WO/2020/247429 | PYRROLIDINE COMPOUNDS |
JP2005531571 | Acetamides and benzamides useful in the treatment of sexual dysfunction |
WO/2010/052199 | HETEROCYCLIC GAMMA SECRETASE MODULATORS |
BUCHER CYRIL (US)
CRAIG II (US)
DE VICENTE FIDALGO JAVIER (US)
ESTRADA ANTHONY A (US)
FOX BRIAN M (US)
HUFFMAN BENJAMIN J (US)
LEXA KATRINA W (US)
OSIPOV MAKSIM (US)
WO2022036204A1 | 2022-02-17 | |||
WO2021239885A1 | 2021-12-02 | |||
WO2022232632A1 | 2022-11-03 |
What is claimed is: 1. A compound or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof, selected from: 2. A compound or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof, selected from: , , , , , 3. A compound of Formula I: I or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof, wherein: X is C(X1), NR16, S(O)2, or S(O)(NR18); Y is C(Y1), O, NR17, S(O)2, or S(O)(NR19); Z is CR8 or N; X1 is O, NR18, or S; Y1 is O, NR19, or S; A1, A2, A3, and A4 are each independently N, CH, or CR1; provided at least one of A1, A2, A3, and A4 is CR1; each R1 is independently halo, cyano, -NO2, -SF5, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C3-10 cycloalkyl, heterocyclyl, aryl, heteroaryl, -N(R11)2, -OR11, -C(O)R11, -C(O)OR11, -S(O)0-2R11, -NR11S(O)0-2R11, -S(O)0-2N(R11)2, -NR11S(O)0-2N(R11)2, -NR11C(O)N(R11)2, -C(O)N(R11)2, -NR11C(O)R11, -OC(O)N(R11)2, or -NR11C(O)OR11; wherein each C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C3-10 cycloalkyl, heterocyclyl, aryl, or heteroaryl is independently optionally substituted with one to eight Z1; or any two adjacent R1 together with the atoms to which they are attached form a cycloalkyl, heterocyclyl, aryl, or heteroaryl ring; wherein the cycloalkyl, heterocyclyl, aryl, or heteroaryl is independently optionally substituted with one to eight Z1; R2 is C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 haloalkyl, C3-10 cycloalkyl, heterocyclyl, aryl, heteroaryl, - -S(O)0-2N(R -OC(O)N(R11)2, -C(O)N(R11)2, halo, or cyano; wherein the C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 haloalkyl, C3-10 cycloalkyl, heterocyclyl, aryl, or heteroaryl is optionally substituted with one to eight Z1; R3 is hydrogen, halo, cyano, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C3-10 cycloalkyl, heterocyclyl, aryl, or heteroaryl; wherein the C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C3-10 cycloalkyl, heterocyclyl, aryl, or heteroaryl is optionally substituted with one to eight Z1; or R2 and R3 together form a C3-10 cycloalkyl or heterocyclyl ring; wherein the C3-10 cycloalkyl or heterocyclyl is optionally substituted with one to eight Z1; R4 is hydrogen, halo, -NO2, cyano, hydroxy, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C3-6 cycloalkyl, 3-6 membered heterocyclyl, phenyl, 5-6 membered heteroaryl, -OR14, -N(R14)2, or -S(O)0-2R14; wherein the C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C3-6 cycloalkyl, 3-6 membered heterocyclyl, phenyl, or 5-6 membered heteroaryl is optionally substituted with one to five halo, hydroxy, -SH, -NH2, -NO2, C1-6 alkyl, C1-6 alkoxy, or C1-6 haloalkyl; R5 is hydrogen, halo, -NO2, cyano, hydroxy, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C3-6 cycloalkyl, 3-6 membered heterocyclyl, phenyl, 5-6 membered heteroaryl, -OR14, -N(R14)2, or -S(O)0-2R14; wherein the C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C3-6 cycloalkyl, 3-6 membered heterocyclyl, phenyl, or 5-6 membered heteroaryl is optionally substituted with one to five halo, hydroxy, -SH, -NH2, -NO2, C1-6 alkyl, C1-6 alkoxy, or C1-6 haloalkyl; or R4 and R5 together form a heterocyclyl or heteroaryl, wherein the heterocyclyl or heteroaryl is optionally substituted with one to five halo, hydroxy, -SH, -NH2, -NO2, C1-6 alkyl, C1-6 alkoxy, or C1-6 haloalkyl; R6 is hydrogen, halo, cyano, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 haloalkyl, C2-6 heteroalkyl, C3-10 cycloalkyl, or heterocyclyl; wherein the C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 haloalkyl, C2-6 heteroalkyl, C3-10 cycloalkyl, or heterocyclyl may further be optionally substituted with one to five Z1b; R7 is hydrogen, halo, cyano, hydroxy, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 haloalkyl, C2-6 heteroalkyl, C3-10 cycloalkyl, or heterocyclyl; wherein the C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 haloalkyl, C2-6 heteroalkyl, C3-10 cycloalkyl, or heterocyclyl, or may further be optionally substituted with one to five Z1b; or R6 and R7 join to form a C3-10 cycloalkyl or heterocyclyl ring; wherein the C3-10 cycloalkyl or heterocyclyl ring may further be optionally substituted with one to five Z1b; R8 is hydrogen, halo, cyano, C1-6 alkyl, or C1-6 haloalkyl; R9 and R10 are each independently hydrogen, halo, cyano, C1-6 alkyl, or C1-6 haloalkyl, wherein each C1-6 alkyl or C1-6 haloalkyl is independently optionally substituted with one to five Z1; or R9 and R10 together form a C3-10 cycloalkyl or heterocyclyl ring; wherein the C3-10 cycloalkyl or heterocyclyl is optionally substituted with one to eight Z1; each Z1 is independently halo, cyano, -NO2, -SF5, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C3-10 cycloalkyl, heterocyclyl, aryl, heteroaryl, -N(R11)2, -OR11, -C(O)R11, -C(O)OR11, -S(O)0-2R11, -NR11S(O)0-2R11, -S(O)0-2N(R11)2, -NR11S(O)0-2N(R11)2, -NR11C(O)N(R11)2, -C(O)N(R11)2, -NR11C(O)R11, -OC(O)N(R11)2, or -NR11C(O)OR11; wherein each C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C3-10 cycloalkyl, heterocyclyl, aryl, or heteroaryl is independently optionally substituted with one to five Z1a; each R11 is independently hydrogen, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 haloalkyl, C3-10 cycloalkyl, heterocyclyl, aryl, or heteroaryl; wherein each C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 haloalkyl, C3-10 cycloalkyl, heterocyclyl, aryl, or heteroaryl is independently optionally substituted with one to five Z1a; R12 is hydrogen, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C3-10 cycloalkyl, heterocyclyl, aryl, or heteroaryl; wherein the C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C3-10 cycloalkyl, heterocyclyl, aryl, or heteroaryl is optionally substituted with one to eight Z1; each Z1a is independently hydroxy, halo, cyano, -NO2, -SF5, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C3-10 cycloalkyl, heterocyclyl, aryl, heteroaryl, -N(R13)2, -OR13, -C(O)R13, -C(O)OR13, -S(O)0-2R13, -NR13S(O)0-2R13, -S(O)0-2N(R13)2, -NR13S(O)0-2N(R13)2, -NR13C(O)N(R13)2, -C(O)N(R13)2, -NR13C(O)R13, -OC(O)N(R13)2, or -NR13C(O)OR13; wherein each C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C3-10 cycloalkyl, heterocyclyl, aryl, or heteroaryl is independently optionally substituted with one to five Z1b; each R13 is independently hydrogen, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 haloalkyl, C3-10 cycloalkyl, heterocyclyl, aryl, or heteroaryl; wherein each C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 haloalkyl, C3-10 cycloalkyl, heterocyclyl, aryl, or heteroaryl is independently optionally substituted with one to five Z1b; each R14 is independently hydrogen, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 haloalkyl, C3-6 cycloalkyl, 3-6 membered heterocyclyl, phenyl, or 5-6 membered heteroaryl; wherein each C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 haloalkyl, C3-6 cycloalkyl, 3-6 membered heterocyclyl, phenyl, or 5-6 membered heteroaryl is optionally substituted with one to five halo, hydroxy, -SH, -NH2, -NO2, C1-6 alkyl, C1-6 alkoxy, or C1-6 haloalkyl; R16 is hydrogen, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 haloalkyl, C3-10 cycloalkyl, heterocyclyl, aryl, or heteroaryl; wherein each C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 haloalkyl, C3-10 cycloalkyl, heterocyclyl, aryl, or heteroaryl is independently optionally substituted with one to five Z1b; R17 is hydrogen, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 haloalkyl, C3-10 cycloalkyl, heterocyclyl, aryl, or heteroaryl; wherein each C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 haloalkyl, C3-10 cycloalkyl, heterocyclyl, aryl, or heteroaryl is independently optionally substituted with one to five Z1b; R18 is hydrogen, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 haloalkyl, C3-10 cycloalkyl, heterocyclyl, aryl, or heteroaryl; wherein each C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 haloalkyl, C3-10 cycloalkyl, heterocyclyl, aryl, or heteroaryl is independently optionally substituted with one to five Z1b; R19 is hydrogen, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 haloalkyl, C3-10 cycloalkyl, heterocyclyl, aryl, or heteroaryl; wherein each C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 haloalkyl, C3-10 cycloalkyl, heterocyclyl, aryl, or heteroaryl is independently optionally substituted with one to five Z1b; each Z1b is independently halo, cyano, hydroxy, -SH, -NH2, -NO2, -SF5, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 haloalkyl, C3-10 cycloalkyl, heterocyclyl, aryl, heteroaryl, -L-C1-6 alkyl, -L-C2-6 alkenyl, -L-C2-6 alkynyl, -L-C1-6 haloalkyl, -L-C3-10 cycloalkyl, -L-heterocyclyl, -L-aryl, or -L-heteroaryl; and each L is independently -O-, -NH-, -S-, -S(O)-, -S(O)2-, -N(C1-6 alkyl)-, -N(C2-6 alkenyl)-, -N(C2-6 alkynyl)-, -N(C1-6 haloalkyl)-, -N(C3-10 cycloalkyl)-, -N(heterocyclyl)-, -N(aryl)-, -N(heteroaryl)-, -C(O)-, -C(O)O-, -C(O)NH-, -C(O)N(C1-6 alkyl)-, -C(O)N(C2-6 alkenyl)-, -C(O)N(C2-6 alkynyl)-, -C(O)N(C1-6 haloalkyl)-, -C(O)N(C3-10 cycloalkyl)-, -C(O)N(heterocyclyl)-, -C(O)N(aryl)-, -C(O)N(heteroaryl)-, -NHC(O)-, -NHC(O)O-, -NHC(O)NH-, -NHS(O)-, or -S(O)2NH-; wherein each C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 haloalkyl, C3-10 cycloalkyl, heterocyclyl, aryl, and heteroaryl of Z1b and L is further independently optionally substituted with one to five hydroxy, halo, cyano, hydroxy, -SH, -NH2, -NO2, -SF5, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 haloalkyl, C1-6 alkoxy, C1-6 haloalkoxy, C3-10 cycloalkyl, heterocyclyl, aryl, or heteroaryl. 4. The compound of claim 3, or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof, represented by Formula IC: . 5. The compound of claim 3 or 4, wherein R9 and R10 are hydrogen. 6. The compound of any one of claims 3-5, wherein R12 is hydrogen; R6 is hydrogen; and R7 is hydrogen. 7. The compound of claim 3, represented by Formula VII: wherein p is 1, 2, 3, or 4. 8. The compound of claim 3, or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof, represented by Formula VIII: wherein q is 0, 1, 2, 3, or 4. 9. The compound of claim 3, or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof, represented by Formula VIIIA: . 10. The compound of any one of claims 3-9, wherein R1 is halo, cyano, C1-6 alkyl, C1-6 alkoxy, or C1-6 haloalkyl. 11. The compound of any one of claims 3-10, wherein R1 is halo. 12. The compound of any one of claims 3-11, wherein R4 is hydrogen. 13. The compound of any one of claims 3-12, wherein R5 is hydrogen or C1-6 haloalkyl. 14. The compound of any one of claims 3-13, wherein R5 is hydrogen or -CF3. 15. A pharmaceutical composition comprising a compound of any one of claims 1-14, or a pharmaceutically acceptable salt, stereoisomer, mixture of stereoisomers, or prodrug thereof, and a pharmaceutically acceptable carrier. 16. A method for treating a disease or condition mediated, at least in part, by NLRP3, the method comprising administering an effective amount of the pharmaceutical composition of claim 15, to a subject in need thereof. 17. The method of claim 16, wherein the disease or condition is Alzheimer disease, atherosclerosis, asthma, allergic airway inflammation, cryopyrin-associated periodic syndromes, gout, inflammatory bowel disease and related disorders, nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH), hypertension, myocardial infarction, multiple sclerosis, experimental autoimmune encephalitis, oxalate-induced nephropathy, hyperinflammation following influenza infection, graft-versus-host disease, stroke, silicosis, type 1 diabetes, obesity-induced inflammation or insulin resistance, rheumatoid arthritis, myelodysplastic syndrome, contact hypersensitivity, joint inflammation triggered by chikungunya virus, or traumatic brain injury. 18. The method of claim 16, wherein the disease is nonalcoholic fatty liver disease (NAFLD) or nonalcoholic steatohepatitis (NASH). 19. The method of claim 16, wherein the disease is Alzheimer’s disease. 20. Use of a compound of any one of claims 1-14, or a pharmaceutically acceptable salt, stereoisomer, mixture of stereoisomers, or prodrug thereof, for treating a disease or condition mediated, at least in part, by NLRP3. 21. The use of claim 20, wherein the disease or condition is Alzheimer disease, atherosclerosis, asthma, allergic airway inflammation, cryopyrin-associated periodic syndromes, gout, inflammatory bowel disease and related disorders, nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH), hypertension, myocardial infarction, multiple sclerosis, experimental autoimmune encephalitis, oxalate-induced nephropathy, hyperinflammation following influenza infection, graft-versus-host disease, stroke, silicosis, type 1 diabetes, obesity-induced inflammation or insulin resistance, rheumatoid arthritis, myelodysplastic syndrome, contact hypersensitivity, joint inflammation triggered by chikungunya virus, or traumatic brain injury. 22. A compound of any one of claims 1-14, or a pharmaceutically acceptable salt, stereoisomer, mixture of stereoisomers, or prodrug thereof, for use in therapy. 23. A compound of any one of claims 1-14, or a pharmaceutically acceptable salt, stereoisomer, mixture of stereoisomers, or prodrug thereof, for use in treating Alzheimer’s disease. 24. A compound of any one of claims 1-14, or a pharmaceutically acceptable salt, stereoisomer, mixture of stereoisomers, or prodrug thereof, for use in treating nonalcoholic fatty liver disease (NAFLD) or nonalcoholic steatohepatitis (NASH). 25. The use of a compound of any one of claims 1-14, or a pharmaceutically acceptable salt, stereoisomer, mixture of stereoisomers, or prodrug thereof, for the manufacture of a medicament for treating a neurodegenerative disease, treating Alzheimer’s disease, atherosclerosis, asthma, allergic airway inflammation, cryopyrin-associated periodic syndromes, gout, inflammatory bowel disease and related disorders, nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH), hypertension, myocardial infarction, multiple sclerosis, experimental autoimmune encephalitis, oxalate- induced nephropathy, hyperinflammation following influenza infection, graft-versus-host disease, stroke, silicosis, type 1 diabetes, obesity-induced inflammation or insulin resistance, rheumatoid arthritis, myelodysplastic syndrome, contact hypersensitivity, joint inflammation triggered by chikungunya virus, or traumatic brain injury. |
[0129] In certain embodiments, provided is a compound selected from Table 2 or a pharmaceutically acceptable salt, isotopically enriched analog, prodrug, stereoisomer, or a mixture of stereoisomers thereof: Table 2 3. Methods [0130] “Treatment” or “treating” is an approach for obtaining beneficial or desired results including clinical results. Beneficial or desired clinical results may include one or more of the following: a) inhibiting the disease or condition (e.g., decreasing one or more symptoms resulting from the disease or condition, and/or diminishing the extent of the disease or condition); b) slowing or arresting the development of one or more clinical symptoms associated with the disease or condition (e.g., stabilizing the disease or condition, preventing or delaying the worsening or progression of the disease or condition, and/or preventing or delaying the spread (e.g., metastasis) of the disease or condition); and/or c) relieving the disease, that is, causing the regression of clinical symptoms (e.g., ameliorating the disease state, providing partial or total remission of the disease or condition, enhancing effect of another medication, delaying the progression of the disease, increasing the quality of life, and/or prolonging survival. [0131] “Prevention” or “preventing” means any treatment of a disease or condition that causes the clinical symptoms of the disease or condition not to develop. Compounds may, in some embodiments, be administered to a subject (including a human) who is at risk or has a family history of the disease or condition. [0132] “Subject” refers to an animal, such as a mammal (including a human), that has been or will be the object of treatment, observation or experiment. The methods described herein may be useful in human therapy, and/or veterinary applications. In some embodiments, the subject is a mammal. In certain embodiments, the subject is a human. [0133] The term “therapeutically effective amount” or “effective amount” of a compound described herein or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof means an amount sufficient to effect treatment when administered to a subject, to provide a therapeutic benefit such as amelioration of symptoms or slowing of disease progression. For example, a therapeutically effective amount may be an amount sufficient to decrease a symptom of a disease or condition of as described herein. The therapeutically effective amount may vary depending on the subject, and disease or condition being treated, the weight and age of the subject, the severity of the disease or condition, and the manner of administering, which can readily be determined by one of ordinary skill in the art. [0134] The methods described herein may be applied to cell populations in vivo or ex vivo. “In vivo” means within a living individual, as within an animal or human. In this context, the methods described herein may be used therapeutically in an individual. “Ex vivo” means outside of a living individual. Examples of ex vivo cell populations include in vitro cell cultures and biological samples including fluid or tissue samples obtained from individuals. Such samples may be obtained by methods well known in the art. Exemplary biological fluid samples include blood, cerebrospinal fluid, urine, and saliva. In this context, the compounds and compositions described herein may be used for a variety of purposes, including therapeutic and experimental purposes. For example, the compounds and compositions described herein may be used ex vivo to determine the optimal schedule and/or dosing of administration of a compound of the present disclosure for a given indication, cell type, individual, and other parameters. Information gleaned from such use may be used for experimental purposes or in the clinic to set protocols for in vivo treatment. Other ex vivo uses for which the compounds and compositions described herein may be suited are described below or will become apparent to those skilled in the art. The compounds may be further characterized to examine the safety or tolerance dosage in human or non- human subjects. Such properties may be examined using commonly known methods to those skilled in the art. [0135] In certain embodiments, provided are compounds, or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof, that modulate the activity of NLR Family Pyrin Domain Containing 3 (NLRP3). In certain embodiments, the compounds provided herein, or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof, inhibit the activation of NLRP3. [0136] NLR proteins are involved in the immune system, helping to start and regulate the immune system’s response to injury, toxins, or invasion by microorganisms. NLRP3 (also known as cryopyrin, NALP3, LRR and PYD domains-containing protein 3), is a protein encoded by the NLRP3 gene (also known as CIAS1). Once activated, NLRP3 molecules assemble, along with other proteins, into inflammasomes. The activation of NLRP3 by cellular stress leads to inflammasome activation and downstream proteolytic events, including the formation of active proinflammatory cytokines such as interleukin (IL)-1β and IL-18 which are then secreted. Among other cytokines, IL-1β and IL‐18 are known mediators of inflammation, e.g., artery wall inflammation, atherosclerosis and the aging process. [0137] In certain embodiments, provided is a method of inhibiting inflammasome (e.g., the NLRP3 inflammasome) activity comprising contacting a cell with an effective amount of a compound disclosed herein, or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof. The inhibiting can be in vitro or in vivo. [0138] In certain embodiments, provided is a compound as disclosed herein, or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof, for use in inhibiting inflammasome (e.g., the NLRP3 inflammasome) activity (e.g., in vitro or in vivo). [0139] In certain embodiments, the present disclosure provides use of a compound as disclosed herein, or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof, in the manufacture of a medicament for inhibiting inflammasome (e.g., the NLRP3 inflammasome) activity (e.g., in vitro or in vivo). [0140] Chronic inflammation responses have been associated with various types of cancer. During malignant transformation or cancer therapy, inflammasomes may become activated in response to certain signals; and IL-Ιβ expression is elevated in a variety of cancers (e.g., breast, prostate, colon, lung, head and neck cancers, melanomas, etc.), where patients with IL-Ιβ producing tumors generally have a worse prognosis. [0141] In certain embodiments, provided is a method for treating a disease or condition mediated, at least in part, by NLRP3, comprising administering an effective amount of a compound disclosed herein, or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof, to a subject in need thereof. [0142] In certain embodiments, provided is a method for treating a disease or condition selected from an autoinflammatory disorder, an autoimmune disorder, a neurodegenerative disease or cancer, comprising administering to a subject in need thereof a therapeutically effective amount of a compound disclosed herein, or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof. [0143] In certain embodiments, provided is a compound as disclosed herein, or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof, for use in treating an autoinflammatory disorder, an autoimmune disorder, a neurodegenerative disease or cancer in a subject in need thereof. [0144] In certain embodiments, the present disclosure provides use of a compound as disclosed herein, or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof in the manufacture of a medicament for treating or preventing an autoinflammatory disorder, an autoimmune disorder, a neurodegenerative disease or cancer in a subject in need thereof. [0145] In certain embodiments, provided is a method for treating inflammation, an auto-immune disease, cancer, an infection, a central nervous system disease, a metabolic disease, a cardiovascular disease, a respiratory disease, a liver disease, a renal disease, an ocular disease, a skin disease, a lymphatic condition, a psychological disorder, graft versus host disease, allodynia, and any disease where an individual has been determined to carry a germline or somatic non-silent mutation in NLRP3, comprising administering to a subject in need thereof a therapeutically effective amount of a compound disclosed herein, or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof. [0146] In certain embodiments, the disease or condition may be a disease or condition of the immune system, the cardiovascular system, the endocrine system, the gastrointestinal tract, the renal system, the hepatic system, the metabolic system, the respiratory system, the central nervous system, may be a cancer or other malignancy, and/or may be caused by or associated with a pathogen. It will be appreciated that these general embodiments defined according to broad categories of diseases, disorders and conditions are not mutually exclusive. [0147] In certain embodiments, the disease or condition includes, inflammation, including inflammation occurring as a result of an inflammatory disorder, e.g. an autoinflammatory disease, inflammation occurring as a symptom of a non-inflammatory disorder, inflammation occurring as a result of infection, or inflammation secondary to trauma, injury or autoimmunity; auto-immune diseases such as acute disseminated encephalitis, Addison’s disease, ankylosing spondylitis, antiphospholipid antibody syndrome (APS), anti-synthetase syndrome, aplastic anemia, autoimmune adrenalitis, autoimmune hepatitis, autoimmune oophoritis, autoimmune polyglandular failure, autoimmune thyroiditis, Coeliac disease, Crohn’s disease, type 1 diabetes (T1D), Goodpasture’s syndrome, Graves’ disease, Guillain- Barré syndrome (GBS), Hashimoto’s disease, idiopathic thrombocytopenic purpura, Kawasaki’s disease, lupus erythematosus including systemic lupus erythematosus (SLE), multiple sclerosis (MS) including primary progressive multiple sclerosis (PPMS), secondary progressive multiple sclerosis (SPMS) and relapsing remitting multiple sclerosis (RRMS), myasthenia gravis, opsoclonus myoclonus syndrome (OMS), optic neuritis, Ord’s thyroiditis, pemphigus, pernicious anemia, polyarthritis, primary biliary cirrhosis, rheumatoid arthritis (RA), psoriatic arthritis, juvenile idiopathic arthritis or Still’s disease, refractory gouty arthritis, Reiter’s syndrome, Sjögren’s syndrome, systemic sclerosis a systemic connective tissue disorder, Takayasu’s arteritis, temporal arteritis, warm autoimmune hemolytic anemia, Wegener’s granulomatosis, alopecia universalis, Behçet’s disease, Chagas’ disease, dysautonomia, endometriosis, hidradenitis suppurativa (HS), interstitial cystitis, neuromyotonia, psoriasis, sarcoidosis, scleroderma, ulcerative colitis, Schnitzler syndrome, macrophage activation syndrome, Blau syndrome, vitiligo or vulvodynia; cancer including lung cancer, pancreatic cancer, gastric cancer, myelodysplastic syndrome, leukemia including acute lymphocytic leukemia (ALL) and acute myeloid leukemia (AML), adrenal cancer, anal cancer, basal and squamous cell skin cancer, bile duct cancer, bladder cancer, bone cancer, brain and spinal cord tumors, breast cancer, cervical cancer, chronic lymphocytic leukemia (CLL), chronic myeloid leukemia (CML), chronic myelomonocytic leukemia (CMML), colorectal cancer, endometrial cancer, oesophagus cancer, Ewing family of tumors, eye cancer, gallbladder cancer, gastrointestinal carcinoid tumors, gastrointestinal stromal tumor (GIST), gestational trophoblastic disease, glioma, Hodgkin lymphoma, Kaposi sarcoma, kidney cancer, laryngeal and hypopharyngeal cancer, liver cancer, lung carcinoid tumor, lymphoma including cutaneous T cell lymphoma, malignant mesothelioma, melanoma skin cancer, Merkel cell skin cancer, multiple myeloma, nasal cavity and paranasal sinuses cancer, nasopharyngeal cancer, neuroblastoma, non-Hodgkin lymphoma, non-small cell lung cancer, oral cavity and oropharyngeal cancer, osteosarcoma, ovarian cancer, penile cancer, pituitary tumors, prostate cancer, retinoblastoma, rhabdomyosarcoma, salivary gland cancer, skin cancer, small cell lung cancer, small intestine cancer, soft tissue sarcoma, stomach cancer, testicular cancer, thymus cancer, thyroid cancer including anaplastic thyroid cancer, uterine sarcoma, vaginal cancer, vulvar cancer, Waldenstrom macroglobulinemia, and Wilms tumor; infections including viral infections (e.g. from influenza virus, human immunodeficiency virus (HIV), alphavirus (such as Chikungunya and Ross River virus), flaviviruses (such as Dengue virus and Zika virus), herpes viruses (such as Epstein Barr Virus, cytomegalovirus, Varicella-zoster virus, and KSHV), poxviruses (such as vaccinia virus (Modified vaccinia virus Ankara) and Myxoma virus), adenoviruses (such as Adenovirus 5), or papillomavirus), bacterial infections (e.g. from Staphylococcus aureus, Helicobacter pylori, Bacillus anthracis, Bordatella pertussis, Burkholderia pseudomallei, Corynebacterium diptheriae, Clostridium tetani, Clostridium botulinum, Streptococcus pneumoniae, Streptococcus pyogenes, Listeria monocytogenes, Hemophilus influenzae, Pasteurella multicida, Shigella dysenteriae, Mycobacterium tuberculosis, Mycobacterium leprae, Mycoplasma pneumoniae, Mycoplasma hominis, Neisseria meningitidis, Neisseria gonorrhoeae, Rickettsia rickettsii, Legionella pneumophila, Klebsiella pneumoniae, Pseudomonas aeruginosa, Propionibacterium acnes, Treponema pallidum, Chlamydia trachomatis, Vibrio cholerae, Salmonella typhimurium, Salmonella typhi, Borrelia burgdorferi or Yersinia pestis), fungal infections (e.g. from Candida or Aspergillus species), protozoan infections (e.g. from Plasmodium, Babesia, Giardia, Entamoeba, Leishmania or Trypanosomes), helminth infections (e.g. from schistosoma, roundworms, tapeworms or flukes) and prion infections; central nervous system diseases such as Parkinson’s disease, Alzheimer’s disease, dementia, motor neuron disease, Huntington’s disease, cerebral malaria, brain injury from pneumococcal meningitis, intracranial aneurysms, traumatic brain injury, and amyotrophic lateral sclerosis; metabolic diseases such as type 2 diabetes (T2D), atherosclerosis, obesity, gout, and pseudo-gout; cardiovascular diseases such as hypertension, ischemia, reperfusion injury including post- MI ischemic reperfusion injury, stroke including ischemic stroke, transient ischemic attack, myocardial infarction including recurrent myocardial infarction, heart failure including congestive heart failure and heart failure with preserved ejection fraction, embolism, aneurysms including abdominal aortic aneurysm, and pericarditis including Dressler’s syndrome; respiratory diseases including chronic obstructive pulmonary disorder (COPD), asthma such as allergic asthma and steroid-resistant asthma, asbestosis, silicosis, nanoparticle induced inflammation, cystic fibrosis and idiopathic pulmonary fibrosis; liver diseases including non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH) including advanced fibrosis stages F3 and F4; alcoholic fatty liver disease (AFLD), and alcoholic steatohepatitis (ASH); renal diseases including chronic kidney disease, oxalate nephropathy, nephrocalcinosis, glomerulonephritis, and diabetic nephropathy; ocular diseases including those of the ocular epithelium, age-related macular degeneration (AMD) (dry and wet), uveitis, corneal infection, diabetic retinopathy, optic nerve damage, dry eye, and glaucoma; skin diseases including dermatitis such as contact dermatitis and atopic dermatitis, contact hypersensitivity, sunburn, skin lesions, hidradenitis suppurativa (HS), other cyst-causing skin diseases, and acne conglobata; lymphatic conditions such as lymphangitis and Castleman's disease; psychological disorders such as depression and psychological stress; graft versus host disease; allodynia including mechanical allodynia; and any disease where an individual has been determined to carry a germline or somatic non-silent mutation in NLRP3. [0148] In certain embodiments, the disease, disorder or condition is an autoinflammatory disease such as cryopyrin-associated periodic syndromes (CAPS), Muckle-Wells syndrome (MWS), familial cold autoinflammatory syndrome (FCAS), familial Mediterranean fever (FMF), neonatal onset multisystem inflammatory disease (NOMID), tumor Necrosis Factor (TNF) Receptor-Associated Periodic Syndrome (TRAPS), hyperimmunoglobulinemia D and periodic fever syndrome (HIDS), deficiency of interleukin 1 receptor antagonist (DIRA), Majeed syndrome, pyogenic arthritis, pyoderma gangrenosum and acne syndrome (PAPA), adult-onset Still's disease (AOSD), haploinsufficiency of A20 (HA20), pediatric granulomatous arthritis (PGA), PLCG2-associated antibody deficiency and immune dysregulation (PLAID), PLCG2- associated autoinflammatory, antibody deficiency and immune dysregulation (APLAID), or sideroblastic anemia with B-cell immunodeficiency, periodic fevers, and developmental delay (SIFD). [0149] In certain embodiments, provided is a method for treating a disease or condition selected from an autoinflammatory disorder and/or an autoimmune disorder selected from cryopyrin-associated autoinflammatory syndrome (CAPS; e.g., familial cold autoinflammatory syndrome (FCAS)), Muckle- Wells syndrome (MWS), chronic infantile neurological cutaneous and articular (CINCA) syndrome, neonatal-onset multisystem inflammatory disease (NOMID), familial Mediterranean fever and nonalcoholic fatty liver disease (NAFLD), non-alcoholic steatohepatitis (NASH), gout, rheumatoid arthritis, osteoarthritis, Crohn's disease, chronic obstructive pulmonary disease (COPD), chronic kidney disease (CKD), fibrosis, obesity, type 2 diabetes, and multiple sclerosis and neuroinflammation occurring in protein misfolding diseases (e.g., Prion diseases) comprising administering to a subject in need thereof, a therapeutically effective amount of a compound disclosed herein, or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof. [0150] In certain embodiments, provided is a method for treating a disease or condition selected from cryopyrin-associated periodic syndromes (CAPS), Muckle-Wells syndrome (MWS), familial cold autoinflammatory syndrome (FCAS), neonatal onset multisystem inflammatory disease (NOMID), familial Mediterranean fever (FMF), pyogenic arthritis, pyoderma gangrenosum and acne syndrome (PAPA); hyperimmunoglobulinemia D and periodic fever syndrome (HIDS), Tumor Necrosis Factor (TNF), Receptor-Associated Periodic Syndrome (TRAPS), systemic juvenile idiopathic arthritis, adult- onset Still’s disease (AOSD), relapsing polychondritis, Schnitzler’s syndrome, Sweet’s syndrome, Behcet’s disease, anti-synthetase syndrome, deficiency of interleukin 1 receptor antagonist (DIRA), and haploinsufficiency of A20 (HA20) comprising administering to a subject in need thereof a therapeutically effective amount of a compound disclosed herein, or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof. [0151] In certain embodiments, provided is a method for treating a disease or condition selected from Alzheimer’s disease, atherosclerosis, asthma, allergic airway inflammation, cryopyrin-associated periodic syndromes, gout, inflammatory bowel disease and related disorders, nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH), hypertension, myocardial infarction, multiple sclerosis, experimental autoimmune encephalitis, oxalate-induced nephropathy, hyperinflammation following influenza infection, graft-versus-host disease, stroke, silicosis, type 1 diabetes, obesity-induced inflammation or insulin resistance, rheumatoid arthritis, myelodysplastic syndrome, contact hypersensitivity, joint inflammation triggered by chikungunya virus, or traumatic brain injury comprising administering to a subject in need thereof a therapeutically effective amount of a compound disclosed herein, or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof. [0152] In certain embodiments, provided is a method for treating a disease or condition that is mediated, at least in part, by TNF-α. In certain embodiments, the disease or condition is resistant to treatment with an anti-TNF-α agent. In some embodiments, the disease is a gut disease or condition. In some embodiments the disease or condition is inflammatory bowel disease, Crohn’s disease, or ulcerative colitis. In some embodiments, a compound disclosed herein or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof is administered in combination with an anti-TNF-α agent. In some embodiments, the anti-TNF-α agent is infliximab, etanercept, certolizumab pegol, golimumab, or adalimumab. [0153] In certain embodiments, the disease or condition is an autoinflammatory disorder, an autoimmune disorder, a neurodegenerative disease, or cancer. [0154] In certain embodiments, the disease or condition is an autoinflammatory disorder and/or an autoimmune disorder. [0155] In certain embodiments, the disease or condition is a neurodegenerative disease. [0156] In certain embodiments, the disease or condition is Parkinson’s disease or Alzheimer’s disease. [0157] In certain embodiments, provided is a method for treating cancer, comprising administering an effective amount of a compound disclosed herein, or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof, to a subject in need thereof. [0158] In certain embodiments, the cancer is metastasizing cancer, gastrointestinal cancer, skin cancer, non-small-cell lung carcinoma, or colorectal adenocarcinoma. [0159] In certain embodiments, provided is a compound as disclosed herein, or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof for use in treating a neurodegenerative disease (e.g., Parkinson's disease or Alzheimer's disease) in a subject in need thereof. [0160] In certain embodiments, provided is a compound as disclosed herein, or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof, for use in treating cancer in a subject in need thereof. [0161] In certain embodiments, a compound as disclosed herein, or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof, may be administered alone as a sole therapy or can be administered in addition with one or more other substances and/or treatments. Such conjoint treatment may be achieved by way of the simultaneous, sequential or separate administration of the individual components of the treatment. [0162] For example, therapeutic effectiveness may be enhanced by administration of an adjuvant (i.e., by itself the adjuvant may only have minimal therapeutic benefit, but in combination with another therapeutic agent, the overall therapeutic benefit to the individual is enhanced). Alternatively, by way of example only, the benefit experienced by an individual may be increased by administering compound as disclosed herein, or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof, with another therapeutic agent (which also includes a therapeutic regimen) that also has therapeutic benefit. [0163] Other embodiments include use of the presently disclosed compounds in therapy. 4. Kits [0164] Provided herein are also kits that include a compound of the disclosure, or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof, and suitable packaging. In certain embodiments, a kit further includes instructions for use. In one aspect, a kit includes a compound of the disclosure, or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof, and a label and/or instructions for use of the compounds in the treatment of the indications, including the diseases or conditions, described herein. [0165] Provided herein are also articles of manufacture that include a compound described herein or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof in a suitable container. The container may be a vial, jar, ampoule, preloaded syringe, or intravenous bag. 5. Pharmaceutical Compositions and Modes of Administration [0166] Compounds provided herein are usually administered in the form of pharmaceutical compositions. Thus, provided herein are also pharmaceutical compositions that contain one or more of the compounds described herein, or a pharmaceutically acceptable salt, stereoisomer, mixture of stereoisomers, or prodrug thereof, and one or more pharmaceutically acceptable vehicles selected from carriers, adjuvants, and excipients. Suitable pharmaceutically acceptable vehicles may include, for example, inert solid diluents and fillers, diluents, including sterile aqueous solution and various organic solvents, permeation enhancers, solubilizers, and adjuvants. Such compositions are prepared in a manner well known in the pharmaceutical art. See, e.g., Remington’s Pharmaceutical Sciences, Mace Publishing Co., Philadelphia, Pa.17th Ed. (1985); and Modern Pharmaceutics, Marcel Dekker, Inc.3rd Ed. (G.S. Banker & C.T. Rhodes, Eds.). [0167] The pharmaceutical compositions may be administered in either single or multiple doses. The pharmaceutical composition may be administered by various methods including, for example, rectal, buccal, intranasal, and transdermal routes. In certain embodiments, the pharmaceutical composition may be administered by intra-arterial injection, intravenously, intraperitoneally, parenterally, intramuscularly, subcutaneously, orally, topically, or as an inhalant. [0168] One mode for administration is parenteral, for example, by injection. The forms in which the pharmaceutical compositions described herein may be incorporated for administration by injection include, for example, aqueous or oil suspensions, or emulsions, with sesame oil, corn oil, cottonseed oil, or peanut oil, as well as elixirs, mannitol, dextrose, or a sterile aqueous solution, and similar pharmaceutical vehicles. [0169] Oral administration may be another route for administration of the compounds described herein. Administration may be via, for example, capsule or enteric coated tablets. In making the pharmaceutical compositions that include at least one compound described herein or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof, the active ingredient is usually diluted by an excipient and/or enclosed within such a carrier that can be in the form of a capsule, sachet, paper or other container. When the excipient serves as a diluent, it can be in the form of a solid, semi-solid, or liquid material, which acts as a vehicle, carrier or medium for the active ingredient. Thus, the compositions can be in the form of tablets, pills, powders, lozenges, sachets, cachets, elixirs, suspensions, emulsions, solutions, syrups, aerosols (as a solid or in a liquid medium), ointments containing, for example, up to 10% by weight of the active compound, soft and hard gelatin capsules, sterile injectable solutions, and sterile packaged powders. [0170] Some examples of suitable excipients include, e.g., lactose, dextrose, sucrose, sorbitol, mannitol, starches, gum acacia, calcium phosphate, alginates, tragacanth, gelatin, calcium silicate, microcrystalline cellulose, polyvinylpyrrolidone, cellulose, sterile water, syrup, and methyl cellulose. The formulations can additionally include lubricating agents such as talc, magnesium stearate, and mineral oil; wetting agents; emulsifying and suspending agents; preserving agents such as methyl and propylhydroxy- benzoates; sweetening agents; and flavoring agents. [0171] The compositions that include at least one compound described herein or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof can be formulated so as to provide quick, sustained or delayed release of the active ingredient after administration to the subject by employing procedures known in the art. Controlled release drug delivery systems for oral administration include osmotic pump systems and dissolutional systems containing polymer-coated reservoirs or drug-polymer matrix formulations. Another formulation for use in the methods disclosed herein employ transdermal delivery devices (“patches”). Such transdermal patches may be used to provide continuous or discontinuous infusion of the compounds described herein in controlled amounts. The construction and use of transdermal patches for the delivery of pharmaceutical agents is well known in the art. Such patches may be constructed for continuous, pulsatile, or on demand delivery of pharmaceutical agents. [0172] For preparing solid compositions such as tablets, the principal active ingredient may be mixed with a pharmaceutical excipient to form a solid preformulation composition containing a homogeneous mixture of a compound described herein or a pharmaceutically acceptable salt, isotopically enriched analog, stereoisomer, mixture of stereoisomers, or prodrug thereof. When referring to these preformulation compositions as homogeneous, the active ingredient may be dispersed evenly throughout the composition so that the composition may be readily subdivided into equally effective unit dosage forms such as tablets, pills, and capsules. [0173] The tablets or pills of the compounds described herein may be coated or otherwise compounded to provide a dosage form affording the advantage of prolonged action, or to protect from the acid conditions of the stomach. For example, the tablet or pill can include an inner dosage and an outer dosage component, the latter being in the form of an envelope over the former. The two components can be separated by an enteric layer that serves to resist disintegration in the stomach and permit the inner component to pass intact into the duodenum or to be delayed in release. A variety of materials can be used for such enteric layers or coatings, such materials including a number of polymeric acids and mixtures of polymeric acids with such materials as shellac, cetyl alcohol, and cellulose acetate. [0174] Compositions for inhalation or insufflation may include solutions and suspensions in pharmaceutically acceptable, aqueous or organic solvents, or mixtures thereof, and powders. The liquid or solid compositions may contain suitable pharmaceutically acceptable excipients as described herein. In some embodiments, the compositions are administered by the oral or nasal respiratory route for local or systemic effect. In other embodiments, compositions in pharmaceutically acceptable solvents may be nebulized by use of inert gases. Nebulized solutions may be inhaled directly from the nebulizing device or the nebulizing device may be attached to a facemask tent, or intermittent positive pressure breathing machine. Solution, suspension, or powder compositions may be administered, orally or nasally, from devices that deliver the formulation in an appropriate manner. 6. Dosing [0175] The specific dose level of a compound of the present application for any particular subject will depend upon a variety of factors including the activity of the specific compound employed, the age, body weight, general health, sex, diet, time of administration, route of administration, and rate of excretion, drug combination and the severity of the particular disease in the subject undergoing therapy. For example, a dosage may be expressed as a number of milligrams of a compound described herein per kilogram of the subject’s body weight (mg/kg). Dosages of between about 0.1 and 150 mg/kg may be appropriate. In some embodiments, about 0.1 and 100 mg/kg may be appropriate. In other embodiments a dosage of between 0.5 and 60 mg/kg may be appropriate. In some embodiments, a dosage of from about 0.0001 to about 100 mg per kg of body weight per day, from about 0.001 to about 50 mg of compound per kg of body weight, or from about 0.01 to about 10 mg of compound per kg of body weight may be appropriate. Normalizing according to the subject’s body weight is particularly useful when adjusting dosages between subjects of widely disparate size, such as occurs when using the drug in both children and adult humans or when converting an effective dosage in a non-human subject such as dog to a dosage suitable for a human subject. 7. Synthesis of the Compounds [0176] The compounds may be prepared using the methods disclosed herein and routine modifications thereof, which will be apparent given the disclosure herein and methods well known in the art. Conventional and well-known synthetic methods may be used in addition to the teachings herein. The synthesis of typical compounds described herein may be accomplished as described in the following examples. If available, reagents and starting materials may be purchased commercially, e.g., from Sigma Aldrich or other chemical suppliers. [0177] It will be appreciated that where typical process conditions (i.e., reaction temperatures, times, mole ratios of reactants, solvents, pressures, etc.) are given, other process conditions can also be used unless otherwise stated. Optimum reaction conditions may vary with the particular reactants or solvent used, but such conditions can be determined by one skilled in the art by routine optimization procedures. [0178] Additionally, conventional protecting groups (“PG”) may be necessary to prevent certain functional groups from undergoing undesired reactions. Suitable protecting groups for various functional groups as well as suitable conditions for protecting and deprotecting particular functional groups are well known in the art. For example, numerous protecting groups are described in Wuts, P. G. M., Greene, T. W., & Greene, T. W. (2006). Greene's protective groups in organic synthesis. Hoboken, N.J., Wiley- Interscience, and references cited therein. For example, protecting groups for alcohols, such as hydroxy, include silyl ethers (including trimethylsilyl (TMS), tert-butyldimethylsilyl (TBDMS), tri-iso- propylsilyloxymethyl (TOM), and triisopropylsilyl (TIPS) ethers), which can be removed by acid or fluoride ion, such as NaF, TBAF (tetra-n-butylammonium fluoride), HF-Py, or HF-NEt 3 . Other protecting groups for alcohols include acetyl, removed by acid or base, benzoyl, removed by acid or base, benzyl, removed by hydrogenation, methoxyethoxymethyl ether, removed by acid, dimethoxytrityl, removed by acid, methoxymethyl ether, removed by acid, tetrahydropyranyl or tetrahydrofuranyl, removed by acid, and trityl, removed by acid. Examples of protecting groups for amines include carbobenzyloxy, removed by hydrogenolysis p-methoxybenzyl carbonyl, removed by hydrogenolysis, tert-butyloxycarbonyl, removed by concentrated strong acid (such as HCl or CF 3 COOH), or by heating to greater than about 80 °C, 9-fluorenylmethyloxycarbonyl, removed by base, such as piperidine, acetyl, removed by treatment with a base, benzoyl, removed by treatment with a base, benzyl, removed by hydrogenolysis, carbamate group, removed by acid and mild heating, p-methoxybenzyl, removed by hydrogenolysis, 3,4-dimethoxybenzyl, removed by hydrogenolysis, p-methoxyphenyl, removed by ammonium cerium(IV) nitrate, tosyl, removed by concentrated acid (such as HBr or H 2 SO 4 ) and strong reducing agents (sodium in liquid ammonia or sodium naphthalenide), troc (trichloroethyl chloroformate), removed by Zn insertion in the presence of acetic acid, and sulfonamides (Nosyl & Nps), removed by samarium iodide or tributyltin hydride. [0179] Furthermore, the compounds of this disclosure may contain one or more chiral centers. Accordingly, if desired, such compounds can be prepared or isolated as pure stereoisomers, i.e., as individual enantiomers or diastereomers or as stereoisomer-enriched mixtures. All such stereoisomers (and enriched mixtures) are included within the scope of this disclosure, unless otherwise indicated. Pure stereoisomers (or enriched mixtures) may be prepared using, for example, optically active starting materials or stereoselective reagents well-known in the art. Alternatively, racemic mixtures of such compounds can be separated using, for example, chiral column chromatography, chiral resolving agents, and the like. [0180] The starting materials for the following reactions are generally known compounds or can be prepared by known procedures or obvious modifications thereof. For example, many of the starting materials are available from commercial suppliers such as Aldrich Chemical Co. (Milwaukee, Wisconsin, USA), Bachem (Torrance, California, USA), Emka-Chemce or Sigma (St. Louis, Missouri, USA). Others may be prepared by procedures or obvious modifications thereof, described in standard reference texts such as Fieser and Fieser's Reagents for Organic Synthesis, Volumes 1-15 (John Wiley, and Sons, 1991), Rodd's Chemistry of Carbon Compounds, Volumes 1-5, and Supplementals (Elsevier Science Publishers, 1989) organic Reactions, Volumes 1-40 (John Wiley, and Sons, 1991), March's Advanced Organic Chemistry, (John Wiley, and Sons, 5th Edition, 2001), and Larock's Comprehensive Organic Transformations (VCH Publishers Inc., 1989). EXAMPLES [0181] The following examples are included to demonstrate specific embodiments of the disclosure. It should be appreciated by those of skill in the art that the techniques disclosed in the examples which follow represent techniques to function well in the practice of the disclosure, and thus can be considered to constitute specific modes for its practice. However, those of skill in the art should, in light of the present disclosure, appreciate that many changes can be made in the specific embodiments which are disclosed and still obtain a like or similar result without departing from the spirit and scope of the disclosure. General Experimental Methods [0182] All solvents used were commercially available and were used without further purification. Reactions were typically run using anhydrous solvents under an inert atmosphere of nitrogen. [0183] NMR Spectroscopy: 1 H Nuclear magnetic resonance (NMR) spectroscopy was carried out using a Bruker Avance III equipped with a BBFO 300 MHz probe operating at 300 MHz or one of the following instruments: a Bruker Avance 400 instrument equipped with probe DUAL 400 MHz S1, a Bruker Avance 400 instrument equipped with probe 6 S1400 MHz 5mm 1 H- 13 C ID, a Bruker Avance III 400 instrument with nanobay equipped with probe Broadband BBFO 5 mm direct, a Bruker Mercury Plus 400 NMR spectrometer equipped with a Bruker 400 BBO probe operating at 400 MHz. All deuterated solvents contained typically 0.03% to 0.05% v/v tetramethylsilane, which was used as the reference signal (set at δ 0.00 for both 1 H and 13 C). In certain cases, 1 H Nuclear magnetic resonance (NMR) spectroscopy was carried out using a Bruker Advance 400 instrument operating at 400 MHz using the stated solvent at around room temperature unless otherwise stated. In all cases, NMR data were consistent with the proposed structures. Characteristic chemical shifts (δ) are given in parts-per-million using conventional abbreviations for designation of major peaks: e.g. s, singlet; d, doublet; t, triplet; q, quartet; dd, doublet of doublets; dt, doublet of triplets; br, broad. [0184] Thin Layer Chromatography: Where thin layer chromatography (TLC) has been used it refers to silica gel TLC using silica gel F254 (Merck) plates, Rf is the distance travelled by the compound divided by the distance travelled by the solvent on a TLC plate. Column chromatography was performed using an automatic flash chromatography system over silica gel cartridges or in the case of reverse phase chromatography over C18 cartridges. Alternatively, thin layer chromatography (TLC) was performed on Alugram® (Silica gel 60 F254) from Mancherey-Nagel and UV was typically used to visualize the spots. Additional visualization methods were also employed in some cases. In these cases the TLC plate was developed with iodine (generated by adding approximately 1 g of I2 to 10 g silica gel and thoroughly mixing), ninhydrin (available commercially from Aldrich), or Magic Stain (generated by thoroughly mixing 25 g (NH4)6Mo7O24.4H2O, 5 g (NH4)2Ce(IV)(NO3)6 in 450 mL water and 50 mL concentrated H2SO4) to visualize the compound. [0185] Liquid Chromatography-Mass Spectrometry and HPLC Analysis: HPLC analysis was performed on Shimadzu 20AB HPLC system with a photodiode array detector and Luna-C18(2) 2.0×50 mm, 5 µm column at a flow rate of 1.2 mL/min with a gradient solvent Mobile phase A (MPA, H2O+0.037 % (v/v) TFA): Mobile phase B (MPB, ACN+0.018 % (v/v) TFA) (0.01 min, 10% MPB; 4 min, 80% MPB; 4,9 min, 80% MPB; 4.92 min, 10% MPB; 5.5 min, 10% MPB). LCMS was detected under 220 and 254 nm or used evaporative light scattering (ELSD) detection as well as positive electrospray ionization (MS). Semi-preparative HPLC was performed by either acidic or neutral conditions. Acidic: Luna C18100 × 30 mm, 5 μm; MPA: HCl/H 2 O=0.04%, or formic acid/H 2 O=0.2% (v/v); MPB: ACN. Neutral: Waters Xbridge 150 × 25, 5 μm; MPA: 10 mM NH 4 HCO 3 in H 2 O; MPB: ACN. Gradient for both conditions: 10% of MPB to 80% of MPB over 12 min at a flow rate of 20 mL/min, then 100% MPB over 2 min, 10% MPB over 2 min, UV detector. SFC analysis was performed on Thar analytical SFC system with a UV/Vis detector and series of chiral columns including AD, AS-H, OJ, OD, AY and IC, 4.6 × 100 mm, 3 µm column at a flow rate of 4 mL/min with a gradient solvent Mobile phase A (MPA, CO 2 ): Mobile phase B (MPB, MeOH+0.05 % (v/v) IPAm) (0.01 min, 10% MPB; 3 min, 40% MPB; 3.5 min, 40% MPB; 3.56-5 min, 10% MPB). SFC preparative was performed on Thar 80 preparative SFC system with a UV/Vis detector and series of chiral preparative columns including AD-H, AS-H, OJ-H, OD-H, AY-H and IC-H, 30×250 mm, 5 µm column at a flow rate of 65 mL/min with a gradient solvent Mobile phase A (MPA, CO 2 ): Mobile phase B (MPB, MeOH+0.1 % (v/v) NH 3 H 2 O) (0.01 min, 10% MPB; 5 min, 40% MPB; 6 min, 40% MPB; 6.1-10 min, 10% MPB). LC-MS data were also collected using an UPLC-MS Acquity TM system equipped with PDA detector and coupled to a Waters single quadrupole mass spectrometer operating in alternated positive and negative electrospray ionization mode. The column used was a Cortecs UPLC C18, 1.6 µm, 2.1 × 50 mm. A linear gradient was applied, starting at 95% A (A: 0.1% formic acid in water) and ending at 95% B (B: 0.1% formic acid in MeCN) over 2.0 min with a total run time of 2.5 min. The column temperature was at 40 ºC with the flow rate of 0.8 mL/min. Intermediates 1 and 2 (2's,4r)-6-bromo-2'-fluorospiro[2,3-dihydroisoquinoline-4,1' -cyclopropane]-1-one and (2'r,4r)-6- bromo-2'-fluorospiro[2,3-dihydroisoquinoline-4,1'-cyclopropa ne]-1-one [0186] methyl 4-bromo-2-iodobenzoate: To a solution of 4-bromo-2-iodo-benzoic acid (10.0 g, 30.6 mmol) in MeOH (100 mL) at 0 °C was added conc. H2SO4 (15 g, 153 mmol). The reaction mixture was stirred at 80 °C for 5 h. The reaction mixture was poured into water (300 mL) and extracted with EtOAc (3 × 100 mL). The combined organic layers were washed with sat. aq. NaHCO3 (3 × 50 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure to provide a crude residue that was used directly. 1 H NMR (400 MHz, CDCl3): δ 8.18 (s, 1H), 7.70 (d, J = 8.4 Hz, 1H), 7.55 (dd, J = 0.8, 8.0 Hz, 1H), 3.93 (s, 3H). [0187] methyl 4-bromo-2-vinylbenzoate: To a mixture of methyl 4-bromo-2-iodo-benzoate (6.0 g, 17.6 mmol), potassium vinyltrifluoroborate (2.4 g, 17.6 mmol), and CsF (8.0 g, 52.8 mmol) in 1,4- dioxane (100 mL) was added Pd(dppf)Cl 2 (1.3 g, 1.76 mmol). The reaction mixture was stirred at 90 °C for 16 h. The reaction mixture was concentrated under reduced pressure. The residue was purified by silica gel column chromatography. 1 H NMR (400 MHz, CDCl 3 ): δ 7.77 (d, J = 8.4 Hz, 1H), 7.72 (d, J = 2.0 Hz, 1H), 7.49-7.37 (m, 2H), 5.66 (d, J = 17.2 Hz, 1H), 5.41 (d, J = 10.8 Hz, 1H), 3.90 (s, 3H). [0188] methyl 4-bromo-2-(1-cyanovinyl)benzoate: To a mixture of Cu 2 O (345 mg, 2.41 mmol), 6,6'- dimethyl-2,2'-bipyridine (444 mg, 2.41 mmol), and Selectfluor (6.4 g, 18 mmol) in acetone (20 mL) and water (10 mL) were added methyl 4-bromo-2-vinyl-benzoate (2.9 g, 12 mmol) and TMSCN (2.4 g, 24.1 mmol). The reaction mixture was stirred at 20 °C for 16 h. The reaction mixture was poured into aq. NaHCO 3 (1 M, 30 mL) and extracted with EtOAc (3 × 30 mL). The combined organic layers were washed with brine (30 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. 1 H NMR (400 MHz, CDCl 3 ): δ 7.89 (d, J = 8.4 Hz, 1H), 7.65 (dd, J = 2.0, 8.4 Hz, 1H), 7.51 (d, J = 1.6 Hz, 1H), 6.24 (s, 1H), 6.01 (s, 1H), 3.96 (s, 3H). [0189] methyl 4-bromo-2-((1r,2r)-1-cyano-2-fluorocyclopropyl)benzoate and methyl 4-bromo-2- ((1r,2s)-1-cyano-2-fluorocyclopropyl)benzoate: To a solution of methyl 4-bromo-2-(1- cyanovinyl)benzoate (800 mg, 3.01 mmol) in THF (30 mL) at 0 °C were added (fluoromethyl)(phenyl)(2,3,4,5-tetramethylphenyl)sulfonium tetrafluoroborate (2.3 g, 6.0 mmol) and NaH (1.2 g, 30.1 mmol, 60% purity in mineral oil). The reaction mixture was stirred at 20 °C for 1 h. The reaction mixture was poured into water (50 mL) and extracted with EtOAc (3 × 30 mL). The combined organic layers were washed with brine (10 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography to provide the title products as a 3:2 mixture. LCMS: m/z = 298.0, 300.0 [M+H] + . [0190] (2's,4r)-6-bromo-2'-fluorospiro[2,3-dihydroisoquinoline-4,1' -cyclopropane]-1-one and (2'r,4r)-6- bromo-2'-fluorospiro[2,3-dihydroisoquinoline-4,1'-cyclopropa ne]-1-one: To a solution of methyl 4- bromo-2-((1r,2r)-1-cyano-2-fluorocyclopropyl)benzoate and methyl 4-bromo-2-((1r,2s)-1-cyano-2- fluorocyclopropyl)benzoate (0.92 g, 3.09 mmol, 3:2 mixture) and dichlorocobalt (401 mg, 3.09 mmol) in MeOH (10 mL) at 0 °C was added NaBH4 (350 mg, 9.26 mmol). The reaction mixture was stirred at 20 °C for 2 h. The reaction mixture was poured into sat. aq. NH4Cl (20 mL) and extracted with EtOAc (3 × 20 mL). The combined organic layers were washed with brine (2 × 10 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography to provide: [0191] (2's,4r)-6-bromo-2'-fluorospiro[2,3-dihydroisoquinoline-4,1' -cyclopropane]-1-one (Int.1): 1 H NMR (400 MHz, CDCl3): δ 8.02 (d, J = 8.4 Hz, 1H), 7.52 (dd, J = 2.0, 8.4 Hz, 1H), 6.85 (d, J = 2.0 Hz, 1H), 6.12 (br s, 1H), 4.70-4.50 (m, 1H), 3.87 (d, J = 12.4 Hz, 1H), 3.51 (dd, J = 4.4, 12.8 Hz, 1H), 1.62-1.54 (m, 1H), 1.42-1.24 (m, 1H). [0192] (2'r,4r)-6-bromo-2'-fluorospiro[2,3-dihydroisoquinoline-4,1' -cyclopropane]-1-one (Int.2): 1 H NMR (400 MHz, CDCl 3 ): δ 8.02 (d, J = 8.4 Hz, 1H), 7.55 (dd, J = 2.0, 8.4 Hz, 1H), 7.28 (d, J = 2.0 Hz, 1H), 6.56 (br s, 1H), 4.81-4.59 (m, 1H), 3.78 (dd, J = 7.6, 12.4 Hz, 1H), 2.74 (dd, J = 4.4, 12.8 Hz, 1H), 1.83-1.73 (m, 1H), 1.21-1.15 (m, 1H). Intermediate 3 methyl 2-[(2's,4r)-6-bromo-2'-fluoro-1-oxospiro[3H-isoquinoline-4,1 '-cyclopropane]-2-yl]acetate [0193] To a solution of (2's,4r)-6-bromo-2'-fluorospiro[2,3-dihydroisoquinoline-4,1' -cyclopropane]-1- one (200 mg, 0.74 mmol, Int.1) in DMF (2.0 mL) at 0 °C was added NaH (45 mg, 1.11 mmol, 60% purity in mineral oil). The reaction mixture was stirred at 20 °C for 0.5 h followed by the addition of methyl 2-bromoacetate (227 mg, 1.48 mmol). The reaction mixture was stirred at 20 °C for 3 h. The reaction mixture was poured into sat. aq. NH4Cl and ice water mixture (10 mL) and extracted with EtOAc (3 × 5mL). The combined organic layers were washed with brine (5 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 342.0, 344.0 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 8.03 (d, J = 4.4 Hz, 1H), 7.51 (d, J = 8.4 Hz, 1H), 6.83 (s, 1H), 4.73-4.54 (m, 2H), 4.13-4.08 (m, 1H), 4.03-3.94 (m, 1H), 3.77 (s, 3H), 3.44 (m, 1H), 1.63-1.55 (m, 1H), 1.44-1.33 (m, 1H). Intermediates 4 and 5 methyl 2-((1R,2S)-6'-bromo-2-fluoro-1'-oxo-1'H-spiro[cyclopropane-1 ,4'-isoquinolin]-2'(3'H)- yl)acetate & methyl 2-((1S,2R)-6'-bromo-2-fluoro-1'-oxo-1'H-spiro[cyclopropane-1 ,4'-isoquinolin]- 2'(3'H)-yl)acetate [0194] methyl 2-[(2's,4r)-6-bromo-2'-fluoro-1-oxospiro[3H-isoquinoline-4,1 '-cyclopropane]-2-yl]acetate (Int.3) could be further separated by chiral SFC (Column: Daicel Chiralpak AD (250mm x 30mm, 10 µm particle size); Mobile Phase: A: CO 2 , B: 0.1% NH 4 OH in i-PrOH; Gradient: 38% B isocratic; Flow Rate: 64 g/min; Detection Wavelength: 220 nm; Column Temperature: 40 °C; System Back Pressure: 100 bar) to provide: [0195] methyl 2-((1R,2S)-6'-bromo-2-fluoro-1'-oxo-1'H-spiro[cyclopropane-1 ,4'-isoquinolin]- 2'(3'H)-yl)acetate (first eluting isomer, Int.4): 1 H NMR (400 MHz, CDCl 3 ): δ 8.02 (d, J = 8.0 Hz, 1H), 7.51 (dd, J = 1.6, 8.4 Hz, 1H), 6.83 (d, J = 1.6 Hz, 1H), 4.73-4.54 (m, 2H), 4.10 (dd, J = 2.0, 12.4 Hz, 1H), 4.00 (d, J = 17.2 Hz, 1H), 3.77 (s, 3H), 3.44 (d, J = 12.4 Hz, 1H), 1.60-1.57 (m, 1H), 1.44-1.33 (m, 1H). [0196] methyl 2-((1S,2R)-6'-bromo-2-fluoro-1'-oxo-1'H-spiro[cyclopropane-1 ,4'-isoquinolin]- 2'(3'H)-yl)acetate (second eluting isomer, Int.5): 1 H NMR (400 MHz, CDCl 3 ): δ 8.02 (d, J = 8.0 Hz, 1H), 7.51 (dd, J = 1.6, 8.4 Hz, 1H), 6.83 (d, J = 1.6 Hz, 1H), 4.73-4.54 (m, 2H), 4.10 (dd, J = 2.0, 12.4 Hz, 1H), 4.00 (d, J = 17.2 Hz, 1H), 3.77 (s, 3H), 3.44 (d, J = 12.4 Hz, 1H), 1.60-1.57 (m, 1H), 1.44-1.33 (m, 1H). Intermediate 6 2-((1S,2R)-6'-bromo-2-fluoro-1'-oxo-1'H-spiro[cyclopropane-1 ,4'-isoquinolin]-2'(3'H)-yl)acetic acid [0197] To a solution of methyl 2-((1S,2R)-6'-bromo-2-fluoro-1'-oxo-1'H-spiro[cyclopropane-1 ,4'- isoquinolin]-2'(3'H)-yl)acetate (150 mg, 0.44 mmol, Int.5) in THF (2.0 mL) and water (2.0 mL) was added LiOH•H2O (46 mg, 1.10 mmol). The reaction mixture was stirred at 20 °C for 1 h. The reaction mixture was diluted with water (5 mL), extracted with MTBE (3 mL), and the organics were discarded. The aqueous was adjusted pH = 3 by the addition of aq. HCl (3 M) and extracted with EtOAc (3 × 2 mL). The combined organics were washed with brine (5 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure to provide a residue that was used directly. LCMS: m/z = 328.0, 330.0 [M+H] + . Intermediate 7 2-((1S,2R)-2-fluoro-6'-(1-fluorocyclopropyl)-1'-oxo-1'H-spir o[cyclopropane-1,4'-isoquinolin]- 2'(3'H)-yl)acetic acid [0198] tert-butyl 2-((1S,2R)-6'-bromo-2-fluoro-1'-oxo-1'H-spiro[cyclopropane-1 ,4'-isoquinolin]- 2'(3'H)-yl)acetate: To a solution of 2-((1S,2R)-6'-bromo-2-fluoro-1'-oxo-1'H-spiro[cyclopropane-1 ,4'- isoquinolin]-2'(3'H)-yl)acetic acid (1.25 g, 3.81 mmol, Int.6) in DCM (20 mL) at 0 °C were added DMAP (465 mg, 3.81 mmol), DCC (865 mg, 4.19 mmol), and t-BuOH (424 mg, 5.71 mmol). The mixture was stirred at 20 °C for 16 h. The mixture was filtered and the filtrate was washed with aq. sat. Na 2 CO 3 (3 × 200 mL). The combined organic layers were washed with brine (2 × 20 mL), dried over anhydrous Na 2 SO 4 , filtered, concentrated under reduced pressure, and purified by silica gel column chromatography. 1 H NMR (400 MHz, CDCl 3 ): δ 8.03 (d, J = 8.0 Hz, 1H), 7.50 (dd, J = 2.0, 8.4 Hz, 1H), 6.82 (d, J = 2.0 Hz, 1H), 4.73-4.51 (m, 2H), 4.07 (dd, J = 1.6, 12.4 Hz, 1H), 3.85 (d, J = 17.2 Hz, 1H), 3.43 (d, J = 12.4 Hz, 1H), 1.58-1.54 (m, 1H), 1.48 (s, 9H), 1.44-1.33 (m, 1H). [0199] tert-butyl 2-((1S,2R)-2-fluoro-1'-oxo-6'-vinyl-1'H-spiro[cyclopropane-1 ,4'-isoquinolin]- 2'(3'H)-yl)acetate: To a solution of tert-butyl 2-((1S,2R)-6'-bromo-2-fluoro-1'-oxo-1'H- spiro[cyclopropane-1,4'-isoquinolin]-2'(3'H)-yl)acetate (500 mg, 1.30 mmol), potassium trifluoro(vinyl)borate (436 mg, 3.25 mmol) in 1,4-dioxane (10 mL) were added CsF (593 mg, 3.90 mmol) and Pd(dppf)Cl 2 (95 mg, 0.13 mmol). The mixture was stirred at 90 °C for 3 h. The reaction mixture was poured into H 2 O (20 mL) and extracted with EtOAc (4 × 15 mL). The combined organic layers were washed with brine (2 × 10 mL), dried over anhydrous Na 2 SO 4 , filtered, concentrated under reduced pressure, and purified by silica gel column chromatography. LCMS: m/z = 276.2 [M-tBu+H] + . 1 H NMR (400 MHz, CDCl3): δ 8.13 (d, J = 8.0 Hz, 1H), 7.41 (dd, J = 1.6, 8.0 Hz, 1H), 6.75-6.68 (m, 1H), 6.66 (d, J = 1.6 Hz, 1H), 5.82 (d, J = 17.6 Hz, 1H), 5.37 (d, J = 11.2 Hz, 1H), 4.75-4.53 (m, 2H), 4.07 (dd, J = 2.0, 12.8 Hz, 1H), 3.87 (d, J = 17.2 Hz, 1H), 3.44 (d, J = 12.8 Hz, 1H), 1.64-1.60 (m, 1H), 1.48 (s, 9H), 1.42-1.31 (m, 1H). [0200] tert-butyl 2-((1S,2R)-2-fluoro-1'-oxo-6'-(2-bromo-1-fluoroethyl)-1'H-sp iro[cyclopropane- 1,4'-isoquinolin]-2'(3'H)-yl)acetate: To a solution of tert-butyl 2-((1S,2R)-2-fluoro-1'-oxo-6'-vinyl-1'H- spiro[cyclopropane-1,4'-isoquinolin]-2'(3'H)-yl)acetate (1.04 g, 3.14 mmol) in DCM (20 mL) at 0 °C were added NBS (614 mg, 3.45 mmol) and triethylamine tris(hydrogen fluoride) (759 mg, 4.71 mmol). The mixture was stirred at 0 °C for 15 min then stirred at 20 °C for 16 h. The mixture was poured into H2O (10 mL) and extracted with DCM (3 × 10 mL). The combined organic layers were washed with brine (30 mL), dried over anhydrous Na2SO4, filtered, concentrated under reduced pressure, and purified by silica gel column chromatography. LCMS: m/z = 374.0, 376.0 [M-tBu+H] + . 1 H NMR (400 MHz, CDCl3): δ 8.20 (d, J = 8.0 Hz, 1H), 7.31 (br d, J = 8.0 Hz, 1H), 6.70 (s, 1H), 5.73-5.55 (m, 1H), 4.75-4.52 (m, 2H), 4.15-4.04 (m, 1H), 3.87 (dd, J = 4.8, 17.2 Hz, 1H), 3.68-3.57 (m, 2H), 3.46 (dd, J = 6.4, 12.8 Hz, 1H), 1.66-1.59 (m, 1H), 1.49 (s, 9H), 1.45-1.35 (m, 1H). [0201] tert-butyl 2-((1S,2R)-2-fluoro-1'-oxo-6'-(1-fluorovinyl)-1'H-spiro[cycl opropane-1,4'- isoquinolin]-2'(3'H)-yl)acetate: To a solution of tert-butyl 2-((1S,2R)-2-fluoro-1'-oxo-6'-(2-bromo-1- fluoroethyl)-1'H-spiro[cyclopropane-1,4'-isoquinolin]-2'(3'H )-yl)acetate (1.07 g, 2.49 mmol) in DMSO (20 mL) was added DBU (568 mg, 3.73 mmol). The mixture was stirred at 60 °C for 1 h. The reaction mixture was poured into H2O (100 mL) and extracted with EtOAc (3 × 20 mL). The combined organic layers were washed with brine (30 mL), dried over anhydrous Na2SO4, filtered, concentrated under reduced pressure, and purified by silica gel column chromatography. LCMS: m/z = 294.1 [M-t-Bu+H] + . 1 H NMR (400 MHz, CDCl3): δ 8.27 (d, J = 8.0 Hz, 1H), 7.64 (d, J = 8.0 Hz, 1H), 6.93 (s, 1H), 5.23 (dd, J = 3.6, 49.2 Hz, 1H), 5.07 (dd, J = 3.6, 17.6 Hz, 1H), 4.87-4.62 (m, 2H), 4.26-4.11 (m, 1H), 4.02-3.91 (m, 1H), 3.64-3.50 (m, 1H), 1.74-1.67 (m, 1H), 1.58 (s, 9H), 1.54-1.44 (m, 1H). [0202] tert-butyl 2-((1S,2R)-2-fluoro-1'-oxo-6'-(2,2-dichloro-1-fluorocyclopro pyl)-1'H- spiro[cyclopropane-1,4'-isoquinolin]-2'(3'H)-yl)acetate: To a solution of tert-butyl 2-((1S,2R)-2- fluoro-1'-oxo-6'-(1-fluorovinyl)-1'H-spiro[cyclopropane-1,4' -isoquinolin]-2'(3'H)-yl)acetate (650 mg, 1.86 mmol) in CHCl 3 (15 mL) at 0 °C were added benzyltriethylammonium chloride (17 mg, 0.07 mmol) followed by aq. NaOH (4.47 g, 55.8 mmol, 50 wt%) dropwise. The mixture was stirred at 0 °C for 0.5 h. The mixture was then stirred at 20 °C for 3 h. The reaction mixture was poured into ice-cold H 2 O (20 mL) and extracted with DCM (2 × 10 mL). The combined organic layers were washed with aq. HCl (20 mL, 0.1 M), aq. sat. NaHCO 3 (20 ml), and brine (20 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 375.9, 377.0, 377.9 [M- t-Bu +H] + . 1 H NMR (400 MHz, CDCl 3 ): δ 8.22 (d, J = 8.0 Hz, 1H), 7.40-7.31 (m, 1H), 6.89-6.81 (m, 1H), 4.76-4.56 (m, 2H), 4.18-4.05 (m, 1H), 3.87 (dd, J = 3.2, 17.2 Hz, 1H), 3.52-3.42 (m, 1H), 2.36-2.19 (m, 2H), 1.70-1.62 (m, 1H), 1.49 (s, 9H), 1.46-1.36 (m, 1H). [0203] tert-butyl 2-((1S,2R)-2-fluoro-1'-oxo-6'-(1-fluorocyclopropyl)-1'H-spir o[cyclopropane-1,4'- isoquinolin]-2'(3'H)-yl)acetate: To a solution tert-butyl 2-((1S,2R)-2-fluoro-1'-oxo-6'-(2,2-dichloro-1- fluorocyclopropyl)-1'H-spiro[cyclopropane-1,4'-isoquinolin]- 2'(3'H)-yl)acetate (100 mg, 0.23 mmol) in tri-n-butyl-tin hydride (660 mg, 2.27 mmol) was added AIBN (3.80 mg, 0.023 mmol). The mixture was stirred at 160 °C for 3 h. The reaction mixture was poured into aq. sat. KF (20 mL). The mixture was stirred 1 h at 20 °C and extracted with EtOAc (4 × 10 mL). The combined organic layers were washed with brine (10 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by preparative silica gel thin-layer chromatography. LCMS: m/z = 308.1 [M- tBu+H] + . 1 H NMR (400 MHz, CDCl3): δ 8.13 (dd, J = 0.8, 8.0 Hz, 1H), 6.99 (d, J = 8.0 Hz, 1H), 6.71 (d, J = 1.6 Hz, 1H), 4.77-4.53 (m, 2H), 4.08 (dd, J = 2.0, 12.8 Hz, 1H), 3.87 (d, J = 17.6 Hz, 1H), 3.45 (d, J = 12.6 Hz, 1H), 1.59-1.51 (m, 2H), 1.48 (s, 9H), 1.43-1.32 (m, 2H), 1.14-1.09 (m, 2H). [0204] 2-((1S,2R)-2-fluoro-1'-oxo-6'-(1-fluorocyclopropyl)-1'H-spir o[cyclopropane-1,4'- isoquinolin]-2'(3'H)-yl)acetic acid: To a solution of tert-butyl 2-((1S,2R)-2-fluoro-1'-oxo-6'-(1- fluorocyclopropyl)-1'H-spiro[cyclopropane-1,4'-isoquinolin]- 2'(3'H)-yl)acetate (190 mg, 0.52 mmol) in DCM (4.0 mL) was added formic acid (1.0 mL). The mixture was stirred at 40 °C for 12 h. The mixture was concentrated under reduced pressure to provide a residue that was used directly. LCMS: m/z = 306.2 [M-H]-. Intermediate 8 methyl 2-((1S,2R)-2-fluoro-1'-oxo-6'-(1-fluorocyclopropyl)-1'H-spir o[cyclopropane-1,4'- isoquinolin]-2'(3'H)-yl)acetate [0205] To a solution of 2-((1S,2R)-2-fluoro-1'-oxo-6'-(1-fluorocyclopropyl)-1'H-spir o[cyclopropane- 1,4'-isoquinolin]-2'(3'H)-yl)acetic acid (77 mg, 0.25 mmol, Int.7) in DMF (2.0 mL) were added K2CO3 (52 mg, 0.38 mmol) and MeI (43 mg, 0.3 mmol). The mixture was stirred at 20 °C for 2 h. The reaction mixture was poured into H2O (10 mL) and extracted with EtOAc (3 × 5 mL). The combined organic layers were washed with brine (2 × 10 mL), dried over anhydrous Na2SO4, filtered and concentrated under reduced pressure. The residue was purified by preparative silica gel thin-layer chromatography. LCMS: m/z = 322.1 [M+H] + . Intermediate 9 (fluoromethyl)(phenyl)(2,3,4,5-tetramethylphenyl)sulfonium tetrafluoroborate [0206] ((fluoromethyl)sulfinyl)benzene: To a suspension of SelectFluor (463.5 g, 1.31 mol) in MeCN (1500 mL) at 0 °C was added a solution of methyl(phenyl)sulfane (130.0 g, 1.05 mol) in MeCN (150 mL) over 10 min. Et3N (132.4 g, 1.31 mol) was then added to the mixture at 0 °C. The reaction mixture was allowed to warm to 20 °C and stirred for 16 h. Two batches of the above were run in parallel and combined for workup. The combined batches were diluted with water (1000 mL) and extracted with DCM (3 × 500 mL). The combined organic layers were dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The crude residue was then dissolved in MeOH (2000 mL), diluted with water (200 mL), and cooled to 0 °C. NBS (372.6 g, 2.09 mol) was carefully added and the mixture was stirred for 16 h at 15 °C. The reaction mixture was diluted with 10% Na 2 SO 3 solution (200 mL) followed by sat. aq. NaHCO 3 until pH = 7. Methanol was removed under reduced pressure and the remaining aqueous phase was extracted with DCM (3 × 500 mL). The combined organic layers were washed with brine (500 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure to provide a residue that was used directly. [0207] (fluoromethyl)(phenyl)(2,3,4,5-tetramethylphenyl)sulfonium tetrafluoroborate: To a solution of ((fluoromethyl)sulfinyl)benzene (10.0 g, 63.2 mmol) in diisopropyl ether (100 mL) at -10 °C were added 1,2,3,4-tetramethylbenzene (7.64 g, 56.9 mmol) and Tf 2 O (17.8 g, 63.2 mmol). The reaction mixture was allowed to warm to 20 °C and stirred for 1 h. The reaction mixture was filtered and the resulting solid was dissolved in DCM (200 mL) and washed with aq. NaBF 4 (1 M, 6 × 200 mL). The organic phase was dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was triturated with MTBE at 20 °C for 30 min and then filtered to provide the desired product. LCMS: m/z = 275.2 [M+H] + . Intermediate 10 methyl 4-bromo-2-(1-cyanovinyl)-3-fluoro-benzoate [0208] methyl 2-amino-4-bromo-3-fluorobenzoate: To a solution of 2-amino-4-bromo-3-fluoro- benzoic acid (40.0 g, 170 mmol) in DCM (500 mL) and MeOH (500 mL) at 0 °C was added TMSCHN 2 (2 M in n-hexane, 427 mL, 854 mmol). The mixture was stirred for 16 h at 15 °C, cooled to 0 °C, and TMSCHN 2 (2 M in hexane, 171 mL) was added. The mixture was stirred for another 16 h at 15 °C. The mixture was quenched by addition of sat. aq. NH 4 Cl (500 mL) and H 2 O (500 mL). The mixture was concentrated under reduced pressure to remove organic solvent. The white precipitate was filtered and dried under reduced pressure. The filter cake was then suspended in n-hexane (300 mL), stirred for 10 min, filtered, and dried under reduced pressure to provide a residue that was used directly. LCMS: m/z = 247.9, 249.9 [M+H] + . [0209] methyl 4-bromo-3-fluoro-2-iodobenzoate: To a solution of methyl 2-amino-4-bromo-3-fluoro- benzoate (42.0 g, 170 mmol) in a mixture of conc. H 2 SO 4 (420 mL) and MeCN (420 mL) at 0 °C was added a solution of NaNO2 (14 g, 203 mmol) in H2O (60 mL). The mixture was stirred for 1 h at 0 °C followed by the addition of a solution of KI (56 g, 338 mmol) in H 2 O (60 mL). The mixture was stirred for 15 h at 15 °C. The mixture was cooled to 0 °C, diluted with sat. aq. Na 2 S 2 O 3 (1000 mL), and extracted with MTBE (4 × 500 mL). The combined organic layers were washed with brine (500 mL), dried over anhydrous Na2SO4, filtered, concentrated under reduced pressure, and purified by silica gel column chromatography. [0210] methyl 4-bromo-3-fluoro-2-vinylbenzoate: To a solution of methyl 4-bromo-3-fluoro-2-iodo- benzoate (12.0 g, 33.0 mmol) and potassium hydride:trifluoro(vinyl)boron (5.6 g, 41.7 mmol) in 1,4- dioxane (300 mL) were added CsF (20.3 g, 133.7 mmol) and Pd(dppf)Cl2 (4.89 g, 6.69 mmol). The mixture was stirred for 16 h at 100 °C. The mixture was filtered, the filtrate was diluted with water (1000 mL) and extracted with EtOAc (3 × 300 mL). The combined organic layers were washed with brine (100 mL), dried over anhydrous Na2SO4, filtered, concentrated under reduced pressure, and purified by silica gel column chromatography. 1 H NMR (400 MHz, CDCl3): δ 7.56-7.47 (m, 2H), 7.01 (dd, J = 11.6, 18 Hz, 1H), 5.81-5.72 (m, 1H), 5.66 (td, J = 1.2, 12.8 Hz, 1H), 3.90 (s, 3H). [0211] methyl 4-bromo-2-(1-cyanovinyl)-3-fluoro-benzoate: To a solution of 6,6'-dimethyl-2,2'- bipyridine (711 mg, 3.86 mmol), Cu 2 O (2.76 g, 19.3 mmol) and SelectFluor (10.3 g, 29.0 mmol) in acetone (60 mL) and water (30 mL) at 0 °C were added a solution of methyl 4-bromo-3-fluoro-2-vinyl- benzoate (5.0 g, 19.3 mmol) in acetone (5 mL) and TMSCN (3.83 g, 38.6 mmol, 4.83 mL). The mixture was stirred for 16 h at 20 °C. The mixture was quenched with H 2 O (100 mL) and extracted with EtOAc (5 × 30 mL). The combined organic layers were washed with brine (30 mL), dried over anhydrous Na 2 SO 4 , filtered, concentrated under reduced pressure, and purified by silica gel column chromatography. LCMS: m/z = 283.9, 285.9 [M+H] + . Intermediate 11 and 12 methyl 4-bromo-3-fluoro-2-[(1s,2r)-1-cyano-2-fluoro-cyclopropyl]ben zoate and methyl 4-bromo-3- fluoro-2-[(1s,2s)-1-cyano-2-fluoro-cyclopropyl]benzoate [0212] To a solution of methyl 4-bromo-2-(1-cyanovinyl)-3-fluoro-benzoate (6.0 g, 21.1 mmol, Int.10) and (fluoromethyl)(phenyl)(2,3,4,5-tetramethylphenyl)sulfonium tetrafluoroborate (11.5 g, 31.7 mmol) in THF (80 mL) at 0 °C was added NaH (3.38 g, 84.5 mmol, 60% purity). The mixture was stirred for 1 h at 20 °C. The mixture was cooled to 0 °C, diluted with sat. aq. NH4Cl (150 mL), and extracted with EtOAc (3 × 50 mL). The combined organic layers were washed with brine (50 mL), dried over anhydrous Na2SO4, filtered, concentrated under reduced pressure, and purified by silica gel column chromatography to provide: [0213] methyl 4-bromo-3-fluoro-2-[(1s,2r)-1-cyano-2-fluoro-cyclopropyl]ben zoate (Int.11): 1 H NMR (400 MHz, CDCl3): δ 7.73-7.66 (m, 2H), 4.83-4.63 (m, 1H), 4.03 (s, 3H), 2.39-2.28 (m, 1H), 1.67- 1.57 (m, 1H). [0214] methyl 4-bromo-3-fluoro-2-[(1s,2s)-1-cyano-2-fluoro-cyclopropyl]ben zoate (Int.12): 1 H NMR (400 MHz, CDCl3): δ 7.74-7.67 (m, 2H), 5.29-5.06 (m, 1H), 3.99 (s, 3H), 2.37-2.29 (m, 1H), 1.78- 1.67 (m, 1H). Intermediate 13 (2's,4r)-6-bromo-2',5-difluorospiro[2,3-dihydroisoquinoline- 4,1'-cyclopropane]-1-one [0215] To a solution of methyl 4-bromo-3-fluoro-2-[(1s,2r)-1-cyano-2-fluoro-cyclopropyl]ben zoate (5.8 g, 18.3 mmol, Int.11) and CoCl 2 (9.5 g, 73.4 mmol) in MeOH (180 mL) and H 2 O (4.5 mL) at 0 °C was added NaBH 4 (2.78 g, 73.4 mmol). The mixture was stirred for 2 h at 20 °C. Additional NaBH 4 (694 mg, 18.3 mmol) was then added to the solution. The mixture was stirred for a further 1 h. The mixture was quenched by sat. aq. NH 4 Cl (200 mL) at 0 °C and extracted with EtOAc (3 × 60 mL). The combined organic layers were washed with brine (60 mL), dried over anhydrous Na 2 SO 4 , filtered, concentrated under reduced pressure and purified by silica gel column chromatography. LCMS: m/z = 287.9, 289.9 [M+H] + . Intermediate 14 and 15 methyl 2-[(2's,4r)-6-bromo-2',5-difluoro-1-oxo-spiro[3H-isoquinolin e-4,1'-cyclopropane]-2- yl]acetate [0216] To a solution of (2's,4r)-6-bromo-2',5-difluorospiro[2,3-dihydroisoquinoline- 4,1'-cyclopropane]- 1-one (31.0 g, 107 mmol, Int.13) and NaI (1.61 g, 10.8 mmol) in DMF (350 mL) at 0 °C were added Cs 2 CO 3 (70 g, 215 mmol) and methyl 2-bromoacetate (19.7 g, 129 mmol). The mixture was stirred at 20 °C for 16 h. The reaction mixture was quenched by addition of aq. HCl (1 M, 700 mL) at 0 °C and extracted with EtOAc (3 × 200 mL). The combined organic layers were washed with brine (3 × 350 mL), dried over anhydrous Na 2 SO 4 , filtered and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC. The mixture was further purified by chiral SFC (Column: Daicel Chiralpak IG (250 mm × 50 mm, 10 µm particle size); Mobile phase: A: CO 2 and B: MeOH; Gradient: 35% B isocratic; Flow rate: 200 g/min; Detection wavelength: 220nm; Column temperature: 40 °C; System back pressure: 100 bar) to provide: [0217] methyl 2-[(2's,4r)-6-bromo-2',5-difluoro-1-oxo-spiro[3H-isoquinolin e-4,1'-cyclopropane]-2- yl]acetate (first eluting isomer, Int.14): LCMS: m/z = 359.9, 361.9 [M+H] + . 1 H NMR (400 MHz, CDCl 3 ): δ 7.87 (dd, J = 1.0, 8.4 Hz, 1H), 7.54 (dd, J = 6.4, 8.4 Hz, 1H), 5.44-5.23 (m, 1H), 4.60 (d, J = 17.6 Hz, 1H), 4.12-4.00 (m, 1H), 3.81-3.77 (m, 4H), 3.62 (d, J = 12.8 Hz, 1H), 1.93-1.87 (m, 1H), 1.54- 1.41 (m, 1H). [0218] methyl 2-[(2's,4r)-6-bromo-2',5-difluoro-1-oxo-spiro[3H-isoquinolin e-4,1'-cyclopropane]-2- yl]acetate (second eluting isomer, Int.15): LCMS: m/z = 359.9, 361.9 [M+H] + . 1 H NMR (400 MHz, CDCl 3 ): δ 7.87 (dd, J = 0.8, 8.4 Hz, 1H), 7.54 (dd, J = 6.4, 8.4 Hz, 1H), 5.46-5.23 (m, 1H), 4.60 (d, J = 17.6 Hz, 1H), 4.08 (d, J = 17.6 Hz, 1H), 3.81 (d, J = 2.6 Hz, 1H), 3.78 (s, 3H), 3.63 (d, J = 12.9 Hz, 1H), 1.93-1.87 (m, 1H), 1.55-1.40 (m, 1H). Intermediate 16 methyl 2-[(2's,4r)-6-cyclopropyl-2',5-difluoro-1-oxo-spiro[3H-isoqu inoline-4,1'-cyclopropane]-2- yl]acetate [0219] To a solution of methyl 2-[(2's,4r)-6-bromo-2',5-difluoro-1-oxo-spiro[3H-isoquinolin e-4,1'- cyclopropane]-2-yl]acetate (50 mg, 0.14 mmol, Int.15) and potassium cyclopropyltrifluoroborate (62 mg, 0.42 mmol) in 1,4-dioxane (1.0 mL) and H 2 O (0.1 mL) were added CsF (63 mg, 0.42 mmol) and Pd(dppf)Cl 2 (10 mg, 0.014 mmol). The mixture was stirred at 100 °C for 16 h. The reaction mixture was quenched with H 2 O (6 mL) and extracted with EtOAc (3 × 2 mL). The combined organic layers were washed with brine (3 mL), dried over anhydrous Na 2 SO 4 , filtered, concentrated under reduced pressure, and purified by silica gel column chromatography. LCMS: m/z = 322.0 [M+H] + . Intermediate 17 2-[(2's,4r)-6-cyclopropyl-2',5-difluoro-1-oxo-spiro[3H-isoqu inoline-4,1'-cyclopropane]-2-yl]acetic acid [0220] To a solution of methyl 2-[(2's,4r)-6-cyclopropyl-2',5-difluoro-1-oxo-spiro[3H-isoqu inoline-4,1'- cyclopropane]-2-yl]acetate (260 mg, 0.81 mmol, Int.16) in THF (3.0 mL) and H2O (3.0 mL) was added LiOH•H2O (85 mg, 2.02 mmol). The reaction mixture was stirred at 20 °C for 1 h. The reaction mixture was diluted with H2O (10 mL) and washed with MTBE (4 mL). The aqueous phase was then adjusted pH = 3 by the addition of aq. HCl (3 M). The aqueous was then extracted with EtOAc (3 × 3 mL). The combined organic layers were washed with brine (5 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure to provide a residue that was used directly. LCMS: m/z = 308.1 [M+H] + . Intermediate 18 methyl 2-[(2's,4r)-2',5-difluoro-6-iodo-1-oxo-spiro[3H-isoquinoline -4,1'-cyclopropane]-2-yl]acetate [0221] To a solution of methyl 2-[(2's,4r)-6-bromo-2',5-difluoro-1-oxo-spiro[3H-isoquinolin e-4,1'- cyclopropane]-2-yl]acetate (300 mg, 0.83 mmol, Int.15) in toluene (5.0 mL) were added CuI (32 mg, 0.17 mmol), N1,N2-dimethylcyclohexane-1,2-diamine (47 mg, 0.33 mmol), and NaI (499 mg, 3.33 mmol). The reaction mixture was stirred at 130 °C for 32 h. The reaction mixture was then cooled to ambient temperature, poured into H 2 O (5 mL), and extracted with EtOAc (3 × 10 mL). The combined organic layers were washed with brine (5 mL), dried over anhydrous Na 2 SO 4 , filtered, concentrated under reduced pressure, and purified by silica gel column chromatography. LCMS: m/z = 407.9 [M+H] + . Intermediate 19 2-[(2's,4r)-2',5-difluoro-6-iodo-1-oxo-spiro[3H-isoquinoline -4,1'-cyclopropane]-2-yl]acetic acid [0222] To a solution of methyl 2-[(2's,4r)-2',5-difluoro-6-iodo-1-oxo-spiro[3H-isoquinoline -4,1'- cyclopropane]-2-yl]acetate (145 mg, 0.35 mmol, Int.18) in THF (2.0 mL) and water (0.5 mL) was added LiOH•H2O (30 mg, 0.71 mmol). The reaction mixture was stirred at 20 °C for 2 h. The reaction mixture was poured into ice-cold water (10 mL) and the aqueous phase was adjusted pH = 3 by the addition of aq. HCl (4 M). The aqueous was then extracted with EtOAc (3 × 10 mL). The combined organic layers were washed with brine (20 mL) and concentrated under reduced pressure to provide a residue that was used directly. LCMS: m/z = 394.0 [M+H] + . Intermediate 20 methyl 2-(6-iodo-1-oxo-4-(trifluoromethyl)-3,4-dihydroisoquinolin-2 (1H)-yl)acetate [0223] 2-(3-bromophenyl)-1,1,1-trifluoro-3-nitropropan-2-ol: To a mixture of nitromethane (116 g, 1.90 mol) in THF (400 mL) at 0 °C were added 1-(3-bromophenyl)-2,2,2-trifluoro-ethanone (40 g, 158 mmol) and Et 3 N (48 g, 474 mmol). The mixture was stirred at 20 °C for 12 h. The reaction mixture was diluted with H 2 O (100 mL) and extracted with EtOAc (3 × 15 mL). The combined organic layers were washed with brine (15 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. [0224] 1-bromo-3-(3,3,3-trifluoro-1-nitroprop-1-en-2-yl)benzene: To a mixture of 2-(3- bromophenyl)-1,1,1-trifluoro-3-nitro-propan-2-ol (108 g, 343 mmol) in toluene (1000 mL) at 0 °C were added SOCl2 (61.0 g, 516 mmol) and pyridine (54.0 g, 687 mmol). The mixture was stirred at 20 °C for 12 h. The reaction mixture was diluted with H 2 O (100 mL) and extracted with EtOAc (3 × 25 mL). The combined organic layers were washed with brine (25 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. [0225] 2-(3-bromophenyl)-3,3,3-trifluoropropan-1-amine: To a mixture of 1-bromo-3-(3,3,3- trifluoro-1-nitroprop-1-en-2-yl)benzene (26.0 g, 88.0 mmol) in MeOH (300 mL) at 0 °C were added conc. HCl (84 mL, 878 mmol) and zinc metal (29.0 g, 439 mmol). The mixture was stirred at 0 °C for 1 h. The mixture was filtered and concentrated under reduced pressure to provide a residue that was used directly. LCMS: m/z = 268.0, 270.0 [M+H] + . [0226] methyl 2-(((2-(3-bromophenyl)-3,3,3-trifluoropropyl)carbamoyl)oxy)b enzoate: A mixture of 2-(3-bromophenyl)-3,3,3-trifluoro-propan-1-amine (41.5 g, 155 mmol) and methyl 2-(2- methoxycarbonylphenoxy)carbonyloxybenzoate (76.7 g, 232 mmol) in THF (430 mL) was stirred for 12 h at 25 °C. The mixture was concentrated under reduced pressure. The residue was purified by reverse- phase preparative HPLC. [0227] 6-bromo-4-(trifluoromethyl)-3,4-dihydroisoquinolin-1(2H)-one : To a mixture of methyl 2- [[2-(3-bromophenyl)-3,3,3-trifluoro-propyl]carbamoyloxy]benz oate (30 g, 67 mmol) in DCM (300 mL) at 0 °C was added TfOH (150 mL, 1.70 mol). The mixture was stirred at 20 °C for 12 h. The reaction mixture was diluted with H 2 O (200 mL) and extracted with EtOAc (3 × 15 mL). The combined organic layers were washed with brine (15 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 293.9, 295.9 [M+H] + . [0228] 6-iodo-4-(trifluoromethyl)-3,4-dihydroisoquinolin-1(2H)-one: To a solution of 6-bromo-4- (trifluoromethyl)-3,4-dihydroisoquinolin-1(2H)-one (2.00 g, 6.80 mmol) in 1,4-dioxane (50 mL) were added NaI (10.2 g, 68.0 mmol) and N1,N2-dimethylcyclohexane-1,2-diamine (484 mg, 3.40 mmol) and CuI (1.30 g, 6.80 mmol). The mixture was stirred at 140 °C for 5 h. The reaction mixture was filtered, washed with EtOAc (3 × 20 mL), and concentrated under reduced pressure. The residue was poured into H2O (100 mL) and then extracted with EtOAc (3 × 40 mL). The combined organic layers were washed with brine (50 mL), dried over anhydrous Na2SO4, filtered and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 341.9 [M+H] + . [0229] methyl 2-(6-iodo-1-oxo-4-(trifluoromethyl)-3,4-dihydroisoquinolin-2 (1H)-yl)acetate (Int. 20): 6-iodo-4-(trifluoromethyl)-3,4-dihydroisoquinolin-1(2H)-one (2.0 g, 5.86 mmol) and methyl 2- iodoacetate (1.29 g, 6.45 mmol) in DMF (20 mL) at 20 °C was added Cs2CO3 (4.01 g, 12.3 mmol). The mixture was stirred at 20 °C for 2 h. The reaction mixture was poured into H2O (700 mL) and then extracted with EtOAc (3 × 300 mL). The combined organic layers were wash with brine (300 mL), dried over anhydrous Na2SO4, filtered and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 414.0 [M+H] + . Intermediate 20a and 20b methyl 2-(6-iodo-1-oxo-4-(trifluoromethyl)-3,4-dihydroisoquinolin-2 (1H)-yl)acetate [0230] methyl 2-(6-iodo-1-oxo-4-(trifluoromethyl)-3,4-dihydroisoquinolin-2 (1H)-yl)acetate (Int.20) was further separated by chiral SFC (Column: Daicel Chiralpak IG (250mm x 50mm, 10 µm particle size); Mobile phase: A: CO2, B: 0.1% NH4OH in i-PrOH; Gradient: 55% B isocratic; Flow Rate: 3.4 mL/min; Detection Wavelength: 220 nm; Column Temperature: 35 °C; System Back Pressure: 2000 psi) to provide: [0231] methyl 2-(6-iodo-1-oxo-4-(trifluoromethyl)-3,4-dihydroisoquinolin-2 (1H)-yl)acetate (first eluting isomer, Int.20a): 1 H NMR (400 MHz, CDCl3): δ 7.89 (s, 2H), 7.75 (s, 1H), 4.80 (d, J = 17.2 Hz, 1H), 4.18 (br dd, J = 4.4, 13.6 Hz, 1H), 3.91 (d, J = 17.2 Hz, 1H), 3.77 (s, 3H), 3.74 (dd, J = 2.4, 13.6 Hz, 1H), 3.62-3.50 (m, 1H). [0232] methyl 2-(6-iodo-1-oxo-4-(trifluoromethyl)-3,4-dihydroisoquinolin-2 (1H)-yl)acetate (second eluting isomer, Int.20b): 1 H NMR (400 MHz, CDCl3): δ 7.89 (s, 2H), 7.75 (s, 1H), 4.80 (d, J = 17.6 Hz, 1H), 4.18 (br dd, J = 4.4, 13.6 Hz, 1H), 3.91 (d, J = 17.2 Hz, 1H), 3.77 (s, 3H), 3.74 (dd, J = 2.4, 13.6 Hz, 1H), 3.62-3.50 (m, 1H). Intermediate 21 methyl 2-(6-iodo-1-oxo-4-(trifluoromethyl)-3,4-dihydroisoquinolin-2 (1H)-yl)acetate [0233] To a solution of methyl 2-(6-iodo-1-oxo-4-(trifluoromethyl)-3,4-dihydroisoquinolin-2 (1H)- yl)acetate (1 g, 2.42 mmol, Int.20) in THF (15 mL) and H2O (5 mL) at was added LiOH·H2O (406 mg, 9.68 mmol). The mixture was stirred for 20 min. The reaction mixture was diluted with water (5 mL) and washed with MTBE (10 mL). The aq. phase was adjusted to pH = 2 with aq. HCl (3M) and the mixture was extracted with EtOAc (3 × 10 mL). The combined organic layers were washed with brine (10 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure to provide a residue that was used directly. LCMS: m/z = 399.9. Intermediate 22 methyl 2-(1-cyanovinyl)-3-fluoro-4-(trifluoromethyl)benzoate [0234] methyl 2,3-difluoro-4-(trifluoromethyl)benzoate: To a solution of 2,3-difluoro-4- (trifluoromethyl)benzoic acid (50.0 g, 221 mmol) in DMF (700 mL) were added K2CO3 (61.1 g, 442 mmol) and MeI (34.5 g, 243 mmol). The reaction mixture was stirred for 4 h at 20 °C. The reaction mixture was diluted with water (300 mL), filtered, and the filtrate was extracted with EtOAc (3 × 200 mL). The combined organics were washed with brine (100 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure to provide a residue that was used directly. [0235] methyl 2-(1-cyano-2-methoxy-2-oxoethyl)-3-fluoro-4-(trifluoromethyl )benzoate: To a solution of methyl 2,3-difluoro-4-(trifluoromethyl)benzoate (36.5 g, 152 mmol) and methyl 2- cyanoacetate (18.1 g, 182.4 mmol) in DMF (370 mL) was added K 2 CO 3 (42.0 g, 304 mmol). The reaction mixture was stirred at 80 °C for 16 h . The reaction mixture was poured into ice-cold water (300 mL), adjusted pH = 3 by the addition of aq. HCl (3 M), and extracted with EtOAc (3 × 500 mL). The combined organics were washed with brine (100 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure to provide a residue that was used directly. LCMS: m/z = 320.0 [M+H] + . [0236] methyl 2-(cyanomethyl)-3-fluoro-4-(trifluoromethyl)benzoate: To a solution of methyl 2-(1- cyano-2-methoxy-2-oxo-ethyl)-3-fluoro-4-(trifluoromethyl)ben zoate (48.0 g, 150 mmol) in DMSO (420 mL) was added a solution of NaCl (11.4 g, 195 mmol) in H 2 O (60 mL). The reaction mixture was stirred at 120 °C for 12 h. The reaction mixture was diluted with water (1000 mL) and extracted with EtOAc (3 × 300 mL). The combined organics were washed with brine (3 × 100 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 262.1 [M+H] + . [0237] methyl 2-(1-cyanovinyl)-3-fluoro-4-(trifluoromethyl)benzoate (Int.22): To a solution of methyl 2-(cyanomethyl)-3-fluoro-4-(trifluoromethyl)benzoate (5.0 g, 19.1 mmol) and N,N,N',N'- tetramethylmethanediamine (2.9 g, 28.7 mmol) in DMSO (50 mL) was added Ac2O (6.5 g, 63.2 mmol). The reaction mixture was stirred at 20 °C for 4 h. The reaction mixture was diluted with H2O (200 mL), filtered, and the filtrate was extracted with EtOAc (3 × 50 mL). The combined organics were washed with aq. sat. NaHCO3 (3 × 100 mL), brine (100 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. 1 H NMR (400 MHz, CDCl 3 ): δ 7.90 (d, J = 8.4 Hz, 1H), 7.81-7.72 (m, 1H), 6.48 (s, 1H), 6.07 (d, J = 0.8 Hz, 1H), 3.98 (s, 3H). Intermediate 23 (2's,4r)-2',5-difluoro-6-(trifluoromethyl)spiro[2,3-dihydroi soquinoline-4,1'-cyclopropane]-1-one [0238] Methyl 2-((1r,2s)-1-cyano-2-fluorocyclopropyl)-3-fluoro-4-(trifluor omethyl)benzoate and methyl 2-((1r,2r)-1-cyano-2-fluorocyclopropyl)-3-fluoro-4-(trifluor omethyl)benzoate: To a solution of methyl 2- (1-cyanovinyl)-3-fluoro-4-(trifluoromethyl)benzoate (678 mg, 2.48 mmol) and (4- chlorophenyl)(fluoromethyl)(2,3,4,5-tetramethylphenyl)sulfon ium tetrafluoroborate (1.08 g, 2.73 mmol) in MeCN (5.0 mL) at 0 °C was added NaH (129 mg, 3.23 mmol, 60% purity). The reaction mixture was stirred at 10 °C for 2 h. The reaction mixture was diluted with H 2 O (15 mL) and extracted with EtOAc (3 × 10 mL). The combined organic layers were washed with brine (10 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography to provide the title products as a 2:5 mixture. LCMS: m/z = 306.0 [M+H] + . [0239] (2's,4r)-2',5-difluoro-6-(trifluoromethyl)spiro[2,3-dihydroi soquinoline-4,1'-cyclopropane]- 1-one (Int.23): To a mixture of methyl 2-((1r,2s)-1-cyano-2-fluorocyclopropyl)-3-fluoro-4- (trifluoromethyl)benzoate and methyl 2-((1r,2r)-1-cyano-2-fluorocyclopropyl)-3-fluoro-4- (trifluoromethyl)benzoate (340 mg, 1.11 mmol, 2:5 mixture) and CoCl 2 (145 mg, 1.11 mmol) in MeOH (3.0 mL) at 0 °C was added NaBH4 (211 mg, 5.57 mmol). The reaction mixture was stirred at 25 °C for 4 h. The reaction mixture cooled to 0 °C, diluted with sat. aq. NH4Cl (20 mL), and extracted with EtOAc (4 × 15 mL). The combined organic layers were washed with brine (3 × 10 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 278.1 [M+H] + . Intermediate 24 methyl 2-[(2's,4r)-2'-fluoro-1-oxo-6-(trifluoromethyl)spiro[3H-isoq uinoline-4,1'-cyclopropane]-2- yl]acetate [0240] To a solution of (2's,4r)-2',5-difluoro-6-(trifluoromethyl)spiro[2,3-dihydroi soquinoline-4,1'- cyclopropane]-1-one (70 mg, 0.25 mmol) in DMF (2.0 mL) were added NaI (25 mg, 0.17 mmol), Cs2CO3 (165 mg, 0.50 mmol), and methyl 2-bromoacetate (58 mg, 0.37 mmol). The reaction mixture was stirred at 20 °C for 2 h. The reaction mixture was cooled to 0 °C, diluted with H2O (10 mL), and extracted with EtOAc (4 × 15 mL). The combined organic layers were washed with brine (3 × 10 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 350.1 [M+H] + . Intermediate 25 methyl 2-(2,2,5'-trifluoro-1'-oxo-6'-(trifluoromethyl)-1'H-spiro[cy clopropane-1,4'-isoquinolin]- 2'(3'H)-yl)acetate [0241] methyl 2-(1-cyano-2,2-difluorocyclopropyl)-3-fluoro-4-(trifluoromet hyl)benzoate: To a solution of methyl 2-(1-cyanovinyl)-3-fluoro-4-(trifluoromethyl)benzoate (1.00 g, 3.66 mmol) in 1,4- dioxane (7.0 mL) was added (2-bromo-2,2-difluoro-acetyl)oxysodium (2.16 g, 10.98 mmol). The reaction mixture was stirred at 150 °C for 20 min under microwave irradiation. The reaction mixture was cooled to 0 °C, diluted with H 2 O (10 mL), and extracted with EtOAc (3 × 15 mL). The combined organics were washed with brine (25 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC. [0242] 2,2,5'-trifluoro-6'-(trifluoromethyl)-2',3'-dihydro-1'H-spir o[cyclopropane-1,4'-isoquinolin]- 1'-one: To a solution of methyl 2-(1-cyano-2,2-difluoro-cyclopropyl)-3-fluoro-4- (trifluoromethyl)benzoate (200 mg, 0.62 mmol) in MeOH (4.0 mL) at 0 °C were added dichlorocobalt (80 mg, 0.62 mmol) and NaBH 4 (70 mg, 1.86 mmol). The reaction mixture was stirred at 0 °C for 1 h and then 20 °C for a further 12 h. The reaction mixture was quenched by addition of sat. aq. NH4Cl (10 mL) and extracted with EtOAc (3 × 10 mL). The combined organic layers were washed with brine (10 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. [0243] methyl 2-(2,2,5'-trifluoro-1'-oxo-6'-(trifluoromethyl)-1'H-spiro[cy clopropane-1,4'- isoquinolin]-2'(3'H)-yl)acetate (Int 25): To a solution of 2,2,5'-trifluoro-6'-(trifluoromethyl)-2',3'- dihydro-1'H-spiro[cyclopropane-1,4'-isoquinolin]-1'-one (320 mg, 1.08 mmol) in DMF (7.0 mL) were added NaI (106 mg, 0.70 mmol), Cs2CO3 (706 mg, 2.17 mmol), and methyl 2-bromoacetate (249 mg, 1.63 mmol). The reaction mixture was stirred at 20 °C for 2 h. The reaction mixture was cooled to 0 °C, diluted with H2O (30 mL), and extracted with EtOAc (3 × 20 mL). The combined organic layers were washed with brine (30 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 368.1 [M+H] + . Intermediate 26 methyl 2-(6'-bromo-2,2-difluoro-1'-oxo-1'H-spiro[cyclopropane-1,4'- isoquinolin]-2'(3'H)-yl)acetate [0244] methyl 4-bromo-2-(1-cyano-2,2-difluorocyclopropyl)benzoate: A solution of methyl 4-bromo- 2-(1-cyanovinyl)benzoate (1.00 g, 3.76 mmol) and sodium;2-bromo-2,2-difluoro-acetate (2.22 g, 11.27 mmol) in 1,4-dioxane (6.0 mL) was heated under microwave irradiation at 150 °C for 20 min. The reaction mixture was poured into H 2 O (100 mL) and extracted with EtOAc (3 × 50 mL). The combined organics were dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was triturated with MTBE to provide a residue that was used directly. LCMS: m/z = 316.0, 318.0 [M+H] + . [0245] 6'-bromo-2,2-difluoro-2',3'-dihydro-1'H-spiro[cyclopropane-1 ,4'-isoquinolin]-1'-one: To a solution of methyl 4-bromo-2-(1-cyano-2,2-difluorocyclopropyl)benzoate (11.2 g, 35.4 mmol), ZnCl 2 (9.7 g, 70.9 mmol), and CoCl 2 •6H 2 O (11.0 g, 46.1 mmol) in MeOH (150 mL) at 0 °C was added NaBH 4 (6.7 g, 177.2 mmol). The reaction mixture was stirred at 25 °C for 12 h. The reaction mixture was cooled to 0 °C, diluted with sat. aq. NH 4 Cl (100 mL), and extracted with EtOAc (3 × 50 mL). The combined organic layers were dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 288.0, 290.0 [M+H] + . [0246] methyl 2-(6'-bromo-2,2-difluoro-1'-oxo-1'H-spiro[cyclopropane-1,4'- isoquinolin]-2'(3'H)- yl)acetate (Int.26): To a solution of 6'-bromo-2,2-difluoro-2',3'-dihydro-1'H-spiro[cyclopropane-1 ,4'- isoquinolin]-1'-one (380 mg, 1.32 mmol) in DMF (8.0 mL) were added NaI (129 mg, 0.86 mmol), Cs2CO3 (860 mg, 2.64 mmol), and methyl 2-bromoacetate (303 mg, 1.98 mmol). The reaction mixture was stirred for 2 h at 25 °C. The reaction mixture was diluted with H2O (10 mL) and extracted with EtOAc (3 × 5 mL). The combined organic layers were washed with brine (5 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 359.9, 361.9 [M+H] + . Intermediate 27 2-(6'-bromo-2,2-difluoro-1'-oxo-1'H-spiro[cyclopropane-1,4'- isoquinolin]-2'(3'H)-yl)acetic acid: [0247] To a solution of methyl 2-(6'-bromo-2,2-difluoro-1'-oxo-1'H-spiro[cyclopropane-1,4'- isoquinolin]-2'(3'H)-yl)acetate (180 mg, 0.50 mmol) in THF (2.0 mL) and H2O (0.4 mL) was added LiOH•H2O (42 mg, 0.01 mmol). The reaction mixture was stirred at 25 °C for 2 h. The reaction mixture was diluted with H2O (5 mL) and washed with MTBE (2 × 10 mL). The aqueous was then acidified to pH = 4 by the addition of aq. HCl and then extracted with EtOAc (3 × 10 mL). The combined organic layers were dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure to provide a residue that was used directly. LCMS: m/z = 346.0, 348.0 [M+H] + . Intermediate 28 methyl 2-(2,2-difluoro-6'-(1-fluorocyclopropyl)-1'-oxo-1'H-spiro[cy clopropane-1,4'-isoquinolin]- 2'(3'H)-yl)acetate: [0248] methyl 2-(2,2-difluoro-1'-oxo-6'-vinyl-1'H-spiro[cyclopropane-1,4'- isoquinolin]-2'(3'H)- yl)acetate: To a solution of methyl 2-(6'-bromo-2,2-difluoro-1'-oxo-1'H-spiro[cyclopropane-1,4'- isoquinolin]-2'(3'H)-yl)acetate (6.00 g, 16.7 mmol) in 1,4-dioxane (200 mL) were added potassium vinyltrifluoroborate (6.69 g, 50.0 mmol), CsF (7.59 g, 50.0 mmol), and Pd(dppf)Cl2 (1.22 g, 1.67 mmol). The reaction mixture was stirred at 90 °C for 16 h. The reaction mixture was diluted with H2O (20 mL) and extracted with EtOAc (3 × 20 mL). The combined organics were dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 308.1 [M+H] + . [0249] methyl 2-(2,2-difluoro-6'-(1-fluoro-2-iodoethyl)-1'-oxo-1'H-spiro[c yclopropane-1,4'- isoquinolin]-2'(3'H)-yl)acetate: To a solution of methyl 2-(2,2-difluoro-1'-oxo-6'-vinyl-1'H- spiro[cyclopropane-1,4'-isoquinolin]-2'(3'H)-yl)acetate (4.8 g, 15.6 mmol) in DCM (100 mL) at 0 °C was added NIS (7.0 g, 31.2 mmol). The reaction mixture was stirred for 30 min prior to the addition of N,N- diethylethanamine;trihydrofluoride (12.6 g, 78.1 mmol). The reaction was then stirred at 20 °C for a further 16 h. The reaction mixture was poured into brine (30 mL) and extracted with DCM (3 × 50 mL). The combined organic layers were dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 454.0 [M+H] + . [0250] methyl 2-(2,2-difluoro-6'-(1-fluorovinyl)-1'-oxo-1'H-spiro[cyclopro pane-1,4'-isoquinolin]- 2'(3'H)-yl)acetate: To a solution of methyl 2-(2,2-difluoro-6'-(1-fluoro-2-iodoethyl)-1'-oxo-1'H- spiro[cyclopropane-1,4'-isoquinolin]-2'(3'H)-yl)acetate (4.75 g, 10.5 mmol) in DMSO (50 mL) was added DBU (2.39 g, 15.72 mmol). The reaction mixture was stirred at 60 °C for 1 h. The reaction mixture was poured into brine (10 mL) and extracted was EtOAc (3 × 10 mL). The combined organic layers were dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC. LCMS: m/z = 326.1 [M+H] + . [0251] methyl 2-(2,2-difluoro-6'-(1-fluorocyclopropyl)-1'-oxo-1'H-spiro[cy clopropane-1,4'- isoquinolin]-2'(3'H)-yl)acetate (Int.28): To a solution of ZnEt 2 (2 M in n-hexane, 7.69 mL) at 0 °C was added a solution of TFA (1.75 g, 15.4 mmol) in DCM (1.0 mL). The reaction mixture was stirred at 0 °C for 10 min prior to the addition of CH 2 I 2 (4.12 g, 15.4 mmol). The mixture was stirred at 0 °C for a further 20 min prior to the addition of a solution of methyl 2-(2,2-difluoro-6'-(1-fluorovinyl)-1'-oxo-1'H- spiro[cyclopropane-1,4'-isoquinolin]-2'(3'H)-yl)acetate (500 mg, 1.54 mmol) in DCM (5.0 mL). The reaction mixture was then allowed to warm to 20 °C and stirred for a further 3 h. The reaction mixture was then warmed to 40 °C and stirred for a further 16 h. The reaction mixture was filtered and the filtrate was poured into sat. aq. NH 4 Cl (5 mL) and extracted with DCM (3 × 5 mL). The combined organic layers were dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by silica gel chromatography. LCMS: m/z = 340.1 [M+H] + . Intermediate 29 2-(2,2-difluoro-6'-(1-fluorocyclopropyl)-1'-oxo-1'H-spiro[cy clopropane-1,4'-isoquinolin]-2'(3'H)- yl)acetic acid [0252] To a solution of methyl 2-(2,2-difluoro-6'-(1-fluorocyclopropyl)-1'-oxo-1'H-spiro[cy clopropane- 1,4'-isoquinolin]-2'(3'H)-yl)acetate (350 mg, 1.03 mmol) in THF (4.0 mL) and H2O (4.0 mL) was added LiOH•H 2 O (87 mg, 2.06 mmol). The reaction mixture was stirred at 20 °C for 2 h. The reaction mixture was diluted with H 2 O (10 mL) and washed with MTBE (10 mL). The aqueous was then acidified to pH = 3 by the addition of aq. HCl (3 M) and then extracted with EtOAc (3 × 5 mL). The combined organic layers were washed with brine (20 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure to provide a residue that was used directly. LCMS: m/z = 326.1 [M+H] + . Intermediate 30 methyl 2-(6'-cyclopropyl-2,2-difluoro-1'-oxo-1'H-spiro[cyclopropane -1,4'-isoquinolin]-2'(3'H)- yl)acetate [0253] To a solution of potassium cyclopropyltrifluoroborate (1.03 g, 6.94 mmol) and methyl 2-(6- bromo-1',1'-difluoro-1-oxo-spiro[3H-isoquinoline-4,2'-cyclop ropane]-2-yl)acetate (500 mg, 1.39 mmol) in toluene (5.0 mL) and H 2 O (0.5 mL) were added bis(1-adamantyl)-butyl-phosphane (100 mg, 0.28 mmol), Pd(OAc)2 (31 mg, 0.14 mmol), and Cs2CO3 (905 mg, 2.78 mmol). The reaction mixture was stirred at 100 °C for 3 h. The reaction mixture was diluted with water (10 mL) and extracted with MTBE (3 × 3 mL). The combined organic layers were washed with brine (3 × 5 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 322.1 [M+H] + . Intermediate 31 2-(6'-cyclopropyl-2,2-difluoro-1'-oxo-1'H-spiro[cyclopropane -1,4'-isoquinolin]-2'(3'H)-yl)acetic acid [0254] To a solution of methyl 2-(6-cyclopropyl-1',1'-difluoro-1-oxo-spiro[3H-isoquinoline- 4,2'- cyclopropane]-2-yl)acetate (275 mg, 0.86 mmol) in THF (4.0 mL) and H2O (1.0 mL) was added LiOH•H2O (72 mg, 1.71 mmol). The reaction mixture was stirred at 20 °C for 2 h. The reaction mixture was diluted with ice-cold H2O (10 mL), acidified to pH = 3 by the addition of aq. HCl (4 M), and extracted with EtOAc (3 × 10 mL). The combined organic layers were washed with brine (20 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure to provide a residue that was used directly. LCMS: m/z = 308.1 [M+H] + . Intermediate 32 methyl 2-[6-bromo-1',1',5-trifluoro-1-oxospiro[3H-isoquinoline-4,2' -cyclopropane]-2-yl]acetate [0255] methyl 4-bromo-2-(1-cyano-2,2-difluorocyclopropyl)-3-fluorobenzoate : To a solution of methyl 4-bromo-2-(1-cyanovinyl)-3-fluorobenzoate (450 mg, 1.58 mmol, Int.10) in 1,4-dioxane (2.0 mL) was added sodium 2-chloro-2,2-difluoroacetate (725 mg, 4.75 mmol). The mixture was stirred at 150 °C for 20 min under microwave irradiation. The reaction mixture was poured into H2O (20 mL) and extracted with EtOAc (4 × 15 mL). The combined organic layers were washed with brine (2 × 10 mL), dried over anhydrous Na2SO4, filtered, concentrated under reduced pressure and purified by reverse- phase preparative HPLC. LCMS: m/z = 333.9, 335.9 [M+H] + . [0256] 6'-bromo-2,2,5'-trifluoro-2',3'-dihydro-1'H-spiro[cyclopropa ne-1,4'-isoquinolin]-1'-one: To a mixture of methyl 4-bromo-2-(1-cyano-2,2-difluorocyclopropyl)-3-fluorobenzoate (600 mg, 1.80 mmol) and CoCl2 (233 mg, 1.80 mmol) in MeOH (12 mL) and H2O (1.2 mL) at -10 °C was added NaBH4 (204 mg, 5.39 mmol). The mixture was stirred at 0 °C for 1 h and then -10 °C for a further 4 h. The reaction mixture was diluted with sat. aq. NH4Cl (20 mL) and extracted with EtOAc (4 × 15 mL). The combined organic layers were washed with brine (2 × 10 mL), dried over anhydrous Na2SO4, filtered, concentrated under reduced pressure, and purified by silica gel column chromatography. LCMS: m/z = 306.0, 308.0 [M+H] + . [0257] methyl 2-[6-bromo-1',1',5-trifluoro-1-oxospiro[3H-isoquinoline-4,2' -cyclopropane]-2- yl]acetate (Int.32): To a solution of methyl 2-bromoacetate (82 mg, 0.54 mmol) in DMF (1.5 mL) were added 6'-bromo-2,2,5'-trifluoro-2',3'-dihydro-1'H-spiro[cyclopropa ne-1,4'-isoquinolin]-1'-one (110 mg, 0.36 mmol), Cs 2 CO 3 (234 mg, 0.72 mmol), and NaI (27 mg, 0.18 mmol). The mixture was stirred at 20 °C for 2 h. The reaction mixture was diluted with H 2 O (10 mL) at 0 °C and extracted with EtOAc (4 × 5 mL). The combined organic layers were washed with brine (10 mL), dried over anhydrous Na 2 SO 4 , filtered, concentrated under reduced pressure, and purified by silica gel column chromatography. LCMS: m/z = 378.0, 380.0 [M+H] + . Intermediate 33 2-[6-bromo-1',1',5-trifluoro-1-oxospiro[3H-isoquinoline-4,2' -cyclopropane]-2-yl]acetic acid [0258] To a solution of methyl 2-[6-bromo-1',1',5-trifluoro-1-oxospiro[3H-isoquinoline-4,2' - cyclopropane]-2-yl]acetate (115 mg, 0.30 mmol) in THF (3.0 mL) and H 2 O (0.6 mL) was added LiOH•H 2 O (26 mg, 0.61 mmol). The mixture was stirred at 20 °C for 1 h. The reaction mixture was poured into H 2 O (10 mL) and washed with MTBE (3 × 5 mL). The aqueous layer was adjusted to pH = 3 with aq. HCl (3 M) at 0 °C and extracted with EtOAc (3 × 10 mL). The combined organic layers were washed with brine (10 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure to provide a residue that was used directly. LCMS: m/z = 361.9, 363.9 [M-H]-. Intermediate 34 methyl 2-(6'-cyclopropyl-2,2,5'-trifluoro-1'-oxo-1'H-spiro[cyclopro pane-1,4'-isoquinolin]-2'(3'H)- yl)acetate [0259] To a solution of methyl 2-(6'-bromo-2,2,5'-trifluoro-1'-oxo-1'H-spiro[cyclopropane-1 ,4'- isoquinolin]-2'(3'H)-yl)acetate (2.7 g, 7.14 mmol) in toluene (40 mL) and H2O (4 mL) were added potassium cyclopropyltrifluoroborate (3.17 g, 21.42 mmol), Cs2CO3 (4.65 g, 14.3 mmol), bis(1- adamantyl)-butyl-phosphane (512 mg, 1.43 mmol) and Pd(OAc)2 (160 mg, 0.71 mmol). The mixture was stirred at 100 °C for 6 h. The mixture was diluted with water (40 mL) and extracted with EtOAc (3 × 15 mL). The combined organic layers were washed with brine (20 mL), dried over anhydrous Na2SO4, filtered and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 340.1 [M+H] + . 1 H NMR (400MHz, CDCl 3 ): δ 7.89 (d, J = 8.0 Hz, 1H), 6.90 (t, J = 7.2 Hz, 1H), 4.78-4.86 (m, 1H), 4.30-4.43 (m, 1H), 3.84 (d, J = 17.6 Hz, 1H), 3.75-3.78 (m, 3H), 2.88-3.07 (m, 2H), 2.07-2.17 (m, 1H), 1.45-1.56 (m, 1H), 1.01-1.13 (m, 2H), 0.70-0.86 (m, 2H). Intermediate 35 methyl 2-(2,2-difluoro-1'-oxo-6'-(trifluoromethyl)-1'H-spiro[cyclop ropane-1,4'-isoquinolin]- 2'(3'H)-yl)acetate [0260] methyl 4-(trifluoromethyl)-2-vinylbenzoate: To a solution of methyl 2-bromo-4- (trifluoromethyl)benzoate (100 g, 353 mmol) in 1,4-dioxane (2000 mL) was added potassium vinyltrifluoroborate (52 g, 388 mmol), CsF (161 g, 1.06 mol) and Pd(dppf)Cl 2 (12.9 g, 17.7 mmol). The mixture was stirred at 90 °C for 6 h. The mixture was diluted with H 2 O (2000 mL) and extracted with EtOAc (3 × 700 mL). The combined organic layers were washed with brine (1500 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. [0261] methyl 2-(1-cyanovinyl)-4-(trifluoromethyl)benzoate: To a solution of Cu 2 O (31.0 g, 217 mmol), 6,6'-dimethyl-2,2'-bipyridine (8.0 g, 43 mmol) and SelectFluor (115 g, 325 mmol) in acetone (1 L) and H 2 O (500 mL) were added dropwise methyl 4-(trifluoromethyl)-2-vinylbenzoate (50 g, 217 mmol) and TMSCN (64.6 g, 652 mmol). The mixture was stirred at 20 °C for 20 h. The mixture was poured into aq. sat. NaHCO3 (200 mL) and H2O (800 mL). The mixture was filtered and the filtrate was extracted with EtOAc (3 × 300 mL). The combined organic layers were washed with brine (600 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 256.0 [M+H] + . [0262] methyl 2-(1-cyano-2,2-difluorocyclopropyl)-4-(trifluoromethyl)benzo ate: A solution of methyl 2-(1-cyanovinyl)-4-(trifluoromethyl)benzoate (1.00 g, 3.92 mmol) and sodium 2-bromo-2,2- difluoroacetate (2.31 g, 11.8 mmol) in 1,4-dioxane (6.0 mL) was heated at 150 °C for 20 min under microwave irradiation. The reaction mixture was poured into H2O (10 mL) and extracted with EtOAc (3 × 10 mL). The combined organic layers were dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC. [0263] 2,2-difluoro-6'-(trifluoromethyl)-2',3'-dihydro-1'H-spiro[cy clopropane-1,4'-isoquinolin]-1'- one: To a solution of methyl 2-(1-cyano-2,2-difluoro-cyclopropyl)-4-(trifluoromethyl)benz oate (1.00 g, 3.28 mmol) in MeOH (10 mL) at 0 °C were added CoCl2•6H2O (1.01 g, 4.26 mmol) and NaBH4 (620 mg, 16.4 mmol). The reaction mixture was stirred at 20 °C for 12 h. The reaction mixture was cooled to 0 °C, diluted with sat. aq. NH 4 Cl (30 mL), and extracted with EtOAc (3 × 30 mL). The combined organic layers were dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. 1 H NMR (400 MHz, CDCl 3 ): δ 8.31 (d, J = 8.0 Hz, 1H), 7.72 (d, J = 8.4 Hz, 1H), 7.33 (s, 1H), 6.34 (br s, 1H), 3.92-3.87 (m, 1H), 3.50-3.46 (m, 1H), 2.17- 2.14 (m, 1H), 1.75-1.71 (m, 1H) [0264] methyl 2-(2,2-difluoro-1'-oxo-6'-(trifluoromethyl)-1'H-spiro[cyclop ropane-1,4'- isoquinolin]-2'(3'H)-yl)acetate (Int.35): To a solution of 2,2-difluoro-6'-(trifluoromethyl)-2',3'- dihydro-1'H-spiro[cyclopropane-1,4'-isoquinolin]-1'-one (400 mg, 1.44 mmol) in DMF (10 mL) were added NaI (141 mg, 0.94 mmol), Cs 2 CO 3 (941 mg, 2.89 mmol), and methyl 2-bromoacetate (331 mg, 2.16 mmol). The reaction mixture was stirred at 25 °C for 2 h. The reaction mixture was diluted with H 2 O (10 mL) and extracted with EtOAc (3 × 5 mL). The combined organic layers were washed with brine (5 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. 1 H NMR (400 MHz, CDCl 3 ): δ 8.32 (d, J = 8.0 Hz, 1H), 7.71 (dd, J = 0.8, 8.0 Hz, 1H), 7.32 (s, 1H), 4.79 (d, J = 17.2 Hz, 1H), 4.18-4.10 (m, 1H), 3.98 (d, J = 17.2 Hz, 1H), 3.78 (s, 3H), 3.40 (dd, J = 1.2, 12.8 Hz, 1H), 2.17-2.12 (m, 1H), 1.80-1.75 (m, 1H). Intermediate 36 methyl 2-(6-bromo-1-oxo-spiro[3H-isoquinoline-4,1'-cyclopropane]-2- yl)acetate [0265] methyl 4-bromo-2-(cyanomethyl)benzoate: A solution of NaCN (8.4 g, 170 mmol) in H2O (40 mL) was added dropwise to a solution of methyl 4-bromo-2-(bromomethyl)benzoate (35 g, 114 mmol) in DMSO (500 mL) at 0 °C. The reaction mixture was stirred at 20 °C for 1 h. The reaction mixture was poured into H2O (1.5 L) and extracted with EtOAc (3 × 200 mL). The combined organic layers were washed with brine (3 × 200 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. 1 H NMR (400 MHz, CDCl3): δ 7.93 (d, J = 8.4 Hz, 1H), 7.73 (d, J = 2.0 Hz, 1H), 7.57 (dd, J = 2.0, 8.8 Hz, 1H), 4.20 (s, 2H), 3.92 (s, 3H). [0266] methyl 4-bromo-2-(1-cyanocyclopropyl)benzoate: Methyl 4-bromo-2-(cyanomethyl)benzoate (9.0 g, 35.4 mmol) was added to a solution of NaH (3.26 g, 81.5 mmol, 60% purity) in DMSO (90 mL). The reaction mixture was stirred at 20 °C for 1 h before the addition of 1-bromo-2-chloroethane (8.13 g, 56.7 mmol). The resultant mixture was stirred at 20 °C for a further 8 h. The reaction mixture was cooled to 0 °C, diluted with sat. aq. NH 4 Cl (200 mL), and extracted with EtOAc (4 × 50 mL). The combined organic layers were washed with brine (3 × 30 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 280.0, 282.0 [M+H] + . [0267] 6-bromospiro[2,3-dihydroisoquinoline-4,1'-cyclopropane]-1-on e: To a mixture of methyl 4- bromo-2-(1-cyanocyclopropyl)benzoate (2.50 g, 8.92 mmol) and dichlorocobalt (2.32 g, 17.9 mmol) in MeOH (40 mL) was added NaBH 4 (1.70 g, 44.9 mmol) at 0 °C. The reaction mixture was stirred at 20 °C for 3 h. The reaction mixture was cooled to 0 °C, diluted with sat. aq. NH 4 Cl (50 mL), and extracted with DCM (4 × 15 mL). The combined organic layers were washed with brine (20 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 252.0, 254.0 [M+H] + . [0268] methyl 2-(6-bromo-1-oxo-spiro[3H-isoquinoline-4,1'-cyclopropane]-2- yl)acetate (Int.36): To a solution of 6-bromospiro[2,3-dihydroisoquinoline-4,1'-cyclopropane]-1-on e (2.30 g, 9.12 mmol) in DMF (30 mL) was added NaH (401 mg, 10.0 mmol, 60% purity) at 0 °C. The reaction mixture was stirred at 0 °C for 0.5 h before the addition of methyl 2-bromoacetate (2.09 g, 13.7 mmol). The reaction mixture was then stirred at 20 °C for a further 2 h. The reaction mixture was cooled to 0 °C, diluted with sat. aq. NH4Cl (50 mL), and extracted with EtOAc (4 × 20 mL). The combined organic layers were washed with brine (3 × 15 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 324.0, 326.0 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 7.98 (d, J = 8.4 Hz, 1H), 7.44 (dd, J = 2.0, 8.4 Hz, 1H), 6.99 (d, J = 2.0 Hz, 1H), 4.33 (s, 2H), 3.76 (s, 3H), 3.45 (s, 2H), 1.14-1.09 (m, 2H), 1.08-1.03 (m, 2H). Intermediate 37 methyl 2-[(2's,4r)-6-chloro-2',5-difluoro-1-oxo-spiro[3H-isoquinoli ne-4,1'-cyclopropane]-2- yl]acetate [0269] methyl 2-[(2's,4r)-6-((diphenylmethylene)amino)-2',5-difluoro-1-oxo -spiro[3H-isoquinoline- 4,1'-cyclopropane]-2-yl]acetate: To a solution of methyl 2-[(2's,4r)-6-bromo-2',5-difluoro-1-oxo- spiro[3H-isoquinoline-4,1'-cyclopropane]-2-yl]acetate (650 mg, 1.80 mmol, Int.15) and diphenylmethanimine (654 mg, 3.61 mmol) in 1,4-dioxane (10 mL) were added Pd2(dba)3 (165 mg, 0.18 mmol), XPhos (172 mg, 0.36 mmol), and Cs2CO3 (1.18 g, 3.61 mmol). The mixture was stirred at 90 °C for 16 h. The mixture was quenched with H2O (10 mL) and extracted with EtOAc (3 × 10 mL). The combined organic layers were washed with brine (10 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. [0270] methyl 2-[(2's,4r)-6-amino-2',5-difluoro-1-oxo-spiro[3H-isoquinolin e-4,1'-cyclopropane]-2- yl]acetate: A solution of methyl 2-[(2's,4r)-6-((diphenylmethylene)amino)-2',5-difluoro-1-oxo -spiro[3H- isoquinoline-4,1'-cyclopropane]-2-yl]acetate (700 mg, 1.52 mmol), hydroxylamine hydrochloride (211 mg, 3.04 mmol), and NaOAc (374 mg, 4.56 mmol) in MeOH (10 mL) was stirred at 20 °C for 16 h. The mixture was quenched with H2O (10 mL) and extracted with EtOAc (3 × 10 mL). The combined organic layers were washed with brine (10 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. [0271] methyl 2-[(2's,4r)-6-chloro-2',5-difluoro-1-oxo-spiro[3H-isoquinoli ne-4,1'-cyclopropane]-2- yl]acetate: To a mixture of CuCl (100 mg, 1.01 mmol) in MeCN (5 mL) were added tert-butyl nitrite (94 mg, 0.91 mmol) and a solution of methyl 2-[(2's,4r)-6-amino-2',5-difluoro-1-oxo-spiro[3H-isoquinolin e- 4,1'-cyclopropane]-2-yl]acetate (150 mg, 0.51 mmol) in MeCN (1.0 mL). The reaction was stirred at 60 °C for 5 h. The mixture was quenched with H2O (10 mL) and extracted with EtOAc (3 × 10 mL). The combined organic layers were washed with brine (10 mL), dried over anhydrous Na2SO4, filtered and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. 1 H NMR (400 MHz, CDCl3): δ 7.86 (dd, J = 1.2, 8.4 Hz, 1H), 7.31 (dd, J = 7.2, 8.4 Hz, 1H), 5.38-5.13 (m, 1H), 4.53 (d, J = 17.2 Hz, 1H), 4.00 (d, J = 17.2 Hz, 1H), 3.75-3.68 (m, 4H), 3.55 (d, J = 12.8 Hz, 1H), 1.87-1.80 (m, 1H), 1.47-1.36 (m, 1H). Intermediate 38 Methyl 2-(6-bromo-5-fluoro-1-oxospiro[3H-isoquinoline-4,1'-cyclopro pane]-2-yl)acetate [0272] 4-bromo-2-(1-cyanocyclopropyl)-3-fluorobenzoic acid: To a solution of 4-bromo-2,3- difluorobenzoic acid (40 g, 169 mmol) in THF (700 mL) was added cyclopropanecarbonitrile (34 g, 506 mmol). To the reaction mixture was cooled to -40 o C followed by the addition of KHMDS (438.8 mL, 1M in THF). The reaction mixture was stirred at 20 oC for 1 h, diluted with water (500 mL), and extracted with EtOAc (2 × 100 mL). The aqueous phase was adjusted to pH = 3 with aq. HCl (3 N) and extracted with EtOAc (3 × 200 mL). The combined organics were dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure to provide a solid that was used directly. LCMS: m/z = 284.0, 285.9 [M+H] + . [0273] methyl 4-bromo-2-(1-cyanocyclopropyl)-3-fluorobenzoate: To a solution of 4-bromo-2-(1- cyanocyclopropyl)-3-fluorobenzoic acid (46 g, 162 mmol) in DMF (500 mL) at 0 °C was added K2CO3 (34 g, 243 mmol). To the mixture was added MeI (23 g, 162 mmol). The reaction mixture was stirred at 20 °C for 2 h. The reaction mixture was poured into ice cold water (500 mL), filtered, and the filter cake was washed with petroleum ether (2 × 100 mL). The filtrate was concentrated under reduced pressure to provide a solid that was used directly. LCMS: m/z = 298.1, 300.0 [M+H]+. [0274] 6-bromo-5-fluoro-spiro[2,3-dihydroisoquinoline-4,1'-cyclopro pane]-1-one: To a solution of methyl 4-bromo-2-(1-cyanocyclopropyl)-3-fluorobenzoate (42 g, 141 mmol) in MeOH (600 mL) and water (20 mL) at 0 °C was added dichlorocobalt (73 g, 563 mmol) and NaBH4 (27.0 g, 704 mmol). The reaction mixture was stirred at 20 °C for 4 h. The reaction mixture was poured into sat. aq. NH4Cl (600 mL), diluted with water (300 mL), and extracted with EtOAc (3 × 200 mL). The combined organics were dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel chromatography. LCMS: m/z = 270.0, 272.0 [M+H]+. [0275] methyl 2-(6-bromo-5-fluoro-1-oxospiro[3H-isoquinoline-4,1'-cyclopro pane]-2-yl)acetate: To a solution of 6-bromo-5-fluoro-spiro[2,3-dihydroisoquinoline-4,1'-cyclopro pane]-1-one (9.3 g, 34.4 mmol) in DMF (100 mL) at 0 °C was added NaH (2.1 g, 51.6 mmol, 60% purity). The reaction mixture was stirred at 0 °C for 0.5 h. To the reaction mixture was added methyl 2-bromoacetate (11 g, 68.9 mmol, 6.50 mL) at 0 °C. The reaction mixture was stirred at 20 oC for 16 h. The reaction mixture was quenched by the addition sat. aq. NH4Cl (50 mL) and ice-cold water (300 mL) and extracted with EtOAc (3 × 80 mL). The combined organics were washed with brine (200 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel chromatography, and the resulting product was slurried with MTBE:PE (2:1, 5 mL) at 25 °C to give a solid that was filtered and dried under reduced pressure. LCMS: m/z = 342.0, 344.0 [M+H] + . Intermediate 39 methyl 2-[(2's,4r)-2'-fluoro-1-oxo-6-(trifluoromethyl)spiro[3H-isoq uinoline-4,1'-cyclopropane]-2- yl]acetate [0276] methyl 4-(trifluoromethyl)-2-vinylbenzoate: To a solution of methyl 2-bromo-4- (trifluoromethyl)benzoate (100 g, 353 mmol) in 1,4-dioxane (2000 mL) was added potassium vinyltrifluoroborate (52 g, 388 mmol), CsF (161 g, 1.06 mol) and Pd(dppf)Cl2 (12.9 g, 17.7 mmol). The mixture was stirred at 90 °C for 6 h. The mixture was diluted with H2O (2000 mL) and extracted with EtOAc (3 × 700 mL). The combined organic layers were washed with brine (1500 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. [0277] methyl 2-(1-cyanovinyl)-4-(trifluoromethyl)benzoate: To a solution of Cu2O (31.0 g, 217 mmol), 6,6'-dimethyl-2,2'-bipyridine (8.0 g, 43 mmol) and SelectFluor (115 g, 325 mmol) in acetone (1 L) and H 2 O (500 mL) were added dropwise methyl 4-(trifluoromethyl)-2-vinylbenzoate (50 g, 217 mmol) and TMSCN (64.6 g, 652 mmol). The mixture was stirred at 20 °C for 20 h. The mixture was poured into aq. sat. NaHCO3 (200 mL) and H2O (800 mL). The mixture was filtered and the filtrate was extracted with EtOAc (3 × 300 mL). The combined organic layers were washed with brine (600 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 256.0 [M+H]+. [0278] methyl 2-[(1r,2s)-1-cyano-2-fluoro-cyclopropyl]-4-(trifluoromethyl) benzoate and methyl 2- [(1s,2s)-1-cyano-2-fluoro-cyclopropyl]-4-(trifluoromethyl)be nzoate: To a solution of methyl 2-(1- cyanovinyl)-4-(trifluoromethyl)benzoate (11.0 g, 43.1 mmol) in THF (200 mL) at 0 °C were added (fluoromethyl)(phenyl)(2,3,4,5-tetramethylphenyl)sulfonium tetrafluoroborate (31.0 g, 86 mmol) and NaH (6.9 g, 172 mmol, 60% purity). The mixture was stirred at 20 °C for 1 h. The reaction mixture was poured into H2O (30 mL) and extracted with EtOAc (3 × 10 mL). The combined organic layers were washed with brine (30 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 288.0 [M+H]+. [0279] (2's,4r)-2'-fluoro-6-(trifluoromethyl)spiro[2,3-dihydroisoqu inoline-4,1'-cyclopropane]-1- one and (2's,4s)-2'-fluoro-6-(trifluoromethyl)spiro[2,3-dihydroisoqu inoline-4,1'-cyclopropane]-1- one: To a solution of methyl 2-[(1r,2s)-1-cyano-2-fluoro-cyclopropyl]-4-(trifluoromethyl) benzoate and methyl 2-[(1s,2s)-1-cyano-2-fluoro-cyclopropyl]-4-(trifluoromethyl) benzoate (12.0 g, 41.0 mmol) in MeOH (120 mL) was added Raney-Ni (5.0 g, 58.0 mmol). The mixture was stirred at 20 °C for 1 h under H2 (30 psi). The mixture was filtered, and the filtrate was concentrated under reduced pressure. The residue was purified by silica gel column chromatography to provide: [0280] (2's,4r)-2'-fluoro-6-(trifluoromethyl)spiro[2,3-dihydroisoqu inoline-4,1'-cyclopropane]-1- one: LCMS: m/z = 260.0 [M+H]+.1H NMR (400 MHz, CDCl3): δ 8.27 (d, J = 8.0 Hz, 1H), 7.65 (d, J = 8.0 Hz, 1H), 7.04 (br s, 1H), 6.95 (s, 1H), 4.75-4.52 (m, 1H), 3.91 (d, J = 12.8 Hz, 1H), 3.58 (dd, J = 4.4, 13.2 Hz, 1H), 1.61-1.72 (m, 1H), 1.47-1.36 (m, 1H); [0281] (2's,4s)-2'-fluoro-6-(trifluoromethyl)spiro[2,3-dihydroisoqu inoline-4,1'-cyclopropane]-1- one: LCMS: m/z = 260.0 [M+H]+.1H NMR (400 MHz, CDCl3): δ 8.27 (d, J = 8.4 Hz, 1H), 7.67 (dd, J = 0.8, 8.0 Hz, 1H), 7.48 (br s, 1H), 7.37 (s, 1H), 4.89-4.62 (m, 1H), 3.81 (dd, J = 7.6, 12.8 Hz, 1H), 2.81 (dd, J = 4.8, 13.2 Hz, 1H), 1.93-1.79 (m, 1H), 1.25-1.18 (m, 1H). [0282] methyl 2-[(2's,4r)-2'-fluoro-1-oxo-6-(trifluoromethyl)spiro[3H-isoq uinoline-4,1'- cyclopropane]-2-yl]acetate: To a solution of (2's,4r)-2'-fluoro-6-(trifluoromethyl)spiro[2,3- dihydroisoquinoline-4,1'-cyclopropane]-1-one (2.4 g, 9.3 mmol) in DMF (30 mL) at 0 °C was added NaH (560 mg, 13.9 mmol, 60% purity). The mixture was stirred for 0.5 h at 0 °C. To the mixture was added methyl 2-bromoacetate (2.83 g, 18.5 mmol) at 0 °C. The mixture was stirred at 20 °C for 2 h. The mixture was poured into sat. aq. NH 4 Cl (30 mL) and extracted with EtOAc (3 × 10 mL). The combined organic layers were washed with brine (20 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 332.2 [M+H] + . Intermediate 40 2-[(2's,4r)-2'-fluoro-1-oxo-6-(trifluoromethyl)spiro[3H-isoq uinoline-4,1'-cyclopropane]-2-yl]acetic acid [0283] To a solution of methyl 2-[(2's,4r)-2'-fluoro-1-oxo-6-(trifluoromethyl)spiro[3H-isoq uinoline-4,1'- cyclopropane]-2-yl]acetate (150 mg, 0.45 mmol) in THF (2.0 mL) and H2O (2.0 mL) was added LiOH•H2O (47 mg, 1.1 mmol). The mixture was stirred at 20 °C for 2 h. The mixture was diluted with H2O (3 mL) and extracted with MTBE (2 mL). The aqueous phase was adjusted to pH = 3 by addition of aq. HCl (3 M). The mixture was extracted with EtOAc (3 × 2 mL). The combined organic layers were washed with brine (3 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure to give a crude residue that was used directly. LCMS: m/z = 317.9 [M+H] + . Intermediate 41 6-(trifluoromethyl)spiro[2,3-dihydroisoquinoline-4,1'-cyclop ropane]-1-one [0284] 2-(1-cyanocyclopropyl)-4-(trifluoromethyl)benzoic acid: To a solution of 2-fluoro-4- (trifluoromethyl)benzoic acid (2.00 g, 9.61 mmol) and cyclopropanecarbonitrile (1.93 g, 28.8 mmol) in THF (20 mL) at -40 °C was added dropwise KHMDS (25.0 mL, 1 M in THF). The reaction mixture was slowly warmed up to 20 °C then stirred at this temperature for 1 h. The reaction mixture was then heated to 70 °C and stirred for an additional 2 h. The reaction mixture was poured into H 2 O (20 mL) and washed with EtOAc (50 mL). The aqueous layer was then adjusted to pH = 3~4 by the addition of aqueous HCl (3 N). The aqueous was then extracted with EtOAc (3 × 20 mL). The combined organics were dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase HPLC. [0285] methyl 2-(1-cyanocyclopropyl)-4-(trifluoromethyl)benzoate: To a solution of 2-(1- cyanocyclopropyl)-4-(trifluoromethyl)benzoic acid (0.50 g, 1.96 mmol) in THF (10 mL) at 0 °C was added TMSCHN 2 (3.92 mmol, 2 M in n-hexane). The reaction mixture was stirred at 20 °C for 16 h. The reaction mixture was quenched by the addition of AcOH (2 mL) and the resulting mixture was extracted with EtOAc (20 mL). The organic layer was washed with saturated aqueous NaHCO3 (10 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. [0286] 6-(trifluoromethyl)spiro[2,3-dihydroisoquinoline-4,1'-cyclop ropane]-1-one: To a mixture of methyl 2-(1-cyanocyclopropyl)-4-(trifluoromethyl)benzoate (0.30 g, 1.11 mmol) and dichlorocobalt (289 mg, 2.23 mmol) in MeOH (5 mL) and THF (2 mL) at 0 °C was added NaBH4 (211 mg, 5.57 mmol). The reaction mixture was stirred at 20 °C for 2 h. The reaction mixture cooled to 0 °C, quenched by the addition of sat. aq. NH4Cl (10 mL), and extracted with EtOAc (3 × 10 mL). The organics were combined, dried over anhydrous Na2SO4, filtered and concentrated under reduced pressure to provide a residue that was used directly. LCMS: m/z = 242.1 [M+H]+ [0287] methyl 2-[1-oxo-6-(trifluoromethyl)spiro[3H-isoquinoline-4,1'-cyclo propane]-2-yl]acetate: To a solution of 6-(trifluoromethyl)spiro[2,3-dihydroisoquinoline-4,1'-cyclop ropane]-1-one (0.20 g, 0.83 mmol) in DMF (5.0 mL) at 0 °C was added NaH (36 mg, 0.91 mmol, 60% purity in mineral oil). The reaction mixture was stirred at 0 °C for 0.5 h followed by the addition of methyl 2-bromoacetate (190 mg, 1.24 mmol). The reaction mixture was stirred at 20 °C for a further 2 h. The reaction mixture was quenched by the addition of water (5 mL) and extracted with EtOAc (3 × 5 mL). These organics were combined, dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. 1 H NMR (400 MHz, CDCl3): δ 8.23 (d, J = 8.0 Hz, 1H), 7.55 (d, J = 8.0 Hz, 1H), 7.08 (s, 1H), 4.35 (s, 2H), 3.76 (s, 3H), 3.48 (s, 2H), 1.21-1.06 (m, 4H). Intermediate 42 3-amino-1-cyclopropylcyclobutanol [0288] tert-butyl (3-cyclopropyl-3-hydroxycyclobutyl)carbamate: To a solution of bromo(cyclopropyl)magnesium (1 M in THF, 13.50 mL) in THF (15 mL) at -60 °C was added the solution of tert-butyl N-(3-oxocyclobutyl)carbamate (1.00 g, 5.40 mmol) in THF (15 mL). The mixture was stirred at -60 °C for 1 h. The mixture was quenched with aq. sat. NH 4 Cl (30 mL) and extracted with EtOAc (3 × 30 mL). The combined organic layers were washed with brine (3 × 30 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. 1 H NMR (400 MHz, CDCl3): δ 3.74-3.59 (m, 1H), 3.04-2.91 (m, 1H), 2.48- 2.33 (m, 2H), 1.95-1.81 (m, 2H), 1.44 (s, 9H), 1.13-1.08 (m, 1H), 0.54-0.50 (m, 2H), 0.34-0.31 (m, 2H). [0289] 3-amino-1-cyclopropylcyclobutanol HCl salt: A solution of tert-butyl (3-cyclopropyl-3- hydroxycyclobutyl)carbamate (1.00 g, 4.40 mmol) in HCl (4 M in MeOH, 10 mL) was stirred at 20 °C for 1 h. The mixture was concentrated under reduced pressure to provide a residue that was used directly. Intermediate 43 2-(6-bromo-1-oxo-spiro[3H-isoquinoline-4,1'-cyclopropane]-2- yl)acetamide [0290] 2-(6-bromo-1-oxo-spiro[3H-isoquinoline-4,1'-cyclopropane]-2- yl)acetic acid: To a solution of methyl 2-(6-bromo-1-oxo-spiro[3H-isoquinoline-4,1'-cyclopropane]-2- yl)acetate (330 mg, 1.02 mmol) in THF (5 mL) was added a solution of LiOH (2.04 mL, 1 M in H2O). The reaction mixture was stirred at 20 °C for 3 h. The reaction mixture was adjusted pH to 4 using aqueous 1 N HCl and extracted with EtOAc (3 x 10 mL). The combined organic layers were washed with brine, dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure to provide a residue that was used directly. LCMS: m/z = 310.3, 312.3 [M+H]+. [0291] 2-(6-bromo-1-oxo-spiro[3H-isoquinoline-4,1'-cyclopropane]-2- yl)acetamide: To a solution of 2-(6-bromo-1-oxo-spiro[3H-isoquinoline-4,1'-cyclopropane]-2- yl)acetic acid (2.0 g, 6.45 mmol), NH4Cl (690 mg, 12.90 mmol), HOBt (1.05 g, 7.74 mmol) in DCM (20 mL) were added EDCI (1.48 g, 7.74 mmol) and DIPEA (1.67 g, 12.90 mmol). The mixture was stirred at 20 °C for 16 h. The mixture was added to H2O (30 mL) and extracted with DCM (3 × 20 mL). The combined organics were washed with brine (20 mL), dried over anhydrous Na2SO4, filtered and concentrated under reduced pressure. The crude product were triturated with MTBE at 25 °C for 30 min to provide a residue that was used directly. LCMS: m/z = 309.0, 311.0 [M+H] + . Intermediate 44 6-bromo-5-fluoro-1-(tetrahydro-2H-pyran-2-yl)-1H-pyrazolo[3, 4-b]pyridine [0292] 5-fluoro-1H-pyrazolo[3,4-b]pyridine 7-oxide: To a solution of 5-fluoro-1H-pyrazolo[3,4- b]pyridine (3.0 g, 21.9 mmol) in EtOAc (30 mL) at 0 °C was added m-CPBA (5.55 g, 27.4 mmol, 85% purity). The mixture was stirred at 20 °C for 12 h. The mixture was filtered. The filter cake was washed with EtOAc (2 × 3 mL). The filter cake was dried under reduced pressure to provide a residue that was used directly. LCMS: m/z = 154.0 [M+H]+. [0293] 6-bromo-5-fluoro-1H-pyrazolo[3,4-b]pyridine: To a solution of 5-fluoro-1H-pyrazolo[3,4- b]pyridine 7-oxide (2.70 g, 17.6 mmol) in CHCl3 (100 mL) at 0 °C was added POBr 3 (7.58 g, 26.4 mmol). The mixture was stirred at 60 °C for 2 h. The mixture was diluted with H 2 O (20 mL) and extracted with DCM (3 × 7 mL). The combined organic layers were washed with brine (10 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 215.9, 217.9 [M+H] + . [0294] 6-bromo-5-fluoro-1-(tetrahydro-2H-pyran-2-yl)-1H-pyrazolo[3, 4-b]pyridine: To a solution of 6-bromo-5-fluoro-1H-pyrazolo[3,4-b]pyridine (1.16 g, 5.37 mmol) in 1,4-dioxane (15 mL) at 20 °C was added 3,4-dihydro-2H-pyran (903 mg, 10.7 mmol) and p-TsOH (93 mg, 0.54 mmol). The mixture was stirred at 80 °C for 2 h. The mixture was diluted with H 2 O (15 mL) and extracted with EtOAc (3 × 5 mL). The combined organic layers were washed with brine (10 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 299.7, 301.6 [M+H] + . Example 1 2-[(2'R,4S)-2'-fluoro-6-(1-fluorocyclopropyl)-1-oxospiro[3H- isoquinoline-4,1'-cyclopropane]-2-yl]- N-(5-(trifluoromethyl)pyrimidin-2-yl)acetamide (1) [0295] To a solution of 5-(trifluoromethyl)pyrimidin-2-amine (40 mg, 0.24 mmol) in THF (2.0 mL) at 0 °C was added LiHMDS (1 M in THF, 0.24 mL). The reaction mixture was stirred at 0 °C for 3 h. Separately, to a solution of 2-((1S,2R)-2-fluoro-1'-oxo-6'-(1-fluorocyclopropyl)-1'H-spir o[cyclopropane- 1,4'-isoquinolin]-2'(3'H)-yl)acetic acid (50 mg, 0.16 mmol, Int.7) in THF (2.0 mL) was added CDI (53 mg, 0.33 mmol). This mixture was stirred at 15 °C for 3 h and then added to the initial mixture at 0 °C. The combined reaction mixture was stirred at 0 °C for a further 1 h and then 15 °C for an additional 1 h. The reaction mixture was diluted with H 2 O (10 mL) and extracted with EtOAc (3 × 10 mL). The combined organic layers were dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC. LCMS: m/z = 453.1 [M+H] + . 1 H NMR (400 MHz, DMSO-d6): δ 11.30 (s, 1H), 9.10 (d, J = 0.4 Hz, 2H), 7.93 (d, J = 8.0 Hz, 1H), 7.31 (dd, J = 1.6, 8.0 Hz, 1H), 6.69 (d, J = 1.2 Hz, 1H), 5.17-4.94 (m, 1H), 4.84 (d, J = 17.2 Hz, 1H), 4.40 (d, J = 17.2 Hz, 1H), 3.93 (dd, J = 2.0, 12.8 Hz, 1H), 3.56 (d, J = 13.2 Hz, 1H), 1.78-1.67 (m, 1H), 1.59-1.40 (m, 3H), 1.33-1.21 (m, 2H). Example 2 2-[(2'R,4S)-2'-fluoro-6-(1-fluorocyclopropyl)-1-oxospiro[3H- isoquinoline-4,1'-cyclopropane]-2-yl]- N-(5-methylpyrimidin-2-yl)acetamide (2) [0296] To a mixture of methyl 2-((1S,2R)-2-fluoro-1'-oxo-6'-(1-fluorocyclopropyl)-1'H- spiro[cyclopropane-1,4'-isoquinolin]-2'(3'H)-yl)acetate (30 mg, 0.09 mmol, Int.8), 5-methylpyrimidin-2- amine (20 mg, 0.19 mmol) in DCE (1.0 mL) was added AlMe3 (1 M in n-heptane, 0.28 mL). The mixture was stirred for 6 h at 60 °C. The reaction mixture was poured into ice-cold H2O (15 mL) and extracted with EtOAc (4 × 10 mL). The combined organic layers were washed with brine (2 × 10 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC. LCMS: m/z = 399.1 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 8.92 (br s, 1H), 8.44 (s, 2H), 8.16 (d, J = 8.0 Hz, 1H), 7.00 (d, J = 8.0 Hz, 1H), 6.72 (d, J = 1.2 Hz, 1H), 5.03 (br s, 1H), 4.79-4.54 (m, 1H), 4.44 (br d, J = 17.2 Hz, 1H), 4.18 (dd, J = 1.6, 12.8 Hz, 1H), 3.55 (d, J = 12.8 Hz, 1H), 2.27 (s, 3H), 1.71-1.51 (m, 3H), 1.46-1.32 (m, 1H), 1.18-1.07 (m, 2H). Example 3 2-[(2'R,4S)-2'-fluoro-6-(1-fluorocyclopropyl)-1-oxospiro[3H- isoquinoline-4,1'-cyclopropane]-2-yl]- N-(5-cyanopyrimidin-2-yl)acetamide (3) [0297] To a solution of 5-cyanopyrimidin-2-amine (18 mg, 0.15 mmol) in THF (2.0 mL) at 0 °C was added LiHMDS (1 M in THF, 0.15 mL). The reaction mixture was stirred at 0 °C for 3 h. Separately, to a solution of 2-((1S,2R)-2-fluoro-1'-oxo-6'-(1-fluorocyclopropyl)-1'H-spir o[cyclopropane-1,4'-isoquinolin]- 2'(3'H)-yl)acetic acid (30 mg, 0.10 mmol, Int.7) in THF (1.0 mL) was added CDI (32 mg, 0.20 mmol). This mixture was stirred at 15 °C for 3 h and then added to the initial mixture at 0 °C. The combined reaction mixture was stirred at 0 °C for a further 1 h and then 15 °C for an additional 1 h. The reaction mixture was diluted with H 2 O (10 mL) and extracted with EtOAc (3 × 10 mL). The combined organic layers were dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC. LCMS: m/z = 410.1 [M+H] + . 1 H NMR (400 MHz, DMSO-d 6 ): δ 11.39 (s, 1H), 9.13 (s, 2H), 7.92 (d, J = 8.0 Hz, 1H), 7.30 (dd, J = 1.6, 8.4 Hz, 1H), 6.69 (d, J = 1.2 Hz, 1H), 5.20-4.93 (m, 1H), 4.82 (d, J = 17.6 Hz, 1H), 4.39 (d, J = 17.6 Hz, 1H), 3.92 (dd, J = 1.6, 12.8 Hz, 1H), 3.56 (d, J = 13.2 Hz, 1H), 1.76-1.69 (m, 1H), 1.61-1.41 (m, 3H), 1.31-1.23 (m, 2H). Example 4 N-(3-cis-hydroxy-3-methylcyclobutyl)-2-[(2'R,4S)-2'-fluoro-6 -(1-fluorocyclopropyl)-1-oxospiro[3H- isoquinoline-4,1'-cyclopropane]-2-yl]acetamide (4) [0298] To a solution of 2-((1S,2R)-2-fluoro-1'-oxo-6'-(1-fluorocyclopropyl)-1'H-spir o[cyclopropane- 1,4'-isoquinolin]-2'(3'H)-yl)acetic acid (30 mg, 0.10 mmol, Int.7) in DMF (1.5 mL) were added 3-cis- amino-1-methylcyclobutanol HCl salt (27 mg, 0.19 mmol), DIPEA (63 mg, 0.49 mmol), HOBt (20 mg, 0.15 mmol), and EDCI (28 mg, 0.15 mmol). The mixture was stirred at 20 °C for 12 h. The reaction mixture was poured into H 2 O (10 mL) and extracted with EtOAc (4 × 5 mL). The combined organic layers were washed with brine (2 × 10 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC. LCMS: m/z = 391.1 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 8.12 (d, J = 8.0 Hz, 1H), 7.02 (d, J = 8.0 Hz, 1H), 6.73 (s, 1H), 6.54 (br d, J = 7.2 Hz, 1H), 4.71-4.48 (m, 1H), 4.39 (d, J = 16.0 Hz, 1H), 4.13-3.92 (m, 3H), 3.47 (d, J = 12.8 Hz, 1H), 2.57-2.45 (m, 2H), 2.11 (br s, 1H), 2.07-1.97 (m, 2H), 1.78-1.68 (m, 1H), 1.60-1.52 (m, 2H), 1.43-1.29 (m, 4H), 1.17-1.06 (m, 2H). Example 5 N-(3-cis-hydroxy-3-methylcyclobutyl)-2-[(2's,4r)-2',5-difluo ro-6-iodo-1-oxospiro[3H-isoquinoline- 4,1'-cyclopropane]-2-yl]acetamide (5) [0299] To a solution of 2-[(2's,4r)-2',5-difluoro-6-iodo-1-oxospiro[3H-isoquinoline- 4,1'-cyclopropane]- 2-yl]acetic acid (140 mg, 0.36 mmol, Int.18) in DMF (1.5 mL) were added 3-cis-amino-1- methylcyclobutanol HCl salt (98 mg, 0.71 mmol), DIPEA (230 mg, 1.78 mmol), HOBt (72 mg, 0.53 mmol), and EDCI (102 mg, 0.53 mmol). The mixture was stirred at 20 °C for 12 h. The reaction mixture was poured into H 2 O (3 mL) and extracted with EtOAc (3 × 5 mL). The combined organic layers were washed with brine (2 × 10 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC. LCMS: m/z = 477.0 [M+H] + . 1 H NMR (400 MHz, CDCl 3 ): δ 7.81-7.75 (m, 1H), 7.73-7.68 (m, 1H), 6.48 (br d, J = 7.2 Hz, 1H), 5.34-5.08 (m, 1H), 4.17 (s, 2H), 4.05-3.95 (m, 1H), 3.90 (dd, J = 2.4, 13.2 Hz, 1H), 3.55 (d, J = 13.2 Hz, 1H), 2.51 (ddd, J = 3.2, 8.0, 10.4 Hz, 2H), 2.18 (s, 1H), 2.07-1.97 (m, 3H), 1.51-1.39 (m, 1H), 1.37 (s, 3H). Example 6 N-(3-cis-hydroxy-3-methylcyclobutyl)-2-[(2's,4r)-2',5-difluo ro-6-cyclopropyl-1-oxospiro[3H- isoquinoline-4,1'-cyclopropane]-2-yl]acetamide (6) [0300] To a solution of 2-[(2's,4r)-6-cyclopropyl-2',5-difluoro-1-oxo-spiro[3H-isoqu inoline-4,1'- cyclopropane]-2-yl]acetic acid (50 mg, 0.16 mmol, Int.17) in DMF (1.0 mL) were added 3-cis-amino-1- methylcyclobutanol HCl salt (45 mg, 0.33 mmol), DIPEA (110 mg, 0.82 mmol), HOBt (33 mg, 0.25 mmol), and EDCI (47 mg, 0.25 mmol). The mixture was stirred at 20 °C for 12 h. The reaction mixture was poured into H2O (5 mL) and extracted with EtOAc (3 × 2 mL). The combined organic layers were washed with brine (3 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC. LCMS: m/z = 391.1 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 7.85 (d, J = 8.0 Hz, 1H), 6.83 (t, J = 7.6 Hz, 1H), 6.62 (br d, J = 7.2 Hz, 1H), 5.37-5.13 (m, 1H), 4.27-4.08 (m, 2H), 4.04-3.91 (m, 1H), 3.87 (dd, J = 13.2, 2.4 Hz, 1H), 3.53 (d, J = 12.8 Hz, 1H), 2.56-2.44 (m, 2H), 2.32 (s, 1H), 2.12-1.95 (m, 4H), 1.41-1.36 (m, 4H), 1.10-1.02 (m, 2H), 0.80-0.72 (m, 2H). Example 7 N-(5-chloropyrimidin-2-yl)-2-(6-iodo-1-oxo-4-(trifluoromethy l)-3,4-dihydroisoquinolin-2(1H)- yl)acetamide (7) [0301] To a solution of a single isomer of methyl 2-(6-iodo-1-oxo-4-(trifluoromethyl)-3,4- dihydroisoquinolin-2(1H)-yl)acetate (100 mg, 0.24 mmol, Int.20b) in DCE (2.0 mL) were added 5- chloropyrimidin-2-amine (38 mg, 0.30 mmol) and AlMe3 (1 M in n-heptane, 0.37 mL). The reaction mixture was stirred at 90 °C for 1.5 h. The reaction mixture was cooled to ambient temperature, diluted with water (6 mL), and extracted with EtOAc (3 × 6 mL). The combined organic layers were washed with brine (6 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC to provide the title compound as a single unassigned enantiomer. LCMS: m/z = 510.9, 512.9 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 8.61 (br s, 1H), 8.55 (s, 2H), 7.93-7.90 (m, 2H), 7.76 (s, 1H), 5.20-5.14 (m, 1H), 4.33 (d, J = 16.8 Hz, 1H), 4.28 (br dd, J = 4.4, 13.6 Hz, 1H), 3.84 (dd, J = 4.0, 13.6 Hz, 1H), 3.62-3.56 (m, 1H). Examples 8 and 9 2-(6-iodo-1-oxo-4-(trifluoromethyl)-3,4-dihydroisoquinolin-2 (1H)-yl)-N-(5-methylpyrimidin-2- yl)acetamide (8) and 2-(6-methyl-1-oxo-4-(trifluoromethyl)-3,4-dihydroisoquinolin -2(1H)-yl)-N-(5- methylpyrimidin-2-yl)acetamide (9) [0302] To a solution of a single isomer of methyl 2-(6-iodo-1-oxo-4-(trifluoromethyl)-3,4- dihydroisoquinolin-2(1H)-yl)acetate (100 mg, 0.24 mol, Int.20b) in DCE (1.0 mL) were added 5- methylpyrimidin-2-amine (32 mg, 0.30 mmol) and AlMe3 (1 M in n-heptane, 0.37 mL). The reaction mixture was stirred at 90 °C for 2 h. The reaction mixture was cooled to ambient temperature, diluted with water (6 mL), and extracted with EtOAc (3 × 6 mL). The combined organic layers were washed with brine (6 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure to provide the title compounds as a single unassigned enantiomers. The residue was purified by reverse- phase preparative HPLC to provide: [0303] 2-(6-iodo-1-oxo-4-(trifluoromethyl)-3,4-dihydroisoquinolin-2 (1H)-yl)-N-(5- methylpyrimidin-2-yl)acetamide (8): LCMS: m/z = 490.9 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 8.63 (br s, 1H), 8.45 (s, 2H), 7.94 (m, 2H), 7.77 (s, 1H), 5.32-5.26 (m, 1H), 4.38 (d, J = 17.2 Hz, 1H), 4.31 (br dd, J = 4.0, 13.6 Hz, 1H), 3.84 (dd, J = 2.0, 14.0 Hz, 1H), 3.64-3.56 (m, 1H), 2.23 (s, 3H). [0304] 2-(6-methyl-1-oxo-4-(trifluoromethyl)-3,4-dihydroisoquinolin -2(1H)-yl)-N-(5- methylpyrimidin-2-yl)acetamide (9): LCMS: m/z = 379.1 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 8.62 (br s, 1H), 8.43 (s, 2H), 8.11 (d, J = 8.0 Hz, 1H), 7.34 (br d, J = 8.0 Hz, 1H), 7.17 (s, 1H), 5.22-5.09 (m, 1H), 4.36 (d, J = 16.8 Hz, 1H), 4.25 (br dd, J = 4.8, 13.6 Hz, 1H), 3.85 (br d, J = 12.8 Hz, 1H), 3.61-3.54 (m, 1H), 2.44 (s, 3H), 2.28 (s, 3H). Examples 10 and 11 N-(3-cis-hydroxy-3-methylcyclobutyl)-2-(6-iodo-1-oxo-4-(trif luoromethyl)-3,4-dihydroisoquinolin- 2(1H)-yl)acetamide (10 and 11) [0305] To a solution of 2-(6-iodo-1-oxo-4-(trifluoromethyl)-3,4-dihydroisoquinolin-2 (1H)-yl)acetic acid (150 mg, 0.38 mmol, Int.21) in DMF (2.0 mL) were added 3-cis-amino-1-methylcyclobutanol HCl salt (103 mg, 0.76 mmol), DIPEA (242 mg, 1.88 mmol), HOBt (76 mg, 0.56 mmol), and EDCI (108 mg, 0.56 mmol). The mixture was stirred at 20 °C for 12 h. The reaction mixture was poured into H2O (5 mL) and extracted with EtOAc (3 × 5 mL). The combined organic layers were washed with brine (2 × 10 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC and further purified by chiral SFC (Column: REGIS(s,s) WHELK-O1 (250 mm × 30 mm × 10 µm particle size); Mobile phase: A: CO 2 B: 0.1% NH 4 OH in EtOH; Gradient: B%: 40% isocratic; Flow rate: 70 g/min; Detection Wavelength: 220 nm; Column temperature: 35 °C; System back pressure: 120 bar) to provide: [0306] N-(3-cis-hydroxy-3-methylcyclobutyl)-2-(6-iodo-1-oxo-4-(trif luoromethyl)-3,4- dihydroisoquinolin-2(1H)-yl)acetamide (first eluting isomer, 10): LCMS: m/z = 483.0 [M+H] + . [0307] N-(3-cis-hydroxy-3-methylcyclobutyl)-2-(6-iodo-1-oxo-4-(trif luoromethyl)-3,4- dihydroisoquinolin-2(1H)-yl)acetamide (second eluting isomer, 11): LCMS: m/z = 482.9 [M+H] + . Examples 12 and 13 2-[(2's,4r)-2',5-difluoro-1-oxo-6-(trifluoromethyl)spiro[3H- isoquinoline-4,1'-cyclopropane]-2-yl]-N- (5-chloropyrimidin-2-yl)acetamide (12 and 13) [0308] To a solution of methyl 2-[(2's,4r)-2'-fluoro-1-oxo-6-(trifluoromethyl)spiro[3H-isoq uinoline-4,1'- cyclopropane]-2-yl]acetate (70 mg, 0.20 mmol, Int.24) in DCE (2.0 mL) were added 5-chloropyrimidin- 2-amine (31 mg, 0.24 mmol) and AlMe3 (1 M in n-heptane, 0.30 mL). The reaction mixture was stirred at 60 °C for 16 h. The reaction mixture was cooled to 0 °C, diluted with H2O (10 mL), and extracted with EtOAc (4 × 15 mL). The combined organic layers were washed with brine (3 × 10 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC and further purified by chiral SFC (Column: Chiralpak IG-3 (50 mm × 4.6 mm × 3 µm particle size); Mobile phase: A: CO2 B: 0.1% i-PrNH2 in i-PrOH; Gradient: B%: 50% isocratic; Flow rate: 3.4 mL/min; Detection Wavelength: 220 nm; Column temperature: 35 °C; System back pressure: 1800 psi) to provide: [0309] 2-[(2's,4r)-2',5-difluoro-1-oxo-6-(trifluoromethyl)spiro[3H- isoquinoline-4,1'-cyclopropane]- 2-yl]-N-(5-chloropyrimidin-2-yl)acetamide (first eluting isomer, 12): LCMS: m/z = 447.0, 449.0 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 8.70 (br s, 1H), 8.56 (br s, 2H), 8.12 (d, J = 8.0 Hz, 1H), 7.62- 7.57 (m, 1H), 5.45-5.26 (m, 1H), 5.07 (br d, J = 16.4 Hz, 1H), 4.54 (br d, J = 17.2 Hz, 1H), 3.96 (dd, J = 2.8, 13.2 Hz, 1H), 3.70 (d, J = 13.2 Hz, 1H), 2.03 (td, J = 7.6, 11.6 Hz, 1H), 1.61-1.50 (m, 1H). [0310] 2-[(2's,4r)-2',5-difluoro-1-oxo-6-(trifluoromethyl)spiro[3H- isoquinoline-4,1'-cyclopropane]- 2-yl]-N-(5-chloropyrimidin-2-yl)acetamide (second eluting isomer, 13): LCMS: m/z = 447.0, 449.0 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 8.74 (br s, 1H), 8.56 (br s, 2H), 8.11 (d, J = 8.4 Hz, 1H), 7.62 (t, J = 7.2 Hz, 1H), 5.45-5.27 (m, 1H), 5.07 (br d, J = 16.8 Hz, 1H), 4.54 (br d, J = 17.2 Hz, 1H), 3.94 (dd, J = 2.0, 13.2 Hz, 1H), 3.70 (d, J = 12.8 Hz, 1H), 2.03 (td, J = 6.8, 11.2 Hz, 1H), 1.59-1.51 (m, 1H). Examples 14 and 15 N-(5-chloropyrimidin-2-yl)-2-[1',1',5-trifluoro-6-(trifluoro methyl)-1-oxospiro[3H-isoquinoline-4,2'- cyclopropane]-2-yl]acetamide (14 and 15) [0311] To a solution of methyl 2-(2,2,5'-trifluoro-1'-oxo-6'-(trifluoromethyl)-1'H-spiro[cy clopropane- 1,4'-isoquinolin]-2'(3'H)-yl)acetate (120 mg, 0.33 mmol) in DCE (2.0 mL) were added 5- chloropyrimidin-2-amine (51 mg, 0.39 mmol) and AlMe 3 (1 M in n-heptane, 0.49 mL). The reaction mixture was stirred at 90 °C for 2 h. The reaction mixture was diluted with H 2 O (12 mL) and extracted with EtOAc (3 × 12 mL). The combined organic layers were washed with brine (12 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC and further purified by chiral SFC (Column: REGIS(s,s) WHELK-O1 (250 mm × 30 mm × 10 µm particle size); Mobile phase: A: CO2 B: 0.1% NH4OH in i-PrOH; Gradient: B%: 32% isocratic; Flow rate: 70 g/min; Detection Wavelength: 220 nm; Column temperature: 35 °C; System back pressure: 120 bar) to provide: [0312] N-(5-chloropyrimidin-2-yl)-2-[1',1',5-trifluoro-6-(trifluoro methyl)-1-oxospiro[3H- isoquinoline-4,2'-cyclopropane]-2-yl]acetamide (first eluting isomer, 14): LCMS: m/z = 465.0, 467.0 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 8.55 (s, 2H), 8.54-8.47 (m, 1H), 8.13 (d, J = 8.0 Hz, 1H), 7.70 (t, J = 7.3 Hz, 1H), 5.41-5.26 (m, 1H), 4.50 (dd, J = 6.4, 12.8 Hz, 1H), 4.28 (d, J = 17.6 Hz, 1H), 3.12 (br d, J = 13.2 Hz, 1H), 3.04-2.92 (m, 1H), 1.72-1.61 (m, 1H). [0313] N-(5-chloropyrimidin-2-yl)-2-[1',1',5-trifluoro-6-(trifluoro methyl)-1-oxospiro[3H- isoquinoline-4,2'-cyclopropane]-2-yl]acetamide (second eluting isomer, 15): LCMS: m/z = 465.0, 467.0 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 8.64 (br s, 1H), 8.56 (s, 2H), 8.13 (d, J = 8.4 Hz, 1H), 7.73-7.66 (m, 1H), 5.42-5.25 (m, 1H), 4.50 (dd, J = 6.8, 13.2 Hz, 1H), 4.28 (d, J = 17.2 Hz, 1H), 3.16- 3.07 (m, 1H), 3.04-2.93 (m, 1H), 1.72-1.61 (m, 1H). Examples 16 and 17 N-(5-chloropyrimidin-2-yl)-2-[6-bromo-1',1'-difluoro-1-oxosp iro[3H-isoquinoline-4,2'- cyclopropane]-2-yl]acetamide (16 and 17) [0314] N-(5-chloropyrimidin-2-yl)-2-[6-bromo-1',1'-difluoro-1-oxosp iro[3H-isoquinoline-4,2'- cyclopropane]-2-yl]acetamide: To a mixture of 5-chloropyrimidin-2-amine (72 mg, 0.56 mmol) in toluene (4.0 mL) was added AlMe 3 (1 M in n-heptane, 0.56 mL). The reaction mixture was allowed to stir for 50 min at 25 °C before the addition of a solution of methyl 2-(6'-bromo-2,2-difluoro-1'-oxo-1'H- spiro[cyclopropane-1,4'-isoquinolin]-2'(3'H)-yl)acetate (100 mg, 0.28 mmol) in toluene (1.0 mL). The reaction mixture was then stirred at 90 °C for 2 h. The reaction mixture was diluted with water (4 mL) and extracted with EtOAc (3 × 2 mL). The combined organics were washed with brine (3 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC and further purified by chiral SFC (Column: Chiralpak AD-3 (50 mm × 4.6 mm × 3 µm particle size); Mobile phase: A: CO 2 B: 0.1% i-PrNH 2 in EtOH; Gradient: B%: 50% isocratic; Flow rate: 4 mL/min; Detection Wavelength: 220 nm; Column temperature: 35 °C; System back pressure: 1800 psi) to provide: [0315] N-(5-chloropyrimidin-2-yl)-2-[6-bromo-1',1'-difluoro-1-oxosp iro[3H-isoquinoline-4,2'- cyclopropane]-2-yl]acetamide (first eluting isomer, 16): LCMS: m/z = 456.9, 458.9, 460.9 [M+H] + . 1 H NMR (400 MHz, CDCl 3 ): δ 8.89 (br s, 1H), 8.58 (s, 2H), 8.09 (d, J = 8.4 Hz, 1H), 7.63 (dd, J = 1.6, 8.4 Hz, 1H), 7.25 (s, 1H), 5.21-5.16 (m, 1H), 4.37 (br d, J = 16.8 Hz, 1H), 4.24 (dd, J = 5.6, 12.8 Hz, 1H), 3.46 (d, J = 12.4 Hz, 1H), 2.13-2.09 (m, 1H), 1.79-1.73 (m, 1H). [0316] N-(5-chloropyrimidin-2-yl)-2-[6-bromo-1',1'-difluoro-1-oxosp iro[3H-isoquinoline-4,2'- cyclopropane]-2-yl]acetamide (second eluting isomer, 17): LCMS: m/z = 456.9, 458.9, 460.9 [M+H] + . 1 H NMR (400 MHz, CDCl 3 ): δ 9.02 (br s, 1H), 8.59 (s, 2H), 8.10 (d, J = 8.4 Hz, 1H), 7.62 (br d, J = 8.4 Hz, 1H), 7.25 (s, 1H), 5.22-5.17 (m, 1H), 4.38 (br d, J = 17.2 Hz, 1H), 4.24 (br dd, J = 5.2, 12.8 Hz, 1H), 3.46 (br d, J = 12.8 Hz, 1H), 2.15-2.09 (m, 1H), 1.79-1.71 (m, 1H). Examples 18 and 19 N-(5-methylpyrimidin-2-yl)-2-[6-bromo-1',1'-difluoro-1-oxosp iro[3H-isoquinoline-4,2'- cyclopropane]-2-yl]acetamide (18 and 19) [0317] To a solution of methyl 2-(6'-bromo-2,2-difluoro-1'-oxo-1'H-spiro[cyclopropane-1,4'- isoquinolin]-2'(3'H)-yl)acetate (100 mg, 0.28 mmol) and 5-methylpyrimidin-2-amine (91 mg, 0.83 mmol) in DCE (2.0 mL) was added AlMe3 (1 M in n-heptane, 0.80 mL). The reaction mixture was stirred at 60 °C for 4 h. The reaction mixture was cooled to 0 °C, diluted with water (8 mL), and extracted with EtOAc (3 × 5 mL). The combined organic layers were washed with brine (15 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC and further purified by chiral SFC (Column: REGIS(s,s) WHELK-O1 (250 mm × 30 mm × 10 µm particle size); Mobile phase: A: CO 2 B: 0.1% NH 4 OH in EtOH; Gradient: B%: 50% isocratic; Flow rate: 70 g/min; Detection Wavelength: 220 nm; Column temperature: 35 °C; System back pressure: 120 bar) to provide: [0318] N-(5-methylpyrimidin-2-yl)-2-[6-bromo-1',1'-difluoro-1-oxosp iro[3H-isoquinoline-4,2'- cyclopropane]-2-yl]acetamide (first eluting isomer, 18): LCMS: m/z = 436.9, 438.9 [M+H] + . 1 H NMR (400 MHz, CDCl 3 ): δ 9.34 (br s, 1H), 8.46 (s, 2H), 8.07 (d, J = 8.2 Hz, 1H), 7.57 (dd, J = 1.8, 8.2 Hz, 1H), 7.23 (d, J = 1.6 Hz, 1H), 5.30 (br d, J = 14.8 Hz, 1H), 4.38 (br d, J = 17.2 Hz, 1H), 4.19 (dd, J = 5.2, 12.8 Hz, 1H), 3.42 (d, J = 12.8 Hz, 1H), 2.28 (s, 3H), 2.09-2.05 (m, 1H), 1.75-1.71 (m, 1H). [0319] N-(5-methylpyrimidin-2-yl)-2-[6-bromo-1',1'-difluoro-1-oxosp iro[3H-isoquinoline-4,2'- cyclopropane]-2-yl]acetamide (second eluting isomer, 19): LCMS: m/z = 436.9, 438.9 [M+H] + . 1 H NMR (400 MHz, CDCl 3 ): δ 9.20 (s, 1H), 8.45 (s, 2H), 8.07 (d, J = 8.4 Hz, 1H), 7.57 (dd, J = 1.6, 8.4 Hz, 1H), 7.23 (d, J = 1.2 Hz, 1H), 5.29 (br d, J = 16.4 Hz, 1H), 4.38 (br d, J = 17.2 Hz, 1H), 4.19 (dd, J = 5.4, 12.8 Hz, 1H), 3.42 (d, J = 13.2 Hz, 1H), 2.28 (s, 3H), 2.09-2.04 (m, 1H), 1.75-1.71 (m, 1H). Examples 20 and 21 N-(3-cis-hydroxy-3-methylcyclobutyl)-2-[6-bromo-1',1'-difluo ro-1-oxospiro[3H-isoquinoline-4,2'- cyclopropane]-2-yl]acetamide (20 and 21) [0320] To a solution of 2-(6-bromo-1',1'-difluoro-1-oxo-spiro[3H-isoquinoline-4,2'-c yclopropane]-2- yl)acetic acid (100 mg, 0.29 mmol) in DMF (1.0 mL) at 0 °C were added 3-cis-amino-1- methylcyclobutanol HCl salt (101 mg, 0.58 mmol), HOBt (59 mg, 0.44 mmol), DIPEA (187 mg, 1.44 mmol), and EDCI (83 mg, 0.44 mmol). The reaction mixture was stirred at 25 °C for 12 h. The reaction mixture was poured into H 2 O (3 mL) and extracted with EtOAc (3 × 5 mL). The combined organic layers were dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC and further purified by chiral SFC (Column: REGIS(s,s) WHELK-O1 (250 mm × 30 mm × 10 µm particle size); Mobile phase: A: CO2 B: i-PrOH (0.1% i-PrNH2, v/v); Gradient: B%: 33% isocratic; Flow rate: 3.4 mL/min; Detection Wavelength: 220 nm; Column temperature: 35 °C; System back pressure: 2000 psi) to provide: [0321] N-(3-cis-hydroxy-3-methylcyclobutyl)-2-[6-bromo-1',1'-difluo ro-1-oxospiro[3H- isoquinoline-4,2'-cyclopropane]-2-yl]acetamide (first eluting isomer, 20): LCMS: m/z = 429.0, 430.9 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 8.03 (d, J = 8.4 Hz, 1H), 7.59 (dd, J = 2.0, 8.4 Hz, 1H), 7.21 (d, J = 1.2 Hz, 1H), 6.49 (br d, J = 7.2 Hz, 1H), 4.18 (s, 2H), 4.07 (dd, J = 6.0, 13.2 Hz, 1H), 4.01-3.94 (m, 1H), 3.41 (dd, J = 1.2, 13.2 Hz, 1H), 2.56-2.48 (m, 2H), 2.18-2.09 (m, 2H), 2.07-1.99 (m, 2H), 1.72-1.70 (m, 1H), 1.37 (s, 3H). [0322] N-(3-cis-hydroxy-3-methylcyclobutyl)-2-[6-bromo-1',1'-difluo ro-1-oxospiro[3H- isoquinoline-4,2'-cyclopropane]-2-yl]acetamide (second eluting isomer, 21): LCMS: m/z = 429.0, 430.9 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 8.03 (d, J = 8.4 Hz, 1H), 7.60 (dd, J = 2.0, 8.4 Hz, 1H), 7.21 (d, J = 1.6 Hz, 1H), 6.48 (br d, J = 7.2 Hz, 1H), 4.18 (s, 2H), 4.07 (dd, J = 6.0, 12.8 Hz, 1H), 4.01- 3.93 (m, 1H), 3.41 (dd, J = 1.6, 13.2 Hz, 1H), 2.57-2.48 (m, 2H), 2.16-2.08 (m, 2H), 2.07-1.99 (m, 2H), 1.72-1.70 (m, 1H), 1.37 (s, 3H). Examples 22 and 23 N-(3-cis-hydroxy-3-methylcyclobutyl)-2-[1',1'-difluoro-6-(1- fluorocyclopropyl)-1-oxospiro[3H- isoquinoline-4,2'-cyclopropane]-2-yl]acetamide (22 and 23) [0323] To a solution of 2-(2,2-difluoro-6'-(1-fluorocyclopropyl)-1'-oxo-1'H-spiro[cy clopropane-1,4'- isoquinolin]-2'(3'H)-yl)acetic acid (100 mg, 0.30 mmol) and 3-cis-amino-1-methylcyclobutanol HCl salt (47 mg, 0.46 mmol) in DMF (1.0 mL) were added HOBt (62 mg, 0.46 mmol), DIPEA (119 mg, 0.90 mmol), and EDCI (88 mg, 0.46 mmol). The reaction mixture was stirred at 20 °C for 2 h. The reaction mixture was cooled to 0 °C, poured into H2O (5 mL), and extracted with EtOAc (3 × 5 mL). The combined organic layers were washed with brine (10 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC and further purified by chiral SFC (Column: REGIS(s,s) WHELK-O1 (250 mm × 30 mm × 10 µm particle size); Mobile phase: A: CO2 B: 0.1% NH4OH in EtOH; Gradient: B%: 30% isocratic; Flow rate: 65 g/min; Detection Wavelength: 220 nm; Column temperature: 35 °C; System back pressure: 100 bar) to provide: [0324] N-(3-cis-hydroxy-3-methylcyclobutyl)-2-[1',1'-difluoro-6-(1- fluorocyclopropyl)-1- oxospiro[3H-isoquinoline-4,2'-cyclopropane]-2-yl]acetamide (first eluting isomer, 22): LCMS: m/z = 409.1 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 8.14 (d, J = 8.0 Hz, 1H), 7.12 (d, J = 8.0 Hz, 1H), 7.04 (s, 1H), 6.54 (br d, J = 7.2 Hz, 1H), 4.29-4.12 (m, 2H), 4.08 (dd, J = 6.0, 12.8 Hz, 1H), 3.98 (d, J = 8.0 Hz, 1H), 3.46-3.34 (m, 1H), 2.57-2.45 (m, 2H), 2.25-2.11 (m, 2H), 2.04-2.02 (m, 2H), 1.74-1.53 (m, 3H), 1.37 (s, 3H), 1.20-1.10 (m, 2H). [0325] N-(3-cis-hydroxy-3-methylcyclobutyl)-2-[1',1'-difluoro-6-(1- fluorocyclopropyl)-1- oxospiro[3H-isoquinoline-4,2'-cyclopropane]-2-yl]acetamide (second eluting isomer, 23): LCMS: m/z = 409.1 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 8.14 (d, J = 8.0 Hz, 1H), 7.12 (d, J = 8.4 Hz, 1H), 7.04 (s, 1H), 6.54 (br d, J = 7.2 Hz, 1H), 4.29-4.12 (m, 2H), 4.08 (dd, J = 6.0, 12.8 Hz, 1H), 3.98 (d, J = 8.0 Hz, 1H), 3.40 (d, J = 12.8 Hz, 1H), 2.57-2.46 (m, 2H), 2.25-2.11 (m, 2H), 2.08-1.98 (m, 2H), 1.79- 1.49 (m, 3H), 1.37 (s, 3H), 1.16-1.11 (m, 2H). Examples 24 and 25 N-(5-methylpyrimidin-2-yl)-2-[1',1'-difluoro-6-(1-fluorocycl opropyl)-1-oxospiro[3H-isoquinoline- 4,2'-cyclopropane]-2-yl]acetamide (24 and 25) [0326] To a solution of 5-methylpyrimidin-2-amine (39 mg, 0.35 mmol) in DCE (0.5 mL) was added AlMe3 (1 M in n-heptane, 0.44 mL). The reaction mixture was stirred at 20 °C for 0.5 h prior to the addition of a solution of methyl 2-(2,2-difluoro-6'-(1-fluorocyclopropyl)-1'-oxo-1'H-spiro[cy clopropane- 1,4'-isoquinolin]-2'(3'H)-yl)acetate (100 mg, 294.72 μmol) in DCE (1.0 mL). The reaction mixture was stirred at 70 °C for a further 4 h. The reaction mixture was diluted with H2O (10 mL) and extracted with EtOAc (3 × 10 mL). The combined organic layers were dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC and further purified by chiral SFC (Column: REGIS(s,s) WHELK-O1 (250 mm × 30 mm × 10 µm particle size); Mobile phase: A: CO2 B: 0.1% NH4OH in EtOH; Gradient: B%: 37% isocratic; Flow rate: 70 g/min; Detection Wavelength: 220 nm; Column temperature: 35 °C; System back pressure: 120 bar) to provide: [0327] N-(5-methylpyrimidin-2-yl)-2-[1',1'-difluoro-6-(1-fluorocycl opropyl)-1-oxospiro[3H- isoquinoline-4,2'-cyclopropane]-2-yl]acetamide (first eluting isomer, 24): LCMS: m/z = 417.1 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 8.54 (br s, 1H), 8.43 (s, 2H), 8.18 (d, J = 8.4 Hz, 1H), 7.12 (d, J = 8.4 Hz, 1H), 7.06 (s, 1H), 5.29-5.10 (m, 1H), 4.34 (br d, J = 17.2 Hz, 1H), 4.21 (br dd, J = 5.6, 12.8 Hz, 1H), 3.42 (br d, J = 13.2 Hz, 1H), 2.28 (s, 3H), 2.17-2.14 (m, 1H), 1.77-1.65 (m, 1H), 1.64-1.59 (m, 1H), 1.58 (br s, 1H), 1.20-1.08 (m, 2H). [0328] N-(5-methylpyrimidin-2-yl)-2-[1',1'-difluoro-6-(1-fluorocycl opropyl)-1-oxospiro[3H- isoquinoline-4,2'-cyclopropane]-2-yl]acetamide (second eluting isomer, 25): LCMS: m/z = 417.1 [M+H] + . 1 H NMR (400 MHz, CDCl 3 ): δ 8.54 (br s, 1H), 8.43 (s, 2H), 8.19 (d, J = 7.6 Hz, 1H), 7.12 (d, J = 8.0 Hz, 1H), 7.06 (s, 1H), 5.31-5.08 (m, 1H), 4.34 (br d, J = 16.8 Hz, 1H), 4.21 (dd, J = 6.0, 12.8 Hz, 1H), 3.43 (d, J = 12.4 Hz, 1H), 2.28 (s, 3H), 2.21-2.10 (m, 1H), 1.72-1.56 (m, 3H), 1.19-1.11 (m, 2H). Examples 26 and 27 N-(5-fluoropyrimidin-2-yl)-2-[1',1'-difluoro-6-(1-fluorocycl opropyl)-1-oxospiro[3H-isoquinoline- 4,2'-cyclopropane]-2-yl]acetamide (26 and 27) [0329] To a solution of 2-(2,2-difluoro-6'-(1-fluorocyclopropyl)-1'-oxo-1'H-spiro[cy clopropane-1,4'- isoquinolin]-2'(3'H)-yl)acetic acid (0.16 g, 0.49 mmol) in pyridine (4.0 mL) were added 5- fluoropyrimidin-2-amine (111 mg, 0.98 mmol) and EDCI (189 mg, 0.98 mmol). The reaction mixture was stirred at 25 °C for 2 h. The reaction mixture was diluted with H 2 O (5 mL) and extracted with EtOAc (3 × 5 mL). The combined organic layers were dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC and further purified by chiral SFC (Column: REGIS(s,s) WHELK-O1 (250 mm × 30 mm × 10 µm particle size); Mobile phase: A: CO 2 B: 0.1% NH 4 OH in EtOH; Gradient: B%: 33% isocratic; Flow rate: 70 g/min; Detection Wavelength: 220 nm; Column temperature: 35 °C; System back pressure: 120 bar) to provide: [0330] N-(5-fluoropyrimidin-2-yl)-2-[1',1'-difluoro-6-(1-fluorocycl opropyl)-1-oxospiro[3H- isoquinoline-4,2'-cyclopropane]-2-yl]acetamide (first eluting isomer, 26): LCMS: m/z = 421.1 [M+H] + . 1 H NMR (400 MHz, CDCl 3 ): δ 8.76 (br s, 1H), 8.48 (s, 2H), 8.19 (d, J = 8.0 Hz, 1H), 7.12 (d, J = 8.0 Hz, 1H), 7.06 (s, 1H), 5.14-4.98 (m, 1H), 4.31 (d, J = 16.4 Hz, 1H), 4.21 (dd, J = 6.0, 12.8 Hz, 1H), 3.44 (d, J = 13.2 Hz, 1H), 2.21-2.15 (m, 1H), 1.71-1.63 (m, 1H), 1.65-1.57 (m, 2H), 1.19-1.10 (m, 2H). [0331] N-(5-fluoropyrimidin-2-yl)-2-[1',1'-difluoro-6-(1-fluorocycl opropyl)-1-oxospiro[3H- isoquinoline-4,2'-cyclopropane]-2-yl]acetamide (second eluting isomer, 27): LCMS: m/z = 421.1 [M+H] + . 1 H NMR (400 MHz, CDCl 3 ): δ 8.76 (br s, 1H), 8.48 (s, 2H), 8.19 (d, J = 8.0 Hz, 1H), 7.12 (d, J = 8.0 Hz, 1H), 7.06 (s, 1H), 5.14-4.98 (m, 1H), 4.31 (d, J = 16.4 Hz, 1H), 4.21 (dd, J = 6.0, 12.8 Hz, 1H), 3.44 (d, J = 13.2 Hz, 1H), 2.19-2.16 (m, 1H), 1.72-1.69 (m, 1H), 1.65-1.57 (m, 2H), 1.19-1.10 (m, 2H). Examples 28 and 29 N-(5-fluoropyrimidin-2-yl)-2-[6-cyclopropyl-1',1'-difluoro-1 -oxospiro[3H-isoquinoline-4,2'- cyclopropane]-2-yl]acetamide (28 and 29) [0332] To a solution of 2-(6'-cyclopropyl-2,2-difluoro-1'-oxo-1'H-spiro[cyclopropane -1,4'-isoquinolin]- 2'(3'H)-yl)acetic (50 mg, 0.16 mmol) in pyridine (2.0 mL) were added 5-fluoropyrimidin-2-amine (37 mg, 0.32 mmol) and EDCI (94 mg, 0.48 mmol). The reaction mixture was stirred at 20 °C for 2 h. The reaction mixture was diluted with H2O (10 mL) and extracted with EtOAc (3 × 10 mL). The combined organic layers were washed with brine (10 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC and further purified by chiral SFC (Column: REGIS(s,s) WHELK-O1 (250 mm × 30 mm × 10 µm particle size); Mobile phase: A: CO 2 B: 0.1% NH 4 OH in EtOH; Gradient: B%: 50% isocratic; Flow rate: 70 g/min; Detection Wavelength: 220 nm; Column temperature: 35 °C; System back pressure: 120 bar) to provide: [0333] N-(5-fluoropyrimidin-2-yl)-2-[6-cyclopropyl-1',1'-difluoro-1 -oxospiro[3H-isoquinoline-4,2'- cyclopropane]-2-yl]acetamide (first eluting isomer, 28): LCMS: m/z = 403.1 [M+H] + . 1 H NMR (400 MHz, DMSO-d6): δ 10.95 (s, 1H), 8.76 (s, 2H), 7.82 (d, J = 8.0 Hz, 1H), 7.12 (d, J = 7.6 Hz, 1H), 7.01 (s, 1H), 4.83 (br d, J = 17.2 Hz, 1H), 4.17 (br d, J = 17.2 Hz, 1H), 4.10 (br dd, J = 6.8, 12.8 Hz, 1H), 3.34 (br d, J = 13.2 Hz, 1H), 2.73-2.62 (m, 1H), 2.05-1.95 (m, 1H), 1.94-1.84 (m, 1H), 1.09-0.98 (m, 2H), 0.87-0.72 (m, 2H). [0334] N-(5-fluoropyrimidin-2-yl)-2-[6-cyclopropyl-1',1'-difluoro-1 -oxospiro[3H-isoquinoline-4,2'- cyclopropane]-2-yl]acetamide (second eluting isomer, 29): LCMS: m/z = 403.1 [M+H] + . 1 H NMR (400 MHz, DMSO-d 6 ): δ 10.95 (br s, 1H), 8.76 (s, 2H), 7.82 (d, J = 8.0 Hz, 1H), 7.12 (dd, J = 1.2, 8.0 Hz, 1H), 7.01 (s, 1H), 4.83 (br d, J = 17.2 Hz, 1H), 4.17 (br d, J = 17.2 Hz, 1H), 4.10 (br dd, J = 6.8, 13.2 Hz, 1H), 3.36 (s, 1H), 2.73-2.63 (m, 1H), 2.04-1.95 (m, 1H), 1.94-1.84 (m, 1H), 1.08-0.98 (m, 2H), 0.87- 0.73 (m, 2H). Examples 30 and 31 N-([1,2,4]triazolo[1,5-a]pyridin-2-yl)-2-[6-bromo-1',1',5-tr ifluoro-1-oxospiro[3H-isoquinoline-4,2'- cyclopropane]-2-yl]acetamide (30 and 31) [0335] To a solution of 2-[6-bromo-1',1',5-trifluoro-1-oxospiro[3H-isoquinoline-4,2' -cyclopropane]-2- yl]acetic acid (300 mg, 0.82 mmol) and [1,2,4]triazolo[1,5-a]pyridin-2-amine (221 mg, 1.65 mmol) in pyridine (6.0 mL) was added EDCI (315 mg, 1.65 mmol). The reaction mixture was stirred at 20 °C for 2 h. The reaction mixture was diluted with water (10 mL) and extracted with EtOAc (3 × 5 mL). The combined organic layers were washed with brine (10 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC and further purified by chiral SFC (Column: Chiralcel OD-3 (50 mm × 4.6 mm × 3 µm particle size); Mobile phase: A: CO2 B: 0.1% i-PrNH2 in MeOH; Gradient: B%: 40% isocratic; Flow rate: 3.4 mL/min; Detection Wavelength: 220 nm; Column temperature: 35 °C; System back pressure: 1800 psi) to provide: [0336] N-([1,2,4]triazolo[1,5-a]pyridin-2-yl)-2-[6-bromo-1',1',5-tr ifluoro-1-oxospiro[3H- isoquinoline-4,2'-cyclopropane]-2-yl]acetamide (first eluting isomer, 30): LCMS: m/z = 480.0, 482.0 [M+H] + . 1 H NMR (400 MHz, CDCl 3 ): δ 9.75 (br s, 1H), 8.57 (br d, J = 6.4 Hz, 1H), 7.93 (d, J = 8.4 Hz, 1H), 7.74-7.60 (m, 2H), 7.57-7.52 (m, 1H), 7.04-7.00 (m, 1H), 5.12-3.84 (m, 3H), 3.36-3.09 (m, 1H), 3.04-2.84 (m, 1H), 1.71-1.54 (m, 1H). [0337] N-([1,2,4]triazolo[1,5-a]pyridin-2-yl)-2-[6-bromo-1',1',5-tr ifluoro-1-oxospiro[3H- isoquinoline-4,2'-cyclopropane]-2-yl]acetamide (second eluting isomer, 31): LCMS: m/z = 480.0, 482.0 [M+H] + . 1 H NMR (400 MHz, CDCl 3 ): δ 9.70 (br s, 1H), 8.57 (br d, J = 6.8 Hz, 1H), 7.93 (d, J = 8.0 Hz, 1H), 7.73-7.61 (m, 2H), 7.56-7.53 (m, 1H), 7.03-7.00 (m, 1H), 5.24-3.71 (m, 3H), 3.28-3.08 (m, 1H), 2.96-2.91 (m, 1H), 1.67-1.57 (m, 1H). Examples 32 and 33 N-(5-methylpyrimidin-2-yl)-2-[6-bromo-1',1',5-trifluoro-1-ox ospiro[3H-isoquinoline-4,2'- cyclopropane]-2-yl]acetamide (32 and 33) [0338] To a solution of methyl 2-(6'-bromo-2,2,5'-trifluoro-1'-oxo-1'H-spiro[cyclopropane-1 ,4'- isoquinolin]-2'(3'H)-yl)acetate (20 mg, 0.05 mmol) and 5-methylpyrimidin-2-amine (17 mg, 0.15 mmol) in DCE (1.0 mL) was added AlMe 3 (1 M in n-heptane, 0.15 mL). The reaction mixture was stirred at 60 °C for 4 h. The reaction mixture was cooled to 0 °C, diluted with water (8 mL), and extracted with EtOAc (3 × 5 mL). The combined organic layers were washed with brine (15 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC and further purified by chiral SFC (Column: REGIS(s,s) WHELK-O1 (250 mm × 30 mm × 10 µm particle size); Mobile phase: A: CO 2 B: 0.1% NH 4 OH in i-PrOH; Gradient: B%: 50% isocratic; Flow rate: 70 g/min; Detection Wavelength: 220 nm; Column temperature: 35 °C; System back pressure: 120 bar) to provide: [0339] N-(5-methylpyrimidin-2-yl)-2-[6-bromo-1',1',5-trifluoro-1-ox ospiro[3H-isoquinoline-4,2'- cyclopropane]-2-yl]acetamide (first eluting isomer, 32): LCMS: m/z = 455.0, 456.9 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 8.69 (br s, 1H), 8.43 (s, 2H), 7.92 (d, J = 8.4 Hz, 1H), 7.73-7.57 (m, 1H), 5.39 (br s, 1H), 4.48 (dd, J = 6.8, 19.6 Hz, 1H), 4.27 (br d, J = 17.2 Hz, 1H), 3.09 (br d, J = 12.8 Hz, 1H), 2.98-2.88 (m, 1H), 2.28 (s, 3H), 1.63 (br s, 1H). [0340] N-(5-methylpyrimidin-2-yl)-2-[6-bromo-1',1',5-trifluoro-1-ox ospiro[3H-isoquinoline-4,2'- cyclopropane]-2-yl]acetamide (second eluting isomer, 33): LCMS: m/z = 454.9, 456.9 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 8.73 (br s, 1H), 8.43 (s, 2H), 7.92 (d, J = 8.4 Hz, 1H), 7.63 (dd, J = 6.4, 8.4 Hz, 1H), 5.48-5.24 (m, 1H), 4.48 (dd, J = 6.8, 13.2 Hz, 1H), 4.35-4.22 (m, 1H), 3.09 (br d, J = 12.8 Hz, 1H), 2.99-2.87 (m, 1H), 2.28 (s, 3H), 1.59-1.55 (m, 1H). Examples 34 and 35 N-(5-chloropyrimidin-2-yl)-2-[6-cyclopropyl-1',1',5-trifluor o-1-oxospiro[3H-isoquinoline-4,2'- cyclopropane]-2-yl]acetamide (34 and 35) [0341] To a mixture of 5-chloropyrimidin-2-amine (229 mg, 1.77 mmol) in DCE (6.0 mL) was added AlMe3 (1 M in n-heptane, 1.77 mL). The reaction mixture was stirred at 25 °C for 50 min prior to the addition of a solution of methyl 2-(6'-cyclopropyl-2,2,5'-trifluoro-1'-oxo-1'H-spiro[cyclopro pane-1,4'- isoquinolin]-2'(3'H)-yl)acetate (300 mg, 0.88 mmol) in DCE (3.0 mL). The reaction mixture was stirred at 80 °C for 5 h and then heated to 100 °C and stirred for 5 h. The mixture was diluted with water (20 mL) and extracted with EtOAc (3 × 10 mL). The combined organic layers were washed with brine (3 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC and further purified by chiral SFC (Column: Chiralpak AD (250 mm × 30 mm × 10 µm particle size); Mobile phase: A: CO 2 B: 0.1% NH 4 OH in EtOH. Gradient: B%: 50% isocratic; Flow rate: 3.4 mL/min; Detection Wavelength: 220 nm; Column temperature: 35 °C; System back pressure: 1800 psi) to provide: [0342] N-(5-chloropyrimidin-2-yl)-2-[6-cyclopropyl-1',1',5-trifluor o-1-oxospiro[3H-isoquinoline- 4,2'-cyclopropane]-2-yl]acetamide (first eluting isomer, 34): LCMS: m/z = 437.0, 439.0 [M+H] + . 1 H NMR (400 MHz, CDCl 3 ): δ 11.04 (s, 1H), 8.78 (s, 2H), 7.72 (d, J = 8.0 Hz, 1H), 7.08 (t, J = 7.6 Hz, 1H), 4.87 (br d, J = 17.2 Hz, 1H), 4.24 (br dd, J = 7.2, 13.6 Hz, 1H), 4.17 (br d, J = 17.2 Hz, 1H), 3.25 (br d, J = 13.6 Hz, 1H), 2.84 (br t, J = 10.4 Hz, 1H), 2.14-2.04 (m, 1H), 2.04-1.93 (m, 1H), 1.06-1.03 (m, 2H), 0.89-0.71 (m, 2H). [0343] N-(5-chloropyrimidin-2-yl)-2-[6-cyclopropyl-1',1',5-trifluor o-1-oxospiro[3H-isoquinoline- 4,2'-cyclopropane]-2-yl]acetamide (second eluting isomer, 35): LCMS: m/z = 437.0, 439.0 [M+H] + . 1 H NMR (400 MHz, CDCl 3 ): δ 11.04 (s, 1H), 8.78 (s, 2H), 7.72 (d, J = 8.0 Hz, 1H), 7.08 (t, J = 7.6 Hz, 1H), 4.87 (br d, J = 17.2 Hz, 1H), 4.24 (br dd, J = 7.2, 13.2 Hz, 1H), 4.17 (br d, J = 17.2 Hz, 1H), 3.25 (br d, J = 13.2 Hz, 1H), 2.84 (br t, J = 10.4 Hz, 1H), 2.14-2.04 (m, 1H), 2.04-1.93 (m, 1H), 1.06-1.03 (m, 2H), 0.89-0.71 (m, 2H). Examples 36 and 37 N-(5-methylpyrimidin-2-yl)-2-[6-cyclopropyl-1',1',5-trifluor o-1-oxospiro[3H-isoquinoline-4,2'- cyclopropane]-2-yl]acetamide (36 and 37) [0344] To a mixture of 5-methylpyrimidin-2-amine (128 mg, 1.18 mmol) in DCE (5.0 mL) was added AlMe 3 (1 M in n-heptane, 1.18 mL). The reaction mixture was stirred at 25 °C for 60 min prior to the addition of a solution of methyl 2-(6'-cyclopropyl-2,2,5'-trifluoro-1'-oxo-1'H-spiro[cyclopro pane-1,4'- isoquinolin]-2'(3'H)-yl)acetate (200 mg, 0.59 mmol) in DCE (1.0 mL). The reaction mixture was stirred at 80 °C for a further 5 h. The mixture was diluted with water (30 mL) and extracted with EtOAc (3 × 10 mL). The combined organic layers were washed with brine (30 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC and further purified by chiral SFC (Column: REGIS(s,s) WHELK-O1 (100 mm × 4.6 mm × 3 µm particle size); Mobile phase: A: CO2 B: 0.1% i-PrNH2 in EtOH; Gradient: B%: 40% isocratic; Flow rate: 4 mL/min; Detection Wavelength: 220 nm; Column temperature: 35 °C; System back pressure: 1800 psi) to provide: [0345] N-(5-methylpyrimidin-2-yl)-2-[6-cyclopropyl-1',1',5-trifluor o-1-oxospiro[3H-isoquinoline- 4,2'-cyclopropane]-2-yl]acetamide (first eluting isomer, 36): LCMS: m/z = 417.1 [M+H] + . 1 H NMR (400 MHz, CDCl 3 ): δ 8.62 (br s, 1H), 8.43 (s, 2H), 7.92 (d, J = 8.0 Hz, 1H), 6.91 (t, J = 7.2 Hz, 1H), 5.35-5.12 (m, 1H), 4.43 (br dd, J = 7.2, 13.2 Hz, 1H), 4.25 (br d, J = 16.8 Hz, 1H), 3.09 (br d, J = 12.4 Hz, 1H), 3.02-2.91 (m, 1H), 2.28 (s, 3H), 2.16-2.07 (m, 1H), 1.27 (br d, J = 2.8 Hz, 1H), 1.07 (br d, J = 8.4 Hz, 2H), 0.83-0.73 (m, 2H). [0346] N-(5-methylpyrimidin-2-yl)-2-[6-cyclopropyl-1',1',5-trifluor o-1-oxospiro[3H-isoquinoline- 4,2'-cyclopropane]-2-yl]acetamide (second eluting isomer, 37): LCMS: m/z = 417.1 [M+H] + . 1 H NMR (400 MHz, CDCl 3 ): δ 8.69 (br s, 1H), 8.43 (s, 2H), 7.92 (d, J = 8.0 Hz, 1H), 6.90 (t, J = 7.2 Hz, 1H), 5.36-5.10 (m, 1H), 4.43 (br dd, J = 7.2, 13.2 Hz, 1H), 4.25 (br d, J = 17.6 Hz, 1H), 3.09 (br d, J = 12.4 Hz, 1H), 2.97 (br t, J = 10.4 Hz, 1H), 2.28 (s, 3H), 2.18-2.05 (m, 1H), 1.26 (br d, J = 7.2 Hz, 1H), 1.11- 1.01 (m, 2H), 0.85-0.71 (m, 2H). Examples 38 and 39 N-(5-chloropyrimidin-2-yl)-2-[1',1'-difluoro-6-(trifluoromet hyl)-1-oxospiro[3H-isoquinoline-4,2'- cyclopropane]-2-yl]acetamide (38 and 39) [0347] To a mixture of 5-chloropyrimidin-2-amine (223 mg, 1.72 mmol) in DCE (1.0 mL) was added AlMe3 (1 M in n-heptane, 1.72 mL). The reaction mixture was stirred at 25 °C for 30 min prior to the addition of a solution of methyl 2-(2,2-difluoro-1'-oxo-6'-(trifluoromethyl)-1'H-spiro[cyclop ropane-1,4'- isoquinolin]-2'(3'H)-yl)acetate (200 mg, 0.57 mmol) in DCE (1.0 mL). The reaction mixture was stirred at 90 °C for a further 12 h. The mixture was diluted with water (10 mL) and extracted with EtOAc (3 × 10 mL). The combined organic layers were dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC and further purified by chiral SFC (Column: Phenomenex Cellulose-2 (250 mm × 30 mm × 10 µm particle size); Mobile phase: A: CO2 B: 0.1% NH4OH in EtOH; Gradient: B%: 35% isocratic; Flow rate: 65 g/min; Detection Wavelength: 220 nm; Column temperature: 35 °C; System back pressure: 120 bar) to provide: [0348] N-(5-chloropyrimidin-2-yl)-2-[1',1'-difluoro-6-(trifluoromet hyl)-1-oxospiro[3H- isoquinoline-4,2'-cyclopropane]-2-yl]acetamide (first eluting isomer, 38): LCMS: m/z = 447.1, 449.0 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 8.55 (s, 2H), 8.52 (br s, 1H), 8.34 (d, J = 8.0 Hz, 1H), 7.71 (d, J = 8.4 Hz, 1H), 7.33 (s, 1H), 5.31-5.16 (m, 1H), 4.37 (d, J = 17.2 Hz, 1H), 4.23 (dd, J = 5.6, 12.8 Hz, 1H), 3.46 (d, J = 12.8 Hz, 1H), 2.21-2.16 (m, 1H), 1.81-1.77 (m, 1H). [0349] N-(5-chloropyrimidin-2-yl)-2-[1',1'-difluoro-6-(trifluoromet hyl)-1-oxospiro[3H- isoquinoline-4,2'-cyclopropane]-2-yl]acetamide (second eluting isomer, 39): LCMS: m/z = 447.0, 449.0 [M+H] + . 1 H NMR (400 MHz, CDCl 3 ): δ 8.55 (s, 2H), 8.54-8.48 (m, 1H), 8.34 (d, J = 8.0 Hz, 1H), 7.71 (d, J = 8.4 Hz, 1H), 7.33 (s, 1H), 5.34-5.15 (m, 1H), 4.37 (d, J = 17.2 Hz, 1H), 4.23 (dd, J = 5.6, 12.8 Hz, 1H), 3.46 (d, J = 13.6 Hz, 1H), 2.19-2.15 (m, 1H), 1.81-1.77 (m, 1H). Examples 40 and 41 N-(5-fluoropyrimidin-2-yl)-2-[1',1'-difluoro-6-(trifluoromet hyl)-1-oxospiro[3H-isoquinoline-4,2'- cyclopropane]-2-yl]acetamide (40 and 41) [0350] To a mixture of 5-fluoropyrimidin-2-amine (233 mg, 2.06 mmol) in DCE (3.0 mL) was added AlMe3 (1 M in n-heptane, 2.29 mL). The reaction mixture was stirred at 25 °C for 30 min prior to the addition of a solution of methyl 2-(2,2-difluoro-1'-oxo-6'-(trifluoromethyl)-1'H-spiro[cyclop ropane-1,4'- isoquinolin]-2'(3'H)-yl)acetate (400 mg, 1.15 mmol) in DCE (5.0 mL). The reaction mixture was stirred at 85 °C for a further 3 h. The mixture was diluted with water (5 mL) and extracted with EtOAc (3 × 5 mL). The combined organic layers were washed with brine (3 × 3 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC and further purified by chiral SFC (Column: REGIS(s,s) WHELK-O1 (250 mm × 30 mm × 5 µm particle size); Mobile phase: A: CO2 B: 0.1% NH4OH in i-PrOH; Gradient: B%: 30% to 50% over 15 min; Flow rate: 3.4 mL/min; Detection Wavelength: 220 nm; Column temperature: 35 °C; System back pressure: 1800 psi) to provide: [0351] N-(5-fluoropyrimidin-2-yl)-2-[1',1'-difluoro-6-(trifluoromet hyl)-1-oxospiro[3H- isoquinoline-4,2'-cyclopropane]-2-yl]acetamide (first eluting isomer, 40): LCMS: m/z = 431.0 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 8.59 (br s, 1H), 8.49 (s, 2H), 8.34 (d, J = 8.4 Hz, 1H), 7.71 (d, J = 8.0 Hz, 1H), 7.33 (s, 1H), 5.33-5.10 (m, 1H), 4.35 (br d, J = 17.2 Hz, 1H), 4.24 (dd, J = 5.2, 12.4 Hz, 1H), 3.47 (d, J = 13.2 Hz, 1H), 2.21-2.14 (m, 1H), 1.83-1.76 (m, 1H). [0352] N-(5-fluoropyrimidin-2-yl)-2-[1',1'-difluoro-6-(trifluoromet hyl)-1-oxospiro[3H- isoquinoline-4,2'-cyclopropane]-2-yl]acetamide (second eluting isomer, 41): LCMS: m/z = 431.0 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 8.57 (br s, 1H), 8.48 (s, 2H), 8.34 (d, J = 8.0 Hz, 1H), 7.71 (br d, J = 8.0 Hz, 1H), 7.33 (s, 1H), 5.33-5.11 (m, 1H), 4.35 (br d, J = 17.2 Hz, 1H), 4.24 (br dd, J = 5.2, 12.8 Hz, 1H), 3.47 (br d, J = 12.8 Hz, 1H), 2.21-2.14 (m, 1H), 1.83-1.76 (m, 1H). Example 42 2-(6-bromo-1-oxo-spiro[3H-isoquinoline-4,1'-cyclopropane]-2- yl)-N-(1H-pyrazolo[3,4-d]pyrimidin- 6-yl)acetamide (42) [0353] To a solution of methyl 2-(6-bromo-1-oxo-spiro[3H-isoquinoline-4,1'-cyclopropane]-2- yl)acetate (100 mg, 0.31 mmol) and 1H-pyrazolo[3,4-d]pyrimidin-6-amine (63 mg, 0.46 mmol) in DCE (1.0 mL) was added AlMe3 (1 M in n-heptane, 0.92 mmol). The reaction mixture was stirred at 90 °C for 3 h. The reaction mixture was diluted with H2O (5 mL) and extracted with EtOAc (3 × 10 mL). The combined organic layers were dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC. LCMS: m/z = 427.1, 429.1 [M+H] + . 1 H NMR (400 MHz, DMSO-d6): δ 13.79 (br s, 1H), 10.91 (s, 1H), 9.18 (s, 1H), 8.24 (s, 1H), 7.82 (d, J = 8.4 Hz, 1H), 7.53 (dd, J = 1.6, 8.4 Hz, 1H), 7.27 (d, J = 1.6 Hz, 1H), 4.61 (s, 2H), 3.51 (s, 2H), 1.19-1.14 (m, 2H), 1.09-1.03 (m, 2H). Example 43 2-[(2's,4r)-6-chloro-2',5-difluoro-1-oxospiro[3H-isoquinolin e-4,1'-cyclopropane]-2-yl]-N-(5- chloropyrimidin-2-yl)acetamide (43) [0354] To a solution of 5-chloropyrimidin-2-amine (62 mg, 0.45 mmol) in DCE (5.0 mL) was added AlMe3 (1 M in n-heptane, 0.29 mL). The mixture was stirred for 0.5 h and then methyl 2-[(2's,4r)-6- chloro-2',5-difluoro-1-oxo-spiro[3H-isoquinoline-4,1'-cyclop ropane]-2-yl]acetate (30 mg, 0.09 mmol) was added. The mixture was stirred at 60 °C for a further 5 h. The mixture was quenched with H2O (10 mL) and extracted with DCM (3 × 10 mL). The combined organic layers were washed with brine (10 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC. LCMS: m/z = 413.0, 415.0, 417.0 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 11.02 (br s, 1H), 8.78 (s, 2H), 7.85-7.73 (m, 1H), 7.61 (dd, J = 7.0, 8.4 Hz, 1H), 5.67- 5.41 (m, 1H), 4.72 (d, J = 17.2 Hz, 1H), 4.40 (d, J = 17.2 Hz, 1H), 3.87-3.61 (m, 2H), 1.89-1.79 (m, 1H), 1.73-1.61 (m, 1H). Example 44 2-[(2's,4r)-6-chloro-2',5-difluoro-1-oxospiro[3H-isoquinolin e-4,1'-cyclopropane]-2-yl]-N-(5- methylpyrimidin-2-yl)acetamide (44) [0355] To a solution of methyl 2-[(2's,4r)-6-chloro-2',5-difluoro-1-oxo-spiro[3H-isoquinoli ne-4,1'- cyclopropane]-2-yl]acetate (40 mg, 0.13 mmol) in DCE (3.0 mL) were added 5-methylpyrimidin-2- amine (69 mg, 0.63 mmol) and AlMe3 (1 M in n-heptane, 0.38 mL). The mixture was stirred at 60 °C for 4 h. The mixture was quenched with H2O (5 mL) and extracted with DCM (3 × 5 mL). The combined organic layers were washed with brine (5 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC. LCMS: m/z = 392.9, 395.0 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 10.72 (s, 1H), 8.51 (s, 2H), 7.80 (d, J = 8.6 Hz, 1H), 7.66-7.56 (m, 1H), 5.69-5.42 (m, 1H), 4.73 (br d, J = 17.2 Hz, 1H), 4.40 (br d, J = 17.2 Hz, 1H), 3.83-3.76 (m, 1H), 3.71-3.64 (m, 1H), 2.22 (s, 3H), 1.89-1.78 (m, 1H), 1.74-1.61 (m, 1H). Example 45 2-[(2's,4r)-6-chloro-2',5-difluoro-1-oxospiro[3H-isoquinolin e-4,1'-cyclopropane]-2-yl]-N-(1H- pyrazolo[3,4-d]pyrimidin-6-yl)acetamide (45) [0356] To a solution of 1H-pyrazolo[3,4-d]pyrimidin-6-amine (21 mg, 0.16 mmol) in toluene (1.0 mL) were added methyl 2-[(2's,4r)-6-chloro-2',5-difluoro-1-oxo-spiro[3H-isoquinoli ne-4,1'-cyclopropane]-2- yl]acetate (20 mg, 0.06 mmol) and AlMe3 (1 M in n-heptane, 0.19 mL). The mixture was stirred at 90 °C for 4 h. The mixture was quenched with H2O (10 mL) and extracted with DCM (3 × 10 mL). The combined organic layers were washed with brine (10 mL), dried over anhydrous Na2SO4, filtered and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC. LCMS: m/z = 419.0, 421.0 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 9.07 (s, 1H), 8.14 (s, 1H), 7.98 (d, J = 8.4 Hz, 1H), 7.48-7.35 (m, 1H), 5.51-5.14 (m, 2H), 4.83-4.69 (m, 1H), 4.02-3.66 (m, 2H), 2.04-1.94 (m, 1H), 0.93-0.78 (m, 1H). Example 46 2-(6-bromo-5-fluoro-1-oxospiro[3H-isoquinoline-4,1'-cyclopro pane]-2-yl)-N-(1H-pyrazolo[3,4- d]pyrimidin-6-yl)acetamide (46) [0357] To a solution of methyl 2-(6-bromo-5-fluoro-1-oxospiro[3H-isoquinoline-4,1'-cyclopro pane]-2- yl)acetate (100 mg, 0.29 mmol) in DCE (1.5 mL) were added 1H-pyrazolo[3,4-d]pyrimidin-6-amine (59 mg, 0.44 mmol) and AlMe 3 (1 M in n-heptane, 0.88 mL). The mixture was stirred at 90 °C for 3 h. The mixture was diluted with H 2 O (10 mL) and extracted with EtOAc (3 × 3 mL). The combined organic layers were washed with brine (5 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC. LCMS: m/z = 445.0, 447.0 [M+H] + . 1 H NMR (400 MHz, DMSO-d 6 ): δ 13.73 (br s, 1H), 10.93 (br s, 1H), 9.18 (s, 1H), 8.24 (s, 1H), 7.59-7.81 (m, 2H), 4.61 (s, 2H), 3.48 (s, 2H), 1.44-1.52 (m, 2H), 1.04-1.15 (m, 2H). Example 47 and 48 2-[(2's,4r)-2'-fluoro-1-oxo-6-(trifluoromethyl)spiro[3H-isoq uinoline-4,1'-cyclopropane]-2-yl]-N- -pyrazolo[3,4-d]pyrimidin-6-yl)acetamide (47 and 48) [0358] To a solution of methyl 2-[(2's,4r)-2'-fluoro-1-oxo-6-(trifluoromethyl)spiro[3H-isoq uinoline-4,1'- cyclopropane]-2-yl]acetate (200 mg, 0.61 mmol) and 1H-pyrazolo[3,4-d]pyrimidin-6-amine (122 mg, 0.91 mmol) in DCE (2.0 mL) was added AlMe 3 (1 M in n-heptane, 1.81 mL). The reaction mixture was stirred at 90 °C for 5 h. The reaction mixture was diluted with H2O (5 mL) and extracted with EtOAc (3 × 10 mL). The combined organic layers were dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure to give a residue. The residue was purified by reverse-phase preparative HPLC and further purified by chiral SFC (Column: REGIS(s,s) WHELK-O1 (250 mm × 30 mm, 10 µm particle size); Mobile phase: A: CO2 B: i-PrOH; Gradient: B%: 50% isocratic; Flow rate: 70 g/min; Detection Wavelength: 220 nm; Column temperature: 35 °C; System back pressure: 1800 psi) to provide: [0359] 2-[(2's,4r)-2'-fluoro-1-oxo-6-(trifluoromethyl)spiro[3H-isoq uinoline-4,1'-cyclopropane]-2- yl]-N-(1H-pyrazolo[3,4-d]pyrimidin-6-yl)acetamide (first eluting isomer) (47): LCMS: m/z = 435.1 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 12.48 (br s, 1H), 11.35 (br s, 1H), 9.10 (s, 1H), 8.34 (d, J = 8.0 Hz, 1H), 8.13 (s, 1H), 7.67 (d, J = 8.0 Hz, 1H), 6.98 (s, 1H), 5.54 (br d, J = 18.0 Hz, 1H), 4.83 (br d, J = 18.0 Hz, 1H), 4.80-4.58 (m, 1H), 4.31 (dd, J = 1.6, 12.4 Hz, 1H), 3.60 (d, J = 12.8 Hz, 1H), 1.77-1.68 (m, 1H), 1.53-1.42 (m, 1H). [0360] 2-[(2's,4r)-2'-fluoro-1-oxo-6-(trifluoromethyl)spiro[3H-isoq uinoline-4,1'-cyclopropane]-2- yl]-N-(1H-pyrazolo[3,4-d]pyrimidin-6-yl)acetamide (second eluting isomer) (48): LCMS: m/z = 435.1 [M+H] + . 1 H NMR (400 MHz, CDCl 3 ): δ 12.57 (br s, 1H), 11.43 (br s, 1H), 9.10 (s, 1H), 8.34 (d, J = 8.0 Hz, 1H), 8.13 (s, 1H), 7.66 (br d, J = 8.0 Hz, 1H), 6.98 (s, 1H), 5.55 (br d, J = 17.6 Hz, 1H), 4.83 (br d, J = 18.0 Hz, 1H), 4.79-4.58 (m, 1H), 4.31 (br d, J = 12.8 Hz, 1H), 3.60 (br d, J = 12.8 Hz, 1H), 1.79-1.67 (m, 1H), 1.54-1.41 (m, 1H). Example 49 and 50 2-[(2's,4r)-2'-fluoro-1-oxo-6-(trifluoromethyl)spiro[3H-isoq uinoline-4,1'-cyclopropane]-2-yl]-N- ([1,2,4]triazolo[1,5-a]pyridin-2-yl)acetamide (49 and 50) [0361] To a solution of 2-[(2's,4r)-2'-fluoro-1-oxo-6-(trifluoromethyl)spiro[3H-isoq uinoline-4,1'- cyclopropane]-2-yl]acetic acid (150 mg, 0.15 mmol) in pyridine (6.0 mL) were added [1,2,4]triazolo[1,5- a]pyridin-2-amine (127 mg, 0.31 mmol) and EDCI (181 mg, 0.32 mmol). The reaction mixture was stirred at 23 °C for 2 h. The reaction mixture was filtered and concentrated under reduce pressure. The residue was purified by reverse-phase preparative HPLC and further purified by chiral SFC (Column: REGIS(s,s) WHELK-O1 (250 mm × 30 mm, 5 µm particle size); Mobile phase: A: CO2 B: 0.1% i- PrNH2in EtOH; Gradient: B%: 47% isocratic; Flow rate: 3.4 mL/min; Detection Wavelength: 220 nm; Column temperature: 35 °C; System back pressure: 1800 psi) to provide: [0362] 2-[(2's,4r)-2'-fluoro-1-oxo-6-(trifluoromethyl)spiro[3H-isoq uinoline-4,1'-cyclopropane]-2- yl]-N-([1,2,4]triazolo[1,5-a]pyridin-2-yl)acetamide (first eluting isomer) (49): LCMS: m/z = 434.0 [M+H] + . 1 H NMR (400 MHz, DMSO-d6): δ11.07 (br s, 1H), 8.85 (d, J = 6.8 Hz, 1H), 8.13 (d, J = 8.0 Hz, 1H), 7.75 (d, J = 8.0 Hz, 1H), 7.72-7.68 (m, 1H), 7.67-7.62 (m, 1H), 7.38 (s, 1H), 7.13 (dt, J = 1.2, 6.8 Hz, 1H), 5.28-5.05 (m, 1H), 4.88-4.59 (m, 1H), 4.48-4.19 (m, 1H), 3.99 (dd, J = 1.2, 12.8 Hz, 1H), 3.65 (d, J = 13.2 Hz, 1H), 1.87-1.82 (m, 1H), 1.64-1.53 (m, 1H). [0363] 2-[(2's,4r)-2'-fluoro-1-oxo-6-(trifluoromethyl)spiro[3H-isoq uinoline-4,1'-cyclopropane]-2- yl]-N-([1,2,4]triazolo[1,5-a]pyridin-2-yl)acetamide (second eluting isomer) (50): LCMS: m/z = 434.0 [M+H] + . 1 H NMR (400 MHz, DMSO-d6): δ 11.07 (br s, 1H), 8.85 (d, J = 6.8 Hz, 1H), 8.13 (d, J = 8.0 Hz, 1H), 7.76 (br d, J = 8.0 Hz, 1H), 7.72-7.68 (m, 1H), 7.67-7.61 (m, 1H), 7.38 (s, 1H), 7.14 (t, J = 6.8 Hz, 1H), 5.32-5.02 (m, 1H), 4.90-4.24 (m, 2H), 3.99 (br d, J = 12.8 Hz, 1H), 3.65 (br d, J = 12.8 Hz, 1H), 1.90-1.79 (m, 1H), 1.65-1.52 (m, 1H). Example 51 2-[1-oxo-6-(trifluoromethyl)spiro[3H-isoquinoline-4,1'-cyclo propane]-2-yl]-N-(1H-pyrazolo[3,4- d]pyrimidin-6-yl)acetamide (51) [0364] To a solution of 6-(trifluoromethyl)spiro[2,3-dihydroisoquinoline-4,1'-cyclop ropane]-1-one (50 mg, 0.16 mmol) and 1H-pyrazolo[3,4-d]pyrimidin-6-amine (32 mg, 0.24 mmol) in DCE (2.0 mL) at 15 °C was added AlMe 3 (1 M in n-heptane, 0.24 mL). The reaction mixture was stirred at 60 °C for 4 h. The reaction mixture was cooled to 0 °C, diluted with H 2 O (8 mL), and extracted with EtOAc (3 × 5 mL). The combined organic layers were washed with brine (15 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC. LCMS: m/z = 417.1 [M+H] + . 1 H NMR (400 MHz, DMSO-d 6 ): δ 13.56 (br s, 1H), 10.93 (br s, 1H), 9.18 (s, 1H), 8.24 (s, 1H), 8.10 (d, J = 8.0 Hz, 1H), 7.69 (d, J = 8.0 Hz, 1H), 7.38 (s, 1H), 4.65 (s, 2H), 3.56 (s, 2H), 1.26-1.22 (m, 2H), 1.13-1.09 (m, 2H). Example 52 and 53 2-[1',1'-difluoro-1-oxo-6-(trifluoromethyl)spiro[3H-isoquino line-4,2'-cyclopropane]-2-yl]-N-(3-cis- hydroxy-3-methylcyclobutyl)acetamide (52 and 53) [0365] 2-(2,2-difluoro-1'-oxo-6'-(trifluoromethyl)-1'H-spiro[cyclop ropane-1,4'-isoquinolin]- 2'(3'H)-yl)acetic acid: To a solution of methyl 2-(2,2-difluoro-1'-oxo-6'-(trifluoromethyl)-1'H- spiro[cyclopropane-1,4'-isoquinolin]-2'(3'H)-yl)acetate (200 mg, 0.57 mmol) in THF (2.0 mL) and H 2 O (2.0 mL) was added LiOH•H 2 O (48 mg, 1.15 mmol). The reaction mixture was stirred for 2 h. The reaction mixture was diluted with H 2 O (20 mL) and washed with MTBE (20 mL). The aqueous layer was adjusted pH = 3 with aq. HCl (3 M) and extracted with EtOAc (3 × 20 mL). The combined organic layers were washed with brine (60 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure to provide a residue that was used directly. [0366] 2-[1',1'-difluoro-1-oxo-6-(trifluoromethyl)spiro[3H-isoquino line-4,2'-cyclopropane]-2-yl]-N- (3-cis-hydroxy-3-methylcyclobutyl)acetamide: To a solution of 2-(2,2-difluoro-1'-oxo-6'- (trifluoromethyl)-1'H-spiro[cyclopropane-1,4'-isoquinolin]-2 '(3'H)-yl)acetic acid (130 mg, 0.39 mmol) and 3-cis-amino-1-methylcyclobutanol HCl salt (80 mg, 0.58 mmol) in DMF (5.0 mL) were added DIPEA (150 mg, 1.16 mmol), HOBt (78 mg, 0.58 mmol), and EDCI (112 mg, 0.58 mmol). The reaction mixture was stirred at 23 °C for 2 h. The reaction mixture was cooled to 0 °C, diluted with H 2 O (5 mL), and extracted with EtOAc (3 × 5 mL). The combined organic layers were washed with brine (10 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC and further purified by chiral SFC (Column: REGIS(s,s) WHELK-O1 (250 mm × 30 mm, 5 µm particle size); Mobile phase: A: CO 2 B: 0.1% NH 4 OH in i-PrOH; Gradient: B%: 25% isocratic; Flow rate: 70 g/min; Detection Wavelength: 220 nm; Column temperature: 35 °C; System back pressure: 1800 psi) to provide: [0367] 2-[1',1'-difluoro-1-oxo-6-(trifluoromethyl)spiro[3H-isoquino line-4,2'-cyclopropane]-2-yl]-N- (3-cis-hydroxy-3-methylcyclobutyl)acetamide (first eluting isomer) (52): LCMS: m/z = 419.1 [M+H] + . 1 H NMR (400 MHz, CDCl 3 ): δ 8.29 (d, J = 8.0 Hz, 1H), 7.71 (d, J = 8.0 Hz, 1H), 7.31 (s, 1H), 6.53 (br d, J = 7.2 Hz, 1H), 4.29-4.26 (m, 1H), 4.20-4.09 (m, 2H), 3.99-3.95 (m, 1H), 3.46 (dd, J = 0.8, 13.2 Hz, 1H), 2.53-2.51 (m, 2H), 2.23-2.18 (m, 2H), 2.04 (br t, J = 9.6 Hz, 2H), 1.78-1.77 (m, 1H), 1.37 (s, 3H). [0368] 2-[1',1'-difluoro-1-oxo-6-(trifluoromethyl)spiro[3H-isoquino line-4,2'-cyclopropane]-2-yl]-N- (3-cis-hydroxy-3-methylcyclobutyl)acetamide (second eluting isomer) (53): LCMS: m/z = 419.1 [M+H] + . 1 H NMR (400 MHz, CDCl 3 ): δ 8.29 (d, J = 8.0 Hz, 1H), 7.71 (d, J = 8.0 Hz, 1H), 7.31 (s, 1H), 6.53 (br d, J = 7.2 Hz, 1H), 4.33-4.25 (m, 1H), 4.16-4.12 (m, 2H), 4.03-3.95 (m, 1H), 3.46 (dd, J = 0.8, 13.2 Hz, 1H), 2.53-2.51 (m, 2H), 2.30 (br s, 1H), 2.21-2.18 (m, 1H), 2.06-2.01 (m, 2H), 1.80-1.77 (m, 1H), 1.37 (s, 3H). Example 54 2-[(2'R,4S)-6-bromo-2'-fluoro-1-oxospiro[3H-isoquinoline-4,1 '-cyclopropane]-2-yl]-N-(1H- pyrazolo[3,4-d]pyrimidin-6-yl)acetamide (54) [0369] To a solution of methyl 2-((1S,2R)-6'-bromo-2-fluoro-1'-oxo-1'H-spiro[cyclopropane-1 ,4'- isoquinolin]-2'(3'H)-yl)acetate (50 mg, 0.15 mmol, Int.5) and 1H-pyrazolo[3,4-d]pyrimidin-6-amine (30 mg, 0.22 mmol) in DCE (1.0 mL) was added AlMe 3 (1 M in n-heptane, 0.46 mL). The reaction mixture was stirred at 100 °C for 2 h. The reaction mixture was diluted with H 2 O (3 mL) and extracted with EtOAc (3 × 1 mL). The combined organic layers were dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC. LCMS: m/z = 445.0, 447.0 [M+H] + . 1 H NMR (400 MHz, CDCl 3 ): δ 12.28 (br s, 1H), 11.04 (br s, 1H), 9.08 (s, 1H), 8.25-7.98 (m, 2H), 7.54 (dd, J = 1.8, 8.4 Hz, 1H), 6.88 (d, J = 1.6 Hz, 1H), 5.43 (d, J = 18.0 Hz, 1H), 4.93-4.47 (m, 2H), 4.26 (dd, J = 1.4, 12.6 Hz, 1H), 3.56 (d, J = 12.8 Hz, 1H), 1.68-1.61 (m, 1H), 1.49-1.36 (m, 1H). Example 55 2-(6-bromo-1-oxospiro[3H-isoquinoline-4,1'-cyclopropane]-2-y l)-N-(9H-purin-2-yl)acetamide (55) [0370] To a solution of methyl 2-(6-bromo-1-oxo-spiro[3H-isoquinoline-4,1'-cyclopropane]-2- yl)acetate (100 mg, 0.31 mmol) and 9H-purin-2-amine (62 mg, 0.46 mmol) in DCE (2.0 mL) was added AlMe3 (1 M in n-heptane, 0.6 mL). The reaction was sealed and heated at 120 °C for 3 h. The reaction mixture was cooled to 23 °C, diluted with H2O (5 mL), and extracted with EtOAc (3 × 3 mL). The combined organic layers were washed with brine (3 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC. LCMS: m/z = 427.0, 429.0 [M+H] + . 1 H NMR (400 MHz, DMSO-d6): δ 10.62 (br s, 1H), 8.91 (s, 1H), 8.40 (s, 1H), 7.82 (d, J = 8.4 Hz, 1H), 7.52 (dd, J = 1.6, 8.3 Hz, 1H), 7.26 (d, J = 2.0 Hz, 1H), 4.58 (br s, 2H), 3.51 (s, 2H), 1.21- 1.11 (m, 2H), 1.09-1.01 (m, 2H). Example 56 and 57 2-(6-bromo-1-oxospiro[3H-isoquinoline-4,1'-cyclopropane]-2-y l)-N-(3-cyclopropyl-3- hydroxycyclobutyl)acetamide (56 and 57) [0371] To a solution of 3-amino-1-cyclopropylcyclobutanol HCl salt (211 mg, 1.29 mmol) and 2-(6- bromo-1-oxo-spiro[3H-isoquinoline-4,1'-cyclopropane]-2-yl)ac etic acid (200 mg, 0.65 mmol) in DMF (2.0 mL) were added EDCI (186 mg, 0.97 mmol), HOBt (130 mg, 0.97 mmol), and DIPEA (416 mg, 3.22 mmol). The reaction mixture was stirred at 23 °C for 16 h. The reaction mixture was quenched with H2O (2 mL) and extracted with EtOAc (3 × 2 mL). The combined organic layers were washed with brine (3 × 2 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC and further purified by chiral SFC (Column Phenomenex-Cellulose-2 (250 mm × 30 mm, 5 µm particle size); Mobile phase: A: CO2 B: 0.1% NH4OH in MeOH; Gradient: B%: 50% isocratic; Flow rate: 70 mL/min; Detection Wavelength: 220 nm; Column temperature: 35 °C; System back pressure: 1800 psi) to provide: [0372] 2-(6-bromo-1-oxospiro[3H-isoquinoline-4,1'-cyclopropane]-2-y l)-N-(3-cyclopropyl-3- hydroxycyclobutyl)acetamide (first eluting isomer) (56): LCMS: m/z = 419.1, 421.1 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 7.98 (d, J = 8.2 Hz, 1H), 7.47 (dd, J = 1.8, 8.3 Hz, 1H), 7.00 (d, J = 1.8 Hz, 1H), 6.54 (br d, J = 6.8 Hz, 1H), 4.14 (s, 2H), 3.97-3.84 (m, 1H), 3.46 (s, 2H), 2.50-2.35 (m, 2H), 1.98- 1.90 (m, 2H), 1.16-1.08 (m, 3H), 1.06-1.01 (m, 2H), 0.57-0.44 (m, 2H), 0.34-0.32 (m, 2H). [0373] 2-(6-bromo-1-oxospiro[3H-isoquinoline-4,1'-cyclopropane]-2-y l)-N-(3-cyclopropyl-3- hydroxycyclobutyl)acetamide (second eluting isomer) (57): LCMS: m/z = 419.1, 421.1 [M+H] + . 1 H NMR (400 MHz, CDCl 3 ): δ 7.98 (d, J = 8.4 Hz, 1H), 7.47 (dd, J = 1.8, 8.4 Hz, 1H), 7.01 (d, J = 1.8 Hz, 1H), 6.53-6.38 (m, 1H), 4.58-4.44 (m, 1H), 4.13 (s, 2H), 3.47 (s, 2H), 2.38-2.27 (m, 2H), 1.89-1.77 (m, 2H), 1.18-0.97 (m, 5H), 0.53-0.40 (m, 2H), 0.27-0.24 (m, 2H). Example 58 2-(6-bromo-1-oxospiro[3H-isoquinoline-4,1'-cyclopropane]-2-y l)-N-[3-(trifluoromethyl)-1H- pyrazolo[3,4-d]pyrimidin-6-yl]acetamide (58) [0374] 6-chloro-1-(tetrahydro-2H-pyran-2-yl)-3-(trifluoromethyl)-1H -pyrazolo[3,4-d]pyrimidine: To a solution of 6-chloro-3-(trifluoromethyl)-1H-pyrazolo[3,4-d]pyrimidine (0.60 g, 2.70 mmol) and 3,4- dihydro-2H-pyran (453 mg, 5.39 mmol) in 1,4-dioxane (10 mL) was added p-TsOH•H2O (512 mg, 2.70 mmol). The reaction mixture was stirred at 80 °C for 16 h. The reaction mixture was cooled to 0 °C, diluted with H2O (10 mL), and extracted with EtOAc (3 × 10 mL). The combined organic layers were washed with brine (10 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel chromatography. [0375] 2-(6'-bromo-1'-oxo-1'H-spiro[cyclopropane-1,4'-isoquinolin]- 2'(3'H)-yl)-N-(1-(tetrahydro- 2H-pyran-2-yl)-3-(trifluoromethyl)-1H-pyrazolo[3,4-d]pyrimid in-6-yl)acetamide: To a solution of 6- chloro-1-(tetrahydro-2H-pyran-2-yl)-3-(trifluoromethyl)-1H-p yrazolo[3,4-d]pyrimidine (0.20 g, 0.65 mmol) in 1,4-dioxane (20 mL) were added 2-(6-bromo-1-oxo-spiro[3H-isoquinoline-4,1'-cyclopropane]- 2-yl)acetamide (201 mg, 0.65 mmol), Cs2CO3 (531 mg, 1.63 mmol), Xantphos (113 mg, 0.2 mmol), and Pd(OAc)2 (30 mg, 0.13 mmol). The reaction mixture was stirred at 70 °C for 3 h. The reaction mixture was poured into H2O (10 mL) and extracted with EtOAc (3 × 10 mL). The combined organics were dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. [0376] 2-(6'-bromo-1'-oxo-1'H-spiro[cyclopropane-1,4'-isoquinolin]- 2'(3'H)-yl)-N-(3- (trifluoromethyl)-1H-pyrazolo[3,4-d]pyrimidin-6-yl)acetamide : To a solution of 2-(6'-bromo-1'-oxo- 1'H-spiro[cyclopropane-1,4'-isoquinolin]-2'(3'H)-yl)-N-(1-(t etrahydro-2H-pyran-2-yl)-3- (trifluoromethyl)-1H-pyrazolo[3,4-d]pyrimidin-6-yl)acetamide (100 mg, 0.17 mmol) in DCM (10 mL) was added TFA (5.0 mL). The reaction mixture was stirred at 23 °C for 4 h. The reaction mixture was poured into aq. sat. NaHCO3 (10 mL) and extracted with DCM (3 × 10 mL). The combined organics were dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC. LCMS: m/z = 495.0, 497.0 [M+H] + . 1 H NMR (400 MHz, DMSO-d 6 ): δ 14.55 (br s, 1H), 11.11 (s, 1H), 9.29 (s, 1H), 7.82 (d, J = 8.4 Hz, 1H), 7.53 (dd, J = 1.6, 8.4 Hz, 1H), 7.27 (d, J = 1.6 Hz, 1H), 4.61 (s, 2H), 3.51 (s, 2H), 1.21-1.14 (m, 2H), 1.10-0.98 (m, 2H). Example 59 2-(6-bromo-1-oxospiro[3H-isoquinoline-4,1'-cyclopropane]-2-y l)-N-[5-fluoro-1H-pyrazolo[3,4- b]pyridin-6-yl]acetamide (59) [0377] 2-(6'-bromo-1'-oxo-1'H-spiro[cyclopropane-1,4'-isoquinolin]- 2'(3'H)-yl)-N-(5-fluoro-1- (tetrahydro-2H-pyran-2-yl)-1H-pyrazolo[3,4-b]pyridin-6-yl)ac etamide: To a solution of 2-(6-bromo- 1-oxo-spiro[3H-isoquinoline-4,1'-cyclopropane]-2-yl)acetamid e (100 mg, 0.32 mmol) in THF (4.0 mL) were added 6-bromo-5-fluoro-1-(tetrahydro-2H-pyran-2-yl)-1H-pyrazolo[3, 4-b]pyridine (146 mg, 0.49 mmol), Cs2CO3 (211 mg, 0.65 mmol), XPhos (15 mg, 0.03 mmol), and Pd2(dba)3 (30 mg, 0.03 mmol). The reaction mixture was stirred at 50 °C for 12 h. The reaction mixture was diluted with H2O (10 mL) and extracted with EtOAc (3 × 3 mL). The combined organic layers were washed with brine (10 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 528.0, 529.8 [M+H] + . [0378] 2-(6-bromo-1-oxospiro[3H-isoquinoline-4,1'-cyclopropane]-2-y l)-N-[5-fluoro-1H- pyrazolo[3,4-b]pyridin-6-yl]acetamide: To a solution of 2-(6'-bromo-1'-oxo-1'H-spiro[cyclopropane- 1,4'-isoquinolin]-2'(3'H)-yl)-N-(5-fluoro-1-(tetrahydro-2H-p yran-2-yl)-1H-pyrazolo[3,4-b]pyridin-6- yl)acetamide (50 mg, 0.09 mmol) in DCM (1.0 mL) was added TFA (770 mg, 6.75 mmol). The mixture was stirred at 23 °C for 1 h. The mixture was diluted with aq. sat. NaHCO3 (10 mL) and extracted with EtOAc (3 × 3 mL). The combined organic layers were washed with brine (5 mL), dried over anhydrous Na2SO4, filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC. LCMS: m/z = 444.0, 446.0 [M+H] + . 1 H NMR (400 MHz, CDCl3): δ 9.03 (br s, 1H), 8.10-7.94 (m, 2H), 7.77 (d, J = 9.6 Hz, 1H), 7.48 (dd, J = 8.4, 2.0 Hz, 1H), 7.04-6.99 (m, 1H), 4.62 (s, 2H), 3.58 (s, 2H), 1.17-1.12 (m, 2H), 1.12-1.06 (m, 2H). Example 60 methyl 3-[[2-(6-bromo-1-oxospiro[3H-isoquinoline-4,1'-cyclopropane] -2- yl)acetyl]amino]bicyclo[1.1.1]pentane-1-carboxylate (60) [0379] To a solution of 2-(6-bromo-1-oxo-spiro[3H-isoquinoline-4,1'-cyclopropane]-2- yl)acetic acid (70 mg, 0.23 mmol) in DMF (2.0 mL) were added methyl 3-aminobicyclo[1.1.1]pentane-1-carboxylate hydrochloride (100 mg, 0.56 mmol), DIPEA (145 mg, 1.13 mmol), HOBT (49 mg, 0.36 mmol), and EDCI (69 mg, 0.36 mmol). The mixture was stirred at 23 °C for 2 h. The mixture was diluted with H 2 O (10 mL) and extracted with EtOAc (3 × 3 mL). The combined organic layers were washed with brine (5 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by silica gel column chromatography. LCMS: m/z = 433.0, 435.0 [M+H] + . 1 H NMR (400 MHz, CDCl 3 ): δ 7.97 (d, J = 8.0 Hz, 1H), 7.47 (dd, J = 1.6, 8.4 Hz, 1H), 7.01 (d, J = 2.0 Hz, 1H), 6.73 (s, 1H), 4.11 (s, 2H), 3.69 (s, 3H), 3.46 (s, 2H), 2.36 (s, 6H), 1.16-1.09 (m, 2H), 1.06-0.99 (m, 2H). Example 61 N-(3H-benzotriazol-5-yl)-2-(6-bromo-5-fluoro-1-oxospiro[3H-i soquinoline-4,1'-cyclopropane]-2- yl)acetamide (61) [0380] To a solution of methyl 2-(6-bromo-5-fluoro-1-oxospiro[3H-isoquinoline-4,1'-cyclopro pane]-2- yl)acetate (50 mg, 0.15 mmol) in DCE (1.0 mL) were added 1H-benzo[d][1,2,3]triazol-6-amine (29 mg, 0.22 mmol) and AlMe 3 (1 M in n-heptane, 0.24 mL). The mixture was stirred at 90 °C for 2 h. The mixture was quenched with H 2 O (10 mL) and extracted with DCM (3 × 5 mL). The combined organic layers were washed with brine (5 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC. LCMS: m/z = 444.0 446.0 [M+H] + . 1 H NMR (400 MHz, DMSO-d 6 ): δ 10.44 (s, 1H), 8.31 (s, 1H), 7.91 (br d, J = 7.8 Hz, 1H), 7.80-7.63 (m, 2H), 7.39 (br d, J = 9.4 Hz, 1H), 4.38 (s, 2H), 3.52 (s, 2H), 1.61-1.45 (m, 2H), 1.15-1.11 (m, 2H). Example 62 2-(6-bromo-5-fluoro-1-oxospiro[3H-isoquinoline-4,1'-cyclopro pane]-2-yl)-N-(9H-purin-2- yl)acetamide (62) [0381] To a solution of methyl 2-(6-bromo-5-fluoro-1-oxospiro[3H-isoquinoline-4,1'-cyclopro pane]-2- yl)acetate (50 mg, 0.15 mmol) and 9H-purin-2-amine (30 mg, 0.22 mmol) in DCE (2.0 mL) was added AlMe 3 (1 M in n-heptane, 0.3 mL). The reaction was sealed and heated to 120 °C for 3 h. The reaction mixture was cooled to 0 °C, diluted with H 2 O (5 mL), and extracted with EtOAc (3 × 5 mL). The combined organic layers were washed with brine (10 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC. LCMS: m/z = 445.0, 447.0 [M+H] + . 1 H NMR (400 MHz, DMSO-d 6 ): δ 10.72 (s, 1H), 8.95 (s, 1H), 8.45 (s, 1H), 7.74-7.63 (m, 2H), 4.58 (br s, 2H), 3.47 (s, 2H), 1.50-1.44 (m, 2H), 1.12-1.09 (m, 2H). Example 63 2-(6-bromo-1',1'-difluoro-1-oxospiro[3H-isoquinoline-4,2'-cy clopropane]-2-yl)-N-(1H-pyrazolo[3,4- d]pyrimidin-6-yl)acetamide (63) [0382] To a solution of methyl 2-(6'-bromo-2,2-difluoro-1'-oxo-1'H-spiro[cyclopropane-1,4'- isoquinolin]-2'(3'H)-yl)acetate (70 mg, 0.19 mmol) and 1H-pyrazolo[3,4-d]pyrimidin-6-amine (52 mg, 0.38 mmol) in DCE (2.0 mL) was added AlMe 3 (1 M in n-heptane, 0.58 mL). The reaction mixture was stirred at 90 °C for 2 h. The reaction mixture was quenched with H 2 O (5 mL) and extracted with EtOAc (3 × 5 mL). The combined organic layers were washed with brine (10 mL), dried over anhydrous Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by reverse-phase preparative HPLC. LCMS: m/z = 463.0, 465.0 [M+H] + . 1 H NMR (400 MHz, DMSO-d 6 ): δ 13.77 (br s, 1H), 10.94 (s, 1H), 9.18 (s, 1H), 8.24 (s, 1H), 7.89 (d, J = 8.4 Hz, 1H), 7.70 (dd, J = 1.6, 8.4 Hz, 1H), 7.63 (s, 1H), 5.00-4.30 (m, 2H), 4.16 (dd, J = 6.8, 13.2 Hz, 1H), 3.41 (d, J = 13.2 Hz, 1H), 2.86-2.76 (m, 1H), 2.02-1.92 (m, 1H). Examples 64 and 65 2-(6-bromo-1',1'-difluoro-1-oxospiro[3H-isoquinoline-4,2'-cy clopropane]-2-yl)-N-(1H-pyrazolo[3,4- d]pyrimidin-6-yl)acetamide (64 and 65) [0383] 2-(6-bromo-1',1'-difluoro-1-oxospiro[3H-isoquinoline-4,2'-cy clopropane]-2-yl)-N-(1H- pyrazolo[3,4-d]pyrimidin-6-yl)acetamide (Example 62) could be further separated by chiral SFC (Column: DAICEL ChiralPak IG (250 mm × 30 mm, 10 µm particle size); Mobile phase: A: CO2 B: 0.1% i-PrNH2 in i-PrOH; Gradient: B%: 55% isocratic; Flow rate: 80 mL/min; Detection Wavelength: 220 nm; Column temperature: 35 °C; System back pressure: 100 bar) to provide: [0384] 2-(6-bromo-1',1'-difluoro-1-oxospiro[3H-isoquinoline-4,2'-cy clopropane]-2-yl)-N-(1H- pyrazolo[3,4-d]pyrimidin-6-yl)acetamide (first eluting isomer) (64): LCMS: m/z = 463.0, 465.0 [M+H] + . 1 H NMR (400 MHz, DMSO-d 6 ): δ 13.80 (br s, 1H), 10.94 (s, 1H), 9.18 (s, 1H), 8.23 (s, 1H), 7.89 (d, J = 8.4 Hz, 1H), 7.70 (dd, J = 1.6, 8.4 Hz, 1H), 7.63 (s, 1H), 5.03-4.24 (m, 2H), 4.16 (dd, J = 6.8, 13.2 Hz, 1H), 3.41 (br d, J = 13.2 Hz, 1H), 2.87-2.75 (m, 1H), 2.04-1.90 (m, 1H). [0385] 2-(6-bromo-1',1'-difluoro-1-oxospiro[3H-isoquinoline-4,2'-cy clopropane]-2-yl)-N-(1H- pyrazolo[3,4-d]pyrimidin-6-yl)acetamide (second eluting isomer) (65): LCMS: m/z = 463.0, 465.0 [M+H] + . 1 H NMR (400 MHz, DMSO-d 6 ): δ 13.77 (br s, 1H), 10.93 (s, 1H), 9.18 (s, 1H), 8.24 (s, 1H), 7.89 (d, J = 8.4 Hz, 1H), 7.70 (dd, J = 1.6, 8.4 Hz, 1H), 7.63 (s, 1H), 5.01-4.28 (m, 2H), 4.16 (dd, J = 6.8, 13.2 Hz, 1H), 3.41 (br d, J = 13.2 Hz, 1H), 2.88-2.75 (m, 1H), 2.05-1.90 (m, 1H). BIOLOGICAL EXAMPLE 1 Biochemical Assay of the Compounds Procedure for culturing THP-1 cells [0386] Compounds as provided herein were tested in the following assay. Cell culture medium employed contained RPMI 1640 medium (89%), FBS (10%), Pen/Strep (1%), and 2-mercaptoethanol (0.05 mM). Freezing medium was made up of 90% FBS and 10% DMSO. THP-1 cells were removed from the liquid nitrogen and placed into a 37 o C water bath to thaw, until signs of ice dissipated. The cells were then added to 9 mL of warm cell culture medium and centrifuged for 5 minutes at 1000 rpm. The supernatant was discarded, and the cells were resuspended in new cell culture medium. THP-1 cells were then split and cultured in the cell culture medium, being passaged every 2-3 days with the cell density will be maintained between 5x10 5 and 1.5x10 6 viable cells/mL. [0387] To freeze, cells were resuspended with fresh freezing medium, adjusting the cell density to 5x10 6 cells/mL. The cell suspension was partitioned into 1 mL aliquots per vial, and the vials were transferred to a -80 o C freezer. After one day at -80 o C, the cell vials were transferred to liquid nitrogen freezer for storage. Procedure for IL-1β secretion assay in 384-well plates [0388] PMA was dissolved in DMSO to make a stock solution at 5 mg/ml and stored in 10 µl aliquots at -20℃ for single use. PMA is added to normal growth medium. LPS was diluted with 1 mL of water solution to provide a 1 mg/mL stock solution and stored in 15 µL aliquots at -20 ℃ for single use. Nigericin is diluted in ice cold 100% ethanol to 5 mg/ml (6.7 mM) and stored in 75 µL aliquots at -20 ℃ for single use. Serum-free media contains RPMI 1640 medium (99%), Pen/Strep (1%), and 2- mercaptoethanol (0.05 mM). The two control conditions used to qualify and normalize test compound dose-response curves were as follows: High Control = 25 ng/mL LPS, 5 μM Nigericin, 0.5% DMSO, Low Control = 25 ng/mL, LPS, 0.5% DMSO. Day 1: Differentiation with PMA [0389] THP-1 cells were diluted to provide a suspension at a concentration of 1.0x10 6 cells/mL with the total volume of suspension required to enable the desired number of assay plates. The growth media was supplemented with PMA (5 ng/mL final concentration) and the cells were incubated at 37 °C under a humidified atmosphere of 5% CO 2 for 40 h. Day 3: Plating with sequential LPS and nigericin stimulation [0390] All media was carefully aspirated from each culture flask. The cells were washed carefully with 1x DPBS. The cells were then briefly digested with trypsin LE for 5 minutes at 23 °C and immediately resuspended in cell growth media. After resuspension, the cells were centrifuged at 1000 rpm for 3 minutes and the supernatant was discarded. The cells were resuspended in DPBS and once again centrifuged at 1000 rpm for 5 minutes. The supernatant was discarded and the cell pellet was resuspended in serum-free media supplemented with LPS (25 ng/mL final concentration) to enable the distribution of 30K THP-1 cells within 45 µL of media into each well of 384-well PDL-coated plates. The 384-well plates were then incubated at 37 °C under a humidified atmosphere of 5% CO 2 for 2 h. Following this period, test compounds were dispensed by Tecan across the desired concentration range with all wells normalized to a final 0.5 % DMSO concentration. The plates were then then incubated at 37 °C under a humidified atmosphere of 5% CO 2 for 1 h. Following this period, 5 µL of the 5 mg/mL nigericin stock solution was added to each of the appropriate wells and plates were centrifuged at 1000 rpm for 30 seconds. The plates were the immediately reintroduced to the incubator at 37 °C under a humidified atmosphere of 5% CO 2 for 2 h. After this time, 35 µL/well of supernatant was collected and transferred into v-bottom plate and centrifuged at 1000 rpm for 1 minute. These supernatant aliquots were analyzed using an IL-Iβ detection kit as described below. If needed, the test samples could be snap frozen and stored at -80 °C until analyzed. IL-1β detection [0391] To prepare each ELISA plate, capture antibody (mAb Mt175) was diluted with PBS to a final concentration of 2 μg/mL and then 20 μL of this solution was added to each well of the ELISA plate. Each plate was allowed to incubate overnight at 4 °C. The next day, the capture antibody solution was removed and discarded. Each ELISA plate was washed 4 times with PBST followed by the addition of 25 μL/well of blocking buffer (Licor-927-40010) supplemented with 0.1% Tween 20. Each ELISA plate was then allowed to incubate for 1 hour at 23 °C. After this time, the blocking buffer was removed and discarded. Each ELISA plate was washed 4 times with PBST. During this time, the v-bottomed plates containing the supernatant aliquots from the assay run were centrifuged at 300 g for 5 minutes before transferring 15 μL/well of the supernatant sample to each ELISA plate. Each ELISA plate was then allowed to incubate for 2 h at 23 °C. After this time, the supernatant samples were removed and discarded. Each ELISA plate was washed 4 times with PBST. To each ELISA plate was added 15 μL/well of mAb7P10-biotin at 0.5 μg/mL (1:1000 diluted in blocking buffer). Each ELISA plate was then allowed to incubate for 1 h at 23 °C. After this time, the antibody solution was removed and discarded. Each ELISA plate was washed 4 times with PBST. To each ELISA plate was added 20 μL/well of streptavidin-HRP (1:2000 diluted in blocking buffer). Each ELISA plate was then allowed to incubate for 1 h at 23 °C. After this time, the buffer was removed and discarded. Each ELISA plate was washed 4 times with PBST. To each ELISA plate was added 20 μL/well of HRP substrate. Each ELISA plate was then allowed to incubate for 2 minutes at 23 °C. After this time, to each ELISA plate was added 40 μL/well of stop solution. Each ELISA plate was centrifuged at 1200 rpm for 30 seconds. [0392] The plate was then read at 450 nm in a microplate reader. Percent inhibition was calculated as follows: % inhibition rate = (treated samples-high control) / (low control-high control) x100 [0393] Activity of the tested compounds is provided in Table 3 below as follows: +++ = IC 50 < 1 µM; ++ = IC 50 1-10 µM; + = IC 50 > 10 µM. Table 3
[0394] Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this disclosure belongs. [0395] The embodiments illustratively described herein may suitably be practiced in the absence of any element or elements, limitation or limitations, not specifically disclosed herein. Thus, for example, the terms “comprising,” “including,” “containing,” etc. shall be read expansively and without limitation. Additionally, the terms and expressions employed herein have been used as terms of description and not of limitation, and there is no intention in the use of such terms and expressions of excluding any equivalents of the features shown and described or portions thereof, but it is recognized that various modifications are possible within the scope of the embodiments claimed. [0396] All publications, patent applications, patents, and other references mentioned herein are expressly incorporated by reference in their entirety, to the same extent as if each were incorporated by reference individually. In case of conflict, the present specification, including definitions, will control. [0397] It is to be understood that while the disclosure has been described in conjunction with the above embodiments, that the foregoing description and examples are intended to illustrate and not limit the scope of the disclosure. Other aspects, advantages and modifications within the scope of the disclosure will be apparent to those skilled in the art to which the disclosure pertains.