Login| Sign Up| Help| Contact|

Patent Searching and Data


Title:
N-[3-[2-AMINO-5-(1,1-DIFLUOROETHYL)-4,4A,5,7-TETRAHYDROFURO[3,4-D][1,3]OXAZIN-7A-YL]-4-FLUORO-PHENYL]-5-(TRIFLUOROMETHYL)PYRIDINE-2-CARBOXAMIDE AND ITS (4AR,5S,7AS) ISOMER AS A SELECTIVE BACE1 INHIBITOR FOR TREATING E.G. ALZHEIMER'S DISEASE
Document Type and Number:
WIPO Patent Application WO/2017/200863
Kind Code:
A1
Abstract:
The present invention provides N-[3-[2-Amino-5-(1,1-difluoroethyl) -4,4a,5,7-tetrahydrofuro[3,4-d][1,3]oxazin-7a-yl]-4-fluoro-phenyl]-5- (trifluoromethyl)pyridine-2-carboxamide, i.e. the compound of Formula I: [Formula should be inserted here] or a pharmaceutically acceptable salt thereof and in particular its (4aR,5S,7aS) isomer as a selective BACE1 inhibitor for treating e.g. Alzheimer's disease and the progression of mild cognitive impairment to Alzheimer's disease.

Inventors:
COATES DAVID ANDREW (US)
HEMBRE ERIK JAMES (US)
Application Number:
PCT/US2017/032364
Publication Date:
November 23, 2017
Filing Date:
May 12, 2017
Export Citation:
Click for automatic bibliography generation   Help
Assignee:
LILLY CO ELI (US)
International Classes:
C07D498/04; A61K31/5365; A61P25/28
Domestic Patent References:
WO2014204730A12014-12-24
Attorney, Agent or Firm:
LENTZ, Nelsen L. et al. (US)
Download PDF:
Claims:
WE CLAIM: 1. A compound of the formula:

or a pharmaceutically acceptable salt thereof.

2. The compound or salt according to claim 1 wherein the hydrogen at position 4a is in the cis configuration relative to the substituted phenyl at position 7a:

3. The compound or salt according to either claim 1 or claim 2 wherein the 1,1- difluoroethyl at position 5 is in the cis configuration relative to the hydrogen at position 4a and the substituted phenyl at position 7a:

.

4. The compound or salt thereof according to any one of claims 1 to 3 wherein the compound is N-[3-[(4aR,5S,7aS)-2-amino-5-(1,1-difluoroethyl)-4,4a,5,7- tetrahydrofuro[3,4-d][1,3]oxazin-7a-yl]-4-fluoro-phenyl]-5- (trifluoromethyl)pyridine-2-carboxamide.

5. The salt according to claim 4 which is N-[3-[(4aR,5S,7aS)-2-amino-5-(1,1- difluoroethyl)-4,4a,5,7-tetrahydrofuro[3,4-d][1,3]oxazin-7a-yl]-4-fluoro-

phenyl]-5-(trifluoromethyl)pyridine-2-carboxamide 4- methylbenzenesulfonate.

6. The salt according to claim 5 which is crystalline.

7. The salt according to either claim 5 or claim 6 which is characterized by a substantial peak in the X-ray diffraction spectrum, at diffraction angle 2-theta of 4.9° in combination with one or more of the peaks selected from the group consisting of 9.8°, 28.0°, and 14.7°, with a tolerance for the diffraction angles of 0.2 degrees.

8. A method of treating Alzheimer’s disease in a patient in need of such

treatment, comprising administering to the patient an effective amount of a compound of any one of claims 1-7, or a pharmaceutically acceptable salt thereof.

9. A method of treating the progression of mild cognitive impairment to

Alzheimer’s disease in a patient in need of such treatment, comprising administering to the patient an effective amount of a compound of any one of claims 1-7, or a pharmaceutically acceptable salt thereof.

10. A compound or pharmaceutically acceptable salt thereof according to any one of claims 1-7 for use in therapy.

11. A compound or pharmaceutically acceptable salt thereof according to any one of claims 1-7 for use in the treatment of Alzheimer’s disease.

12. A compound or pharmaceutically acceptable salt thereof according to any one of claims 1-7 for use in treating the progression of mild cognitive impairment to Alzheimer’s disease.

13. A pharmaceutical composition, comprising a compound or a pharmaceutically acceptable salt thereof according to any one of claims 1-7 with one or more pharmaceutically acceptable carriers, diluents, or excipients.

14. A process for preparing a pharmaceutical composition, comprising admixing a compound or a pharmaceutically acceptable salt thereof according to any one of claims 1-7 with one or more pharmaceutically acceptable carriers, diluents, or excipients.

Description:
TETRAHYDROFUROOXAZINE COMPOUNDS AND THEIR USE AS SELECTIVE

BACE1 INHIBITORS

The present invention relates to novel tetrahydrofurooxazine compounds, their use as selective BACE1 inhibitors, to pharmaceutical compositions comprising the compounds, to methods of using the compounds to treat physiological disorders, and to intermediates and processes useful in the synthesis of the compounds.

The present invention is in the field of treatment of Alzheimer’s disease and other diseases and disorders involving amyloid E (Abeta) peptide, a neurotoxic and highly aggregatory peptide segment of the amyloid precursor protein (APP). Alzheimer’s disease is a devastating neurodegenerative disorder that affects millions of patients worldwide. In view of the currently approved agents on the market which afford only transient, symptomatic benefits to the patient rather than halting, slowing, or reversing the disease, there is a significant unmet need in the treatment of Alzheimer’s disease.

Alzheimer’s disease is characterized by the generation, aggregation, and deposition of Abeta in the brain. Complete or partial inhibition of E-secretase (ȕ-site amyloid precursor protein-cleaving enzyme; BACE) has been shown to have a significant effect on plaque-related and plaque-dependent pathologies in mouse models suggesting that even small reductions in Abeta peptide levels might result in a long-term significant reduction in plaque burden and synaptic deficits, thus providing significant therapeutic benefits, particularly in the treatment of Alzheimer’s disease. In addition, two homologs of BACE have been identified which are referred to as BACE1 and BACE2, and it is believed that BACE1 is the most clinically important to development of Alzheimer’s disease. BACE1 is mainly expressed in the neurons while BACE2 has been shown to be expressed primarily in the periphery (See D. Oehlrich, Bioorg. Med. Chem. Lett., 24, 2033-2045 (2014)). In addition, BACE2 may be important to pigmentation as it has been identified as playing a role in the processing of pigment cell-specific melanocyte protein (See L. Rochin, et al., Proc. Natl. Acad. Sci. USA, 110(26), 10658-10663 (2013)). BACE inhibitors with central nervous system (CNS) penetration, particularly inhibitors that are selective for BACE1 over BACE2 are desired to provide treatments for Abeta peptide- mediated disorders, such as Alzheimer’s disease.

United States Patent No.9,079, 914 discloses certain fused aminodihydro-oxazine derivatives having BACE1 inhibitory effect useful in treating certain neurodegenerative diseases caused by Abeta protein, such as Alzheimer-type dementia. In addition, United States Patent No.8,940,734 discloses certain fused aminodihydrothiazine derivatives which possess BACE1 inhibitory activity and are further disclosed as useful therapeutic agents for a neurodegenerative disease caused by Abeta peptide, such as Alzheimer’s type dementia.

The present invention provides certain novel compounds that are inhibitors of BACE1. In addition, the present invention provides certain novel compounds that are selective inhibitors of BACE1 over BACE2. Furthermore, the present invention provides certain novel compounds which penetrate the CNS. The present invention also provides certain novel compounds which have the potential for an improved side-effect profile, for example, through selective inhibition of BACE1 over BACE2.

Accordin l the resent invention rovides a compound of Formula I:

Formula I

or a pharmaceutically acceptable salt thereof.

In addition, the present invention provides a compound of Formula Ia:

Formula Ia

or a pharmaceutically acceptable salt thereof.

The present invention also provides a method of treating Alzheimer’s disease in a patient in need of such treatment, comprising administering to the patient an effective amount of a compound of Formulas I or Ia, or a pharmaceutically acceptable salt thereof. The present invention further provides a method of treating the progression of mild cognitive impairment to Alzheimer’s disease in a patient in need of such treatment, comprising administering to the patient an effective amount of a compound of Formulas I or Ia, or a pharmaceutically acceptable salt thereof.

The present invention also provides a method of inhibiting BACE in a patient, comprising administering to a patient in need of such treatment an effective amount of a compound of Formulas I or Ia, or a pharmaceutically acceptable salt thereof. The present invention also provides a method for inhibiting BACE-mediated cleavage of amyloid precursor protein, comprising administering to a patient in need of such treatment an effective amount of a compound of Formulas I or Ia, or a pharmaceutically acceptable salt thereof. The invention further provides a method for inhibiting production of Abeta peptide, comprising administering to a patient in need of such treatment an effective amount of a compound of Formulas I or Ia, or a pharmaceutically acceptable salt thereof.

Furthermore, this invention provides a compound of Formulas I or Ia, or a pharmaceutically acceptable salt thereof for use in therapy, in particular for use in the treatment of Alzheimer’s disease or for use in preventing the progression of mild cognitive impairment to Alzheimer’s disease. Even furthermore, this invention provides the use of a compound of Formulas I or Ia, or a pharmaceutically acceptable salt thereof, for the manufacture of a medicament for the treatment of Alzheimer’s disease.

The invention further provides a pharmaceutical composition, comprising a compound of Formulas I or Ia, or a pharmaceutically acceptable salt thereof, with one or more pharmaceutically acceptable carriers, diluents, or excipients. The invention further provides a process for preparing a pharmaceutical composition, comprising admixing a compound of Formulas I or Ia, or a pharmaceutically acceptable salt thereof, with one or more pharmaceutically acceptable carriers, diluents, or excipients. This invention also encompasses novel intermediates and processes for the synthesis of the compounds of Formulas I and Ia.

Mild cognitive impairment has been defined as a potential prodromal phase of dementia associated with Alzheimer’s disease based on clinical presentation and on progression of patients exhibiting mild cognitive impairment to Alzheimer’s dementia over time. (Morris, et al., Arch. Neurol., 58, 397-405 (2001); Petersen, et al., Arch.

Neurol., 56, 303-308 (1999)). The term“preventing the progression of mild cognitive impairment to Alzheimer’s disease” includes restraining, slowing, stopping, or reversing the progression of mild cognitive impairment to Alzheimer’s disease in a patient.

As used herein, the terms“treating” or“to treat” includes restraining, slowing, stopping, or reversing the progression or severity of an existing symptom or disorder.

As used herein, the term "patient" refers to a human.

The term“inhibition of production of Abeta peptide” is taken to mean decreasing of in vivo levels of Abeta peptide in a patient.

As used herein, the term“effective amount” refers to the amount or dose of compound of the invention, or a pharmaceutically acceptable salt thereof which, upon single or multiple dose administration to the patient, provides the desired effect in the patient under diagnosis or treatment.

An effective amount can be readily determined by the attending diagnostician, as one skilled in the art, by the use of known techniques and by observing results obtained under analogous circumstances. In determining the effective amount for a patient, a number of factors are considered by the attending diagnostician, including, but not limited to: the species of patient; its size, age, and general health; the specific disease or disorder involved; the degree of or involvement or the severity of the disease or disorder; the response of the individual patient; the particular compound administered; the mode of administration; the bioavailability characteristics of the preparation administered; the dose regimen selected; the use of concomitant medication; and other relevant circumstances.

The compounds of the present invention are generally effective over a wide dosage range. For example, dosages per day normally fall within the range of about 0.01 to about 20 mg/kg of body weight. In some instances dosage levels below the lower limit of the aforesaid range may be more than adequate, while in other cases still larger doses may be employed with acceptable side effects, and therefore the above dosage range is not intended to limit the scope of the invention in any way.

The compounds of the present invention are preferably formulated as

pharmaceutical compositions administered by any route which makes the compound bioavailable, including oral and transdermal routes. Most preferably, such compositions are for oral administration. Such pharmaceutical compositions and processes for preparing same are well known in the art. (See, e.g., Remington: The Science and Practice of Pharmacy, L.V. Allen, Editor, 22 nd Edition, Pharmaceutical Press, 2012).

The compounds of Formulas I and Ia, or pharmaceutically acceptable salts thereof are particularly useful in the treatment methods of the invention, but certain groups, substituents, and configurations are preferred. The following paragraphs describe such preferred groups, substituents, and configurations. It will be understood that these preferences are applicable both to the treatment methods and to the new compounds of the invention.

Further compounds of the present invention include:

, and pharmaceutically acceptable salts thereof.

The compound of Formula I wherein the fused bicyclic ring is in the cis configuration, or pharmaceutically acceptable salt thereof, is preferred. For example, one of ordinary skill in the art will appreciate that the hydrogen at position 4a is in the cis configuration relative to the substituted phenyl at position 7a as shown in Scheme A below. In addition, the preferred relative configuration for positions 4a, 5, and 7a are also shown in Scheme A wherein the 1,1-difluoroethyl substituent at position 5 is in the cis configuration relative to the hydrogen at position 4a and the substituted phenyl at position 7a: Although the present invention contemplates all individual enantiomers and diasteromers, as well as mixtures of the enantiomers of said compounds, including racemates, the compounds with the absolute configuration as set forth below are particularly preferred:

N-[3-[(4aR,5S,7aS)-2-amino-5-(1,1-difluoroethyl)-4,4a,5,7-te trahydrofuro[3,4- d][1,3]oxazin-7a-yl]-4-fluoro-phenyl]-5-(trifluoromethyl)pyr idine-2-carboxamide, and pharmaceutically acceptable salts thereof; and

N-[3-[(4aR,5S,7aS)-2-amino-5-(1,1-difluoroethyl)-4,4a,5,7-te trahydrofuro[3,4- d][1,3]oxazin-7a-yl]-4-fluoro-phenyl]-5-(trifluoromethyl)pyr idine-2-carboxamide 4- methylbenzenesulfonate

The crystalline form of N-[3-[(4aR,5S,7aS)-2-amino-5-(1,1-difluoroethyl)- 4,4a,5,7-tetrahydrofuro[3,4-d][1,3]oxazin-7a-yl]-4-fluoro-ph enyl]-5- (trifluoromethyl)pyridine-2-carboxamide 4-methylbenzenesulfonate which is characterized by a substantial peak in the X-ray diffraction spectrum, at diffraction angle 2-theta of 4.9° in combination with one or more of the peaks selected from the group consisting of 9.8°, 28.0°, and 14.7°, with a tolerance for the diffraction angles of 0.2 degrees, is further preferred.

One of ordinary skill in the art will appreciate that compounds of the invention can exist in tautomeric forms, as depicted below in Scheme B. When any reference in this application to one of the specific tautomers of the compounds of the invention is given, it is understood to encompass both tautomeric forms and all mixtures thereof.

Additionally, certain intermediates described in the following preparations may contain one or more nitrogen protecting groups. It is understood that protecting groups may be varied as appreciated by one of skill in the art depending on the particular reaction conditions and the particular transformations to be performed. The protection and deprotection conditions are well known to the skilled artisan and are described in the literature (See for example“Greene’s Protective Groups in Organic Synthesis”, Fourth Edition, by Peter G.M. Wuts and Theodora W. Greene, John Wiley and Sons, Inc.2007).

Individual isomers, enantiomers, and diastereomers may be separated or resolved by one of ordinary skill in the art at any convenient point in the synthesis of compounds of the invention, by methods such as selective crystallization techniques or chiral chromatography (See for example, J. Jacques, et al., "Enantiomers, Racemates, and Resolutions", John Wiley and Sons, Inc., 1981, and E.L. Eliel and S.H. Wilen,” Stereochemistry of Organic Compounds”, Wiley-Interscience, 1994).

A pharmaceutically acceptable salt of the compounds of the invention, such as a hydrochloride salt, can be formed, for example, by reaction of an appropriate free base of a compound of the invention and an appropriate pharmaceutically acceptable acid such as hydrochloric acid, p-toluenesulfonic acid, or malonic acid in a suitable solvent such as diethyl ether under standard conditions well known in the art. Additionally, the formation of such salts can occur simultaneously upon deprotection of a nitrogen protecting group. The formation of such salts is well known and appreciated in the art. See, for example, Gould, P.L.,“Salt selection for basic drugs,” International Journal of Pharmaceutics, 33: 201-217 (1986); Bastin, R.J., et al.“Salt Selection and Optimization Procedures for Pharmaceutical New Chemical Entities,” Organic Process Research and Development, 4: 427-435 (2000); and Berge, S.M., et al.,“Pharmaceutical Salts,” Journal of

Pharmaceutical Sciences, 66: 1-19, (1977). Certain abbreviations are defined as follows:“APP” refers to amyloid precursor protein;“AUC” refers to area under the curve;“BSA” refers to Bovine Serum Albumin; “CDI” refers to 1,1’-carbonyldiimidazole;“cDNA” refers to complementary

deoxyribonucleic acid;“CSF” refers to cerebrospinal fluid;“DCC” refers to 1,3- dicyclohexylcarbodiimide;“Deoxo-Fluor®” refers to bis(2-methoxyethyl)aminosulfur trifluoride;“DIC” refers to 1,3-diisopropylcarbodiimide;“DMAP” refers to 4- dimethylaminopyridine;“DMSO” refers to dimethyl sulfoxide;“EBSS” refers to Earle’s Balanced Salt Solution;“EDCI” refers to 1-(3-dimethylaminopropyl)-3- ethylcarbodiimide hydrochloride;“ELISA” refers to enzyme-linked immunosorbent assay;“F12” refers to Ham’s F12 medium;“FBS” refers to Fetal Bovine Serum;“Fc” refers to fragment crystallizable;“FLUOLEAD™” refers to 4-tert-butyl-2,6- dimethylphenylsulfur trifluoride;“FRET” refers to fluorescence resonance energy transfer;“HATU” refers to (dimethylamino)-N,N-dimethyl(3H-[1,2,3]triazolo[4,5- b]pyridin-3-yloxy)methaniminium hexafluorophosphate;“HBTU” refers to (1H- benzotriazol-1-yloxy)(dimethylamino)-N,N-dimethylmethanimini um

hexafluorophosphate;“HEK” refers to human embryonic kidney;“HF-pyridine” refers to hydrogen fluoride pyridine or Olah’s reagent or poly(pyridine fluoride);“HOAt” refers to 1-hydroxy-7-azabenzotriazole;“HOBT” refers to 1-hydroxylbenzotriazole hydrate;

“IC50” refers to the concentration of an agent that produces 50% of the maximal inhibitory response possible for that agent;“IgG1” refers to immunoglobulin-like domain Fc-gamma receptor;“MEM” refers to Minimum Essential Medium;“PBS” refers to phosphate buffered saline;“p.o.” refers to orally dosing;“PyBOP” refers to (benzotriazol- 1-yl-oxytripyrrolidinophosphonium hexafluorophosphate);“PyBrOP” refers to bromo- tris-pyrrolidino phosphoniumhexafluorophosphate;“RFU” refers to relative fluorescence unit;“RT-PCR” refers to reverse transcription polymerase chain reaction;“SDS-PAGE” refers to sodium dodecyl sulfate polyacrylamide gel electrophoresis;“SFC” refers to super critical chromatography;“T3P®” refers to propylphosphonic anhydride;“THF” refers to tetrahydrofuran;“TEMPO” refers to (2,2,6,6-tetramethyl-piperidin-1-yl)oxyl; “TMEM” refers to transmembrane protein;“Tris” refers to

tris(hydroxymethyl)aminomethane;“trityl” refers to a group of the formula“(Ph)3C- where Ph refers to a phenyl group;“XtalFluor-E® or DAST difluorosulfinium salt” refers to (diethylamino)difluorosulfonium tetrafluoroborate or N,N-diethyl-S,S- difluorosulfiliminium tetrafluoroborate; and“XtalFluor-M® or morpho-DAST difluorosulfinium salt” refers to difluoro(morpholino)sulfonium tetrafluoroborate or difluoro-4-morpholinylsulfonium tetrafluoroborate.

The compounds of the present invention, or salts thereof, may be prepared by a variety of procedures known to one of ordinary skill in the art, some of which are illustrated in the schemes, preparations, and examples below. One of ordinary skill in the art recognizes that the specific synthetic steps for each of the routes described may be combined in different ways, or in conjunction with steps from different schemes, to prepare compounds of the invention, or salts thereof. The products of each step in the schemes below can be recovered by conventional methods well known in the art, including extraction, evaporation, precipitation, chromatography, filtration, trituration, and crystallization. In the schemes below, all substituents unless otherwise indicated, are as previously defined. The reagents and starting materials are readily available to one of ordinary skill in the art. Without limiting the scope of the invention, the following schemes, preparations, and examples are provided to further illustrate the invention.

In Scheme 1, step A, trimethylsulfonium iodide is treated with an organic base such as n-butyllithium at a temperature of about -50 °C in a solvent such as THF. A protected oxymethyl oxirane, protected with a suitable protecting group, such as a trityl group, is then added to the basic solution at -10 °C and allowed to stir for about 2 hours to give the protected product of Scheme 1, Step A.“PG” is a protecting group developed for the amino group or oxygen group such as carbamates, amides, or ethers. Such protecting groups are well known and appreciated in the art. Alternatively, a diol such as (2S)-but-2-ene-1,2-diol can be selectively protected on one hydroxy using

triphenylmethyl chloride and organic bases such as DMAP and triethylamine in a solvent such as dichloromethane to give the protected product of Scheme 1, Step A. The protected product of Step A is reacted with an Į-haloester such as tert-butoxy

bromoacetate using tetra-N-butylammonium sulfate or other quaternary ammonium salt phase transfer catalysts in a solvent such as toluene and an aqueous inorganic base such as sodium hydroxide at about room temperature to give the compound of Scheme 1, Step B. Such alkylations are well known in the art. Alternatively a base such as 60% sodium hydride in oil with solvents such as N,N-dimethylformamide or THF and a temperature range of 0 to 100 °C can be used to give the protected product of Step B. The tert-butoxy carbonyl acetate is converted to an oxime over a 2-step procedure. A reducing agent such as isobutylaluminum hydride in hexanes is added dropwise at a temperature of about -70 °C followed by the dropwise addition of an aqueous acid such as hydrochloric acid at a temperature of about -60 °C. The work-up is accomplished with an organic extraction to give the intermediate material. This material is dissolved in an organic solvent such as dichloromethane and treated with sodium acetate followed by hydroxylamine

hydrochloride to give the oxime product of Step C. The oxime product of Scheme 1, Step C can be converted to the bicyclic 4,5-dihydroisoxazole product of Step D in a 3+2 cyclization by several methods such as using an aqueous solution of sodium hypochlorite or an alternative oxidant such as N-chlorosuccinimide and in a solvent such as tert-butyl methyl ether, toluene, dichloromethane, or xylene at a temperature of about 10-15 °C or with heating. The 2-fluoro-5-bromo phenyl group can be added to the dihydroisoxazole by generating the organometallic reagent. The organometallic reagent can be generated from 4-bromo-1-fluoro-2-iodo-benzene using halogen-metal exchange with reagents such as n-butyllithium or isopropylmagnesium chloride lithium chloride complex and dropwise addition at a temperature range of about -78 °C to 15 °C in a solvent such as THF. A Lewis acid such as boron trifluoride diethyl etherate is then added to give the product of Scheme 1, Step E.

Alternatively in Scheme 2, the protected product of Scheme 1, Step A, can be treated with 4-(2-chloroacetyl)morpholino and a base such as tetrabutyl ammonium hydrogen sulfate in a solvent such as toluene at a temperature of about 5 °C to give the product of Scheme 2, Step A. The morpholino group can then serve as a leaving group in Scheme 2, Step B. For example, the product of Scheme 2, Step A can be treated with the appropriate Grignard reagent which can be prepared in situ from isopropyl magnesium chloride lithium chloride complex and 4-bromo-1-fluoro-2-iodobenzene or if the appropriate Grignard reagent is available, the reagent can be added directly to the product of Scheme 2, Step A at a temperature of about 5 °C to give the product of Scheme 2, Step B. The carbonyl acetate can be converted to an oxime with hydroxylamine hydrochloride and sodium acetate with heating to about 50 °C to give the product of Scheme 2, Step C. The oxime product of Scheme 2, Step C can then be converted to the product of Scheme 2, Step D (the same product as Scheme 1, Step E) using hydroquinone in a solvent such as toluene and heating to reflux. The amine product of Scheme 2, Step D can be protected with an acetyl using acetyl chloride using an organic base such as DMAP and pyridine in a solvent such as dichloromethane at a temperature of about 0-5 °C to give the product of Scheme 2, Step E. The product of Scheme 2, Step E can then be converted to the product of Scheme 3, Step A as discussed below.

The product of Scheme 2, Step E, can be selectively deprotected at the hydroxy using acidic conditions such as adding p-toluenesulfonic acid monohydrate or formic acid in solvents such as methanol and dichloromethane to give the product of Scheme 3, Step A. In an alternate route, the isoxazole nitrogen of the compound of Scheme 2, Step D, can be protected with an acetyl group and the protecting group of the hydroxy methyl can be removed in a two-step procedure. For example, the compound of Scheme 2, Step D is treated with an organic base such as DMAP and pyridine in a solvent such as

dichloromethane and acetyl chloride is added. The temperature is maintained below about 10 °C and then allowed to stir at about room temperature. The reaction is diluted with water and extracted with a solvent such as dichloromethane. The organic extracts are washed with an aqueous acid such as 1 N hydrochloric acid and the aqueous extracted again with a solvent such as dichloromethane followed by an aqueous wash. The organic solvent can be partially removed and an acid such as formic acid or p-toluenesulfonic acid monohydrate in solvents such as dichloromethane and methanol can added to deprotect the hydroxy methyl. The mixture can be stirred at room temperature or heated to a temperature of about 40 °C until deprotection of the hydroxy is complete to give the compound of Scheme 3, Step A. The hydroxy methyl product of Scheme 3, Step A can be oxidized to the carboxylic acid product of Scheme 3, Step B using oxidizing agents such as 2-iodoxxybenzoic acid (IBX) at temperatures of 0-22 °C in a solvent such as DMSO or addition of (diacetoxyiodo)benzene portionwise or all at once in a solvent such as acetonitrile or acetonitrile and water with stirring at a temperature of about 5-25 °C to give the product of Scheme 3, Step B. TEMPO can also be used as a catalyst in the oxidation if preferred. The Weinreb amide can be prepared in Scheme 3, Step C using a coupling agent such as CDI in a portionwise addition or adding at once with a solvent such as dichloromethane, cooling to -20 °C and stirring for about 1 hour and adding N,O- dimethylhydroxylamine hydrochloride portionwise or all at once. An organic base such as triethylamine can also be used to promote the reaction. Further additions of CDI and N,O-dimethylhydroxylamine can be added until complete reaction is observed to give the Weinreb amide product of Scheme 3, Step C. Other coupling agents that could be used include carbodiimides such as DCC, DIC, or EDCI or other uronium or phosphonium salts of non-nucleophilic anions, such as HATU, HBTU, PyBOP, and PyBrOP. The ketone of Scheme 3, Step D can be formed from the Weinreb amide using an

organometallic reagent such as a Grignard reagent or an organolithium reagent in a solvent such as THF. The appropriate Grignard reagent can be added as a solution in solvents such as ether or 2-methyltetrahydrofuran to the Weinreb amide at a temperature of about -78 °C to 0 °C to give the ketone of Scheme 3, Step D. The ketone of Step D can be converted to a difluoro-methyl group by adding the ketone to XtalFluor-M® in a solvent such as dichloromethane at about -78 °C to room temperature followed by the addition of triethylamine trihydrofluoride dropwise to give the compound of Scheme 3, Step E. Alternatively, the fluorinating reagent such as XtalFluor-M® can be added portionwise to the ketone product of Scheme 3, Step D at a temperature of about -20 °C to 10 °C and followed by the addition of triethylamine trihydrofluoride dropwise to give the product of Scheme 3, Step E. Another alternate procedure using Deoxo-Fluor® and trifluoride diethyl etherate in a solvent such as dichloromethane with stirring for about 2 hours followed by the addition of the ketone of Scheme 3, Step D and triethylamine trihydrofluoride gives the product of Scheme 3, Step E. Other fluorinating agents that may be used which are well known in the art are, diethylaminosulfur trifluoride (also referred to as“DAST”) and XtalFluor-E® with an additive such as triethylamine trihydrofluoride or FLUOLEAD™ using an additive such as HF-pyridine. The acetyl tetrahydroisoxazole can deprotected under acidic conditions well known in the art such as using hydrochloric acid and heating to about 100 °C to give the product of Scheme 3, Step F. The bicyclic tetrahydroisoxazole can be treated with zinc in acetic acid to form the ring opened product of Scheme 3, Step G in a manner analogous to the procedure described in Scheme 1, Step F. The oxazine product of Scheme 3, Step H can be prepared using cyanogen bromide in a solvent such as ethanol and heating to about 85 °C to form the amino oxazine ring product of Step H. The 5-bromo of the phenyl can be displaced with an amino group using copper (I) iodide, L-hydroxyproline, an inorganic base such as potassium carbonate and nitrogen gas with ammonium hydroxide to give the product of Scheme 3, Step I.

In Scheme 4, Step A, the aniline product of Scheme 3, Step I can be coupled with a heteroaromatic carboxylic acid utilizing coupling conditions well known in the art. One skilled in the art will recognize that there are a number of methods and reagents for amide formation resulting from the reaction of carboxylic acids and amines. For example, the reaction of an appropriate aniline with an appropriate acid in the presence of a coupling reagent and an amine base such as diisopropylethylamine or triethylamine, will give a compound of Scheme 4, Step A, Formula I. Coupling reagents include carbodiimides such as DCC, DIC, EDCI, and aromatic oximes such as HOBt and HOAt. Additionally, uronium or phosphonium salts of non-nucleophilic anions such as HBTU, HATU, PyBOP, and PyBrOP or a cyclic phosphoric anhydride such as T3P® can be used in place of the more traditional coupling reagents. Additives such as DMAP may be used to enhance the reaction. Alternatively, the aniline amine can be acylated using the appropriate aromatic acid chloride in the presence of a base such as triethylamine or pyridine to give compounds of Formula Ia.

Alternatively in Scheme 5, Step A, the amine product of Scheme 3, Step G, can be protected and the oxazine ring formed in a 2-step, one pot reaction. The amine can be reacted with benzoyl isothiocyanate in a solvent such as dichloromethane or THF at a temperature of about 5 °C to room temperature to give an intermediate compound of Step A. The oxazine ring can be formed by cooling the crude mixture to about 10 °C, adding DMSO followed by the slow addition of chlorotrimethylsilane to give the product of Step B. Sodium hydroxide (50%) and bleach can be used to remove gases from the reaction mixture. The bromide can be converted to the desired amide with 5- (trifluoromethyl)picolinamide, a drying agent such as 4ǖ molecular sieves, an inorganic base such as potassium carbonate, and sodium iodide in a solvent such as 1,4-dioxane. Nitrogen can be bubbled through the solution for about 30 minutes. Copper (I) iodide and a diamine or related ligand such as trans, racemic-N1,N2-dimethylcyclohexane-1,2- diamine is added and the mixture is heated to about 100-110 °C until the reaction is complete or up to 7 days to give the amide product of Scheme 5, step B. The oxazine amine can be deprotected using conditions known by one skilled in the art with an organic base such as pyridine, a solvent such as ethanol, and O-methylhydroxylamine hydrochloride in solvents such as THF and ethanol to provide the compound of Formula Ia.

The following Preparations and Examples further illustrate the invention. Preparation 1

(2S)-1-Trityloxybut-3-en-2-ol

Scheme 1, step A: Stir trimethylsulfonium iodide (193.5 g, 948.2 mmol) in THF (1264 mL) at ambient temperature for 75 minutes. Cool the mixture to -50 °C and add n- butyllithium (2.5 mol/L in hexanes, 379 mL, 948.2 mmol) via cannula, over a period of 30 minutes. Allow the reaction to gradually warm to -30 °C and stir for 60 minutes. Add (2S)-2-trityloxymethyl oxirane (100 g, 316.1 mmol) portion wise, keeping the temperature below -10 °C. After the complete addition, allow the reaction mixture to warm to room temperature and stir for 2 hours. Pour the reaction into saturated ammonium chloride, separate the phases, and extract the aqueous phase with ethyl acetate. Combine the organic layers and dry over magnesium sulfate. Filter and concentrate under reduced pressure to give a residue. Purify the residue by silica gel chromatography, eluting with methyl t-butyl ether: hexanes (10-15% gradient), to give the title compound (56.22 g, 54%). ES/MS m/z 353 (M+Na). Alternate Preparation 1

(2S)-1-Trityloxybut-3-en-2-ol

Scheme 2, step A starting material: Add triphenylmethyl chloride (287 g, 947.1 mmol), DMAP (7.71 g, 63.1 mmol) and triethylamine (140 g, 1383.5 mmol) to a solution of (2S)-but-2-ene-1,2-diol (prepared as in JACS, 1999, 121, 8649) (64.5 g, 631 mmol) in dichloromethane (850 mL). Stir for 24 hours at 24 °C. Add 1 N aqueous citric acid (425 mL). Separate the layers and concentrate the organic extract under reduced pressure to dryness. Add methanol (900 mL) and cool to 5 °C for 1 hour. Collect the solids by filtration and wash with 5 °C methanol (50 mL). Discard the solids and concentrate the mother liquor under reduced pressure to dryness. Add toluene (800 mL) and concentrate to a mass of 268 g to obtain the title compound (129 g, 67%) in a 48 wt% solution of toluene.

Scheme 2, step A: Add tetrabutyl ammonium hydrogen sulfate (83.2 g, 245.0 mmol) and 4-(2-chloroacetyl)morpholine (638.50 g, 3902.7 mmol) to a solution of 1- trityloxybut-3-en-2-ol ( 832.4 g, 2519 mmol) in toluene (5800 mL) that is between 0 and 5 °C. Add sodium hydroxide (1008.0 g, 25.202 mol) in water (1041 mL). Stir for 19 hours between 0 and 5 °C. Add water (2500 mL) and toluene (2500 mL). Separate the layers and wash the organic extract with water (2 × 3500 mL). Concentrate the organic extract under reduced pressure to dryness. Add toluene (2500 mL) to the residue and then add n-heptane (7500 mL) slowly. Stir for 16 hours. Collect the resulting solids by filtration and wash with n-heptane (1200 mL). Dry the solid under vacuum to obtain the title compound (1075.7 g, 98%). Preparation 3

1-(5-Bromo-2-fluoro-phenyl)-2-[(1S)-1-(trityloxymethyl)allyl oxy]ethanone

Scheme 2, step B: Add a 1.3 M solution of isopropyl magnesium chloride lithium chloride complex (3079 mL, 2000 mmol) in THF to a solution of 4-bromo-1-fluoro-2- iodobenze (673.2 g, 2237.5 mmol) in toluene (2500 mL) at a rate to maintain the reaction temperature below 5 °C. Stir for 1 hour. Add the resulting Grignard solution (5150 mL) to a solution of 1-morpholino-2-[(1S)-1-(trityloxymethyl)allyloxy]ethanone (500 g, 1093 mmol) in toluene (5000 mL) at a rate to maintain the reaction temperature below 5 °C. Stir for 3 hours maintaining the temperature below 5 °C. Add additional prepared Grignard solution (429 mL) and stir for 1 hour. Add a 1 N aqueous citric acid solution (5000 mL) at a rate to maintain the temperature below 5 °C. Separate the layers and wash the organic extract with water (5000 mL). Concentrate the solution under reduced pressure to dryness. Add methanol (2000 mL) to the residue and concentrate to give the title compound as a residue (793 g, 73.4% potency, 83%). Preparation 4

1-(5-Bromo-2-fluoro-phenyl)-2-[(1S)-1-(trityloxymethyl)allyl oxy]ethanone oxime

Scheme 2, step C: Add hydroxylamine hydrochloride (98.3 g) to 1-(5-bromo-2- fluoro-phenyl)-2-[(1S)-1-(trityloxymethyl)allyloxy]ethanone (450 g, 707 mmol) and sodium acetate (174 g) in methanol (3800 mL). Heat the solution to 50 °C for 2 hours. Cool to 24 °C and concentrate. Add water (1000 mL) and toluene (1500 mL) to the residue. Separate the layers and extract the aqueous phase with toluene (500 mL).

Combine the organic extract and wash with water (2 × 400 mL). Concentrate the solution under reduced pressure to give the title compound as a residue (567 g, 61.4% potency, 88%). Preparation 5

tert-Butyl 2-[(1S)-1-(trityloxymethyl)allyloxy]acetate

Scheme 1, step B: Add (2S)-1-trityloxybut-3-en-2-ol (74.67 g, 226.0 mmol) to a solution of tetra-N-butylammonium sulfate (13.26 g, 22.6 mmol) in toluene (376 mL). Add sodium hydroxide (50% mass) in water (119 mL) followed by tert-butyl-2- bromoacetate (110.20 g, 565.0 mmol). Stir reaction mixture for 18 hours at ambient temperature. Pour into water, separate the phases, and extract the aqueous phase with ethyl acetate. Combine the organic layers and dry over magnesium sulfate. Filter the mixture and concentrate under reduced pressure to give the title compound (77.86 g, 77%). ES/MS m/z 467 (M+Na). Preparation 6

(1E)-2-[(1S)-1-(Trityloxymethyl)allyloxy]acetaldehyde oxime

Scheme 1, step C: Cool a solution of tert-butyl 2-[(1S)-1- (trityloxymethyl)allyloxy]acetate (77.66 g, 174.7 mmol) in dichloromethane (582.2 mL) to -78 °C. Add a solution of diisobutylaluminum hydride in hexanes (1 mol/L, 174.7 mL) dropwise over a period of 35 minutes and maintain the temperature below -70 °C. Stir at -78 °C for 5 hours. Add hydrochloric acid in water (2 mol/L, 192.1 mL) to the reaction mixture dropwise, keeping the temperature below -60 °C. Allow the reaction to gradually warm to ambient temperature and stir for 60 minutes. Separate the organic extract and wash with saturated sodium bicarbonate. Dry the solution over magnesium sulfate, filter, and concentrate under reduced pressure to give a residue. Dissolve the residue in dichloromethane. Add sodium acetate (28.66 g, 349.3 mmol), followed by

hydroxylamine hydrochloride (18.21 g, 262.0 mmol). Stir at ambient temperature for 18 hours. Pour into water, separate the phases, and extract the aqueous phase with dichloromethane. Combine the organic layers and dry over magnesium sulfate. Filter the mixture and concentrate under reduced pressure to give the title compound (68.38 g, 101%). ES/MS m/z 386 (M-H). Preparation 7

(3aR,4S)-4-(Trityloxymethyl)-3,3a,4,6-tetrahydrofuro[3,4-c]i soxazole

Scheme 1, step D: Cool a solution of (1E)-2-[(1S)-1- (trityloxymethyl)allyloxy]acetaldehyde oxime (55.57 g, 143.4 mmol) in tert-butyl methyl ether (717 mL) to 5 °C. Add sodium hypochlorite (5% in water, 591 mL, 430.2 mmol) dropwise, keeping the temperature below 10 °C. Stir at 10 °C for 30 minutes. Allow the reaction to warm to 15 °C. Stir at 15 °C for 18 hours. Dilute the reaction mixture with ethyl acetate and wash with saturated sodium bicarbonate. Separate the phases, wash the organic phase with a 5% sodium hydrogen sulphite solution and brine. Dry the solution over magnesium sulfate, filter, and concentrate under reduced pressure to give a residue. Purify the residue by silica gel chromatography, eluting with 50% methyl tert-butyl ether/dichloromethane: hexanes (20-27% gradient), to give the title compound (35.84 g, 65%). ES/MS m/z 408 (M+Na). Preparation 8

(3aR,4S,6aR)-6a-(5-Bromo-2-fluoro-phenyl)-4-(trityloxymethyl )-3,3a,4,6- tetrahydrofuro[3,4-c]isoxazole

Scheme 1, step E: Cool a solution of 4-bromo-1-fluoro-2-iodo-benzene (86.94 g, 288.9 mmol) in THF (144.5 mL) and toluene (1445 mL) to -78 °C. Add n-butyllithium (2.5 M in hexanes, 120 mL, 288.9 mmol) dropwise, keeping the temperature below -70 °C. Stir for 30 minutes at -78 °C. Add boron trifluoride diethyl etherate (36.5 mL, 288.9 mmol) dropwise, keeping temperature below -70 °C. Stir the solution for 30 minutes at - 78 °C. Add a solution of (3aR,4S)-4-(trityloxymethyl)-3,3a,4,6-tetrahydrofuro[3,4- c]isoxazole (55.69 g, 144.5 mmol) in THF (482 mL) dropwise to the reaction, over a period of 30 minutes, keeping temperature below -65 °C. Stir at -78 °C for 90 minutes. Rapidly add saturated ammonium chloride, keeping temperature below -60 °C. Pour into brine, and extract the aqueous phase with ethyl acetate. Combine the organic extract and dry over magnesium sulfate. Filter and concentrate under reduced pressure to give a residue. Purify the residue by silica gel chromatography, eluting with 10-15% diethyl ether:hexanes (0-70% gradient), to give the title compound (36.52 g, 45%). ES/MS m/z ( 79 Br/ 81 Br) 560/562 [M+H]. Alternate Preparation 8

Scheme 2, step D: Heat a solution of 1-(5-bromo-2-fluoro-phenyl)-2-[(1S)-1- (trityloxymethyl)allyloxy]ethanone oxime (458 g, 502 mmol) and hydroquinone (56.3g 511 mmol) in toluene (4000 mL) to reflux under nitrogen for 27 hours. Cool the solution to 24 °C and add aqueous sodium carbonate (800 mL). Separate the layers and extract the aqueous phase with toluene (300 mL). Combine the organic extract and wash with water (2 × 500 mL). Concentrate the solution under reduced pressure to give a residue. Add isopropyl alcohol (1500 mL) and heat to reflux. Cool to 24 °C and collect the solids by filtration. Dry the solid under vacuum to obtain the title compound (212 g, 75%). Preparation 9

1-[(3aR,4S,6aS)-6a-(5-Bromo-2-fluoro-phenyl)-4-(trityloxymet hyl)-3,3a,4,6- tetrahydrofuro[3,4-c]isoxazol-1-yl]ethanone

Scheme 2, step E: Add acetyl chloride (35.56 g, 503.9 mmol) to a solution of (3aR,4S,6aR)-6a-(5-bromo-2-fluoro-phenyl)-4-(trityloxymethyl )-3,3a,4,6- tetrahydrofuro[3,4-c]isoxazole (235.3 g, 420 mmol), DMAP (5.13 g, 42.0 mmol), and pyridine (66.45 g, 840.1 mmol) in dichloromethane (720 mL) under nitrogen, maintaining internal temperature below 5 °C. Stir for 1 hour and then add water (300 mL) and 1 M sulfuric acid (300 mL). Stir the mixture for 10 minutes and allow the layers to separate. Collect the organic extract and wash with saturated sodium carbonate (500 mL) and water (500 mL). Dry the solution over magnesium sulfate. Filter and concentrate under reduced pressure to give the title compound (235 g, 93%) as a grey solid. Preparation 10

1-[(3aR,4S,6aS)-6a-(5-Bromo-2-fluorophenyl)-4-(hydroxymethyl )tetrahydro-1H,3H- furo[3,4-c][1,2]oxazol-1-yl]ethanone

Scheme 3, step A: In a 20 L jacketed reactor add acetyl chloride (290 mL, 4075 mmol) to a solution of (3aR,4S,6aR)-6a-(5-bromo-2-fluoro-phenyl)-4-(trityloxymethyl )- 3,3a,4,6-tetrahydrofuro[3,4-c]isoxazole (1996 g, 3384 mmol), DMAP (56.0 g, 458 mmol), pyridine (500 mL, 6180 mmol) in dichloromethane (10 L) under nitrogen maintaining internal temperature below 10 °C. After complete addition (1 hour) warm to 20 °C and stir overnight. If reaction is incomplete, add acetyl chloride, DMAP, pyridine, and dichloromethane until complete reaction is observed. Cool the reaction mixture to 0 °C and slowly add water (5 L), stir the reaction mixture at 10 °C for 30 minutes and allow the layers to separate. Collect the organic extract and wash the aqueous with

dichloromethane (1 L). Wash the combined organic extracts with 1 N aqueous hydrochloric acid (2 × 4 L) and extract the aqueous with dichloromethane (2 × 1 L). Wash the combined organic extracts with water (4 L) and remove the solvent under reduced pressure give a total volume of approximately 5 L. Add 90% formic acid (1800 mL) and let the mixture stand at ambient temperature for 3 days. Warm to 40 °C for 2 hours then remove the solvent under reduced pressure. Dilute the residue with methanol (4 L) and slowly add saturated aqueous sodium carbonate (3 L). Add solid sodium carbonate (375 g) to adjust the pH to 8-9. Stir at 45 °C for 1 hour then cool to ambient temperature. Remove the solids by filtration, washing with methanol (4 × 500 mL) then treat with 2 N aqueous sodium hydroxide (100 mL) and stand at ambient temperature for 1 hour. Remove the solids by filtration, washing with methanol (2 × 100 mL). Evaporate the solvent under reduced pressure and partition the residue between ethyl acetate (5 L) and water (2 L). Extract the aqueous with ethyl acetate (2 L) and wash the combined organic extracts with brine (2 × 1 L). Remove the solvent under reduced pressure, add methyl tert-butyl ether (2.5 L) and evaporate to dryness. Add methyl tert-butyl ether (4 L) and stir at 65 °C for 1 hour, cool to ambient temperature, and collect the solids by filtration, washing with methyl tert-butyl ether (3 × 500 mL). Dry under vacuum to a beige solid. Heat this solid in toluene (7.5 L) to 110 °C until fully dissolved, cool to 18 °C over 1 hour, and stir at this temperature for 1 hour. Warm to 40 °C and when precipitate forms, cool to 18 °C once more. Stir for 45 minutes then collect solids by filtration, washing with toluene (2 × 500 mL). Dry the solid under vacuum to obtain the title compound (443.1 g, 36%, 95% purity by LCMS). Evaporate the filtrate under vacuum to give a residue. Purify the residue by silica gel flash chromatography, eluting with 20% to 100% ethyl acetate in isohexane. Slurry the product containing fractions in methyl tert-butyl ether (2 L) at 60 °C for 30 minutes, cool to ambient temperature, and collect the solids by filtration, washing with methyl tert-butyl ether (2 × 200 mL). Dry the solids under vacuum to give the title compound as a beige crystalline solid (304 g, 24%, 88% purity by LCMS). Evaporate the filtrate under vacuum to a residue. Purify the residue by silica gel flash chromatography, eluting with 20% to 100% ethyl acetate in isohexane to give the title compound (57.8 g, 5%, 88% purity by LCMS). ES/MS m/z ( 79 Br/ 81 Br) 360.0/362.0 [M+H]. Alternate Preparation 10

Scheme 3, step A: Add 1-[(3aR,4S,6aS)-6a-(5-bromo-2-fluoro-phenyl)-4- (trityloxymethyl)-3,3a,4,6-tetrahydrofuro[3,4-c]isoxazol-1-y l]ethanone (69 g, 114.5 mmol) to a 15 °C solution of p-toluenesulfonic acid monohydrate (2.2 g, 11.45 mmol), dichloromethane (280 mL) and methanol (700 mL). Stir for 18 hours and then remove the solvent under reduced pressure. Dilute the residue with dichloromethane (350 mL) and add 1 M aqueous sodium carbonate (140 mL) and water (140 mL). Separate the layers and evaporate the organic layer under reduced pressure. Add toluene (350 mL) to the residue and heat to reflux for 1 hour. Cool to 10-15 °C at a rate of 10 °C/hour.

Collect the solids by filtration and wash with toluene (70 mL). Dry the solid under vacuum to obtain the title compound (30 g, 65%) as a grey solid. Preparation 11

(3aR,4S,6aS)-1-Acetyl-6a-(5-bromo-2-fluoro-phenyl)-3,3a,4,6- tetrahydrofuro[3,4- c]isoxazole-4-carboxylic acid

Scheme 3, step B: Add water (2 L) to a suspension of 1-[(4S,6aS)-6a-(5-bromo-2- fluoro-phenyl)-4-(hydroxymethyl)-3,3a,4,6-tetrahydrofuro[3,4 -c]isoxazol-1-yl]ethanone (804.9 g, 2177 mmol), TEMPO (40.0 g, 251 mmol) in acetonitrile (4.5 L) in a 20 L jacketed reactor and cool to an internal temperature of 5 °C. Add (diacetoxyiodo)benzene (1693 g, 4993.43 mmol) portionwise over 30 minutes. Control the exotherm using reactor cooling and then hold at 20 °C until LCMS shows complete reaction. Slowly add a suspension of sodium bisulfite (70 g, 672.68 mmol) in water (300 mL) at ambient temperature, maintaining the internal temperature below 25 °C. Stir for 30 minutes and then cool to 5 °C. Add water (2 L), then slowly add 47 wt% aqueous sodium hydroxide (780 mL) over a period of 1 hour maintaining the internal temperature below 10 °C. Add ethyl acetate (2 L) and isohexane (5 L), stir vigorously and separate the layers. Extract the biphasic organic layers with water (1 L) and wash the combined aqueous with methyl tert-butyl ether (2.5L). Cool the aqueous extracts to 5 °C and slowly add 37%

hydrochloric acid (1.4 L) over 30 minutes maintaining the internal temperature around 5 °C. Add ethyl acetate (5 L), separate the layers, and wash the organic with brine (3 × 1 L). Extract the combined aqueous extracts with ethyl acetate (2.5 L), wash the combined organics with brine (1 L), then dry with sodium sulfate, and filter. Dilute the organics with heptane (2.5 L) and evaporate to dryness under reduced pressure. Add methyl tert- butyl ether (1.5 L) and heptane (1.5 L) and evaporate to dryness. Add heptane (2.5 L) and evaporate to dryness twice. Add heptane (500 mL) and methyl tert-butyl ether (500 mL) and stir at 40 °C for 30 minutes then collect the precipitate by filtration, washing with heptane/methyl tert-butyl ether (1:1, 1 L) then methyl tert-butyl ether (3 × 300 mL) and air dry to give the title compound as a beige crystalline solid (779 g, 91%). ES/MS m/z ( 79 Br/ 81 Br) 374.0/376.0 [M+H], [D] 20 D -19.0 ° (c 1.004, chloroform). Alternate Preparation 11

Scheme 3, step B: Add water (150 mL) and acetonitrile (150 mL) to 1-[(4S,6aS)- 6a-(5-bromo-2-fluoro-phenyl)-4-(hydroxymethyl)-3,3a,4,6-tetr ahydrofuro[3,4-c]isoxazol- 1-yl]ethanone (30 g, 73.3 mmol), TEMPO (1.14 g, 7.30 mmol) and (diacetoxyiodo) benzene (51.9 g, 161 mmol). Cool to 15 °C and stir for 2 hours. Slowly add sodium thiosulfate (21 g) and potassium carbonate (22 g) in water (150 mL) at ambient temperature. Stir for 1 hour and then add methyl tert-butyl ether (150 mL). Separate the layers and adjust the pH of the aqueous layer to 2-3 with concentrated sulfuric acid. Add ethyl acetate (150 mL) and separate the layers. Evaporate the organic layer to dryness under reduced pressure. Add n-heptane (90 mL) and heat to reflux for 1 hour. Cool to 15 °C and then collect the precipitate by filtration, washing with n-heptane (90 mL). Dry under vacuum to give the title compound as a white solid (27 g, 98%). Preparation 12

(3aR,4S,6aS)-1-Acetyl-6a-(5-bromo-2-fluorophenyl)-N-methoxy- N-methyltetrahydro- 1H,3H-furo[3,4-c][1,2]oxazole-4-carboxamide

Scheme 3, step C: In a 10 L jacketed reactor, cool a solution of (3aR,4S,6aS)-1- acetyl-6a-(5-bromo-2-fluoro-phenyl)-3,3a,4,6-tetrahydrofuro[ 3,4-c]isoxazole-4- carboxylic acid (771 g, 2019 mmol) in dichloromethane (7.0 L) to 0 °C under nitrogen and add CDI (400 g, 2421 mmol) portionwise over 40 minutes. Cool the reactor jacket to -20 °C and stir for 1 hour and then add N,O-dimethylhydroxylamine hydrochloride (260.0 g, 2612 mmol) portionwise over about 30 minutes. Stir at -20 °C for 1 hour, at 0 °C for 2 hours, and at 10 °C for 7 hours. Add CDI (175 g, 1058 mmol) and stir at 10 °C overnight. Add further CDI (180 g, 1088 mmol) at 10 °C and stir for 1 hour then add N,O-dimethylhydroxylamine hydrochloride (140 g, 1407 mmol) and continue stirring at 10 °C. If the reaction is incomplete, further charges of CDI followed by N,O- dimethylhydroxylamine hydrochloride can be made until complete reaction is observed. Cool the reaction mixture to 5 °C and wash with 1 N aqueous hydrochloric acid (5 L) then 2 N aqueous hydrochloric acid (5 L). Extract the combined aqueous solution with dichloromethane (1 L), combine the organic extract and wash with water (2.5 L), 1 N aqueous sodium hydroxide (2.5 L), and water (2.5 L), dry over magnesium sulfate, filter, and evaporate under reduced pressure to give a residue. Add methyl tert-butyl ether (3 L) and evaporate under reduced pressure. Add further methyl tert-butyl ether (2 L) and stir at 50 °C for 1 hour, cool to 25 °C and stir for 30 minutes. Collect the resulting solids by filtration, wash with methyl tert-butyl ether (2 × 500 mL) and dry under vacuum to give the title compound (760 g, 88%) as a white solid. ES/MS m/z ( 79 Br/ 81 Br) 417.0/419.0 [M+H]. Alternate Preparation 12

Scheme 3, step C: Cool a solution of (3aR,4S,6aS)-1-acetyl-6a-(5-bromo-2- fluoro-phenyl)-3,3a,4,6-tetrahydrofuro[3,4-c]isoxazole-4-car boxylic acid (27g, 70.7 mmol) in N,N-dimethylformamide (135 mL) to 0 °C under nitrogen and add CDI (14.9 g, 91.9 mmol). Stir for 1 hour and then add N,O-dimethylhydroxylamine hydrochloride (9.0 g, 92 mmol) and triethylamine (14.3 g, 141 mmol). Stir at 15 °C for 16 hours. Cool the reaction mixture to 0 °C and add 0.5 M aqueous sulfuric acid (675 mL). Stir for 1 hour. Collect the resulting solids by filtration. Slurry the solids in methyl tert-butyl ether (90 mL) for 1 hour. Collect the solids by filtration, wash with methyl tert-butyl ether (30 mL). Dry under vacuum to give the title compound (23 g, 78%) as a solid. Preparation 13

1-[(3aR,4S,6aS)-1-Acetyl-6a-(5-bromo-2-fluoro-phenyl)-3,3a,4 ,6-tetrahydrofuro[3,4- c]isoxazol-4-yl]ethanone

Scheme 3, step D: In a 20 L jacketed reactor, cool a solution of (3aR,4S,6aS)-1- acetyl-6a-(5-bromo-2-fluorophenyl)-N-methoxy-N-methyltetrahy dro-1H,3H-furo[3,4- c][1,2]oxazole-4-carboxamide (654.0 g, 1536 mmol) in THF (10 L) to -60 °C and add a 3.2 M solution of methylmagnesium bromide in 2-methyltetrahydrofuran (660 mL, 2110 mmol) dropwise, while maintaining the internal temperature below -40 °C. Stir the reaction mixture at -40 °C for 30 minutes then cool to -50 °C and add a solution of 1 N aqueous hydrochloric acid (2 L) in THF (2 L) maintaining the internal temperature below -38 °C. Increase the temperature to 10 °C and add ethyl acetate (5 L) and water (1 L), stir and allow the internal temperature to reach 5 °C and separate the layers. Extract the aqueous layer with ethyl acetate (1 L) and combine the organic extracts. Wash the organic extracts with water (2 L) and extract the aqueous layer with ethyl acetate (1 L). Combine the organic extract and wash with brine (3 × 2 L) then dry over magnesium sulfate, filter, and evaporate under reduced pressure to a residue. Add cyclohexane (2.5 L), stir at 60 °C for 1 hour then at 20 °C for 30 minutes, and collect the solid by filtration, washing with cyclohexane (500 mL). Dry the solid under vacuum to obtain the title compound as a white solid (565 g, 99%). ES/MS m/z ( 79 Br/ 81 Br) 372.0/374.0 [M+H], [D] 20 D -58.0 ° (c 1.000, chloroform). Alternate Preparation 13

Scheme 3, step D: Cool a solution of (3aR,4S,6aS)-1-acetyl-6a-(5-bromo-2- fluorophenyl)-N-methoxy-N-methyltetrahydro-1H,3H-furo[3,4-c] [1,2]oxazole-4- carboxamide (4.0g, 9.59 mmol) in THF (60 mL) to -5 °C and add a 3.0 M solution of methylmagnesium bromide in 2-methyltetrahydrofuran (5.0 mL, 15 mmol) dropwise, while maintaining the internal temperature between -5 and 0 °C. Stir the reaction mixture between -5 and 0 °C for 60 minutes then add a solution of saturated ammonium chloride (20 mL). Add methyl tert-butyl ether (40 mL), allow the internal temperature to reach 5 °C and separate the layers. Evaporate the organic layer under reduced pressure to a residue. Add n-heptane (50 mL), stir, and collect the solid by filtration. Dry the solid under vacuum to obtain the title compound as a solid (3.0 g, 77%). Preparation 14

1-[(3aR,4S,6aS)-6a-(5-Bromo-2-fluorophenyl)-4-(1,1-difluoroe thyl)tetrahydro-1H,3H- furo[3,4-c][1,2]oxazol-1-yl]ethanone

Scheme 3, step E: Add 1-[(3aR,4S,6aS)-1-acetyl-6a-(5-bromo-2-fluoro-phenyl)- 3,3a,4,6-tetrahydrofuro[3,4-c]isoxazol-4-yl]ethanone (5.08 g, 13.6 mmol) in a single portion to a stirred suspension of XtalFluor-M® (10.02 g, 39.18 mmol) in anhydrous dichloromethane (100 mL) at 0-5 °C. Stir the mixture for 10 minutes and add triethylamine trihydrofluoride (4.5 mL, 27 mmol) dropwise over 10 minutes. Stir the reaction mixture in the ice-bath for 8 hours then warm to ambient temperature and stir overnight. Add saturated aqueous sodium carbonate (100 mL) and stir for 1 hour.

Separate the layers and extract the aqueous with dichloromethane (2 × 50 mL). Combine the organic extracts and wash with saturated aqueous sodium bicarbonate (100 mL), 2 N aqueous hydrochloric acid (2 × 100 mL), and brine (100 mL). Evaporate to dryness to a light brown solid and dissolve in methyl tert-butyl ether (300 mL) at 60 °C. Filter the hot solution and evaporate the filtrate to give a brown solid (5.3 g, 81%, 82% purity by LCMS) that is used without further purification. ES/MS m/z ( 79 Br/ 81 Br) 393.8/395.8 [M+H]. Alternate Preparation 14

Scheme 3, step E: Add XtalFluor-M® (1.21 kg, 4.73 mol) in portions to a stirred solution of 1-[(3aR,4S,6aS)-1-acetyl-6a-(5-bromo-2-fluoro-phenyl)-3,3a,4 ,6- tetrahydrofuro[3,4-c]isoxazol-4-yl]ethanone (565 g, 1.51 mol) in anhydrous

dichloromethane (5 L) at -14 °C. Stir the mixture for 10 minutes and add triethylamine trihydrofluoride (550 g, 3.34 mol) dropwise over 20 minutes. Stir the reaction mixture at -10 °C for approximately 10 hours then warm to ambient temperature and stir overnight. Add 50% aqueous sodium hydroxide (750 mL) slowly, maintaining the internal temperature below 10 °C, then add water (1.5 L) and saturated aqueous sodium hydrogen carbonate (1 L) and stir for 30 minutes. Separate the layers and extract the aqueous with dichloromethane (1 L). Combine the organic extracts and wash with brine (3 L), 2 N aqueous hydrochloric acid (5 L), and brine (3 L). Evaporate to give a residue and purify by silica gel chromatography eluting with 50-100% dichloromethane in iso-hexane then 10% methyl tert-butyl ether in dichloromethane to give the title compound as a white powder (467 g, 73%, 94% purity by LCMS). ES/MS m/z ( 79 Br/ 81 Br) 393.8/395.8 [M+H]. Preparation 15

(3aR,4S,6aS)-6a-(5-Bromo-2-fluoro-phenyl)-4-(1,1-difluoroeth yl)-3,3a,4,6-tetrahydro- 1H-furo[3,4-c]isoxazole

Scheme 3, step F: Add 37 wt% aqueous hydrochloric acid (1.3 L, 16 mol) to a solution of 1-[(3aR,4S,6aS)-6a-(5-bromo-2-fluorophenyl)-4-(1,1- difluoroethyl)tetrahydro-1H,3H-furo[3,4-c][1,2]oxazol-1-yl]e thanone (570 g, 1.45 mol) in 1,4-dioxane (5 L) in a 10 L jacketed reactor and stir at 100 °C for approximately 3 hours or until LCMS shows complete reaction. Cool the reaction mixture to 10 °C, dilute with water (1 L) and add a mixture 50 wt% aqueous sodium hydroxide solution (800 mL) and water (1 L) slowly, maintaining the internal temperature below 20 °C. Add ethyl acetate (2.5 L) and stir vigorously, before separating the layers and washing the organic phase with brine (2 L), further brine (1 L), and water (1 L). Dry over magnesium sulfate, filter, and concentrate to dryness under reduced pressure to give a residue. Add cyclohexane (2.5 L) and evaporate to dryness then repeat to obtain the title compound as a brown oil (527 g, 89%, 86% purity by LCMS). ES/MS m/z ( 79 Br/ 81 Br) 351.8/353.8 [M+H]. Preparation 16

[(2S,3R,4S)-4-Amino-4-(5-bromo-2-fluorophenyl)-2-(1,1-difluo roethyl)tetrahydrofuran- 3-yl]methanol

Scheme 3, step G: Add zinc powder (6.0 g, 92 mmol) to a solution of

(3aR,4S,6aS)-6a-(5-bromo-2-fluoro-phenyl)-4-(1,1-difluoro ethyl)-3,3a,4,6-tetrahydro- 1H-furo[3,4-c]isoxazole (5.06 g, 13.4 mmol) in acetic acid (100 mL) at ambient temperature and stir overnight. Dilute the mixture with ethyl acetate (200 mL) and water (300 mL) and stir vigorously while adding sodium carbonate (97 g, 915 mmol). Separate the layers and wash the organic layer with brine (2 × 200 mL), dry over magnesium sulfate, filter, and concentrate to give a residue. Purify the residue by silica gel chromatography eluting with 0% to 100% methyl tert-butyl ether in isohexane to give the title compound as a waxy solid (4.67 g, 89%, 90% purity by LCMS). ES/MS m/z ( 79 Br/ 81 Br) 354.0/356.0 [M+H]. Alternate Preparation 16

Scheme 3, step G: Add zinc powder (200 g, 3.06 mol) portionwise to a solution of (3aR,4S,6aS)-6a-(5-bromo-2-fluoro-phenyl)-4-(1,1-difluoroeth yl)-3,3a,4,6-tetrahydro- 1H-furo[3,4-c]isoxazole (304 g, 75% purity, 647 mmol) in acetic acid (2 L) and water (2 L) at 20 °C then warm to 40 °C and stir overnight. Dilute the mixture water (2 L) and stir vigorously while adding sodium carbonate (4 kg, 43.4 mol) then adjust to pH 8-9 with further sodium carbonate. Add ethyl acetate (5 L) and water (2.5 L), stir for 30 minutes and filter through diatomaceous earth washing with 2:1 acetonitrile/water. Separate the layers, extract the aqueous with ethyl acetate (2 × 2.5 L) and wash the combined organic extracts with brine (2 × 2.5 L), dry over magnesium sulfate, filter, and concentrate to give a residue. Purify the residue by SFC, column: Chiralpak AD-H (5), 50 × 250 mm; eluent: 12% ethanol (0.2% diethylmethylamine in CO2; flow rate: 340 g/minute at UV 220 nm to give the title compound as a white solid (197.7 g, 84%). ES/MS m/z ( 79 Br/ 81 Br)

354.0/356.0 [M+H], [D] 20 D -6.93 ° (c 0.678, chloroform). Preparation 17

(4aR,5S,7aS)-7a-(5-Bromo-2-fluoro-phenyl)-5-(1,1-difluoroeth yl)-4,4a,5,7- tetrahydrofuro[3,4-d][1,3]oxazin-2-amine

Scheme 3, step H: Dissolve [(2S,3R,4S)-4-Amino-4-(5-bromo-2-fluorophenyl)-2- (1,1-difluoroethyl)tetrahydrofuran-3-yl]methanol (1.51 g, 4.24 mmol) in ethanol (22.3 mL), then add cyanogen bromide (1.30 mL, 6.50 mmol, 5 M solution in acetonitrile). Place the resultant solution in a preheated, 85 °C oil bath. Stir at 85 °C for 10 hours. Cool to ambient temperature, then add saturated sodium bicarbonate. Separate the phases, extract with ethyl acetate and dichloromethane. Dry the combined organic extracts over sodium sulfate, filter, and concentrate under reduced pressure to give the title compound (1.41 g, 87%). ES/MS m/z ( 79 Br/ 81 Br) 379/381 [M+H]. Preparation 18

(4aR,5S,7aS)-7a-(5-Amino-2-fluoro-phenyl)-5-(1,1-difluoroeth yl)-4,4a,5,7- tetrahydrofuro[3,4-d][1,3]oxazin-2-amine

Scheme 3, step I: Dissolve copper (I) iodide (0.71 g, 3.74 mmol), L- hydroxyproline (0.99 g, 7.50 mmol), potassium carbonate (1.56 g, 11.20 mmol ) and (4aR,5S,7aS)-7a-(5-bromo-2-fluoro-phenyl)-5-(1,1-difluoroeth yl)-4,4a,5,7- tetrahydrofuro[3,4-d][1,3]oxazin-2-amine (1.42 g, 3.72 mmol), in DMSO (20 mL).

Bubble nitrogen gas, sub-surface for 10 minutes. Add ammonium hydroxide (29% wt/wt solution in water, 3.0 mL, 20 mmol) and heat to 85 °C for 14 hours. Cool to ambient temperature, add saturated sodium bicarbonate. Separate the phases and extract with dichloromethane. Combine the organic extracts and wash with brine, dry over sodium sulfate, filter, and concentrate under reduced pressure to give a residue. Purify the residue by silica gel chromatography, eluting with a 1-10% gradient of [7 N NH3 in methanol]: dichloromethane to give the title compound (0.72 g, 58%). ES/MS m/z 316 [M+H]. Preparation 19

5-(Trifluoromethyl)pyridine-2-carboxamide

Dissolve 5-(trifluoromethyl)pyridine-2-carboxylic acid (67.5 g, 353 mmol) in 1,4- dioxane (700 mL) and stir at room temperature. Slowly add thionyl chloride (80 mL, 1090 mmol) to the solution and then warm to an internal temperature of 65 °C and stir for 19 hours. Evaporate the reaction mixture to dryness and dilute with 1,4-dioxane to a total volume of 400 mL. Add this solution to a stirred solution of ammonium hydroxide in water (35 wt%, 1.6 L) cooled to 5 °C and stir for 1 hour. Collect the precipitate by filtration, wash with water (3 × 250 mL), isohexane (3 × 250 mL), and dry under vacuum at 50 °C to give the title compound as a white solid (58.37 g, 86%). ES/MS m/z 191.0 (M+H). Preparation 20

N-[(4aR,5S,7aS)-7a-(5-Bromo-2-fluorophenyl)-5-(1,1-difluoroe thyl)-4a,5,7,7a- tetrahydro-4H-furo[3,4-d][1,3]oxazin-2-yl]benzamide

Scheme 5, step A: Dissolve [(2S,3R,4S)-4-amino-4-(5-bromo-2-fluorophenyl)-2- (1,1-difluoroethyl)tetrahydrofuran-3-yl]methanol (580 g, 1621 mmol) in dichloromethane (5 L) at 18 °C under nitrogen, add benzoyl isothiocyanate (345 g, 2114 mmol) and stir overnight. Cool the reaction mixture to 10 °C and attach a scrubber containing conc.50% w/w sodium hydroxide (250 mL, 3 eq) and bleach (4 L, ~2eq) to draw gases from reaction mixture. Add DMSO (150 mL, 2110 mmol) to the reaction mixture followed by the slow addition of chlorotrimethylsilane (250 mL, 1930 mmol) and stir for 1 hour at 10 °C. Add a solution of sodium carbonate (500 g, 4717.52 mmol) in water (3 L), stir for 30 minutes, and then separate the layers. Wash the organic layer with water (2 L) and extract the aqueous with dichloromethane (2.5 L). Combine the organic extracts and evaporate to a residue. Dilute the residue with methanol (4 L), stir the solution at 40 °C for 1 hour, and filter through diatomaceous earth (500 g), washing with methanol (4 × 500 mL). Evaporate to a residue and add acetonitrile (3 L). Stir the solution at 40 °C for 1 hour and filter through diatomaceous earth (500 g), washing with acetonitrile (4 × 500 mL) then evaporate the filtrate to give a brown foam. Purify the crude product by silica gel chromatography eluting with 0 to 30% ethyl acetate in isohexane to give the title compound (860 g, 87% purity). ES/MS m/z ( 79 Br/ 81 Br) 483.0/485.0 [M+H]. Preparation 21

N-[3-[(4aR,5S,7aS)-2-Benzamido-5-(1,1-difluoroethyl)-4,4a,5, 7-tetrahydrofuro[3,4- d][1,3]oxazin-7a-yl]-4-fluoro-phenyl]-5-(trifluoromethyl)pyr idine-2-carboxamide

Scheme 5, step B: Add together anhydrous 1,4-dioxane (1.4 L) to N- [(4aR,5S,7aS)-7a-(5-bromo-2-fluorophenyl)-5-(1,1-difluoroeth yl)-4a,5,7,7a-tetrahydro- 4H-furo[3,4-d][1,3]oxazin-2-yl]benzamide (135.3 g, 87% purity, 243.6 mmol), 4ǖ molecular sieves (21.6 g), 5-(trifluoromethyl)picolinamide (61.21 g, 318.6 mmol), finely ground potassium carbonate (61.5 g, 445 mmol), and sodium iodide (62.0 g, 413.6 mmol) and bubble nitrogen through the reaction mixture for 30 minutes. Add trans-N,N’- dimethylcyclohexane-1,2-diamine (12 mL, 76.1 mmol) and copper (I) iodide (9.3 g, 49 mmol) and continue bubbling nitrogen through the solution for 10 minutes. Stir the mixture and heat to an internal temperature of 109 °C under nitrogen for 7 days. Cool the reaction mixture to ambient temperature and dilute the reaction mixture with saturated aqueous ammonium chloride (1 L). Stir for 3 hours and filter through diatomaceous earth. Wash the filtrate with saturated aqueous ammonium chloride (500 mL) and ethyl acetate (4 × 250 mL). Separate the layers and wash the organic layer with saturated aqueous ammonium chloride (500 mL) and twice with a solution of concentrated ammonium hydroxide (200 mL) in water (300 mL). Evaporate the organic layer to dryness, add toluene (1 L) and evaporate to a residue. Add isopropanol (500 L) and evaporate to dryness. Add isopropanol (1.5 L) and stir at 70 °C for 30 min and cool to room temperature overnight. Collect the solids by filtration and wash with isopropanol (2 × 200 mL). Dry the solids under vacuum to give the title compound as a beige solid (103.6 g, 70%). ES/MS m/z 593.2 (M+H), [D] 20

D -208.43 (c 0.5, chloroform). Example 1

N-[3-[(4aR,5S,7aS)-2-Amino-5-(1,1-difluoroethyl)-4,4a,5,7-te trahydrofuro[3,4- d][1,3]oxazin-7a-yl]-4-fluoro-phenyl]-5-(trifluoromethyl)pyr idine-2-carboxamide.

Scheme 4, step A: Dissolve 5-(trifluoromethyl)pyridine-2-carboxylic acid (0.040 g, 0.21 mmol) in acetonitrile (2 mL), then add oxalyl chloride (14.7 µL, 0.16 mmol) and N,N-dimethylformamide (one drop). Stir at ambient temperature, under nitrogen, for 1 hour. Concentrate under reduced pressure, reconstitute with acetonitrile (2 mL), and add to the 50 °C solution described next. In a separate vessel, add (4aR,5S,7aS)-7a-(5-amino- 2-fluoro-phenyl)-5-(1,1-difluoroethyl)-4,4a,5,7-tetrahydrofu ro[3,4-d][1,3]oxazin-2-amine (0.040 g, 0.13 mmol), ethanol (2 mL), and water (2 mL). Heat the mixture to 50 °C and stir for 1 hour. Add saturated sodium bicarbonate, ethyl acetate, and separate the phases. Extract the aqueous phase with ethyl acetate. Combine the organic extracts and dry over sodium sulfate, filter, and concentrate under reduced pressure to give a residue. Purify the residue with silica gel chromatography, eluting with a 0-2% gradient of 7 N NH3 in methanol: dichloromethane to give the title compound (0.052 g, 81%). ES/MS m/z 489 [M+H]. Alternate Preparation Example 1

Scheme 5, step C: Add dichloromethane (500 mL) to a stirred suspension of N- [3-[(4aR,5S,7aS)-2-benzamido-5-(1,1-difluoroethyl)-4,4a,5,7- tetrahydrofuro[3,4- d][1,3]oxazin-7a-yl]-4-fluoro-phenyl]-5-(trifluoromethyl)pyr idine-2-carboxamide (103.6 g, 169.6 mmol), O-methylhydroxylamine hydrochloride (35.54 g, 425.5 mmol) and pyridine (70 mL, 865 mmol) in ethanol (600 mL). Stir at ambient temperature for 46 hours and evaporate to a residue. Dissolve the residue in dichloromethane (1 L) and add 5 N aqueous hydrochloric acid (500 mL), stir for 10 minutes and add saturated aqueous sodium chloride (600 mL) and heptane (1 L). Stir for a further 15 minutes and collect the resulting precipitate by filtration, washing with saturated aqueous sodium chloride (4 × 200 mL) and dichloromethane/heptane (1:1, 4 × 200 mL) to obtain a wet beige solid (143 g) as the crude title compound. Add to this material, title compound (19.8 g, 91% purity, 37.0 mmol) previously prepared essentially the same, in ethyl acetate (1 L), and saturated aqueous sodium hydrogen carbonate (500 mL). Stir for 30 minutes until all solid is dissolved. Separate the layers and extract the aqueous with ethyl acetate (500 mL). Wash the organics with saturate aqueous sodium chloride solution (2 × 200 mL) and evaporate to dryness to give a beige solid. Dissolve the residue in methanol (1 L) at 60 °C with stirring and add water (1 L) slowly over 10 minutes, then stir the suspension, allowing it to cool to ambient temperature overnight. Collect the crystals by filtration, washing with methanol/water (1:1, 2 × 300 mL). Then stir the solid in methanol/water (1:1, 1 L) at ambient temperature for 2 hours and collect the precipitate by filtration washing with methanol/water (1:1, 2 × 100 mL). Dry the solids under vacuum at 45 °C to give the title compound as a light beige powder (88.8 g). ES/MS m/z 593.2 (M+H), [D] 20

D +81.54 (c 1.0, chloroform). Example 1A

N-[3-[(4aR,5S,7aS)-2-Amino-5-(1,1-difluoroethyl)-4,4a,5,7-te trahydrofuro[3,4- d][1,3]oxazin-7a-yl]-4-fluoro-phenyl]-5-(trifluoromethyl)pyr idine-2-carboxamide 4- methylbenzenesulfonate

Stir N-[3-[(4aR,5S,7aS)-2-amino-5-(1,1-difluoroethyl)-4,4a,5,7- tetrahydrofuro[3,4-d][1,3]oxazin-7a-yl]-4-fluoro-phenyl]-5-( trifluoromethyl)pyridine-2- carboxamide (1 g, 2.048 mmol) with ethanol (10 mL). Heat the suspension to 60 °C and add further ethanol (10 mL) portionwise. Heat the solution to 90 °C over 15 minutes to give a clear solution. Add p-toluenesulfonic acid monohydrate (400 mg, 2.082 mmol) in ethanol (1 mL) and rinse the vessel with ethanol (1 mL). Seed the solution with the title compound (about 5 mg). Cool the solution to room temperature over 1 hour and stir at 10 °C for 15 minutes. Filter the resulting precipitate, wash the solid with ethanol (2×2 mL) and dry under vacuum for 45 minutes to give the title compound (0.972 g, 1.47 mmol). X-Ray Powder Diffraction (XRD) of Example 1A

The XRD patterns of crystalline solids are obtained on a Bruker D4 Endeavor X- ray powder diffractometer, equipped with a CuKa source ^ = 1.54060 Å) and a Vantec detector, operating at 35 kV and 50 mA. The sample is scanned between 4 and 40° in 2^, with a step size of 0.009° in 2^ and a scan rate of 0.5 seconds/step, and with 0.6 mm divergence, 5.28 fixed anti-scatter, and 9.5 mm detector slits. The dry powder is packed on a quartz sample holder and a smooth surface is obtained using a glass slide. The crystal form diffraction patterns are collected at ambient temperature and relative humidity. It is well known in the crystallography art that, for any given crystal form, the relative intensities of the diffraction peaks may vary due to preferred orientation resulting from factors such as crystal morphology and habit. Where the effects of preferred orientation are present, peak intensities are altered, but the characteristic peak positions of the polymorph are unchanged. See, e.g., The United States Pharmacopeia #23, National Formulary #18, pages 1843-1844, 1995. Furthermore, it is also well known in the crystallography art that for any given crystal form the angular peak positions may vary slightly. For example, peak positions can shift due to a variation in the temperature or humidity at which a sample is analyzed, sample displacement, or the presence or absence of an internal standard. In the present case, a peak position variability of ± 0.2 in 2^ will take into account these potential variations without hindering the unequivocal identification of the indicated crystal form. Confirmation of a crystal form may be made based on any unique combination of distinguishing peaks (in units of ° 2^), typically the more prominent peaks. The crystal form diffraction patterns, collected at ambient temperature and relative humidity, are adjusted based on NIST 675 standard peaks at 8.853 and 26.774 degrees 2-theta. A prepared sample of crystalline N-[3-[(4aR,5S,7aS)-2-amino-5-(1,1- difluoroethyl)-4,4a,5,7-tetrahydrofuro[3,4-d][1,3]oxazin-7a- yl]-4-fluoro-phenyl]-5- (trifluoromethyl)pyridine-2-carboxamide 4-methylbenzenesulfonate is characterized by an XRD pattern using CuKa radiation as having diffraction peaks (2-theta values) as described in Table 1 below, and in particular having peaks at 4.9° in combination with one or more of the peaks selected from the group consisting of 9.8°, 28.0°, and 14.7°; with a tolerance for the diffraction angles of 0.2 degrees. Table 1: X-ray powder diffraction peaks of Example 1A

In vitro Assay Procedures:

To assess selectivity of BACE1 over BACE2, the test compound is evaluated in FRET assays using specific substrates for BACE1 and BACE2 as described below. For in vitro enzymatic and cellular assays, the test compound is prepared in DMSO to make up a 10 mM stock solution. The stock solution is serially diluted in DMSO to obtain a ten-point dilution curve with final compound concentrations ranging from 10 µM to 0.05 nM in a 96-well round-bottom plate before conducting the in vitro enzymatic and whole cell assays. In vitro protease inhibition assays:

Expression of huBACE1:Fc and huBACE2:Fc.

Human BACE1 (accession number: AF190725) and human BACE2 (accession number: AF 204944) are cloned from total brain cDNA by RT-PCR. The nucleotide sequences corresponding to amino acid sequences #1 to 460 are inserted into the cDNA encoding human IgG1 (Fc) polypeptide (Vassar et al., Science, 286, 735-742 (1999)). This fusion protein of BACE1(1-460) or BACE2(1-460) and human Fc, named huBACE1:Fc and huBACE2:Fc respectively, are constructed in the pJB02 vector.

Human BACE1(1-460):Fc (huBACE1:Fc) and human BACE2(1-460):Fc (huBACE2:Fc) are transiently expressed in HEK293 cells. cDNA (250 Pg) of each construct are mixed with Fugene 6 and added to 1 liter HEK293 cells. Four days after the transfection, conditioned media are harvested for purification. huBACE1:Fc and huBACE2:Fc are purified by Protein A chromatography as described below. The enzymes are stored at– 80 °C in small aliquots. (See Yang, et. al., J. Neurochemistry, 91(6) 1249-59 (2004). Purification of huBACE1:Fc and huBACE2:Fc.

Conditioned media of HEK293 cells transiently transfected with huBACE1:Fc or huBACE2:Fc cDNA are collected. Cell debris is removed by filtering the conditioned media through 0.22 Pm sterile filter. Protein A-agarose (5 ml) (bed volume) is added to conditioned media (4 liter). This mixture is gently stirred overnight at 4 °C. The Protein A-agarose resin is collected and packed into a low-pressure chromatography column. The column is washed with 20× bed volumes of PBS at a flow rate 20 ml per hour.

Bound huBACE1:Fc or huBACE2:Fc protein is eluted with 50 mM acetic acid, pH 3.6, at flow rate 20 ml per hour. Fractions (1 ml) of eluent are neutralized immediately with ammonium acetate (0.5 ml, 200 mM), pH 6.5. The purity of the final product is assessed by electrophoresis in 4-20% Tris-Glycine SDS-PAGE. The enzyme is stored at–80 °C in small aliquots. BACE1 FRET Assay

Serial dilutions of the test compound are prepared as described above. The compound is further diluted 20× in KH2PO4 buffer. Each dilution (10 ^L) is added to each well on row A to H of a corresponding low protein binding black plate containing the reaction mixture (25 ^L of 50 mM KH2PO4, pH 4.6, 1 mM TRITON® X-100, 1 mg/mL BSA, and 15 ^M of FRET substrate based upon the sequence of APP) (See Yang, et. al., J. Neurochemistry, 91(6) 1249-59 (2004)). The content is mixed well on a plate shaker for 10 minutes. Human BACE1(1-460):Fc (15 ^L of 200 pM) (See Vasser, et al., Science, 286, 735-741 (1999)) in the KH2PO4 buffer is added to the plate containing substrate and the test compound to initiate the reaction. The RFU of the mixture at time 0 is recorded at excitation wavelength 355 nm and emission wavelength 460 nm, after brief mixing on a plate shaker. The reaction plate is covered with aluminum foil and kept in a dark humidified oven at room temperature for 16 to 24 hours. The RFU at the end of incubation is recorded with the same excitation and emission settings used at time 0. The difference of the RFU at time 0 and the end of incubation is representative of the activity of BACE1 under the compound treatment. RFU differences are plotted versus inhibitor concentration and a curve is fitted with a four-parameter logistic equation to obtain the IC50 value. (May, et al., Journal of Neuroscience, 31, 16507-16516 (2011)).

The compound of Example 1 is tested essentially as described above and exhibits an IC50 for BACE1 of 11.9 nM + 3.5, n=12 (Mean + standard deviation of the mean). This data demonstrates that the compound of Example 1 inhibits purified recombinant BACE1 enzyme activity in vitro. BACE2 TMEM27 FRET Assay

Serial dilutions of test compound are prepared as described above. Compounds are further diluted 20× in KH2PO4 buffer. Each dilution (ten ^L)is added to each well on row A to H of a corresponding low protein binding black plate containing the reaction mixture (25 ^L of 50 mM KH2PO4, pH 4.6, 1 mM TRITON® X-100, 1 mg/mL BSA, and 5 ^M of TMEM FRET substrate) (dabcyl-QTLEFLKIPS-LucY, WO 2010063640 A1)). Fifteen ^L of twenty µM human BACE2 (1-460):Fc (See Vasser, et al., Science, 286, 735-741 (1999)) in KH2PO4 buffer is then added to the plate containing substrate and test compounds to initiate the reaction. The content is mixed well on a plate shaker for 10 minutes. The RFU of the mixture at time 0 is recorded at excitation wavelength 430 nm and emission wavelength 535 nm. The reaction plate is covered with aluminum foil and kept in a dark humidified oven at room temperature for 16 to 24 h. The RFU at the end of incubation is recorded with the same excitation and emission settings used at time 0. The difference of the RFU at time 0 and the end of incubation is representative of the activity of BACE2 under the compound treatment. RFU differences are plotted versus inhibitor concentration and a curve is fitted with a four-parameter logistic equation to obtain the IC50 values. (May, et al., Journal of Neuroscience, 31, 16507-16516 (2011)). The compound of Example 1 is tested essentially as described above and exhibits a BACE2 IC50 of 602 nM + 37.4, n=6 (Mean + standard deviation of the mean). The ratio of BACE1 (FRET IC50 enzyme assay) to BACE2 (TMEM27 LucY FRET assay) is approximately 50-fold, indicating functional selectivity for inhibiting the BACE1 enzyme. The data set forth above demonstrates that the compound of Example 1 is selective for BACE1 over BACE2. SH-SY5YAPP695Wt Whole Cell Assay

The routine whole cell assay for the measurement of inhibition of BACE1 activity utilizes the human neuroblastoma cell line SH-SY5Y (ATCC Accession No. CRL2266) stably expressing a human APP695Wt cDNA. Cells are routinely used up to passage number 6 and then discarded.

SH-SY5YAPP695Wt cells are plated in 96 well tissue culture plates at 5.0×10 4 cells/well in 200 ^L culture media (50% MEM/EBSS and Ham’s F12, 1× each sodium pyruvate, non-essential amino acids and NaHCO3 containing 10% FBS). The following day, media is removed from the cells, fresh media added then incubated at 37 °C for 24 hours in the presence/absence of test compound at the desired concentration range.

At the end of the incubation, conditioned media are analyzed for evidence of beta- secretase activity by analysis of Abeta peptides 1-40 and 1-42 by specific sandwich ELISAs. To measure these specific isoforms of Abeta, monoclonal 2G3 is used as a capture antibody for Abeta 1-40 and monoclonal 21F12 as a capture antibody for Abeta 1-42. Both Abeta 1-40 and Abeta 1-42 ELISAs use biotinylated 3D6 as the reporting antibody (for description of antibodies, see Johnson-Wood, et al., Proc. Natl. Acad. Sci. USA 94, 1550-1555 (1997)). The concentration of Abeta released in the conditioned media following the compound treatment corresponds to the activity of BACE1 under such conditions. The 10-point inhibition curve is plotted and fitted with the four- parameter logistic equation to obtain the IC50 values for the Abeta-lowering effect.

The compound of Example 1 is tested essentially as described above and exhibits an IC50 of 1.03 nM ± 0.58, n=4 for SH-SY5YAPP695Wt A-beta (1-40) ELISA and an IC50 of 1.28 nM ± 1.09, n=4 for SH-SY5YAPP695Wt A-beta (1-42) ELISA (Mean ± standard deviation of the mean). The data set forth above demonstrates that the compound of Example 1 inhibits BACE1 in the whole cell assay. In vivo Inhibition of Beta-Secretase

Several animal models, including mouse, guinea pig, dog, and monkey, may be used to screen for inhibition of beta-secretase activity in vivo following compound treatment. Herein, we conduct central pharmacology studies in a cannulated beagle dog model. In this model, a cohort of male beagle dogs are implanted with a cannula in the lumbar spine region and threaded up towards the cervical spine. This model allows multiple CSF collections throughout a single 48-72 hour study period through a subcutaneous lumbar port attached to the spinal catheter. As long as the cannula remains patent, additional CSF pharmacology studies can be conducted within the same cohort of dogs. Blood samples are processed to obtain plasma, and then plasma and CSF samples are aliquoted to allow determination of test compound and Abeta CSF concentrations.

In this study, six male beagle dogs are dosed p.o. with 1.0 mg/kg Example 1 in a 0.5 M, phosphate buffer (pH=2.0) formulation and blood (0.5, 1, 2, 3, 6, 9, 12, 24, and 48 hours) and CSF (3, 6, 9, 24, and 48 hours) are collected. Plasma and CSF compound concentrations are determined by LC/MS/MS methods. Plasma and CSF are also analyzed for Abeta 1-x. "Abeta 1-x" as used herein refers to the sum of Abeta species that begin with residue 1 and end with a C-terminus greater than residue 28. This detects the majority of Abeta species and is often called "total Abeta". Total Abeta peptides (Abeta 1-x) levels are measured by a sandwich ELISA, using monoclonal 266 as a capture antibody and biotinylated 3D6 as reporting antibody. (See May, et al., Journal of Neuroscience, 31, 16507-16516 (2011)).

Robust changes in plasma levels of Abeta 1-x (up to 80% reduction at nadir) are observed following oral administration of Example 1 throughout the 48 hour post-dosing period. CSF Abeta 1-x levels are reduced by approximately 65-55 % relative to baseline at 24 and 48 hours, respectively, after oral administration of 1.0 mg/kg Example 1. A total plasma AUC exposure of 7,960 nM*hours is achieved. Free fraction of the compound in plasma is determined by equilibrium dialysis (Zamek-Gliszczynki, et al. J Pharm Sci.2011 Jun; 100(6): 2498-507) and this value is used to derive free drug plasma concentrations from total measured values. The ratio of CSF AUC to free plasma AUC for Example 1 is 0.17, indicating this compound is partially excluded from the CNS in dog, but sufficient to induce robust Abeta lowering in the CSF compartment. Given the activity of the compound of Example 1 against the BACE1 enzyme in vitro, these Abeta- lowering effects are consistent with BACE1 inhibition in vivo, and further demonstrate CNS penetration of the compound of Example 1.

These studies show that compounds of the present invention inhibit BACE1 and are, therefore, useful in reducing Abeta levels in the periphery and central compartment.