Heterocyclic derivatives and their use as therapeutic agents

Abstract

Methods of treating an SCD-mediated disease or condition in a mammal, preferably a human, are disclosed, wherein the methods comprise, for example, administering to a mammal in need thereof a compound of formula (II): where x, y, A, D, E, T, Q, G, Z, J, K, L, M, W, V, R 2 , R 3 , R 5 , R 5a , R 6 , R 6a , R 7 , R 7a , R 8 and R 8a are defined herein. Pharmaceutical compositions comprising the compounds of formula (II) are also disclosed.

1 . A compound of formula (II): 
       
         
           
           
               
               
           
         
         x and y are each independently 1, 2 or 3; 
         J and K are each independently N or C(R 11 ); 
         A and E are each independently N or NH; 
         D, T and Q are each independently C; 
         G, Z, L and M are each independently C(R 4 ); 
         W is a direct bond, —N(R 1 )C(O)—, —C(O)N(R 1 )—, —OC(O)N(R 1 )—, —N(R 1 )C(O)N(R 1 )—, —O—, —N(R 1 )—, —S(O) t — (where t is 0, 1 or 2), —N(R 1 )S(O) p — (where p is 1 or 2), —S(O) p N(R 1 )— (where p is 1 or 2), —C(O)—, —OS(O) 2 N(R 1 )—, —OC(O)—, —C(O)O—, —N(R 1 )C(O)O— or —C(R 1 ) 2 —; 
         V is —N(R 1 )—, —N(R 1 )C(O)—, —C(O)—, —C(O)O—, —C(S)—, —C(O)N(R 1 )—, —S(O) p — (where p is 1 or 2), —S(O) p N(R 1 )— (where p is 1 or 2), or —C(R 10 )H—; 
         each R 1  is independently selected from the group consisting of hydrogen, C 1 -C 12 alkyl, C 2 -C 12 hydroxyalkyl, C 4 -C 12 cycloalkylalkyl and C 7 -C 19 aralkyl; 
         R 2  is selected from the group consisting of C 1 -C 12 alkyl, C 2 -C 12 alkenyl, C 2 -C 12 hydroxyalkyl, C 2 -C 12 hydroxyalkenyl, C 2 -C 12 alkoxyalkyl, C 3 -C 12 cycloalkyl, C 4 -C 12 cycloalkylalkyl, aryl, C 7 -C 19 aralkyl, C 3 -C 12 heterocyclyl, C 3 -C 12 heterocyclylalkyl, C 1 -C 12 heteroaryl, and C 3 -C 12 heteroarylalkyl; 
         or R 2  is a multi-ring structure having 2 to 4 rings wherein the rings are independently selected from the group consisting of cycloalkyl, heterocyclyl, aryl and heteroaryl and where some or all of the rings may be fused to each other; 
         R 3  is selected from the group consisting of C 1 -C 12 alkyl, C 2 -C 12 alkenyl, C 2 -C 12 hydroxyalkyl, C 2 -C 12 hydroxyalkenyl, C 2 -C 12 alkoxyalkyl, C 3 -C 12 cycloalkyl, C 4 -C 12 cycloalkylalkyl, aryl, C 7 -C 19 aralkyl, C 3 -C 12 heterocyclyl, C 3 -C 12 heterocyclylalkyl, C 1 -C 12 heteroaryl and C 3 -C 12 heteroarylalkyl; 
         or R 3  is a multi-ring structure having 2 to 4 rings wherein the rings are independently selected from the group consisting of cycloalkyl, heterocyclyl, aryl and heteroaryl and where some or all of the rings may be fused to each other; 
         each R 4  is independently selected from hydrogen, fluoro, chloro, C 1 -C 12 alkyl, C 1 -C 12 alkoxy, haloalkyl, cyano, nitro or —N(R 9 ) 2 ; 
         R 5 , R 5a , R 6 , R 6a , R 7 , R 7a , R 8  and R 8a  are each independently selected from hydrogen or C 1 -C 3 alkyl; 
         or R 5  and R 5a , together, R 6  and R 6a  together, or R 7  and R 7a  together, or R 8  and R 8a , together are an oxo group, provided that when V is —C(O)—, R 6  and R 6a , together or R 8  and R 8a  together do not form an oxo group, while the remaining R 5 , R 5a , R 6 , R 6a , R 7 , R 7a , R 8  and R 8a  are each independently selected from hydrogen or C 1 -C 3 alkyl; 
         or one of R 5 , R 5a , or R 6  and R 6a  together with one of R 7 , R 7a , R 8  and R 8a  forms a direct bond or an alkylene bridge, while the remaining R 5 , R 5a , R 6 , R 6a , R 7 , R 7a , R 8 , and R 8a  are each independently selected from hydrogen or C 1 -C 3 alkyl; 
         each R 9  is independently selected from hydrogen or C 1 -C 6 alkyl; 
         R 10  is hydrogen or C 1 -C 3 alkyl; and 
         R 11  is independently selected from hydrogen, fluoro, chloro, C 1 -C 12 alkyl or C 1 -C 12 alkoxy; 
         as a stereoisomer, enantiomer or tautomer thereof, as a mixture of stereoisomers, as a pharmaceutically acceptable salt thereof, or as a prodrug thereof. 
       
     
     
         2 . The compound of  claim 1  wherein the compound of formula (II) is a compound of the following formula (IIa): 
       
         
           
           
               
               
           
         
         wherein: 
         x and y are each independently 1, 2 or 3; 
         W is a direct bond, —N(R 1 )C(O)—, —C(O)N(R 1 )—, —OC(O)N(R 1 )—, —N(R 1 )C(O)N(R 1 )—, —O—, —N(R 1 )—, —S(O) t — (where t is 0, 1 or 2), —N(R 1 )S(O) p — (where p is 1 or 2), —S(O) p N(R 1 )— (where p is 1 or 2), —C(O)—, —OS(O) 2 N(R 1 )—, —OC(O)—, —C(O)O—, —N(R 1 )C(O)O— or —C(R 1 ) 2 —; 
         V is —N(R 1 )—, —N(R 1 )C(O)—, —C(O)—, —C(O)O—, —C(S)—, —C(O)N(R 1 )—, —S(O) p — (where p is 1 or 2), —S(O) p N(R 1 )— (where p is 1 or 2), or —C(R 10 )H—; 
         each R 1  is independently selected from the group consisting of hydrogen, C 1 -C 12 alkyl, C 2 -C 12 hydroxyalkyl, C 4 -C 12 cycloalkylalkyl and C 7 -C 19 aralkyl; 
         R 2  is selected from the group consisting of C 1 -C 12 alkyl, C 2 -C 12 alkenyl, C 2 -C 12 hydroxyalkyl, C 2 -C 12 hydroxyalkenyl, C 2 -C 12 alkoxyalkyl, C 3 -C 12 cycloalkyl, C 4 -C 12 cycloalkylalkyl, aryl, C 7 -C 19 aralkyl, C 3 -C 12 heterocyclyl, C 3 -C 12 heterocyclylalkyl, C 1 -C 12 heteroaryl, and C 3 -C 12 heteroarylalkyl; 
         or R 2  is a multi-ring structure having 2 to 4 rings wherein the rings are independently selected from the group consisting of cycloalkyl, heterocyclyl, aryl and heteroaryl and where some or all of the rings may be fused to each other; 
         R 3  is selected from the group consisting of C 1 -C 12 alkyl, C 2 -C 12 alkenyl, C 2 -C 12 hydroxyalkyl, C 2 -C 12 hydroxyalkenyl, C 2 -C 12 alkoxyalkyl, C 3 -C 12 cycloalkyl, C 4 -C 12 cycloalkylalkyl, aryl, C 7 -C 19 aralkyl, C 3 -C 12 heterocyclyl, C 3 -C 12 heterocyclylalkyl, C 1 -C 12 heteroaryl and C 3 -C 12 heteroarylalkyl; 
         or R 3  is a multi-ring structure having 2 to 4 rings wherein the rings are independently selected from the group consisting of cycloalkyl, heterocyclyl, aryl and heteroaryl and where some or all of the rings may be fused to each other; 
         R 5 , R 5a , R 6 , R 6a , R 7 , R 7a , R 8  and R 8a  are each independently selected from hydrogen or C 1 -C 3 alkyl; 
         or R 5  and R 5a  together, or R 6  and R 6a  together, or R 7  and R 7a  together, or R 8  and R 8a  together are an oxo group, provided that when V is —C(O)—, R 6  and R 6a  together or R 8  and R 8a  together do not form an oxo group, while the remaining R 5 , R 5a , R 6 , R 6a , R 7 , R 7a , R 8  and R 8a  are each independently selected from hydrogen or C 1 -C 3 alkyl; 
         or one of R 5 , R 5a , R 6  and R 6a  together with one of R 7 , R 7a , R 8  and R 8a  forms a direct bond or an alkylene bridge, while the remaining R 5 , R 5a , R 6 , R 6a , R 7 , R 7a , R 8 , and R 8a  are each independently selected from hydrogen or C 1 -C 3 alkyl; and 
         R 10  is hydrogen or C 1 -C 3 alkyl. 
       
     
     
         3 . The compound of  claim 2  wherein:
 x and y are each 1; 
 W is a direct bond, —N(R 1 )C(O)—, or —C(O)N(R 1 )—; 
 V is —C(O)—; 
 each R 1  is independently selected from the group consisting of hydrogen, C 1 -C 12 alkyl, C 2 -C 12 hydroxyalkyl, C 4 -C 12 cycloalkylalkyl and C 7 -C 19 aralkyl; 
 R 2  is selected from the group consisting of C 1 -C 12 alkyl, C 2 -C 12 alkenyl, C 2 -C 12 hydroxyalkyl, C 2 -C 12 hydroxyalkenyl, C 2 -C 12 alkoxyalkyl, C 3 -C 12 cycloalkyl, C 4 -C 12 cycloalkylalkyl, aryl, C 7 -C 19 aralkyl, C 3 -C 12 heterocyclyl, C 3 -C 12 heterocyclylalkyl, C 1 -C 12 heteroaryl, and C 3 -C 12 heteroarylalkyl; 
 R 3  is selected from the group consisting of C 1 -C 12 alkyl, C 2 -C 12 alkenyl, C 2 -C 12 hydroxyalkyl, C 2 -C 12 hydroxyalkenyl, C 2 -C 12 alkoxyalkyl, C 3 -C 12 cycloalkyl, C 4 -C 12 cycloalkylalkyl, aryl, C 7 -C 19 aralkyl, C 3 -C 12 heterocyclyl, C 3 -C 12 heterocyclylalkyl, C 1 -C 12 heteroaryl and C 3 -C 12 heteroarylalkyl; and 
 R 5 , R 5a , R 6 , R 6a , R 7 , R 7a , R 8  and R 8a  are each hydrogen. 
 
     
     
         4 . The compound of  claim 3  selected from the group consisting of the following: 
       [4-(2-Propyl-1H-benzoimidazol-5-yl)piperazin-1-yl](2-trifluoromethylphenyl)methanone; and 
       [4-(2-Pentyl-1H-benzoimidazol-5-yl)piperazin-1-yl](2-trifluoromethylphenyl)methanone. 
     
     
         5 . A method of inhibiting human stearoyl-CoA desaturase (hSCD) activity comprising contacting a source of hSCD with a compound of formula (II): 
       
         
           
           
               
               
           
         
         x and y are each independently 1, 2 or 3; 
         J and K are each independently N or C(R 11 ); 
         A and E are each independently N or NH; 
         D, T and Q are each independently C; 
         G, Z, L and M are each independently C(R 4 ); 
         W is a direct bond, —N(R 1 )C(O)—, —C(O)N(R 1 )—, —OC(O)N(R 1 )—, —N(R 1 )C(O)N(R 1 )—, —O—, —N(R 1 )—, —S(O) t — (where t is 0, 1 or 2), —N(R 1 )S(O) p — (where p is 1 or 2), —S(O) p N(R 1 )— (where p is 1 or 2), —C(O)—, —OS(O) 2 N(R 1 )—, —OC(O)—, —C(O)O—, —N(R 1 )C(O)O— or —C(R 1 ) 2 —; 
         V is —N(R 1 )—, —N(R 1 )C(O)—, —C(O)—, —C(O)O—, —C(S)—, —C(O)N(R 1 )—, —S(O) p — (where p is 1 or 2), —S(O) p N(R 1 )— (where p is 1 or 2), or —C(R 10 )H—; each R 1  is independently selected from the group consisting of hydrogen, C 1 -C 12 alkyl, C 2 -C 12 hydroxyalkyl, C 4 -C 12 cycloalkylalkyl and C 7 -C 19 aralkyl; 
         R 2  is selected from the group consisting of C 1 -C 12 alkyl, C 2 -C 12 alkenyl, C 2 -C 12 hydroxyalkyl, C 2 -C 12 hydroxyalkenyl, C 2 -C 12 alkoxyalkyl, C 3 -C 12 cycloalkyl, C 4 -C 12 cycloalkylalkyl, aryl, C 7 -C 19 aralkyl, C 3 -C 12 heterocyclyl, C 3 -C 12 heterocyclylalkyl, C 1 -C 12 heteroaryl, and C 3 -C 12 heteroarylalkyl; 
         or R 2  is a multi-ring structure having 2 to 4 rings wherein the rings are independently selected from the group consisting of cycloalkyl, heterocyclyl, aryl and heteroaryl and where some or all of the rings may be fused to each other; 
         R 3  is selected from the group consisting of C 1 -C 12 alkyl, C 2 -C 12 alkenyl, C 2 -C 12 hydroxyalkyl, C 2 -C 12 hydroxyalkenyl, C 2 -C 12 alkoxyalkyl, C 3 -C 12 cycloalkyl, C 4 -C 12 cycloalkylalkyl, aryl, C 7 -C 19 aralkyl, C 3 -C 12 heterocyclyl, C 3 -C 12 heterocyclylalkyl, C 1 -C 12 heteroaryl and C 3 -C 12 heteroarylalkyl; 
         or R 3  is a multi-ring structure having 2 to 4 rings wherein the rings are independently selected from the group consisting of cycloalkyl, heterocyclyl, aryl and heteroaryl and where some or all of the rings may be fused to each other; 
         each R 4  is independently selected from hydrogen, fluoro, chloro, C 1 -C 12 alkyl, C 1 -C 12 alkoxy, haloalkyl, cyano, nitro or —N(R 9 ) 2 ; 
         R 5 , R 5a , R 6 , R 6a , R 7 , R 7a , R 8  and R 8a  are each independently selected from hydrogen or C 1 -C 3 alkyl; 
         or R 5  and R 5a  together, or R 6  and R 6a , together, or R 7  and R 7a  together, or R 8  and R 8a , together are an oxo group, provided that when V is —C(O)—, R 6  and R 6a  together or R 8  and R 8a  together do not form an oxo group, while the remaining R 5 , R 5a , R 6 , R 6a , R 7 , R 7a , R 8  and R 8a  are each independently selected from hydrogen or C 1 -C 3 alkyl; 
         or one of R 5 , R 5a , R 6  and R 6a  together with one of R 7 , R 7a , R 8  and R 8a  forms a direct bond or an alkylene bridge, while the remaining R 5 , R 5a , R 6 , R 6a , R 7 , R 7a , R 8 , and R 8a  are each independently selected from hydrogen or C 1 -C 3 alkyl; 
         each R 9  is independently selected from hydrogen or C 1 -C 6 alkyl; 
         R 10  is hydrogen or C 1 -C 3 alkyl; and 
         R 11  is independently selected from hydrogen, fluoro, chloro, C 1 -C 12 alkyl or C 1 -C 12 alkoxy; 
         as a stereoisomer, enantiomer or tautomer thereof, as a mixture of stereoisomers, as a pharmaceutically acceptable salt thereof, or as a prodrug thereof. 
       
     
     
         6 . A method of treating a disease or condition mediated by stearoyl-CoA desaturase (SCD) in a mammal, wherein the method comprises administering to the mammal in need thereof a therapeutically effective amount of a compound of formula (II): 
       
         
           
           
               
               
           
         
         x and y are each independently 1, 2 or 3; 
         J and K are each independently N or C(R 11 ); 
         A and E are each independently N or NH; 
         D, T and Q are each independently C; 
         G, Z, L and M are each independently C(R 4 ); 
         W is a direct bond, —N(R 1 )C(O)—, —C(O)N(R 1 )—, —OC(O)N(R 1 )—, —N(R 1 )C(O)N(R 1 )—, —O—, —N(R 1 )—, —S(O) t — (where t is 0, 1 or 2), —N(R 1 )S(O) p — (where p is 1 or 2), —S(O) p N(R 1 )— (where p is 1 or 2), —C(O)—, —OS(O) 2 N(R 1 )—, —OC(O)—, —C(O)O—, —N(R 1 )C(O)O— or —C(R 1 ) 2 —; 
         V is —N(R 1 )—, —N(R 1 )C(O)—, —C(O)—, —C(O)O—, —C(S)—, —C(O)N(R 1 )—, —S(O) p — (where p is 1 or 2), —S(O) p N(R 1 )— (where p is 1 or 2), or —C(R 10 )H—; each R 1  is independently selected from the group consisting of hydrogen, C 1 -C 12 alkyl, C 2 -C 12 hydroxyalkyl, C 4 -C 12 cycloalkylalkyl and C 7 -C 19 aralkyl; 
         R 2  is selected from the group consisting of C 1 -C 12 alkyl, C 2 -C 12 alkenyl, C 2 -C 12 hydroxyalkyl, C 2 -C 12 hydroxyalkenyl, C 2 -C 12 alkoxyalkyl, C 3 -C 12 cycloalkyl, C 4 -C 12 cycloalkylalkyl, aryl, C 7 -C 19 aralkyl, C 3 -C 12 heterocyclyl, C 3 -C 12 heterocyclylalkyl, C 1 -C 12 heteroaryl, and C 3 -C 12 heteroarylalkyl; 
         or R 2  is a multi-ring structure having 2 to 4 rings wherein the rings are independently selected from the group consisting of cycloalkyl, heterocyclyl, aryl and heteroaryl and where some or all of the rings may be fused to each other; 
         R 3  is selected from the group consisting of C 1 -C 12 alkyl, C 2 -C 12 alkenyl, C 2 -C 12 hydroxyalkyl, C 2 -C 12 hydroxyalkenyl, C 2 -C 12 alkoxyalkyl, C 3 -C 12 cycloalkyl, C 4 -C 12 cycloalkylalkyl, aryl, C 7 -C 19 aralkyl, C 3 -C 12 heterocyclyl, C 3 -C 12 heterocyclylalkyl, C 1 -C 12 heteroaryl and C 3 -C 12 heteroarylalkyl; 
         or R 3  is a multi-ring structure having 2 to 4 rings wherein the rings are independently selected from the group consisting of cycloalkyl, heterocyclyl, aryl and heteroaryl and where some or all of the rings may be fused to each other; 
         each R 4  is independently selected from hydrogen, fluoro, chloro, C 1 -C 12 alkyl, C 1 -C 12 alkoxy, haloalkyl, cyano, nitro or —N(R 9 ) 2 ; 
         R 5 , R 5a , R 6 , R 6a , R 7 , R 7a , R 8  and R 8a  are each independently selected from hydrogen or C 1 -C 3 alkyl; 
         or R 5  and R 5a  together, or R 6  and R 6a  together, or R 7  and R 7a  together, or R 8  and R 8a  together are an oxo group, provided that when V is —C(O)—, R 6  and R 6a  together or R 8  and R 8a  together do not form an oxo group, while the remaining R 5 , R 5a , R 6 , R 6a , R 7 , R 7a , R 8  and R 8a  are each independently selected from hydrogen or C 1 -C 3 alkyl; 
         or one of R 5 , R 5a , R 6  and R 6a  together with one of R 7 , R 7a , R 8  and R 8a  forms a direct bond or an alkylene bridge, while the remaining R 5 , R 5a , R 6 , R 6a , R 7 , R 7a , R 8 , and R 8a  are each independently selected from hydrogen or C 1 -C 3 alkyl; 
         each R 9  is independently selected from hydrogen or C 1 -C 6 alkyl; 
         R 10  is hydrogen or C 1 -C 3 alkyl; and 
         R 11  is independently selected from hydrogen, fluoro, chloro, C 1 -C 12 alkyl or C 1 -C 12 alkoxy; 
         as a stereoisomer, enantiomer or tautomer thereof, as a mixture of stereoisomers, as a pharmaceutically acceptable salt thereof, or as a prodrug thereof. 
       
     
     
         7 . A pharmaceutical composition comprising a pharmaceutically acceptable excipient or carrier and a therapeutically effective amount of a compound of formula (II): 
       
         
           
           
               
               
           
         
         x and y are each independently 1, 2 or 3; 
         J and K are each independently N or C(R 11 ); 
         A and E are each independently N or NH; 
         D, T and Q are each independently C; 
         G, Z, L and M are each independently C(R 4 ); 
         W is a direct bond, —N(R 1 )C(O)—, —C(O)N(R 1 )—, —OC(O)N(R 1 )—, —N(R 1 )C(O)N(R 1 )—, —O—, —N(R 1 )—, —S(O) t — (where t is 0, 1 or 2), —N(R 1 )S(O) p — (where p is 1 or 2), —S(O) p N(R 1 )— (where p is 1 or 2), —C(O)—, —OS(O) 2 N(R 1 )—, —OC(O)—, —C(O)O—, —N(R 1 )C(O)O— or —C(R 1 ) 2 —; 
         V is —N(R 1 )—, —N(R 1 )C(O)—, —C(O)—, —C(O)O—, —C(S)—, —C(O)N(R 1 )—, —S(O) p — (where p is 1 or 2), —S(O) p N(R 1 )— (where p is 1 or 2), or —C(R 10 )H—; each R 1  is independently selected from the group consisting of hydrogen, C 1 -C 12 alkyl, C 2 -C 12 hydroxyalkyl, C 4 -C 12 cycloalkylalkyl and C 7 -C 19 aralkyl; 
         R 2  is selected from the group consisting of C 1 -C 12 alkyl, C 2 -C 12 alkenyl, C 2 -C 12 hydroxyalkyl, C 2 -C 12 hydroxyalkenyl, C 2 -C 12 alkoxyalkyl, C 3 -C 12 cycloalkyl, C 4 -C 12 cycloalkylalkyl, aryl, C 7 -C 19 aralkyl, C 3 -C 12 heterocyclyl, C 3 -C 12 heterocyclylalkyl, C 1 -C 12 heteroaryl, and C 3 -C 12 heteroarylalkyl; 
         or R 2  is a multi-ring structure having 2 to 4 rings wherein the rings are independently selected from the group consisting of cycloalkyl, heterocyclyl, aryl and heteroaryl and where some or all of the rings may be fused to each other; 
         R 3  is selected from the group consisting of C 1 -C 12 alkyl, C 2 -C 12 alkenyl, C 2 -C 12 hydroxyalkyl, C 2 -C 12 hydroxyalkenyl, C 2 -C 12 alkoxyalkyl, C 3 -C 12 cycloalkyl, C 4 -C 12 cycloalkylalkyl, aryl, C 7 -C 19 aralkyl, C 3 -C 12 heterocyclyl, C 3 -C 12 heterocyclylalkyl, C 1 -C 12 heteroaryl and C 3 -C 12 heteroarylalkyl; 
         or R 3  is a multi-ring structure having 2 to 4 rings wherein the rings are independently selected from the group consisting of cycloalkyl, heterocyclyl, aryl and heteroaryl and where some or all of the rings may be fused to each other; 
         each R 4  is independently selected from hydrogen, fluoro, chloro, C 1 -C 12 alkyl, C 1 -C 12 alkoxy, haloalkyl, cyano, nitro or —N(R 9 ) 2 ; 
         R 5 , R 5a , R 6 , R 6a , R 7 , R 7a , R 8  and R 8a  are each independently selected from hydrogen or C 1 -C 3 alkyl; 
         or R 5  and R 5a  together, or R 6  and R 6a  together, or R 7  and R 7a  together, or R 8  and R 8a  together are an oxo group, provided that when V is —C(O)—, R 6  and R 6a , together or R 8  and R 8a  together do not form an oxo group, while the remaining R 5 , R 5a , R 6 , R 6a , R 7 , R 7a , R 8  and R 8a  are each independently selected from hydrogen or C 1 -C 3 alkyl; 
         or one of R 5 , R 5a , R 6  and R 6a , together with one of R 7 , R 7a , R 8  and R 8a  forms a direct bond or an alkylene bridge, while the remaining R 5 , R 5a , R 6 , R 6a , R 7 , R 7a , R 8 , and R 8a  are each independently selected from hydrogen or C 1 -C 3 alkyl; 
         each R 9  is independently selected from hydrogen or C 1 -C 6 alkyl; 
         R 10  is hydrogen or C 1 -C 3 alkyl; and 
         R 11  is independently selected from hydrogen, fluoro, chloro, C 1 -C 12 alkyl or C 1 -C 12 alkoxy; 
         as a stereoisomer, enantiomer or tautomer thereof, as a mixture of stereoisomers, as a pharmaceutically acceptable salt thereof, or as a prodrug thereof.