US2019350910A1PendingUtilityA1

Substituted dihydroimidazopyridinediones as mknk1 and mknk2 inhibitors

Assignee: Bayer Pharma AGPriority: Jan 20, 2017Filed: Jan 15, 2018Published: Nov 21, 2019
Est. expiryJan 20, 2037(~10.5 yrs left)· nominal 20-yr term from priority
C07D 495/04C07D 498/08C07D 473/34A61K 31/5386C07D 495/14C07D 513/04A61K 31/437C07D 471/04C07D 519/00A61P 35/00A61K 45/06A61K 31/517A61P 29/00A61K 31/53A61K 31/519
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Claims

Abstract

The present invention relates to substituted dihydroimidazopyridinedione compounds of general formula (A) as described and defined herein, to methods of preparing said compounds, to intermediate compounds useful for preparing said compounds, to pharmaceutical compositions and combinations comprising said compounds and to the use of said compounds for manufacturing a pharmaceutical composition for the treatment or prophylaxis of a disease, in particular of a hyperproliferative, angiogenesis disorders, inflammatory diseases or diseases associated with inflammatory pain, as a sole agent or in combination with other active ingredients.

Claims

exact text as granted — not AI-modified
1 : A compound of formula (A) 
       
         
           
           
               
               
           
         
         wherein 
         R 1  is selected from the group consisting of 
       
       
         
           
           
               
               
           
         
         wherein 
         X is NR 7 , O or S, 
         Y is N or C, and * indicates the connection to the rest of the molecule; 
         R 2  is selected from the group consisting of a hydrogen atom, C 1 -C 3 -alkyl, halo-C 1 -C 6 -alkyl-, —(C═O)—C 1 -C 6 -alkyl, —(C═O)—C 3 -C 6 -cycloalkyl, —N(H)R 4 , —(C═O)OH, —(C═O)—N(R 5a )R 5 , —(C═O)—NR 5 —C 1 -C 6 -alkyl, —(C═O)—NR 5 —C 3 -C 6 -cycloalkyl, —(C═O)—O—C 1 -C 6 -alkyl, —(C═O)—O—C 3 -C 6 -cycloalkyl, —(SO 2 )—C 1 -C 6 -alkyl, —(SO 2 )—C 1 -C 6 -aryl, and -aryl; 
         R 3  and R 3a  are the same or different and independently from one another selected from the group consisting of a hydrogen atom, a halogen atom, cyano, hydroxy, —C 1 -C 6 -alkoxy, C 1 -C 3 -alkyl-, and halo-C 1 -C 3 -alkyl-; 
         R 4  is selected from the group consisting of a hydrogen atom, C 1 -C 6 -alkyl-, halo-C 1 -C 6 -alkyl-, —(C═O)—C 1 -C 6 -alkyl, —(C═O)—C 3 -C 6 -cycloalkyl, C 1 -C 6 -alkoxy C 1 -C 6 -alkyl-, hydroxy-C 1 -C 6 -alkyl-, halo-C 6 -C 6 -alkoxy-C 1 -C 6 -alkyl-, and —(C═O)—N(R 5a )R 5 ; 
         R 5 , R 5a  are the same or different and independently from each other selected from the group consisting of a hydrogen atom, C 1 -C 6 -alkyl-, C 1 -C 6 -alkyl-(C 1 -C 6 -alkyl-)NC 1 -C 6 -alkyl-, C 1 -C 6 -alkylloxy-C 1 -C 6 -alkyl-, C 3 -C 6 -cycloalkyl-, 3- to 10-membered heterocycloalkyl-, aryl-, and heteroaryl-; wherein said C 1 -C 6 -alkyl-, C 3 -C 6 -cycloalkyl-, 3- to 10-membered heterocycloalkyl-, aryl- and heteroaryl- group is optionally substituted, identically or differently, with 1, 2, 3, 4 or 5 R 8  groups; or 
         N(R 5a )R 5  together form a 3- to 10-membered heterocycloalkyl- group, said group being optionally substituted, identically or differently, with 1, 2, 3, 4 or 5 R 8  groups; 
         R 6 , R 6a  are the same or different and independently from one another selected from the group consisting of a hydrogen atom, fluoro, hydroxy, and halo-C 1 -C 3 -alkyl; 
         R 7  is selected from the group consisting of hydrogen, 3- to 10-membered heterocycloalkyl-, —(C═O)—O—C 1 -C 6 -alkyl, —(C═O)—N(H)—C 1 -C 6 -alkyl, —(C═O)—N(—C 1 -C 6 -alkyl)-C 1 -C 6 -alkyl, —S(═O) 2 —C 1 -C 6 -alkyl, —S(═O) 2 —C 1 -C 6 -aryl, and —C 1 -C 6 -alkyl-(C═O)—N(H)—C 1 -C 6 -alkyl, 
         said group being optionally substituted, identically or differently, with 1, 2, 3 or 4 R 8  groups 
         R 8  is selected from the group consisting of hydrogen, halogen, cyano, hydroxy, —C 1 -C 3 -alkyl, —C 1 -C 3 -alkyl-OH, —C 1 -C 6 -alkoxy, —(C═O)—C 1 -C 6 -alkyl, —(C═O)—C 3 -C 6 -cycloalkyl, —C(C═O)—OH, —C(C═O)—O—C 1 -C 6 -alkyl, —NH 2 , —N(H)—C 1 -C 3 -alkyl, —N(—C 1 -C 3 -alkyl)-C 1 -C 3 -alkyl, —(C═O)—N(H)—C 1 -C 6 -alkyl, —(C═O)—N(—C 1 -C 6 -alkyl)-C 1 -C 6 -alkyl, and —NH(C═O)—O—C 1 -C 6 -alkyl; 
         R 9 , R 9a  are the same or different and independently from each other selected from the group consisting of a hydrogen atom and —C 1 -C 3 -alkyl, or are taken together to form —(CH 2 —CH 2 —)—, —(CH 2 —CR 6 (R 6a )—CH 2 —)—, —(CH 2 —Z—CH 2 —)—, —(CH 2 —CH 2 —Z—CH 2 —CH 2 )—, —(CH 2 —CH 2 —CR 6 (R 6a )—CH 2 )—, or —(CH 2 —CH 2 —CR 6 (R 6a )—CH 2 —CH 2 —)—; 
         Z is NR 7 , O, S, S(═O) or SO 2 ; 
         or a tautomer, an N oxide, a hydrate, a solvate, a salt thereof, or a mixture of any of the foregoing. 
       
     
     
         2 : The compound of according to  claim 1 , wherein the compound is a compound of formula (Ia): 
       
         
           
           
               
               
           
         
         wherein 
         R 1  is selected from the group consisting of 
       
       
         
           
           
               
               
           
         
         X is NR 7 , O or S, 
         Y is N or C, and * indicates the connection to the rest of the molecule; 
         n is 0 or 1; 
         R 2  is selected from the group consisting of a hydrogen atom, C 1 -C 3 -alkyl, halo-C 1 -C 6 -alkyl-, —(C═O)—C 1 -C 6 -alkyl, —(C═O)—C 3 -C 6 -cycloalkyl, —N(H)R 4 , —(C═O)OH, —(C═O)—N(R 5a )R 5 , —(C═O)—NR 5 —C 1 -C 6 -alkyl, —(C═O)—NR 5 —C 3 -C 6 -cycloalkyl, —(C═O)—O—C 1 -C 6 -alkyl, —(C═O)—O—C 3 -C 6 -cycloalkyl, —(SO 2 )—C 1 -C 6 -alkyl, —(SO 2 )—C 1 -C 6 -aryl, and -aryl; 
         R 3  and R 3a  are the same or different and independently from one another selected from the group consisting of a hydrogen atom, a halogen atom, cyano, hydroxy, —C 1 -C 6 -alkoxy, C 1 -C 3 -alkyl-, and halo-C 1 -C 3 -alkyl-; 
         R 4  is selected from the group consisting of a hydrogen atom, C 1 -C 6 -alkyl-, halo-C 1 -C 6 -alkyl-, —(C═O)—C 1 -C 6 -alkyl, —(C═O)—C 3 -C 6 -cycloalkyl, C 1 -C 6 -alkoxy C 1 -C 6 -alkyl-, hydroxy-C 1 -C 6 -alkyl-, halo-C 6 -C 6 -alkoxy-C 1 -C 6 -alkyl-, and —(C═O)—N(R 5a )R 5 ; 
         R 5 , R 5a  are the same or different and independently from each other selected from the group consisting of a hydrogen atom, C 1 -C 6 -alkyl-, C 1 -C 6 -alkyl-(C 1 -C 6 -alkyl-)NC 1 -C 6 -alkyl-, C 1 -C 6 -alkyloxy-C 1 -C 6 -alkyl-, C 3 -C 6 -cycloalkyl-, 3- to 10-membered heterocycloalkyl-, aryl-, and heteroaryl-; 
         wherein said C 1 -C 6 -alkyl-, C 3 -C 6 -cycloalkyl-, 3- to 10-membered heterocycloalkyl-, aryl- and heteroaryl- group is optionally substituted, identically or differently, with 1, 2, 3, 4 or 5 R 8  groups; 
         or 
         N(R 5a )R 5  together form a 3- to 10-membered heterocycloalkyl- group, said group being optionally substituted, identically or differently, with 1, 2, 3, 4 or 5 R 8  groups; 
         R 6 , R 6a  are the same or different and independently from one another selected from the group consisting of a hydrogen atom, fluoro, hydroxy, and halo-C 1 -C 3 -alkyl-; 
         R 7  is selected from the group consisting of hydrogen, —C 1 -C 6 -alkyl, 3- to 10-membered heterocycloalkyl-, —(C═O)—O—C 1 -C 6 -alkyl, —(C═O)—N(H)—C 1 -C 6 -alkyl, —(C═O)—N(—C 1 -C 6 -alkyl)-C 1 -C 6 -alkyl, —S(═O) 2 —C 1 -C 6 -alkyl, —S(═O) 2 —C 1 -C 6 -aryl, and —C 1 -C 6 -alkyl-(C═O)—N(H)—C 1 -C 6 -alkyl; 
         said group being optionally substituted, identically or differently, with 1, 2, 3 or 4 R 5 -groups 
         R 8  is selected from the group consisting of hydrogen, halogen, cyano, hydroxy, —C 1 -C 3 -alkyl, —C 1 -C 3 -alkyl-OH, —C 1 -C 6 -alkoxy, —(C═O)—C 1 -C 6 -alkyl, —(C═O)—C 3 -C 6 -cycloalkyl, —C(C═O)—OH, —C(C═O)—O—C 1 -C 6 -alkyl, —NH 2 , —N(H)—C 1 -C 3 -alkyl, —N(—C 1 -C 3 -alkyl)-C 1 -C 3 -alkyl, —(C═O)—N(H)—C 1 -C 6 -alkyl, —(C═O)—N(—C 1 -C 6 -alkyl)-C 1 -C 6 -alkyl, and —NH(C═O)—O—C 1 -C 6 -alkyl; 
         or a tautomer, an N oxide, a hydrate, a solvate, a salt thereof, or a mixture of any of the foregoing. 
       
     
     
         3 : The compound according to  claim 1 , wherein the compound is a compound of formula (B): 
       
         
           
           
               
               
           
         
         wherein 
         R 1  is selected from the group consisting of 
       
       
         
           
           
               
               
           
         
         X is NR 7 , O or S and * indicates the connection to the rest of the molecule; 
         R 2  is selected from the group consisting of a hydrogen atom, C 1 -C 3 -alkyl, halo-C 1 -C 6 -alkyl-, —(C═O)—C 1 -C 6 -alkyl, —(C═O)—C 3 -C 6 -cycloalkyl, —N(H)R 4 , —(C═O)OH, —(C═O)—N(R 5a )R 5 , —(C═O)—NR 5 —C 1 -C 6 -alkyl, —(C═O)—NR 5 —C 3 -C 6 -cycloalkyl, —(C═O)—O—C 1 -C 6 -alkyl, —(C═O)—O—C 3 -C 6 -cycloalkyl, —(SO 2 )—C 1 -C 6 -alkyl, —(SO 2 )—C 1 -C 6 -aryl, and -aryl; 
         R 3  is selected from the group consisting of a hydrogen atom, a halogen atom, cyano, hydroxy, —C 1 -C 6 -alkoxy, and C 1 -C 3 -alkyl-; 
         R 4  is selected from the group consisting of a hydrogen atom, C 1 -C 6 -alkyl-, halo-C 1 -C 6 -alkyl-, —(C═O)—C 1 -C 6 -alkyl, —(C═O)—C 3 -C 6 -cycloalkyl, C 1 -C 6 -alkoxy C 1 -C 6 -alkyl-, hydroxy-C 1 -C 6 -alkyl-, halo-C 6 -C 6 -alkoxy-C 1 -C 6 -alkyl-, and —(C═O)—N(R 5a )R 5 ; 
         R 5 , R 5a  are the same or different and independently from each other selected from the group consisting of a hydrogen atom, C 1 -C 6 -alkyl-, —C 1 -C 6 -alkyl-(C 1 -C 6 -alkyl-)NC 1 -C 6 -alkyl-, C 1 -C 6 -alkyloxy-C 1 -C 6 -alkyl-, C 3 -C 6 -cycloalkyl-, 3- to 10-membered heterocycloalkyl-, aryl-, and heteroaryl-; wherein said C 1 -C 6 -alkyl-, C 3 -C 6 -cycloalkyl-, 3- to 10-membered heterocycloalkyl-, aryl- and heteroaryl- group is optionally substituted, identically or differently, with 1, 2, 3, 4 or 5 R 8  groups; or 
         N(R 5a )R 5  together is a 3- to 10-membered heterocycloalkyl- group, said group being optionally substituted, identically or differently, with 1, 2, 3, 4 or 5 R 8  groups; 
         R 6 , R 6a  are the same or different and independently from one another selected from the group consisting of a hydrogen atom and fluoro; 
         R 8  is selected from the group consisting of hydrogen, halogen, cyano, hydroxy, —C 1 -C 3 -alkyl, —C 1 -C 3 -alkyl-OH, —C 1 -C 6 -alkoxy, —(C═O)—C 1 -C 6 -alkyl, —(C═O)—C 3 -C 6 -cycloalkyl, —C(C═O)—OH, —C(C═O)—O—C 1 -C 6 -alkyl, —NH 2 , —N(H)—C 1 -C 3 -alkyl, —N(—C 1 -C 3 -alkyl)-C 1 -C 3 -alkyl, —(C═O)—N(H)—C 1 -C 6 -alkyl, —(C═O)—N(—C 1 -C 6 -alkyl)-C 1 -C 6 -alkyl, and —NH(C═O)—O—C 1 -C 6 -alkyl; 
         R 9 , R 9a  are the same or different and independently from each other selected from the group consisting of a hydrogen atom and —C 1 -C 3 -alkyl, or are taken together to form —(CH 2 —CH 2 —)—, —(CH 2 —CR 6 (R 6a )—CH 2 —)—, —(CH 2 —Z—CH 2 —)—, —(CH 2 —CH 2 —Z—CH 2 —CH 2 )—, —(CH 2 —CH 2 —CR 6 (R 6a )—CH 2 )—, or —(CH 2 —CH 2 —CR 6 (R 6a )—CH 2 —CH 2 —)—; 
         Z is NR 7 , O, S, S(═O) or SO 2 ; 
         or a tautomer, an N oxide, a hydrate, a solvate, a salt thereof, or a mixture of any of the foregoing. 
       
     
     
         4 : The compound according to  claim 1 , wherein R 3  and R 3a  are the same or different and independently from one another selected from the group consisting of a hydrogen atom, a halogen atom, —C 1 -C 6 -alkoxy, C 1 -C 3 -alkyl, halo-C 1 -C 3 -alkyl, particularly hydrogen, fluor, chlor, methyl, and methoxy;
 or a tautomer, an N oxide, a hydrate, a solvate, a salt thereof, or a mixture of any of the foregoing. 
 
     
     
         5 : The compound according to  claim 1 , wherein R 4  is selected from the group consisting of a hydrogen atom, C 1 -C 6 -alkyl-, halo-C 1 -C 6 -alkyl-, —(C═O)—C 1 -C 6 -alkyl, —(C═O)—C 3 -C 6 -cycloalkyl, C 1 -C 6 -alkoxy-C 1 -C 6 -alkyl-, hydroxy-C 1 -C 6 -alkyl-, and halo-C 6 -C 6 -alkoxy-C 1 -C 6 -alkyl-. 
     
     
         6 : The compound according to  claim 1 , wherein
 N(R 5a )R 5  is defined by R 5a  being a hydrogen and R 5  a group selected from the group consisting of C 1 -C 6 -alkyl-, C 1 -C 6 -alkyl-(C 1 -C 6 -alkyl-)NC 1 -C 6 -alkyl-, C 1 -C 6 -alkyloxy-C 1 -C 6 -alkyl-, and C 3 -C 6 -cycloalky, or   R 5a  being a C 1 -C 6 -alkyl-, and R 5  a group selected from the group consisting of C 1 -C 6 -alkyl-, C 1 -C 6 -alkyl-(C 1 -C 6 -alkyl-)NC 1 -C 6 -alkyl-, C 1 -C 6 -alkyloxy-C 1 -C 6 -alkyl-, and C 3 -C 6 -cycloalky-; or   N(R 5a )R 5  together form   
       
         
           
           
               
               
           
         
         or a tautomer, an N oxide, a hydrate, a solvate, a salt thereof, or a mixture of any of the foregoing. 
       
     
     
         7 : The compound according to  claim 1 , wherein R 7  is selected from the group consisting of hydrogen, —C 1 -C 6 -alkyl, —(C═O)—O—C 1 -C 6 -alkyl, —(C═O)—N(H)—C 1 -C 6 -alkyl, —(C═O)—N(—C 1 -C 6 -alkyl)-C 1 -C 6 -alkyl, and —C 1 -C 6 -alkyl-(C═O)—N(H)—C 1 -C 6 -alkyl, said group being optionally substituted, identically or differently, with 1, 2, 3 or 4 R 8 - groups;
 or a tautomer, an N oxide, a hydrate, a solvate, a salt thereof, or a mixture of any of the foregoing. 
 
     
     
         8 : The compound according to  claim 1 , wherein R 8  is selected from the group consisting of hydrogen, halogen, cyano, hydroxy, —C 1 -C 3 -alkyl, —C 1 -C 3 -alkyl-OH, and —C 1 -C 6 -alkoxy;
 or a tautomer, an N oxide, a hydrate, a solvate, a salt thereof, or a mixture of any of the foregoing. 
 
     
     
         9 : The compound according to  claim 1 , wherein R 9 , R 9a  are the same or different and independently from each other selected from the group consisting of hydrogen and methyl, or
 R 9  and R 9a  are taken together to form —(CH 2 —CH 2 —CH 2 —)—, —(CH 2 —Z—CH 2 —)—, —(CH 2 —CH 2 —Z—CH 2 —CH 2 )—, —(CH 2 —CH 2 —CH 2 —CH 2 —)—, —(CH 2 —CH 2 —CH 2 —CH 2 —CH 2 —)—, —(CH 2 —CH 2 —CF 2 —CH 2 —CH 2 —)—, or —(CH 2 —CH 2 —C(OH)CF 3 —CH 2 —CH 2 —)—, and Z is S, S(═O) or SO 2 ;   or a tautomer, an N oxide, a hydrate, a solvate, a salt thereof, or a mixture of any of the foregoing.   
     
     
         10 : The compound according to  claim 1 , which is selected from the group consisting of
 N-{4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]-1,3,5-triazin-2-yl}cyclopropanecarboxamide,   6′-[(4-amino-1,3,5-triazin-2-yl)amino]-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   1-{4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]-1,3,5-triazin-2-yl}-3-propylurea,   8′-methyl-6′-(quinolin-4-ylamino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-(thieno[2,3-d]pyrimidin-4-ylamino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-(7H-pyrrolo[2,3-d]pyrimidin-4-ylamino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-(1H-pyrazolo[3,4-d]pyrimidin-4-ylamino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-(quinazolin-4-ylamino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidine-6-carboxylic acid,   N,N-dimethyl-4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidine-6-carboxamide,   N-(2-methoxyethyl)-N-methyl-4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidine-6-carboxamide,   8′-methyl-6′-({6-[(4-methylpiperazin-1-yl)carbonyl]thieno[2,3-d]pyrimidin-4-yl}amino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   N-[2-(dimethylamino)ethyl]-N-methyl-4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidine-6-carboxamide,   6′-[(6-{[4-(dimethylamino)piperidin-1-yl]carbonyl}thieno[2,3-d]pyrimidin-4-yl)amino]-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   5-methyl-4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidine-6-carboxylic acid,   N,N,5-trimethyl-4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidine-6-carboxamide,   N-[2-(dimethylamino)ethyl]-N,5-dimethyl-4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidine-6-carboxamide,   N-(2-methoxyethyl)-N,5-dimethyl-4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidine-6-carboxamide,   8′-methyl-6′-({5-methyl-6-[(4-methylpiperazin-1-yl)carbonyl]thieno[2,3-d]pyrimidin-4-yl}amino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(6-{[4-(dimethylamino)piperidin-1-yl]carbonyl}-5-methylthieno[2,3-d]pyrimidin-4-yl)amino]-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(2-aminopyrimidin-4-yl)amino]-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-(1H-pyrrolo[2,3-b]pyridin-4-ylamino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   1-{4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]pyrimidin-2-yl}-3-propylurea,   8′-methyl-6′-(9H-purin-6-ylamino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   N-[2-(dimethylamino)ethyl]-4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidine-6-carboxamide,   1-({4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidin-6-yl}carbonyl)azetidine-3-carbonitrile,   tert-butyl [1-({4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidin-6-yl}carbonyl)azetidin-3-yl]carbamate,   6′-({6-[(3-aminoazetidin-1-yl)carbonyl]thieno[2,3-d]pyrimidin-4-yl}amino)-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(6-{[(3R)-3-(dimethylamino)pyrrolidin-1-yl]carbonyl}thieno[2,3-d]pyrimidin-4-yl)amino]-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(6-{[(3S)-3-(dimethylamino)pyrrolidin-1-yl]carbonyl}thieno[2,3-d]pyrimidin-4-yl)amino]-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-(thieno[2,3-d]pyrimidin-4-ylamino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione hydrochloride,   8′-methyl-6′-(7H-pyrrolo[2,3-d]pyrimidin-4-ylamino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione hydrochloride,   N,N-dimethyl-4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidine-6-carboxamide hydrochloride,   8′-methyl-6′-(quinazolin-4-ylamino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione hydrochloride,   tert-butyl 4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]-5,7-dihydro-6H-pyrrolo[3,4-d]pyrimidine-6-carboxylate,   6′-(6,7-dihydro-5H-pyrrolo[3,4-d]pyrimidin-4-ylamino)-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-{[8-(2,2,2-trifluoroethyl)-7H-purin-6-yl]amino}-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(5,6-dimethylfuro[2,3-d]pyrimidin-4-yl)amino]-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   (RS)-6′-{[9-(2-hydroxypropyl)-9H-purin-6-yl]amino}-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   N-{4-[(3,3,8-trimethyl-1,5-dioxo-1,2,3,5-tetrahydroimidazo[1,5-a]pyridin-6-yl)amino]-1,3,5-triazin-2-yl}cyclopropanecarboxamide,   6′-[(5-fluoroquinazolin-4-yl)amino]-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-[(6-{[(1R,4R)-5-methyl-2,5-diazabicyclo[2.2.1]hept-2-yl]carbonyl}thieno[2,3-d]pyrimidin-4-yl)amino]-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-[(6-{[(1S,4S)-5-methyl-2,5-diazabicyclo[2.2.1]hept-2-yl]carbonyl}thieno[2,3-d]pyrimidin-4-yl)amino]-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-{[9-(2-hydroxyethyl)-9H-purin-6-yl]amino}-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   ethyl {6-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]-9H-purin-9-yl}acetate,   6′-[(6-chloroquinazolin-4-yl)amino]-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   N-[9-(beta-L-arabinofuranosyl)-9H-purin-6-yl]-8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-amine,   {6-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]-9H-purin-9-yl}acetic acid,   N,N-dimethyl-2-{6-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]-9H-purin-9-yl}acetamide,   N-[2-(dimethylamino)ethyl]-N-methyl-2-{6-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]-9H-purin-9-yl}acetamide,   8′-methyl-6′-([1,3]thiazolo[5,4-d]pyrimidin-7-ylamino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-(furo[2,3-d]pyrimidin-4-ylamino)-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   N-{4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]-1,3,5-triazin-2-yl}cyclopropanecarboxamide,   6′-[(4-amino-1,3,5-triazin-2-yl)amino]-8′-methyl-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-(7H-pyrrolo[2,3-d]pyrimidin-4-ylamino)-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-(thieno[2,3-d]pyrimidin-4-ylamino)-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-(3H-imidazo[4,5-b]pyridin-7-ylamino)-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidine-6-carboxylic acid,   N-[2-(dimethylamino)ethyl]-4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidine-6-carboxamide,   N-[2-(dimethylamino)ethyl]-N-methyl-4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidine-6-carboxamide,   1-({4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidin-6-yl}carbonyl)azetidine-3-carbonitrile,   tert-butyl [1-({4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidin-6-yl}carbonyl)azetidin-3-yl]carbamate,   6′-[(6-{[(3R)-3-(dimethylamino)pyrrolidin-1-yl]carbonyl}thieno[2,3-d]pyrimidin-4-yl)amino]-8′-methyl-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(6-{[4-(dimethylamino)piperidin-1-yl]carbonyl}thieno[2,3-d]pyrimidin-4-yl)amino]-8′-methyl-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-({6-[(1R,4R)-2-oxa-5-azabicyclo[2.2.1]hept-5-ylcarbonyl]thieno[2,3-d]pyrimidin-4-yl}amino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-({6-[(1S,4S)-2-oxa-5-azabicyclo[2.2.1]hept-5-ylcarbonyl]thieno[2,3-d]pyrimidin-4-yl}amino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-(9H-purin-6-ylamino)-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-(1H-pyrazolo[3,4-d]pyrimidin-4-ylamino)-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-{[6-(methylsulfonyl)-6,7-dihydro-5H-pyrrolo[3,4-d]pyrimidin-4-yl]amino}-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-{[6-(phenylsulfonyl)-6,7-dihydro-5H-pyrrolo[3,4-d]pyrimidin-4-yl]amino}-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-(6-{[(difluoromethyl) sulfonyl]-6,7-dihydro-5H-pyrrolo[3,4-d]pyrimidin-4-yl}amino)-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-({6-[(trifluoromethyl)sulfonyl]-6,7-dihydro-5H-pyrrolo[3,4-d]pyrimidin-4-yl}amino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-({6-[(2,2,2-trifluoroethyl)sulfonyl]-6,7-dihydro-5H-pyrrolo[3,4-d]pyrimidin-4-yl}amino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-(6-{[(3-aminoazetidin-1-yl)carbonyl]thieno[2,3-d]pyrimidin-4-yl}amino)-8′-methyl-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   N-ethyl-4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]-5,7-dihydro-6H-pyrrolo[3,4-d]pyrimidine-6-carboxamide,   ethyl 4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]-5,7-dihydro-6H-pyrrolo[3,4-d]pyrimidine-6-carboxylate,   8′-methyl-6′-[(6-{[(2S)-5-oxopyrrolidin-2-yl]carbonyl}-6,7-dihydro-5H-pyrrolo[3,4-d]pyrimidin-4-yl)amino]-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(6-acetyl-6,7-dihydro-5H-pyrrolo[3,4-d]pyrimidin-4-yl)amino]-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-{[6-(pyridin-2-ylsulfonyl)-6,7-dihydro-5H-pyrrolo[3,4-d]pyrimidin-4-yl]amino}-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   4-[(4,4-difluoro-8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidine-6-carboxylic acid,   4-[(4,4-difluoro-8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]-N-[2-(dimethylamino)ethyl]thieno[2,3-d]pyrimidine-6-carboxamide,   4-[(4,4-difluoro-8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]-N-[2-(dimethylamino)ethyl]-N-methylthieno[2,3-d]pyrimidine-6-carboxamide,   tert-butyl [1-({4-[(4,4-difluoro-8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidin-6-yl}carbonyl)azetidin-3-yl]carbamate,   6′-({6-[(3-aminoazetidin-1-yl)carbonyl]thieno[2,3-d]pyrimidin-4-yl}amino)-4,4-difluoro-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   1-({4-[(4,4-difluoro-8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidin-6-yl}carbonyl)azetidine-3-carbonitrile,   6′-[(6-{[(3R)-3-(dimethylamino)pyrrolidin-1-yl]carbonyl}thieno[2,3-d]pyrimidin-4-yl)amino]-4,4-difluoro-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(6-{[4-(dimethylamino)piperidin-1-yl]carbonyl}thieno[2,3-d]pyrimidin-4-yl)amino]-4,4-difluoro-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   4,4-difluoro-8′-methyl-6′-({6-[(1R,4R)-2-oxa-5-azabicyclo[2.2.1]hept-5-ylcarbonyl]thieno[2,3-d]pyrimidin-4-yl}amino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   4,4-difluoro-8′-methyl-6′-(thieno[2,3-d]pyrimidin-4-ylamino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   4,4-difluoro-8′-methyl-6′-(7H-pyrrolo[2,3-d]pyrimidin-4-ylamino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   4,4-difluoro-8′-methyl-6′-(7H-pyrrolo[2,3-d]pyrimidin-4-ylamino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione methanesulfonate,   4,4-difluoro-8′-methyl-6′-(7H-pyrrolo[2,3-d]pyrimidin-4-ylamino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione hydrochloride,   4-[(4,4-difluoro-8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]-5-methylthieno[2,3-d]pyrimidine-6-carboxylic acid,   6′-[(4-amino-1,3,5-triazin-2-yl)amino]-4,4-difluoro-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   5-methyl-4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidine-6-carboxylic acid,   8′-methyl-6′-({6-[(1R,4R)-2-oxa-5-azabicyclo[2.2.1]hept-5-ylcarbonyl]thieno[2,3-d]pyrimidin-4-yl}amino)-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidine-6-carboxamide,   6′-[(6-chloroquinazolin-4-yl)amino]-8′-methyl-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(6-chloroquinazolin-4-yl)amino]-4,4-difluoro-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-([1,3]thiazolo[5,4-d]pyrimidin-7-ylamino)-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   4,4-difluoro-8′-methyl-6′-([1,3]thiazolo[5,4-d]pyrimidin-7-ylamino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidine-6-carboxamide,   tert-butyl 4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]-5,7-dihydro-6H-pyrrolo[3,4-d]pyrimidine-6-carboxylate,   tert-butyl 4-[(4,4-difluoro-8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]-5,7-dihydro-6H-pyrrolo[3,4-d]pyrimidine-6-carboxylate,   4,4-difluoro-8′-methyl-6′-(1H-pyrazolo[3,4-d]pyrimidin-4-ylamino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   4,4-difluoro-8′-methyl-6′-(9H-purin-6-ylamino)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   5-methyl-4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidine-6-carboxamide,   6′-[(7-chloroquinazolin-4-yl)amino]-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(5-chloroquinazolin-4-yl)amino]-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(6,8-dichloroquinazolin-4-yl)amino]-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(8-fluoroquinazolin-4-yl)amino]-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(7-fluoroquinazolin-4-yl)amino]-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(6-fluoroquinazolin-4-yl)amino]-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(5,7-difluoroquinazolin-4-yl)amino]-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(7,8-difluoroquinazolin-4-yl)amino]-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(7-methoxyquinazolin-4-yl)amino]-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(6-methoxyquinazolin-4-yl)amino]-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(5-methoxyquinazolin-4-yl)amino]-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(6,7-dimethoxyquinazolin-4-yl)amino]-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-[(8-methylquinazolin-4-yl)amino]-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-[(7-methylquinazolin-4-yl)amino]-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-[(6-methylquinazolin-4-yl)amino]-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-[(5-methylquinazolin-4-yl)amino]-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-{[6-(trifluoromethyl)quinazolin-4-yl]amino}-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-(6,7-dihydro-5H-pyrrolo[3,4-d]pyrimidin-4-ylamino)-4,4-difluoro-8′-methyl-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-(6,7-dihydro-5H-pyrrolo[3,4-d]pyrimidin-4-ylamino)-8′-methyl-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(4-amino-1,3,5-triazin-2-yl)amino]-4-hydroxy-8′-methyl-4-(trifluoromethyl)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   4-hydroxy-8′-methyl-6′-(7H-pyrrolo[2,3-d]pyrimidin-4-ylamino)-4-(trifluoromethyl)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   N-[2-(dimethylamino)ethyl]-4-{[4-hydroxy-8′-methyl-1′,5′-dioxo-4-(trifluoromethyl)-1′,5′-dihydro-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridin]-6′-yl]amino}thieno[2,3-d]pyrimidine-6-carboxamide,   4-hydroxy-8′-methyl-6′-(thieno[2,3-d]pyrimidin-4-ylamino)-4-(trifluoromethyl)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6-[(4-amino-1,3,5-triazin-2-yl)amino]-3,3,8-trimethyl-2,3-dihydroimidazo[1,5-a]pyridine-1,5-dione,   3,3,8-trimethyl-6-(7H-pyrrolo[2,3-d]pyrimidin-4-ylamino)-2,3-dihydroimidazo[1,5-a]pyridine-1,5-dione,   3,3,8-trimethyl-6-(1H-pyrazolo[3,4-d]pyrimidin-4-ylamino)-2,3-dihydroimidazo[1,5-a]pyridine-1,5-dione,   3,3,8-trimethyl-6-(9H-purin-6-ylamino)-2,3-dihydroimidazo[1,5-a]pyridine-1,5-dione,   3,3,8-trimethyl-6-(thieno[2,3-d]pyrimidin-4-ylamino)-2,3-dihydroimidazo[1,5-a]pyridine-1,5-dione,   4-[(3,3,8-trimethyl-1,5-dioxo-1,2,3,5-tetrahydroimidazo[1,5-a]pyridin-6-yl)amino]thieno[2,3-d]pyrimidine-6-carboxylic acid,   N-[2-(dimethylamino)ethyl]-4-[(3,3,8-trimethyl-1,5-dioxo-1,2,3,5-tetrahydroimidazo[1,5-a]pyridin-6-yl)amino]thieno[2,3-d]pyrimidine-6-carboxamide,   N-[2-(dimethylamino)ethyl]-N-methyl-4-[(3,3,8-trimethyl-1,5-dioxo-1,2,3,5-tetrahydroimidazo[1,5-a]pyridin-6-yl)amino]thieno[2,3-d]pyrimidine-6-carboxamide,   tert-butyl [1-({4-[(3,3,8-trimethyl-1,5-dioxo-1,2,3,5-tetrahydroimidazo[1,5-a]pyridin-6-yl)amino]thieno[2,3-d]pyrimidin-6-yl}carbonyl)azetidin-3-yl]carbamate,   6-({6-[(3-aminoazetidin-1-yl)carbonyl]thieno[2,3-d]pyrimidin-4-yl}amino)-3,3,8-trimethyl-2,3-dihydroimidazo[1,5-a]pyridine-1,5-dione,   1-({4-[(3,3,8-trimethyl-1,5-dioxo-1,2,3,5-tetrahydroimidazo[1,5-a]pyridin-6-yl)amino]thieno[2,3-d]pyrimidin-6-yl}carbonyl)azetidine-3-carbonitrile,   6-[(6-{[(3R)-3-(dimethylamino)pyrrolidin-1-yl]carbonyl}thieno[2,3-d]pyrimidin-4-yl)amino]-3,3,8-trimethyl-2,3-dihydroimidazo[1,5-a]pyridine-1,5-dione,   6-[(6-{[4-(dimethylamino)piperidin-1-yl]carbonyl}thieno[2,3-d]pyrimidin-4-yl)amino]-3,3,8-trimethyl-2,3-dihydroimidazo[1,5-a]pyridine-1,5-dione,   3,3,8-trimethyl-6-({6-[(1R,4R)-2-oxa-5-azabicyclo[2.2.1]hept-5-ylcarbonyl]thieno[2,3-d]pyrimidin-4-yl}amino)-2,3-dihydroimidazo[1,5-a]pyridine-1,5-dione,   5-methyl-4-[(3,3,8-trimethyl-1,5-dioxo-1,2,3,5-tetrahydroimidazo[1,5-a]pyridin-6-yl)amino]thieno[2,3-d]pyrimidine-6-carboxylic acid,   N-{4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclobutane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]-1,3,5-triazin-2-yl}cyclopropanecarboxamide,   6′-[(4-amino-1,3,5-triazin-2-yl)amino]-8′-methyl-2′H-spiro[cyclobutane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-(7H-pyrrolo[2,3-d]pyrimidin-4-ylamino)-2′H-spiro[cyclobutane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-(thieno[2,3-d]pyrimidin-4-ylamino)-2′H-spiro[cyclobutane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclobutane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidine-6-carboxylic acid,   N-[2-(dimethylamino)ethyl]-4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclobutane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidine-6-carboxamide,   N-[2-(dimethylamino)ethyl]-N-methyl-4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclobutane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidine-6-carboxamide,   tert-butyl [1-({4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclobutane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidin-6-yl}carbonyl)azetidin-3-yl]carbamate,   6′-({6-[(3-aminoazetidin-1-yl)carbonyl]thieno[2,3-d]pyrimidin-4-yl}amino)-8′-methyl-2′H-spiro[cyclobutane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   1-({4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclobutane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidin-6-yl}carbonyl)azetidine-3-carbonitrile,   6′-[(6-{[(3R)-3-(dimethylamino)pyrrolidin-1-yl]carbonyl}thieno[2,3-d]pyrimidin-4-yl)amino]-8′-methyl-2′H-spiro[cyclobutane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(6-{[4-(dimethylamino)piperidin-1-yl]carbonyl}thieno[2,3-d]pyrimidin-4-yl)amino]-8′-methyl-2′H-spiro[cyclobutane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-({6-[(1R,4R)-2-oxa-5-azabicyclo[2.2.1]hept-5-ylcarbonyl]thieno[2,3-d]pyrimidin-4-yl}amino)-2′H-spiro[cyclobutane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-(9H-purin-6-ylamino)-2′H-spiro[cyclobutane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-(1H-pyrazolo[3,4-d]pyrimidin-4-ylamino)-2′H-spiro[cyclobutane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-([1,3]thiazolo[5,4-d]pyrimidin-7-ylamino)-2′H-spiro[cyclobutane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   tert-butyl 4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclobutane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]-5,7-dihydro-6H-pyrrolo[3,4-d]pyrimidine-6-carboxylate,   tert-butyl 4-[(3,3,8-trimethyl-1,5-dioxo-1,2,3,5-tetrahydroimidazo[1,5-a]pyridin-6-yl)amino]-5,7-dihydro-6H-pyrrolo[3,4-d]pyrimidine-6-carboxylate,   3,3,8-trimethyl-6-([1,3]thiazolo[5,4-d]pyrimidin-7-ylamino)-2,3-dihydroimidazo[1,5-a]pyridine-1,5-dione,   6-(6,7-dihydro-5H-pyrrolo[3,4-d]pyrimidin-4-ylamino)-3,3,8-trimethyl-2,3-dihydroimidazo[1,5-a]pyridine-1,5-dione,   6-[(6-chloroquinazolin-4-yl)amino]-3,3,8-trimethyl-2,3-dihydroimidazo[1,5-a]pyridine-1,5-dione,   6′-[(6-chloroquinazolin-4-yl)amino]-8′-methyl-2′H-spiro[cyclobutane-1,3′-imidazo[,5-a]pyridine]-1′,5′-dione,   6′-(6,7-dihydro-5H-pyrrolo[3,4-d]pyrimidin-4-ylamino)-8′-methyl-2′H-spiro[cyclobutane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   5-methyl-4-[(8′-methyl-1′,5′-dioxo-1′,5′-dihydro-2′H-spiro[cyclobutane-1,3′-imidazo[1,5-a]pyridin]-6′-yl)amino]thieno[2,3-d]pyrimidine-6-carboxylic acid,   8′-methyl-6′-[(5-methylquinazolin-4-yl)amino]-2′H-spiro[cyclobutane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(6-fluoroquinazolin-4-yl)amino]-8′-methyl-2′H-spiro[cyclobutane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-[(quinazolin-4-yl)amino]-2′H-spiro[cyclobutane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8-methyl-6-[([1,3]thiazolo[5,4-d]pyrimidin-7-yl)amino]-2H-spiro[imidazo[1,5-a]pyridine-3,3′-thietane]-1,5-dione,   8-methyl-6-[(5-methylquinazolin-4-yl)amino]-2H-spiro[imidazo[1,5-a]pyridine-3,3′-thietane]-1,5-dione,   6-[(6-chloroquinazolin-4-yl)amino]-8-methyl-2H-spiro[imidazo[1,5-a]pyridine-3,3′-thietane]-1,5-dione,   6-[(6-fluoroquinazolin-4-yl)amino]-8-methyl-2H-spiro[imidazo[1,5-a]pyridine-3,3′-thietane]-1,5-dione,   8-methyl-6-[(thieno[2,3-d]pyrimidin-4-yl)amino]-2H-spiro[imidazo[1,5-a]pyridine-3,3′-thietane]-1,5-dione,   8-methyl-6-[(7H-pyrrolo[2,3-d]pyrimidin-4-yl)amino]-2H-spiro[imidazo[1,5-a]pyridine-3,3′-thietane]-1,5-dione,   8-methyl-6-[(5-methylquinazolin-4-yl)amino]-2H-spiro[imidazo[1,5-a]pyridine-3,3′-thietane]-1,5-dione 1′,1′-dioxide,   6-[(6-chloroquinazolin-4-yl)amino]-8-methyl-2H-spiro[imidazo[1,5-a]pyridine-3,3′-thietane]-1,5-dione 1′,1′-dioxide,   6-[(7-chloroquinazolin-4-yl)amino]-8-methyl-2H-spiro[imidazo[1,5-a]pyridine-3,3′-thietane]-1,5-dione 1′,1′-dioxide,   8-methyl-6-(quinazolin-4-ylamino)-2H-spiro[imidazo[1,5-a]pyridine-3,3′-thietane]-1,5-dione   1′,1′-dioxide,   8′-methyl-6′-[(5-methylquinazolin-4-yl)amino]-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-{[6-(trifluoromethyl)quinazolin-4-yl]amino}-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(6-fluoroquinazolin-4-yl)amino]-8′-methyl-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   6′-[(7-chloroquinazolin-4-yl)amino]-8′-methyl-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8′-methyl-6′-[(quinazolin-4-yl)amino]-2′H-spiro[cyclopentane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione   (cis)-4-hydroxy-8′-methyl-6′-[(5-methylquinazolin-4-yl)amino]-4-(trifluoromethyl)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione;   (cis)-6′-[(6-fluoroquinazolin-4-yl)amino]-4-hydroxy-8′-methyl-4-(trifluoromethyl)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   (cis)-6′-[(4-amino-1,3,5-triazin-2-yl)amino]-4-hydroxy-8′-methyl-4-(trifluoromethyl)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   (cis)-4-hydroxy-8′-methyl-6′-[(5-methylquinazolin-4-yl)amino]-4-(pentafluoroethyl)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   (cis)-6′-[(6-fluoroquinazolin-4-yl)amino]-4-hydroxy-8′-methyl-4-(pentafluoroethyl)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   (cis)-4-hydroxy-8′-methyl-4-(pentafluoroethyl)-6′-[(thieno[2,3-d]pyrimidin-4-yl)amino]-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   (cis)-4-hydroxy-8′-methyl-4-(pentafluoroethyl)-6′-[(7H-pyrrolo[2,3-d]pyrimidin-4-yl)amino]-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   (cis)-6′-[(6-chloroquinazolin-4-yl)amino]-4-hydroxy-8′-methyl-4-(pentafluoroethyl)-2′H-spiro[cyclohexane-1,3′-imidazo[1,5-a]pyridine]-1′,5′-dione,   8-methyl-6-(7H-pyrrolo[2,3-d]pyrimidin-4-ylamino)-2′,3′,5′,6′-tetrahydro-2H-spiro[imidazo[1,5-a]pyridine-3,4′-thiopyran]-1,5-dione,   6-[(6-chloroquinazolin-4-yl)amino]-8-methyl-2′,3′,5′,6′-tetrahydro-2H-spiro[imidazo[1,5-a]pyridine-3,4′-thiopyran]-1,5-dione,   8-methyl-6-(7H-pyrrolo[2,3-d]pyrimidin-4-ylamino)-2′,3′,5′,6′-tetrahydro-2H-spiro[imidazo[1,5-a]pyridine-3,4′-thiopyran]-1,5-dione 1′,1′-dioxide, and   6-[(6-chloroquinazolin-4-yl)amino]-8-methyl-2′,3′,5′,6′-tetrahydro-2H-spiro[imidazo[1,5-a]pyridine-3,4′-thiopyran]-1,5-dione 1′,1′-dioxide;   or a tautomer, an N-oxide, a hydrate, a solvate, or a salt thereof, or a mixture of any of the foregoing.   
     
     
         11 . (canceled) 
     
     
         12 : A pharmaceutical composition comprising the compound of formula (I) according to  claim 1 , or a stereoisomer, a tautomer, an N-oxide, a hydrate, a solvate, or a salt thereof, or a mixture of any of the foregoing, and a pharmaceutically acceptable diluent or carrier. 
     
     
         13 : A pharmaceutical combination comprising:
 one or more first active ingredients selected from the compounds of formula (I), or a stereoisomer, a tautomer, an N-oxide, a hydrate, a solvate, or a salt thereof, or a mixture of any of the foregoing, according to  claim 1 , and   one or more second active ingredients selected from chemotherapeutic anti-cancer agents.   
     
     
         14 - 15 . (canceled) 
     
     
         16 : A method for prophylaxis or treatment of a disease, comprising administering to a patient in need thereof a pharmaceutically effective amount of a compound of formula (I) according to  claim 1 , or a stereoisomer, a tautomer, an N-oxide, a hydrate, a solvate, or a salt thereof, or a mixture of any of the foregoing, wherein said disease is a disease of uncontrolled cell growth, proliferation and/or survival, an inappropriate cellular immune response, or an inappropriate cellular inflammatory response, particularly in which the uncontrolled cell growth, proliferation and/or survival, inappropriate cellular immune response, or inappropriate cellular inflammatory response is mediated by the MKNK1 pathway, more particularly in which the disease of uncontrolled cell growth, proliferation and/or survival, inappropriate cellular immune response, or inappropriate cellular inflammatory response is a haematological tumour, a solid tumour and/or metastases thereof, e.g. leukaemias and myelodysplastic syndrome, malignant lymphomas, head and neck tumours including brain tumours and brain metastases, tumours of the thorax including non-small cell and small cell lung tumours, gastrointestinal tumours, endocrine tumours, mammary and other gynaecological tumours, urological tumours including renal, bladder and prostate tumours, skin tumours, and sarcomas, and/or metastases thereof, or pancreatitis. 
     
     
         17 : A method for the treatment of pain syndromes including acute, chronic, inflammatory and neuropathic pain, preferably inflammatory pain, surgical pain, visceral pain, dental pain, premenstrual pain, endometriosis-associated pain, or other endometriosis-associated symptoms, wherein said symptoms are in particular endometriosis-associated dysmenorrhea, dyspareunia, dysuria, or dyschezia, pain associated with fibrotic diseases, central pain, pain due to burning mouth syndrome, pain due to burns, pain due to migraine, cluster headaches, pain due to nerve injury, pain due to neuritis, neuralgias, pain due to poisoning, pain due to ischemic injury, pain due to interstitial cystitis, cancer pain, pain due to viral, parasitic or bacterial infections, pain due to traumatic nerve-injury, pain due to post-traumatic injuries (including fractures and sport injuries), pain due to trigeminal neuralgia, pain associated with small fiber neuropathy, pain associated with diabetic neuropathy, chronic lower back pain, phantom limb pain, pelvic pain syndrome, chronic pelvic pain, neuroma pain, complex regional pain syndrome, pain associated with gastrointestinal distension, chronic arthritic pain and related neuralgias, and pain associated with cancer, pain associated with chemotherapy, HIV and HIV treatment-induced neuropathy; and pain associated with diseases or disorders selected from the group consisting of hyperalgesia, allodynia, irritable bowel syndrome, comprising administering to a patient in need thereof a pharmaceutically effective amount of a compound of formula (I) according to  claim 1 , or a stereoisomer, a tautomer, an N-oxide, a hydrate, a solvate, or a salt thereof, or a mixture of any of the foregoing. 
     
     
         18 : A method for the treatment of inflammatory bowel disease (ulcerative colitis and Crohn's disease), hyperaemia, sepsis, metabolic disorders, e.g. obesity, insulin resistance, diabetes mellitus type 1 and 2, metabolic endocrine disorder e.g. Polycystic Ovary Syndrome (PCOS); metabolic syndrome; atherosclerosis, reperfusion injury, inflammatory bone resorption, inflammatory liver diseases, pulmonary fibrosis, acute respiratory distress syndrome, and intestinal polyposis, inflammatory skin diseases like psoriasis, pemphigus vulgaris, inflammatory eye disorders like non-infectious uveitis, primary and secondary autoimmune uveitis, VKH syndrome, anterior uveitis, intermediate uveitis, posterior uveitis, panuveitis, Behcet's disease and neuromyelitis optica, fibrotic diseases like idiopathic pulmonary fibrosis, skin fibrosis, systemic sclerosis, autism disorders, liver diseases like nonalcoholic-, alcoholic- and toxic fatty liver disease, steatohepatitis, hepatic fibrosis; and cirrhosis; lung diseases like chronic obstructive pulmonary disease, asthma, pneumonia; neurodegenerative diseases like Parkinson's disease, Alzheimer's disease; stroke, postischemic brain injury, brain ischemia, post-traumatic brain injury, alopecia, acute coronary syndrome, myocardial infarction, autoimmune diseases like autoimmune encephalomyelitis, multiple sclerosis; arthritis (such as osteoarthritis and rheumatoid arthritis), psoriatic arthritis, ankylosing spondylitis), psoriasis, lupus erythematosus (e.g. systemic lupus erythematosus, cutaneous lupus and neonatal lupus erythematosus); inflammatory, autoimmune and fibrotic kidney diseases (e.g. glomerulonephritis, lupus nephritis, ANCA) interstitial cystitis, hypertrophy of the e.g. kidney, ischemia/reperfusion injury, allergic rhinitis, burn wound, osteoporosis viral and bacterial infections, chemotherapy-induced alopecia, cachexia induced for any reason, e.g. cancer, heart failure, etc., muscular atrophy, pancreatitis, schizophrenia, seizures, epilepsy, Fragile X syndrome, graft-versus-host disease, graft rejection, heart fibrosis, autoimmune myocardial disease, myocarditis, endocarditis, ischemia-reperfusion injury following e.g. myocardial infarction, hypertension, artherosclerosis, acute lung injury, ARDS, hypersensitivity pneumonitis, lung fibrosis, e.g. idiopathic pulmonary fibrosis, lymphocytic bronchiolitis e.g. after lung transplantation, dry eye, subfertility (e.g. associated with inflammatory conditions such as endometriosis, or metabolic endocrine disorders e.g. Polycystic Ovary Syndrome (PCOS)), comprising administering to a patient in need thereof a pharmaceutically effective amount of a compound of formula (I) according to  claim 1 , or a stereoisomer, a tautomer, an N-oxide, a hydrate, a solvate, or a salt thereof, or a mixture of any of the foregoing.

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