Ri9, R20, R21 , R22, R23, R24, R25, R26, R27, R28, R29, R30, R3i , R32, R33, R37, R38, R39, R40, R44, R45, R48, R50, R53, R54 and R55 are each independently selected from -H , -halo, =0, -OH, -d_6alkyl, -0-d_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -d_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-d_6alkyl, -S-d_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51 R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -d_6alkyl, -0-d_6alkyl, -S-Ci_
6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
R43 is selected from -H -d_6alkyl, and -C3.6cycloalkyl; wherein each of said -d.6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -O-C1-
6alkyl, -S-d_6alkyl, -Het5, -C3.6cycloalkyl -Ar4, and -NR44R45;
A is selected from -(CH2)n-Y-(CH2)m-, -(C=0)-NR5-, -NR6-; Χ-ι is selected from -C1-6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci.6alkyl-NR3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NRs-d-ealkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR3-Ci.6alkyl-; wherein each of said -Ci_ 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci.6alkyl, -S-Ci.6alkyl, -phenyl, and -NR37R38;
X2 is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci.6alkyl-NR2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR^d-ealkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci-6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci.6alkyl, -0-Ci.6alkyl, -S-Ci.6alkyl, -phenyl and -NR39R4o;
Y is -NR43-;
Ar-ι, Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar-ι, Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-
Ci-6alkyl, and -NR19R20; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-ι, Het2, Het3, Het4, Het5, Het6, Het7, Het9, Het10, and Het12 are each independently a 4- to 10- membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι, Het2, Het3, Het4, Het5, Het6, Het7, Het9, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, - OCi-6alkyl, -SCi_6alkyl, =0,
Figure imgf000008_0001
and -NR21R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4;
for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation. In a further embodiment, the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein
Figure imgf000008_0002
R-i and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN, -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and
-Het-ι; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-nR12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000008_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3.6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3-6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci.6alkyl; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000009_0001
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NRi5Ri6;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18,
-C3.6cycloalkyl, -Ar8 and -Het4;
R6 is selected from -Ci_6alkyl, -S02, -S02-Ci_6alkyl, -S02-C3.6cycloalkyl, -(C=0),
Figure imgf000009_0002
- (C=0)-C2.6alkenyl, -(C=0)-0-C1.6alkyl, -(C=0)-Het6, -(C=0)-Ar6, -(C=0)-C3.6cycloalkyl, -(C=0)- NR31 R32, -(C=0)-N R31-(C=0)-R32, -(C=S), -(C=S)-C1.6alkyl, -(C=S)-C2.6alkenyl, -(C=S)-0-d_
6alkyl, -(C=S)-Het6, -(C=S)-Ar6, -(C=S)-C3.6cycloalkyl, -(C=S)-NR31 R32, -(C=S)-NR31-(C=S)-R32, -Het6, -Ar6, and -C3.6cycloalkyl;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)-
NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n , and -NR53R54, -(C=0)-NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)-
Rg, Rio, Rl 1 , Rl2, Rl3, Rl4, Rl5, Rl6, l > l8> Rl9> R20, ¾1 > R∑2, R∑5, R∑6, R∑7, R28, R∑9, R30, 3I > R32,
R33, R37, R38, R39, R40, R44, R45, R48, R50, R53, R54 and R55 are each independently selected from -H, -halo, =0, -OH , -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-C1-6alkyl, -S-C1-6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR5i R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
R43 is selected from -H -Ci_6alkyl, and -C3.6cycloalkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6alkyl, -S-Ci_6alkyl, -Het5, -C3.6cycloalkyl -Ar4, and -NR44R45;
A is selected from -(CH2)n-Y-(CH2)m-, -NR6-;
X-i is selected from -C1-6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-N R3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NR3-Ci-6alkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-N R3-Ci.6alkyl-; wherein each of said -Ci_ 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci-6alkyl, -0-Ci-6alkyl, -S-Ci-6alkyl, -phenyl, and -NR37R38;
X2 is selected from -C1-6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci.6alkyl-NR2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-Ci-6alkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said
-Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R4o;
Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said
Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, and - NR19R20; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-ι, Het2, Het3, Het4, Het5, Het6, Het7, Het10, and Het12 are each independently a 4- to 10- membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι, Het2, Het3, He , Het5, Het6, Het7, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, - OCi-6alkyl, -SCi_6alkyl, =0,
Figure imgf000010_0001
and -NR21R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i, Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4;
for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation.
In a further embodiment, the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein
Figure imgf000010_0002
R-i and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN, -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-nR12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000010_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3.6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3Ri4;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000011_0001
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR29R3o, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3.
6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4;
R6 is selected from -(C=0),
Figure imgf000011_0002
- (C=0)-Ar6, -(C=0)-C3.6cycloalkyl, -(C=0)-NR31R32, -(C=0)-NR31-(C=0)-R32, -(C=S), -(C=S)-d_ 6alkyl, -(C=S)-C2.6alkenyl, -(C=S)-0-C1.6alkyl, -(C=S)-Het6, -(C=S)-Ar6, -(C=S)-C3.6cycloalkyl, - (C=S)-NR31R32, -(C=S)-NR31-(C=S)-R32;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)- NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n , and -NR53R54, -(C=0)-NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)-
Rg, R10, R11 , Rl2, R"|3, Rl4, Rl5, Rl6, Rl7> l 8> l9> R20, 2I > R∑2, R∑5, R∑6, R∑7, R28, R∑9, R30, 3I > R32,
R33, R37, R38, R39, R40, R48, R50, R53, R54 and R55 are each independently selected from -H, - halo, =0, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51R52; R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_
6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is selected from -NR6-;
X-i is selected from -C1-6alkyl-, -0-Ci-6alkyl-, -S-Ci-6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-NR3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NR3-d_6alkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR3-Ci.6alkyl-; wherein each of said -Ci_ 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci.6alkyl, -S-Ci.6alkyl, -phenyl, and -NR37R38;
X2 is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci_6alkyl-NR2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-d_6alkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci.6alkyl, -0-Ci.6alkyl, -S-Ci.6alkyl, -phenyl and -NR39R4o; Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, and - NR19R2o; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-ι, Het2, Het3, Het4, Het6, Het7, Het10, and Het12 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι, Het2, Het3, He , Het6, Het7, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0, -
Figure imgf000012_0001
and -NR21R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4;
for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation.
In a further embodiment, the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein
Figure imgf000012_0002
R-i and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN, -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to
3 substituents selected from -halo, -OH, -NR-nR12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000012_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3.6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000012_0004
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3.
6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16; R4 is independently selected from -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18,
-C3.6cycloalkyl, -Ar8 and -Het4;
R6 is selected from -Ci_6alkyl, -S02, -S02-Ci.6alkyl, -S02-C3.6cycloalkyl, -Het6, -Ar6, and -C3.
6cycloalkyl;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, -Ar6, - NR25R26, -NR33(C=0)-NR25R26, and -N R33(C=S)-NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl,-halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n , and - NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)-NR53R54;
Rg, R10, R11 , Rl2, R"|3, Rl4. Rl5. Rl6. Rl7> l8> Rl9> R20, ¾1 > R∑2, R∑5, R∑6. R∑7. R∑8. R∑9. R30. 3I > R32.
R33, R37, R38, R39, R40, R44, R45, R48, R50, R53, R54 and R55 are each independently selected from -H, -halo, =0, -OH , -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51 R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
R43 is selected from -H -Ci_6alkyl, and -C3.6cycloalkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6alkyl, -S-Ci_6alkyl, -Het5, -C3.6cycloalkyl -Ar4, and -NR44R45;
A is selected from -(CH2)n-Y-(CH2)m-, -NR6-;
X-i is selected from -C1-6alkyl-, -0-Ci-6alkyl-, -S-Ci-6alkyl-, -(C=0)-, -NR3-(C=0)-, -C-,-6alkyl-N R3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NRs-d-ealkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci-6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-N R3-Ci.6alkyl-; wherein each of said -Ci_ 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from
-halo, -OH, -Ci.6alkyl, -0-Ci.6alkyl, -S-Ci.6alkyl, -phenyl, and -NR37R38;
X2 is selected from -Ci_6alkyl-, -0-C-,-6alkyl-, -S-C-,-6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci_6alkyl-N R2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NRz-C^alkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R40;
Y is -NR43-;
Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -C-i_6alkyl, -0-C-i_6alkyl, -S-C-i_6alkyl, and - NR19R20; wherein each of said -C-i_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-i , Het2, Het3, Het4, Het5, Het6, Het7, Het10, and Het12 are each independently a 4- to 10- membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, He , Het5, Het6, Het7, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, - OCi-6alkyl, -SCi_6alkyl, =0,
Figure imgf000014_0001
and -NR21 R22; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4;
for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation.
In a further embodiment, the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein
Figure imgf000014_0002
Ri and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN , -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι ; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-n R12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000014_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3-6cycloalkyl,
-Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000014_0004
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NRi5Ri6;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18,
-C3.6cycloalkyl, -Ar8 and -Het4;
R5 is selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het9, -Ar-ι , -C3.6cycloalkyl, - SOz-A^ , -SO2, -SOz-CLealkyl, -(C=0), -(C=0)-C1.6alkyl, -(C=S), -(C=S)-C1.6alkyl, -0-(C=0)-d_ 6alkyl,
Figure imgf000014_0005
wherein each of said -C-,.
6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci.6alkyl, -S-Ci.6alkyl, -C3.6cycloalkyl, -Αη , -Het9, and -NR23R2 ;
Rg, R10, R11 , R12, Rl3, Rl4, Rl5, Rl6, Rl > Rl8, Rl9, R20, R∑1 , R∑2, R∑3, R∑4, R∑7, R28, R∑9, R30, R37, R38,
R39, R40, R48, and R50, are each independently selected from -H , -halo, =0, -OH , -Ci_6alkyl, -O- Ci-6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, - OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is selected from -(C=0)-NR5-;
X-i is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-NR3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NRs-C^alkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR3-Ci.6alkyl-; wherein each of said -Ci_ 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from
-halo, -OH, -Ci.6alkyl, -0-Ci.6alkyl, -S-Ci.6alkyl, -phenyl, and -NR37R38;
X2 is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci_6alkyl-NR2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR^d-ealkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R40;
Ar-ι, Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar-ι, Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, and -NR19R20; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 - halo;
Het-ι, Het2, Het3, Het4, Het7, Het9, and Het10 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι, Het2, Het3, Het4, Het7, Het9, and Het10 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0, -
Figure imgf000015_0001
and -NR21R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4;
for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation.
In a further embodiment, the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein
A2 is C, and A-i is N; R-ι and R41 are each independently selected from -H, -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN, -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-nR12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000016_0001
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3-6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NR13R14;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000016_0002
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl,
-C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4;
R5 is selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het9, -Ar-ι, -C3.6cycloalkyl, - SOz-A^ , -SO2, -SOz-CLealkyl, -(C=0), -(C=0)-C1.6alkyl, -(C=S), -(C=S)-C1.6alkyl, -0-(C=0)-d_
6alkyl,
Figure imgf000016_0003
wherein each of said -d_ 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci.6alkyl, -S-Ci.6alkyl, -C3.6cycloalkyl, -Αη , -Het9, and -NR23R2 ;
Rg, R10, R11, R12, Rl3, Rl4, Rl5, Rl6, Rl > Rl 8, Rl9, R20, R∑1 , R∑2, R∑3, R∑4, R∑7, R28, R∑9, R30, R37, R38, R39, R40, R48, and R50, are each independently selected from -H , -halo, =0, -OH , -Ci_6alkyl, -O-
Ci-6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, - OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_
6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is selected from -(C=0)-NR5-;
Xi is -Ci-6alkyl-NR3-Ci-6alkyl-; wherein each of said -Ci_6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S- Ci-6alkyl, -phenyl, and -NR37R38;
X2 is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci_6alkyl-NR2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-d_6alkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R40; Ar-ι, Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar-ι, Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, and -NR19R2o; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 - halo;
Het-ι, Het2, Het3, Het4, Het7, Het9, and Het10 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι, Het2, Het3, Het4, Het7, Het9, and Het10 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0, -
Figure imgf000017_0001
and -NR21R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i, Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4;
for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation.
In a further aspect, the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein
Figure imgf000017_0002
R-i and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN, -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and
-Het-ι; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -NR-nR12, and -S-Ci_6alkyl;
wherein R-i and R41 are not simultaneously -H
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000017_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3.6cycloalkyl,
-Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3Ri4;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000018_0001
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR29R3o, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3.
6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4;
R6 is selected from -(C=0),
Figure imgf000018_0002
- (C=0)-Ar6, -(C=0)-C3.6cycloalkyl, -(C=0)-NR31 R32, -(C=0)-NR31-(C=0)-R32;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)-
NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n , and -NR53R54, -(C=0)-NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)-
Rg, Rio, Rl 1 , Rl2, Rl3, Rl4. Rl5. Rl6, l > l8> Rl9> R20, ¾1 > R∑2, R∑5, R∑6. R∑7. R∑8. R∑9. R30. 3I > R32.
R33, R37, R38, R39, R40, R48, R50, R53, R54 and R55 are each independently selected from -H, - halo, =0, -OH, -Ci-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_
6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is -NR6-;
X-i is selected from -C1-6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-NR3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NR3-Ci-6alkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)-
NR3-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR3-Ci.6alkyl-; wherein each of said -Ci_ 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci-6alkyl, -0-Ci-6alkyl, -S-Ci-6alkyl, -phenyl, and -NR37R38;
X2 is selected from -C1-6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci_6alkyl-NR2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-Ci-6alkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)-
NR2-Ci-6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R40;
Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, and - NR19R2o; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-ι, Het2, Het3, Het4, Het6, Het7, Het10, and Het12 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι, Het2, Het3, He , Het6, Het7, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0, -
Figure imgf000019_0001
and -NR21R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4;
for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, and myel in-related disorders.
In a further embodiment, the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein
Figure imgf000019_0002
R-i and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN, -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-nR12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000019_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3.6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -
Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000019_0004
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4; R5 is selected from -H, -OH, -halo, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het9, -Ar-ι , -C3.6cycloalkyl, - SOz-A^ , -S02, -SOz-CLealkyl, -(C=0), -(C=0)-C1.6alkyl, -(C=S), -(C=S)-C1.6alkyl, -0-(C=0)-d_ 6alkyl,
Figure imgf000020_0001
wherein each of said -C-,. 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci-6alkyl, -S-Ci-6alkyl, -C3.6cycloalkyl, -Αη , -Het9, and -NR23R24;
Rg, R-io, Rl 1 , Rl2> Rl3> Rl4, Rl5, Rl6, Rl7, Rl8, Rl9> R20, f¾1 > R∑2, R∑3, R∑4, F¾7, R28, R∑9, R30, R37, R38,
R39, R40, R48, and R50, are each independently selected from -H , -halo, =0, -OH , -Ci_6alkyl, -O- Ci-6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, - OH, -0-Ci-6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51 R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_
6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is selected from -(C=0)-NR5-;
Xi is -Ci-6alkyl-NR3-Ci-6alkyl-; wherein each of said -Ci_6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S- Ci_6alkyl, -phenyl, and -NR37R38;
X2 is selected from -C1-6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci_6alkyl-N R2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-Ci-6alkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci-6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R40;
Ar-ι , Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar-ι , Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, and -NR19R20; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 - halo;
Het-ι , Het2, Het3, Het4, Het7, Het9, and Het10 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, Het4, Het7, Het9, and Het10 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0, -
Figure imgf000020_0002
and -NR21 R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4;
for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, and myel in-related disorders. ln a further aspect, the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein
Figure imgf000021_0001
Wherein
Figure imgf000021_0002
R-i and R41 are each independently selected from -H, -halo, -OH, -d-6alkyl, -S-Ci_6alkyl, -NR9R10, - (C=0)-R4, -(C=S)-R4, -SO2-R4, -N R9-SO2-R4, -C3.6cycloalkyl, -Ar7 and -Het, ; wherein each of said -Ci-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -NR-n R12, and -S-Ci_6alkyl;
wherein R-i and R41 are not simultaneously -H
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000021_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3-6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000021_0004
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3.
6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, - Ar8 and -Het4;
R6 is selected from -(C=0),
Figure imgf000021_0005
- (C=0)-Ar6, -(C=0)-C3.6cycloalkyl, -(C=0)-NR31 R32, -(C=0)-NR31-(C=0)-R32;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)-
NR25R26; and wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -d-6alkyl, =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n , and -NR53R54, -(C=0)-NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)- Rg, R-io, R11 , R12, Rl3, Rl4, Rl5, Rl6, Rl9, R20, R∑1 , R∑2, R∑5, R∑6, R∑7, R28, R∑9, R30, R3I , R32, R33, R37,
R38, R39, R40, R48, R50, R53, R54 and R55 are each independently selected from -H, -halo, =0, - OH, -Ci-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said - Ci-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci.6alkyl, -S-Ci.6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51 R52;
R5i and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is -NR6-;
X-i is selected from -C-,-6alkyl-, -0-Ci_6alkyl-, -S-C-,-6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-N R3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NRs-d-ealkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-N R3-Ci.6alkyl-; wherein each of said -Ci_
6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci.6alkyl, -0-Ci.6alkyl, -S-Ci.6alkyl, -phenyl, and -NR37R38;
X2 is selected from -Ci_6alkyl-, -0-d.6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -d.6alkyl-N R2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-d_6alkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said
-Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R40;
Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -C-i_6alkyl, -0-C-i_6alkyl, -S-C-i_6alkyl, and - NR19R20; wherein each of said -C-i_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-i , Het2, Het3, Het4, Het6, Het7, Het10, and Het12 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said
Het-i , Het2, Het3, He , Het6, Het7, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -C-i_6alkyl, -OC-i_6alkyl, -SC-i_6alkyl, =0, -
Figure imgf000022_0001
and -NR21 R22; wherein each of said -C-i_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4. In a further embodiment, the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein
Figure imgf000023_0001
Ri and R41 are each independently selected from -H, -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN , -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι ; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-n R12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
wherein R-i and R41 are not simultaneously -H
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000023_0002
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3-6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NR13R14;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000023_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl,
-C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18,
-C3.6cycloalkyl, -Ar8 and -Het4;
R5 is selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het9, -Ar-ι , -C3.6cycloalkyl, - SOz-A^ , -S02, -SOz-d-ealkyl, -(C=0), -(C=0)-C1.6alkyl, -(C=S), -(C=S)-C1.6alkyl, -0-(C=0)-d_
6alkyl,
Figure imgf000023_0004
wherein each of said -d_ 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci.6alkyl, -S-Ci.6alkyl, -C3.6cycloalkyl, -Αη , -Het9, and -NR23R2 ;
R9, R10, R11 , Ri2, Ri3, Ri4, Ri5, R16, Ri7, R18, Ri9, R20, R21 , R22, R23, R24, R27, R28, R29, R30, R37, R38, R39, R40, R48, and R50, are each independently selected from -H , -halo, =0, -OH , -Ci_6alkyl, -O-
Ci-6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, - OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51 R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is selected from -(C=0)-NR5-;
Xi is -Ci-6alkyl-NR3-Ci-6alkyl-; wherein each of said -Ci_6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S- Ci-6alkyl, -phenyl, and -NR37R38; X2 is selected from -C1-6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci.6alkyl-NR2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR^d-ealkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R40;
Ar-ι , Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar-ι , Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, and -NR19R20; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 - halo;
Het-ι , Het2, Het3, Het4, Het7, Het9, and Het10 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, Het4, Het7, Het9, and Het10 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0, -
Figure imgf000024_0001
and -NR21R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4.
In a further aspect, the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein
Figure imgf000024_0002
Wherein
Figure imgf000024_0003
R-i and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -S-Ci_6alkyl, -NR9R10, - (C=0)-R4, -(C=S)-R4, -S02-R4, -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het^ wherein each of said -Ci-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -NR-n R12, and -S-Ci_6alkyl;
wherein R-i and R41 are not simultaneously -H R2 is selected from -H, -halo, -OH, -C1-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000025_0001
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3-6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -
Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000025_0002
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, - Ar8 and -Het4;
R6 is selected from -(C=0),
Figure imgf000025_0003
- (C=0)-Ar6, -(C=0)-C3.6cycloalkyl, -(C=0)-NR31 R32, -(C=0)-NR31-(C=0)-R32;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)- NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n , and -NR53R54, -(C=0)-NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)- Rg, R-io, Rii , Ri2, Ri3, Ri4, Ri5, Ri6, Ri9, R20, R21 , R22, R25, R26, R27, R28, R29, R30, R31 , R32, R33, R37, R38, R39, R40, R48, R50, R53, R54 and R55 are each independently selected from -H, -halo, =0, - OH, -Ci-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said - Ci-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci.6alkyl, -S-Ci.6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is -NR6-;
X-i is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-NR3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NRs-d-ealkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR3-Ci.6alkyl-; wherein each of said -Ci_
6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci.6alkyl, -0-Ci.6alkyl, -S-Ci.6alkyl, -phenyl, and -NR37R38;
X2 is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci_6alkyl-NR2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-d_6alkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci_6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R4o;
Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, and - NR19R2o; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-ι , Het2, Het3, Het4, Het6, Het7, Het10, and Het12 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said
Het-ι , Het2, Het3, He , Het6, Het7, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0, -
Figure imgf000026_0001
and -NR21 R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4;
for use in human or veterinary medicine; more in particular for the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, myelin-related disorders, neurological disorders and cancer.
In a further embodiment, the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein
Figure imgf000026_0002
R-i and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN , -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι ; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-n R12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
wherein R-i and R41 are not simultaneously -H
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000026_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3.6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000026_0004
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3-6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci.6alkyl; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4;
R5 is selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het9, -Ar-ι , -C3.6cycloalkyl, - SOz-A^ , -S02, -S02-d_6alkyl, -(C=0), -(C=0)-C1.6alkyl, -(C=S), -(C=S)-C1.6alkyl, -0-(C=0)-d_ 6alkyl,
Figure imgf000027_0001
wherein each of said -d_ 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci.6alkyl, -S-Ci.6alkyl, -C3.6cycloalkyl, -Αη , -Het9, and -NR23R24;
Rg, R-io, Rl 1 , Rl2, Rl3, Rl4, Rl5, Rl6, l > Rl8, Rl9, R20, R∑1 , R∑2, R∑3, R∑4, R∑7, R28, R∑9, R30, R37, R38,
R39, R40, R48, and R50, are each independently selected from -H , -halo, =0, -OH , -Ci_6alkyl, -O-
Ci-6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -
OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51 R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_
6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is selected from -(C=0)-NR5-;
Xi is -Ci.6alkyl-NR3-Ci.6alkyl-; wherein each of said -Ci_6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-
Ci-6alkyl, -phenyl, and -NR37R38;
X2 is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci_6alkyl-N R2-,
-NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-d_6alkyl-, -NR2-S02-, -NR2-(C=0)-d_6alkyl-, -(C=0)- NR2-Ci-6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -d-6alkyl-NR2-d-6alkyl-; wherein each of said
-d_6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d_6alkyl, -0-d_6alkyl, -S-d_6alkyl, -phenyl and -NR39R40;
Ar-ι , Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar-ι , Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d_6alkyl, -0-d_6alkyl, -S-d_6alkyl, and -NR19R20; wherein each of said -d_6alkyl is optionally and independently substituted with from 1 to 3 - halo;
Het-ι , Het2, Het3, Het4, Het7, Het9, and Het10 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said
Het-ι , Het2, Het3, Het4, Het7, Het9, and Het10 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d_6alkyl, -Od_6alkyl, -Sd_6alkyl, =0, - (C=0)-d-6alkyl, and -NR21 R22; wherein each of said -d_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and m and n are each independently 1 , 2, 3, or 4;
for use in human or veterinary medicine; more in particular for the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, and myelin-related disorders, neurological disorders and cancer.
In a further embodiment, the present invention provides a compound selected from the list comprising:
Figure imgf000028_0001
In a further embodiment, the present invention provides a compound selected from the list comprising:
Figure imgf000029_0001
use in human or veterinary medicine; more in particular for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, and myelin-related disorders, neurological disorders and cancer. In a further aspect, the present invention provides a compound according to the present invention for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease; wherein the pyrazolopyrimidine or the imidazopyridazine moiety is linked to the aryl or heteroaryl moiety at position Z4 or Z5, in accordance with the numbering as provided in Formula I.
In yet a further aspect, the present invention provides a compound according to the present invention for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease; wherein R-i is linked to the aryl or heteroaryl moiety at position Z-i , Z2 or Z3, in accordance with the numbering as provided in Formula I.
The present invention further provides a pharmaceutical composition for use in the prevention and/or treatment of an ALK1 or ALK2-kinase associated disease comprising a compound according to this invention. Furthermore, the present invention provides the use of a compound or composition according to this invention, suitable for inhibiting the activity of a kinase; in particular an Activin-like receptor kinase, more in particular and ALK1 or ALK2 kinase; or for the diagnosis, prevention and/or treatment of an ALK1 or ALK2-kinase associated disease. Finally, the present invention provides a method for prevention and/or treatment of an ALK1 or ALK2-kinase associated disease; said method comprising administering to a subject in need thereof a compound or a composition according to the present invention.
DETAILED DESCRIPTION OF THE INVENTION
The present invention will now be further described. In the following passages, different aspects of the invention are defined in more detail. Each aspect so defined may be combined with any other aspect or aspects unless clearly indicated to the contrary. In particular, any feature indicated as being preferred or advantageous may be combined with any other feature or features indicated as being preferred or advantageous.
Unless a context dictates otherwise, asterisks are used herein to indicate the point at which a mono- or bivalent radical depicted is connected to the structure to which it relates and of which the radical forms part.
As already mentioned hereinbefore, in a first aspect the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof,
Figure imgf000031_0001
Wherein
Figure imgf000031_0002
R-i and R41 are each independently selected from -H, -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN, -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and
-Het-ι; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-nR12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000031_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3-6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3.
6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000031_0004
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl
-Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3.
6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl,
-C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18,
-C3.6cycloalkyl, -Ar8 and -Het4;
R5 and R7 are each independently selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_
6alkyl, -Het9, -Ar-, , -C3.6cycloalkyl, -S02-Ar-, , -S02, -S02-Ci_6alkyl, -(C=0),
Figure imgf000031_0005
-(C=S), -(C=S)-C1.6alkyl, -0-(C=0)-C1.6alkyl, -0-(C=S)-C1.6alkyl, -(C=0)-0-C1.6alkyl, and
Figure imgf000031_0006
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl,
-C3.6cycloalkyl, -Ar-ι, -Het9, and -NR23R24;
R6 is selected from -Ci_6alkyl, -S02, -S02-Ci_6alkyl, -S02-C3.6cycloalkyl, -(C=0),
Figure imgf000031_0007
-
(C=0)-C2.6alkenyl, -(C=0)-0-C1.6alkyl, -(C=0)-Het6, -(C=0)-Ar6, -(C=0)-C3.6cycloalkyl, -(C=0)- NR31R32, -(C=0)-NR31-(C=0)-R32, -(C=S), -(C=S)-C1.6alkyl, -(C=S)-C2.6alkenyl, -(C=S)-0-d_
6alkyl, -(C=S)-Het6, -(C=S)-Ar6, -(C=S)-C3.6cycloalkyl, -(C=S)-NR31R32, -(C=S)-NR31-(C=S)-R32,
-Het6, -Ar6, and -C3.6cycloalkyl; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)- NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n, and -NR53R54, -(C=0)-NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)-
R8 is selected from -NR34-(C=0)-R35, -NR34-(C=S)-R35, -NR36-(C=0)-NR34R35, -NR36-(C=S)- NR34R35, -NR34-(S02)-R35, -NR34-(C=0)-0-R35, -NR34-(C=S)-0-R35, -0-(C=0)-NR34R35, and
-0-(C=S)-NR34R35;
Rg, R-io, Rii, Ri2, Ri3, R"i4, Ri5. Ri6. Ri7. Ri8. Ri9. R20. R21. R22. R23. R24. R25. R26. R27. R28. R29. R30.
R31. R32. R33. R34. R35. R36. R37. R38. R39. R40, R44. R45. R46. R47. R48, R49. R50. R53. R54 and R55 are each independently selected from -H, -halo, =0, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, - C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl,
-C3.6cycloalkyl, -Het7, -Ar5 and -NR51R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_
6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
R42 is selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR46R47, -C3.6cycloalkyl,
-Arg and -Het8;
R43 is selected from -H -Ci_6alkyl, and -C3.6cycloalkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -O-C1- 6alkyl, -S-Ci_6alkyl, -Het5, -C3.6cycloalkyl -Ar4, and -NR44R45;
A is selected from -(CH2)n-Y-(CH2)m-, -(C=0)-, -(C=S)-, -(C=N)-R49-, -(S02)-, -S02-NR5-, -(C=0)- NR5-, -(C=S)-NR5-, -NR5-(C=0)-NR7-, -NR5-(C=S)-NR7-, -NR6-, -NR5-(C=0)-0-, -NR5-(C=S)-0- , and -CHR8- ;
X-i is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-NR3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NRs-d-ealkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci-6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR3-Ci.6alkyl-; wherein each of said -Ci_
6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci.6alkyl, -0-Ci.6alkyl, -S-Ci.6alkyl, -phenyl, and -NR37R38;
X2 is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci_6alkyl-NR2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NRz-C^alkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci-6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said
-Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R40;
Y is selected from a direct bond, -CHR42-, -0-, -S-, and -NR43-;
Ar-ι, Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar9, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar-i, Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar9, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S- Ci-6alkyl, and -NR19R2o; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-ι, Het2, Het3, Het4, Het5, Het6, Het7, Het8, Het9, Het10, and Het12 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι, Het2, Het3, He , Het5, Het6, Het7, Het8, Het9, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0,
Figure imgf000033_0001
and -NR21R22; wherein each of said -Ci_ 6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i, Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4;
for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from anemia-related disorders or disorders characterized by abnormal bone formation.
Unless indicated otherwise, all of the above radicals can be read both ways. For example, when A is -(C=0)-NR5-, the -(C=0)- may be attached to X2 and -NR5- attached to X·, . Alternatively, the - (C=0)- may be attached to X-i and -NR5- attached to X-| . What is called "left part" of a radical is for example when A is -(C=0)-NR5-, -(C=0)-, and the "right part" is -NR5-.
Preferably, A is such as the left part of the possible values of A (i.e. in particular -(C=N)- from - (C=N)-R49-, -(C=0)- from -(C=0)-NR5-, -(C=S)- from -(C=S)-NR5-, -S02- from -S02-NR5-, etc) is attached to X-| . Alternatively, A is such as the right part of the possible values of A (i.e. in particular -R49- from -(C=N)-R49-, -NR5- from -(C=0)-NR5-, -NR5- from -(C=S)-NR5-, -NR5- from -S02-NR5-, etc) is attached to X-| .
Preferably, X-i is such as the left part of the possible values of X-i (i.e. in particular -O- from -0-Ci_ 6alkyl-, -S- from -S-Ci_6alkyl-, -NR3- from -NR3-(C=0)- and -NR3-Ci_6alky-, -S02- from -S02-NR3-, etc) is attached to the Z Z5 aryl or heteroaryl moiety. Alternatively, X-i is such as the right part of the possible values of X-i (i.e. in particular -Ci_6alkyl- from -0-Ci_6alkyl-, -S-Ci_6alkyl- and -NR3-Ci_ 6alkyl-; -(C=0)- from -NR3-(C=0)-, -(NR3)- from -S02-NR3-, etc) is attached to the Z Z5 aryl or heteroaryl moiety. Preferably, X2 is such as the left part of the possible values of X2 (i.e. in particular -O- from -0-Ci_ 6alkyl-, -S- from -S-Ci_6alkyl-, -(C=0)- from -(C=0)-NR2-, -NR2- from -NR2-Ci_6alkyl-, -S02- from - S02-NR2- etc) is attached to the pyrazolopyrimidine moiety. Alternatively, X2 is such as the right part of the possible values of X2 (i.e. in particular -Ci_6alkyl- from -0-Ci_6alkyl-, -S-Ci_6alkyl- and - NR2-Ci-6alkyl-, -NR2- from -(C=0)-NR2- and -S02-NR2-, etc) is attached to the pyrazolopyrimidine moiety. The same principle applies to all the radicals of the invention unless specified otherwise.
When describing the compounds of the invention, the terms used are to be construed in accordance with the following definitions, unless a context dictates otherwise:
The term "alkyl" by itself or as part of another substituent refers to fully saturated hydrocarbon radicals. Generally, alkyl groups of this invention comprise from 1 to 6 carbon atoms. Alkyl groups may be linear or branched and may be substituted as indicated herein. When a subscript is used herein following a carbon atom, the subscript refers to the number of carbon atoms that the named group may contain. Thus, for example, d-6alkyl means an alkyl of one to six carbon atoms. Examples of alkyl groups are methyl, ethyl, n-propyl, i-propyl, butyl, and its isomers (e.g. n-butyl, i- butyl and t-butyl); pentyl and its isomers, hexyl and its isomers. C C6 alkyl includes all linear, branched, or cyclic alkyl groups with between 1 and 6 carbon atoms, and thus includes methyl, ethyl, n-propyl, i-propyl, butyl and its isomers (e.g. n-butyl, i-butyl and t-butyl); pentyl and its isomers, hexyl and its isomers, cyclopropyl, cyclobutyl, cyclopentyl, and cyclohexyl.
The term "optionally substituted alkyl" refers to an alkyl group optionally substituted with one or more substituents (for example 1 to 3 substituents, for example 1 , 2 or 3 substituents or 1 to 2 substituents) at any available point of attachment. Non-limiting examples of such substituents include -halo, -OH, primary and secondary amides, -0-Ci_6alkyl, -S-Ci_6alkyl, heteroaryl, aryl, and the like.
The term "cycloalkyl" by itself or as part of another substituent is a cyclic alkyl group, that is to say, a monovalent, saturated, or unsaturated hydrocarbyl group having a cyclic structure. Cycloalkyl includes all saturated or partially saturated (containing 1 or 2 double bonds) hydrocarbon groups having a cyclic structure. Cycloalkyl groups may comprise 3 or more carbon atoms in the ring and generally, according to this invention comprise from 3 to 6 atoms. Examples of cycloalkyl groups include but are not limited to cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl.
Where alkyl groups as defined are divalent, i.e., with two single bonds for attachment to two other groups, they are termed "alkylene" groups. Non-limiting examples of alkylene groups includes methylene, ethylene, methylmethylene, trimethylene, propylene, tetramethylene, ethylethylene, 1 ,2- dimethylethylene, pentamethylene and hexamethylene.
Generally, alkylene groups of this invention preferably comprise the same number of carbon atoms as their alkyl counterparts. Where an alkylene or cycloalkylene biradical is present, connectivity to the molecular structure of which it forms part may be through a common carbon atom or different carbon atom. To illustrate this applying the asterisk nomenclature of this invention, a C3 alkylene group may be for example *-CH2CH2CH2-*, *-CH(-CH2CH3)-*, or *-CH2CH(-CH3)-*. Likewise a C3 cycloalkylene group may be
Figure imgf000034_0001
The terms "heterocycle" as used herein by itself or as part of another group refer to non-aromatic, fully saturated or partially unsaturated cyclic groups (for example, 3 to 6 membered monocyclic ring systems, or 8-10 membered bicyclic rings) which have at least one heteroatom in at least one carbon atom-containing ring. Each ring of the heterocyclic group containing a heteroatom may have 1 , 2, 3 or 4 heteroatoms selected from nitrogen atoms, oxygen atoms and/or sulfur atoms. An optionally substituted heterocyclic refers to a heterocyclic having optionally one or more substituents (for example 1 to 4 substituents, or for example 1 , 2, 3 or 4), selected from those defined above for substituted alkyl.
Exemplary heterocyclic groups include piperidinyl, azetidinyl, imidazolinyl, imidazolidinyl, isoxazolinyl, oxazolidinyl, isoxazolidinyl, thiazolidinyl, isothiazolidinyl, piperidyl, succinimidyl, 3H- indolyl, isoindolinyl, chromenyl, isochromanyl, xanthenyl, 2H-pyrrolyl, 1 -pyrrolinyl, 2-pyrrolinyl, 3- pyrrolinyl, pyrrolidinyl, 4H-quinolizinyl, 4aH-carbazolyl, 2-oxopiperazinyl, piperazinyl, homopiperazinyl, 2-pyrazolinyl, 3-pyrazolinyl, pyranyl, dihydro-2H-pyranyl, 4H-pyranyl, 3,4-dihydro- 2H-pyranyl, phthalazinyl, oxetanyl, thietanyl, 3-dioxolanyl, 1 ,3-dioxanyl, 2,5-dioximidazolidinyl,
2.2.4- piperidonyl, 2-oxopiperidinyl, 2-oxopyrrolodinyl, 2-oxoazepinyl, indolinyl, tetrahydropyranyl, tetrahydrofuranyl, tetrehydrothienyl, tetrahydroquinolinyl, tetrahydroisoquinolinyl, thiomorpholinyl, thiomorpholinyl sulfoxide, thiomorpholinyl sulfone, 1 , 3-dioxolanyl, 1 ,4-oxathianyl, 1 ,4-dithianyl,
1 .3.5- trioxanyl, 6H-1 ,2,5-thiadiazinyl, 2H-1 ,5,2-dithiazinyl, 2H-oxocinyl, 1 H-pyrrolizinyl, tetrahydro- 1 ,1 -dioxothienyl, N- formylpiperazinyl, and morpholinyl; in particular pyrrolidinyl, imidazolidinyl, pyrazolidinyl, piperidinyl, dioxolanyl, dioxanyl, morpholinyl, thiomorpholinyl, piperazinyl, thiazolidinyl, tetrahydropyranyl, and tetrahydrofuranyl.
8-10 membered heterocyclic groups are also meant to include spiro-groups, which are bicyclic compounds with both rings connected through a single atom, such as for example spiro[4.5]decane, which is a spiro compound consisting of a cyclohexane ring and a cyclopentane ring.
The term "aryl" as used herein refers to a polyunsaturated, aromatic hydrocarbyl group having from 5-10 atoms. Aryl is also intended to include the partially hydrogenated derivatives of the carbocyclic systems enumerated herein. Non-limiting examples of aryl comprise phenyl, biphenylyl, biphenylenyl, 5- or 6-tetralinyl, 1 -, 2-, 3-, 4-, 5-, 6-, 7-, or 8-azulenyl, 1 - or 2-naphthyl, 1 -, 2-, or 3- indenyl, 1 -, 2-, or 9-anthryl, 1 - 2-, 3-, 4-, or 5-acenaphtylenyl, 3-, 4-, or 5-acenaphtenyl, 1 -, 2-, 3-, 4- , or 10-phenanthryl, 1 - or 2-pentalenyl, 1 , 2-, 3-, or 4-fluorenyl, 4- or 5-indanyl, 5-, 6-, 7-, or 8- tetrahydronaphthyl, 1 ,2,3,4-tetrahydronaphthyl, 1 ,4-dihydronaphthyl, dibenzo[a,d]cylcoheptenyl, and 1 -, 2-, 3-, 4-, or 5-pyrenyl; in particular phenyl.
The aryl ring can optionally be substituted by one or more substituents. An "optionally substituted aryl" refers to an aryl having optionally one or more substituents (for example 1 to 5 substituents, for example 1 , 2, 3 or 4) at any available point of attachment, selected from those defined above for substituted alkyl.
Where a carbon atom in an aryl group is replaced with a heteroatom, the resultant ring is referred to herein as a heteroaryl ring.
The term "heteroaryl" as used herein by itself or as part of another group refers but is not limited to 5 to 10 carbon-atom aromatic rings in which one or more carbon atoms can be replaced by oxygen, nitrogen or sulfur atoms. Non-limiting examples of such heteroaryl, include: pyrrolyl, furanyl, thiophenyl, pyrazolyl, imidazolyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, triazolyl, oxadiazolyl, thiadiazolyl, tetrazolyl, oxatriazolyl, thiatriazolyl, pyridinyl, pyrimidyl, pyrazinyl, pyridazinyl, oxazinyl, dioxinyl, thiazinyl, triazinyl, imidazo[2,1 -b][1 ,3]thiazolyl, thieno[3,2-b]furanyl, thieno[3,2-b]thiophenyl, thieno[2,3-d][1 ,3]thiazolyl, thieno[2,3-d]imidazolyl, tetrazolo[1 ,5-a]pyridinyl, indolyl, indolizinyl, isoindolyl, benzofuranyl, isobenzofuranyl, benzothiophenyl, isobenzothiophenyl, indazolyl, benzimidazolyl, 1 ,3-benzoxazolyl, 1 ,2-benzisoxazolyl, 2,1 -benzisoxazolyl, 1 ,3-benzothiazolyl, 1 ,2- benzoisothiazolyl, 2,1 -benzoisothiazolyl, benzotriazolyl, 1 ,2,3-benzoxadiazolyl, 2,1 ,3- benzoxadiazolyl, 1 ,2,3-benzothiadiazolyl, 2,1 ,3-benzothiadiazolyl, thienopyridinyl, purinyl, imidazo[1 ,2-a]pyridinyl, 6-oxo-pyridazin-1 (6H)-yl, 2-oxopyridin-1 (2H)-yl, 6-oxo-pyridazin-1 (6H)-yl, 2- oxopyridin-1 (2H)-yl, 1 ,3-benzodioxolyl, quinolinyl, isoquinolinyl, cinnolinyl, quinazolinyl, quinoxalinyl, 7-azaindolyl, 6-azaindolyl, 5-azaindolyl, 4-azaindolyl.
An "optionally substituted heteroaryl" refers to a heteroaryl having optionally one or more substituents (for example 1 to 4 substituents, for example 1 , 2, 3 or 4), selected from those defined above for substituted alkyl.
The term "halo" or "halogen" as a group or part of a group is generic for fluoro, chloro, bromo, or iodo, as well as any suitable isotope thereof.
Whenever the term "substituted" is used in the present invention, it is meant to indicate that one or more hydrogens on the atom indicated in the expression using "substituted" is replaced with a selection from the indicated group, provided that the indicated atom's normal valency is not exceeded, and that the substitution results in a chemically stable compound, i.e. a compound that is sufficiently robust to survive isolation to a useful degree of purity from a reaction mixture, and formulation into a therapeutic and/or diagnostic agent.
Where groups may be optionally substituted, such groups may be substituted once or more, and preferably once, twice or thrice. Substituents may be selected from, those defined above for substituted alkyl.
As used herein the terms such as "alkyl, aryl, or cycloalkyl, each being optionally substituted with" or "alkyl, aryl, or cycloalkyl, optionally substituted with" refers to optionally substituted alkyl, optionally substituted aryl and optionally substituted cycloalkyl.
More generally, from the above, it will be clear to the skilled person that the compounds of the invention may exist in the form of different isomers and/or tautomers, including but not limited to geometrical isomers, conformational isomers, E/Z-isomers, stereochemical isomers (i.e. enantiomers and diastereoisomers) and isomers that correspond to the presence of the same substituents on different positions of the rings present in the compounds of the invention. All such possible isomers, tautomers and mixtures thereof are included within the scope of the invention.
In addition, the invention includes isotopically-labelled compounds and salts, which are identical to compounds of formula (I), but for the fact that one or more atoms are replaced by an atom having an atomic mass or mass number different from the atomic mass or mass number most commonly found in nature. Examples of isotopes that can be incorporated into compounds of formula (I) are isotopes of hydrogen, carbon, nitrogen, fluorine, such as 3H, C, 3N, 4C, 50 and 8F. Such isotopically-labelled compounds of formula (I) are useful in drug and/or substrate tissue distribution assays. For example C and 8F isotopes are particularly useful in PET (Positron Emission Tomography). PET is useful as a diagnostic or treatment follow-up tool that can be applied in a translational manner in a preclinical and clinical setting. It also has applications in PK determination of compounds, including biodistribution. Isotopically labeled compounds of formula (I) can generally be prepared by carrying out the procedures disclosed below, by substituting a readily available non-isotopically labeled reagent with an isotopically labeled reagent.
Whenever used in the present invention the term "compounds of the invention" or a similar term is meant to include the compounds of general Formula I and any subgroup thereof. This term also refers to the compounds as depicted in Table 1 , their derivatives, /v-oxides, salts, solvates, hydrates, stereoisomeric forms, racemic mixtures, tautomeric forms, optical isomers, analogues, pro-drugs, esters, and metabolites, as well as their quaternized nitrogen analogues. The v-oxide forms of said compounds are meant to comprise compounds wherein one or several nitrogen atoms are oxidized to the so-called /v-oxide.
As used in the specification and the appended claims, the singular forms "a", "an", and "the" include plural referents unless the context clearly dictates otherwise. By way of example, "a compound" means one compound or more than one compound.
The terms described above and others used in the specification are well understood to those in the art. a particular embodiment, the present invention provides compounds of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof; for use in the diagnosis prevention and/or treatment of an Activin-like receptor kinase associated disease selected from anemia-related disorders or disorders characterized by abnormal bone formation; wherein one or more of the following applies:
Figure imgf000037_0001
Ri and R41 are each independently selected from -H, -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN, -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι ; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-n R12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H, -halo, -OH, -C1-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000038_0001
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3-6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3.
6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000038_0002
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl
-Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3.
6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl,
-C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18,
-C3.6cycloalkyl, -Ar8 and -Het4;
R5 and R7 are each independently selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_
6alkyl, -Het9, -Ar-, , -C3.6cycloalkyl, -S02-Ar-, , -S02, -S02-Ci_6alkyl, -(C=0),
Figure imgf000038_0003
-(C=S), -(C=S)-C1.6alkyl, -0-(C=0)-C1.6alkyl, -0-(C=S)-C1.6alkyl, -(C=0)-0-C1.6alkyl, and
Figure imgf000038_0004
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl,
-C3.6cycloalkyl, -Ar-ι , -Het9, and -NR23R24;
R6 is selected from -Ci_6alkyl, -S02, -S02-Ci_6alkyl, -S02-C3.6cycloalkyl, -(C=0),
Figure imgf000038_0005
-
(C=0)-C2.6alkenyl, -(C=0)-0-C1.6alkyl, -(C=0)-Het6, -(C=0)-Ar6, -(C=0)-C3.6cycloalkyl, -(C=0)- NR31 R32, -(C=0)-N R31-(C=0)-R32, -(C=S), -(C=S)-C1.6alkyl, -(C=S)-C2.6alkenyl, -(C=S)-0-d_
6alkyl, -(C=S)-Het6, -(C=S)-Ar6, -(C=S)-C3.6cycloalkyl, -(C=S)-NR31 R32, -(C=S)-NR31-(C=S)-R32,
-Het6, -Ar6, and -C3.6cycloalkyl;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)-
NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n , and -NR53R54, -(C=0)-NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)-
R8 is selected from -NR34-(C=0)-R35, -NR34-(C=S)-R35, -NR36-(C=0)-NR34R35, -NR36-(C=S)- NR34R35, -NR34-(S02)-R35, -NR34-(C=0)-0-R35, -NR34-(C=S)-0-R35, -0-(C=0)-NR34R35, and -0-(C=S)-NR34R35;
R9, R10, R11 , Ri2, R"i3, Ri4, R15. R16. Ri7> R18. Ri9. R20. R21. R22. R23. R24. R25. R26. R27. R28. R29. R30.
R31 , R32, R33, R34, R35, R36, R37, R38, R39, R4o, R44. R45. R46. R47. R48, R49. R50. R53. R54 and R55 are each independently selected from -H, -halo, =0, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, - C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51R52;
R5i and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
R42 is selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR46R47, -C3.6cycloalkyl, -Ar9 and -Het8;
R43 is selected from -H -Ci_6alkyl, and -C3.6cycloalkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_
6alkyl, -S-Ci_6alkyl, -Het5, -C3.6cycloalkyl -Ar4, and -NR44R45;
A is selected from -(CH2)n-Y-(CH2)m-, -(C=0)-, -(C=S)-, -(C=N)-R49-, -(S02)-, -S02-NR5-, -(C=0)-
NR5-, -(C=S)-NR5-, -NR5-(C=0)-NR7-, -NR5-(C=S)-NR7-, -NR6-, -NR5-(C=0)-0-, -NR5-(C=S)-0-
, and -CHR8- ;
Xi is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-NR3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NR3-d_6alkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR3-Ci.6alkyl-; wherein each of said -Ci_ 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci.6alkyl, -0-Ci.6alkyl, -S-Ci.6alkyl, -phenyl, and -NR37R38;
X2 is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci_6alkyl-NR2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-d_6alkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R40;
Y is selected from a direct bond, -CHR42-, -0-, -S-, and -NR43-;
Ar-ι, Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar9, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar-ι, Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar9, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S- Ci-6alkyl, and -NR19R20; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-ι, Het2, Het3, Het4, Het5, Het6, Het7, Het8, Het9, Het10, and Het12 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι, Het2, Het3, He , Het5, Het6, Het7, Het8, Het9, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d.
6alkyl, -Od_6alkyl, -Sd_6alkyl, =0,
Figure imgf000039_0001
and -NR21R22; wherein each of said -d- 6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i, Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4; for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from anemia-related disorders or disorders characterized by abnormal bone formation. In particular, X-i, and X2 as used herein, represent biradicals, which taken together with the radicals to which they are attached form a macrocyclic pyrazolopyrimidine compound. Said biradicals may be present in either of both directions in the macrocyclic pyrazolopyrimidine, but are preferably present in the direction as described below:
Referring to formula I:
Xi is selected from the list comprising *-Ci_6alkyl-, *-0-Ci_6alkyl-, *-S-Ci_6alkyl-, *-(C=0)-, -
NR3-(C=0)-, *-Ci-6alkyl-NR3-, *-NR3-, *-(C=0)-, *-NR3-(C=0)-NR48-, *-NR3-Ci-6alkyl-, *-NR3- SO2-,
Figure imgf000040_0001
*-0-Ci-6alkyl-0-Ci-6alkyl- and *-d_ 6alkyl-NR3-Ci_6alkyl-; wherein said biradical is preferably attached to the aryl or heteroaryl moiety via *;
X2 is selected from the list comprising *-Ci_6alkyl-, *-0-Ci_6alkyl-, *-S-Ci_6alkyl-, *-(C=0)-, *-
NR2-(C=0)-, *-Ci-6alkyl-NR2-, *-NR2-, *-(C=0)-, *-NR2-(C=O)-NR50-, *-NR2-Ci-6alkyl-, *-NR2- SO2-,
Figure imgf000040_0002
*-0-Ci-6alkyl-0-Ci-6alkyl- and *-d_ 6alkyl-NR2-Ci-6alkyl-; wherein said biradical is preferably attached to the pyrazolopyrimidine moiety via *;
In a preferred embodiment, the present invention provides compounds of formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation; wherein
Figure imgf000040_0003
R-i and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_
6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN, -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-nR12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H, -halo, -OH, -C1-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000040_0004
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3.6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -
Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000040_0005
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci.6alkyl; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4;
R5 is selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het9, -Ar-ι , -C3.6cycloalkyl, - SOz-A^ , -S02, -S02-d_6alkyl, -(C=0), -(C=0)-C1.6alkyl, -(C=S), -(C=S)-C1.6alkyl, -0-(C=0)-d_ 6alkyl,
Figure imgf000041_0001
wherein each of said -d_ 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci.6alkyl, -S-Ci.6alkyl, -C3.6cycloalkyl, -Αη , -Het9, and -NR23R24;
R6 is selected from -Ci_6alkyl, -S02, -S02-Ci_6alkyl, -S02-C3.6cycloalkyl, -(C=0),
Figure imgf000041_0002
- (C=0)-C2.6alkenyl, -(C=0)-0-C1.6alkyl, -(C=0)-Het6, -(C=0)-Ar6, -(C=0)-C3.6cycloalkyl, -(C=0)- NR3i R32, -(C=0)-N R31-(C=0)-R32, -(C=S), -(C=S)-C1.6alkyl, -(C=S)-C2.6alkenyl, -(C=S)-0-d_ 6alkyl, -(C=S)-Het6, -(C=S)-Ar6, -(C=S)-C3.6cycloalkyl, -(C=S)-NR31 R32, -(C=S)-NR31-(C=S)-R32, -Het6, -Ar6, and -C3.6cycloalkyl;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)- NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n , and -NR53R54, -(C=0)-NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)-
Rg, Rio, Rl 1 , Rl2, Rl3, Rl4, Rl5, Rl6, l7> Rl8, Rl9, R20, R∑1 , R∑2, R∑3, R∑4, R∑5, R∑6, R∑7, R28, R∑9, R30, R3i , R32, R33, R37, R38, R39, R40, R44, R45, R48, R50, R53, R54 and R55 are each independently selected from -H , -halo, =0, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51 R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_
6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
R43 is selected from -H -Ci_6alkyl, and -C3.6cycloalkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -O-C1-
6alkyl, -S-Ci_6alkyl, -Het5, -C3.6cycloalkyl -Ar4, and -NR44R45;
A is selected from -(CH2)n-Y-(CH2)m-, -(C=0)-NR5-, -NR6-;
X-i is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-N R3-,
-NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NR3-d_6alkyl-, -NR3-S02-, -NR3-(C=0)-d_6alkyl-, -(C=0)-
NR3-Ci-6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -d-6alkyl-N R3-d-6alkyl-; wherein each of said -d.
6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d_6alkyl, -0-d_6alkyl, -S-d_6alkyl, -phenyl, and -NR37R38; X2 is selected from -C1-6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci.6alkyl-N R2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR^d-ealkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R40;
Ar-ι , Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar-ι , Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-
Ci-6alkyl, and -NR19R20; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-ι , Het2, Het3, Het4, Het5, Het6, Het7, Het9, Het10, and Het12 are each independently a 4- to 10- membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, Het4, Het5, Het6, Het7, Het9, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, - OCi-6alkyl, -SCi_6alkyl, =0,
Figure imgf000042_0001
and -NR21 R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4.
In a further embodiment, the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation; wherein
Figure imgf000042_0002
R-i and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN , -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι ; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to
3 substituents selected from -halo, -OH, -NR-n R12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000042_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3.6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000042_0004
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3-6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci.6alkyl; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -0-Ci_6alkyl, -S-Ci_6alkyl , -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH , -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl , -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4;
R6 is selected from -Ci_6alkyl, -S02, -S02-Ci_6alkyl, -S02-C3.6cycloalkyl, -(C=0),
Figure imgf000043_0001
- (C=0)-C2.6alkenyl, -(C=0)-0-C1.6alkyl , -(C=0)-Het6, -(C=0)-Ar6, -(C=0)-C3.6cycloalkyl, -(C=0)- NR3iR32, -(C=0)-NR31-(C=0)-R32, -(C=S), -(C=S)-C1.6alkyl , -(C=S)-C2.6alkenyl, -(C=S)-0-d_ 6alkyl, -(C=S)-Het6, -(C=S)-Ar6, -(C=S)-C3.6cycloalkyl, -(C=S)-NR31R32, -(C=S)-NR31-(C=S)-R32,
-Het6, -Ar6, and -C3.6cycloalkyl ;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH , -0-Ci_6alkyl , -S-Ci_6alkyl , -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)- NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH , -0-Ci_6alkyl , -S-Ci_6alkyl, -Het12, -Ar-n , and -NR53R54, -(C=0)-NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)- Rg, R10, R11 , R"i2, Ri3, R14, R15, R16, Ri7> R18, Ri9, R20, R21 , R22, R25, R26, R27, R28, R29, R30, R31 , R32, R33, R37, R38, R39, R40, R44, R45, R48, R50, R53, R54 and R55 are each independently selected from -H , -halo, =0, -OH , -Ci_6alkyl , -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl , -Het7, -Ar5 and -NR51R52; R51 and R52 are each independently selected from -H , -halo, -OH , -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl , -Ar10 and -Het10;
R43 is selected from -H -Ci_6alkyl, and -C3.6cycloalkyl ; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -O-C1- 6alkyl, -S-Ci_6alkyl, -Het5, -C3.6cycloalkyl -Ar4, and -NR44R45;
A is selected from -(CH2)n-Y-(CH2)m-, -NR6-;
X-i is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-NR3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NR3-d_6alkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR3-Ci.6alkyl-; wherein each of said -d. 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -d_6alkyl , -0-d_6alkyl , -S-d_6alkyl, -phenyl , and -NR37R38;
X2 is selected from -d_6alkyl-, -0-Ci.6alkyl-, -S-Ci.6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci.6alkyl-NR2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-d_6alkyl-, -NR2-S02-, -NR2-(C=0)-d_6alkyl-, -(C=0)- NR2-d-6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-d.6alkyl-; wherein each of said -d_6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -d_6alkyl , -0-d_6alkyl, -S-d_6alkyl , -phenyl and -NR39R4o; Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, and -
NR-19R20; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-ι , Het2, Het3, Het4, Het5, Het6, Het7, Het10, and Het12 are each independently a 4- to 10- membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, He , Het5, Het6, Het7, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, - OCi-6alkyl, -SCi_6alkyl, =0,
Figure imgf000044_0001
and -NR21 R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4.
In a further embodiment, the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation; wherein
Figure imgf000044_0002
R-i and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN , -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι ; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to
3 substituents selected from -halo, -OH, -NR-n R12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000044_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3.6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000044_0004
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3.
6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16; R4 is independently selected from -halo, -OH , -d-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl , -NR17R18,
-C3.6cycloalkyl, -Ar8 and -Het4;
R6 is selected from -(C=0),
Figure imgf000045_0001
-
(C=0)-Ar6, -(C=0)-C3-6cycloalkyl, -(C=0)-NR31R32, -(C=0)-NR31-(C=0)-R32, -(C=S), -(C=S)-d_ 6alkyl, -(C=S)-C2-6alkenyl, -(C=S)-0-C1.6alkyl, -(C=S)-Het6, -(C=S)-Ar6, -(C=S)-C3.6cycloalkyl, -
(C=S)-NR31R32, -(C=S)-NR31-(C=S)-R32;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH , -0-Ci_6alkyl , -S-Ci_6alkyl , -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)- NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH , -0-Ci_6alkyl , -S-Ci_6alkyl, -Het12, -Ar-n , and -NR53R54, -(C=0)-NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)- Rg, Rio, Rl 1 , Rl2, Rl3, Rl4, Rl5, Rl6, Rl7> Rl8> Rl9> R20, ¾1 > R∑2, R∑5, R∑6, R∑7, R28, R∑9, R30, 3I > R32,
R33, R37, R38, R39, R40, R48, R50, R53, R54 and R55 are each independently selected from -H , - halo, =0, -OH , -Ci-6alkyl, -0-Ci_6alkyl , -S-Ci_6alkyl , -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl , -Het7, -Ar5 and -NR51R52; R5i and R52 are each independently selected from -H , -halo, -OH , -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl , -Ar10 and -Het10;
A is selected from -NR6-;
X-i is selected from -C1-6alkyl-, -0-Ci_6alkyl-, -S-Ci-6alkyl-, -(C=0)-, -NR3-(C=0)-, -C-,-6alkyl-NR3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NR3-Ci-6alkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR3-Ci.6alkyl-; wherein each of said -Ci_
6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -Ci-6alkyl , -0-Ci-6alkyl , -S-Ci-6alkyl, -phenyl , and -NR37R38;
X2 is selected from -C1-6alkyl-, -0-Ci-6alkyl-, -S-Ci-6alkyl-, -(C=0)-, -NR2-(C=0)-, -C-,-6alkyl-NR2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-Ci-6alkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said
-Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -Ci_6alkyl , -0-Ci_6alkyl, -S-Ci_6alkyl , -phenyl and -NR39R40;
Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -C-i_6alkyl, -0-C-i_6alkyl , -S-C-i_6alkyl, and - NR19R20; wherein each of said -C-i_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-i , Het2, Het3, Het4, Het6, Het7, Het10, and Het12 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, He , Het6, Het7, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0, -
Figure imgf000046_0001
and -NR21 R22; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4.
In a further embodiment, the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation; wherein
Figure imgf000046_0002
R-i and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN , -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and
-Het-ι ; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-n R12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000046_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3-6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3.
6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000046_0004
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl
-Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3.
6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl,
-C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18,
-C3.6cycloalkyl, -Ar8 and -Het4;
R6 is selected from -Ci_6alkyl, -S02, -S02-Ci_6alkyl, -S02-C3.6cycloalkyl, -Het6, -Ar6, and -C3.
6cycloalkyl;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, -Ar6, -
NR25R26, -NR33(C=0)-NR25R26, and -N R33(C=S)-NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl,-halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n , and - NR53 54,
Figure imgf000046_0005
and -NR55(C=S)-NR53R54; Rg, R-io, Rl 1 , Rl2, Rl3, Rl4, Rl5, Rl6, l > Rl8> Rl9> F¾0, 2I , R∑2, R∑5, R∑6, R∑7, R28, R∑9, R30, R3I > F¾2,
R33, R37, R38, R39, R40, R44, R45, R48, R50, R53, R54 and R55 are each independently selected from -H, -halo, =0, -OH , -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51 R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_
6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
R43 is selected from -H -Ci_6alkyl, and -C3.6cycloalkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_ 6alkyl, -S-Ci_6alkyl, -Het5, -C3.6cycloalkyl -Ar4, and -NR44R45;
A is selected from -(CH2)n-Y-(CH2)m-, -NR6-;
X-i is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-N R3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NRs-C^alkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-N R3-Ci.6alkyl-; wherein each of said -Ci_ 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from
-halo, -OH, -Ci.6alkyl, -0-Ci.6alkyl, -S-Ci.6alkyl, -phenyl, and -NR37R38;
X2 is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci_6alkyl-N R2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR^d-ealkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R40;
Y is -NR43-;
Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, and - NR19R20; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-ι , Het2, Het3, Het4, Het5, Het6, Het7, Het10, and Het12 are each independently a 4- to 10- membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, He , Het5, Het6, Het7, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, - OCi-6alkyl, -SCi_6alkyl, =0,
Figure imgf000047_0001
and -NR21 R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4. In a further embodiment, the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation; wherein
Figure imgf000048_0001
R-i and R41 are each independently selected from -H , -halo, -OH , -d-6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN, -NR9-S02-R4, -C3.6cycloalkyl , -Ar7 and -Het-ι; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -NR-nR12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H , -halo, -OH , -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000048_0002
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3-6cycloalkyl , -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl ; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -0-Ci_6alkyl, -S-Ci_6alkyl, -
Het3, -Ar2, and -NRi3RM;
R3 is selected from -H , -halo, -OH , -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000048_0003
6alkyl, -(C=0)-0-C1.6alkyl , -(C=S)-0-C1.6alkyl , -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -0-Ci_6alkyl, -S-Ci_6alkyl , -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH , -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl , -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4;
R5 is selected from -H , -OH , -halo, -Ci_6alkyl, -0-Ci_6alkyl , -S-Ci_6alkyl, -Het9, -Ar-ι, -C3.6cycloalkyl, - SOz-A^ , -S02, -S02-d_6alkyl, -(C=0), -(C=0)-C1.6alkyl, -(C=S), -(C=S)-C1.6alkyl, -0-(C=0)-d_ 6alkyl,
Figure imgf000048_0004
wherein each of said -d_ 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH , -0-Ci.6alkyl, -S-Ci.6alkyl, -C3.6cycloalkyl, -Αη , -Het9, and -NR23R2 ;
R9, R-io, R11 , Ri2, Ri3, Ri4, R15. R16. Ri7> R18. Ri9. R20, R21. R22. R23. R24. R27. R28. R29. R30. R37. R38.
R39, R40, R48, and R50, are each independently selected from -H , -halo, =0, -OH , -Ci_6alkyl, -O- Ci-6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, - OH , -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl , -Het7, -Ar5 and -NR51R52;
R51 and R52 are each independently selected from -H , -halo, -OH , -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl , -Ar10 and -Het10;
A is selected from -(C=0)-NR5-;
X-i is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-NR3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NR3-d_6alkyl-, -NR3-S02-, -NR3-(C=0)-d_6alkyl-, -(C=0)- NR3-Ci-6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci-6alkyl-NR3-Ci.6alkyl-; wherein each of said -d. 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci.6alkyl, -0-Ci.6alkyl, -S-Ci.6alkyl, -phenyl, and -NR37R38;
X2 is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci.6alkyl-N R2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR^d-ealkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)-
NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R4o;
Ar-ι , Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said
Ar-ι , Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, and -NR19R20; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 - halo;
Het-ι , Het2, Het3, Het4, Het7, Het9, and Het10 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, Het4, Het7, Het9, and Het10 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0, -
Figure imgf000049_0001
and -NR21 R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4.
In a further embodiment, the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation; wherein
Figure imgf000049_0002
Ri and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN , -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι ; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-n R12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000049_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3.6cycloalkyl,
-Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM; R3 is selected from -H, -halo, -OH, -C1-6alkyl, -0-Ci-6alkyl, -S-Ci-6alkyl,
Figure imgf000050_0001
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR29R3o, -(C=S)-NR29R3o, -C3-6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl,
-C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4;
R5 is selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het9, -Ar-ι , -C3.6cycloalkyl, - SOz-A^ , -S02, -S02-d_6alkyl, -(C=0), -(C=0)-C1.6alkyl, -(C=S), -(C=S)-C1.6alkyl, -0-(C=0)-d_
6alkyl,
Figure imgf000050_0002
wherein each of said -d_ 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci.6alkyl, -S-Ci.6alkyl, -C3.6cycloalkyl, -Αη , -Het9, and -NR23R24;
Rg, Rio, Rl 1 , R"|2, Rl3, Rl4, Rl5, Rl6, Rl7> Rl 8, Rl9, R20, R∑1 , R∑2, R∑3, R∑4, R∑7, R28, R∑9, R30, R37, R38, R39, R40, R48, and R50, are each independently selected from -H , -halo, =0, -OH , -Ci_6alkyl, -O-
Ci-6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, - OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is selected from -(C=0)-NR5-;
Xi is -Ci-6alkyl-NR3-Ci-6alkyl-; wherein each of said -Ci_6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S- Ci_6alkyl, -phenyl, and -NR37R38;
X2 is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci_6alkyl-NR2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-d_6alkyl-, -NR2-S02-, -NR2-(C=0)-d_6alkyl-, -(C=0)- NR2-Ci-6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-d.6alkyl-; wherein each of said -d_6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d_6alkyl, -0-d_6alkyl, -S-d_6alkyl, -phenyl and -NR39R40;
Ar-ι , Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar-ι , Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d_6alkyl, -0-d_6alkyl, -S-d_6alkyl, and -NR19R20; wherein each of said -d_6alkyl is optionally and independently substituted with from 1 to 3 - halo;
Het-ι , Het2, Het3, Het4, Het7, Het9, and Het10 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, Het4, Het7, Het9, and Het10 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d_6alkyl, -Od_6alkyl, -Sd_6alkyl, =0, -
Figure imgf000051_0001
and -NR21R22; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4.
In a further aspect, the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, and myelin-related disorders; wherein
Figure imgf000051_0002
R-i and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN, -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to
3 substituents selected from -halo, -NR-nR12, and -S-Ci_6alkyl;
wherein R-i and R41 are not simultaneously -H
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000051_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3-6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3.
6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000051_0004
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl
-Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3.
6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl,
-C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18,
-C3.6cycloalkyl, -Ar8 and -Het4;
R6 is selected from -(C=0),
Figure imgf000051_0005
-
(C=0)-Ar6, -(C=0)-C3.6cycloalkyl, -(C=0)-NR31R32, -(C=0)-NR31-(C=0)-R32;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, -
Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)-
NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n, and -NR53R54, -(C=0)-NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)-
Rg, R10, R11 , R12, Rl3, Rl4, Rl5, Rl6, Rl7> Rl8, Rl9, R20, R∑1 , R∑2, R∑5, R∑6, R∑7, R28, R∑9, R30, R31 , R32,
R33, R37, R38, R39, R40, R48, R50, R53, R54 and R55 are each independently selected from -H, - halo, =0, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51 R52; R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is -NR6-;
X-i is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-N R3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NRs-d-ealkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-N R3-Ci.6alkyl-; wherein each of said -Ci_ 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci.6alkyl, -S-Ci.6alkyl, -phenyl, and -NR37R38;
X2 is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci_6alkyl-N R2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-d_6alkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci.6alkyl, -0-Ci.6alkyl, -S-Ci.6alkyl, -phenyl and -NR39R4o;
Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, and - NR19R20; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-ι , Het2, Het3, Het4, Het6, Het7, Het10, and Het12 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, He , Het6, Het7, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0, -
Figure imgf000052_0001
and -NR21 R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4. In a further embodiment, the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, and myelin-related disorders; wherein
Figure imgf000053_0001
R-i and R41 are each independently selected from -H, -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN , -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι ; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to
3 substituents selected from -halo, -OH, -NR-n R12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000053_0002
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3-6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000053_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3.
6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4;
R5 is selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het9, -Ar-ι , -C3.6cycloalkyl, - SOz-A^ , -S02, -SOz-d-ealkyl, -(C=0), -(C=0)-C1.6alkyl, -(C=S), -(C=S)-C1.6alkyl, -0-(C=0)-d_ 6alkyl,
Figure imgf000053_0004
wherein each of said - Ci-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci.6alkyl, -S-Ci.6alkyl, -C3.6cycloalkyl, -Αη , -Het9, and -NR23R2 ;
R9, R-io, R11 , Ri2, Ri3, Ri4, Ri5, R16, Ri7> R18, Ri9, R20, R21 , R22, R23, R24, R27, R28, R29, R30, R37, R38, R39, R40, R48, and R50, are each independently selected from -H , -halo, =0, -OH , -Ci_6alkyl, -O- Ci-6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, - OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51 R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is selected from -(C=0)-NR5-; Xi is -Ci-6alkyl-NR3-Ci-6alkyl-; wherein each of said -d-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S- Ci-6alkyl, -phenyl, and -NR37R38;
X2 is selected from -C1-6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci.6alkyl-NR2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR^d-ealkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)-
NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R4o;
Ar-ι, Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said
Ar-ι, Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, and -NR19R20; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 - halo;
Het-ι, Het2, Het3, Het4, Het7, Het9, and Het10 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι, Het2, Het3, Het4, Het7, Het9, and Het10 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0, -
Figure imgf000054_0001
and -NR21R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i, Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4.
In a further embodiment, the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof;
Figure imgf000054_0002
Wherein
Figure imgf000054_0003
R-i and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -S-Ci_6alkyl, -NR9R10, - (C=0)-R4, -(C=S)-R4, -S02-R4, -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het^ wherein each of said -Ci-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -NR-n R12, and -S-Ci_6alkyl;
wherein R-i and R41 are not simultaneously -H
R2 is selected from -H, -halo, -OH, -C1-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000055_0001
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3-6cycloalkyl,
-Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000055_0002
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, - Ar8 and -Het4;
R6 is selected from -(C=0),
Figure imgf000055_0003
- (C=0)-Ar6, -(C=0)-C3.6cycloalkyl, -(C=0)-NR31 R32, -(C=0)-NR31-(C=0)-R32;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)- NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n , and -NR53R54, -(C=0)-NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)-
Rg, R10, R11 , Ri2, R"i3, R14, R15, R16, Ri9, R20, R21 , R22, R25, R26, R27, R28, R29, R30, R31 , R32, R33, R37, R38, R39, R40, R48, R50, R53, R54 and R55 are each independently selected from -H, -halo, =0, - OH, -Ci-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -
Ci-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci.6alkyl, -S-Ci.6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51 R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is -NR6-;
X-i is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-N R3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NRs-C^alkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-N R3-Ci.6alkyl-; wherein each of said -Ci_ 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci.6alkyl, -S-Ci.6alkyl, -phenyl, and -NR37R38; X2 is selected from -C1-6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci.6alkyl-N R2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR^d-ealkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R40;
Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, and - NR19R20; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-ι , Het2, Het3, Het4, Het6, Het7, Het10, and Het12 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, He , Het6, Het7, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0, -
Figure imgf000056_0001
and -NR21 R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4.
In a further embodiment, the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof; wherein
Figure imgf000056_0002
Ri and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN , -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι ; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-n R12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
wherein R-i and R41 are not simultaneously -H
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000056_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3.6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NR13R14;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000056_0004
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4;
R5 is selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het9, -Ar-ι , -C3.6cycloalkyl, - SOz-A^ , -S02, -SOz-CLealkyl, -(C=0), -(C=0)-C1.6alkyl, -(C=S), -(C=S)-C1.6alkyl, -0-(C=0)-d_ 6alkyl,
Figure imgf000057_0001
wherein each of said -d_ 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci.6alkyl, -S-Ci.6alkyl, -C3.6cycloalkyl, -Αη , -Het9, and -NR23R24;
Rg, Rio, Rl 1 , Rl2. Rl3. Rl4, Rl5, Rl6, Rl > Rl8, Rl9. R∑0. R∑1. R∑2. R∑3. R∑4. R∑7. R∑8. R∑9. R30. R37. R38.
R39, R40, R48, and R50, are each independently selected from -H , -halo, =0, -OH , -Ci_6alkyl, -O- Ci-6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, - OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51 R52;
R5i and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is selected from -(C=0)-NR5-;
Xi is -Ci-6alkyl-NR3-Ci-6alkyl-; wherein each of said -Ci_6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S- Ci-6alkyl, -phenyl, and -NR37R38;
X2 is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci_6alkyl-N R2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-d_6alkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci.6alkyl, -0-Ci.6alkyl, -S-Ci.6alkyl, -phenyl and -NR39R4o;
Ar-ι , Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar-ι , Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, and -NR19R20; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 - halo;
Het-ι , Het2, Het3, Het4, Het7, Het9, and Het10 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, Het4, Het7, Het9, and Het10 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0, -
Figure imgf000057_0002
and -NR21 R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4. In a further aspect, the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof; for use in human or veterinary medicine, more in particular for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, myelin-related disorders, neurological disorders and cancer; wherein:
Figure imgf000058_0001
R-i and R41 are each independently selected from -H, -halo, -OH, -d-6alkyl, -S-Ci_6alkyl, -NR9R10, - (C=0)-R4, -(C=S)-R4, -SO2-R4, -NR9-SO2-R4, -C3.6cycloalkyl, -Ar7 and -Het, ; wherein each of said -Ci-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -NR-n R12, and -S-Ci_6alkyl;
wherein R-i and R41 are not simultaneously -H
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000058_0002
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3-6cycloalkyl,
-Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000058_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NRi5Ri6;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, - Ar8 and -Het4;
R6 is selected from -(C=0),
Figure imgf000058_0004
- (C=0)-Ar6, -(C=0)-C3.6cycloalkyl, -(C=0)-NR31 R32, -(C=0)-NR31-(C=0)-R32;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)- NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n , and -NR53R54,
Figure imgf000058_0005
and -NR55(C=S)-
Rg, R10, R11 , Ri2, Ri3, R"i4, R15, R16, R19, R20, R21 , R22, R25, R26, R27, R28, R29, R30, R31 , R32, R33, R37, R38, R39, R40, R48, R50, R53, R54 and R55 are each independently selected from -H, -halo, =0, - OH, -Ci-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said - Ci-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci.6alkyl, -S-d-6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is -NR6-;
X-i is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-NR3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NRs-d-ealkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR3-Ci.6alkyl-; wherein each of said -Ci_ 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from
-halo, -OH, -Ci.6alkyl, -0-Ci.6alkyl, -S-Ci.6alkyl, -phenyl, and -NR37R38;
X2 is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci_6alkyl-NR2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-d_6alkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R40;
Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, and -
NR19R20; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-ι , Het2, Het3, Het4, Het6, Het7, Het10, and Het12 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, He , Het6, Het7, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0, -
Figure imgf000059_0001
and -NR21R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4.
In a further embodiment, the present invention provides a compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof; for use in human or veterinary medicine, more in particular for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, myelin-related disorders, neurological disorders and cancer; wherein:
A2 is C, and A-i is N; R-ι and R41 are each independently selected from -H , -halo, -OH , -d-6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN, -NR9-S02-R4, -C3.6cycloalkyl , -Ar7 and -Het-ι ; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -NR-nR12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
wherein R-i and R41 are not simultaneously -H
R2 is selected from -H , -halo, -OH , -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000060_0001
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3-6cycloalkyl , -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl ; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -0-Ci_6alkyl, -S-Ci_6alkyl, -
Het3, -Ar2, and -NRi3RM;
R3 is selected from -H , -halo, -OH , -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000060_0002
6alkyl, -(C=0)-0-C1.6alkyl , -(C=S)-0-C1.6alkyl , -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -0-Ci_6alkyl, -S-Ci_6alkyl , -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH , -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl , -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4;
R5 is selected from -H , -OH , -halo, -d.6alkyl, -0-d.6alkyl , -S-d.6alkyl, -Het9, -Αη , -C3.6cycloalkyl, - SOz-A^ , -SO2, -S02-d_6alkyl, -(C=0), -(C=0)-C1.6alkyl, -(C=S), -(C=S)-C1.6alkyl, -0-(C=0)-d_ 6alkyl,
Figure imgf000060_0003
; wherein each of said -d_ 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH , -0-d-6alkyl, -S-d_6alkyl, -C3.6cycloalkyl, -Αη , -Het9, and -NR23R2 ;
Rg, R10, R11 , R12. Rl3. Rl4. Rl5. Rl6, Rl > Rl8> Rl9. R∑0. R∑1. R∑2. R∑3. R∑4. R∑7. R∑8. R∑9. R30. R37. R38.
R39, R40, R48, and R50, are each independently selected from -H , -halo, =0, -OH , -d_6alkyl, -O- Ci-6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -d_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, - OH , -0-d_6alkyl, -S-d_6alkyl, -C3.6cycloalkyl , -Het7, -Ar5 and -NR51R52;
R5i and R52 are each independently selected from -H , -halo, -OH , -d_6alkyl, -0-d_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl , -Ar10 and -Het10;
A is selected from -(C=0)-NR5-;
Xi is -Ci.6alkyl-NR3-Ci.6alkyl-; wherein each of said -d_6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -d_6alkyl , -0-d_6alkyl, -S- Ci_6alkyl, -phenyl, and -NR37R38;
X2 is selected from -d_6alkyl-, -0-Ci.6alkyl-, -S-Ci.6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci.6alkyl-NR2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-d_6alkyl-, -NR2-S02-, -NR2-(C=0)-d_6alkyl-, -(C=0)- NR2-Ci-6alkyl-, -0-d-6alkyl-0-d-6alkyl- and -Ci.6alkyl-NR2-d.6alkyl-; wherein each of said -d_6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -d_6alkyl , -0-d_6alkyl, -S-d_6alkyl , -phenyl and -NR39R40; Ar-ι, Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar-ι, Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, and -NR19R2o; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 - halo;
Het-ι, Het2, Het3, Het4, Het7, Het9, and Het10 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι, Het2, Het3, Het4, Het7, Het9, and Het10 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0, -
Figure imgf000061_0001
and -NR21R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4.
In a further embodiment, the present invention provides a compound or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, said compound being selected from the list comprising:
Figure imgf000061_0002
Figure imgf000062_0001
The present invention also provides a compound or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof; for use in human or veterinary medicine; more in particular for use in the diagnosis, prevention and/or treatment of an Activin- like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, and myelin-related disorders, neurological disorders and cancer; said compound being selected from the list comprising:
Figure imgf000062_0002
Figure imgf000063_0001
In particular in the compounds according to this invention, the pyrazolopyrimidine or the imidazopyridazine moiety is linked to the aryl or heteroaryl moiety at position Z4 or Z5, in accordance with the numbering as provided in Formula I. Furthermore, the R-i of the compounds according to this invention is preferably linked to the aryl or heteroaryl moiety at position Z-i , Z2 or Z3, in accordance with the numbering as provided in Formula I.
In a particular embodiment, the present invention provides a pharmaceutical composition comprising a compound of the present invention, for use in the prevention and/or treatment of a Activin-like receptor kinase associated disorder; more in particular for use use in the prevention and/or treatment of a ALK1 or ALK2-kinase associated disorder.
In a specific embodiment, the present invention provides a pharmaceutical composition for use in the prevention and/or treatment of a Activin-like receptor kinase associated disorder; more in particular for use use in the prevention and/or treatment of a ALK1 or ALK2-kinase associated disorder.
In the context of the present invention, the most interesting compounds are compounds according to formula I, or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N- oxide form, or solvate thereof wherein A is selected from -(CH2)n-Y-(CH2)m-, -(C=0)-NR5-, - NR6-; and Y is -NR43-. A particularly preferred group of compounds are compounds of formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof wherein A is selected from -(CH2)n-Y-(CH2)m-, -NR6-; and Y is -NR43-. More in particular, a preferred group of compounds are compounds of formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof wherein the following restrictions apply:
A is selected from -(CH2)n-Y-(CH2)m-, -NR6-;
R6 is selected from -C1-6alkyl, -S02, -S02-Ci_6alkyl, -S02-C3.6cycloalkyl, -(C=0),
Figure imgf000064_0001
- (C=0)-C2.6alkenyl, -(C=0)-0-C1.6alkyl, -(C=0)-Het6, -(C=0)-Ar6, -(C=0)-C3-6cycloalkyl, -(C=0)-
NR31 R32, -(C=0)-NR31-(C=0)-R32, -(C=S), -(C=S)-C1.6alkyl, -(C=S)-C2.6alkenyl, -(C=S)-0-d_ 6alkyl, -(C=S)-Het6, -(C=S)-Ar6, -(C=S)-C3.6cycloalkyl, -(C=S)-NR31R32, -(C=S)-NR31-(C=S)-R32, -Het6, -Ar6, and -C3.6cycloalkyl;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, -
Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)- NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n , and -NR53R54, -(C=0)-NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)- Y is -NR43-;
R43 is selected from -H -Ci_6alkyl, and -C3.6cycloalkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -O-C1- 6alkyl, -S-Ci_6alkyl, -Het5, -C3.6cycloalkyl -Ar4, and -NR44R45;
Xi is -0-Ci_6alkyl-; and
X2 is -NR2-Ci.6alkyl.
In particular, we identified 2 further preferred groups of compounds, i.e. compounds having a central amine, or compounds having a central external amide.
Compound having a central amine are compounds wherein the following restrictions apply:
A is selected from -(CH2)n-Y-(CH2)m-, -NR6-;
R6 is selected from -Ci_6alkyl, -S02, -S02-Ci_6alkyl, -S02-C3.6cycloalkyl, -Het6, -Ar6, and -C3.
6cycloalkyl;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, -Ar6, - NR25R26, -NR33(C=0)-NR25R26, and -NR33(C=S)-NR25R26; and wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl,-halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n, and - NR53 54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)-NR53R54; R43 is selected from -H -d-6alkyl, and -C3.6cycloalkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -O-C1- 6alkyl, -S-Ci_6alkyl, -Het5, -C3.6cycloalkyl -Ar4, and -NR44R45.
Compound having a central external amide are compounds wherein the following restrictions apply: A is -NR6-;
R6 is selected from -(C=0),
Figure imgf000065_0001
- (C=0)-Ar6, -(C=0)-C3-6cycloalkyl, -(C=0)-NR31R32, -(C=0)-NR31-(C=0)-R32, -(C=S), -(C=S)-d_ 6alkyl, -(C=S)-C2.6alkenyl, -(C=S)-0-C1.6alkyl, -(C=S)-Het6, -(C=S)-Ar6, -(C=S)-C3-6cycloalkyl, - (C=S)-NR31R32, -(C=S)-NR31-(C=S)-R32;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)- NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n, and -NR53R54, -(C=0)-NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)-
In said compounds having a central amine or central external amide, preferably also X-i is -O-C1- 6alkyl- and X2 is -NR2-Ci.6alkyl.
Further to said series of compounds having a central amine or central external amide, we identified a further interesting group of compounds, having a central internal amide. Said compounds are characterized by the following restrictions:
A is selected from -(C=0)-NR5-;
R5 is selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het9, -Ar-ι, -C3.6cycloalkyl, - SOz-A^ , -SO2, -S02-d_6alkyl, -(C=0), -(C=0)-C1.6alkyl, -(C=S), -(C=S)-C1.6alkyl, -0-(C=0)-d_ 6alkyl,
Figure imgf000065_0002
wherein each of said -C-,. 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci.6alkyl, -S-Ci.6alkyl, -C3.6cycloalkyl, -Αη , -Het9, and -NR23R24;
It should be noted that the central internal amide, can be present in both direction, i.e. with -(C=0)- directed to the X-i or X2 part of the molecules. In said compounds having a central internal amide, preferably also:
Xi is -Ci-6alkyl-NR3-Ci-6alkyl-; wherein each of said -d-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S- Ci-6alkyl, -phenyl, and -NR37R38; and
X2 is -N R2-Ci.6alkyl.
In a further embodiment, the present invention provides the use of a compound, or a pharmaceutical composition as defined herein, for inhibiting the activity of a kinase, more in particular for inhibiting the activity of an Activin-like receptor kinase, in particular an ALK1 or ALK2 kinase.
The present invention also provides a method for the prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation or anemia-related disorders; said method comprising administering to a subject in need thereof a compound of formula I or a composition comprising such compound, wherein
Figure imgf000066_0001
R-i and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN , -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι ; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to
3 substituents selected from -halo, -OH, -NR-n R12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000066_0002
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3.6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000066_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3.
6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4;
R5 and R7 are each independently selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -Het9, -Ar-, , -C3.6cycloalkyl, -S02-Ar-, , -S02, -S02-Ci_6alkyl, -(C=0),
-(C=S), -(C=S)-C1.6alkyl, -0-(C=0)-C1.6alkyl, -0-(C=S)-C1.6alkyl, -(C=0)-0-C1.6alkyl, and
Figure imgf000066_0004
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar-ι, -Het9, and -NR23R24;
R6 is selected from -Ci_6alkyl, -S02, -S02-Ci.6alkyl, -S02-C3.6cycloalkyl, -(C=0),
Figure imgf000067_0001
- (C=0)-C2-6alkenyl, -(C=0)-0-C1.6alkyl, -(C=0)-Het6, -(C=0)-Ar6, -(C=0)-C3-6cycloalkyl, -(C=0)- NR31R32, -(C=0)-NR31-(C=0)-R32, -(C=S), -(C=S)-C1.6alkyl, -(C=S)-C2.6alkenyl, -(C=S)-0-d_
6alkyl, -(C=S)-Het6, -(C=S)-Ar6, -(C=S)-C3.6cycloalkyl, -(C=S)-NR31R32, -(C=S)-NR31-(C=S)-R32, -Het6, -Ar6, and -C3.6cycloalkyl;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)-
NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n, and -NR53R54, -(C=0)-NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)-
R8 is selected from -NR34-(C=0)-R35, -NR34-(C=S)-R35, -NR36-(C=0)-NR34R35, -NR36-(C=S)- NR34R35, -NR34-(S02)-R35, -NR34-(C=0)-0-R35, -NR34-(C=S)-0-R35, -0-(C=0)-NR34R35, and -0-(C=S)-NR34R35;
Rg, R10, R11, Ri2, R"i3, Ri4, R15. R16. Ri7. R18. Ri9. R20. R21. R22. R23. R24. R25. R26. R27. R28. R29. R30.
R31 , R32, R33, R34, R35, R36, R37, R38. R39. R40, R44. R45. R46. R47. R48, R49. R50. R53. R54 and R55 are each independently selected from -H, -halo, =0, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, - C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_
6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
R42 is selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR46R47, -C3.6cycloalkyl, -Ar9 and -Het8;
R43 is selected from -H -Ci_6alkyl, and -C3.6cycloalkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -O-C1-
6alkyl, -S-Ci_6alkyl, -Het5, -C3.6cycloalkyl -Ar4, and -NR44R45;
A is selected from -(CH2)n-Y-(CH2)m-, -(C=0)-, -(C=S)-, -(C=N)-R49-, -(S02)-, -S02-NR5-, -(C=0)-
NR5-, -(C=S)-NR5-, -NR5-(C=0)-NR7-, -NR5-(C=S)-NR7-, -NR6-, -NR5-(C=0)-0-, -NR5-(C=S)-0-
, and -CHR8- ;
Xi is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-NR3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NRs-d-ealkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR3-Ci.6alkyl-; wherein each of said -Ci_ 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci.6alkyl, -0-Ci.6alkyl, -S-Ci.6alkyl, -phenyl, and -NR37R38; X2 is selected from -C1-6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci.6alkyl-NR2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR^d-ealkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R40;
Y is selected from a direct bond, -CHR42-, -0-, -S-, and -NR43-;
Ar-ι , Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar9, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar-ι , Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar9, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-
Ci-6alkyl, and -NR19R20; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-ι , Het2, Het3, Het4, Het5, Het6, Het7, Het8, Het9, Het10, and Het12 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, He , Het5, Het6, Het7, Het8, Het9, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0,
Figure imgf000068_0001
and -NR21R22; wherein each of said -Ci_ 6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4.
The present invention also provides a method for the prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, and myelin-related disorders; said method comprising administering to a subject in need thereof a compound of formula I or a composition comprising such compound, wherein
Figure imgf000068_0002
R-i and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN, -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and
-Het-ι ; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -NR-n R12, and -S-Ci_6alkyl;
wherein R-i and R41 are not simultaneously -H
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000068_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3.6cycloalkyl,
-Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM; R3 is selected from -H, -halo, -OH, -C1-6alkyl, -0-Ci-6alkyl, -S-Ci-6alkyl,
Figure imgf000069_0001
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR29R3o, -(C=S)-NR29R3o, -C3-6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl,
-C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4;
R6 is selected from -(C=0), -(C=0)-C-,-6alkyl, -(C=0)-C2.6alkenyl, -(C=0)-0-C-,-6alkyl, -(C=0)-Het6, - (C=0)-Ar6, -(C=0)-C3.6cycloalkyl, -(C=0)-NR31 R32, -(C=0)-NR31-(C=0)-R32;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)- NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n , and -NR53R54, -(C=0)-NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)-
Rg, R10, R11 , Ri2, R"i3, Ri4. Ri5. R16. Ri7> i 8> i9> R20, R21 , R22, R25, R∑6. R27, R28. R29. R30. R31 . R32.
R33, R37, R38, R39, R40, R48, R50, R53, R54 and R55 are each independently selected from -H, - halo, =0, -OH, -Ci-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51 R52; R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is -NR6-;
X-i is selected from -Ci_6alkyl-, -0-C-,-6alkyl-, -S-C-,-6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-N R3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NRs-C^alkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-N R3-Ci.6alkyl-; wherein each of said -Ci_ 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from
-halo, -OH, -Ci.6alkyl, -0-Ci.6alkyl, -S-Ci.6alkyl, -phenyl, and -NR37R38;
X2 is selected from -Ci_6alkyl-, -0-C-,-6alkyl-, -S-C-,-6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci_6alkyl-N R2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR^d-ealkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R40;
Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -C-i_6alkyl, -0-C-i_6alkyl, -S-C-i_6alkyl, and - NR-19R20; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-ι , Het2, Het3, Het4, Het6, Het7, Het10, and Het12 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, He , Het6, Het7, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0, -
Figure imgf000070_0001
and -NR21 R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4
The present invention also provides a method for the prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, myelin-related disorders, neurological disorders and cancer; said method comprising administering to a subject in need thereof a compound of formula I or a composition comprising such compound, wherein
Figure imgf000070_0002
R-i and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -S-Ci_6alkyl, -NR9R10, - (C=0)-R4, -(C=S)-R4, -S02-R4, -N R9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-, ; wherein each of said -Ci-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -NR-n R12, and -S-Ci_6alkyl;
wherein R-i and R41 are not simultaneously -H
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000070_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3.6cycloalkyl,
-Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000070_0004
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, - Ar8 and -Het4;
R6 is selected from -(C=0),
Figure imgf000070_0005
- (C=0)-Ar6, -(C=0)-C3.6cycloalkyl, -(C=0)-NR31 R32, -(C=0)-NR31-(C=0)-R32; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)- NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n , and -NR53R54, -(C=0)-NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)-
Rg, R-io, Ri i , Ri2, Ri3, Ri4, Ri5, Ri6, Ri9, R20, R21 , R22, R25, R26, R27, R28, R29, R30, R31 , R32, R33, R37, R38, R39, R40, R48, R50, R53, R54 and R55 are each independently selected from -H, -halo, =0, -
OH, -Ci-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said - Ci-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci.6alkyl, -S-Ci.6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51 R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is -NR6-;
X-i is selected from -Ci_6alkyl-, -0-C-,-6alkyl-, -S-C-,-6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-N R3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NRs-d-ealkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-N R3-Ci.6alkyl-; wherein each of said -Ci_ 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from
-halo, -OH, -Ci.6alkyl, -0-Ci.6alkyl, -S-Ci.6alkyl, -phenyl, and -NR37R38;
X2 is selected from -C-|.6alkyl-, -0-Ci_6alkyl-, -S-d.6alkyl-, -(C=0)-, -NR2-(C=0)-, -d.6alkyl-N R2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-d_6alkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R40;
Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -C-i_6alkyl, -0-C-i_6alkyl, -S-C-i_6alkyl, and -
NR19R20; wherein each of said -C-i_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-i , Het2, Het3, Het4, Het6, Het7, Het10, and Het12 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-i , Het2, Het3, He , Het6, Het7, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -C-i_6alkyl, -OC-i_6alkyl, -SC-i_6alkyl, =0, -
Figure imgf000071_0001
and -NR21 R22; wherein each of said -C-i_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4 The present invention also provides a method for the prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, myelin-related disorders, neurological disorders and cancer; said method comprising administering to a subject in need thereof a compound of formula I or a composition comprising such compound, wherein said compound is selected from the list comprisin :
Figure imgf000072_0001
The compounds of the present invention can be prepared according to the reaction schemes provided in the examples hereinafter, but those skilled in the art will appreciate that these are only illustrative for the invention and that the compounds of this invention can be prepared by any of several standard synthetic processes commonly used by those skilled in the art of organic chemistry. METHOD OF TREATMENT
Compounds of formula (I) a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, are inhibitors of ALK2 kinase activity and are thus believed to be of potential use in the prevention and/or treatment of disorders associated with abnormal bone formation (e.g. FOP), anemia-related disorders (anemia of iron deficiency, anemia of chronic disease), cardiovascular disorders (pulmonary/vascular/systemic hypertension, atherosclerosis, Rendu-Osler disease, primary pulmonary hypertension), cancer (solid tumors, ovarian cancer, DIPG, lung cancer, prostate cancer, breast cancer, head and neck squamous cancer, hepatocellular carcinoma cancer, metastatic cancers), fibrosis, immunology/stem cell differentiation (immune modulation propagation, engraftment and differentiation of progenitor cells, transplantation), neurological disorders (spinal cord injury, treatment of demyelination) and inflammatory diseases characterized in increased BMP-signalling and/or dysregulated ALK1 /ALK2 kinase activities. 1. Disorders associated with abnormal bone formation
1 .1 Fibrodysplasia Ossificans Progressiva (FOP)
Fibrodysplasia Ossificans Progressiva (FOP), also known as Myositis Ossificans Progressiva, is a severely disabling heritable disorder of connective tissue characterized by progressive heterotopic ossification that forms qualitatively normal bone in characteristic extraskeletal sites. The worldwide prevalence is approximately 1/2,000,000. There is no ethnic, racial, gender, or geographic predilection to FOP. Heterotopic ossification in FOP begins in childhood and can be induced by trauma, or may occur without warning. Bone formation is episodic and transforms skeletal muscles, tendons, ligaments, fascia, and aponeuroses into heterotopic bone, rendering movement impossible (Orphanet J. Rare. Dis. (201 1 ) 1 : 80). All FOP patients carry a heterozygous mutation (G617A; R206H) in the gene ALK2. Patients with atypical forms of FOP have been described and shown to have heterozygous ALK2 missense mutations in conserved amino acids (Shore et al, Nature Genetics (2006) 38: 525-527). There is no effective treatment, and soft-tissue trauma (eg, biopsies, surgical procedures, intramuscular injections, or mandibular blocks for dental procedures) and viral illnesses are likely to induce episodes of rapidly progressive heterotopic ossification, with resultant permanent loss of motion in the affected area.
1 .2 Treatment of pathologic bone formation (Myositis Ossificans)
Heterotopic ossification may occur consequently to a traumatic injury (Cushner et al, Orthop.Rev., 1992, 21 :1319-26). By analogy with genetically-related ossification in FOP, the use of ALK2 inhibitors are likely to impair the development of pathologic bone tissues.
1 .3 Treatment of ectopic or maladaptive bone formation
Osteo-differentiation may be induced by exacerbated BMP signaling, which may lead to vascular calcification (Bostrom et al, J Clin Invest, 1993, 91 :1800-9; Tyson et al, Arterioscler Thromb Vase Biol, 2003, 23:489-494). The use of ALK1 /2 inhibitors, which inhibit the BMP-induced Smad signalling (Santivale et al, PLOS One, 2013, 8(4):e62721 ), is likely to be useful for the inhibition of the calcification process and avoid heavy cardiac and vascular surgery for valve replacement.
In other cases, where bone fracture occurs, the temporary use of such kinase inhibitors may be useful in the delaying of fracture healing and avoid maladaptive bone formation in case the patient's fracture cannot be reduced in a short timeframe.
2. Anemia-related diseases
Treatment of anemia, iron deficiency and anemia of chronic disease (ACD)
Dysregulation of iron homeostasis, a hallmark of anemia, can be consecutive to different diseases such as infections, cancer and rheumatologic diseases. BMP receptor type 1 , more specifically ALK2, were shown to influence Hepcidin expression, a key iron regulator (Steinbicker et al, Blood, 201 1 , 1 18(15):4224-30). Moreover, TMPRSS6 mutation (Iron-deficiency Anemia, ISBN:978-1 - 4649-8960-5) or high inflammatory cytokine levels (Wrighting et al, Blood, 2006, 108(9):3204-9) causes the elevation of Hepcidin level through BMP signalling pathway, which may led to severe iron deficiency. Since current therapeutic options for patients with ACD (perfusion, ESAs (erythropoiesis-stimulating agents) and/or iron intake) remain moderately effective, inhibition of Hepcidin expression by ALK2 inhibitors may provide an efficient treatment option to improve quality of life (QoL) and support response to underlying disease treatment (Coyne et al, Kidney Int, 201 1 , 80(3):240-4).
3. (Cardio)-vascular-related diseases
3.1 Treatment of systemic hypertension
BMPs are known to inhibit proliferation induce apoptosis in normal human PASMC (Pulmonary Arterial Smooth Muscle Cells). However, dysregulation of BMP signaling seems involved in down regulation of voltage-gated K+ (Kv) channels activity. Such lower activity is associated with pulmonary hypertension. Evaluation of the effect of BMP-2 on Kv (Fantozzi et al, Am.J. Physiol. Lung Cell. Mol. Physiol., 2006, 291 ±993-1004), support evidence that BMP-2- mediated apoptosis may induce activation of Kv channels. Therefore, the use of ALK1 /2 inhibitors, a privileged binding partner of BMP2 (Upton et al, Mol Pharm, 2008, 73(2):539-52), may be beneficial for the treatment of pulmonary vascular medial hypertrophy.
3.2 Treatment of pulmonary hypertension
Pulmonary hypertension is a rare lung disease characterized by a narrowing of pulmonary arteries, leading to short breath, chest pain, higher heart beat and tiredness. A study demonstrated that BMP4 is selectively upregulated in hypoxic mice's lungs (Frank et al, Circ.Res., 2005, 97:496-504). Additionally, in vivo studies showed a significant reduction of hypoxia induced by Smad 1/5/8 phosphorylation in BMP4-mutated transgenic mice. Therefore, the use of ALK2 inhibitors, which inhibit BMP4-induced Smad-1/5/8 phosphorylation (Santivale et al, PLOS One, 2013, 8(4):e62721 ), may provide an efficient treatment to patients suffering from pulmonary hypertension with no current therapeutic options.
3.3 Treatment of ventricular hypertrophy
Ventricular hypertrophy is a thickening of the ventricular wall, which could be the consequence of either stress or diseases as myocardial infarction, heart failure or hypertension. Upregulation of BMP10, a known ALK1 ligand (David et al, Blood, 2007, 109(5):1953-61 ), was observed in hypertrophic card io myocytes (Nakano et al, Heart and Circ. Physiol., 2007, 293(6):H3396-403). Therefore, inhibition of ALK1 may be useful for treating pathological ventricular hypertrophy.
3.4 Primary pulmonary hypertension
Primary pulmonary hypertension (PPH) is a rare disease of the lung characterized by a narrowing of the blood vessels in the lungs leading to higher blood pressure. Genomic sequencing highlighted the critical role of ALK1 in the development of pulmonary hypertension (Harrison et al, 2003, 40:865-71 ). Therefore the use of ALK1 inhibitors may provide a therapeutic option for such disease.
3.5 Rendu-Osler disease (HHT)
Rendu-Osler disease, also known as hereditary hemorrhagic telangiectasia (HHT) is an inherited rare disorder that affects the vascular system. HHT disease consists in the development of arteriovenous malformations in the skin, mucous membranes and key organs as brain, liver and lungs. These abnormal blood vessels are usually fragile and tend to cause bleeding and subsequently anemia. Mutations in the ALK1 gene were clearly associated with the development of HHT type 2 (Nature Genetics, 1996, 13:189-95), therefore the use of ALK1 inhibitors may provide a disease-modifying agent to treat such disease.
3.6 Treatment of atherosclerosis
This vascular disease is a slowly-progressing and complex disease for which several risk factors were identified to disturb normal blood flow such as smoking, high amount of fat, high blood pressure or high amount of sugar. It consists in the narrowing of the lumina artery space by the building of a plaque constituted by different substances present in the blood (cholesterol, fat, calcium, sugar). Since recent studies, inflammatory cause is commonly accepted and BMP4 was identified as an important factor in the first step of disease development (Sorescu et al, JBC, 2003, 278:31 128-31 135). Since ALK2 is involved in the BMP signaling used by BMP4 (Santivale et al, PLOS One, 2013, 8(4):e62721 ), the use of ALK2 inhibitors may provide a potential therapeutic option to patients in addition to lifestyle changes (dietary plan, physical activity).
4. Endocrinal disorders
Polycystic ovary syndrome (PCOS)
Polycystic ovary syndrome, also known as Stein-Leventhal syndrome, is an endocrinal disorder, which is symptomatic in 5-10% of women of reproductive age. Through the analysis of ACVR1/ALK2 variants in women with PCOS, it was shown a strong correlation between ACVR1 variants and high AMH (anti-Mulerian hormone) levels (Kevenaar et al, Human reprod., 2009, 24, 1 :241 -9). This study suggests that inhibition of ALK2 may restore the regulation of folliculogenesis and be an efficient treatment for PCOS patients. 5. Neurological disorders
Treatment of spinal cord injury
The damage of a part of the spinal cord is often a permanent injury, which results in the change in different body functions (sensations, strength... ). Elevated expression of BMP2/4 (co-localized around injury site) was shown to inhibit axonal regeneration, which was reversed with the use of a BMP antagonist (Matsuura et al, J. Neurochemistry, 2008, 105(4):1471 -9). Additionally, RGMa protein was shown to play an important role in axon regeneration (Hata et al, JBC, 2006, 173(1 ):47-58) and showed to mediate BMP signaling through Smad-1 /5/8. Since ALK2 is a key regulator of Smad 1/5/8 phosphorylation, the use of ALK2 inhibitors may provide useful treatment to patients with such disabling injury.
6. Immune modulation
Optimization of Treg production - immune modulation and use in transplantation
Evidence of synergistic effect of BMP2/4 and TGFb on Foxp3+ Treg induction through Smad signaling pathway was demonstrated (Lu et al, Eur J Immunol, 2010, 40:142-52). Therefore, ALK2 inhibitors are likely to improve Treg purity and yield, which may support the development of Treg- based therapies, notably for use in transplantation (Tang et al, J Mol Cell Biol, 2012, 4(1 ):1 1 -21 ).
7. Stem cell research
Stem cell research for in vitro and in vivo applications
BMP signaling is known to be involved in the embryogenic development, particularly in the differentiation of stem cells. The use of BMP type 1 receptor inhibitors (eg. ALK1/ALK2 inhibitors) are likely to avoid embryonic stem cell differentiation to maintain their pluripotency (Okita et al, Curr Stem Cell Res Ther, 2006, 1 :103-1 1 1 ). Additionally, the use of this type of inhibitors may be useful in the process of manipulation of stem cell differentiation, directing differentiation of pluripotent or progenitor cell populations.
8. Cancer
As described above, BMP signalling plays a key role in the epithelial-mesenchymal transition or EMT, which is a mechanism that regulates tumour metastasis. Recent studies have shown that endothelial-mesenchymal transition (EndMT) plays an essential role in the tumour microenvironment by generating carcinoma-associated fibroblasts and may be an essential mediator of cancer progression. 8.1 DIPG/mHGA:
Following recent genomic studies, ALK2 activating mutations are likely to be involved in pediatric midline high-grade astrocytoma (mHGAs) (Fontebasso et al, Nature Genetics, 2014, 46:462-6) and in diffuse intrinsic pontine glioma (DIPG) (Buczkowicz et al, Nature Genetics, 2014, 46:451 -6). These studies suggest that the inhibition of ALK2 may provide a treatment to young patients with no therapeutic option.
8.2 Solid tumor cancer
Malignant solid tumors require increasing amount of nutriments to sustain growth. Angiogenesis is a physiological process, which consists in the development of new blood vessels. This mechanism is usually promoted in solid tumors and constitutes a privileged target for novel therapies (Rosen, Cancer J, 2001 , 7(3):S120-8). ALK1 was identified as critical player in the pathological development of blood vessels (Cunha et al, 201 1 , 1 17(26):6999-7006). Additionally, recent studies highlighted the potential synergies of the combination of ALK1 with VEGFR inhibitors to inhibit solid tumor angiogenesis (Bhatt et al, Clin Cancer Res, 2014, 20(1 1 ):2838-45).
8.3 Ovarian cancer
STIP1 (tumor stress-induced phosphoprotein 1 ) was identified as prognostic biomarker in ovarian cancer (Chao et al, PLOSOne, 2013, 8(2):e57084). Furthermore, this protein activates ALK2-Smad signaling pathway to promote proliferation in this type of cancer (Tsai et al, Cell Reports, 2012, 2:283-93), probably through BMP9 signaling (Inman et al, Cancer Res, 2009, 69:9259. Therefore the use of ALK2 inhibitors may provide a useful treatment against ovarian cancer.
8.4 Lung cancer
BMP7 was shown to play an important role in the proliferation of lung cancer cells (Xu et al, Chinese J Lung Cancer, 2010, 13(7):659-64). Additionally, it was shown that BMP7 activates Smad 1 signaling pathway through ALK2 (Matias-Silva et al, JBC, 1998, 273(40):25628-36). Therefore the use of ALK2 inhibitor may provide a useful treatment against lung cancer.
8.5 Breast cancer
BMP4 and BMP7 were shown to play an important role in breast cancer (Takahashi et al, J Endocrinol, 2008, 199:445-55; Alarmo et al, Breast Cancer Res & Treat, 2007, 103(2):239-46). Additionally, it was shown that BMP7 activates Smad 1 signaling pathway through ALK2 (Matias- Silva et al, JBC, 1998, 273(40):25628-36). Therefore, the use of ALK2 inhibitors, which inhibit as well BMP4-induced Smad-1/5/8 phosphorylation (Santivale et al, PLOS One, 2013, 8(4):e62721 ), may provide a useful treatment against breast cancer.
8.6 Metastatic breast and prostate cancer
Overexpression of BMP2/4/7 was observed in metastatic prostate carcinoma (Bobinac et al, Croat Med J, 2005, 46(3):389-96), whereas only BMP7 could be observed in metastatic breast carcinoma. Since BMP signaling pathway involves Smad phosphorylation, the use of ALK1 /ALK2 inhibitors may be useful to inhibit signaling from BMPs (Santivale et al, PLOS One, 2013, 8(4):e62721 , Matias-Silva et al, JBC, 1998, 273(40):25628-36) and consequently provide a treatment against metastatic prostate and breast cancer. In the invention, particular preference is given to compounds of Formula I or any subgroup thereof that in the inhibition assay for ALK2 described below inhibit kinase activity with an IC50 value of less than 10 μΜ, preferably less than 1 μΜ, most preferably less than 100 nM.
Said inhibition may be effected in vitro and/or in vivo, and when effected in vivo, is preferably effected in a selective manner, as defined above.
The term "ALK2 kinase-mediated condition" or "disease", as used herein, means any disease or other deleterious condition in which the ALK2 kinase and/or mutants thereof is/are known to play a role. The term " ALK2 kinase-mediated condition" or "disease" also means those diseases or conditions that are alleviated by treatment with an ALK2 kinase inhibitor. Accordingly, another embodiment of the present invention relates to treating or lessening the severity of one or more diseases in which the ALK2 kinase is known to play a role.
The term "ALK1 kinase-mediated condition" or "disease", as used herein, means any disease or other deleterious condition in which the ALK1 kinase and/or mutants thereof is/are known to play a role. The term " ALK1 kinase-mediated condition" or "disease" also means those diseases or conditions that are alleviated by treatment with an ALK1 kinase inhibitor. Accordingly, another embodiment of the present invention relates to treating or lessening the severity of one or more diseases in which the ALK1 kinase is known to play a role.
For pharmaceutical use, the compounds of the invention may be used as a free acid or base, and/or in the form of a pharmaceutically acceptable acid-addition and/or base-addition salt (e.g. obtained with non-toxic organic or inorganic acid or base), in the form of a hydrate, solvate and/or complex, and/or in the form or a pro-drug or pre-drug, such as an ester. As used herein and unless otherwise stated, the term "solvate" includes any combination which may be formed by a compound of this invention with a suitable inorganic solvent (e.g. hydrates) or organic solvent, such as but not limited to alcohols, ketones, esters and the like. Such salts, hydrates, solvates, etc. and the preparation thereof will be clear to the skilled person; reference is for instance made to the salts, hydrates, solvates, etc. described in US-A-6, 372,778, US-A-6,369,086, US-A-6,369,087 and US-A-6, 372,733.
The pharmaceutically acceptable salts of the compounds according to the invention, i.e. in the form of water-, oil-soluble, or dispersible products, include the conventional non-toxic salts or the quaternary ammonium salts which are formed, e.g., from inorganic or organic acids or bases. Examples of such acid addition salts include acetate, adipate, alginate, aspartate, benzoate, benzenesulfonate, bisulfate, butyrate, citrate, camphorate, camphorsulfonate, cyclopentanepropionate, digluconate, dodecylsulfate, ethanesulfonate, fumarate, glucoheptanoate, glycerophosphate, hemisulfate, heptanoate, hexanoate, hydrochloride, hydrobromide, hydroiodide, 2-hydroxyethanesulfonate, lactate, maleate, methanesulfonate, 2-naphthalene-sulfonate, nicotinate, oxalate, palmoate, pectinate, persulfate, 3-phenylpropionate, picrate, pivalate, propionate, succinate, tartrate, thiocyanate, tosylate, and undecanoate. Base salts include ammonium salts, alkali metal salts such as sodium and potassium salts, alkaline earth metal salts such as calcium and magnesium salts, salts with organic bases such as dicyclohexylamine salts, N-methyl-D-glucamine, and salts with amino acids such as arginine, lysine, and so forth. In addition, the basic nitrogen-containing groups may be quaternized with such agents as lower alkyl halides, such as methyl, ethyl, propyl, and butyl chloride, bromides and iodides; dialkyl sulfates like dimethyl, diethyl, dibutyl; and diamyl sulfates, long chain halides such as decyl, lauryl, myristyl and stearyl chlorides, bromides and iodides, aralkyl halides like benzyl and phenethyl-bromides and others. Other pharmaceutically acceptable salts include the sulfate salt ethanolate and sulfate salts.
Generally, for pharmaceutical use, the compounds of the inventions may be formulated as a pharmaceutical preparation or pharmaceutical composition comprising at least one compound of the invention and at least one pharmaceutically acceptable carrier, diluent or excipient and/or adjuvant, and optionally one or more further pharmaceutically active compounds.
By means of non-limiting examples, such a formulation may be in a form suitable for oral administration, for parenteral administration (such as by intravenous, intramuscular or subcutaneous injection or intravenous infusion), for administration by inhalation, by a skin patch, by an implant, by a suppository, etc.. Such suitable administration forms - which may be solid, semisolid or liquid, depending on the manner of administration - as well as methods and carriers, diluents and excipients for use in the preparation thereof, will be clear to the skilled person; reference is again made to for instance US-A-6, 372,778, US-A-6,369,086, US-A-6,369,087 and US-A-6, 372,733, as well as to the standard handbooks, such as the latest edition of Remington's Pharmaceutical Sciences.
Some preferred, but non-limiting examples of such preparations include tablets, pills, powders, lozenges, sachets, cachets, elixirs, suspensions, emulsions, solutions, syrups, aerosols, ointments, creams, lotions, soft and hard gelatin capsules, suppositories, eye drops, sterile injectable solutions and sterile packaged powders (which are usually reconstituted prior to use) for administration as a bolus and/or for continuous administration, which may be formulated with carriers, excipients, and diluents that are suitable per se for such formulations, such as lactose, dextrose, sucrose, sorbitol, mannitol, starches, gum acacia, calcium phosphate, alginates, tragacanth, gelatin, calcium silicate, microcrystalline cellulose, polyvinylpyrrolidone, polyethylene glycol, cellulose, (sterile) water, methylcellulose, methyl- and propylhydroxybenzoates, talc, magnesium stearate, edible oils, vegetable oils and mineral oils or suitable mixtures thereof. The formulations can optionally contain other pharmaceutically active substances (which may or may not lead to a synergistic effect with the compounds of the invention) and other substances that are commonly used in pharmaceutical formulations, such as lubricating agents, wetting agents, emulsifying and suspending agents, dispersing agents, desintegrants, bulking agents, fillers, preserving agents, sweetening agents, flavoring agents, flow regulators, release agents, etc.. The compositions may also be formulated so as to provide rapid, sustained or delayed release of the active compound(s) contained therein, for example using liposomes or hydrophilic polymeric matrices based on natural gels or synthetic polymers. In order to enhance the solubility and/or the stability of the compounds of a pharmaceutical composition according to the invention, it can be advantageous to employ α-, β- or γ-cyclodextrins or their derivatives. An interesting way of formulating the compounds in combination with a cyclodextrin or a derivative thereof has been described in EP-A-721 ,331 . In particular, the present invention encompasses a pharmaceutical composition comprising an effective amount of a compound according to the invention with a pharmaceutically acceptable cyclodextrin.
In addition, co-solvents such as alcohols may improve the solubility and/or the stability of the compounds. In the preparation of aqueous compositions, addition of salts of the compounds of the invention can be more suitable due to their increased water solubility.
For local administration, the compounds may advantageously be used in the form of a spray, ointment or transdermal patch or another suitable form for topical, transdermal and/or intradermal administration.
More in particular, the compositions may be formulated in a pharmaceutical formulation comprising a therapeutically effective amount of particles consisting of a solid dispersion of the compounds of the invention and one or more pharmaceutically acceptable water-soluble polymers.
The term "a solid dispersion" defines a system in a solid state (as opposed to a liquid or gaseous state) comprising at least two components, wherein one component is dispersed more or less evenly throughout the other component or components. When said dispersion of the components is such that the system is chemically and physically uniform or homogenous throughout or consists of one phase as defined in thermodynamics, such a solid dispersion is referred to as "a solid solution". Solid solutions are preferred physical systems because the components therein are usually readily bioavailable to the organisms to which they are administered.
It may further be convenient to formulate the compounds in the form of nanoparticles which have a surface modifier adsorbed on the surface thereof in an amount sufficient to maintain an effective average particle size of less than 1000 nm. Suitable surface modifiers can preferably be selected from known organic and inorganic pharmaceutical excipients. Such excipients include various polymers, low molecular weight oligomers, natural products and surfactants. Preferred surface modifiers include nonionic and anionic surfactants.
Yet another interesting way of formulating the compounds according to the invention involves a pharmaceutical composition whereby the compounds are incorporated in hydrophilic polymers and applying this mixture as a coat film over many small beads, thus yielding a composition with good bio-availability which can conveniently be manufactured and which is suitable for preparing pharmaceutical dosage forms for oral administration. Materials suitable for use as cores in the beads are manifold, provided that said materials are pharmaceutically acceptable and have appropriate dimensions and firmness. Examples of such materials are polymers, inorganic substances, organic substances, and saccharides and derivatives thereof.
The preparations may be prepared in a manner known per se, which usually involves mixing at least one compound according to the invention with the one or more pharmaceutically acceptable carriers, and, if desired, in combination with other pharmaceutical active compounds, when necessary under aseptic conditions. Reference is again made to US-A-6, 372,778, US-A-6,369,086, US-A-6,369,087 and US-A-6,372,733 and the further prior art mentioned above, as well as to the standard handbooks, such as the latest edition of Remington's Pharmaceutical Sciences.
The pharmaceutical preparations of the invention are preferably in a unit dosage form, and may be suitably packaged, for example in a box, blister, vial, bottle, sachet, ampoule or in any other suitable single-dose or multi-dose holder or container (which may be properly labeled); optionally with one or more leaflets containing product information and/or instructions for use. Generally, such unit dosages will contain between 1 and 1000 mg, and usually between 5 and 500 mg, of the at least one compound of the invention, e.g. about 10, 25, 50, 100, 200, 300 or 400 mg per unit dosage.
The compounds can be administered by a variety of routes including the oral, rectal, ocular, transdermal, subcutaneous, intravenous, intramuscular or intranasal routes, depending mainly on the specific preparation used and the condition to be treated or prevented, and with oral and intravenous administration usually being preferred. The at least one compound of the invention will generally be administered in an "effective amount", by which is meant any amount of a compound of Formula or any subgroup thereof that, upon suitable administration, is sufficient to achieve the desired therapeutic or prophylactic effect in the individual to which it is administered. Usually, depending on the condition to be prevented or treated and the route of administration, such an effective amount will usually be between 0.01 to 1000 mg per kilogram body weight day of the patient per day, more often between 0.1 and 500 mg, such as between 1 and 250 mg, for example about 5, 10, 20, 50, 100, 150, 200 or 250 mg, per kilogram body weight day of the patient per day, which may be administered as a single daily dose, divided over one or more daily doses, or essentially continuously, e.g. using a drip infusion. The amount(s) to be administered, the route of administration and the further treatment regimen may be determined by the treating clinician, depending on factors such as the age, gender and general condition of the patient and the nature and severity of the disease/symptoms to be treated. Reference is again made to US-A- 6,372,778, US-A-6,369,086, US-A-6,369,087 and US-A-6,372,733 and the further prior art mentioned above, as well as to the standard handbooks, such as the latest edition of Remington's Pharmaceutical Sciences.
In accordance with the method of the present invention, said pharmaceutical composition can be administered separately at different times during the course of therapy or concurrently in divided or single combination forms. The present invention is therefore to be understood as embracing all such regimes of simultaneous or alternating treatment and the term "administering" is to be interpreted accordingly.
For an oral administration form, the compositions of the present invention can be mixed with suitable additives, such as excipients, stabilizers, or inert diluents, and brought by means of the customary methods into the suitable administration forms, such as tablets, coated tablets, hard capsules, aqueous, alcoholic, or oily solutions. Examples of suitable inert carriers are gum arabic, magnesia, magnesium carbonate, potassium phosphate, lactose, glucose, or starch, in particular, corn starch. In this case, the preparation can be carried out both as dry and as moist granules. Suitable oily excipients or solvents are vegetable or animal oils, such as sunflower oil or cod liver oil. Suitable solvents for aqueous or alcoholic solutions are water, ethanol, sugar solutions, or mixtures thereof. Polyethylene glycols and polypropylene glycols are also useful as further auxiliaries for other administration forms. As immediate release tablets, these compositions may contain microcrystalline cellulose, dicalcium phosphate, starch, magnesium stearate and lactose and/or other excipients, binders, extenders, disintegrants, diluents and lubricants known in the art.
When administered by nasal aerosol or inhalation, these compositions may be prepared according to techniques well-known in the art of pharmaceutical formulation and may be prepared as solutions in saline, employing benzyl alcohol or other suitable preservatives, absorption promoters to enhance bioavailability, fluorocarbons, and/or other solubilizing or dispersing agents known in the art. Suitable pharmaceutical formulations for administration in the form of aerosols or sprays are, for example, solutions, suspensions or emulsions of the compounds of the invention or their physiologically tolerable salts in a pharmaceutically acceptable solvent, such as ethanol or water, or a mixture of such solvents. If required, the formulation can also additionally contain other pharmaceutical auxiliaries such as surfactants, emulsifiers and stabilizers as well as a propellant.
For subcutaneous administration, the compound according to the invention, if desired with the substances customary therefore such as solubilizers, emulsifiers or further auxiliaries are brought into solution, suspension, or emulsion. The compounds of the invention can also be lyophilized and the lyophilizates obtained used, for example, for the production of injection or infusion preparations. Suitable solvents are, for example, water, physiological saline solution or alcohols, e.g. ethanol, propanol, glycerol, in addition also sugar solutions such as glucose or mannitol solutions, or alternatively mixtures of the various solvents mentioned. The injectable solutions or suspensions may be formulated according to known art, using suitable non-toxic, parenterally-acceptable diluents or solvents, such as mannitol, 1 ,3-butanediol, water, Ringer's solution or isotonic sodium chloride solution, or suitable dispersing or wetting and suspending agents, such as sterile, bland, fixed oils, including synthetic mono- or diglycerides, and fatty acids, including oleic acid.
When rectally administered in the form of suppositories, these formulations may be prepared by mixing the compounds according to the invention with a suitable non-irritating excipient, such as cocoa butter, synthetic glyceride esters or polyethylene glycols, which are solid at ordinary temperatures, but liquefy and/or dissolve in the rectal cavity to release the drug.
In preferred embodiments, the compounds and compositions of the invention are used orally or parenterally.
The invention will now be illustrated by means of the following synthetic and biological examples, which do not limit the scope of the invention in any way. EXAMPLES
A. Compound synthesis and phvsicochemical properties
The compounds of this invention can be prepared by any of several standard synthetic processes commonly used by those skilled in the art of organic chemistry. The compounds are generally prepared from starting materials which are either commercially available or prepared by standard means obvious to those skilled in the art.
General schemes:
As indicated herein before, the present invention provides compounds according to formula I, for use in the diagnosis, prevention and/or treatment of ALK1 /ALK2-kinase associated diseases:
Figure imgf000083_0001
With reference to the general reaction schemes suitable for preparing said compounds, these compounds can be represented by formula I, for which the general reaction schemes can be found herein below.
The compounds of formula (I) can also be prepared as shown in general scheme 4 below wherein a pyrazolo[1 ,5-a]pyrimidine or a imidazo[2,1 -f|pyridazine of formula (II) is converted by reaction with a compound of formula (VIII) into a compound of formula (IX). The compound of formula (IX) can be optionally be converted into a compound of formula (XII) which is then reacted with a (hetero-)aryl of formula (XIII) to form a compound of formula (XIV). The compound of formula (XIV) can then be optionally deprotected if desired before cyclisation to form a compound of formula (VII). The compound of formula (VII) can be optionally converted into a compound of general formula (I). Scheme 1
Figure imgf000084_0001
VI VII
In the above scheme:
LGi and LG2 each independently represent suitable leaving or functional groups;
E represents a suitable functional group that can be used to form a direct bond between the (hetero-)aryl group and the scaffold.
D represents a functional group such as A or a protected functional group, which upon further reaction and/or deprotection produces a functional group such as A as defined in formula I;
X3 and X4 together with the functional moiety to which they are attached represent an unprotected or a protected functional group which upon reaction (after deprotection) produce together X-i as defined in formula I;
In the above reaction of the compound of formula (II) with the compound of formula (III), the leaving groups LGi and LG2 are advantageously a halo group such as a chlorine or a bromine group. The reaction can be affected by a substitution for example by treating the compound of formula (II) with the compound of formula (III) in an organic solvent such as acetonitrile with an appropriate base such as for example diisopropylethylamine at an elevated temperature for example under reflux.
Compounds of formula (III) can be either commercially acquired or obtained through various selective protection and deprotection steps.
The reaction of the compound with formula (V) with a (hetero-)aryl compound of formula (IV) is advantageously effected under Suzuki conditions using for example tetrakis(triphenylphosphine)palladium(0), 2-dicyclohexylphosphino-2',4',6'-triisopropylbiphenyl (Xphos) and potassium phosphate tribasic in a solvent mixture such as 1 ,4-dioxane/water at an elevated temperature for example 80°C.
The resulting compound of formula (VI) can optionally be treated to remove any desired protecting groups for example tert-butyloxycarbonylamino groups can be converted to the parent free amino group and for example ester groups can be converted to the parent free carboxylic acid groups. Such deprotection can be effected in a conventional manner for example by treatment under acidic conditions for example using an aqueous 6N hydrochloric acid solution in a solvent such as acetonitrile at an elevated temperature for example 60°C.
The cyclisation of the compound of formula (VI) can be effected for example by treatment with diisopropyl azodicarboxylate and triphenylphosphine in a solvent such as toluene/MeTHF at for example 1 10°C.
The resulting compound of formula (VII) can optionally be treated to remove any desired protecting groups for example tert-butyloxycarbonylamino groups to be converted to the parent free amino group and can optionally be treated to introduce functional groups such as alkyls or acyls to form a compound of formula (I).
The resulting compound of formula (VII) can optionally be treated to reduce a functional group on the phenyl ring by a reducing agent such as lithium aluminium hydride to form a compound of formula (I).
Compounds P1 , P2 and P3 may be prepared according to the synthesis described in Scheme 1 . Scheme 2
Figure imgf000085_0001
XI VII
In the above scheme:
LGi and LG2 each independently represent suitable leaving or functional groups;
E represents a suitable functional group that can be used to form a direct bond between the (hetero-)aryl group and the scaffold.
G and J represent functional groups or protected functional groups, which upon further reaction and/or deprotection produce a functional group such as D;
D represents a functional group such as A or a protected functional group, which upon further reaction and/or deprotection produces a functional group such as A as defined in formula I;
In the above reaction of the compound of formula (II) with the compound of formula (VIII), the leaving groups LGi and LG2 are advantageously a halo group such as chlorine or bromine group. The reaction can be affected by a substitution for example by treating the compound of formula (II) with the compound of formula (VIII) in an organic solvent such as acetonitrile with an appropriate base such as for example diisopropylethylamine at an elevated temperature for example under reflux.
Compounds of formula (VIII) can be either commercially acquired or obtained through various selective protection and deprotection steps.
The reaction of the compound with formula (V) with a (hetero-)aryl compound of formula (IX) is advantageously effected under Suzuki conditions using for example tetrakis(triphenylphosphine)palladium(0), 2-dicyclohexylphosphino-2',4',6'-triisopropylbiphenyl (Xphos) and potassium phosphate tribasic in a solvent mixture such as 1 ,4-dioxane/water at an elevated temperature for example 80°C.
The reaction of the compound with formula (X) with compound from formula (XI) can be effected under reducing amination conditions using for example sodium triacetoxyborohydride in presence of a base such as N,N-diisopropylethylamine.
The cyclisation of the compound of formula (XI) can be effected for example by treatment with O- (benzotriazol-1 -yl)-N,N ,N',N'-tetramethyluronium hexafluorophosphate (HBTU) and N ,N- diisopropylethylamine in a solvent such as Ν,Ν-dimethylformamide at for example room temperature.
The resulting compound of formula (VII) can optionally be treated to remove any desired protecting groups for example tert-butyloxycarbonylamino groups to be converted to the parent free amino group and can optionally be treated to introduce functional groups such as alkyls or acyls to form a compound of formula (I).
Compounds P4, P5, P6, P7, P8, P9, P10 and P1 1 may be prepared according to the synthesis described in Scheme 2.
Figure imgf000086_0001
Figure imgf000086_0002
In the above scheme: LGi and LG2 each independently represent suitable leaving or functional groups;
E represents a suitable functional group that can be used to form a direct bond between the (hetero-)aryl group and the scaffold.
G represents a suitable functional group or protected functional group, which upon further reaction and/or deprotection produces a functional group such as K;
K and L represent functional groups or protected functional groups, which upon further reaction and/or deprotection produce a functional group such as D;
D represents a functional group such as A or a protected functional group, which upon further reaction and/or deprotection produces a functional group such as A as defined in formula I;
In the above reaction of the compound of formula (II) with the compound of formula (VIII) the leaving groups LGi and LG2 are advantageously a halo group such as a chlorine or a bromine group. The reaction can be affected by a substitution for example by treating the compound of formula (II) with the compound of formula (VIII) in an organic solvent such as acetonitrile with an appropriate base such as for example diisopropylethylamine at an elevated temperature for example under reflux.
Compounds of formula (VIII) can be either commercially acquired or obtained through various selective protection and deprotection steps.
The compounds of formula (IX) can be deprotected using for example acidic conditions such as a 4N hydrochloric acid solution in methanol at room temperature.
The resulting deprotected compound can be reacted with for example 2-nitrobenzenesulfonyl chloride and triethylamine in a solvent such as dichloromethane at a temperature going from 0°C to room temperature.
The resulting compound can optionally be protected with a suitable protecting group such as a tert- butyloxycarbonylamino group in a conventional manner for example by treatment with di-tert-butyl dicarbonate in basic conditions using for example triethylamine and 4-(dimethylamino)pyridine in a solvent such as tetrahydrofuran at an elevated temperature such as under reflux.
The compound of formula (IX) can optionally be alkylated using for example iodomethane and cesium carbonate in a solvent such as Ν,Ν-dimethylformamide at a temperature such as room temperature.
The nitrobenzenesulfonyl can optionally be removed by treatment with for example thiophenol and cesium carbonate in a solvent such as Ν,Ν-dimethylformamide at for example room temperature.
The resulting compound can optionally be protected with a suitable protecting group such as a tert- butyloxycarbonylamino group in a conventional manner for example by treatment with di-tert-butyl dicarbonate in basic conditions using for example triethylamine and 4-(dimethylamino)pyridine in a solvent such as tetrahydrofuran at an elevated temperature such as under reflux.
The boronic ester of formula (XIII) can be obtained through for example Williamson reaction using for example potassium carbonate in a solvent such as acetonitrile at for example room temperature, followed by boronation through for example treatment with bis(pinacolato)diboron, [1 ,1 -bis(diphenylphosphino)ferrocene]dichloropalladium(ll) and potassium acetate in a solvent such as 1 ,4-dioxane at for example an elevated temperature such as 80°C. Some intermediate steps can be required to obtain the desired boronic esters.
The reaction of the compound with formula (XII) with a (hetero-)aryl compound of formula (XIII) is advantageously effected under Suzuki conditions using for example tetrakis(triphenylphosphine)palladium(0), 2-dicyclohexylphosphino-2',4',6'-triisopropylbiphenyl (Xphos) and potassium phosphate tribasic in a solvent mixture such as 1 ,4-dioxane/water at an elevated temperature for example 80°C.
The resulting compound of formula (XIV) can optionally be treated to remove any desired protecting groups for example tert-butyloxycarbonylamino groups can be converted to the parent free amino group and for example ester groups can be converted to the parent free carboxylic acid groups. Such deprotection can be effected in a conventional manner for example by treatment under acidic conditions for example using an aqueous 6N hydrochloric acid solution in a solvent such as acetonitrile at an elevated temperature for example 60°C.
The cyclisation of the compound of formula (XIV) can be effected for example by treatment with O- (benzotriazol-1 -yl)-N,N ,N',N'-tetramethyluronium hexafluorophosphate (HBTU) and N ,N- diisopropylethylamine in a solvent such as Ν,Ν-dimethylformamide at for example room temperature.
The resulting compound of formula (VII) can optionally be treated to form a compound of formula (")
Compound B7 may be prepared according to the synthesis described in Scheme 3.
The above general processes are illustrated by the specific processes which are described in the patent applications WO2013/045653 A1 and WO2013/046029 A1 .
The compounds B7 and P1 may be prepared according to the specific methods described in the patent applications WO2013/045653 A1 and WO2013/046029 A1 .
Preparation of example P2
Preparation of intermediate 1
Figure imgf000089_0001
A solution of 3-bromo-5-chloropyrazolo[1 ,5-a]pyrimidine (15 g, 64.52 mmol), tert-butyl (2- aminoethyl)(2-((tert-butyldimethylsilyl)oxy)ethyl)carbamate (23.64 g, 74.20 mmol) and N ,N- diisopropylethylamine (14.6 ml, 83.88mmol) in acetonitrile (200 ml) was stirred at 85°C for 10 hours. The solvent was removed under reduced pressure and the residue was dissolved in ethylacetate. The organic layer was washed with water and brine, dried, filtered and the solvent was removed under reduced pressure. The residue was purified by flash column chromatography over silica gel using heptane and ethyl acetate as eluents (gradient elution from 0% to 100% ethyl acetate). The product fractions were collected and the solvent was evaporated.
Yield: 32.1 g of intermediate 1 (96%)
LCMS method 1 : MH+ = 514/516, RT = 1 .412 min Preparation of intermediate 2
Figure imgf000089_0002
Di-tert-butyl dicarbonate (30 g, 137.26 mmol) was added to a solution of intermediate 1 (32.1 g, 62.39 mmol), triethylamine (25ml, 249.56mmol, 4.0eq) and 4-(dimethylamino)pyridine (0.38 g, 3.12 mmol) in tetrahydrofuran (200 ml). The mixture was stirred at 60°C for 4 hours. The solvent was removed under reduced pressure and the residue was dissolved in ethylacetate. The organic layer was washed with water and brine, dried, filtered and the solvent was removed under reduced pressure. The residue was purified by flash column chromatography over silica gel using heptane and ethyl acetate as eluents (gradient elution from 0% to 50% ethyl acetate). The product fractions were collected and the solvent was evaporated.
LCMS method 1 : MH+ = 636 (MW + Na), RT = 1 .659 min Preparation of intermediate 3
Figure imgf000090_0001
3-Chloro-5-hydroxybenzonitrile (230 mg, 1 .5 mmol) was dissolved in dimethoxyethane (5 ml). Bis(pinacolato)boron (419 mg, 1 .65 mmol) was added followed by tricyclohexylphosphine (40 mg, 0.15 mmol) and potassium acetate (221 mg, 2.25 mmol). The resulting suspension was purged with nitrogen, tris(dibenzylideneacetone)dipalladium(0) (37 mg, 0.04 mmol) was added and the mixture was heated in the microwave at 150°C for 1 hour. The mixture was quenched with water and extracted with ethyl acetate. The organic layer was dried, filtered and the solvent was removed under reduced pressure. The residue was purified by flash column chromatography over silica gel using heptane and ethyl acetate as eluents (gradient elution from 0% to 50% ethyl acetate). The product fractions were collected and the solvent was evaporated. The product was triturated with heptane and dried under reduced pressure.
Yield: 50 mg of intermediate 3 (70%)
LCMS method 1 : MH+ = 246, RT = 0.839 min
Preparation of intermediate 4
Figure imgf000090_0002
Intermediate 2 (2.0 g, 3.25 mmol) and intermediate 3 (1 .20 g, 4.88 mmol) were dissolved in a mixture of 1 ,4-dioxane/water (9:1 , 20 ml). 2-Dicyclohexylphosphino-2',4',6'-triisopropylbiphenyl (Xphos) (95 mg, 0.2 mmol) and potassium phosphate tribasic (2.08 g, 9.75 mmol) were added. The reaction mixture was degassed by bubbling nitrogen gas through the mixture. Tetrakis(triphenylphosphine)palladium(0) (1 16 mg, 0.1 mmol) was added and the reaction mixture was stirred overnight under nitrogen atmosphere to 80°C. The reaction mixture was cooled to room temperature, water was added and the aqueous layer was extracted with ethyl acetate. The combined organic layers were dried, filtered and the solvent was removed under reduced pressure. The residue was purified by flash column chromatography over silica gel using heptane and ethyl acetate as eluents (gradient elution from 0% to 50% ethyl acetate). The product fractions were collected and the solvent was evaporated. The product was triturated with diethylether and dried under reduced pressure.
Yield: 1 .427 g of intermediate 4 (67%)
LCMS method 1 : MH+ = 675, RT = 1 .519 min
Preparation of intermediate 5
Figure imgf000091_0001
Intermediate 4 (1 .417 g, 2.19 mmol) was dissolved in tetrahydrofuran (6.5 ml) and a 1 M tetrabutylammonium fluoride solution in tetrahydrofuran (1 .15 ml, 4.38 mmol) was added. The reaction mixture was stirred at room temperature for 3 hours. The mixture was diluted with ethyl acetate and was washed with water. The organic layer dried, filtered and the solvent was removed under reduced pressure. The residue was purified by flash column chromatography over silica gel using heptane and ethyl acetate as eluents (gradient elution from 0% to 70% ethyl acetate). The product fractions were collected and the solvent was evaporated. The product was triturated with diethylether and dried under reduced pressure.
Yield: 980 mg of intermediate 5 (83%)
LCMS method 1 : MH+ = 561 (MW + Na), RT = 1 .045 min Preparation of intermediate 6
Figure imgf000091_0002
Diisopropyl azodicarboxylate (921 mg, 4.68 mmol) was dissolved in dry toluene (150 ml) under nitrogen atmosphere. The resulting solution was stirred at 90°C. A solution of triphenylphosphine (1 .23 g, 4.68 mmol) in toluene (50 ml) was added drop wise over a period of 1 hour and simultaneously with a suspension of intermediate 5 (840 mg, 1 .56 mmol) in 2- methyltetrahydrofuran (50 ml). The reaction mixture was stirred at 90°C for 1 hour. The mixture was cooled to room temperature, diluted with ethyl acetate and washed with water. The organic layer dried, filtered and the solvent was removed under reduced pressure. The residue was purified by flash column chromatography over silica gel using heptane and ethyl acetate as eluents (gradient elution from 0% to 90% ethyl acetate). The product fractions were collected and the solvent was removed under reduced pressure.
Yield: 346 mg of intermediate 6 (42%)
LCMS method 1 : MH+ = 521 , RT = 1 .421 min
Preparation of intermediate 7
Figure imgf000092_0001
Intermediate 6 (346 mg, 0.66 mmol) was suspended in a 4N Hydrochloric acid in 1 ,4-dioxane (5 ml) and stirred at room temperature overnight, then at 45°C overnight. The reaction mixture was cooled to room temperature and diluted with diethyl ether. The solid was filtered and dried under reduced pressure at 50°C. The compound was obtained as the Hydrochloric acid salt.
Yield: 236 mg of intermediate 7 (100%)
LCMS method 2: MH+ = 321 , RT = 1 .780 min
Preparation of example P2
Figure imgf000092_0002
Intermediate 7 (55 mg, 0.15 mmol) was suspended in tetrahydrofuran. The mixture was cooled between 0°C and 5°C and lithium aluminium hydride (10 mg, 0.38 mmol) was added. The mixture was stirred at 0°C to 5°C for 1 hour and then allowed to warm to room temperature. The reaction mixture was stirred overnight at room temperature. Methanol and silica gel were added and the solvent was removed under reduced pressure. The residue was purified by flash column chromatography over silica gel using dichloromethane/methanol/ammoniumhydroxide as eluents. The product fractions were collected and the solvent was removed under reduced pressure. The product was triturated with diethylether and dried under reduced pressure. Yield: 18 mg of example P2 (37%)
LCMS method 3: MH+ = 325, RT = 0.920 min
Preparation of example P3
3-fluoro-7-oxa-10,14,18,19,22-pentaazatetracyclo[13.5.2.12, .01 ,21]tricosa-
1 (21 ),2(23),3,5,15(22),16,19-heptaene is prepared following general scheme 1 and according to the procedures described in the patent a lication WO2014/140235 to obtain example G6.
Figure imgf000093_0001
A mixture of 3-fluoro-7-oxa-10,14,18,19,22-pentaazatetracyclo[13.5.2.12, .01 ,21]tricosa- 1 (21 ),2(23),3,5,15(22),16,19-heptaene (100 mg, 0.37 mmol), cyclobutylcarboxylic acid (40 mg, 0.41 mmol) and N,N-diisopropylethylamine (219 μΙ, 1 .29 mmol) was dissolved in N ,N- dimethylformamide (1 .1 ml). 0-(Benzotriazol-1 -yl)-N,N,N',N'-tetramethyluronium hexafluorophosphate (HBTU) (167 mg, 0.44 mmol) was added and the mixture was stirred at room temperature for 2 hours. The solvent was removed under reduced pressure and methanol was added. The resulting solid was filtered and dried under reduced pressure.
Yield: 72 mg of example P3 (47%)
LCMS method 2: MH+ = 410, RT = 3.260 min
Preparation of example P4
Example P4 is prepared following general scheme 2 and according to the procedures described in the patent application WO2013/046029 for the synthesis of example 47.
Figure imgf000093_0002
Preparation of example P5
Example P5 is prepared following general scheme 2 and according to the procedures described in the patent application WO2013/046029 for the s nthesis of example 47.
Figure imgf000094_0001
Preparation of example P6
Example P6 is prepared following general scheme 2 and according to the procedures described in the patent application WO2013/046029 for the s nthesis of example 47.
Figure imgf000094_0002
Preparation of example P7
Example P7 is prepared following general scheme 2 and according to the procedures described in the patent application WO2013/046029 for the s nthesis of example 47.
Figure imgf000094_0003
Preparation of example P8
Example P8 is prepared following general scheme 2 and according to the procedures described in the patent application WO2013/046029 for the synthesis of example 47.
Figure imgf000094_0004
Preparation of example P9
Example P9 is prepared following general scheme 2 and according to the procedures described in the patent application WO2013/046029 for the synthesis of example 47.
Preparation of intermediate 8
Figure imgf000095_0001
Example P8 (140 mg, 0.38 mmol) was dissolved in a mixture dichloromethane/methanol (4:1 ; 1 .1 ml), triethylamine (159 μΙ_, 1 .14mmol) and 2-((tert-butyldimethylsilyl)oxy)acetaldehyde (216 μΙ_, 1 .14mmol) were added and the mixture was stirred at room temperature for 30 minutes. Sodium triacetoxy borohydride (242 mg, 1 .14 mmol) was added and the mixture was stirred at room temperature for 16 hours. The solvent was removed under reduced pressure and the compound was without any further purification used in the next step.
Yield: 160 mg of intermediate 8 (79%)
LCMS method 2: MH+ = 531 , RT = 0.951 min Preparation of example P9
Figure imgf000095_0002
Intermediate 8 (160 mg, 0.3 mmol) was dissolved in a mixture of tetrahydrofuran/water (3 ml/mmol; 1 .8 ml). Acetic acid (6 ml/mmol; 1 .8 ml) was added drop wise at 0°C and the mixture was stirred at room temperature for 16 hours. The solvent was removed under reduced pressure. The residue was dissolved in ethyl acetate and washed with an aqueous saturated sodium bicarbonate solution. The organic layers were dried, filtered and the solvent was removed under reduced pressure. The residue was purified by flash column chromatography over silica gel using heptane and ethyl acetate as eluents (gradient elution from 0% to 40% ethyl acetate). The product fractions were collected and the solvent was removed under reduced pressure.
Yield: 19 mg of example P9 (15%)
LCMS method 2: MH+ = 417, RT = 1 .805 min
Preparation of example P10
Example P10 is prepared following general scheme 2
Preparation of intermediate 9
Figure imgf000096_0001
A solution of 3-bromo-5-chloropyrazolo[1 ,5-a]pyrimidine (2.0 g, 8.6mmol), 3-ethoxy-3-oxopropan-1 - aminium chloride (1 .45 g, 9.46 mmol) and N,N-diisopropylethylamine (2.25 ml, 12.9 mmol) in acetonitrile (30 ml) was stirred at 100°C for 16 hours. The reaction mixture was cooled to room temperature and diluted with ethyl acetate (400 ml). The organic layer was washed with an aqueous saturated sodium bicarbonate solution and water. The organic layer was dried, filtered and the solvent was removed under reduced pressure and the compound was without any further purification used in the next step.
LCMS method 1 : MH+ = 313/315, RT = 0.718 min
Preparation of intermediate 10
Figure imgf000096_0002
A solution of the intermediate 9 (8.6 mmol), di-tert-butyl dicarbonate (2.76 ml, 12.9 mmol), triethylamine (3.58 ml, 25.8 mmol) and 4-(dimethylamino)pyridine (210 mg, 1 .72 mmol) in 1 ,4- dioxane (30 ml) was stirred at 100°C for 12 hours. The reaction mixture was cooled to room temperature and the solvent was removed under reduced pressure. The residue was purified by flash column chromatography over silica gel using heptane and ethyl acetate as eluents (gradient elution from 0% to 15% ethyl acetate). The product fractions were collected and the solvent was removed under reduced pressure.
Yield: 2.64 g of intermediate 10 (74%)
LCMS method 1 : MH+ = 413/415, RT = 1 .1 14 min
Preparation of intermediate 1 1
Figure imgf000097_0001
A solution of intermediate 10 (2.65 g, 6.41 mmol) in a mixture of 1 ,4-dioxane/water (4:1 ; 30 ml) was was degassed by bubbling nitrogen gas. 3-(Formylphenyl)boronic acid (1 .06 g, 7.05 mmol), tetrakis(triphenylphosphine)palladium(0) (371 mg, 0.32 mmol), 2-dicyclohexylphosphino-2',4',6'- triisopropylbiphenyl (Xphos) (305 mg, 0.64 mmol) and potassium phosphate tribasic (12.24 g, 19.23 mmol) were added under nitrogen atmosphere. The reaction mixture was stirred at 90°C for 12 hours. The solvent was removed under reduced pressure, ethyl acetate was added and the organic layer was washed with water. The organic layer was dried, filtered and the solvent was removed under reduced pressure. The residue was purified by flash column chromatography over silica gel using heptane and ethyl acetate as eluents. The product fractions were collected and the solvent was removed under reduced pressure.
Yield: 1 .79 g of intermediate 1 1 (63%)
LCMS method 1 : MH+ = 339 (MW - Boc), RT = 1 .176 min
Preparation of intermediate 12
Figure imgf000097_0002
To a solution of intermediate 1 1 (1 .79 g, 4.08 mmol), tert-butyl (2-aminoethyl)carbamate (0.719 g, 4.49 mmol) and triethylamine (1 .70 ml, 12.24 mmol) in a mixture dichloromethane/methanol (4:1 ; 20 ml) was added sodium triacetoxyborohydride (3.89 g, 18.36 mmol) portion wise at room temperature. The mixture was stirred at room temperature for 2 hours. The reaction mixture was diluted with dichloromethane and extracted with a 10% aqueous sodium bicarbonate solution. The organic layer was dried, filtered and the solvent was removed under reduced pressure. The residue was purified by flash column chromatography over silica gel using heptane and ethyl acetate as eluents (gradient elution from 0% to 50% ethyl acetate). The product fractions were collected and the solvent was removed under reduced pressure.
Yield: 1 .339 g of intermediate 12 (56%)
LCMS method 1 : MH+ = 583, RT = 0.983 min
Preparation of intermediate 13
Figure imgf000098_0001
Intermediate 12 (1 .339 g, 2.3 mmol) was dissolved in a 4N Hydrochloric acid solution in 1 ,4- dioxane (10 ml). The reaction mixture was stirred at room temperature for 12 hours. A few drops of water and an aqueous Hydrochloric acid 37% solution were added. The mixture was stirred at 100°C for 2 hours. The reaction mixture was cooled to room temperature and the solvent was removed under reduced pressure. The compound was without further purification used in the next step.
LCMS method 1 : MH+ = 383, RT = 0.404 min Preparation of intermediate 14
Figure imgf000098_0002
0-(Benzotriazol-1 -yl)-N,N,N',N'-tetramethyluroniurn hexafluorophosphate (HBTU) (2.617 g, 6.9 mmol) and N,N-diisopropylethylamine (8.01 ml, 46mmol) were dissolved in N,N-dimethylacetamide (70ml/mmol) and the mixture was stirred at room temperature for 10 minutes. A solution of intermediate 13 (2.3 mmol) in N,N-dimethylacetamide (69 ml) was added drop wise and the reaction mixture was stirred at room temperature for 1 hour. An aqueous saturated sodium bicarbonate solution was added and the product was extracted with n-butanol. The solvent of the combined organic layers was removed under reduced pressure and the compound was without further purification used in the next step.
LCMS method 1 : MH+ = 337, RT = 0.326 min
Preparation of intermediate 15
Figure imgf000099_0001
Intermediate 14 was protected with a t-butoxycarbonyl group to enable the purification of the compound.
Di-tert-butyl dicarbonate (753 μΙ, 3.45 mmol) and triethylamine (1 .6 ml, 1 1 .5 mmol) were added drop wise to a solution of intermediate 14 (2.30 mmol) in dichloromethane (20 ml). The solvent was removed under reduced pressure after the addition was completed. The residue was purified by flash column chromatography over silica gel using heptane and ethyl acetate and dichloromethane and methanol as eluents. The product fractions were collected and the solvent was removed under reduced pressure.
Yield: 563 mg of intermediate 15 (56%)
LCMS method 1 : MH+ = 437, RT = 0.829 min Preparation of intermediate 16
Figure imgf000100_0001
Intermediate 15 (563 mg, 1 .29 mmol) was dissolved in a 4N Hydrochloric acid solution in 1 ,4- dioxane (10 ml). The mixture was stirred at room temperature for 1 hour. The solvent was removed under reduced pressure and the residue was triturated with acetonitrile and filtered. The compound was without further purification used in the next step.
Yield: 89 mg of intermediate 16 (20%)
LCMS method 1 : MH+ = 337, RT = 1 .507 min Preparation of example P10
Figure imgf000100_0002
To a solution of intermediate 16 (459 mg, 1 .36 mmol) in methanol (4 ml) was added formaldehyde (37% in water; 552 μΙ, 6.8 mmol) then triethylamine (413 μΙ, 4.08 mmol). The mixture was stirred at room temperature for 30 min. Sodium triacetoxyborohydride (865 mg, 4.08 mmol) was added and the reaction mixture was stirred at room temperature for 16 hours. An aqueous saturated sodium bicarbonate solution was added and the product was extracted with dichloromethane. The combined organic layers were dried, filtered and the solvent was removed under reduced pressure. The residue was purified by flash column chromatography over silica gel using dichloromethane and methanol as eluents (gradient elution from 0% to 10% methanol). The product fractions were collected and the solvent was removed under reduced pressure.
Yield: 67 mg of example P10 (14%)
LCMS method 2: MH+ = 351 , RT = 1 .537 min Preparation of example P1 1
Preparation of intermediate 17
Figure imgf000101_0001
5-Bromo-2,3-difluorobenzaldehyde (3.56 g, 16.13 mmol), bis(pinacolato)boron (4.92 g, 19.36 mmol,) and potassium acetate (4.75 g, 48.39 mmol) were suspended in 1 ,4-dioxane (80 ml). The mixture was degassed for 10 minutes. Bis(diphenylphosphino)ferrocene]dichloropalladium(ll), complex with dichloromethane (661 mg, 0.81 mmol) was added and the mixture was heated at 85°C for 16 hours. The crude was filtered over celite and the compound was used without further purification in the next step.
Preparation of intermediate 18
Figure imgf000101_0002
To a solution of tert-butyl (2-aminoethyl)carbamate (5.0 g, 31 .21 mmol) and triethylamine (13.01 ml, 93.63 mmol) in dichloromethane (93 ml) was added 4-nitrobenzenesulfonyl chloride (7.61 g, 34.33 mmol) portion wise at 0°C. The reaction mixture was stirred at room temperature for 16 hours. Water was added and the mixture was extracted with dichloromethane. The combined organic layers were dried, filtered and the solvent was removed under reduced pressure. The residue was purified by flash column chromatography over silica gel using heptane and ethyl acetate as eluents (gradient elution from 0% to 40% ethyl acetate). The product fractions were collected and the solvent was evaporated.
Yield: 10.3 g of intermediate 18 (95%)
LCMS method 1 : MH+ = 368 (MW + Na), RT = 0.760 min Preparation of intermediate 19
Figure imgf000102_0001
To a solution of intermediate 18 (4.9 g, 14.19 mmol) in N ,N-dimethylacetamide (60 ml) was added cesium carbonate (5.08 g, 15.61 mmol). Methyl iodide (972 μΙ, 15.61 mmol) was added and the reaction mixture was stirred at 50°C for 16 hours. The mixture was cooled to room temperature, diluted with ethyl acetate (200 ml) and washed with an aqueous saturated sodium bicarbonate solution. The organic layer was dried, filtered and the solvent was removed under reduced pressure. The compound was used without further purification in the next step.
LCMS method 1 : MH+ = 382, RT = 0.838 min Preparation of intermediate 20
Figure imgf000102_0002
To a solution of the intermediate 19 (14.19 mmol) in N,N-dimethylacetamide (45 ml) was added at room temperature cesium carbonate (6.94 g, 21 .29 mmol) and thiophenol (2.35 g, 21 .29 mmol). The mixture was stirred at room temperature for 16 hours. The solvent was removed under reduced pressure and the residue was purified by flash column chromatography over silica gel using dichloromethane and methanol as eluents (gradient elution from 0% to 10% methanol). The product fractions were collected and the solvent was evaporated.
Yield: 2.2 g of intermediate 20 (88%) Preparation of intermediate 21
Figure imgf000102_0003
A mixture of 3-bromo-5-chloropyrazolo[1 ,5-a]pyrimidine (5.3 g, 22.80 mmol), intermediate 20 (4.37 g, 25.08 mmol) and N,N-diisopropylethylamine (8.84 ml, 68.40 mmol) in acetonitrile (70 ml) was stirred at 100°C for 16 hours. The mixture was cooled to room temperature and an aqueous saturated sodium bicarbonate solution was added. The aqueous layer was extracted with ethyl acetate. The combined organic layers were dried, filtered and the solvent was removed under reduced pressure. The compound was without further purification used in the next step.
LCMS method 1 : MH+ = 370/372, RT = 0.866 min
Preparation of intermediate 22
Figure imgf000103_0001
A solution of intermediate 21 in a mixture of 1 ,4-dioxane/water (4:1 ; 20 ml) was degassed by bubbling nitrogen gas, intermediate 17 (1 .51 g, 8.15 mmol), 2-dicyclohexylphosphino-2',4',6'- triisopropylbiphenyl (Xphos) (0.195 g, 0.41 mmol), tetrakis(triphenylphosphine)palladium(0) (162 mg, 0.14 mmol) and potassium phosphate tribasic (7,19 g, 33.9 mmol) were added under nitrogen atmosphere. The reaction mixture was stirred at 100°C for 16 hours. The mixture was cooled to room temperature and water was added. The aqueous layer was extracted with ethyl acetate. The combined organic layers were dried, filtered and the solvent was removed under reduced pressure. The residue was purified by flash column chromatography over silica gel using heptane and ethyl acetate as eluents (gradient elution from 0% to 100% ethyl acetate). The product fractions were collected and the solvent was evaporated.
Yield: 1 .94 g of intermediate 22 (66%)
LCMS method 1 : MH+ = 432, RT = 1 .058 min Preparation of intermediate 23
Figure imgf000104_0001
To a solution of intermediate 22 (1 .94 g, 4.5 mmol), 3-ethoxy-3-oxopropan-1 -aminium chloride (829 mg, 5.4 mmol) and triethylamine (1 .88 mL, 13.5 mmol) in a mixture of dichloromethane/methanol (4:1 ; 13.5 ml) was added portion wise at room temperature sodium triacetoxyborohydride (2.55 g, 13.5 mmol). The mixture was stirred at room temperature for 48 hours. The reaction mixture was extracted with a mixture of dichloromethane and an aqueous saturated sodium bicarbonate solution. The organic layer was dried, filtered and the solvent was removed under reduced pressure. The residue was purified by flash column chromatography over silica gel using heptane and ethyl acetate as eluents (gradient elution from 0% to 100% ethyl acetate). The product fractions were collected and the solvent was removed under reduced pressure.
Yield: 863 mg of intermediate 23 (36%)
LCMS method 1 : MH+ = 533, RT = 1 .062 min Preparation of intermediate 24
Figure imgf000104_0002
Intermediate 23 (863 mg, 1 .62 mmol) was dissolved in a 4N Hydrochloric acid solution in 1 ,4- dioxane (4.9 ml) at 0°C and the mixture was stirred at room temperature for 48 hours. A few drops of water and a 37% Hydrochloric acid solution were added and the reaction mixture was stirred at 100°C for 2 hours. The solvent was removed under reduced pressure. The compound was without further purification used in the next step.
LCMS method 1 : MH+ = 405, RT = 0.268 min Preparation of example P1 1
Figure imgf000105_0001
0-(Benzotriazol-1 -yl)-N,N,N',N'-tetramethyluronium hexafluorophosphate (1 .84 g, 4.86 mmol) and N,N-diisopropylethylamine (5.64 ml, 32.4 mmol) were dissolved in N,N-dimethylacetamide (160 ml) The mixture was stirred at room temperature for 10 minutes. A solution of intermediate 24 (1 .62 mmol) in N ,N-dimethylacetamide (160 ml) was added drop wise and the reaction mixture was stirred at room temperature for 5 minutes. An aqueous saturated sodium bicarbonate solution was added and the water phase was extracted with ethyl acetate. The combined organic layers were dried, filtered and the solvent was removed under reduced pressure. The residue was purified by flash column chromatography over silica gel using heptane and ethyl acetate as eluents (gradient elution from 0% to 100% ethyl acetate). The product fractions were collected and the solvent was removed under reduced pressure.
Yield: 350 mg of example P1 1 (56%)
LCMS method 2: MH+ = 387, RT = 1 .825 min
Table 1
Figure imgf000105_0002
Figure imgf000106_0001
Compound identification
Melting points
For the melting point determination of the compounds of the present invention, the following method was used.
Melting point method
For a number of compounds, melting points (m.p.) were determined in open capillary tubes on a Mettler FP62 apparatus. Melting points were measured with a temperature ranging from 50°C to 300°C , using a gradient of 10 °C/minute. The melting point value was read from a digital display and was not corrected.
Table 2: Melting points
Figure imgf000107_0001
* Not determined LCMS
For LCMS-characterization of the compounds of the present invention, the following method was used.
General procedure LCMS
All analyses were performed using an Agilent 61 10 series LC/MSD quadrupole coupled to an Agilent 1290 series liquid chromatography (LC) system consisting of a binary pump with degasser, autosampler, thermostated column compartment and diode array detector. The mass spectrometer (MS) was operated with an atmospheric pressure electro-spray ionisation (API-ES) source in positive ion mode. The capillary voltage was set to 3000 V, the fragmentor voltage to 70 V and the quadrupole temperature was maintained at 100°C. The drying gas flow and temperature values were 12.0 L/min and 350°C respectively. Nitrogen was used as the nebulizer gas, at a pressure of 35 psig. Data acquisition was performed with Agilent Chemstation software.
LCMS method 1
In addition to the general procedure LCMS: Analyses were carried out on a Phenomenex Kinetex C18 column (50 mm long x 2.1 mm i.d.; 1 .7 μιη particles) at 60°C, with a flow rate of 1 .5 mL/min. A gradient elution was performed from 90% (water + 0.1 % formic acid) / 10% Acetonitrile to 10% (water + 0.1 % formic acid) / 90% acetonitrile in 1 .50 minutes, then the final mobile phase composition was held for an additional 0.40 min. The standard injection volume was 2 μί. Acquisition ranges were set to 254 nm for the UV-PDA detector and 80-800 m/z for the MS detector.
LCMS method 2
In addition to the general procedure LCMS: Analyses were carried out on a YMC pack ODS-AQ C18 column (50 mm long x 4.6 mm i.d.; 3 μιη particles) at 35°C, with a flow rate of 2.6 mL/min. A gradient elution was performed from 95% (water + 0.1 % formic acid) / 5% Acetonitrile to 5% (water + 0.1 % formic acid) / 95% Acetonitrile in 4.80 minutes, then the final mobile phase composition was held for an additional 1 .00 min. The standard injection volume was 2 μί. Acquisition ranges were set to 190-400nm for the UV-PDA detector and 100-1400 m/z for the MS detector.
LCMS method 3
In addition to the general procedure LCMS: Analyses were carried out on a YMC pack ODS-AQ C18 column (50 mm long x 4.6 mm I.D..; 3 μιη particle size) at 35 °C, with a flow rate of 2.6 mL/min. A gradient elution was performed using ISET 2V1 .0 Emulated Agilent Pump G1312A V1 .0 from 94.51 % (Water + 0.1 % Formic acid)/5.49% Acetonitrile to 5% (Water + 0.1 % Formic acid)/95% Acetonitrile in 4.8 min; the resulting composition was held for 1 .0 min; from 5% (Water + 0.1 % formic acid)/95% Acetonitrile to 95% (Water + 0.1 % formic acid)/5% Acetonitrile in 0.2 min. The standard injection volume was 2 μί. Acquisition ranges were set to 190-400 nm for the UV- PDA detector and 100-1000 m/z for the TOF-MS detector.
Table 3: LCMS data
COMPOUND MASS (MH)+ RETENTION LCMS
NUMBER PEAK TIME (min) METHOD
B7 324 2.275 2
P1 451 .2 2.337 2
P2 325 0.920 3 P3 410.2 3.260 3
P4 365 1 .644 2
P5 365 1 .727 3
P6 365 1 .700 3
P7 365.1 1 .699 2
P8 372.9 1 .725 2
P9 417 1 .805 2
P10 351 1 .537 2
P1 1 387.0 1 .825 2
B. Kinase Activity Assay
The inhibition of ALK1 and ALK2 kinase was assessed using ALK1 and ALK2 recombinant protein in an in vitro peptide-based kinase assay.
Protocol
A radiometric protein kinase assay (33PanQinase® Activity Assay) is used for measuring the kinase activity. All assays are performed in 96-well FlashPlates™ from Perkin Elmer in a 50 μΙ reaction volume. The reaction cocktail is pipetted in 4 steps in the following order:
10 μ I of non-radioactive ATP solution (in H20)
25 μΙ of assay buffer/ [γ-33Ρ]-ΑΤΡ mixture
5 μΙ of test sample in 10% DMSO
10 μ I of enzyme/substrate mixture
The assay contains 70 mM HEPES-NaOH pH 7.5, 3 mM MgCI2, 3 mM MnCI2, 3 μΜ Na- orthovanadate, 1 .2 mM DTT, 50 μg/ml PEG20000, ATP (3,0 μΜ), [γ-33Ρ]-ΑΤΡ (approx. 5 x 1005 cpm per well), protein kinase (5,6 nM) and substrate (GSK3(14-27)), 4,0 μg/50 μΙ).
The reaction cocktails were incubated at 30° C for 60 minutes. The reaction was stopped with 50 μΙ of 2 % (v/v) H3PO4, plates were aspirated and washed two times with 200 μΙ 0.9 % (w/v) NaCI. Incorporation of 33Pi (counting of "cpm") was determined with a microplate scintillation counter. Compounds
The compounds are dissolved to 5 mM in DMSO. Where needed, solutions are sonicated in a bath sonicator. Table 4 provides the plC50 values and % Remaining activity values at two concentrations (1 μΜ and 0,1 μΜ) of the compounds according to the invention, obtained using the above mentioned kinase assay. Table 4
Figure imgf000110_0001
+ indicates an IC50 > 1 μΜ, ++ indicates an IC50 of between 100 nM and 1 μΜ, and +++ indicates an IC50 < 100nM
* indicates a % remaining kinase activity above 50%, ** indicates a % remaining kinase activity below 50% ND = Not determined

Claims

C LAI MS
1 . A compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form or solvate thereof,
Figure imgf000111_0001
wherein:
Figure imgf000111_0002
R-i and R41 are each independently selected from -H, -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN, -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-nR12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000111_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3-6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000111_0004
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4;
R5 and R7 are each independently selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -Het9, -Ar-, , -C3.6cycloalkyl, -S02-Ar-, , -S02, -S02-Ci_6alkyl, -(C=0),
Figure imgf000111_0005
-(C=S), -(C=S)-C1.6alkyl, -0-(C=0)-C1.6alkyl, -0-(C=S)-C1.6alkyl, -(C=0)-0-C1.6alkyl, and
Figure imgf000111_0006
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar-ι, -Het9, and -NR23R24;
R6 is selected from -Ci_6alkyl, -S02, -S02-Ci_6alkyl, -S02-C3.6cycloalkyl, -(C=0), - (C=0)-C2.6alkenyl, -(C=0)-0-C1.6alkyl, -(C=0)-Het6, -(C=0)-Ar6, -(C=0)-C3.6cycloalkyl, -(C=0)- NR31 R32, -(C=0)-NR31-(C=0)-R32, -(C=S), -(C=S)-C1.6alkyl, -(C=S)-C2-6alkenyl, -(C=S)-0-d_ 6alkyl, -(C=S)-Het6, -(C=S)-Ar6, -(C=S)-C3-6cycloalkyl, -(C=S)-NR31R32, -(C=S)-NR31-(C=S)-R32, -Het6, -Ar6, and -C3.6cycloalkyl;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)- wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n, and -NR53R54, -(C=0)-NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)-
R8 is selected from -NR34-(C=0)-R35, -NR34-(C=S)-R35, -NR36-(C=0)-NR34R35, -NR36-(C=S)- NR34R35, -NR34-(S02)-R35, -NR34-(C=0)-0-R35, -NR34-(C=S)-0-R35, -0-(C=0)-NR34R35, and -0-(C=S)-NR34R35;
Rg, R-io, R11, R12. Rl3. Rl4. Rl5. Rl6. Rl7> Rl 8, Rl9, R∑0. R∑1. R∑2. R∑3. R∑4. R∑5. R∑6. R∑7. R∑8. R∑9, R30.
R31 . R32. R33. R34. R35. R36. R37. R38. R39. R40, R44. R45. R46. R47. R48, R49. R50. R53. R54 and R55 are each independently selected from -H, -halo, =0, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, - C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_
6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
R42 is selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR46R47, -C3.6cycloalkyl, -Ar9 and -Het8;
R43 is selected from -H -Ci_6alkyl, and -C3.6cycloalkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_
6alkyl, -S-Ci_6alkyl, -Het5, -C3.6cycloalkyl -Ar4, and -NR44R45;
A is selected from -(CH2)n-Y-(CH2)m-, -(C=0)-, -(C=S)-, -(C=N)-R49-, -(S02)-, -S02-NR5-, -(C=0)-
NR5-, -(C=S)-NR5-, -NR5-(C=0)-NR7-, -NR5-(C=S)-NR7-, -NR6-, -NR5-(C=0)-0-, -NR5-(C=S)-0-
, and -CHR8- ;
X-i is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-NR3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NRs-d-ealkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR3-Ci.6alkyl-; wherein each of said -Ci_ 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci.6alkyl, -0-Ci.6alkyl, -S-Ci.6alkyl, -phenyl, and -NR37R38;
X2 is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci_6alkyl-NR2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NRz-d-ealkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci-6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R40; Y is selected from a direct bond, -CHR42-, -0-, -S-, and -NR43-;
Ar-ι, Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar9, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar-ι, Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar9, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S- Ci-6alkyl, and -NR19R2o; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-ι, Het2, Het3, Het4, Het5, Het6, Het7, Het8, Het9, Het10, and Het12 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι, Het2, Het3, He , Het5, Het6, Het7, Het8, Het9, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_ 6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0,
Figure imgf000113_0001
and -NR21R22; wherein each of said -Ci_ 6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4;
for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from anemia-related disorders or disorders characterized by abnormal bone formation.
2. A compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein:
Figure imgf000113_0002
R-i and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN, -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-nR12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000113_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3.6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000113_0004
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16; R4 is independently selected from -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4;
R5 is selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het9, -Ar-ι , -C3.6cycloalkyl, - SOz-A^ , -S02, -S02-d_6alkyl, -(C=0), -(C=0)-C1.6alkyl, -(C=S), -(C=S)-C1.6alkyl, -0-(C=0)-d_ 6alkyl,
Figure imgf000114_0001
wherein each of said -d_ 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci-6alkyl, -S-Ci-6alkyl, -C3.6cycloalkyl, -Αη , -Het9, and -NR23R24;
R6 is selected from -C1-6alkyl, -S02, -S02-Ci-6alkyl, -S02-C3.6cycloalkyl, -(C=0),
Figure imgf000114_0002
- (C=0)-C2.6alkenyl, -(C=0)-0-C1.6alkyl, -(C=0)-Het6, -(C=0)-Ar6, -(C=0)-C3.6cycloalkyl, -(C=0)- NR3i R32, -(C=0)-N R31-(C=0)-R32, -(C=S), -(C=S)-C1.6alkyl, -(C=S)-C2.6alkenyl, -(C=S)-0-d_ 6alkyl, -(C=S)-Het6, -(C=S)-Ar6, -(C=S)-C3.6cycloalkyl, -(C=S)-NR31 R32, -(C=S)-NR31-(C=S)-R32, -Het6, -Ar6, and -C3.6cycloalkyl;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)- NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n , and -NR53R54, -(C=0)-NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)-
Rg, Rio, Rl 1 , Rl2, R"|3, Rl4. Rl5. Rl6. Rl7> l8> Rl9> R20, ¾1 > R∑2, R∑3, R∑4, R∑5. R∑6. R∑7. R∑8. R∑9. R30.
R31 , R32, R33, R37, R38, R39, R40, R44, R45, R48, R50, R53, R54 and R55 are each independently selected from -H , -halo, =0, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51 R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_
6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
R43 is selected from -H -Ci_6alkyl, and -C3.6cycloalkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_
6alkyl, -S-Ci_6alkyl, -Het5, -C3.6cycloalkyl -Ar4, and -NR44R45;
A is selected from -(CH2)n-Y-(CH2)m-, -(C=0)-NR5-, -NR6-;
X-i is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-N R3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NR3-d_6alkyl-, -NR3-S02-, -NR3-(C=0)-d_6alkyl-, -(C=0)- NR3-d-6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-N R3-d.6alkyl-; wherein each of said -d. 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d_6alkyl, -0-d_6alkyl, -S-d_6alkyl, -phenyl, and -NR37R38;
X2 is selected from -d_6alkyl-, -0-Ci.6alkyl-, -S-Ci.6alkyl-, -(C=0)-, -NR2-(C=0)-, -d_6alkyl-N R2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-d_6alkyl-, -NR2-S02-, -NR2-(C=0)-d_6alkyl-, -(C=0)- NR2-Ci-6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -d-6alkyl-NR2-d-6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R4o;
Ar-ι , Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar-ι , Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S- Ci-6alkyl, and -NR19R2o; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-ι , Het2, Het3, Het4, Het5, Het6, Het7, Het9, Het10, and Het12 are each independently a 4- to 10- membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, Het4, Het5, Het6, Het7, Het9, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, - OCi-6alkyl, -SCi_6alkyl, =0,
Figure imgf000115_0001
and -NR21 R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4;
for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation.
3. A compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein:
Figure imgf000115_0002
R-i and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN , -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι ; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-n R12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000115_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3.6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000115_0004
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -0-Ci_6alkyl, -S-Ci_6alkyl ,
-C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH , -d-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl , -NR17R18,
-C3.6cycloalkyl, -Ar8 and -Het4;
R6 is selected from -Ci_6alkyl, -S02, -S02-Ci.6alkyl, -S02-C3.6cycloalkyl, -(C=0),
Figure imgf000116_0001
-
(C=0)-C2.6alkenyl, -(C=0)-0-C1.6alkyl , -(C=0)-Het6, -(C=0)-Ar6, -(C=0)-C3.6cycloalkyl, -(C=0)-
NR3iR32, -(C=0)-NR31-(C=0)-R32, -(C=S), -(C=S)-C1.6alkyl , -(C=S)-C2.6alkenyl, -(C=S)-0-d_
6alkyl, -(C=S)-Het6, -(C=S)-Ar6, -(C=S)-C3.6cycloalkyl, -(C=S)-NR31R32, -(C=S)-NR31-(C=S)-R32,
-Het6, -Ar6, and -C3.6cycloalkyl ;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH , -0-Ci_6alkyl , -S-Ci_6alkyl , -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)- NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH , -0-Ci_6alkyl , -S-Ci_6alkyl, -Het12, -Ar-n , and -NR53R54, -(C=0)-NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)-
Rg, R-io, Rl 1 , Rl2, Rl3, Rl4. Rl5. Rl6, Rl7> Rl8> Rl9> F¾0, R2I > R∑2. R∑5. R∑6. R∑7. R∑8. R∑9. R30. R3I > R32.
R33, R37, R38, R39, R40, R44, R45, R48, R50, R53, R54 and R55 are each independently selected from -H , -halo, =0, -OH , -Ci_6alkyl , -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl , -Het7, -Ar5 and -NR51R52;
R51 and R52 are each independently selected from -H , -halo, -OH , -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_
6alkyl, -C3.6cycloalkyl , -Ar10 and -Het10;
R43 is selected from -H -Ci_6alkyl, and -C3.6cycloalkyl ; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -0-Ci_ 6alkyl, -S-Ci_6alkyl, -Het5, -C3.6cycloalkyl -Ar4, and -NR44R45;
A is selected from -(CH2)n-Y-(CH2)m-, -NR6-;
X-i is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-NR3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NR3-d_6alkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR3-Ci.6alkyl-; wherein each of said -d. 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -d_6alkyl , -0-d_6alkyl , -S-d_6alkyl, -phenyl , and -NR37R38;
X2 is selected from -d_6alkyl-, -0-Ci.6alkyl-, -S-Ci.6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci.6alkyl-NR2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-d_6alkyl-, -NR2-S02-, -NR2-(C=0)-d_6alkyl-, -(C=0)- NR2-Ci-6alkyl-, -0-d-6alkyl-0-d-6alkyl- and -Ci.6alkyl-NR2-d.6alkyl-; wherein each of said -d_6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -d_6alkyl , -0-d_6alkyl, -S-d_6alkyl , -phenyl and -NR39R40;
Y is -NR43-; Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, and - NR19R2o; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-ι , Het2, Het3, Het4, Het5, Het6, Het7, Het10, and Het12 are each independently a 4- to 10- membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, He , Het5, Het6, Het7, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, - OCi-6alkyl, -SCi_6alkyl, =0,
Figure imgf000117_0001
and -NR21R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4;
for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation.
4. A compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein:
A-i and A2 are selected from C and N; wherein when A-i is C, then A2 is N; and wherein when A2 is C, then A-, is N;
R-i and R41 are each independently selected from -H, -halo, -OH, -C-i_6alkyl, -0-C-i_6alkyl, -S-C-i.
6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN, -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-i ; wherein each of said -C-i_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-nR12, -0-C-i_6alkyl, and -S-C-i_6alkyl;
R2 is selected from -H, -halo, -OH, -C-,.6alkyl, -0-C-,.6alkyl, -S-C-,.6alkyl, -(C=0)-C-,.6alkyl, -(C=S)-C-,_ 6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3.6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-C-|.6alkyl; wherein each of said -C-i_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-C-i_6alkyl, -S-C-i_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -C-,.6alkyl, -0-C-,.6alkyl, -S-C-,.6alkyl, -(C=0)-C-,.6alkyl, -(C=S)-C-,_ 6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-C-|.6alkyl; wherein each of said -C-i_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-C-i_6alkyl, -S-C-i_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R-|6; R4 is independently selected from -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18,
-C3.6cycloalkyl, -Ar8 and -Het4;
R6 is selected from -(C=0),
Figure imgf000118_0001
-
(C=0)-Ar6, -(C=0)-C3-6cycloalkyl, -(C=0)-NR31R32, -(C=0)-NR31-(C=0)-R32, -(C=S), -(C=S)-d_
6alkyl, -(C=S)-C2-6alkenyl, -(C=S)-0-C1.6alkyl, -(C=S)-Het6, -(C=S)-Ar6, -(C=S)-C3.6cycloalkyl, -
(C=S)-NR31R32, -(C=S)-NR31-(C=S)-R32;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)- NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n , and -NR53R54, -(C=0)-NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)-
Rg, Rio, Rl 1 , Rl2, Rl3, Rl4. Rl5. Rl6, l > l8> Rl9> R20, f¾1 > R∑2, R∑5, R∑6. R∑7. R∑8. R∑9. R30. 3I > R32.
R33, R37, R38, R39, R40, R48, R50, R53, R54 and R55 are each independently selected from -H, - halo, =0, -OH, -Ci-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_
6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is selected from -NR6-;
X-i is selected from -C1-6alkyl-, -0-Ci-6alkyl-, -S-Ci-6alkyl-, -(C=0)-, -NR3-(C=0)-, -C-,-6alkyl-NR3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NR3-Ci-6alkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR3-Ci.6alkyl-; wherein each of said -Ci_ 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci-6alkyl, -0-Ci-6alkyl, -S-Ci-6alkyl, -phenyl, and -NR37R38;
X2 is selected from -C1-6alkyl-, -0-Ci_6alkyl-, -S-Ci-6alkyl-, -(C=0)-, -NR2-(C=0)-, -C-,-6alkyl-NR2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-Ci-6alkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R40;
Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -C-i_6alkyl, -0-C-i_6alkyl, -S-C-i_6alkyl, and - NR19R20; wherein each of said -C-i_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-i , Het2, Het3, Het4, Het6, Het7, Het10, and Het12 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι, Het2, Het3, He , Het6, Het7, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0, -
Figure imgf000119_0001
and -NR21 R22; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4;
for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation.
5. A compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein:
Figure imgf000119_0002
R-i and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN, -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-nR12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000119_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3-6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000119_0004
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4;
R6 is selected from -Ci_6alkyl, -S02, -S02-Ci_6alkyl, -S02-C3.6cycloalkyl, -Het6, -Ar6, and -C3.
6cycloalkyl;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, -Ar6, - NR25R26, -NR33(C=0)-NR25R26, and -NR33(C=S)-NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl,-halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n, and - NR53 54,
Figure imgf000119_0005
and -NR55(C=S)-NR53R54; Rg, R-io, Rl 1 , Rl2, Rl3, Rl4, Rl5, Rl6, l > Rl 8> Rl9> F¾0, 2I , R∑2, R∑5, R∑6, R∑7, R28, R∑9, R30, R3I > F¾2,
R33, R37, R38, R39, R40, R44, R45, R48, R50, R53, R54 and R55 are each independently selected from -H, -halo, =0, -OH , -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51 R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_
6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
R43 is selected from -H -Ci_6alkyl, and -C3.6cycloalkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -O-C1- 6alkyl, -S-Ci_6alkyl, -Het5, -C3.6cycloalkyl -Ar4, and -NR44R45;
A is selected from -(CH2)n-Y-(CH2)m-, -NR6-;
X-i is selected from -C1-6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-N R3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NR3-Ci-6alkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-N R3-Ci.6alkyl-; wherein each of said -Ci_ 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci-6alkyl, -0-Ci-6alkyl, -S-Ci-6alkyl, -phenyl, and -NR37R38;
X2 is selected from -C1-6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci_6alkyl-N R2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-Ci-6alkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci-6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R40;
Y is -NR43-;
Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar2, Ar3, Ar4, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, and - NR19R20; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-ι , Het2, Het3, Het4, Het5, Het6, Het7, Het10, and Het12 are each independently a 4- to 10- membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, He , Het5, Het6, Het7, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, - OCi-6alkyl, -SCi_6alkyl, =0,
Figure imgf000120_0001
and -NR21 R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4;
for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation.
6. A compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein:
Figure imgf000121_0001
R-i and R41 are each independently selected from -H, -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN , -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι ; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-n R12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000121_0002
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3-6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000121_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4;
R5 is selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het9, -Ar-ι , -C3.6cycloalkyl, - SOz-A^ , -S02, -S02-d_6alkyl, -(C=0), -(C=0)-C1.6alkyl, -(C=S), -(C=S)-C1.6alkyl, -0-(C=0)-d_ 6alkyl,
Figure imgf000121_0004
wherein each of said -d_ 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci.6alkyl, -S-Ci.6alkyl, -C3.6cycloalkyl, -Αη , -Het9, and -NR23R2 ;
R9, R10, R11 , Ri2, Ri3, Ri4, Ri5. R16. Ri7> R18. Ri9. R20, R21. R22. R23. R24. R27. R28. R29. R30. R37. R38.
R39, R40, R48, and R50, are each independently selected from -H , -halo, =0, -OH , -Ci_6alkyl, -O- Ci-6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, - OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51 R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is selected from -(C=0)-NR5-;
X-i is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-NR3-, -NR3-, -(C=0)-, -NR3-(C=0)-N R48-, -NR3-d_6alkyl-, -NR3-S02-, -N R3-(C=0)-d_6alkyl-, -(C=0)- NR3-Ci-6alkyl-, -0-d-6alkyl-0-d-6alkyl- and -Ci.6alkyl-NR3-d.6alkyl-; wherein each of said -d. 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d-6alkyl, -0-d_6alkyl, -S-d_6alkyl, -phenyl, and -NR37R38; X2 is selected from -C1-6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci.6alkyl-N R2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR^d-ealkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R4o;
Ar-ι , Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar-ι , Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, and -NR19R20; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 - halo;
Het-ι , Het2, Het3, Het4, Het7, Het9, and Het10 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, Het4, Het7, Het9, and Het10 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0, -
Figure imgf000122_0001
and -NR21 R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4;
for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation.
7. A compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein:
A-i and A2 are selected from C and N; wherein when A-i is C, then A2 is N; and wherein when A2 is C, then A-, is N;
R-i and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN , -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι ; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-n R12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000122_0002
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3.6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000122_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3-6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci.6alkyl; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4;
R5 is selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het9, -Ar-ι , -C3.6cycloalkyl, - SOz-A^ , -S02, -S02-d_6alkyl, -(C=0), -(C=0)-C1.6alkyl, -(C=S), -(C=S)-C1.6alkyl, -0-(C=0)-d_ 6alkyl,
Figure imgf000123_0001
wherein each of said -d_ 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci.6alkyl, -S-Ci.6alkyl, -C3.6cycloalkyl, -Αη , -Het9, and -NR23R24;
Rg, Rio, Ri i , R"i2, Ri3, Ri4. Ri5. Ri6. Ri7> Ris, Ri9, R20, R21 , R22, R23, R24, R27. R28. R29. R30. R37. R38.
R39, R40, R48, and R50, are each independently selected from -H , -halo, =0, -OH , -Ci_6alkyl, -O- Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, - OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51 R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is selected from -(C=0)-NR5-;
Xi is -Ci.6alkyl-NR3-Ci.6alkyl-; wherein each of said -Ci_6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S- Ci-6alkyl, -phenyl, and -NR37R38;
X2 is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci_6alkyl-N R2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-d_6alkyl-, -NR2-S02-, -NR2-(C=0)-d_6alkyl-, -(C=0)- NR2-Ci-6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -d-6alkyl-NR2-d-6alkyl-; wherein each of said -d_6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d_6alkyl, -0-d_6alkyl, -S-d_6alkyl, -phenyl and -NR39R40;
Ar-ι , Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar-ι , Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d_6alkyl, -0-d_6alkyl, -S-d_6alkyl, and -NR19R20; wherein each of said -d_6alkyl is optionally and independently substituted with from 1 to 3 - halo;
Het-ι , Het2, Het3, Het4, Het7, Het9, and Het10 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, Het4, Het7, Het9, and Het10 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d_6alkyl, -Od_6alkyl, -Sd_6alkyl, =0, - (C=0)-d-6alkyl, and -NR21 R22; wherein each of said -d_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and m and n are each independently 1 , 2, 3, or 4;
for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising anemia-related disorders or disorders characterized by abnormal bone formation.
8. A compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein:
Figure imgf000124_0001
R-i and R41 are each independently selected from -H, -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN , -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι ; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -NR-n R12, and -S-Ci_6alkyl;
wherein R-i and R41 are not simultaneously -H
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000124_0002
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3-6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000124_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4;
R6 is selected from -(C=0),
Figure imgf000124_0004
- (C=0)-Ar6, -(C=0)-C3.6cycloalkyl, -(C=0)-NR31 R32, -(C=0)-NR31-(C=0)-R32;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)- NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n , and -NR53R54,
Figure imgf000124_0005
and -NR55(C=S)-
R9, R10, R11 , Ri2, Ri3, R"i4, R15. R16. Ri7> R18. R19. R20, R21. R22. R25. R26. R27. R28. R29. R30. R31. R32.
R33, R37, R38, R39, R40, R48, R50, R53, R54 and R55 are each independently selected from -H, - halo, =0, -OH, -Ci-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is -NR6-;
X-i is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-NR3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NRs-C^alkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR3-Ci.6alkyl-; wherein each of said -Ci_ 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci.6alkyl, -0-Ci.6alkyl, -S-Ci.6alkyl, -phenyl, and -NR37R38;
X2 is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci_6alkyl-NR2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR^d-ealkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R40;
Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, and - NR19R20; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-ι, Het2, Het3, Het4, Het6, Het7, Het10, and Het12 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι, Het2, Het3, He , Het6, Het7, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0, -
Figure imgf000125_0001
and -NR21R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4;
for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, and myel in-related disorders.
9. A compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein:
A-i and A2 are selected from C and N ; wherein when A-i is C, then A2 is N ; and wherein when A2 is C, then A-, is N ;
R-i and R41 are each independently selected from -H, -halo, -OH, -d-6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN , -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι ; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-n R12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000126_0001
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3-6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000126_0002
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4;
R5 is selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het9, -Ar-ι , -C3.6cycloalkyl, - SOz-A^ , -S02, -SOz-d-ealkyl, -(C=0), -(C=0)-C1.6alkyl, -(C=S), -(C=S)-C1.6alkyl, -0-(C=0)-d_ 6alkyl,
Figure imgf000126_0003
wherein each of said -d_ 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci.6alkyl, -S-Ci.6alkyl, -C3.6cycloalkyl, -Αη , -Het9, and -NR23R2 ;
R9, R-io, Ri i , Ri2, Ri3, R"i4, Ri5. Ri6. Ri7> Ri8. Ri9, R20, R21 , R22. R23. R24. R27. R∑8. R29. R30. R37. R38.
R39, R40, R48, and R50, are each independently selected from -H , -halo, =0, -OH , -Ci_6alkyl, -O- Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, - OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51 R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is selected from -(C=0)-NR5-;
Xi is -Ci-6alkyl-NR3-Ci-6alkyl-; wherein each of said -Ci_6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S- Ci-6alkyl, -phenyl, and -NR37R38; X2 is selected from -C1-6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci.6alkyl-N R2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR^d-ealkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R4o;
Ar-ι , Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar-ι , Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, and -NR19R20; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 - halo;
Het-ι , Het2, Het3, Het4, Het7, Het9, and Het10 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, Het4, Het7, Het9, and Het10 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0, -
Figure imgf000127_0001
and -NR21 R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4;
for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, and myel in-related disorders.
10. A compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein:
A-i and A2 are selected from C and N; wherein when A-i is C, then A2 is N; and wherein when A2 is C, then A-, is N;
R-i and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -S-Ci_6alkyl, -NR9R10, - (C=0)-R4, -(C=S)-R4, -S02-R4, -N R9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het^ wherein each of said -Ci-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -NR-n R12, and -S-Ci_6alkyl;
wherein R-i and R41 are not simultaneously -H
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000127_0002
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3.6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM; R3 is selected from -H, -halo, -OH, -C1-6alkyl, -0-Ci-6alkyl, -S-Ci-6alkyl,
Figure imgf000128_0001
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR29R3o, -(C=S)-NR29R3o, -C3-6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, - Ar8 and -Het4;
R6 is selected from -(C=0),
Figure imgf000128_0002
- (C=0)-Ar6, -(C=0)-C3.6cycloalkyl, -(C=0)-NR31 R32, -(C=0)-NR31-(C=0)-R32;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)- NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n , and -NR53R54, -(C=0)-NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)-
Rg, R10, R11 , Ri2, Ri3, Ri4. Ri5. R16. Ri9. R20, R21 , R22. R25. R26. R27. R28. R29. R30. R31. R32. R33. R37.
R38, R39, R40, R48, R50, R53, R54 and R55 are each independently selected from -H, -halo, =0, - OH, -Ci-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said - Ci-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci.6alkyl, -S-Ci.6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51 R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is -NR6-;
X-i is selected from -Ci_6alkyl-, -0-C-,-6alkyl-, -S-C-,-6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-N R3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NRs-d-ealkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci-6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-N R3-Ci.6alkyl-; wherein each of said -Ci_ 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci.6alkyl, -0-Ci.6alkyl, -S-Ci.6alkyl, -phenyl, and -NR37R38;
X2 is selected from -Ci_6alkyl-, -0-d.6alkyl-, -S-d.6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci_6alkyl-N R2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-d_6alkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R40;
Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -C-i_6alkyl, -0-C-i_6alkyl, -S-C-i_6alkyl, and - NR-19R20; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-ι , Het2, Het3, Het4, Het6, Het7, Het10, and Het12 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, He , Het6, Het7, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH , -Ci_6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0, -
Figure imgf000129_0001
and -NR21 R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4.
1 1 . A compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein:
A-i and A2 are selected from C and N ; wherein when A-i is C, then A2 is N ; and wherein when A2 is C, then A-, is N ;
R-i and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN , -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-ι ; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-n R12, -0-Ci_6alkyl, and -S-Ci_6alkyl;
wherein R-i and R41 are not simultaneously -H
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000129_0002
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3.6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000129_0003
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4;
R5 is selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het9, -Ar-ι , -C3.6cycloalkyl, - SOz-A^ , -SO2, -SOz-CLealkyl, -(C=0), -(C=0)-C1.6alkyl, -(C=S), -(C=S)-C1.6alkyl, -0-(C=0)-d_ 6alkyl,
Figure imgf000129_0004
wherein each of said -C-,. 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci.6alkyl, -S-Ci.6alkyl, -C3.6cycloalkyl, -Αη , -Het9, and -NR23R2 ; Rg, R-io, Rl 1 , Rl2, Rl3, Rl4, Rl5, Rl6, Rl > Rl8> Rl9> F¾0, R∑1 , R∑2, R∑3, R∑4, R∑7, R28, R∑9, R30, R37, R38,
R39, R40, R48, and R50, are each independently selected from -H , -halo, =0, -OH , -d-6alkyl, -O- Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, - OH, -0-Ci-6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51 R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_
6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is selected from -(C=0)-NR5-;
Xi is -Ci-6alkyl-NR3-Ci-6alkyl-; wherein each of said -Ci_6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S- Ci-6alkyl, -phenyl, and -NR37R38;
X2 is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci_6alkyl-N R2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR^d-ealkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R40;
Ar-ι , Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar-ι , Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, and -NR19R20; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 - halo;
Het-ι , Het2, Het3, Het4, Het7, Het9, and Het10 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, Het4, Het7, Het9, and Het10 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0, -
Figure imgf000130_0001
and -NR21 R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4
12. A compound according to anyone of claims 10-1 1 for use in human or veterinary medicine.
13. A compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein:
A-i and A2 are selected from C and N; wherein when A-i is C, then A2 is N; and wherein when A2 is C, then A-, is N;
R-i and R41 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -S-Ci_6alkyl, -NR9R10, - (C=0)-R4, -(C=S)-R4, -S02-R4, -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het^ wherein each of said -Ci-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -NR-n R12, and -S-Ci_6alkyl;
wherein R-i and R41 are not simultaneously -H
R2 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000131_0001
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3-6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-Ci_6alkyl; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, - Het3, -Ar2, and -NRi3RM;
R3 is selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl,
Figure imgf000131_0002
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=O)-NR29R30, -(C=S)-NR29R30, -C3.6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, - Ar8 and -Het4;
R6 is selected from -(C=0),
Figure imgf000131_0003
- (C=0)-Ar6, -(C=0)-C3.6cycloalkyl, -(C=0)-NR31 R32, -(C=0)-NR31-(C=0)-R32;
wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het6, - Ar6, -NR25R26, -(C=0)-NR25R26, -NR33(C=0)-NR25R26, -(C=S)-NR25R26, and -NR33(C=S)- NR25R26; and
wherein each of said -C3.6cycloalkyl is optionally and independently substituted with from 1 to 3 substituents selected from -Ci_6alkyl, =0, -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het12, -Ar-n , and -NR53R54, -(C=0)-NR53R54, -NR55(C=0)-NR53R54, -(C=S)-NR53R54, and -NR55(C=S)-
Rg, R10, R11 , R"i2, Ri3, R14. R15. R16. Ri9. R20, R21. R22. R25. R26. R27. R28. R29. R30. R31. R32. R33. R37.
R38, R39, R40, R48, R50, R53, R54 and R55 are each independently selected from -H, -halo, =0, - OH, -Ci-6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said - Ci-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci.6alkyl, -S-Ci.6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51 R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is -NR6-;
X-i is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR3-(C=0)-, -Ci_6alkyl-N R3-, -NR3-, -(C=0)-, -NR3-(C=0)-NR48-, -NRs-C^alkyl-, -NR3-S02-, -NR3-(C=0)-C1.6alkyl-, -(C=0)- NR3-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-N R3-Ci.6alkyl-; wherein each of said -Ci_ 6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci.6alkyl, -0-Ci.6alkyl, -S-Ci.6alkyl, -phenyl, and -NR37R38; X2 is selected from -C1-6alkyl-, -0-Ci-6alkyl-, -S-Ci-6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci.6alkyl-NR2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR^d-ealkyl-, -NR2-S02-, -NR2-(C=0)-C1.6alkyl-, -(C=0)- NR2-Ci_6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-Ci.6alkyl-; wherein each of said -Ci-6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -phenyl and -NR39R4o;
Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar2, Ar3, Ar5, Ar6, Ar7, Ar8, Ar10 and Ar-n being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, and - NR19R20; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Het-ι , Het2, Het3, Het4, Het6, Het7, Het10, and Het12 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, He , Het6, Het7, Het10, and Het12 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -OCi_6alkyl, -SCi_6alkyl, =0, -
Figure imgf000132_0001
and -NR21R22; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4;
for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, myel in-related disorders, neurological disorders and cancer.
14. A compound of Formula I or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N-oxide form, or solvate thereof, wherein:
A-i and A2 are selected from C and N; wherein when A-i is C, then A2 is N; and wherein when A2 is C, then A-, is N;
R-i and R41 are each independently selected from -H, -halo, -OH, -C-i_6alkyl, -0-C-i_6alkyl, -S-C-i.
6alkyl, -NR9R10, -(C=0)-R4, -(C=S)-R4, -S02-R4, -CN, -NR9-S02-R4, -C3.6cycloalkyl, -Ar7 and -Het-i ; wherein each of said -C-i_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -NR-nR12, -0-C-i_6alkyl, and -S-C-i_6alkyl;
wherein R-i and R41 are not simultaneously -H
R2 is selected from -H, -halo, -OH, -C-,.6alkyl, -0-C-,.6alkyl, -S-C-,.6alkyl, -(C=0)-C-,.6alkyl, -(C=S)-C-,_ 6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR27R28, -(C=S)-NR27R28, -C3.6cycloalkyl, -Het3, -Ar2, -(C=0)-Het3, -(C=S)-Het3, -(C=0)-Ar2, -(C=S)-Ar2, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl, and -S02-C-|.6alkyl; wherein each of said -C-i_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-C-i_6alkyl, -S-C-i_6alkyl, - Het3, -Ar2, and -NRi3RM; R3 is selected from -H, -halo, -OH, -C1-6alkyl, -0-Ci-6alkyl, -S-Ci-6alkyl,
Figure imgf000133_0001
6alkyl, -(C=0)-0-C1.6alkyl, -(C=S)-0-C1.6alkyl, -(C=0)-NR29R3o, -(C=S)-NR29R3o, -C3-6cycloalkyl -Het2, -Ar3, -(C=0)-Het2, -(C=S)-Het2, -(C=0)-Ar3, -(C=S)-Ar3, -(C=0)-C3.6cycloalkyl, -(C=S)-C3. 6cycloalkyl and -S02-Ci_6alkyl; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het2, -Ar3, and -NR15R16;
R4 is independently selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -NR17R18, -C3.6cycloalkyl, -Ar8 and -Het4;
R5 is selected from -H, -OH, -halo, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_6alkyl, -Het9, -Ar-ι , -C3.6cycloalkyl, - SOz-A^ , -S02, -S02-d_6alkyl, -(C=0), -(C=0)-C1.6alkyl, -(C=S), -(C=S)-C1.6alkyl, -0-(C=0)-d_ 6alkyl,
Figure imgf000133_0002
wherein each of said -d_ 6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from - halo, -OH, -0-Ci.6alkyl, -S-Ci.6alkyl, -C3.6cycloalkyl, -Αη , -Het9, and -NR23R24;
R9, Rio, Ri i , Ri2, Ri3, Ri4. Ri5. Ri6, Ri7> Ris, R-i9, R20, R21 , R22, R23, R24, R27, R∑8. R∑9. R30. R37. R38.
R39, R40, R48, and R50, are each independently selected from -H , -halo, =0, -OH , -Ci_6alkyl, -O- Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Ar5 and -Het7; wherein each of said -Ci_6alkyl is optionally and independently substituted with from 1 to 3 substituents selected from -halo, - OH, -0-Ci_6alkyl, -S-Ci_6alkyl, -C3.6cycloalkyl, -Het7, -Ar5 and -NR51 R52;
R51 and R52 are each independently selected from -H, -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S-Ci_ 6alkyl, -C3.6cycloalkyl, -Ar10 and -Het10;
A is selected from -(C=0)-NR5-;
Xi is -Ci-6alkyl-NR3-Ci-6alkyl-; wherein each of said -Ci_6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -Ci_6alkyl, -0-Ci_6alkyl, -S- Ci-6alkyl, -phenyl, and -NR37R38;
X2 is selected from -Ci_6alkyl-, -0-Ci_6alkyl-, -S-Ci_6alkyl-, -(C=0)-, -NR2-(C=0)-, -Ci_6alkyl-N R2-, -NR2-, -(C=0)-, -NR2-(C=O)-NR50-, -NR2-d_6alkyl-, -NR2-S02-, -NR2-(C=0)-d_6alkyl-, -(C=0)- NR2-Ci-6alkyl-, -0-Ci.6alkyl-0-Ci.6alkyl- and -Ci.6alkyl-NR2-d.6alkyl-; wherein each of said -d_6alkyl- is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d_6alkyl, -0-d_6alkyl, -S-d_6alkyl, -phenyl and -NR39R40;
Ar-ι , Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 are each independently a 5- to 10-membered aromatic heterocycle optionally comprising 1 or 2 heteroatoms selected from O, N and S; each of said Ar-ι , Ar2, Ar3, Ar5, Ar7, Ar8, and Ar10 being optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d_6alkyl, -0-d_6alkyl, -S-d_6alkyl, and -NR19R20; wherein each of said -d_6alkyl is optionally and independently substituted with from 1 to 3 - halo;
Het-ι , Het2, Het3, Het4, Het7, Het9, and Het10 are each independently a 4- to 10-membered heterocycle having from 1 to 3 heteroatoms selected from O, N and S, wherein each of said Het-ι , Het2, Het3, Het4, Het7, Het9, and Het10 is optionally and independently substituted with from 1 to 3 substituents selected from -halo, -OH, -d_6alkyl, -Od_6alkyl, -Sd_6alkyl, =0, -
Figure imgf000134_0001
and -NR21 R22; wherein each of said -d-6alkyl is optionally and independently substituted with from 1 to 3 -halo;
Z-i , Z2, Z3, Z4 and Z5 are each independently selected from C and N; and
m and n are each independently 1 , 2, 3, or 4;
for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, and myel in-related disorders, neurological disorders and cancer.
15. A compound or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N- oxide form, or solvate thereof selected from the list comprising:
Figure imgf000134_0002
16. A compound or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N- oxide form, or solvate thereof as defined in claim 15; for use in human or veterinary medicine.
17. A compound or a stereoisomer, tautomer, racemic, metabolite, pro- or predrug, salt, hydrate, N- oxide form, or solvate thereof as defined in claim 15; for use in the diagnosis, prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, and myelin-related disorders, neurological disorders and cancer.
18. A compound for use as defined in any one of claims 1 to 9 or 12-14; wherein the pyrazolopyrimidine or the imidazopyridazine moiety is linked to the aryl or heteroaryl moiety at position Z4 or Z5, in accordance with the numbering as provided in Formula I.
19. A compound as defined in any one of claims 10-1 1 ; wherein the pyrazolopyrimidine or the imidazopyridazine moiety is linked to the aryl or heteroaryl moiety at position Z4 or Z5, in accordance with the numbering as provided in Formula I.
20. A compound for use as defined in any one of claims 1 to 9 or 12-14; wherein R-i is linked to the aryl or heteroaryl moiety at position Z-i , Z2 or Z3, in accordance with the numbering as provided in Formula I; more in particular at position Z-| .
21 . A compound as defined in any one of claims 10-1 1 ; wherein R-i is linked to the aryl or heteroaryl moiety at position Z-i , Z2 or Z3, in accordance with the numbering as provided in Formula I; more in particular at position Z-| .
22. A pharmaceutical composition for use in the prevention and/or treatment of an Activin-like receptor kinase associated disease selected from anemia-related disorders or disorders characterized by abnormal bone formation; said composition comprising a compound as defined in any one of claims 1 -7, 10-1 1 or 15.
23. A pharmaceutical composition for use in the prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, and myelin-related disorders; said composition comprising a compound as defined in any one of claims 8-9, 10-1 1 or 15.
24. A pharmaceutical composition for use in the prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, myelin-related disorders, neurological disorders and cancer; said composition comprising a compound as defined in any one of claims 10-1 1 , 13-14 or 15.
25. A pharmaceutical composition comprising a compound as defined in anyone of claims 10-1 1 or 15.
26. Use of a compound as defined in any one of claims 1 -15, or a pharmaceutical composition as defined in anyone of claims 22-25, for inhibiting the activity of an Activin-like receptor kinase.
27. A method for the prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation or anemia-related disorders; said method comprising administering to a subject in need thereof a composition comprising a compound as defined in any one of claims 1 -7, 10-1 1 or 15; or a pharmaceutical composition as defined in claim 22.
28. A method for the prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, myelin-related disorders; said method comprising administering to a subject in need thereof a composition comprising a compound as defined in any one of claims 8-9, 10-1 1 or 15; or a pharmaceutical composition as defined in claim 23.
29. A method for the prevention and/or treatment of an Activin-like receptor kinase associated disease selected from the list comprising disorders characterized by abnormal bone formation, vascular disorders, cardiovascular disorders, endocrine disorders, anemia-related disorders, myelin-related disorders, neurological disorders and cancer; said method comprising administering to a subject in need thereof a composition comprising a compound as defined in any one of claims 10-1 1 , 13-14 or 15; or a pharmaceutical composition as defined in claim 24.
PCT/EP2016/055628 2015-03-16 2016-03-16 Macrocyclic activin-like receptor kinase inhibitors WO2016146651A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
EPPCT/EP2015/055450 2015-03-16
EP2015055450 2015-03-16

Publications (1)

Publication Number Publication Date
WO2016146651A1 true WO2016146651A1 (en) 2016-09-22

Family

ID=55542655

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2016/055628 WO2016146651A1 (en) 2015-03-16 2016-03-16 Macrocyclic activin-like receptor kinase inhibitors

Country Status (1)

Country Link
WO (1) WO2016146651A1 (en)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110234653A (en) * 2017-01-26 2019-09-13 韩美药品株式会社 Imidazopyridazine compounds
US10752594B2 (en) 2013-03-14 2020-08-25 Sumitomo Dainippon Pharma Oncology, Inc. JAK1 and ALK2 inhibitors and methods for their use
US11040038B2 (en) 2018-07-26 2021-06-22 Sumitomo Dainippon Pharma Oncology, Inc. Methods for treating diseases associated with abnormal ACVR1 expression and ACVR1 inhibitors for use in the same

Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0721331A1 (en) 1993-10-01 1996-07-17 Astra Aktiebolag Process i
US6369087B1 (en) 1999-08-26 2002-04-09 Robert R. Whittle Alkoxy substituted benzimidazole compounds, pharmaceutical preparations containing the same, and methods of using the same
US6369086B1 (en) 1997-09-05 2002-04-09 Smithkline Beecham Corporation Substituted oxidole derivatives as protein tyrosine and as protein serine/threonine kinase inhibitors
US6372778B1 (en) 1992-09-08 2002-04-16 Vertex Pharmaceuticals, Incorporated Sulfonamide inhibitors of aspartyl protease
US6372733B1 (en) 1995-11-01 2002-04-16 Merck & Co., Inc. Hexahydro-5-imino-1,4-1,4-thiazepine derivatives as inhibitors of nitric oxide synthases
US20080039455A1 (en) * 2006-06-21 2008-02-14 Stuart Ince Pyrazolopyrimidines and salts thereof, pharmaceutical compositions comprising same, methods of preparing same and uses of same
WO2013046029A1 (en) 2011-09-30 2013-04-04 Ipsen Pharma S.A.S. Macrocyclic lrrk2 kinase inhibitors
WO2013045653A1 (en) 2011-09-30 2013-04-04 Oncodesign S.A. Macrocyclic flt3 kinase inhibitors
WO2014140299A1 (en) * 2013-03-15 2014-09-18 Oncodesign S.A Macrocyclic rip2 kinase inhibitors
WO2014140235A1 (en) 2013-03-15 2014-09-18 Ipsen Pharma S.A.S. Macrocyclic lrrk2 kinase inhibitors

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6372778B1 (en) 1992-09-08 2002-04-16 Vertex Pharmaceuticals, Incorporated Sulfonamide inhibitors of aspartyl protease
EP0721331A1 (en) 1993-10-01 1996-07-17 Astra Aktiebolag Process i
US6372733B1 (en) 1995-11-01 2002-04-16 Merck & Co., Inc. Hexahydro-5-imino-1,4-1,4-thiazepine derivatives as inhibitors of nitric oxide synthases
US6369086B1 (en) 1997-09-05 2002-04-09 Smithkline Beecham Corporation Substituted oxidole derivatives as protein tyrosine and as protein serine/threonine kinase inhibitors
US6369087B1 (en) 1999-08-26 2002-04-09 Robert R. Whittle Alkoxy substituted benzimidazole compounds, pharmaceutical preparations containing the same, and methods of using the same
US20080039455A1 (en) * 2006-06-21 2008-02-14 Stuart Ince Pyrazolopyrimidines and salts thereof, pharmaceutical compositions comprising same, methods of preparing same and uses of same
WO2013046029A1 (en) 2011-09-30 2013-04-04 Ipsen Pharma S.A.S. Macrocyclic lrrk2 kinase inhibitors
WO2013045653A1 (en) 2011-09-30 2013-04-04 Oncodesign S.A. Macrocyclic flt3 kinase inhibitors
WO2014140299A1 (en) * 2013-03-15 2014-09-18 Oncodesign S.A Macrocyclic rip2 kinase inhibitors
WO2014140235A1 (en) 2013-03-15 2014-09-18 Ipsen Pharma S.A.S. Macrocyclic lrrk2 kinase inhibitors

Non-Patent Citations (38)

* Cited by examiner, † Cited by third party
Title
ALARMO ET AL., BREAST CANCER RES & TREAT, vol. 103, no. 2, 2007, pages 239 - 46
ANN. NY ACAD. SCI., vol. 1068, 2006, pages 26 - 40
BHATT ET AL., CLIN CANCER RES, vol. 20, no. 11, 2014, pages 2838 - 45
BOBINAC ET AL., CROAT MED J, vol. 46, no. 3, 2005, pages 389 - 96
BOSTROM ET AL., J CLIN INVEST, vol. 91, 1993, pages 1800 - 9
BUCZKOWICZ ET AL., NATURE GENETICS, vol. 46, 2014, pages 451 - 6
CHAO ET AL., PLOSONE, vol. 8, no. 2, 2013, pages E57084
COYNE ET AL., KIDNEY INT, vol. 80, no. 3, 2011, pages 240 - 4
CUSHNER ET AL., ORTHOP.REV., vol. 21, 1992, pages 1319 - 26
DAVID ET AL., BLOOD, vol. 109, no. 5, 2007, pages 1953 - 61
FANTOZZI ET AL., AM.J.PHYSIOL.LUNG CELL.MOL.PHYSIOL., vol. 291, 2006, pages L993 - 1004
FONTEBASSO ET AL., NATURE GENETICS, vol. 46, 2014, pages 462 - 6
FRANK ET AL., CIRC.RES., vol. 97, 2005, pages 496 - 504
GROWTH FACTORS, vol. 22, 2004, pages 233 - 241
HATA ET AL., JBC, vol. 173, no. 1, 2006, pages 47 - 58
INMAN ET AL., CANCER RES, vol. 69, 2009, pages 9259
IRON-DEFICIENCY ANEMIA
KEVENAAR ET AL., HUMAN REPROD., vol. 24, no. 1, 2009, pages 241 - 9
LU ET AL., EUR J IMMUNOL, vol. 40, 2010, pages 142 - 52
MATIAS-SILVA ET AL., JBC, vol. 273, no. 40, 1998, pages 25628 - 36
MATSUURA ET AL., J. NEUROCHEMISTRY, vol. 105, no. 4, 2008, pages 1471 - 9
MOL. CELL. BIOL., vol. 14, 1994, pages 5961 - 5974
NAKANO ET AL., HEART AND CIRC. PHYSIOL., vol. 293, no. 6, 2007, pages H3396 - 403
NATURE GENETICS, vol. 13, 1996, pages 189 - 95
OKITA ET AL., CURR STEM CELL RES THER, vol. 1, 2006, pages 103 - 111
ORPHANET J. RARE. DIS., vol. 1, 2011, pages 80
ROSEN, CANCER J, vol. 7, no. 3, 2001, pages 120 - 8
SANTIVALE ET AL., PLOS ONE, vol. 8, no. 4, 2013, pages E62721
SHORE ET AL., NATURE GENETICS, vol. 38, 2006, pages 525 - 527
SORESCU ET AL., JBC, vol. 278, 2003, pages 31128 - 31135
STEINBICKER ET AL., BLOOD, vol. 118, no. 15, 2011, pages 4224 - 30
TAKAHASHI ET AL., J ENDOCRINOL, vol. 199, 2008, pages 445 - 55
TANG ET AL., J MOL CELL BIOL, vol. 4, no. 1, 2012, pages 11 - 21
TSAI ET AL., CELL REPORTS, vol. 2, 2012, pages 283 - 93
TYSON ET AL., ARTERIOSCLER THROMB VASC BIOL, vol. 23, 2003, pages 489 - 494
UPTON ET AL., MOL PHARM, vol. 73, no. 2, 2008, pages 539 - 52
WRIGHTING ET AL., BLOOD, vol. 108, no. 9, 2006, pages 3204 - 9
XU ET AL., CHINESE J LUNG CANCER, vol. 13, no. 7, 2010, pages 659 - 64

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10752594B2 (en) 2013-03-14 2020-08-25 Sumitomo Dainippon Pharma Oncology, Inc. JAK1 and ALK2 inhibitors and methods for their use
CN110234653A (en) * 2017-01-26 2019-09-13 韩美药品株式会社 Imidazopyridazine compounds
JP2020505401A (en) * 2017-01-26 2020-02-20 ハンミ ファーマシューティカル カンパニー リミテッド Imidazopyridazine compounds
EP3575303A4 (en) * 2017-01-26 2020-08-12 Hanmi Pharmaceutical Co., Ltd. Imidazopyridazine compound
US10781217B2 (en) 2017-01-26 2020-09-22 Hanmi Pharmaceutical Co., Ltd. Imidazopyridazine compound
RU2765099C2 (en) * 2017-01-26 2022-01-25 Ханми Фармасьютикал Ко., Лтд. Imidazopyridazine compound
CN110234653B (en) * 2017-01-26 2022-02-08 韩美药品株式会社 Imidazopyridazine compounds
JP7057366B2 (en) 2017-01-26 2022-04-19 ハンミ ファーマシューティカル カンパニー リミテッド Imidazopyridazine compound
US11040038B2 (en) 2018-07-26 2021-06-22 Sumitomo Dainippon Pharma Oncology, Inc. Methods for treating diseases associated with abnormal ACVR1 expression and ACVR1 inhibitors for use in the same

Similar Documents

Publication Publication Date Title
AU2012314376B2 (en) Macrocyclic FLT3 kinase inhibitors
JP6082397B2 (en) Macrocyclic LRRK2 kinase inhibitor
ES2459047T3 (en) Imidazopyridin-2-one derivatives
KR101828187B1 (en) Novel fused pyrimidine compound or salt thereof
JP2021513555A (en) Pyrimidine Condensation Cyclic Compound and Method for Producing It, and Use This application has the priority of Chinese patent application CN201810144135.3 with the filing date of February 13, 2018, and the filing date of June 29, 2018 in China. Claim the priority of patent application CN201810692211.4. This application cites all the contents of the above Chinese application.
EP3145512B1 (en) Substituted ethynyl heterobicyclic compounds as tyrosine kinase inhibitors
EP2498780B1 (en) N-9-substituted purine compounds, compositions and methods of use
EP3194405B1 (en) Macrocyclic lrrk2 kinase inhibitors
EP2970333B1 (en) Macrocyclic lrrk2 kinase inhibitors
WO2014140313A1 (en) Macrocyclic salt-inducible kinase inhibitors
KR20150133765A (en) Macrocyclic RIP2 kinase inhibitors
KR20130029756A (en) N-7 substituted purine and pyrazolopyrimidine compounds, compositions and methods of use
WO2016146651A1 (en) Macrocyclic activin-like receptor kinase inhibitors
EP3194407B1 (en) Macrocyclic rip2 kinase inhibitors
CN105985354B (en) Pyrimidine derivatives, cytotoxic agents, pharmaceutical compositions and uses thereof
WO2015136073A1 (en) Macrocyclic tgf-br2 kinase inhibitors
EP2760867B1 (en) Macrocyclic flt3 kinase inhibitors
EP2968326A1 (en) Macrocyclic salt-inducible kinase inhibitors
EP2968325A1 (en) Macrocyclic rip2 kinase inhibitors

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 16710430

Country of ref document: EP

Kind code of ref document: A1

DPE1 Request for preliminary examination filed after expiration of 19th month from priority date (pct application filed from 20040101)
NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 16710430

Country of ref document: EP

Kind code of ref document: A1