A compound having the structure:
or an acceptable salt thereof, wherein X is N or CR, where R is hydrogen, alkyl, etc.; A is selected from the group consisting of a bond, C═O, —SO2—, etc.; A′ is selected from the group consisting of a bond, C═O, etc.; Z is —(CH2)h— or a bond, etc.; R1 and R1′ are independently selected from the group consisting of hydrogen, alkyl, etc.; R2 is selected from hydrogen, alkyl, etc.; R3 is selected from the group consisting of hydrogen, and amino; R4 is monocyclic or bicyclic, etc.; R5 is independently selected from hydrogen, alkyl, etc.; h, j, k, m, n and q are integers as defined in the specification. Also provided are methods of treatment as Janus Kinase inhibitors and pharmaceutical compositions containing the compounds of the invention and combinations with other therapeutic agents.
具有以下结构的化合物:
或其可接受的盐,其中X是N或CR,其中R是
氢、烷基等;A选自由键、C═O、-SO2-等组成的组;A′选自由键、C═O等组成的组;Z是-(
CH2)h-或键等;R1和R1′独立地选自由
氢、烷基等组成的组。R2选自
氢、烷基等;R3选自
氢和
氨基组成的组;R4是单环或双环等;R5独立地选自
氢、烷基等;h、j、k、m、n和q是说明书中定义的整数。还提供了作为Janus激酶
抑制剂的治疗方法和含有本发明化合物的药物组合物以及与其他治疗剂的组合物。