US2015148343A1PendingUtilityA1

Chromenone analogs as sirtuin modulators

Assignee: GLAXOSMITHKLINE LLCPriority: Sep 29, 2008Filed: Jan 29, 2015Published: May 28, 2015
Est. expirySep 29, 2028(~2.2 yrs left)· nominal 20-yr term from priority
A61P 3/06A61P 9/12A61P 9/04A61P 35/00A61P 3/10A61P 9/00A61P 9/10A61P 5/50A61P 43/00A61P 3/00A61P 27/02A61P 3/04A61P 25/28A61P 25/00C07D 417/14C07D 311/30A61P 15/00C07D 405/14A61K 31/4433A61P 19/10A61K 31/353A61K 31/427A61P 1/16C07D 405/12A61K 31/422A61K 31/506A61K 31/4025A61K 31/497A61P 19/06A61P 13/08A61K 31/4155A61P 15/08C07D 417/12A61K 45/06A61P 19/02A61K 31/5377A61P 11/00A61P 1/04A61K 31/4439C07D 311/22A61P 13/12
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Claims

Abstract

The present invention relates to novel sirtuin-modulating compounds, corresponding pharmaceutical compositions comprising a sirtuin-modulating compound, alone and/or in combination with another therapeutic agent, and methods of use thereof. Sirtuin-modulating compounds of the present invention may be used for increasing the lifespan of a cell, and treating and/or preventing a wide variety of diseases and disorders including, for example, diseases or disorders related to aging or stress, diabetes, obesity, neurodegenerative diseases, cardiovascular disease, blood clotting disorders, inflammation, cancer, and/or flushing as well as diseases or disorders that would benefit from increased mitochondrial activity.

Claims

exact text as granted — not AI-modified
What is claimed is: 
     
         1 . A method for treating a subject suffering from or susceptible to insulin resistance, a metabolic syndrome, diabetes, or complications thereof, or for increasing insulin sensitivity in a subject, comprising administering a compound of Formula (II) to a subject in need thereof: 
       
         
           
           
               
               
           
         
       
       wherein:
 each R 20  is independently selected from hydrogen, halo, —C≡N, fluoro-substituted C 1 -C 2  alkyl, —O—(C 1 -C 2 ) fluoro-substituted alkyl, —S—(C 1 -C 2 ) fluoro-substituted alkyl, C 1 -C 4  alkyl, —S—(C 1 -C 4 ) alkyl, C 3 -C 7  cycloalkyl, —(C 1 -C 2 ) alkyl-N(R 13 )(R 13 ), —O—CH 2 CH(OH)CH 2 OH, —O—(C 1 -C 3 ) alkyl-N(R 13 )(R 13 ), and —N(R 13 )(R 13 ); 
 R 11  is selected from a carbocycle and a heterocycle, wherein R 11  is optionally substituted with one to two substitutents independently selected from halo, —C≡N, C 1 -C 4  alkyl, ═O, C 3 -C 7  cycloalkyl, fluoro-substituted C 1 -C 4  alkyl, —O—R 13 , —S—R 13 , —(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —N(R 13 )(R 13 ), —O—(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —(C 1 -C 4  alkyl)-O—(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —C(O)—N(R 13 )(R 13 ), and —(C 1 -C 4  alkyl)-C(O)—N(R 13 )(R 13 ), and when R 11  is phenyl, R 11  is also optionally substituted with 3,4-methylenedioxy, fluoro-substituted 3,4-methylenedioxy, 3,4-ethylenedioxy, fluoro-substituted 3,4-ethylenedioxy, O-(saturated heterocycle), fluoro-substituted —O-(saturated heterocycle), or C 1 -C 4  alkyl-substituted O-(saturated heterocycle), wherein 
 each R 13  is independently selected from hydrogen and —C 1 -C 4  alkyl; or two R 13  are taken together with the nitrogen atom to which they are bound to form a 4- to 8-membered saturated heterocycle optionally comprising one additional heteroatomic unit selected from NH, S, S(═O), S(═O) 2 , and O, wherein
 when R 13  is alkyl, the alkyl is optionally substituted with one or more substituents selected from —OH, fluoro, —NH 2 , —NH(C 1 -C 4  alkyl), —N(C 1 -C 4  alkyl) 2 , —NH(CH 2 CH 2 OCH 3 ), and —N(CH 2 CH 2 OCH 3 ) 2  and 
 when two R 13  are taken together with the nitrogen atom to which they are bound to form a 4- to 8-membered saturated heterocycle, the saturated heterocycle is optionally substituted at any carbon atom with —OH, —C 1 -C 4  alkyl, fluoro, —NH 2 , —NH(C 1 -C 4  alkyl), —N(C 1 -C 4  alkyl) 2 , —NH(CH 2 CH 2 OCH 3 ), or —N(CH 2 CH 2 OCH 3 ) 2 , and optionally substituted at any substitutable nitrogen atom with —C 1 -C 4  alkyl, fluoro-substituted C 1 -C 4  alkyl, or —(CH 2 ) 2 —O—CH 3 ; 
 
 R 12  is selected from a carbocycle and a heterocycle other than optionally substituted tetrazolyl, wherein R 12  is optionally substituted with one or more substitutents independently selected from halo, —C≡N, C 1 -C 4  alkyl, C 3 -C 7  cycloalkyl, C 1 -C 2  fluoro-substituted alkyl, —O—R 13 , —S—R 13 , —S(O)—R 13 , —S(O) 2 —R 13 , —(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —N(R 13 )(R 13 ), —O—(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —(C 1 -C 4  alkyl)-O—(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —C(O)—N(R 13 )(R 13 ), —(C 1 -C 4  alkyl)-C(O)—N(R 13 )(R 13 ), —O-phenyl, phenyl, and a second heterocycle, and when R 12  is phenyl, R 12  may also be optionally substituted with 3,4-methylenedioxy, fluoro-substituted 3,4-methylenedioxy, 3,4-ethylenedioxy, or fluoro-substituted 3,4-ethylenedioxy, or —O-(saturated heterocycle), wherein any phenyl, second heterocycle or saturated heterocycle portion of a substituent of R 12  is optionally substituted with halo, —C≡N, C 1 -C 4  alkyl, fluoro-substituted C 1 -C 2  alkyl, —O—(C 1 -C 2 ) fluoro-substituted alkyl, —O—(C 1 -C 4 ) alkyl, —S—(C 1 -C 4 ) alkyl, —S—(C 1 -C 2 ) fluoro-substituted alkyl, —NH—(C 1 -C 4 ) alkyl and —N—(C 1 -C 4 ) 2  alkyl; 
 R 14  is selected from hydrogen, C 1 -C 4  alkyl, C 1 -C 4  fluoro-substituted alkyl, C 1 -C 4  alkyl-N(R 13 )(R 13 ), C 1 -C 4  alkyl-C(O)—N(R 13 )(R 13 ), C 1 -C 4  alkyl-O—R 13 , and C 1 -C 4  alkyl-NR 13 —C(O)R 13 ; 
 X 1  is selected from —NH—C(═O)-†, —C(═O)—NH-†, —NH—C(═S)-†, —C(═S)—NH-†, —NH—S(═O)-†, —S(═O)—NH-†, —S(═O) 2 —NH-†, —NH—S(═O) 2 -†, —NH—S(O) 2 —NR 15 -†, —NR 15 —S(O) 2 —NH-†, —NH—C(═O)O-†, —OC(═O)NH-†, —NH—C(═O)NR 15 -†, —NR 15 —C(═O)NH-†, —NH—NR 15 -†, —NR 15 —NH-†, —O—NH-†, —NH—O-†, —NH—CR 15 R 16 -†, —CR 15 R 16 —NH-†, —NH—C(═NR 15 )-†, —C(═NR 15 )—NH-†, —C(═O)—NH—CR 15 R 16 -†, —CR 15 R 16 —NH—C(O)-†, —NH—C(═S)—CR 15 R 16 -†, —CR 15 R 16 —C(═S)—NH-†, —NH—S(O)—CR 15 R 16 -†, —CR 15 R 16 —S(O)—NH-†, —NH—S(O) 2 —CR 15 R 16 -†, —CR 15 R 16 —S(O) 2 —NH-†, —NH—C(═O)—O—CR 15 R 16 -†, —CR 15 R 16 —O—C(═O)—NH-†, —NH—C(═O)—NR 15 —CR 15 R 16 -†, —NH—C(═O)—CR 15 R 16 -†, and —CR 15 R 16 —NH—C(═O)—O-†, wherein:
 † represents where X 1  is bound to R 11 ; and 
 each of R 15  and R 16  is independently selected from hydrogen, C 1 -C 4  alkyl, —CF 3  and (C 1 -C 3  alkyl)-CF 3 , 
 
 
       wherein:
 when R 14  is H, and X 1  is —NH—CR 15 R 16 -† or —CR 15 R 16 —NH-†, then R 12  is other than optionally substituted pyridin-4-yl, optionally substituted pyridin-3-yl or unsubstituted morpholin-4-yl; 
 when R 14  is H; R 12  is phenyl; and X 1  is —C(═O)—NH-†, then R 11  is other than 1H-pyrazol-3-yl, or tetrazol-5-yl, or [1,3,4]thiadiazol-2-yl; and 
 when R 14  is C 1 -C 4  alkyl, R 12  is other than optionally substituted phenyl; or 
 
       a pharmaceutically acceptable salt thereof: 
     
     
         2 . The method according to  claim 1 , wherein R 12  is bound to the rest of the molecule through a ring carbon atom; and R 11  is other than optionally substituted piperidine or optionally substituted pyrrolidine. 
     
     
         3 . The method according to  claim 1 , wherein X 1  is selected from —NH—C(O)-†, and —C(O)—NH-†. 
     
     
         4 . The method according to  claim 1 , wherein:
 R 11  is selected from:   
       
         
           
           
               
               
           
         
       
       wherein:
 R 11  is optionally substituted with one to two substituents independently selected from halo, C 1 -C 4  alkyl, —(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —N(R 13 )(R 13 ), and —O—R 13 . 
 
     
     
         5 . The method according to  claim 4 , wherein:
 R 11  is selected from:   
       
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
       
     
     
         6 . The method according to  claim 5 , wherein:
 R 11  is selected from   
       
         
           
           
               
               
           
         
         and X 1  is —NH—C(O)-†. 
       
     
     
         7 . The method according to  claim 1 , wherein:
 R 12  is selected from:   
       
         
           
           
               
               
           
         
         
           wherein:
 R 12  is optionally substituted with one or more groups independently selected from halo, C 1 -C 4  alkyl, —(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), C 1 -C 2  fluoro-substituted alkyl, —O—R 13 , —SO 2 —R 13 , —N(R 13 )(R 13 ), and —O—(C 1 -C 4  alkyl)-N(R 13 )(R 13 ). 
 
         
       
     
     
         8 . The method according to  claim 7 , wherein:
 R 12  is selected from:   
       
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
       
     
     
         9 . The method according to  claim 8 , wherein:
 R 12  is selected from   
       
         
           
           
               
               
           
         
       
       and
 X 1  is —NH—C(O)-†. 
 
     
     
         10 . A method for treating a subject suffering from or susceptible to insulin resistance, a metabolic syndrome, diabetes, or complications thereof, or for increasing insulin sensitivity in a subject, comprising administering a compound of Formula (II′) to a subject in need thereof: 
       
         
           
           
               
               
           
         
       
       wherein:
 each R 20  is independently selected from hydrogen, halo, —C≡N, fluoro-substituted C 1 -C 2  alkyl, —O—(C 1 -C 2 ) fluoro-substituted alkyl, —S—(C 1 -C 2 ) fluoro-substituted alkyl, C 1 -C 4  alkyl, —S—(C 1 -C 4 ) alkyl, C 3 -C 7  cycloalkyl, —(C 1 -C 2 ) alkyl-N(R 13 )(R 13 ), —O—CH 2 CH(OH)CH 2 OH, —O—(C 1 -C 3 ) alkyl-N(R 13 )(R 13 ), and —N(R 13 )(R 13 ); 
 R 11  is selected from: 
 
       
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         wherein:
 R 11  is optionally substituted with one to two substitutents independently selected from halo, —C≡N, C 1 -C 4  alkyl, ═O, C 3 -C 7  cycloalkyl, fluoro-substituted C 1 -C 4 alkyl, —O—R 13 , —S—R 13 , —(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —N(R 13 )(R 13 ), —O—(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —(C 1 -C 4  alkyl)-O—(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —C(O)—N(R 13 )(R 13 ), and —(C 1 -C 4  alkyl)-C(O)—N(R 13 )(R 13 ), and when R 11  is phenyl, R 11  is also optionally substituted with 3,4-methylenedioxy, fluoro-substituted 3,4-methylenedioxy, 3,4-ethylenedioxy, fluoro-substituted 3,4-ethylenedioxy, O-(saturated heterocycle), fluoro-substituted-O-(saturated heterocycle), or 
 
         C 1 -C 4  alkyl-substituted O-(saturated heterocycle);
 wherein: 
 each R 13  is independently selected from hydrogen and —C 1 -C 4  alkyl; or 
 two R 13  are taken together with the nitrogen atom to which they are bound to form a 4- to 8-membered saturated heterocycle optionally comprising one additional heteroatomic unit selected from NH, S, S(═O), S(═O) 2 , and O;
 wherein: 
 when R 13  is alkyl, the alkyl is optionally substituted with one or more substituents selected from —OH, fluoro, —NH 2 , —NH(C 1 -C 4  alkyl), —N(C 1 -C 4  alkyl) 2 , —NH(CH 2 CH 2 OCH 3 ), and —N(CH 2 CH 2 OCH 3 ) 2  and 
 when two R 13  are taken together with the nitrogen atom to which they are bound to form a 4- to 8-membered saturated heterocycle, the saturated heterocycle is optionally substituted at any carbon atom with —OH, —C 1 -C 4  alkyl, fluoro, —NH 2 , —NH(C 1 -C 4  alkyl), —N(C 1 -C 4  alkyl) 2 , —NH(CH 2 CH 2 OCH 3 ), or —N(CH 2 CH 2 OCH 3 ) 2 , and optionally substituted at any substitutable nitrogen atom with —C 1 -C 4  alkyl, fluoro-substituted C 1 -C 4  alkyl, or —(CH 2 ) 2 —O—CH 3 ; 
 
 
         R 12  is selected from a 5-7 membered aryl or heteroaryl other than optionally substituted tetrazolyl;
 wherein:
 R 12  is optionally substituted with one or more substitutents independently selected from halo, —C≡N, C 1 -C 4  alkyl, C 3 -C 7  cycloalkyl, C 1 -C 2  fluoro-substituted alkyl, —O—R 13 , —S—R 13 , —S(O)—R 13 , —S(O) 2 —R 13 , —(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —N(R 13 )(R 13 ), —O—(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —(C 1 -C 4  alkyl)-O—(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —C(O)—N(R 13 )(R 13 ), —(C 1 -C 4  alkyl)-C(O)—N(R 13 )(R 13 ), —O-phenyl, phenyl, and a second heterocycle, and 
 
 
         when R 12  is phenyl, R 12  may also be optionally substituted with 3,4-methylenedioxy, fluoro-substituted 3,4-methylenedioxy, 3,4-ethylenedioxy, or fluoro-substituted 3,4-ethylenedioxy, or —O-(saturated heterocycle), wherein any phenyl, second heterocycle or saturated heterocycle portion of a substituent of R 12  is optionally substituted with halo, —C≡N, C 1 -C 4  alkyl, fluoro-substituted C 1 -C 2  alkyl, —O—(C 1 -C 2 ) fluoro-substituted alkyl, —O—(C 1 -C 4 ) alkyl, —S—(C 1 -C 4 ) alkyl, —S—(C 1 -C 2 ) fluoro-substituted alkyl, —NH—(C 1 -C 4 ) alkyl and —N—(C 1 -C 4 ) 2  alkyl; 
         R 14  is selected from hydrogen, C 1 -C 4  alkyl, C 1 -C 4  fluoro-substituted alkyl, C 1 -C 4  alkyl-N(R 13 )(R 13 ), C 1 -C 4  alkyl-C(O)—N(R 13 )(R 13 ), C 1 -C 4  alkyl-O—R 13 , and C 1 -C 4  alkyl-NR 13 —C(O)R 13 ; 
         X 1  is —NH—C(═O)-†;
 wherein: 
 † represents where X 1  is bound to R 11 ; and 
 each of R 15  and R 16  is independently selected from hydrogen, C 1 -C 4  alkyl, —CF 3  and (C 1 -C 3  alkyl)-CF 3    
 
       
       wherein:
 when R 14  is C 1 -C 4  alkyl, R 12  is other than optionally substituted phenyl; or 
 
       a pharmaceutically acceptable salt thereof. 
     
     
         11 . A method for treating a subject suffering from or susceptible to insulin resistance, a metabolic syndrome, diabetes, or complications thereof, or for increasing insulin sensitivity in a subject, comprising administering a pharmaceutical composition comprising a compound of Formula (II) to the subject in need thereof: 
       
         
           
           
               
               
           
         
       
       wherein:
 each R 20  is independently selected from hydrogen, halo, —C≡N, fluoro-substituted C 1 -C 2  alkyl, —O—(C 1 -C 2 ) fluoro-substituted alkyl, —S—(C 1 -C 2 ) fluoro-substituted alkyl, C 1 -C 4  alkyl, —S—(C 1 -C 4 ) alkyl, C 3 -C 7  cycloalkyl, —(C 1 -C 2 ) alkyl-N(R 13 )(R 13 ), —O—CH 2 CH(OH)CH 2 OH, —O—(C 1 -C 3 ) alkyl-N(R 13 )(R 13 ), and —N(R 13 )(R 13 ); 
 R 11  is selected from a carbocycle and a heterocycle, wherein R 11  is optionally substituted with one to two substitutents independently selected from halo, —C≡N, C 1 -C 4  alkyl, ═O, C 3 -C 7  cycloalkyl, fluoro-substituted C 1 -C 4  alkyl, —O—R 13 , —S—R 13 , —(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —N(R 13 )(R 13 ), —O—(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —(C 1 -C 4  alkyl)-O—(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —C(O)—N(R 13 )(R 13 ), and —(C 1 -C 4  alkyl)-C(O)—N(R 13 )(R 13 ), and when R 11  is phenyl, R 11  is also optionally substituted with 3,4-methylenedioxy, fluoro-substituted 3,4-methylenedioxy, 3,4-ethylenedioxy, fluoro-substituted 3,4-ethylenedioxy, O-(saturated heterocycle), fluoro-substituted —O-(saturated heterocycle), or 
 
       C 1 -C 4  alkyl-substituted O-(saturated heterocycle), wherein
 each R 13  is independently selected from hydrogen and —C 1 -C 4  alkyl; or two R 13  are taken together with the nitrogen atom to which they are bound to form a 4- to 8-membered saturated heterocycle optionally comprising one additional heteroatomic unit selected from NH, S, S(═O), S(═O) 2 , and O, wherein
 when R 13  is alkyl, the alkyl is optionally substituted with one or more substituents selected from —OH, fluoro, —NH 2 , —NH(C 1 -C 4  alkyl), —N(C 1 -C 4  alkyl) 2 , —NH(CH 2 CH 2 OCH 3 ), and —N(CH 2 CH 2 OCH 3 ) 2  and 
 when two R 13  are taken together with the nitrogen atom to which they are bound to form a 4- to 8-membered saturated heterocycle, the saturated heterocycle is optionally substituted at any carbon atom with —OH, —C 1 -C 4  alkyl, fluoro, —NH 2 , —NH(C 1 -C 4  alkyl), —N(C 1 -C 4  alkyl) 2 , —NH(CH 2 CH 2 OCH 3 ), or —N(CH 2 CH 2 OCH 3 ) 2 , and optionally substituted at any substitutable nitrogen atom with —C 1 -C 4  alkyl, fluoro-substituted C 1 -C 4  alkyl, or —(CH 2 ) 2 —O—CH 3 ; 
 
 R 12  is selected from a carbocycle and a heterocycle other than optionally substituted tetrazolyl, wherein R 12  is optionally substituted with one or more substitutents independently selected from halo, —C≡N, C 1 -C 4  alkyl, C 3 -C 7  cycloalkyl, C 1 -C 2  fluoro-substituted alkyl, —O—R 13 , —S—R 13 , —S(O)—R 13 , —S(O) 2 —R 13 , —(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —N(R 13 )(R 13 ), —O—(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —(C 1 -C 4  alkyl)-O—(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —C(O)—N(R 13 )(R 13 ), —(C 1 -C 4  alkyl)-C(O)—N(R 13 )(R 13 ), —O-phenyl, phenyl, and a second heterocycle, and when R 12  is phenyl, R 12  may also be optionally substituted with 3,4-methylenedioxy, fluoro-substituted 3,4-methylenedioxy, 3,4-ethylenedioxy, or fluoro-substituted 3,4-ethylenedioxy, or —O-(saturated heterocycle), wherein any phenyl, second heterocycle or saturated heterocycle portion of a substituent of R 12  is optionally substituted with halo, —C≡N, C 1 -C 4  alkyl, fluoro-substituted C 1 -C 2  alkyl, —O—(C 1 -C 2 ) fluoro-substituted alkyl, —O—(C 1 -C 4 ) alkyl, —S—(C 1 -C 4 ) alkyl, —S—(C 1 -C 2 ) fluoro-substituted alkyl, —NH—(C 1 -C 4 ) alkyl and —N—(C 1 -C 4 ) 2  alkyl; 
 R 14  is selected from hydrogen, C 1 -C 4  alkyl, C 1 -C 4  fluoro-substituted alkyl, C 1 -C 4  alkyl-N(R 13 )(R 13 ), C 1 -C 4  alkyl-C(O)—N(R 13 )(R 13 ), C 1 -C 4  alkyl-O—R 13 , and C 1 -C 4  alkyl-NR 13 —C(O)R 13 ; 
 X 1  is selected from —NH—C(═O)-†, —C(═O)—NH-†, —NH—C(═S)-†, —C(═S)—NH-†, —NH—S(═O)-†, —S(═O)—NH-†, —S(═O) 2 —NH-†, —NH—S(═O) 2 -†, —NH—S(O) 2 —NR 15 -†, —NR 15 —S(O) 2 —NH-†, —NH—C(═O)O-†, —OC(═O)NH-†, —NH—C(═O)NR 15 -†, —NR 15 —C(═O)NH-†, —NH—NR 15 -†, —NR 15 —NH-†, —O—NH-†, —NH—O-†, —NH—CR 15 R 16 -†, —CR 15 R 16 —NH-†, —NH—C(═NR 15 )-†, —C(═NR 15 )—NH-†, —C(═O)—NH—CR 15 R 16 -†, —CR 15 R 16 —NH—C(O)-†, —NH—C(═S)—CR 15 R 16 -†, —CR 15 R 16 —C(═S)—NH-†, —NH—S(O)—CR 15 R 16 -1, —CR 15 R 16 —S(O)—NH-†, —NH—S(O) 2 —CR 15 R 16 -†, —CR 15 R 16 —S(O) 2 —NH-†, —NH—C(═O)—O—CR 15 R 16 -†, —CR 15 R 16 —O—C(═O)—NH-†, —NH—C(═O)—NR 15 —CR 15 R 16 -†, —NH—C(═O)—CR 15 R 16 -†, and —CR 15 R 16 —NH—C(═O)—O-†; 
 wherein:
 † represents where X 1  is bound to R 11 ; and 
 each of R 15  and R 16  is independently selected from hydrogen, C 1 -C 4  alkyl, —CF 3  and (C 1 -C 3  alkyl)-CF 3 , 
 
 
       wherein:
 when R 14  is H, and X 1  is —NH—CR 15 R 16 -† or —CR 15 R 16 —NH-†, then R 12  is other than optionally substituted pyridin-4-yl, optionally substituted pyridin-3-yl or unsubstituted morpholin-4-yl; 
 when R 14  is H; R 12  is phenyl; and X 1  is —C(═O)—NH-†, then R 11  is other than 1H-pyrazol-3-yl, or tetrazol-5-yl, or [1,3,4]thiadiazol-2-yl; and 
 when R 14  is C 1 -C 4  alkyl, R 12  is other than optionally substituted phenyl; or 
 
       a pharmaceutically acceptable salt thereof; and 
       at least one pharmaceutically acceptable carrier or diluents. 
     
     
         12 . A method for treating a subject suffering from or susceptible to insulin resistance, a metabolic syndrome, diabetes, or complications thereof, or for increasing insulin sensitivity in a subject, comprising administering a pharmaceutical composition comprising a compound of Formula (II) to the subject in need thereof: 
       
         
           
           
               
               
           
         
       
       wherein:
 each R 20  is independently selected from hydrogen, halo, —C≡N, fluoro-substituted C 1 -C 2  alkyl, —O—(C 1 -C 2 ) fluoro-substituted alkyl, —S—(C 1 -C 2 ) fluoro-substituted alkyl, C 1 -C 4  alkyl, —S—(C 1 -C 4 ) alkyl, C 3 -C 7  cycloalkyl, —(C 1 -C 2 ) alkyl-N(R 13 )(R 13 ), —O—CH 2 CH(OH)CH 2 OH, —O—(C 1 -C 3 ) alkyl-N(R 13 )(R 13 ), and —N(R 13 )(R 13 ); 
 R 11  is selected from: 
 
       
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         wherein:
 R 11  is optionally substituted with one to two substitutents independently selected from halo, —C≡N, C 1 -C 4  alkyl, ═O, C 3 -C 7  cycloalkyl, fluoro-substituted C 1 -C 4  alkyl, —O—R 13 , —S—R 13 , —(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —N(R 13 )(R 13 ), —O—(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —(C 1 -C 4  alkyl)-O—(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —C(O)—N(R 13 )(R 13 ), and —(C 1 -C 4  alkyl)-C(O)—N(R 13 )(R 13 ), and when R 11  is phenyl, R 11  is also optionally substituted with 3,4-methylenedioxy, fluoro-substituted 3,4-methylenedioxy, 3,4-ethylenedioxy, fluoro-substituted 3,4-ethylenedioxy, O-(saturated heterocycle), fluoro-substituted-O-(saturated heterocycle), or C 1 -C 4  alkyl-substituted O-(saturated heterocycle); 
 wherein: 
 each R 13  is independently selected from hydrogen and —C 1 -C 4  alkyl; or 
 two R 13  are taken together with the nitrogen atom to which they are bound to form a 4- to 8-membered saturated heterocycle optionally comprising one additional heteroatomic unit selected from NH, S, S(═O), S(═O) 2 , and O; wherein:
 when R 13  is alkyl, the alkyl is optionally substituted with one or more substituents selected from —OH, fluoro, —NH 2 , —NH(C 1 -C 4  alkyl), —N(C 1 -C 4  alkyl) 2 , —NH(CH 2 CH 2 OCH 3 ), and —N(CH 2 CH 2 OCH 3 ) 2  and 
 when two R 13  are taken together with the nitrogen atom to which they are bound to form a 4- to 8-membered saturated heterocycle, the saturated heterocycle is optionally substituted at any carbon atom with —OH, —C 1 -C 4  alkyl, fluoro, —NH 2 , —NH(C 1 -C 4  alkyl), —N(C 1 -C 4  alkyl) 2 , —NH(CH 2 CH 2 OCH 3 ), or —N(CH 2 CH 2 OCH 3 ) 2 , and optionally substituted at any substitutable nitrogen atom with —C 1 -C 4  alkyl, fluoro-substituted C 1 -C 4  alkyl, or —(CH 2 ) 2 —O—CH 3 ; 
 
 
         R 12  is selected from a 5-7 membered aryl or heteroaryl other than optionally substituted tetrazolyl;
 wherein:
 R 12  is optionally substituted with one or more substitutents independently selected from halo, —C≡N, C 1 -C 4  alkyl, C 3 -C 7  cycloalkyl, C 1 -C 2  fluoro-substituted alkyl, —O—R 13 , —S—R 13 , —S(O)—R 13 , —S(O) 2 —R 13 , —(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —N(R 13 )(R 13 ), —O—(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —(C 1 -C 4  alkyl)-O—(C 1 -C 4  alkyl)-N(R 13 )(R 13 ), —C(O)—N(R 13 )(R 13 ), —(C 1 -C 4  alkyl)-C(O)—N(R 13 )(R 13 ), —O-phenyl, phenyl, and a second heterocycle, and 
 
 
         when R 12  is phenyl, R 12  may also be optionally substituted with 3,4-methylenedioxy, fluoro-substituted 3,4-methylenedioxy, 3,4-ethylenedioxy, or fluoro-substituted 3,4-ethylenedioxy, or —O-(saturated heterocycle), wherein any phenyl, second heterocycle or saturated heterocycle portion of a substituent of R 12  is optionally substituted with halo, —C≡N, C 1 -C 4  alkyl, fluoro-substituted C 1 -C 2  alkyl, —O—(C 1 -C 2 ) fluoro-substituted alkyl, —O—(C 1 -C 4 ) alkyl, —S—(C 1 -C 4 ) alkyl, —S—(C 1 -C 2 ) fluoro-substituted alkyl, —NH—(C 1 -C 4 ) alkyl and —N—(C 1 -C 4 ) 2  alkyl; 
         R 14  is selected from hydrogen, C 1 -C 4  alkyl, C 1 -C 4  fluoro-substituted alkyl, C 1 -C 4  alkyl-N(R 13 )(R 13 ), C 1 -C 4  alkyl-C(O)—N(R 13 )(R 13 ), C 1 -C 4  alkyl-O—R 13 , and C 1 -C 4  alkyl-NR 13 —C(O)R 13 ; 
         X 1  is —NH—C(═O)-†;
 wherein: 
 † represents where X 1  is bound to R 11 ; and 
 each of R 15  and R 16  is independently selected from hydrogen, C 1 -C 4  alkyl, —CF 3  and (C 1 -C 3  alkyl)-CF 3    
 
       
       wherein:
 when R 14  is C 1 -C 4  alkyl, R 12  is other than optionally substituted phenyl; or 
 
       a pharmaceutically acceptable salt thereof; and 
       at least one pharmaceutically acceptable carrier or diluents. 
     
     
         13 . The method according to  claim 1  for treating a subject suffering from or susceptible to insulin resistance, a metabolic syndrome, diabetes, or complications thereof, or for increasing insulin sensitivity in a subject, comprising administering a compound of Formula (I) which is selected from: 
       
         
           
                 
                 
                 
               
                     
                 
                   Compd No 
                   [M + H]+ 
                   Structure 
                 
                     
                 
                   227 
                   417 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   231 
                   428 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   234 
                   428 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   250 
                   414 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   251 
                   411 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   252 
                   412 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   253 
                   412 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   256 
                   414 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   257 
                   414 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   261 
                   412 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   268 
                   415 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   273 
                   358 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   280 
                   378 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   281 
                   383 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   282 
                   394 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   283 
                   399 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   286 
                   386 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   296 
                   396 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   307 
                   418 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   315 
                   510 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   316 
                   497 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   318 
                   501 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   319 
                   463 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   320 
                   494 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   322 
                   496 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   323 
                   480 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   324 
                   462 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   325 
                   446 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   327 
                   460 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   329 
                   445 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   331 
                   476 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   334 
                   467 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   335 
                   378 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   337 
                   380 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   338 
                   483 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   339 
                   492 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
             
                
                
                
               
               
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
       or 
       a pharmaceutically acceptable salt thereof. 
     
     
         14 . A method according to  claim 12  for treating a subject suffering from or susceptible to insulin resistance, a metabolic syndrome, diabetes, or complications thereof, or for increasing insulin sensitivity in a subject, comprising administering a pharmaceutical composition comprising a compound if Formula (I) which is selected from: 
       
         
           
                 
                 
                 
               
                     
                 
                   Compd No 
                   [M + H]+ 
                   Structure 
                 
                     
                 
                   227 
                   417 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   231 
                   428 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   234 
                   428 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   250 
                   414 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   251 
                   411 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   252 
                   412 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   253 
                   412 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   256 
                   414 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   257 
                   414 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   261 
                   412 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   268 
                   415 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   273 
                   358 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   280 
                   378 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   281 
                   383 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   282 
                   394 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   283 
                   399 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   286 
                   386 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   296 
                   396 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   307 
                   418 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   315 
                   510 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   316 
                   497 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   318 
                   501 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   319 
                   463 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   320 
                   494 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   322 
                   496 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   323 
                   480 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   324 
                   462 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   325 
                   446 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   327 
                   460 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   329 
                   445 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   331 
                   476 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   334 
                   467 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   335 
                   378 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   337 
                   380 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   338 
                   483 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   339 
                   492 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
             
                
                
                
               
               
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
       or 
       a pharmaceutically acceptable salt thereof; and 
       at least one pharmaceutically acceptable carrier or diluents.

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