HIMMELBAUER MARTIN (US)
GONZALEZ LOPEZ DE TURISO FELIX (US)
LIN EDWARD YIN SHIANG (US)
PATTAROPONG VATEE (US)
XIN ZHILI (US)
CHEN TEYU (US)
JONES JOHN (US)
BANSAL NUPUR (US)
GILFILLAN RAB (US)
WO2022229405A1 | 2022-11-03 |
US20160313302A1 | 2016-10-27 |
CHEMICAL ABSTRACTS, vol. 161, no. 697886, 9 September 2014, Columbus, Ohio, US; abstract no. 2014:1493676, BURKHARD, JOHANNES ADRIAN: "New Opportunities for Four-Membered Heterocycles: From Synthetic Studies to Unique Applications in Drug Discovery" XP002809072
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"Remington's Pharmaceutical Sciences", 1990, MACK PUBLISHING COMPANY, pages: 1289 - 1329
STAHLWERMUTH: "Handbook of Pharmaceutical Salts: Properties, Selection, and Use", 2002, WILEY-VCH
LOUIS F. FIESERMARY FIESER: "Reagents for Organic Synthesis", vol. 1-19, 1967, WILEY
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CLAIMS What is claimed is: 1. A compound represented by Formula (I): or a pharmaceutically acceptable salt thereof, wherein: X is CH2 or O; Y is CH2 or O; provided only one of X and Y is O; q1 is 1 or 2; q2 is 0 or 1 when Y is CH2, or q2 is 2 when Y is O; p1 is 1 or 2; p2 is 0 or 1 when X is CH2, or p2 is 2 when X is O; R1 is C2-6alkyl, Het, or –Z-Het, wherein the C2-6alkyl is optionally substituted with one or more RA and Het is optionally substituted with one or more R2; Z is C1-4alkyl optionally substituted with one or more halo or C1-3alkoxy; Het is C3-6cycloalkyl, a 4 to 6 membered monocyclic heterocyclyl, or a 6 to 8- membered bicyclic heterocyclyl, each of which is optionally substituted with R2; RA, for each occurrence, is independently OR2a, SR2a, or C(O)OR2a; R2, for each occurrence, is independently C1-6alkyl, halo, -CN or OR2a, wherein the C1-6alkyl is optionally substituted with one or more halo or C1-3alkoxy; R2a is H C1-6alkyl, or C3-6cycloalkyl wherein the C1-6alkyl is optionally substituted with one or more halo or C1-3alkoxy; R3 is C1-4alkyl-phenyl, phenyl, 5 or 6-membered monocyclic heteroaryl, or 9 to 10-membered bicyclic heteroaryl, wherein the phenyl, 5 or 6-membered monocyclic heteroaryl and 9 to 10-membered bicyclic heteroaryl are each optionally substituted with one or more substituent R4; R4, for each occurrence, is independently halo, -OR4a, -CN, C1-6alkyl, C3- 6cycloalkyl, C2-6alkenyl, phenyl, or 5 or 6-membered monocyclic heteroaryl, wherein the C1-6alkyl or C3-6cycloalkyl are each optionally substituted with one or more C1- 6alkyl, C1-6haloalkyl, C3-6cycloalkyl, or halo, and wherein the or 5 or 6-membered monocyclic heteroaryl is optionally substituted with one or more C1-6alkyl; or two R4 together with their intervening atoms form a 5 to 7-membered heterocyclyl; R4a is H or C1-6alkyl, wherein the C1-6alkyl is optionally substituted with one or more halo; n is 1 or 2; m is 1 or 2; R5, for each occurrence, is independently H, halo, C1-3alkyl, or C1-3haloalkyl; or two R5 together form a C1-3alkylene; R6, for each occurrence, is independently H, halo, C1-3alkyl, or C1-3haloalkyl; or two R6 together form a C1-3alkylene; provided that the compound is not: . 2. The compound of claim 1, wherein the compound is represented by Formula (I): or a pharmaceutically acceptable salt thereof, wherein: X is CH2 or O; Y is CH2 or O; provided only one of X and Y is O; q1 is 1 or 2; q2 is 0 or 1 when Y is CH2, or q2 is 2 when Y is O; p1 is 1 or 2; p2 is 0 or 1 when X is CH2, or p2 is 2 when X is O; R1 is C2-6alkyl, Het, or –Z-Het, wherein the C2-6alkyl is substituted with one or more OR2a and Het is optionally substituted with one or more R2; Z is C1-4alkyl optionally substituted with one or more halo; Het is a 4 to 6 membered monocyclic heterocyclyl, or a 6 to 8-membered bicyclic heterocyclyl, each of which is optionally substituted with R2; R2, for each occurrence, is independently C1-6alkyl or OR2a; R2a is H or C1-6alkyl, wherein the C1-6alkyl is optionally substituted with one or more halo; R3 is phenyl, 5 or 6-membered monocyclic heteroaryl, or 9 to 10-membered bicyclic heteroaryl, wherein the phenyl, 5 or 6-membered monocyclic heteroaryl and 9 to 10-membered bicyclic heteroaryl are each optionally substituted with one or more substituent R4; R4, for each occurrence, is independently halo, -OR4a, -CN, C1-6alkyl, C3- 6cycloalkyl, or 5 or 6-membered monocyclic heteroaryl, wherein the C1-6alkyl is optionally substituted with one or more halo, and wherein the or 5 or 6-membered monocyclic heteroaryl is optionally substituted with one or more C1-6alkyl; or two R4 together with their intervening atoms form a 5 to 7-membered heterocyclyl; R4a is H or C1-6alkyl, wherein the C1-6alkyl is optionally substituted with one or more halo; n is 1 or 2; m is 1 or 2; R5, for each occurrence, is independently H, halo, C1-3alkyl, or C1-3haloalkyl; or two R5 together form a C1-3alkylene; R6, for each occurrence, is independently H, halo, C1-3alkyl, or C1-3haloalkyl; or two R6 together form a C1-3alkylene; provided that the compound is not: . 3. The compound of claim 1 or 2, or a pharmaceutically acceptable salt thereof, wherein Het is a 4 to 6 membered oxygen-containing monocyclic saturated heterocyclyl, or a 6 to 8-membered oxygen-containing bicyclic saturated heterocyclyl. 4. The compound of claim 1, or a pharmaceutically acceptable salt thereof, wherein Het is C3-6cycloalkyl, a 4 to 6 membered oxygen-containing monocyclic saturated heterocyclyl, or a 6 to 8-membered oxygen-containing bicyclic saturated heterocyclyl, each of which is optionally substituted with one to three R2. 5. The compound of claim 1, or a pharmaceutically acceptable salt thereof, wherein Het is cyclohexyl, oxetanyl, tetrahydrofuranyl, tetrahydropyranyl, dioxolanyl, dioxanyl, 2- oxaspiro[3.3]heptanyl, 2-oxaspiro[3.3]heptanyl, 2-oxabicyclo[2.1.1]hexanyl, 6- oxabicyclo[3.2.1]octanyl, or 2-oxabicyclo[3.1.1]heptanyl, each of which is optionally substituted with one to three R2. 6. The compound of any one of claims 1 to 5, wherein the compound is represented by Formula II: or a pharmaceutically acceptable salt thereof. 7. The compound of any one of claims 1 to 6, or a pharmaceutically acceptable salt thereof, wherein R3 is selected from the group consisting of phenyl, pyridyl, thiazoyl, and pyrazolyl, each of which is optionally substituted with one to three R4. 8. The compound of claim 7, or a pharmaceutically acceptable salt thereof, wherein R3 is represented by the following formula: wherein each of the formula depicted above is optionally substituted with one to three R4. 9. The compound of claim 8, or a pharmaceutically acceptable salt thereof, wherein R3 is . 10. The compound of any one of claims 1 to 9, or a pharmaceutically acceptable salt thereof, wherein R4, for each occurrence, is independently selected from halo, -CN, - OR4a, C1-4alkyl, C1-4haloalkyl, C3-6cycloalkyl and 5 or 6-membered heteroaryl optionally substituted with C1-3alkyl; and R4a is C1-3alkyl or C1-3haloalkyl. 11. The compound of any one of claims 1 to 10, or a pharmaceutically acceptable salt thereof, wherein R4, for each occurrence, is independently selected from –CH3, -CF3, -OCHF2, -OCH3, -CN, -F, -Cl, isopropyl, cyclopropyl, and 4-methylpyridin-2-yl. 12. The compound of any one of claims 1 to 11, or a pharmaceutically acceptable salt thereof, wherein R1 is C2-4alkyl substituted with OR2a or is represented by the each of the formula depicted above is optionally substituted with one to three R2; wherein R2, for each occurrence, is independently C1-3alkyl or –OR2a; and R2a, for each occurrence, is independently H or C1-3alkyl. 13. The compound of claim 12, or a pharmaceutically acceptable salt thereof, wherein R1 is represented by the following formula: 14. The compound of any one of claims 1 to 13, or a pharmaceutically acceptable salt thereof, wherein R2, for each occurrence, is independently selected from –CH3 and – OH; and R2a, for each occurrence, is independently H or –CH3. 15. The compound of any one of claims 1 to 14, wherein the compound is represented by Formula III: or a pharmaceutically acceptable salt thereof. 16. The compound of formula 15, wherein: R1 is represented by the following formula: R2, for each occurrence, is independently selected from –CH3 and OH; R2a, for each occurrence, is independently selected from H or –CH3; R3 is represented by the following formula: R4, for each occurrence, is independently selected from –CH3,-CF3, -OCHF2, -OCH3, and –F. 17. The compound of any one of claims 1 to 14, wherein the compound is represented by Formula IV: or a pharmaceutically acceptable salt thereof. 18. The compound of claim 17, wherein the compound is represented by Formulas (IVA) or (IVB): or a pharmaceutically acceptable salt thereof. 19. The compound of claim 17 or 18, or a pharmaceutically acceptable salt thereof, wherein: R1 is represented by the following formula: R2 is OH; R3 is represented by the following formula: R4, for each occurrence, is independently selected from –CH3, -CF3, -OCH3, –OCHF2, -CN, isopropyl, –F, -Cl, and 4-methylpyridin-2-yl. 20. The compound of any one of claims 1 to 14, wherein the compound is represented by Formula V: or a pharmaceutically acceptable salt thereof. 21. The compound of claim 20, wherein: R1 is represented by the following formula: ; R3 is represented by the following formula: each occurrence, is independently selected from –CH3, -F, and cyclopropyl. 22. The compound of claim 1 or 2, wherein the compound is represented by Formula VI: or a pharmaceutically acceptable salt thereof. 23. The compound of claim 22, wherein the compound is represented by Formula VII or VIII: or a pharmaceutically acceptable salt thereof. 24. The compound of claim 22 or 23, or a pharmaceutically acceptable salt thereof, wherein R3 is phenyl optionally substituted with one to three R4. 25. The compound of claim 24, or a pharmaceutically acceptable salt thereof, wherein R3 is represented by the following formula: 26. The compound of any one of claims 22 to 25, or a pharmaceutically acceptable salt thereof, wherein R4, for each occurrence, is independently selected from halo, CN, and OR4a; and R4a is C1-3alkyl or C1-3haloalkyl. 27. The compound of any one of claims 22 to 26, or a pharmaceutically acceptable salt thereof, wherein R4, for each occurrence, is independently selected from –OCHF2, -F, and –CN. 28. The compound of any one of claims 22 to 27, or a pharmaceutically acceptable salt thereof, wherein R1 is C2-4allkyl substituted with –OR2a or is represented by the following formula: ; optionally substituted with one to three R2. 29. The compound of claim 28, or a pharmaceutically acceptable salt thereof, wherein R1 30. The compound of any one of claims 22 to 29, or a pharmaceutically acceptable salt thereof, wherein R2, for each occurrence, is independently selected from –CH3 and – OH; and R2a, for each occurrence, is independently selected from H and –CH3. 31. The compound of claim 1 or 2, wherein the compound is represented by Formula IX: or a pharmaceutically acceptable salt thereof, wherein R5 is H, or two R5 together form a C1-3alkylene; and R6 is H, or two R6 together form a C1-3alkylene. 32. The compound of claim 31, or a pharmaceutically acceptable salt thereof, wherein p1 is 1 and p2 is 0; or p1 is 1 and p2 is 1; or p1 is 2 and p2 is 1. 33. The compound of claim 31 or 32, or a pharmaceutically acceptable salt thereof, wherein R3 is selected from the group consisting of phenyl, pyridyl, and pyrazolyl, each of which is optionally substituted with one to three R4. 34. The compound of claim 31 or 32, or a pharmaceutically acceptable salt thereof, wherein R3 is selected from the group consisting of C1-4alkyl-phenyl, phenyl, pyridyl, thiazoyl, and pyrazolyl, each of which is optionally substituted with one to three R4. 35. The compound of claim 33, or a pharmaceutically acceptable salt thereof, wherein R3 is optionally substituted with one to three R4; or R3 is represented by the following formula: , optionally substituted with one or two R4. 36. The compound of claim 34, or a pharmaceutically acceptable salt thereof, wherein R3 ; each of which is optionally substituted with one to three R4; or R3 is represented by the following formula: , optionally substituted with one or two R4. 37. The compound of claim 35, or a pharmaceutically acceptable salt thereof, wherein R3 38. The compound of claim 36, or a pharmaceutically acceptable salt thereof, wherein R3 39. The compound of any one of claims 31 to 38, or a pharmaceutically acceptable salt thereof, wherein R4, for each occurrence, is independently selected from halo, CN, C1- 3alkyl, C1-3haloalkyl, C2-4alkenyl, C3-6cycloalkyl, phenyl, and –OR4a; wherein the C3- 6cycloalkyl is optionally substituted with one to three halo or C1-4haloalkyl and the C1- 3alkyl is optionally substituted with one or two C3-4cycloalkyl; and R4a is C1-3alkyl or C1-3haloalkyl. 40. The compound of any one of claims 31 to 38, or a pharmaceutically acceptable salt thereof, wherein R4, for each occurrence, is independently selected from halo, CN, C1- 3alkyl, C1-3haloalkyl, C3-6cycloalkyl, and –OR4a; and R4a is C1-3alkyl or C1-3haloalkyl. 41. The compound of any one of claims 31 to 40, or a pharmaceutically acceptable salt thereof, wherein R4, for each occurrence, is independently selected from –CH3, - CH2CH3, -CF2CH3, -CF(CH3)2, -CH=CH2, -CHF2, -CH(CH3)2, -CF3, -OCH3, - OCHF2, -OCF3, cyclopropyl, cyclopropyl, cyclobutyl, phenyl, -CN, -Cl, -Br, and –F. 42. The compound of any one of claims 31 to 40, or a pharmaceutically acceptable salt thereof, wherein R4, for each occurrence, is independently selected from –CH3, - CHF2, -CF3, -OCH3, -OCHF2, -OCF3, cyclopropyl, -CN, and –F. 43. The compound of any one of claims 31 to 42, or a pharmaceutically acceptable salt thereof, wherein R1 is represented by the following formula: formula depicted above is optionally substituted with one to three R2. 44. The compound of any one of claims 31 to 42, or a pharmaceutically acceptable salt thereof, wherein R1 is represented by the following formula: wherein each of the formula depicted above is optionally substituted with one to three R2. 45. The compound of claim 43, or a pharmaceutically acceptable salt thereof, wherein R1 46. The compound of claim 44, or a pharmaceutically acceptable salt thereof, wherein R1 47. The compound of any one of claims 31 to 46, or a pharmaceutically acceptable salt thereof, wherein R2 is –CH3, -F, -OCH3 –CN, -CH2CH2OCH3 or -OH. 48. The compound of any one of claims 31 to 46, or a pharmaceutically acceptable salt thereof, wherein R2 is OH. 49. The compound of any one of claims 31 to 42, or a pharmaceutically acceptable salt thereof, wherein: R1 is C2-6alkyl optionally substituted with one or two RA; RA, for each occurrence, is independently OR2a, SR2a, or C(O)OR2a; and R2a is H, C1-4alkyl, or C3-6cycloalkyl wherein the C1-4alkyl is optionally substituted with one or two C1-3alkoxy. 50. The compound of claim 49, or a pharmaceutically acceptable salt thereof, wherein R1 is –CH2CH3, –CH2CH2CH2SCH2CH3, -CH2CH2CH2O-cyclopentyl, -CH2CH2CH2CH2CH2OCH3, -CH2CH2OC(CH3)3, -CH2CH2CH2CH(CH3)OCH3, -CH2CH(CH3)CH2CH2C(O)OCH3, -CH2CH2C(CH3)2C(O)OCH3, or -CH2CH2CH2OCH2CH2OCH3. 51. The compound of any one of claims 31 to 48, wherein the compound is represented by Formula X: or a pharmaceutically acceptable salt thereof. d of claim 51, wherein: represented by the following formula: R2 is OH; R3 is represented by the following formula: R4 is –CH3. 53. The compound of any one of claims 31 to 48, wherein the compound is represented by Formula XI: or a pharmaceutically acceptable salt thereof. 54. The compound of claim 53, wherein the compound is represented by Formulas (XIA) or (XIB): or a pharmaceutically acceptable salt thereof. 55. The compound of claim 53 of 54, wherein: R1 is represented by the following formula: R2 is OH; R3 is represented by the following formula: R4, for each occurrence, is independently selected from –CH3, -CF3, -OCH3, -OCHF2, -OCF3, –CN, -F, and cyclopropyl. 56. The compound of any one of claims 31 to 50, wherein the compound is represented by Formula XII: or a pharmaceutically acceptable salt thereof. 57. The compound of claim 56, or a pharmaceutically acceptable salt thereof, wherein: R1 is represented by the following formula: R2 is OH; R3 is represented by the following formula: R4, for each occurrence, is independently selected from –CH3, -CHF2, -CF3, -OCH3, -OCHF2, and –OCF3. 58. The compound of any one of claims 31 to 48, wherein the compound is represented by Formula XII: or a pharmaceutically acceptable salt thereof, wherein: R1 is Het or Z-Het; Z is CH2; Het is represented by the following formula: ; wherein each of the formula depicted above is optionally substituted with one to two R2; R2, for each occurrence, is independently C1-4alkyl, -OH, or halo; R3 is pyridinyl or pyrazolyl, each of which is optionally substituted with one to two R4; R4, for each occurrence, is independently C1-4alkyl or C1-4haloalkyl. 59. The compound of claim 58, or a pharmaceutically acceptable salt thereof, wherein R3 optionally substituted with one to two R4. 60. The compound of claim 59, or a pharmaceutically acceptable salt thereof, wherein R3 is represented by the following formula: 61. The compound of any one of claims 58 to 60, or a pharmaceutically acceptably salt thereof, wherein R4, for each occurrence, is independently –CH3, -CF3, or -CF2CH3. 62. The compound of claim 60, wherein the compound is represented by Formula XIIA: or a pharmaceutically acceptable salt thereof, wherein R40 is C1-3alkyl and R41 is C1- 3haloalkyl. 63. The compound of claim 62, or a pharmaceutically acceptable salt thereof, wherein R40 is -CH3 and R41 is -CF3 or -CF2CH3. 64. The compound of any one of claims 58 to 63, or a pharmaceutically acceptably salt thereof, wherein R1 is represented by the following formula: of the formula depicted above is optionally substituted with one to two R2. 65. The compound of claim 64, or a pharmaceutically acceptably salt thereof, wherein R1 66. The compound of any one of claims 58 to 65, or a pharmaceutically acceptably salt thereof, wherein R2, for each occurrence, is independently –CH3, OH, or –F. 67. The compound of claim 1, or a pharmaceutically acceptable salt thereof, wherein the compound is selected from: 8-((4-(Difluoromethoxy)phenyl)sulfonyl)-2-(tetrahydro-2H-pyran-4-yl)-5- oxa-2,8-diazaspiro[3.5]nonane; 9-((4-(Difluoromethoxy)phenyl)sulfonyl)-2-(tetrahydro-2H-pyran-4-yl)-6- oxa-2,9-diazaspiro[4.5]decane; (S)-9-((4-(Difluoromethoxy)phenyl)sulfonyl)-2-(tetrahydro-2H-pyran-4-yl)- 6-oxa-2,9-diazaspiro[4.5]decane; (R)-9-((4-(Difluoromethoxy)phenyl)sulfonyl)-2-(tetrahydro-2H-pyran-4-yl)- 6-oxa-2,9-diazaspiro[4.5]decane; 4-((4-(Difluoromethoxy)phenyl)sulfonyl)-9-(tetrahydro-2H-pyran-4-yl)-1- oxa-4,9-diazaspiro[5.5]undecane; 4-((4-(Difluoromethoxy)phenyl)sulfonyl)-9-(tetrahydrofuran-3-yl)-1-oxa- 4,9-diazaspiro[5.5]undecane; 4-((4-(Difluoromethoxy)phenyl)sulfonyl)-9-(2-methoxyethyl)-1-oxa-4,9- diazaspiro[5.5]undecane; 9-((4-(Difluoromethoxy)phenyl)sulfonyl)-2-((S)-tetrahydro-2H-pyran-3-yl)- 6-oxa-2,9-diazaspiro[4.5]decane; (±)-(R)-9-((4-(Difluoromethoxy)phenyl)sulfonyl)-2-((S)-tetrahydro-2H- pyran-3-yl)-6-oxa-2,9-diazaspiro[4.5]decane; (±)-(R)-9-((4-(Difluoromethoxy)phenyl)sulfonyl)-2-((R)-tetrahydro-2H- pyran-3-yl)-6-oxa-2,9-diazaspiro[4.5]decane; 1-(4-((4-(Difluoromethoxy)phenyl)sulfonyl)-1-oxa-4,9- diazaspiro[5.5]undecan-9-yl)-2-methylpropan-2-ol; 4-((4-(Difluoromethoxy)phenyl)sulfonyl)-9-(2-methoxy-2-methylpropyl)-1- oxa-4,9-diazaspiro[5.5]undecane; 9-((2,4-Difluorophenyl)sulfonyl)-2-(tetrahydro-2H-pyran-4-yl)-6-oxa-2,9- diazaspiro[4.5]decane; 9-((3,5-Difluorophenyl)sulfonyl)-2-(tetrahydro-2H-pyran-4-yl)-6-oxa-2,9- diazaspiro[4.5]decane; (S)-9-((3,5-Difluorophenyl)sulfonyl)-2-(tetrahydro-2H-pyran-4-yl)-6-oxa- 2,9-diazaspiro[4.5]decane; (R)-9-((3,5-Difluorophenyl)sulfonyl)-2-(tetrahydro-2H-pyran-4-yl)-6-oxa- 2,9-diazaspiro[4.5]decane; 9-((2-Methoxy-5-methylpyridin-3-yl)sulfonyl)-2-(tetrahydro-2H-pyran-4- yl)-6-oxa-2,9-diazaspiro[4.5]decane; 9-((4-(Difluoromethoxy)phenyl)sulfonyl)-2-(oxetan-3-ylmethyl)-6-oxa-2,9- diazaspiro[4.5]decane; 9-((4-(Difluoromethoxy)phenyl)sulfonyl)-2-((tetrahydro-2H-pyran-4- yl)methyl)-6-oxa-2,9-diazaspiro[4.5]decane; 4-((4-(Difluoromethoxy)phenyl)sulfonyl)-9-((tetrahydro-2H-pyran-4- yl)methyl)-1-oxa-4,9-diazaspiro[5.5]undecane; 4-((4-(Difluoromethoxy)phenyl)sulfonyl)-9-((3-methyloxetan-3-yl)methyl)- 1-oxa-4,9-diazaspiro[5.5]undecane; 4-((4-(Difluoromethoxy)phenyl)sulfonyl)-9-(2,2-dimethyltetrahydro-2H- pyran-4-yl)-1-oxa-4,9-diazaspiro[5.5]undecane; 8-((2-Cyclopropylthiazol-5-yl)sulfonyl)-2-(tetrahydro-2H-pyran-4-yl)-5- oxa-2,8-diazaspiro[3.5]nonane; 9-((2-Cyclopropylthiazol-5-yl)sulfonyl)-2-(tetrahydro-2H-pyran-4-yl)-6- oxa-2,9-diazaspiro[4.5]decane; 9-((2-Cyclopropylthiazol-5-yl)sulfonyl)-2-(2-oxaspiro[3.3]heptan-6-yl)-6- oxa-2,9-diazaspiro[4.5]decane; 9-((4-(Difluoromethoxy)phenyl)sulfonyl)-2-(2-oxaspiro[3.3]heptan-6-yl)-6- oxa-2,9-diazaspiro[4.5]decane; (R)-9-((4-(Difluoromethoxy)phenyl)sulfonyl)-2-(2-oxaspiro[3.3]heptan-6- yl)-6-oxa-2,9-diazaspiro[4.5]decane; (S)-9-((4-(Difluoromethoxy)phenyl)sulfonyl)-2-(2-oxaspiro[3.3]heptan-6- yl)-6-oxa-2,9-diazaspiro[4.5]decane; 9-((3,5-Difluorophenyl)sulfonyl)-2-(2-oxaspiro[3.3]heptan-6-yl)-6-oxa-2,9- diazaspiro[4.5]decane; 4-((3,5-Difluorophenyl)sulfonyl)-9-((3-methyloxetan-3-yl)methyl)-1-oxa- 4,9-diazaspiro[5.5]undecane; 9-((4-(Difluoromethoxy)phenyl)sulfonyl)-4-(tetrahydro-2H-pyran-4-yl)-1- oxa-4,9-diazaspiro[5.5]undecane; 7-((2,4-Dimethylphenyl)sulfonyl)-2-(tetrahydro-2H-pyran-4-yl)-2,7- diazaspiro[3.5]nonane; 7-((4-(Difluoromethoxy)phenyl)sulfonyl)-2-(tetrahydro-2H-pyran-4-yl)-2,7- diazaspiro[3.5]nonane; 7-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2-(tetrahydro-2H- pyran-4-yl)-2,7-diazaspiro[3.5]nonane; 1-((7-((2,4-Dimethylphenyl)sulfonyl)-2,7-diazaspiro[3.5]nonan-2- yl)methyl)tetrahydro-2H-pyran-4-ol; 7-((2,4-Dimethylphenyl)sulfonyl)-2-((tetrahydro-2H-pyran-4-yl)methyl)- 2,7-diazaspiro[3.5]nonane; 8-((2-Chloro-4-methylphenyl)sulfonyl)-2-(tetrahydro-2H-pyran-4-yl)-2,8- diazaspiro[4.5]decane; 8-((1,3-Dimethyl-1H-pyrazol-5-yl)sulfonyl)-2-(tetrahydro-2H-pyran-4-yl)- 2,8-diazaspiro[4.5]decane; 8-((4-Methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2-(tetrahydro-2H- pyran-4-yl)-2,8-diazaspiro[4.5]decane; 8-((4-(Difluoromethoxy)phenyl)sulfonyl)-2-(tetrahydro-2H-pyran-4-yl)-2,8- diazaspiro[4.5]decane; 8-((1-Methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-2-(tetrahydro- 2H-pyran-4-yl)-2,8-diazaspiro[4.5]decane; 8-((2-Methyl-4-(trifluoromethoxy)phenyl)sulfonyl)-2-(tetrahydro-2H-pyran- 4-yl)-2,8-diazaspiro[4.5]decane; 8-((2-Methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2-(tetrahydro-2H- pyran-4-yl)-2,8-diazaspiro[4.5]decane; 8-((6-Methoxy-2-methylpyridin-3-yl)sulfonyl)-2-(tetrahydro-2H-pyran-4- yl)-2,8-diazaspiro[4.5]decane; 2-((2,4-Dimethylphenyl)sulfonyl)-6-(tetrahydro-2H-pyran-4-yl)-2,6- diazaspiro[3.3]heptane; 4-((6-((2,4-Dimethylphenyl)sulfonyl)-2,6-diazaspiro[3.3]heptan-2- yl)methyl)tetrahydro-2H-pyran-4-ol; 2-((1-Methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-6-(tetrahydro- 2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((6-Methoxy-2-methylpyridin-3-yl)sulfonyl)-6-(tetrahydro-2H-pyran-4- yl)-2,6-diazaspiro[3.3]heptane; 2-((4-Methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(tetrahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((4-(Difluoromethyl)-1,3-dimethyl-1H-pyrazol-5-yl)sulfonyl)-6- (tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((2-Methyl-4-(trifluoromethoxy)phenyl)sulfonyl)-6-(tetrahydro-2H-pyran- 4-yl)-2,6-diazaspiro[3.3]heptane; 2-((2-Methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(tetrahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((2,4-Dimethylphenyl)sulfonyl)-6-(tetrahydro-2H-pyran-4-yl)-2,6- diazaspiro[3.4]octane; 2-((4,6-Dimethylpyridin-3-yl)sulfonyl)-6-(tetrahydro-2H-pyran-4-yl)-2,6- diazaspiro[3.4]octane; 2-((4-(Difluoromethoxy)phenyl)sulfonyl)-6-(tetrahydro-2H-pyran-4-yl)-2,6- diazaspiro[3.4]octane; 2-((1-Methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-6-(tetrahydro- 2H-pyran-4-yl)-2,6-diazaspiro[3.4]octane; 2-((2-Methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(tetrahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.4]octane; 2-((4-Methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(tetrahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.4]octane; 2-((2-Methyl-4-(trifluoromethoxy)phenyl)sulfonyl)-6-(tetrahydro-2H-pyran- 4-yl)-2,6-diazaspiro[3.4]octane; 2-((3-Cyclopropyl-1-methyl-1H-pyrazol-5-yl)sulfonyl)-6-(tetrahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.4]octane; 6-((1-methyl-3-(Trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-2-(tetrahydro- 2H-pyran-4-yl)-2,6-diazaspiro[3.4]octane; (1'R,5'S)-8'-((4-(Difluoromethoxy)phenyl)sulfonyl)-1-(tetrahydro-2H-pyran- 4-yl)-8'-azaspiro[azetidine-3,3'-bicyclo[3.2.1]octane]; 1-((1'R,5'S)-1-((2,4-Dimethylphenyl)sulfonyl)-8'-azaspiro[azetidine-3,3'- bicyclo[3.2.1]octan]-8'-yl)-2-methylpropan-2-ol; (1'R,5'S)-8'-((4-(Difluoromethoxy)phenyl)sulfonyl)-1-(2-methoxy-2- methylpropyl)-8'-azaspiro[azetidine-3,3'-bicyclo[3.2.1]octane]; (1'R,5'S)-1-((4-(Difluoromethoxy)phenyl)sulfonyl)-8'-(2-methoxy-2- methylpropyl)-8'-azaspiro[azetidine-3,3'-bicyclo[3.2.1]octane]; 2-((1-(cyclopropylmethyl)-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-6- (tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((1-(cyclopropylmethyl)-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-6- ((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane; 2-((6-bromo-2-methylpyridin-3-yl)sulfonyl)-6-(tetrahydro-2H-pyran-4-yl)- 2,6-diazaspiro[3.3]heptane; 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(2- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane; 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(1- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane; 2-((2-methyl-6-(trifluoromethyl)-1,4-dihydropyridin-3-yl)sulfonyl)-6-(1- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane; 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(1- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane; 2-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-6-((4- methyltetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane; 2-((1-methyl-2-oxabicyclo[2.1.1]hexan-4-yl)methyl)-6-((2-methyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; 2-((1-methyl-2-oxabicyclo[3.1.1]heptan-5-yl)methyl)-6-((2-methyl-6- (trifluoromethyl)-1,6-dihydropyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; 4-((6-((6-(1,1-difluoroethyl)-2-methylpyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptan-2-yl)methyl)tetrahydro-2H-pyran-4-ol; 2-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-6-(4- methyltetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((2-methyl-6-(trifluoromethyl)-1,4-dihydropyridin-3-yl)sulfonyl)-6-(4- methyltetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((6-(1,1-difluoroethyl)-2-methylpyridin-3-yl)sulfonyl)-6-(2- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane; 2-((6-(1,1-difluoroethyl)-2-methylpyridin-3-yl)sulfonyl)-6-(tetrahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane; (R)-2-((6-(1,1-difluoroethyl)-2-methylpyridin-3-yl)sulfonyl)-6-(tetrahydro- 2H-pyran-3-yl)-2,6-diazaspiro[3.3]heptane; 2-((6-(1,1-difluoroethyl)-2-methyl-3,4-dihydropyridin-3-yl)sulfonyl)-6- ((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane; (S)-2-((6-(1,1-difluoroethyl)-2-methylpyridin-3-yl)sulfonyl)-6-(1- (tetrahydro-2H-pyran-4-yl)ethyl)-2,6-diazaspiro[3.3]heptane; 2-((6-(1,1-difluoroethyl)-2-methylpyridin-3-yl)sulfonyl)-6-((4- methyltetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane; (R)-2-((6-(1,1-difluoroethyl)-2-methylpyridin-3-yl)sulfonyl)-6- (tetrahydrofuran-3-yl)-2,6-diazaspiro[3.3]heptane; (S)-2-((6-(1,1-difluoroethyl)-2-methylpyridin-3-yl)sulfonyl)-6- ((tetrahydrofuran-3-yl)methyl)-2,6-diazaspiro[3.3]heptane; 2-((6-(1,1-difluoroethyl)-2-methylpyridin-3-yl)sulfonyl)-6-((S)-1-((S)- tetrahydrofuran-3-yl)ethyl)-2,6-diazaspiro[3.3]heptane; 2-((6-(1,1-difluoroethyl)-2-methylpyridin-3-yl)sulfonyl)-6-(oxetan-3- ylmethyl)-2,6-diazaspiro[3.3]heptane; (S)-2-((6-(1,1-difluoroethyl)-2-methylpyridin-3-yl)sulfonyl)-6-(1-(oxetan-3- yl)ethyl)-2,6-diazaspiro[3.3]heptane; 2-((6-(1,1-difluoroethyl)-2-methylpyridin-3-yl)sulfonyl)-6-((3- methyloxetan-3-yl)methyl)-2,6-diazaspiro[3.3]heptane; 2-((6-(difluoromethyl)-2-methylpyridin-3-yl)sulfonyl)-6-(tetrahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((6-(difluoromethyl)-2-methylpyridin-3-yl)sulfonyl)-6-(2- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane; 2-((6-(2-fluoropropan-2-yl)-2-methyl-1,4-dihydropyridin-3-yl)sulfonyl)-6- (2-oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane; 2-((6-(2-fluoropropan-2-yl)-2-methylpyridin-3-yl)sulfonyl)-6-(tetrahydro- 2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((6-(difluoromethoxy)-2-methyl-3,4-dihydropyridin-3-yl)sulfonyl)-6- (tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((6-(difluoromethoxy)-2-methylpyridin-3-yl)sulfonyl)-6-(2- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane; 2-((5-(difluoromethyl)-2-methyl-1H-2l4-pyrazol-3-yl)sulfonyl)-6- (tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((3-methoxy-1-methyl-1H-pyrazol-5-yl)sulfonyl)-6-(tetrahydro-2H-pyran- 4-yl)-2,6-diazaspiro[3.3]heptane; 2-((2-chloro-6-methoxypyridin-3-yl)sulfonyl)-6-(tetrahydro-2H-pyran-4- yl)-2,6-diazaspiro[3.3]heptane; 2-((5-chloro-2-methoxypyridin-3-yl)sulfonyl)-6-(tetrahydro-2H-pyran-4- yl)-2,6-diazaspiro[3.3]heptane; 2-((2,4-dimethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(tetrahydro- 2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((2,4-dimethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(2- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane; 2-((2,4-dimethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((tetrahydro- 2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane; (S)-2-((2,4-dimethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6- ((tetrahydrofuran-3-yl)methyl)-2,6-diazaspiro[3.3]heptane; 2-((2,4-dimethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(oxetan-3- ylmethyl)-2,6-diazaspiro[3.3]heptane; 2-((6-methyl-2-(trifluoromethyl)-1,4-dihydropyridin-3-yl)sulfonyl)-6- (tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((6-methyl-2-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((tetrahydro-2H- pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane; 2-((6-cyclopropyl-2-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(tetrahydro- 2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((6-cyclopropyl-2-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((tetrahydro- 2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane; 2-((2,6-bis(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(tetrahydro-2H-pyran- 4-yl)-2,6-diazaspiro[3.3]heptane; 2-((2,6-bis(trifluoromethyl)-1,4-dihydropyridin-3-yl)sulfonyl)-6-(2- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane; 2-((2,6-bis(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((tetrahydro-2H-pyran- 4-yl)methyl)-2,6-diazaspiro[3.3]heptane; 2-((2,6-bis(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(oxetan-3-ylmethyl)- 2,6-diazaspiro[3.3]heptane; 2-((2-oxaspiro[3.3]heptan-6-yl)methyl)-6-((2-methyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; 2-((2-oxaspiro[3.3]heptan-6-yl)methyl)-6-((6-(1,1-difluoroethyl)-2- methylpyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; 2-((2-oxaspiro[3.3]heptan-6-yl)methyl)-6-((2-methyl-5-(trifluoromethyl)- 2,5-dihydro-1H-pyrazol-3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; 2-((2-cyclopropyl-6-(difluoromethyl)pyridin-3-yl)sulfonyl)-6-(tetrahydro- 2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((2-cyclopropyl-6-(difluoromethyl)-1,4-dihydropyridin-3-yl)sulfonyl)-6- ((1s,4s)-4-methoxycyclohexyl)-2,6-diazaspiro[3.3]heptane; 2-((2-cyclopropyl-6-(difluoromethyl)pyridin-3-yl)sulfonyl)-6-(4- methoxycyclohexyl)-2,6-diazaspiro[3.3]heptane; 2-((2-cyclopropyl-6-(difluoromethyl)pyridin-3-yl)sulfonyl)-6-(2- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane; 2-((1-cyclopropyl-3-(difluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-6- (tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((4-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(2- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane; 2-((4-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((tetrahydro- 2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane; (1r,4r)-4-(6-((4-cyclopropyl-6-(trifluoromethyl)-2,3-dihydropyridin-3- yl)sulfonyl)-2,6-diazaspiro[3.3]heptan-2-yl)-1-methylcyclohexan-1-ol; 4-(6-((4-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptan-2-yl)-1-methylcyclohexan-1-ol; 2-((4-ethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(2- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane; 2-((4-ethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((tetrahydro-2H- pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane; (1r,4r)-4-(6-((4-ethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptan-2-yl)-1-methylcyclohexan-1-ol; (1s,4s)-4-(6-((4-ethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptan-2-yl)-1-methylcyclohexan-1-ol; 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((4- methyltetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane; 2-((2-methyl-6-(trifluoromethyl)-1,4-dihydropyridin-3-yl)sulfonyl)-6-((1R)- 1-(tetrahydrofuran-3-yl)ethyl)-2,6-diazaspiro[3.3]heptane; (S)-2-((2-methyl-6-(trifluoromethyl)-1,4-dihydropyridin-3-yl)sulfonyl)-6- (1-(4-methyltetrahydro-2H-pyran-4-yl)ethyl)-2,6-diazaspiro[3.3]heptane; (S)-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(1-(3- methyloxetan-3-yl)ethyl)-2,6-diazaspiro[3.3]heptane; (S)-2-((2-methyl-6-(trifluoromethyl)-1,4-dihydropyridin-3-yl)sulfonyl)-6- ((tetrahydrofuran-3-yl)methyl)-2,6-diazaspiro[3.3]heptane; (R)-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((2- methyltetrahydrofuran-2-yl)methyl)-2,6-diazaspiro[3.3]heptane; 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((S)-1-((S)-2- methyltetrahydrofuran-2-yl)ethyl)-2,6-diazaspiro[3.3]heptane; (S)-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((tetrahydro- 2H-pyran-3-yl)methyl)-2,6-diazaspiro[3.3]heptane; 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((S)-1-((S)- tetrahydro-2H-pyran-3-yl)ethyl)-2,6-diazaspiro[3.3]heptane; 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((R)-1-((S)- tetrahydrofuran-2-yl)ethyl)-2,6-diazaspiro[3.3]heptane; (S)-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6- ((tetrahydrofuran-2-yl)methyl)-2,6-diazaspiro[3.3]heptane; (R)-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6- (tetrahydrofuran-3-yl)-2,6-diazaspiro[3.3]heptane; 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((3-methyloxetan- 3-yl)methyl)-2,6-diazaspiro[3.3]heptane; (R)-2-(3,3-dimethyltetrahydro-2H-pyran-4-yl)-6-((2-methyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((2S,4S)-2- methyltetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((2S,4R)-2- methyltetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((3R,4R)-3- methyltetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((3R,4R)-3-fluorotetrahydro-2H-pyran-4-yl)-6-((2-methyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; 2-((3R,4S)-3-fluorotetrahydro-2H-pyran-4-yl)-6-((2-methyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; 2-((3R,5R)-3,5-dimethyltetrahydro-2H-pyran-4-yl)-6-((2-methyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; 2-((3R,5S)-3,5-dimethyltetrahydro-2H-pyran-4-yl)-6-((2-methyl-6- (trifluoromethyl)-1,4-dihydropyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; 2-(4,4-difluorocyclohexyl)-6-((2-methyl-6-(trifluoromethyl)pyridin-3- yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; (R)-2-((2-methyl-6-(trifluoromethyl)-1,4-dihydropyridin-3-yl)sulfonyl)-6- (tetrahydro-2H-pyran-3-yl)-2,6-diazaspiro[3.3]heptane; 2-((2-methyl-6-(trifluoromethyl)-1,4-dihydropyridin-3-yl)sulfonyl)-6- ((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane; (S)-2-((2-methyl-6-(trifluoromethyl)-1,4-dihydropyridin-3-yl)sulfonyl)-6- (1-(tetrahydro-2H-pyran-4-yl)ethyl)-2,6-diazaspiro[3.3]heptane; 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(oxetan-3- ylmethyl)-2,6-diazaspiro[3.3]heptane; (S)-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(1-(oxetan-3- yl)ethyl)-2,6-diazaspiro[3.3]heptane; (R)-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(1-(tetrahydro- 2H-pyran-4-yl)ethyl)-2,6-diazaspiro[3.3]heptane; (R)-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(1-(tetrahydro- 2H-pyran-4-yl)ethyl)-2,6-diazaspiro[3.3]heptane; (R)-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(1-(oxetan-3- yl)ethyl)-2,6-diazaspiro[3.3]heptane; (R)-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(1-(oxetan-3- yl)ethyl)-2,6-diazaspiro[3.3]heptane; (R)-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6- ((tetrahydrofuran-3-yl)methyl)-2,6-diazaspiro[3.3]heptane; (R)-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6- ((tetrahydrofuran-3-yl)methyl)-2,6-diazaspiro[3.3]heptane; 2-(tetrahydro-2H-pyran-4-yl)-6-((2-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 2,6-diazaspiro[3.3]heptane; 2-((6-(2,2-difluorocyclopropyl)-2-methylpyridin-3-yl)sulfonyl)-6- (tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((2-methylpyridin-3-yl)sulfonyl)-6-(tetrahydro-2H-pyran-4-yl)-2,6- diazaspiro[3.3]heptane; 2-((6-chloro-5-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(tetrahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((3-(1,1-difluoroethyl)-1-methyl-1H-pyrazol-5-yl)sulfonyl)-6-(tetrahydro- 2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-(1-(1-methyl-2-oxabicyclo[2.1.1]hexan-4-yl)ethyl)-6-((2-methyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; 2-((6-methoxy-4-methylpyridin-3-yl)sulfonyl)-6-(tetrahydro-2H-pyran-4- yl)-2,6-diazaspiro[3.3]heptane; 2-methyl-3-((6-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptan-2- yl)sulfonyl)-2,4,5,6-tetrahydrocyclopenta[c]pyrazole; 2-ethyl-6-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane; 2-((6-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptan-2-yl)methyl)cyclopropane-1-carbonitrile; 2-(3-(2-methoxyethoxy)propyl)-6-((2-methyl-6-(trifluoromethyl)-1,2- dihydropyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; (R)-2-(2-(2,2-dimethyl-1,3-dioxolan-4-yl)ethyl)-6-((2-methyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; (1R,3R)-2,2-dimethyl-3-((6-((2-methyl-6-(trifluoromethyl)pyridin-3- yl)sulfonyl)-2,6-diazaspiro[3.3]heptan-2-yl)methyl)cyclopropane-1-carbonitrile; 2-(((1S,2R,5S)-6-oxabicyclo[3.2.1]octan-2-yl)methyl)-6-((2-methyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; 2-(3-(cyclopentyloxy)propyl)-6-((2-methyl-6-(trifluoromethyl)pyridin-3- yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; methyl 2,2-dimethyl-4-(6-((2-methyl-6-(trifluoromethyl)-1,4- dihydropyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptan-2-yl)butanoate; 2-(2-cyclopropyl-2-methoxyethyl)-6-((2-methyl-6-(trifluoromethyl)pyridin- 3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane ; 2-(5-methoxypentyl)-6-((2-methyl-6-(trifluoromethyl)pyridin-3- yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; 2-(4-methoxypentyl)-6-((2-methyl-6-(trifluoromethyl)pyridin-3- yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; 2-((1-(2-methoxyethyl)cyclobutyl)methyl)-6-((2-methyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; methyl 4-methyl-5-(6-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 2,6-diazaspiro[3.3]heptan-2-yl)pentanoate; 2-(3-(ethylthio)propyl)-6-((2-methyl-6-(trifluoromethyl)pyridin-3- yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; 2-(2-cyclopropylethyl)-6-((2-methyl-6-(trifluoromethyl)pyridin-3- yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; 2-(2-(tert-butoxy)ethyl)-6-((2-methyl-6-(trifluoromethyl)-1,2- dihydropyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; 2-((2,2-dimethyltetrahydro-2H-pyran-4-yl)methyl)-6-((2-methyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; 4-((6-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptan-2-yl)methyl)tetrahydro-2H-pyran-4-ol; 2-((4-fluorotetrahydro-2H-pyran-4-yl)methyl)-6-((2-methyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; 2-((3-isopropyl-1-methyl-1H-pyrazol-5-yl)sulfonyl)-6-(tetrahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((2-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((tetrahydro- 2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane; 2-((2-methyl-6-(1-(trifluoromethyl)cyclopropyl)-1,4-dihydropyridin-3- yl)sulfonyl)-6-((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane; 2-((2-chloro-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(tetrahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((2-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(tetrahydro- 2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((2-methyl-4-(trifluoromethyl)phenyl)sulfonyl)-6-((tetrahydro-2H-pyran- 4-yl)methyl)-2,6-diazaspiro[3.3]heptane; (1s,4s)-4-(6-((2-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptan-2-yl)-1-methylcyclohexan-1-ol; (1s,4s)-4-(6-((2-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptan-2-yl)-1-methylcyclohexan-1-ol; 2-((2-methyl-5-(trifluoromethyl)-2,5-dihydro-1H-pyrazol-3-yl)sulfonyl)-6- (((R)-tetrahydrofuran-3-yl)methyl)-2,6-diazaspiro[3.3]heptane; (R)-2-((2,2-dimethyltetrahydro-2H-pyran-4-yl)methyl)-6-((1-methyl-3- (trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; (S)-2-((2,2-dimethyltetrahydro-2H-pyran-4-yl)methyl)-6-((2-methyl-5- (trifluoromethyl)-1H-2l4-pyrazol-3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; (S)-2-((2,2-dimethyltetrahydro-2H-pyran-4-yl)methyl)-6-((1-methyl-3- (trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; 2-((tetrahydro-2H-pyran-4-yl)methyl)-6-((2-(trifluoromethyl)-3,4- dihydropyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; 2-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-6-((tetrahydro- 2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane; 2-(tetrahydro-2H-pyran-4-yl)-6-((6-(trifluoromethyl)-2-vinylpyridin-3- yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; 2-((2-ethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(tetrahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((6-(difluoromethyl)-2-ethylpyridin-3-yl)sulfonyl)-6-(tetrahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((6-(difluoromethyl)-2-ethylpyridin-3-yl)sulfonyl)-6-(2- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane; (1r,4r)-4-(6-((6-(difluoromethyl)-2-ethylpyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptan-2-yl)-1-methylcyclohexan-1-ol; (1s,4s)-4-(6-((6-(difluoromethyl)-2-ethylpyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptan-2-yl)-1-methylcyclohexan-1-ol; 2-((2-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(oxetan-3- ylmethyl)-2,6-diazaspiro[3.3]heptane; 2-((3-(1,1-difluoroethyl)-1-methyl-1H-pyrazol-5-yl)sulfonyl)-6- ((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane; 2-((2,4-bis(trifluoromethyl)phenyl)sulfonyl)-6-((tetrahydro-2H-pyran-4- yl)methyl)-2,6-diazaspiro[3.3]heptane; (R)-2-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-6-(1- (tetrahydro-2H-pyran-4-yl)ethyl)-2,6-diazaspiro[3.3]heptane; 2-((6-chloro-2-(trifluoromethyl)-1,4-dihydropyridin-3-yl)sulfonyl)-6- (tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane; 2-((2-fluoro-4-(trifluoromethoxy)phenyl)sulfonyl)-6-(tetrahydro-2H-pyran- 4-yl)-2,6-diazaspiro[3.3]heptane; (R)-2-((1,4-dioxan-2-yl)methyl)-6-((1-methyl-3-(trifluoromethyl)-1H- pyrazol-5-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; (R)-2-((1,4-dioxan-2-yl)methyl)-6-((2-methyl-6-(trifluoromethyl)pyridin-3- yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; 2-((4-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((tetrahydro-2H- pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane; 2-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-6-(oxetan-3- ylmethyl)-2,6-diazaspiro[3.3]heptane; 2-((3-cyclopropyl-1-methyl-1H-pyrazol-5-yl)sulfonyl)-6-((tetrahydro-2H- pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane; 2-((2-fluoro-4-(trifluoromethoxy)phenyl)sulfonyl)-6-((tetrahydro-2H-pyran- 4-yl)methyl)-2,6-diazaspiro[3.3]heptane; 2-((3-methyl-5-(trifluoromethyl)pyridin-2-yl)sulfonyl)-6-(tetrahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane; (1s,4s)-1-methyl-4-(6-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 2,6-diazaspiro[3.3]heptan-2-yl)cyclohexan-1-ol; (1s,4s)-1-methyl-4-(6-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 2,6-diazaspiro[3.3]heptan-2-yl)cyclohexan-1-ol; 2-((3-methyl-5-(trifluoromethyl)pyridin-2-yl)sulfonyl)-6-((tetrahydro-2H- pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane; 2-((4-(difluoromethoxy)-2,6-difluorophenyl)sulfonyl)-6-((tetrahydro-2H- pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane; 2-((4-(difluoromethoxy)-2-fluorophenyl)sulfonyl)-6-((tetrahydro-2H-pyran- 4-yl)methyl)-2,6-diazaspiro[3.3]heptane; 2-((4-(difluoromethoxy)-2-fluorophenyl)sulfonyl)-6-(tetrahydro-2H-pyran- 4-yl)-2,6-diazaspiro[3.3]heptane; 2-((6-((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptan-2- yl)sulfonyl)-5-(trifluoromethyl)benzonitrile; and 2-((tetrahydro-2H-pyran-4-yl)methyl)-6-((6-(trifluoromethyl)-2,3- dihydropyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane; or a pharmaceutically acceptable salt thereof. 68. A pharmaceutical composition comprising a compound of any one of claims 1 to 67, or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable excipient. 69. A method of treating a disease mediated by Emopamil-Binding Protein comprising administering to a subject an effective amount of a compound of any one of claims 1 to 67, or a pharmaceutically acceptable salt thereof, or the pharmaceutical composition of claim 68. 70. A method of treating an autoimmune disease in a subject comprising administering to the subject an effective amount of a compound of any one of claims 1 to 67, or a pharmaceutically acceptable salt thereof, or the pharmaceutical composition of claim 68. 71. The method of claim 70, wherein said autoimmune disease is multiple sclerosis. 72. The method of claim 71, wherein said compound or pharmaceutical composition repairs or forms new myelin sheaths in said subject. |
Examples 19 and 20: The Examples 19 and 20 in Table C were prepared using a similar method described in step 3 for Example 1 from 4-((4-(difluoromethoxy)phenyl)sulfonyl)-1-oxa-4,9- diazaspiro[5.5]undecane (Example 5, step 1, 50 mg, 0.1 mmol) and the corresponding aldehyde. Purified by HPLC, either acidic or basic conditions. Table C
Example 21: 4-((4-(Difluoromethoxy)phenyl)sulfonyl)-9-(2,2-dimethyltetra hydro-2H- pyran-4-yl)-1-oxa-4,9-diazaspiro[5.5]undecane The title compound was prepared using a similar method described in step 3 for Example 1 from 2,2-dimethyltetrahydropyran-4-one (21 mg, 0.2 mmol) and the hydrochloride salt of 4- ((4-(difluoromethoxy)phenyl)sulfonyl)-1-oxa-4,9-diazaspiro[5 .5]undecane (Example 5 , step 1, 52 mg, 0.1 mmol) to afford 4-((4-(difluoromethoxy)phenyl)sulfonyl)-9-(2,2- dimethyltetrahydro-2H-pyran-4-yl)-1-oxa-4,9-diazaspiro[5.5]u ndecane (7 mg, 9%). LCMS m/z = 475.3 (M+H) + . 1 H NMR (500 MHz, CD 3 OD) δ (ppm) 7.88 - 7.79 (m, 2H), 7.42 - 7.31 (m, 2H), 7.21 - 6.84 (m, 1H), 3.78 - 3.63 (m, 4H), 3.01 - 2.79 (m, 4H), 2.79 - 2.63 (m, 4H), 2.46 (tt, J = 4.0, 11.6 Hz, 1H), 1.93 - 1.76 (m, 4H), 1.42 - 1.31 (m, 1H), 1.30 - 1.14 (m, 9H). Example 22: 8-((2-Cyclopropylthiazol-5-yl)sulfonyl)-2-(tetrahydro-2H-pyr an-4-yl)-5- oxa-2,8-diazaspiro[3.5]nonane 1. Synthesis of 8-((2-cyclopropylthiazol-5-yl)sulfonyl)-5-oxa-2,8-diazaspiro [3.5]nonane The title compound was prepared using a similar method described for Example 5, step 1, from tert-butyl 5-oxa-2,8-diazaspiro[3.5]nonane-2-carboxylate (commercial, 60 mg, 0.3 mmol) and 2-cyclopropylthiazole-5-sulfonyl chloride (65 mg, 0.3 mmol) to afford tert-butyl 8-((2- cyclopropylthiazol-5-yl)sulfonyl)-5-oxa-2,8-diazaspiro[3.5]n onane-2-carboxylate. The crude was stirred with 1N HCl to afford the hydrochloride salt of 8-((2-cyclopropylthiazol-5- yl)sulfonyl)-5-oxa-2,8-diazaspiro[3.5]nonane (83 mg) which was used without further purification. LCMS m/z = 316.0 (M+H) + . 2. Synthesis of 8-((2-cyclopropylthiazol-5-yl)sulfonyl)-2-(tetrahydro-2H-pyr an-4-yl)-5- oxa-2,8-diazaspiro[3.5]nonane The title compound was prepared using a similar method described in step 3 for Example 1 from tetrahydropyran-4-one (26 mg, 0.3 mmol) and the hydrochloride salt of 8-((2- cyclopropylthiazol-5-yl)sulfonyl)-5-oxa-2,8-diazaspiro[3.5]n onane (83 mg). Purification by column chromatography on silica gel (12 g, 10-100% EtOH:EtOAc 1:3 in heptane) afforded 8- ((2-cyclopropylthiazol-5-yl)sulfonyl)-2-(tetrahydro-2H-pyran -4-yl)-5-oxa-2,8- diazaspiro[3.5]nonane (39 mg, 37%). LCMS m/z = 400.2 (M+H) + . 1 H NMR (500 MHz, CD 3 OD) δ (ppm) 8.00 (s, 1H), 3.97 - 3.86 (m, 2H), 3.77 - 3.64 (m, 2H), 3.47 - 3.33 (m, 4H), 3.07 - 2.96 (m, 4H), 2.50 - 2.32 (m, 2H), 1.76 - 1.67 (m, 3H), 1.34 - 1.22 (m, 5H), 1.19 - 1.12 (m, 2H). Example 23: 9-((2-Cyclopropylthiazol-5-yl)sulfonyl)-2-(tetrahydro-2H-pyr an-4-yl)-6- oxa-2,9-diazaspiro[4.5]decane 1. Synthesis of 9-((2-cyclopropylthiazol-5-yl)sulfonyl)-6-oxa-2,9-diazaspiro [4.5]decane To a solution of tert-butyl 6-oxa-2,9-diazaspiro[4.5]decane-2-carboxylate (50 mg, 0.2 mmol) and DIPEA (70 µL, 0.4 mmol) in DCM (2 mL) was added 2-cyclopropylthiazol-5- sulfonylchloride (46 mg, 0.2 mmol) at room temperature. The reaction mixture was diluted with EtOAc (5 mL) and washed with sat. aq. NH 4 Cl, water and brine. The combined organic layer was dried over Na 2 SO 4 , filtered and concentrated. LCMS m/z = 374.1 (M+H- t Bu) + . The crude was dissolved in EtOAc (2 mL) and HCl (1 M in EtOAc, 1 mL) was added. The reaction mixture was stirred overnight, the organic layers were removed under reduced pressure and the resulting hydrochloride salt of 9-((2-cyclopropylthiazol-5-yl)sulfonyl)-6-oxa-2,9- diazaspiro[4.5]decane was used without further purification in the next step assuming 100% yield (88.6 mg). LCMS m/z = 330.0 (M+H) + . 2. Synthesis of 9-((2-cyclopropylthiazol-5-yl)sulfonyl)-2-(tetrahydro-2H-pyr an-4-yl)-6- oxa-2,9-diazaspiro[4.5]decane The title compound was prepared using a similar method described in step 3 for Example 1 from tetrahydropyran-4-one (21 mg, 0.2 mmol) and the hydrochloride salt of 9-((2- cyclopropylthiazol-5-yl)sulfonyl)-6-oxa-2,9-diazaspiro[4.5]d ecane (45 mg, 0.1 mmol) to afford, after purification by HPLC (basic conditions), 9-((2-cyclopropylthiazol-5-yl)sulfonyl)- 2-(tetrahydro-2H-pyran-4-yl)-6-oxa-2,9-diazaspiro[4.5]decane (29 mg, 51%). LCMS m/z = 414.2 (M+H) + . 1 H NMR (500 MHz, DMSO-d 6 ) δ (ppm) 8.10 (s, 1H), 3.82 (br d, J = 11.6 Hz, 2H), 3.60-3.77 (m, 2H), 3.28 (br s, 1H), 3.01 - 2.84 (m, 3H), 2.82 - 2.62 (m, 3H), 2.59 - 2.55 (m, 1H), 2.52 - 2.46 (m, 2H), 2.43 (br d, J = 9.8 Hz, 1H), 2.26 - 2.13 (m, 1H), 1.82 - 1.66 (m, 4H), 1.40 - 1.26 (m, 2H), 1.26 - 1.19 (m, 2H), 1.15 - 1.06 (m, 2H). Example 24: 9-((2-Cyclopropylthiazol-5-yl)sulfonyl)-2-(2-oxaspiro[3.3]he ptan-6-yl)-6- oxa-2,9-diazaspiro[4.5]decane The title compound was prepared using a similar method described in step 3 for Example 1 from 2-oxa-spiro[3.3]heptan-6-one (23 mg, 0.2 mmol) and the hydrochloride salt of 9-((2- cyclopropylthiazol-5-yl)sulfonyl)-6-oxa-2,9-diazaspiro[4.5]d ecane (Example 23 , step 1, 45 mg, 0.1 mol) to afford 9-((2-cyclopropylthiazol-5-yl)sulfonyl)-2-(2-oxaspiro[3.3]he ptan-6-yl)- 6-oxa-2,9-diazaspiro[4.5]decane (6.4 mg, 15%). LCMS m/z = 426.2 (M+H) + . 1 H NMR (500 MHz, DMSO-d6) δ (ppm) 8.10 (s, 1H), 4.55 (s, 2H), 4.45 (s, 2H), 3.75 - 3.57 (m, 2H), 3.06 - 2.91 (m, 2H), 2.90 - 2.81 (m, 1H), 2.75 - 2.64 (m, 2H), 2.59 - 2.52 (m, 1H), 2.50 (td, J = 1.8, 3.7 Hz, 2H), 2.38 - 2.18 (m, 4H), 1.97 (dt, J = 7.9, 10.7 Hz, 2H), 1.75 (t, J = 6.7 Hz, 2H), 1.30 - 1.18 (m, 2H), 1.15 - 1.02 (m, 2H). Example 25, 26, and 27: racemic 9-((4-(Difluoromethoxy)phenyl)sulfonyl)-2-(2- oxaspiro[3.3]heptan-6-yl)-6-oxa-2,9-diazaspiro[4.5]decane, (R)-9-((4- (Difluoromethoxy)phenyl)sulfonyl)-2-(2-oxaspiro[3.3]heptan-6 -yl)-6-oxa-2,9- diazaspiro[4.5]decane, and (S)-9-((4-(Difluoromethoxy)phenyl)sulfonyl)-2-(2- oxaspiro[3.3]heptan-6-yl)-6-oxa-2,9-diazaspiro[4.5]decane
1. Synthesis of 9-((4-(difluoromethoxy)phenyl)sulfonyl)-6-oxa-2,9-diazaspiro [4.5]decane To a solution of tert-butyl 6-oxa-2,9-diazaspiro[4.5]decane-2-carboxylate (750 mg, 3.1 mmol) , DIPEA (800 mg, 6.2 mmol) and HCl (4 M, 3 mL) in DCM (25 mL) was added 4- (difluoromethoxy)benzenesulfonyl chloride (788 mg, 3.3 mmol) at room temperature. After 1 h at room temperature the reaction mixture was washed with sat. aq. 0.5 M HCl, water and brine. The organic phase was dried with Na2SO4, filtered and concentrated. The crude residue (200 mg) was dissolved in DCM (5 mL) and TFA (152 mg, 1.3 mmol) was added and stirred for 3 h at room temperature. The product was isolated by filtration to afford the trifluoroacetate salt of 9-((4-(difluoromethoxy)phenyl)sulfonyl)-6-oxa-2,9-diazaspiro [4.5]decane as a white solid which was used without further purification in the next step assuming 100% yield. LCMS: 349.1 (M+H) + . 2. Synthesis of racemic 9-((4-(difluoromethoxy)phenyl)sulfonyl)-2-(2- oxaspiro[3.3]heptan-6-yl)-6-oxa-2,9-diazaspiro[4.5]decane A solution of 9-((4-(difluoromethoxy)phenyl)sulfonyl)-6-oxa-2,9-diazaspiro [4.5]decane trifluoroacetate (200 mg, 0.6 mmol) and 2-oxaspiro[3.3]heptan-6-one (64 mg, 0.6 mmol) in MeOH (10 mL) was stirred at 18°C for 10 min and adjusted to pH = 5~6 with AcOH before NaBH3CN (288 mg, 4.6 mmol) was added. The reaction mixture mixture was stirred at 18°C for 16 h. The mixture was diluted with water (20 mL), extracted with DCM (20 mL, 3x). The combined organic layers were washed with brine (20 mL), dried with anhydrous Na2SO4, filtered and concentrated in vacuo. Purification by prep-HPLC (Column Welch Xtimate C18 150 x 25 mm x 5 µm; Condition Water (NH 4 HCO 3 )-ACN Begin B 35% End B 65% Gradient Time (min) 11 100% B Hold Time (min) 2; FlowRate (ml/min) 25) afforded 9-((4- (difluoromethoxy)phenyl)sulfonyl)-2-(2-oxaspiro[3.3]heptan-6 -yl)-6-oxa-2,9- diazaspiro[4.5]decane as a yellow oil (111 mg, 43%, 100% purity). LCMS: 445.2 (M+H) + . 1 H NMR: (500 MHz, CD 3 Cl) δ (ppm): 7.80 - 7.73 (m, 2H), 7.29 (d, J = 8.7 Hz, 2H), 6.78 - 6.46 (m, 1H), 4.74 - 4.69 (m, 2H), 4.60 (s, 2H), 3.83 - 3.69 (m, 2H), 3.03 - 2.90 (m, 3H), 2.81 (br d, J = 10.1 Hz, 1H), 2.67 (br t, J = 7.5 Hz, 1H), 2.61 - 2.44 (m, 4H), 2.36 (br dd, J = 6.9, 11.4 Hz, 2H), 2.16 - 2.03 (m, 2H), 1.90 (br t, J = 6.8 Hz, 2H). 3. Chiral Separation of 9-((4-(difluoromethoxy)phenyl)sulfonyl)-2-(2- oxaspiro[3.3]heptan-6-yl)-6-oxa-2,9-diazaspiro[4.5]decane The racemic 9-((4-(difluoromethoxy)phenyl)sulfonyl)-2-(2-oxaspiro[3.3]he ptan-6-yl)-6-oxa- 2,9-diazaspiro[4.5]decane was separated into its enantiomers using CHIRALPAK AD-H 30 x 250mm, 5 µm, 40% MeOH w/ 0.1% DEA in CO2 (flow rate: 100 mL/min, ABPR 120 bar, MBPR 40 psi, column temp 40°C) to yield two enantiomers of arbitrarily assigned stereochemistry: Peak 1, enantiomer 1 (R)-9-((4-(difluoromethoxy)phenyl)sulfonyl)-2-(2-oxaspiro[3. 3]heptan- 6-yl)-6-oxa-2,9-diazaspiro[4.5]decane (33 mg, tR = 1.57 min, 99.9% ee). Peak 2, enantiomer 2 (S)-9-((4-(difluoromethoxy)phenyl)sulfonyl)-2-(2-oxaspiro[3. 3]heptan- 6-yl)-6-oxa-2,9-diazaspiro[4.5]decane (35 mg, t R = 1.94 min, 98.8% ee). Example 28: 9-((3,5-Difluorophenyl)sulfonyl)-2-(2-oxaspiro[3.3]heptan-6- yl)-6-oxa-2,9- diazaspiro[4.5]decane The title compound was prepared using a similar method described for step 2 in Example 27 from the trifluoroacetate salt of 9-(3,5-difluorophenyl)sulfonyl-6-oxa-2,9- diazaspiro[4.5]decane (200 mg, 0.5 mmol) and 2-oxaspiro[3.3]heptan-6-one (52 mg, 0.5 mmol) in MeOH (10 mL) to give 9-((3,5-difluorophenyl)sulfonyl)-2-(2-oxaspiro[3.3]heptan- 6-yl)-6-oxa-2,9-diazaspiro[4.5]decane as a yellow oil (67 mg, 35%, 100% purity). LCMS m/z = 415.1 (M+H) + . 1 H NMR (500 MHz, CD 3 OD) δ (ppm): 7.48 -7.42 (m, 2H), 7.41 - 7.36 (m, 1H), 4.73 (s, 2H), 4.64 - 4.58 (m, 2H), 3.81 - 3.70(m, 2H), 3.11 - 2.95 (m, 3H), 2.89 (br d, J = 11.6 Hz, 1H), 2.80 (quin, J = 7.6 Hz, 1H), 2.67 (d, J = 10.5 Hz, 1H), 2.62 - 2.54 (m, 3H), 2.46 - 2.36 (m, 2H), 2.16 - 2.09 (m, 2H), 1.96 - 1.87 (m, 2H). Example 29: 4-((3,5-Difluorophenyl)sulfonyl)-9-((3-methyloxetan-3-yl)met hyl)-1-oxa- 4,9-diazaspiro[5.5]undecane 1. Synthesis of 4-((3,5-difluorophenyl)sulfonyl)-1-oxa-4,9-diazaspiro[5.5]un decane The title compound was prepared using a similar method described for step 1 for Example 25 from tert-butyl 6-oxa-2,9-diazaspiro[4.5]decane-2-carboxylate (commercial, 100 mg, 0.4 mmol) and 3,5-difluorobenzenesulfonylchloride (91 mg, 0.4 mmol) followed by HCl deprotection to yield the hydrochloride salt of 4-((3,5-difluorophenyl)sulfonyl)-1-oxa-4,9- diazaspiro[5.5]undecane (129 mg theoretical yield) which was used without further purification. LCMS m/z = 333.1 (M+H) + . 2. Synthesis of 4-((3,5-difluorophenyl)sulfonyl)-9-((3-methyloxetan-3-yl)met hyl)-1-oxa- 4,9-diazaspiro[5.5]undecane The title compound was prepared using a similar method described for Example 1 from 4-((3,5- difluorophenyl)sulfonyl)-1-oxa-4,9-diazaspiro[5.5]undecane (65 mg, 0.2 mmol) and 3- methyloxetane-3-carbaldehyde (25 mg, 0.2 mmol) to yield 4-((3,5-difluorophenyl)sulfonyl)-9- ((3-methyloxetan-3-yl)methyl)-1-oxa-4,9-diazaspiro[5.5]undec ane (25 mg, 31%). LCMS m/z = 417.2 (M+H) + . LCMS tR (4 min) = 1.25 min. Example 30: 9-((4-(Difluoromethoxy)phenyl)sulfonyl)-4-(tetrahydro-2H-pyr an-4-yl)-1- oxa-4,9-diazaspiro[5.5]undecane 1. Synthesis of tert-butyl 4-(tetrahydro-2H-pyran-4-yl)-1-oxa-4,9- diazaspiro[5.5]undecane-9-carboxylate To a vial containing tert-butyl 1-oxa-4,9-diazaspiro[5.5]undecane-9-carboxylate (commercial, 300 mg, 1.2 mmol) in anhydrous DCM (6 mL) was added tetrahydropyran-4-one (128 mg, 1.3 mmol) and NEt3 (360 µL, 2.6 mmol) dropwise at 23 °C, followed after 15 min by AcOH (170 µL, 2.9 mmol). The reaction mixture was stirred at 23 °C for 30 min, then NaBH(OAc) 3 (992 mg, 4.7 mmol) was added portion wise. The reaction was stirred at 23 °C. After 6 d, the reaction was quenched with slow addition of sat. aq. NaHCO3 solution, stirred at 23 °C for 10 min, then extracted with EtOAC (3x). The combined organic layers were washed with sat. aq. NaCl solution, dried with anhydrous Na 2 SO 4 , filtered and concentrated under reduced pressure to give the crude tert-butyl 4-(tetrahydro-2H-pyran-4-yl)-1-oxa-4,9-diazaspiro[5.5]undeca ne-9- carboxylate (446 mg). LCMS m/z = 341.2 (M+H) + . 2. Synthesis of 4-(tetrahydro-2H-pyran-4-yl)-1-oxa-4,9-diazaspiro[5.5]undeca ne The crude tert-butyl 4-(tetrahydro-2H-pyran-4-yl)-1-oxa-4,9-diazaspiro[5.5]undeca ne-9- carboxylate (50 mg) in EtOAc (1 mL) was added dropwise to a stirred solution of HCl (1 M, 2.9 mL). After 1 d, the reaction mixture was evaporated to dryness to afford the hydrochloride salt of 4- (tetrahydro-2H-pyran-4-yl)-1-oxa-4,9-diazaspiro[5.5]undecane (35 mg) which was used without further purification. LCMS m/z = 241.1 (M+H) + . 3. Synthesis of 9-((4-(difluoromethoxy)phenyl)sulfonyl)-4-(tetrahydro-2H-pyr an-4-yl)-1- oxa-4,9-diazaspiro[5.5]undecane To a vial containing the hydrochloride salt of 4-(tetrahydro-2H-pyran-4-yl)-1-oxa-4,9- diazaspiro[5.5]undecane (35 mg, 0.2 mmol) in THF (1.5 mL) was added DIPEA (180 µL, 1.0 mmol) dropwise and DMAP (2 mg, 0.02 mmol) followed after stirring for 5 min by 4- (difluoromethoxy)benzenesulfonyl chloride (53 mg, 0.2 mmol). After 1 d, the reaction was quenched with sat. aq. NaHCO3 solution and extracted with EtOAc (2x). The combined organic layers were washed with sat. aq. NaCl solution, dried over MgSO 4 , filtered, evaporated and purified by HPLC (basic conditions) to yield 9-((4-(difluoromethoxy)phenyl)sulfonyl)-4- (tetrahydro-2H-pyran-4-yl)-1-oxa-4,9-diazaspiro[5.5]undecane (7 mg, 10%, 100% purity). LCMS m/z = 447.1 (M+H) + . 1 H NMR (500 MHz, DMSO-d 6 ) δ (ppm): 7.81 (br d, J = 8.6 Hz, 2H), 7.61 - 7.28 (m, 3H), 3.98 (br d, J = 10.4 Hz, 2H), 3.89 - 3.72 (m, 1H), 3.71 - 3.41 (m, 1H), 3.33 - 3.19 (m, 1H), 3.00 - 2.78 (m, 1H), 2.48 - 2.21 (m, 5H), 2.05 - 1.88 (m, 3H), 1.78 - 1.67 (m, 1H), 1.67 - 1.40 (m, 7H), 1.39 - 1.25 (m, 1H). Example 31: 7-((2,4-Dimethylphenyl)sulfonyl)-2-(tetrahydro-2H-pyran-4-yl )-2,7- diazaspiro[3.5]nonane 1. Synthesis of tert-butyl 7-((2,4-dimethylphenyl)sulfonyl)-2,7-diazaspiro[3.5]nonane-2 - carboxylate To a mixture of tert-butyl 2,7-diazaspiro[3.5]nonane-2-carboxylate (226 mg, 1.0 mmol) and 2,4-dimethylbenzenesulfonyl chloride (205 mg, 1.0 mmol) in DCM (5 mL) was added DIPEA (260 µL, 1.5 mmol). The reaction mixture was stirred at room temperature overnight, then washed with sat. aq. NaHCO 3 and water. The organic phase was concentrated and purified by column chromatography on silica gel (24 g, EtOAc in heptane 10-50%) to afford tert-butyl 7- ((2,4-dimethylphenyl)sulfonyl)-2,7-diazaspiro[3.5]nonane-2-c arboxylate as a white foam (294 mg, 75%). LCMS m/z = 392.2 (M+H) + . 2. Synthesis of 7-((2,4-dimethylphenyl)sulfonyl)-2,7-diazaspiro[3.5]nonane To a reaction vial containing tert-butyl 7-((2,4-dimethylphenyl)sulfonyl)-2,7- diazaspiro[3.5]nonane-2-carboxylate (294 mg, 0.8 mmol) in 1,1,1,3,3,3-hexafluoropropan-2- ol (3 mL) was added TFA (140 µL, 1.9 mmol) dropwise at room temperature. The mixture was stirred at room temperature for 5 h, concentrated under reduced pressure and co-evaporated with MeCN (3x) to get the trifluoroacetate salt of 7-((2,4-dimethylphenyl)sulfonyl)-2,7- diazaspiro[3.5]nonane as a white solid (316 mg). The product was used without further purification. LCMS m/z = 295.0 (M+H) + . 3: Synthesis of 7-((2,4-dimethylphenyl)sulfonyl)-2-(tetrahydro-2H-pyran-4-yl )-2,7- diazaspiro[3.5]nonane To a mixture of tetrahydropyran-4-one (13 mg, 0.1 mmol) and the trifluoroacetate salt of 7- ((2,4-dimethylphenyl)sulfonyl)-2,7-diazaspiro[3.5]nonane (42 mg, 0.1 mmol) in DCM (2 mL) was added DIPEA (50 µL, 0.3 mmol). The reaction mixture was stirred at for 5 min. AcOH (18 mg, 0.3 mmol) was added followed, after stirring for another 5 min, by NaBH(OAc) 3 (64 mg, 0.3 mmol) in one portion. The mixture was stirred at room temperature overnight, then quenched with sat. aq. NaHCO3. More DCM was added and the mixture was stirred for 5 min before the layers were separated. The organic layer was washed with water, concentrated under reduced pressure and purified by HPLC (basic conditions) to afford 7-((2,4- dimethylphenyl)sulfonyl)-2-(tetrahydro-2H-pyran-4-yl)-2,7-di azaspiro[3.5]nonane (28 mg, 73 %). LCMS m/z = 379.1 (M+H) + . 1 H NMR (500 MHz DMSO-d6) δ (ppm): 7.67 (d, J = 7.9 Hz, 1H), 7.25 (s, 1H), 7.21 (d, J = 7.9 Hz, 1H), 3.7-3.8 (m, 2H), 3.33 (s, 5H), 3.23 (dt, J = 2.1, 11.1 Hz, 2H), 2.9-3.0 (m, 4H), 2.83 (s, 3H), 2.34 (s, 3H), 1.6-1.8 (m, 4H), 1.53 (br d, J = 11.6 Hz, 2H), 1.0-1.1 (m, 2H). Examples 32 and 33: 7-((4-(Difluoromethoxy)phenyl)sulfonyl)-2-(tetrahydro-2H-pyr an- 4-yl)-2,7-diazaspiro[3.5]nonane and 7-((2-methyl-6-(trifluoromethyl)pyridin-3- yl)sulfonyl)-2-(tetrahydro-2H-pyran-4-yl)-2,7-diazaspiro[3.5 ]nonane The following Examples 32 and 33 were prepared from tetrahydropyran-4-one using a similar method described for 7-((2,4-dimethylphenyl)sulfonyl)-2,7-diazaspiro[3.5]nonane (Example 31). Data for intermediates in Tables D and E (steps 1 and 2), data for Examples 32 and 33 in Table F (step 3). Table D: Intermediates of Step 1 Table E: Intermediates of Step 2 Table F: Examples 32 and 33 Example 34: 4-((7-((2,4-Dimethylphenyl)sulfonyl)-2,7-diazaspiro[3.5]nona n-2- yl)methyl)tetrahydro-2H-pyran-4-ol To a mixture of 1,6-dioxaspiro[2.5]octane (10 mg, 0.1 mmol) and the trifluoroacetate salt of 7- ((2,4-dimethylphenyl)sulfonyl)-2,7-diazaspiro[3.5]nonane in EtOH (1 mL) was added DIPEA (40 µL, 0.2 mmol). The mixture was stirred at 60 °C overnight, then partitioned between EtOAc and sat. aq. NaHCO3. The organic phase was separated, concentrated and purified by column chromatography on silica gel (12 g, EtOAc/EtOH 3:1) to obtain 1-((7-((2,4- dimethylphenyl)sulfonyl)-2,7-diazaspiro[3.5]nonan-2-yl)methy l)cyclohexan-1-ol as a sticky solid after lyophilization (19 mg, 69%). LCMS m/z = 409.2 (M+H) + . 1 H NMR (400 MHz, CD 3 OD) δ (ppm): 7.75 (d, J = 8.0 Hz, 1H), 7.33 - 7.12 (m, 2H), 3.87 - 3.60 (m, 4H), 3.21 (s, 4H), 3.13 - 3.04 (m, 4H), 2.58 (s, 3H), 2.55 (s, 2H), 2.39 (s, 3H), 1.88 - 1.75 (m, 4H), 1.54- 1.70 (m, 2H), 1.44 (br d, J = 13.3 Hz, 2H). Example 35: 7-((2,4-Dimethylphenyl)sulfonyl)-2-((tetrahydro-2H-pyran-4-y l)methyl)- 2,7-diazaspiro[3.5]nonane The title compound 35 was prepared using a similar method described for Example 31 from the trifluoroacetate salt of 7-((2,4-dimethylphenyl)sulfonyl)-2,7-diazaspiro[3.5]nonane (42 mg, 0.1 mmol) and tetrahydro-4-carbaldehyde (15 mg, 0.1 mmol) to afford after column chromatography on silica gel (12 g, EtOAc/EtOH 3:1) 7-((2,4-dimethylphenyl)sulfonyl)-2- ((tetrahydro-2H-pyran-4-yl)methyl)-2,7-diazaspiro[3.5]nonane as a colorless oil (29 mg, 74%). LCMS m/z = 393.3 (M+H) + . 1 H NMR (400 MHz, CD 3 OD):δ (ppm): 7.79 - 7.73 (m, 1H), 7.27 - 7.15 (m, 2H), 3.91 (br dd, J = 11.4, 4.4 Hz, 2H), 3.43 - 3.35 (m, 2H), 3.05-3.13 (m, 8H), 2.58 (s, 3H), 2.42 (br d, J = 6.5 Hz, 2H), 2.40 - 2.38 (m, 3H), 1.85 - 1.77 (m, 4H), 1.69 - 1.57 (m, 3H), 1.33 - 1.18 (m, 2H). Example 36: 8-((2-Chloro-4-methylphenyl)sulfonyl)-2-(tetrahydro-2H-pyran -4-yl)-2,8- diazaspiro[4.5]decane 1. Synthesis of tert-butyl 2-(tetrahydro-2H-pyran-4-yl)-2,8-diazaspiro[4.5]decane-8- carboxylate To tetrahydropyran-4-one (610 mg, 6.1 mmol) and tert-butyl 2,8-diazaspiro[4.5]decane-8- carboxylate (1.22 g, 5.1 mmol) in DCM (20 mL) was added AcOH ( 580 µL, 10.1 mmol) followed by NaBH(OAc) 3 (4.0 g, 18.9 mmol) in 4 portions. The reaction mixture was stirred at room temperature overnight, then quenched with sat. aq. NaHCO3 and extracted with DCM (3x). The organic layers were dried with MgSO4, filtered, concentrated and co-evaporated with EtOAc to give tert-butyl 2-(tetrahydro-2H-pyran-4-yl)-2,8-diazaspiro[4.5]decane-8- carboxylate as a pale yellow oil (1.69 g) which was used without further purification. LCMS m/z = 309.1 (M+CH 3 ) + . 2. Synthesis of 2-(tetrahydro-2H-pyran-4-yl)-2,8-diazaspiro[4.5]decane To a solution of tert-butyl 2-(tetrahydro-2H-pyran-4-yl)-2,8-diazaspiro[4.5]decane-8- carboxylate (1.68 g) in EtOAc (2 mL) was added HCl (1 M in EtOAc, 15.2 mL) at room temperature. After 10 min, a further 5 mL of 1M HCl in EtOAc were added and the reaction mixture was stirred at room temperature overnight. MeOH (2 mL) and 1M HCl in EtOAc (5 mL) were added and the reaction mixture was stirred at room temperature for 3 h. The solvent was evaporated and co-evaporated with MeCN/MeOH to afford the hydrochloride salt of 2- (tetrahydro-2H-pyran-4-yl)-2,8-diazaspiro[4.5]decane as a off white solid (1.52g). LCMS m/z = 225.2 (M+H) + . 3. Synthesis of 8-((2-chloro-4-methylphenyl)sulfonyl)-2-(tetrahydro-2H-pyran -4-yl)-2,8- diazaspiro[4.5]decane To the hydrochloride salt of 2-tetrahydropyran-4-yl-2,8-diazaspiro[4.5]decane (54 mg) and 2- chloro-4-methyl-benzenesulfonylchloride (34 mg, 0.2 mmol) in DCM (3 mL) was added DIPEA (80 µL, 0.5 mmol). The mixture was stirred at room temperature for 3 d, then quenched with sat. aq. NaHCO 3 and water and stirred at room temperature for 5 min. The organic layer was separated, washed with water and concentrated under reduced pressure. The residue was purified by column chromatography on silica gel (12 g, EtOAc/EtOH 3:1) to get 8-((2-chloro- 4-methylphenyl)sulfonyl)-2-(tetrahydro-2H-pyran-4-yl)-2,8-di azaspiro[4.5]decane as a sticky solid after lyophilization (43 mg, 69%). LCMS m/z = 413.1 (M+H) + . NMR (400 MHz, CD 3 OD) δ (ppm): 7.91 (d, J = 8.0 Hz, 1H), 7.47 (s, 1H), 7.35 - 7.27 (m, 1H), 3.95 (br dd, J = 11.3, 3.3 Hz, 2H), 3.48 - 3.35 (m, 2H), 3.32 - 3.26 (m, 2H), 3.24 - 3.15 (m, 2H), 2.73 (t, J = 6.9 Hz, 2H), 2.54 (s, 2H), 2.43 (s, 3H), 2.34 - 2.23 (m, 1H), 1.89 - 1.78 (m, 2H), 1.73 - 1.58 (m, 6H), 1.57 - 1.44 (m, 2H). Example 37 - 43 The Examples 37 - 43 in the following Table G were prepared using a similar method described for Example 36 from the hydrochloride salt of 2-tetrahydropyran-4-yl-2,8- diazaspiro[4.5]decane (1 equiv.) and the corresponding sulfonyl chloride. Table G:
Example 44: 2-((2,4-Dimethylphenyl)sulfonyl)-6-(tetrahydro-2H-pyran-4-yl )-2,6- diazaspiro[3.3]heptane 1. Synthesis of 2-((2,4-dimethylphenyl)sulfonyl)-2,6-diazaspiro[3.3]heptane The title compound was prepared using a similar method described in step 1 and 2 for the intermediates of Example 31 from tert-butyl 2,6-diazaspiro[3.3]heptane-2-carboxylate (204 mg, 1.0 mmol) and 2,4-dimethylbenzenesulphonyl chloride (204 mg, 1.0 mmol) to give tert- butyl 6-((2,4-dimethylphenyl)sulfonyl)-2,6-diazaspiro[3.3]heptane- 2-carboxylate (315 mg, 86%), purified by column chromatography on silica gel (24 g, EtOAc in heptane 10-20%). 1 H NMR (400 MHz, CD 3 OD) δ (ppm) 7.79 (d, J = 8.0 Hz, 1H), 7.32 - 7.13 (m, 2H), 4.00 (s, 4H), 3.93 (s, 4H), 2.59 (s, 3H), 2.41 (s, 3H), 1.43 (s, 9H). TFA deprotection afforded the trifluoroacetate salt of 2-((2,4-dimethylphenyl)sulfonyl)-2,6-diazaspiro[3.3]heptane (365 mg) which was used without further purification. 1 H NMR (400 MHz, CD 3 OD) δ (ppm): 7.87 - 7.76 (m, 1H), 7.33 - 7.15 (m, 2H), 4.22 (s, 4H), 4.02 (d, J = 2.0 Hz, 4H), 2.59 (s, 3H), 2.41 (s, 3H). 2. Synthesis of 2-((2,4-dimethylphenyl)sulfonyl)-6-(tetrahydro-2H-pyran-4-yl )-2,6- diazaspiro[3.3]heptane The title compound was prepared using a similar method described for Example 31 from the trifluoroacetate salt of 2-((2,4-dimethylphenyl)sulfonyl)-2,6-diazaspiro[3.3]heptane (47 mg) and tetrahydropyran-4-one (14 mg, 0.1 mol). The crude was purified by column chromatography on silica gel (12g, EtOAc/EtOH 3:1) to afford 2-((2,4- dimethylphenyl)sulfonyl)-6-(tetrahydro-2H-pyran-4-yl)-2,6-di azaspiro[3.3]heptane as an colorless oil (32 mg, 84%). LCMS m/z = 351.1 (M+ H) + . 1 H NMR (400 MHz, CD 3 OD) δ (ppm): 7.79 (d, J = 8.0 Hz, 1H), 7.26 (s, 1H), 7.22 (d, J = 8.0 Hz, 1H), 3.98 - 3.81 (m, 6H), 3.41 - 3.35 (m, 2H), 3.34 - 3.33 (m, 4H), 2.59 (s, 3H), 2.40 (s, 3H), 2.32 - 2.19 (m, 1H), 1.66 (br d, J = 12.5 Hz, 2H), 1.34 - 1.14 (m, 2H). Example 45: 4-((6-((2,4-Dimethylphenyl)sulfonyl)-2,6-diazaspiro[3.3]hept an-2- yl)methyl)tetrahydro-2H-pyran-4-ol The title compound was prepared using a similar method described in step 3 for Example 34 from the trifluoroacetate salt of 2-((2,4-dimethylphenyl)sulfonyl)-2,6-diazaspiro[3.3]heptane (Example 45 , step 1, 43 mg, 100 µmol) and 1,6-dioxaspiro[2.5]octane (14.8 mg, 130 µmol) to yield 4-((6-((2,4-dimethylphenyl)sulfonyl)-2,6-diazaspiro[3.3]hept an-2-yl)methyl)tetrahydro- 2H-pyran-4-ol after purification by column chromatography on silica gel (12 g, EtOAc/EtOH 3:1) as a white solid (28 mg, 74%). LCMS m/z = 381.2 (M+H) + . 1 H NMR (400 MHz, CD 3 OD) δ (ppm): 7.78 (d, J = 8.0 Hz, 1H), 7.25 (s, 1H), 7.22 (dd, J = 8.0, 0.8 Hz, 1H), 3.87 (s, 4H), 3.79 - 3.63 (m, 4H), 3.39 (s, 4H), 2.58 (s, 3H), 2.43 (s, 2H), 2.40 (s, 3H), 1.65 - 1.55 (m, 2H), 1.49 - 1.40 (m, 2H). Example 46: 2-((1-Methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-6 -(tetrahydro- 2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane The title compound was prepared using a similar method to step 3 of Example 36 from the hydrochloride salt of 2-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane (commercial, 26 mg, 0.1 µmol) and 2-methyl-5-(trifluoromethyl)pyrazole-3-sulfonyl chloride (27 mg, 0.1 mmol) to afford the trifluoroacetate salt of 2-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5- yl)sulfonyl)-6-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3 ]heptane after HPLC (acidic conditions) (49 mg, 67%). LCMS m/z = 395.2 (M+H) + . 1 H NMR (400 MHz, CD 3 OD) δ (ppm): 7.23 (s, 1H), 4.18 (s, 3H), 4.04 (s, 4H), 4.00 - 3.90 (m, 2H), 3.40 - 3.30 (m, 6H), 2.28 (tt, J = 4.0, 10.8 Hz, 1H), 1.70 - 1.60 (m, 2H), 1.30 - 1.20 (m, 2H). Example 47-50: The Examples 47-50 in the following Table H were prepared using a similar method described for Example 36 from the hydrochloride salt of 2-(tetrahydro-2H-pyran-4-yl)-2,6- diazaspiro[3.3]heptane (25.5 mg, 100 µmol) and the corresponding sulfonyl chloride (110 µmol) unless stated otherwise. Purified by HPLC (acidic or basic conditions), unless stated otherwise. Table H
Example 51: 2-((2-Methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(te trahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane Hunigs base (322.56 mg, 2.50 mmol, 434.72 uL) was added to a mixture of 2- tetrahydropyran-4-yl-2,6-diazaspiro[3.3]heptane (167.19 mg, 655.16 umol, 2HCl) and 2- methyl-6-(trifluoromethyl)pyridine-3-sulfonyl chloride (162 mg, 623.96 umol) in DCM (5 mL). The reaction mixture was stirred at rt for 2.5h. The reaction was then quenched with satd. NaHCO3 and water, and the solution was stirred at rt for 5 min. The aqueous layer was removed and the organic phase washed with water and concentrated. The residue was purified by normal phase chromatography (24g, EtOAc/EtOH 3/1 in heptane 20-100%) to afford the product as a colorless oil, which precipitated out as a white solid upon addition of MeCN. Product was lyophilized overnight to afford the desired product (208 mg, 82.22% yield) as a white solid. LCMS m/z = 406.2 (M+H) + . 1 H NMR (400 MHz, CD 3 OD) δ (ppm): 8.46 (d, J = 8.3 Hz, 1H), 7.83 (d, J = 8.3 Hz, 1H), 4.04 (s, 4H), 3.94 - 3.86 (m, 2H), 3.39 - 3.32 (m, 6H), 2.86 (s, 3H), 2.26 (tt, J = 10.7, 4.1 Hz, 1H), 1.72 - 1.60 (m, 2H), 1.30 - 1.14 (m, 2H). Example 52: 2-((2,4-Dimethylphenyl)sulfonyl)-6-(tetrahydro-2H-pyran-4-yl )-2,6- diazaspiro[3.4]octane 1. Synthesis of of 6-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.4]octane The title compound was prepared using a similar method described for step 1 of Example 36 from tetrahydropyran-4-one (300 mg, 3.0 mmol) and tert-butyl 2,6-diazaspiro[3.4]octane-2- carboxylate (530 mg, 2.5 mmol) to yield tert-butyl 6-(tetrahydro-2H-pyran-4-yl)-2,6- diazaspiro[3.4]octane-2-carboxylate (448 mg, 60%) which was used without further purification. 1 H NMR (400 MHz, CD 3 OD) δ (ppm): 4.06 - 3.82 (m, 6H), 3.42 (br t, J = 11.9 Hz, 2H), 3.18 (s, 2H), 3.02 (t, J = 7.3 Hz, 2H), 2.85 - 2.65 (m, 1H), 2.21 (t, J = 7.3 Hz, 2H), 1.98 - 1.91 (m, 2H), 1.60 (br dd, J = 12.3, 4.8 Hz, 2H), 1.50 - 1.41 (m, 9H). Subsequent deprotection of tert-butyl 6-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.4]octane- 2-carboxylate with HCl (step 2 in Example 36) afforded the hydrochloride salt of 6-(tetrahydro- 2H-pyran-4-yl)-2,6-diazaspiro[3.4]octane (222 mg) which was used without further purification. LCMS m/z = 365.2 (M+H) + . 2. Synthesis of 2-((2,4-dimethylphenyl)sulfonyl)-6-(tetrahydro-2H-pyran-4-yl )-2,6- diazaspiro[3.4]octane The title compound was prepared using a similar method to step 3 of Example 36 from the hydrochloride salt of 6-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.4]octane (38 mg, 0.1 mmol) and 2,4-dimethylbenzenesulfonyl chloride (25 mg, 0.1 mmol) to afford, after purification by column chromatography on silica gel (12 g, EtOAc/EtOH 3:1), 2-((2,4- dimethylphenyl)sulfonyl)-6-(tetrahydro-2H-pyran-4-yl)-2,6-di azaspiro[3.4]octane as an oil (13 mg, 29%). LCMS m/z = 365.2 (M+H) + . 1 H NMR (400 MHz, CD 3 OD) δ (ppm): 7.79 (d, J = 8.0 Hz, 1H), 7.35 - 7.13 (m, 2H), 4.06 - 3.88 (m, 2H), 3.74 (q, J = 7.9 Hz, 4H), 3.40 (br t, J = 11.8 Hz, 2H), 2.76 (s, 2H), 2.69 - 2.62 (m, 2H), 2.61 (s, 3H), 2.41 (s, 3H), 2.32 - 2.22 (m, 1H), 2.02 (t, J = 7.2 Hz, 2H), 1.83 (br d, J = 12.8 Hz, 2H), 1.48 (qd, J = 12.0, 4.8 Hz, 2H). Example 53-59 The Examples 53-59 in the following Table I were prepared using a similar method described for Example 52 from the hydrochloride salt of 6-(tetrahydro-2H-pyran-4-yl)-2,6- diazaspiro[3.4]octane (0.1 mmol) and the corresponding sulfonyl- or carbonyl chloride (0.1 mmol), unless stated otherwise. Purified by HPLC (acidic or basic conditions), unless otherwise stated. Table I
Example 60: 6-((1-methyl-3-(Trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-2 -(tetrahydro- 2H-pyran-4-yl)-2,6-diazaspiro[3.4]octane 1. Synthesis of of 2-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.4]octane The title compound was prepared using a similar method described in step 1 for Example 36 from tetrahydropyran-4-one (251 mg, 2.5 mmol) and tert-butyl 2,6-diazaspiro[3.4]octane-6- carboxylate (commercial, 443 mg, 2.1 mmol) to yield tert-butyl 2-(tetrahydro-2H-pyran-4-yl)- 2,6-diazaspiro[3.4]octane-6-carboxylate as a yellow oil (548 mg) which was used without further purification. 1 H NMR (400 MHz, CD 3 OD) δ (ppm): 3.94 (br dd, J = 10.8, 4.3 Hz, 2H), 3.89 - 3.78 (m, 4H), 3.39 (td, J = 11.9, 2.0 Hz, 2H), 2.83 (s, 2H), 2.68 (t, J = 7.2 Hz, 2H), 2.36 - 2.21 (m, 1H), 2.08 (t, J = 7.2 Hz, 2H), 1.88 - 1.78 (m, 2H), 1.57 - 1.44 (m, 2H), 1.43 (s, 9H). Subsequent deprotection with HCl yielded the hydrochloride salt of 2-(tetrahydro-2H-pyran- 4-yl)-2,6-diazaspiro[3.4]octane (87 mg) which was used without further purification. LCMS m/z = 197.2 (M+H) + . 2. Synthesis of 6-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-2 -(tetrahydro- 2H-pyran-4-yl)-2,6-diazaspiro[3.4]octane The title compound was prepared using a similar method to step 3 of Example 36 from the hydrochloride salt of 2-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.4]octane (24 mg, 0.1 mmol) and 2-methyl-5-(trifluoromethyl)pyrazole-3-sulfonyl chloride (22 mg, 0.1 mmol) to afford, after purification by HPLC (basic conditions), 6-((1-methyl-3-(trifluoromethyl)-1H- pyrazol-5-yl)sulfonyl)-2-(tetrahydro-2H-pyran-4-yl)-2,6-diaz aspiro[3.4]octane as an oil (21 mg, 58%). LCMS m/z = 409.2 (M+H) + . LCMS tR (2 min) = 0.60 min Example 61: (1'R,5'S)-8'-((4-(Difluoromethoxy)phenyl)sulfonyl)-1-(tetrah ydro-2H- pyran-4-yl)-8'-azaspiro[azetidine-3,3'-bicyclo[3.2.1]octane] 1. Synthesis of tert-butyl (1'R,5'S)-1-(tetrahydro-2H-pyran-4-yl)-8'-azaspiro[azetidine - 3,3'-bicyclo[3.2.1]octane]-8'-carboxylate The title compound was prepared using a similar method described in step 1 for Example 36 from tetrahydropyran-4-one (143 mg, 1.43 mmol) and v-butyl (1'R,5'S)-8'-azaspiro[azetidine- 3,3'-bicyclo[3.2.1]octane]-8'-carboxylate (300 mg, 1.2 mmol) to yield, after purification by column chromatography on silica gel (DCM/MeOH 9:1), tert-butyl (1'R,5'S)-1-(tetrahydro-2H- pyran-4-yl)-8'-azaspiro[azetidine-3,3'-bicyclo[3.2.1]octane] -8'-carboxylate as colourless oil (426 mg). LCMS m/z = 281.1 (M+H-t-Bu) + . 2. Synthesis of (1'R,5'S)-1-(tetrahydro-2H-pyran-4-yl)-8'-azaspiro[azetidine -3,3'- bicyclo[3.2.1]octane] To a solution of tert-butyl (1'R,5'S)-1-(tetrahydro-2H-pyran-4-yl)-8'-azaspiro[azetidine -3,3'- bicyclo[3.2.1]octane]-8'-carboxylate (426 mg) in DCM (10 mL) was added TFA (2.0 mL, 25.3 mmol) and the reaction mixture was stirred at 20°C for 2 h, then concentrated to give the trifluoroacetate of (1'R,5'S)-1-(tetrahydro-2H-pyran-4-yl)-8'-azaspiro[azetidine -3,3'- bicyclo[3.2.1]octane] as brown oil (800 mg, crude), which was used without further purification. LCMS m/z = 237.1 (M+H) + . 3. Synthesis of (1'R,5'S)-8'-((4-(difluoromethoxy)phenyl)sulfonyl)-1-(tetrah ydro-2H- pyran-4-yl)-8'-azaspiro[azetidine-3,3'-bicyclo[3.2.1]octane]
The title compound was prepared using a similar method to step 3 of Example 36 from the trifluoroacetate salt of (1'R,5'S)-1-(tetrahydro-2H-pyran-4-yl)-8'-azaspiro[azetidine -3,3'- bicyclo[3.2.1]octane] (350 mg) and 4-(difluoromethoxy)benzenesulfonyl chloride (276 mg, 1.1 mmol) to yield, after column chromatography on silica gel (DCM/MeOH 19:1) (1'R,5'S)-8'- ((4-(difluoromethoxy)phenyl)sulfonyl)-1-(tetrahydro-2H-pyran -4-yl)-8'-azaspiro[azetidine- 3,3'-bicyclo[3.2.1]octane] as a beige solid (160 mg, 48%). LCMS m/z = 443.2 (M+H) + . 1 H NMR (400 MHz, CD 3 OD) δ (ppm): 7.94 - 7.87 (m, 2H), 7.30 (d, J = 8.8 Hz, 2H), 7.21 - 6.81 (m, 1H), 4.23 (br d, J = 2.8 Hz, 2H), 3.91 (br dd, J = 2.4, 11.6 Hz, 2H), 3.38 - 3.33 (m, 3H), 3.30 - 3.27 (m, 1H), 3.01 (s, 2H), 2.35 - 2.23 (m, 1H), 2.14 (dd, J = 2.4, 14.0 Hz, 2H), 1.91 (br dd, J = 3.2, 13.6 Hz, 2H), 1.71 - 1.58 (m, 4H), 1.52 - 1.39 (m, 2H), 1.31 - 1.15 (m, 2H). Example 62: 1-((1'R,5'S)-1-((2,4-Dimethylphenyl)sulfonyl)-8'-azaspiro[az etidine-3,3'- bicyclo[3.2.1]octan]-8'-yl)-2-methylpropan-2-ol 1. Synthesis of tert-butyl (1R,5S)-3-cyano-8-azabicyclo[3.2.1]octane-8-carboxylate Potassium 2-methylpropan-2-olate (1 M, 110 mmol) was suspended at -10°C in DME (160 mL) under N2 atmosphere. TosMIC (13.0 g, 66.6 mmol), dissolved in DME (10 mL), was added at 0 °C. The reaction mixture was stirred for 1 h at 0 °C. Isopropanol (7.0 mL, 88.8 mmol) was added at -10 °C and the reaction mixture was stirred for additional 30 min prior to addition of tert-butyl (1R,5S)-3-oxo-8-azabicyclo[3.2.1]octane-8-carboxylate (10 g, 44.4 mmol), dissolved in DME (10 mL), at 0°C. The reaction mixture was stirred 1 h at 0 °C, then heated at 50 °C for 16 h, then filtered over celite. The residue was washed with ethyl acetate (100 mL, 2x). The organic layers were combined and evaporated and the resulting residue was purified by column chromatography on silica gel (PE/EtOAc 3:1) to give tert-butyl (1R,5S)-3- cyano-8-azabicyclo[3.2.1]octane-8-carboxylate as a white solid (8.0 g, 76%). Rf (TLC, PE/EtOAc 1:1) 0.43. 2. Synthesis of 8-(tert-butyl) 3-ethyl (1R,5S)-3-cyano-8-azabicyclo[3.2.1]octane-3,8- dicarboxylate LiHMDS (50 mL, 1 M in THF) was added dropwise to a solution of tert-butyl (1R,5S)-3-cyano- 8-azabicyclo[3.2.1]octane-8-carboxylate (6.0 g, 25.0 mmol) in anhydrous THF (120 mL) at - 78 °C. Thereaction mixture was stirred for 1 h, then ethyl carbonochloridate (5.7 g, 52.3 mmol) was added at -78 °C, followed by stirring for 1 h. The mixture was warmed to 0 °C and stirred 1 h, then quenched with aq. NaHCO3 (1 M, 50 mL) and extracted with EtOAc (50 mL, 3x). The combined organic layers were washed with brine (50 mL), dried over anhydrous Na2SO4, filtered and concentrated. The crude was purified by column chromatography on silica gel (PE/EtOAc 1:1) to give 8-(tert-butyl) 3-ethyl (1R,5S)-3-cyano-8-azabicyclo[3.2.1]octane-3,8- dicarboxylate as yellow liquid (7.8 g, 100%). 1 H NMR (400 MHz, CDCl3) δ (ppm): 4.43 - 4.22 (m, 4H), 2.36 (br dd, J = 3.2, 14.4 Hz, 2H), 2.27 (q, J = 7.6 Hz, 2H), 2.16 - 2.04 (m, 4H), 1.47 (s, 9H), 1.31 (t, J = 7.2 Hz, 3H). 3. Synthesis of tert-butyl (1R,5S)-3-cyano-3-(hydroxymethyl)-8-azabicyclo[3.2.1]octane- 8-carboxylate To a solution of 8-(tert-butyl) 3-ethyl (1R,5S)-3-cyano-8-azabicyclo[3.2.1]octane-3,8- dicarboxylate (7.8 g, 25.3 mmol) in MeOH (120 mL) was added NaBH4 (1.5 g, 39.6 mmol) at 0 °C. The reaction mixture was stirred at 25 °C for 1 h, then quenched with sat. NH 4 Cl (20 ml) and extracted with EtOAc (30 mL, 3x). The combined organic phase was washed with brine (20 mL, 2x), dried over anhydrous Na2SO4, filtered and concentrated to give a residue which was purified by column chromatography on silica gel (PE/EtOAc 3:1 to 1:1) to give tert-butyl (1R,5S)-3-cyano-3-(hydroxymethyl)-8-azabicyclo[3.2.1]octane- 8-carboxylate as a white solid (6.3 g, 94%). 1 H NMR (400 MHz, CDCl3) δ (ppm): 4.29 (br s, 2H), 3.54 (s, 2H), 2.26 - 2.18 (m, 2H), 2.13 - 2.04 (m, 2H), 2.01 - 1.94 (m, 2H), 1.90 - 1.83 (m, 2H), 1.45 (s, 9H). 4. Synthesis of tert-butyl (1R,5S)-3-cyano-3-((tosyloxy)methyl)-8- azabicyclo[3.2.1]octane-8-carboxylate To solution of tert-butyl (1R,5S)-3-cyano-3-(hydroxymethyl)-8-azabicyclo[3.2.1]octane- 8- carboxylate (6.3 g, 23.6 mmol), DMAP (289 mg, 2.4 mmol) and TEA (10 mL, 71.0 mmol) in DCM (150 mL) was added 4-methylbenzenesulfonyl chloride (9.0 g, 47.3 mmol) and the reaction mixture was stirred at 25 °C for 16 h, then concentrated. The residue was purified by column chromatography on silica gel (PE/EtOAc 3:1 to 1:1) to give tert-butyl (1R,5S)-3-cyano- 3-((tosyloxy)methyl)-8-azabicyclo[3.2.1]octane-8-carboxylate as colourless oil (9.1 g, 92%). Rf (TLC, PE/EtOAc 1:1) 0.64. 5. Synthesis of tert-butyl (1'R,5'S)-8'-azaspiro[azetidine-3,3'-bicyclo[3.2.1]octane]-8 '- carboxylate To a solution of tert-butyl (1R,5S)-3-cyano-3-((tosyloxy)methyl)-8-azabicyclo[3.2.1]octa ne-8- carboxylate (7.1 g, 16.9 mmol) in THF (60 mL) at 0 °C was added LiAlH4 (30 mL, 1 M in THF) and the mixture was stirred at 25 °C for 3 h. The reaction was quenched with Na2SO4 x 10 H 2 O (1 g), then filtered, washed with THF (20ml) and concentrated to give tert-butyl (1'R,5'S)-8'-azaspiro[azetidine-3,3'-bicyclo[3.2.1]octane]-8 '-carboxylate as a yellow solid (3.1 g, 73%) which was used without further purification. 1 H NMR (400 MHz, CD 3 OD) δ (ppm): 4.22 - 4.14 (m, 2H), 3.69 (s, 2H), 3.25 (br s, 2H),(br d, J = 11.8 Hz, 2H), 1.94 - 1.84 (m, 2H), 1.82 - 1.70 (m, 4H), 1.45 (s, 9H). 6. Synthesis of tert-butyl (1'R,5'S)-1-((2,4-dimethylphenyl)sulfonyl)-8'- azaspiro[azetidine-3,3'-bicyclo[3.2.1]octane]-8'-carboxylate To a solution of tert-butyl (1'R,5'S)-8'-azaspiro[azetidine-3,3'-bicyclo[3.2.1]octane]-8 '- carboxylate (300 mg, 1.2 mmol) in DCM (6.0 mL) was added DIPEA (620 µL, 3.6 mmol) and 2,4-dimethylbenzenesulfonyl chloride (365 mg, 1.8 mmol) at 0 °C. The reaction mixture was stirred at 20 °C for 4 h, then extracted with DCM (30 mL, 3x). The combined organic phase was washed with brine (30 mL, 3x), dried over anhydrous Na2SO4, filtered and concentrated to give a residue which was purified by column chromatography on silica gel (PE/EtOAC 1:1) to give tert-butyl (1'R,5'S)-1-((2,4-dimethylphenyl)sulfonyl)-8'-azaspiro[azeti dine-3,3'- bicyclo[3.2.1]octane]-8'-carboxylate as a white solid (420 mg, 84%). LCMS m/z = 365.2 (M+H-Boc) + . 7. Synthesis of (1'R,5'S)-1-((2,4-dimethylphenyl)sulfonyl)-8'-azaspiro[azeti dine-3,3'- bicyclo[3.2.1]octane] A solution of tert-butyl (1'R,5'S)-1-((2,4-dimethylphenyl)sulfonyl)-8'-azaspiro[azeti dine-3,3'- bicyclo[3.2.1]octane]-8'-carboxylate (400 mg, 1.0 mmol) in DCM (5.0 mL) and TFA (1.0 mL, 13.1 mmol) was stirred at 20 °C for 2 h. The mixture was concentrated in vacuo to give the trifluoroacetate salt of (1'R,5'S)-1-((2,4-dimethylphenyl)sulfonyl)-8'-azaspiro[azeti dine-3,3'- bicyclo[3.2.1]octane] as a white oil (320 mg, crude). LCMS m/z = 321.2 (M+H) + . 8. Synthesis of 1-((1'R,5'S)-1-((2,4-dimethylphenyl)sulfonyl)-8'-azaspiro[az etidine-3,3'- The trifluoroacetate salt of (1'R,5'S)-1-((2,4-dimethylphenyl)sulfonyl)-8'-azaspiro[azeti dine- 3,3'-bicyclo[3.2.1]octane] (200 mg, 0.5 mmol), DIPEA (240 µL, 1.4 mmol) and 2,2- dimethyloxirane (1.6 g, 22.5 mmol) were added to a microwave tube in THF (1 mL). The sealed tube was heated at 80°C for 3 h in a microwave. The mixture was concentrated in vacuo, the residue was purified by prep-HPLC (Column Welch Xtimate C18 150 x 25 mm x 5 µm; Condition water(10 mM NH4HCO3)-ACN Begin B 50% End B 80% FlowRate (ml/min) 25) to give 1-((1'R,5'S)-1-((2,4-dimethylphenyl)sulfonyl)-8'-azaspiro[az etidine-3,3'- bicyclo[3.2.1]octan]-8'-yl)-2-methylpropan-2-ol as a white soild (55 mg, 30%, 100% purity). LCMS m/z = 393.2 (M + H) + . 1 H NMR (400 MHz, CD 3 OD) δ (ppm) 7.75 (d, J = 8.1 Hz, 1H), 7.23 (s, 1H), 7.19 (d, J = 8.1 Hz, 1H), 3.77 (s, 2H), 3.46 - 3.40 (m, 2H), 3.16 (br s, 2H), 2.57 (s, 3H), 2.38 (s, 3H), 2.20 (br s, 2H), 1.92 - 1.79 (m, 6H), 1.56 (br d, J = 7.9 Hz, 2H), 1.12 (s, 6H). Example 63: (1'R,5'S)-8'-((4-(Difluoromethoxy)phenyl)sulfonyl)-1-(2-meth oxy-2- methylpropyl)-8'-azaspiro[azetidine-3,3'-bicyclo[3.2.1]octan e] 1. Synthesis of tert-butyl (1'R,5'S)-1-(2-ethoxy-2-oxoethyl)-8'-azaspiro[azetidine-3,3' - bicyclo[3.2.1]octane]-8'-carboxylate A solution of tert-butyl (1'R,5'S)-8'-azaspiro[azetidine-3,3'-bicyclo[3.2.1]octane]-8 '- carboxylate (Example 63 , step 5, 500 mg, 2.0 mmol) and ethyl 2-oxoacetate (809 mg, 4.0 mmol) in DCM (10 mL) was adjusted to pH 5-6 with AcOH and the reaction mixture was stirred at 18 °C for 30 min. NaBH(OAc)3 (2.1 g, 9.9 mmol) was added. The mixture was stirred at 18 °C for 16 h, then quenched with sat. aq. NaHCO3 (30 mL) and extracted with DCM (30 mL, 3x). The combined organic phase was dried with anhydrous Na 2 SO 4 , filtered and concentrated to give a residue which was purified by column chromatography on silica gel (PE/EtOAc 1:1 to EtOAc) to give tert-butyl (1'R,5'S)-1-(2-ethoxy-2-oxoethyl)-8'- azaspiro[azetidine-3,3'-bicyclo[3.2.1]octane]-8'-carboxylate as colorless oil (530 mg, 79%). LCMS m/z = 283.1 [M+H-t-Bu] + . 2. Synthesis of ethyl 2-((1'R,5'S)-8'-azaspiro[azetidine-3,3'-bicyclo[3.2.1]octan] -1- yl)acetate To a solution of tert-butyl (1'R,5'S)-1-(2-ethoxy-2-oxoethyl)-8'-azaspiro[azetidine-3,3' - bicyclo[3.2.1]octane]-8'-carboxylate (510 mg, 1.5 mmol) in EtOAc (20 mL) was added HCl (4 M, 11.3 mL) and the reaction mixture was stirred at 20 °C for 6 h, then concentrated to give the hydrochloride salt of ethyl 2-((1'R,5'S)-8'-azaspiro[azetidine-3,3'-bicyclo[3.2.1]octan] -1- yl)acetate as a white solid (460 mg). LCMS m/z = 239.2 (M+H) + . 3. Synthesis of ethyl 2-((1'R,5'S)-8'-((4-(difluoromethoxy)phenyl)sulfonyl)-8'- azaspiro[azetidine-3,3'-bicyclo[3.2.1]octan]-1-yl)acetate To a solution of the hydrochloride salt of ethyl 2-((1'R,5'S)-8'-azaspiro[azetidine-3,3'- bicyclo[3.2.1]octan]-1-yl)acetate (280 mg, 0.9 mmol) and TEA (380 µL, 2.7 mmol) in DCM (10 mL) was added 4-(difluoromethoxy)benzenesulfonyl chloride (327 mg, 1.4 mmol) and the reaction mixture was stirred at 20 °C for 4 h. The mixture was diluted with water (10 mL) and extracted with DCM (20 mL, 3x). The combined organic phase was washed with brine (10 mL, 3x), dried over anhydrous Na 2 SO 4 , filtered and concentrated to give a residue which was purified by columnchromatography on silica gel (DCM/MeOH 19:1) to afford ethyl 2- ((1'R,5'S)-8'-((4-(difluoromethoxy)phenyl)sulfonyl)-8'-azasp iro[azetidine-3,3'- bicyclo[3.2.1]octan]-1-yl)acetate as a white solid (180 mg, 45%). LCMS m/z = 445.2 (M+H) + . 4. Synthesis of 1-((1'R,5'S)-8'-((4-(difluoromethoxy)phenyl)sulfonyl)-8'- azaspiro[azetidine-3,3'-bicyclo[3.2.1]octan]-1-yl)-2-methylp ropan-2-ol In a Schlenk tube, to a 0 °C stirred solution of ethyl 2-((1'R,5'S)-8'-((4- (difluoromethoxy)phenyl)sulfonyl)-8'-azaspiro[azetidine-3,3' -bicyclo[3.2.1]octan]-1- yl)acetate (180 mg, 0.4 mmol) in THF (5 mL) was added bromo(methyl)magnesium (3 M, 2.8 mmol). The reaction mixture was stirred at 20 °C for 3 h, then quenched with sat. aq. NH4Cl (10 mL) and extracted with EtOAc (20 mL, 3x). The combined organic layers were washed with brine (10 ml, 3x), dried with anhydrous Na 2 SO 4 , filtered and concentrated to give 1- ((1'R,5'S)-8'-((4-(difluoromethoxy)phenyl)sulfonyl)-8'-azasp iro[azetidine-3,3'- bicyclo[3.2.1]octan]-1-yl)-2-methylpropan-2-ol as yellow oil (150 mg, crude). LCMS m/z = 431.1 (M+H) + . 5. Synthesis of (1'R,5'S)-8'-((4-(difluoromethoxy)phenyl)sulfonyl)-1-(2-meth oxy-2- To a mixture of 1-((1'R,5'S)-8'-((4-(difluoromethoxy)phenyl)sulfonyl)-8'-aza spiro[azetidine- 3,3'-bicyclo[3.2.1]octan]-1-yl)-2-methylpropan-2-ol (150 mg, 0.4 mmol) in THF (10 mL) was added NaH (70 mg, 1.7 mmol, 60% purity) and MeI (130 µL, 2.2 mmol). The mixture was stirred at 0 °C for 10 min and then warmed to 20 °C for 16 h. The mixture was quenched with H 2 O (10 mL, 3x), thecombined organic layers was washed with DCM (20 mL), dried with anhydrous Na2SO4, filtered and concentrated to give a residue which was purified by prep- HPLC (Column Welch Xtimate C18150 x 25mm x 5 µm Condition water(10 mM NH4HCO3)- ACN Begin B 41% End B 71% FlowRate (ml/min) 25) to give (1'R,5'i)-8'-((4- (difluoromethoxy)phenyl)sulfonyl)-1-(2-methoxy-2-methylpropy l)-8'-azaspiro[azetidine-3,3'- bicyclo[3.2.1]octane] as a brown solid (20 mg, 13%). LCMS m/z = 445.3 (M+H) + . 1 H NMR (400 MHz, CD 3 OD) δ (ppm): 7.91 (d, J = 8.8 Hz, 2H), 7.29 (d, J = 8.8 Hz, 2H), 7.20 - 6.81 (m, 1H), 4.21 (br s, 2H), 3.38 (br s, 2H), 3.16 (s, 3H), 3.07 (br s, 2H), 2.47 (br s, 2H), 2.18 (br d, J = 12.4 Hz, 2H), 1.87 (dd, J = 2.4, 13.8 Hz, 2H), 1.67 - 1.56 (m, 2H), 1.50 - 1.36 (m, 2H), 1.09 (s, 6H). Example 64: (1'R,5'S)-1-((4-(Difluoromethoxy)phenyl)sulfonyl)-8'-(2-meth oxy-2- methylpropyl)-8'-azaspiro[azetidine-3,3'-bicyclo[3.2.1]octan e] 1. Synthesis of tert-butyl (1'R,5'S)-1-((4-(difluoromethoxy)phenyl)sulfonyl)-8'- azaspiro[azetidine-3,3'-bicyclo[3.2.1]octane]-8'-carboxylate To a solution of tert-butyl (1'R,5'S)-8'-azaspiro[azetidine-3,3'-bicyclo[3.2.1]octane]-8 '- carboxylate (Example 63 , step 5, 200 mg, 0.8 mmol) in DCM (6.0 mL) was added DIPEA (410 µL, 2.4 mmol) and 4-difluoromethoxybenzene sulfonyl chloride (192 mg, 0.8 mmol) at 0 °C. The reaction mixture was stirred at 20 °C for 3 h, then extracted with DCM (30 mL, 3x). The combined organic layers were washed with brine (30 mL, 3x), dried with anhydrous Na2SO4, filtered and concentrated to give a residue which was purified by column chromatography on silica gel (PE/EtOAc 1:1) to give tert-butyl (1'R,5'S)-1-((4- (difluoromethoxy)phenyl)sulfonyl)-8'-azaspiro[azetidine-3,3' -bicyclo[3.2.1]octane]-8'- carboxylate as a white solid (300 mg, 83%). LCMS m/z = 403.1 (M+H-Boc) + . 2. Synthesis of (1'R,5'S)-1-((4-(difluoromethoxy)phenyl)sulfonyl)-8'-azaspir o[azetidine- 3,3'-bicyclo[3.2.1]octane] To a solution of tert-butyl (1'R,5'S)-1-((4-(difluoromethoxy)phenyl)sulfonyl)-8'- azaspiro[azetidine-3,3'-bicyclo[3.2.1]octane]-8'-carboxylate (300 mg, 0.7 mmol) in DCM (5.0 mL) was added TFA (1.0 mL, 13.1 mmol). The mixture was stirred at 20 °C for 2 h, then concentrated in vacuo to give the trifluoroacetate salt of (1'R,5'S)-1-((4- (difluoromethoxy)phenyl)sulfonyl)-8'-azaspiro[azetidine-3,3' -bicyclo[3.2.1]octane] (250 mg, crude) as a white solid. LCMS m/z = 359.1 (M+H) + . 3. Synthesis of 1-((1'R,5'S)-1-((4-(difluoromethoxy)phenyl)sulfonyl)-8'- The trifluoroacetic acid salt of (1'R,5'S)-1-((4-(difluoromethoxy)phenyl)sulfonyl)-8'- azaspiro[azetidine-3,3'-bicyclo[3.2.1]octane] (150 mg, 0.3 mmol), DIPEA (220 µL, 1.3 mmol) and 2,2-dimethyloxirane (1.2 g, 17.1 mmol) were taken up into a microwave tube in THF (1 mL). The sealed tube was heated at 80 °C for 3 h in a microwave. The mixture was concentrated in vacuo, diluted with water (10 mL), extracted with EtOAc (20 mL, 3x). The combined organic layers were dried with anhydrous Na2SO4, filtered and concentrated under reduced pressure to give a residue which was purified by column chromatographyon silica gel (DCM/MeOH 1:1) to give 1-((1'R,5'S)-1-((4-(difluoromethoxy)phenyl)sulfonyl)-8'-azas piro[azetidine-3,3'- bicyclo[3.2.1]octan]-8'-yl)-2-methylpropan-2-ol as a white solid (130 mg, 95%). LCMS m/z = 431.1 (M+H) + . 4. Synthesis of (1'R,5'S)-1-((4-(difluoromethoxy)phenyl)sulfonyl)-8'-(2-meth oxy-2- methylpropyl)-8'-azaspiro[azetidine-3,3'-bicyclo[3.2.1]octan e] To a solution of 1-((1'R,5'S)-1-((4-(difluoromethoxy)phenyl)sulfonyl)-8'-azas piro[azetidine- 3,3'-bicyclo[3.2.1]octan]-8'-yl)-2-methylpropan-2-ol (130 mg, 0.3 mmol) in THF (10 mL) was added NaH (60 mg, 1.5 mmol, 60% purity) at 0°C under N 2 . The reaction mixture was stirred at 0 °C for 30 min. Iodomethane (60 µL, 0.9 mmol) was added dropwise to the reaction mixture at 0 °C under N2. The reaction mixture was stirred at 20 °C for 16 h, then extracted with DCM (10 mL, 3x). The combined organic layers were washed with brine (10 mL, 3x), dried over anhydrous Na 2 SO 4 , filtered and concentrated to give a residue which was purified by prep- HPLC (Column: Welch Xtimate C18150 x 25 mm x 5 µm; Condition: water(NH4HCO3)- CAN; Begin B: 51%; End B: 81%; Gradient Time(min): 10; 100%B Hold Time(min): 2; FlowRate(ml/min): 25) followed by prep-TLC (DCM/MeOH 10:1) to give (1'R,5'S)-1-((4- (difluoromethoxy)phenyl)sulfonyl)-8'-(2-methoxy-2-methylprop yl)-8'-azaspiro[azetidine- 3,3'-bicyclo[3.2.1]octane] as a yellow solid (49 mg, 49%). LCMS m/z = 445.2 (M+H) + . 1 H NMR: (400 MHz, DMSO-d 6 ) δ (ppm): 7.94 - 7.83 (m, 2H), 7.69 - 7.24 (m, 3H), 3.71 (s, 2H), 3.11 - 2.93 (m, 5H), 2.09 (s, 2H), 1.77 - 1.55 (m, 4H), 1.53 - 1.33 (m, 4H), 1.29 - 1.19 (m, 2H), 1.01 (s, 6H). Example 65: 2-((1-(cyclopropylmethyl)-3-(trifluoromethyl)-1H-pyrazol-5-y l)sulfonyl)-6- (tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane 2-((1-(Cyclopropylmethyl)-3-(trifluoromethyl)-1H-pyrazol-5-y l)sulfonyl)-6-(tetrahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane was prepared using a similar method described for Example 36 from the hydrochloride salt of 2-(tetrahydro-2H-pyran-4-yl)-2,6- diazaspiro[3.3]heptane (75 mg, 411 µ mol) and 2-(cyclopropylmethyl)-5- (trifluoromethyl)pyrazole-3-sulfonyl chloride (91 mg, 316 µmol). The crude product was purified on column chromatography with {20 - 100%: EtOAc:EtOH (3:1) with 0.2%NH3OH} in EtOH, yielding the title compound as an off white residue (137 mg, 94% yield). LCMS m/z = 435.3 (M+H) + . 1 H NMR (CHLOROFORM-d, 400 MHz) δ (ppm) 7.00 (s, 1H), 4.30 (d, 2H, J=7.5 Hz), 4.00 (s, 4H), 3.93 (td, 2H, J=3.8, 11.5 Hz), 3.34 (dt, 2H, J=2.3, 11.4 Hz), 3.25 (s, 4H), 2.1-2.2 (m, 1H), 1.6-1.6 (m, 2H), 1.45 (tquin, 1H, J=4.9, 7.7 Hz), 1.2-1.3 (m, 2H), 0.6-0.6 (m, 2H), 0.5-0.5 (m, 2H). Example 66: 2-((1-(cyclopropylmethyl)-3-(trifluoromethyl)-1H-pyrazol-5-y l)sulfonyl)-6- ((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptan e 1. Synthesis of tert-butyl 6-((tetrahydro-2H-pyran-4-yl)methyl)-2,6- diazaspiro[3.3]heptane-2-carboxylate tetrahydropyran-4-carbaldehyde (2.06 g, 18.09 mmol) was added to a solution of tert-butyl 2,6-diazaspiro[3.3]heptane-2-carboxylate;oxalic acid (4 g, 8.22 mmol) and TEA (2.50 g, 24.66 mmol, 3.44 mL) in MeOH (60 mL). Acetic acid (493.67 mg, 8.22 mmol, 470.61 uL) was added until the pH=5-6 at 0 °C for 30 min, Sodium cyanoborohydride (2.58 g, 41.11 mmol) was added and the mixture was stirred at 20 °C for 2 h. The mixture was filtered and concentrated in vacuo. The crude material was purified on silica gel column chromatography (from MeOH/DCM = 10/1) to yield the desired compound (3.36 g, 68.94% yield) as a white oil. LCMS m/z = 297.2 (M+H) + . 1 H NMR (CHLOROFORM-d, 500 MHz) δ (ppm) 4.07 (s, 4H), 3.97-3.93 (m, 2H), 3.79 (br s, 4H), 3.39-3.32 (m, 2H), 2.68-2.64 (m, 2H), 1.72-1.62 (m, 1H), 1.63-1.58 (m, 2H), 1.42 (s, 9H), 1.33-1.27 (m, 2H). 2. Synthesis of 2-((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]hept ane To a solution of tert-butyl 6-(tetrahydropyran-4-ylmethyl)-2,6-diazaspiro[3.3]heptane-2- carboxylate (350 mg, 1.18 mmol) in HFiPA (262.24 mg, 1.18 mmol, 197.17 uL) was added TFA (134.64 mg, 1.18 mmol, 90.42 uL) and the reaction mixture was stirred at 15 °C for 2 h. LCMS showed the desired product mass was observed. The mixture was concentrated to give the crude 2-(tetrahydropyran-4-ylmethyl)-2,6-diazaspiro[3.3]heptane (420 mg, crude, TFA) as a colourless oil. LCMS m/z = 197.2 (M+H) + . 1 H NMR (CHLOROFORM-d, 400 MHz) δ (ppm) 4.52 (s, 4H), 4.34 (s, 4H), 3.96-3.90 (m, 2H), 3.44-3.36 (m, 2H), 3.23-3.18 (m, 1H), 3.12 (d, J =7.2 Hz, 2H), 1.92-1.86 (m, 1H), 1.63-1.58 (m, 2H), 1.37-1.33 (m, 2H). 3. Synthesis of 2-((1-(cyclopropylmethyl)-3-(trifluoromethyl)-1H-pyrazol-5-y l)sulfonyl)- 6-((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]hept ane 2-((1-(Cyclopropylmethyl)-3-(trifluoromethyl)-1H-pyrazol-5-y l)sulfonyl)-6-((tetrahydro-2H- pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane was prepared using a similar method described for Example 46 from the hydrochloride salt of 2-((tetrahydro-2H-pyran-4- yl)methyl)-2,6-diazaspiro[3.3]heptane and 2-(cyclopropylmethyl)-5- (trifluoromethyl)pyrazole-3-sulfonyl chloride (71 mg, 248 µmol). The crude product was purified on column chromatography with {20 - 100%: EtOAc:EtOH (3:1) with 0.2%NH3OH} in EtOH, yielding the title compound as an off white residue (69 mg, 62% yield). LCMS m/z = 449.3 (M+H) + . 1 H NMR (CHLOROFORM-d, 400 MHz) δ (ppm) 6.99 (s, 1H), 4.29 (d, 2H, J=7.5 Hz), 3.99 (s, 4H), 3.9-4.0 (m, 2H), 3.34 (dt, 2H, J=2.0, 11.8 Hz), 3.24 (s, 4H), 2.25 (d, 2H, J=6.5 Hz), 1.4-1.6 (m, 4H), 1.2-1.3 (m, 2H), 0.5-0.6 (m, 4H). Example 67: 2-((6-bromo-2-methylpyridin-3-yl)sulfonyl)-6-(tetrahydro-2H- pyran-4-yl)- 2,6-diazaspiro[3.3]heptane 2-((6-Bromo-2-methylpyridin-3-yl)sulfonyl)-6-(tetrahydro-2H- pyran-4-yl)-2,6- diazaspiro[3.3]heptane was prepared using a similar method described for Example 46 from the hydrochloride salt of 2-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane (350 mg, 1.6 mmol) and 6-bromo-2-methyl-pyridine-3-sulfonyl chloride (333.00 mg, 1.23 mmol). The crude product was purified on column chromatography with {0 - 100%: EtOAc:EtOH (3:1) with 0.2%NH3OH} in EtOH, yielding the title compound (512 mg, 70% yield). LCMS m/z = 418.0 (M+H) + . 1 H NMR (CHLOROFORM-d, 500 MHz) δ (ppm) 7.93 (d, 1H, J=8.2 Hz), 7.40 (d, 1H, J=8.2 Hz), 3.85 (s, 2H), 3.74 (s, 2H), 3.60 (br d, 4H, J=4.3 Hz), 2.74 (s, 3H), 2.53 (quin, 1H, J=7.6 Hz), 2.1-2.3 (m, 6H), 1.9-2.0 (m, 2H). Example 68: rac-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6 -(1- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane rac-2-((2-Methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6 -(1-oxaspiro[3.3]heptan-6-yl)- 2,6-diazaspiro[3.3]heptane was prepared using a similar method to Example 31 from the hydrochloride salt of 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane (75 mg, 172 µmol) and 2-oxaspiro[3.3]heptan-6-one (20.4 mg, 181 µmol) The crude product was purified on column chromatography with {0 - 100%: EtOAc:EtOH (3:1) with 0.2%NH3OH} in EtOH to yield the title compound (23 mg, 32% yield). LCMS m/z = 418.1 (M+H) + . 1 H NMR 1 H NMR (CHLOROFORM-d, 500 MHz) δ (ppm) 8.36 (br d, 1H, J=8.2 Hz), 7.65 (br d, 1H, J=8.2 Hz), 4.5-4.8 (m, 4H), 4.03 (s, 4H), 3.21 (s, 4H), 2.89 (s, 3H), 2.81 (br t, 1H, J=7.0 Hz), 2.2-2.4 (m, 2H), 1.9-2.0 (m, 2H). Example 69: rac-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6 -(1- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane rac-2-((2-Methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6 -(1-oxaspiro[3.3]heptan-6-yl)- 2,6-diazaspiro[3.3]heptane was prepared using a similar method to Example 31 from the hydrochloride salt of 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane ( 90 mg, 207 µmol) and 1-oxaspiro[3.3]heptan-6-one (24.41 mg, 217.74 umol). The crude product was purified on column chromatography with {0 - 100%: EtOAc:EtOH (3:1) with 0.2%NH3OH} in EtOH to yield the title compound (58 mg, 67% yield). LCMS m/z = 418.1 (M+H) + . 1 H NMR (CHLOROFORM-d, 500 MHz) δ (ppm) 8.36 (br d, 1H, J=7.9 Hz), 7.65 (br d, 1H, J=7.9 Hz), 4.4-4.6 (m, 2H), 3.9-4.1 (m, 4H), 3.58 (br d, 1H, J=6.7 Hz), 3.2-3.3 (m, 4H), 2.90 (s, 3H), 2.5-2.7 (m, 2H), 2.2-2.4 (m, 2H), 2.0-2.1 (m, 2H). Example 70 and 71: 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((4 s,6s)-1- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane and 2-((2-methyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((4r,6r)-1-oxaspir o[3.3]heptan-6-yl)-2,6- diazaspiro[3.3]heptane rac-2-((2-Methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6 -(1-oxaspiro[3.3]heptan-6-yl)- 2,6-diazaspiro[3.3]heptane was purified via SFC (CHIRALPAK IG 30x250mm, 5um Method: 30% EtOH w/ 0.1% DEA in CO2 (flow rate: 100mL/min, ABPR 120bar, MBPR 40psi, column temp 40 deg C)) to yield the 2 cis-trans isomers: 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((4 s,6s)-1-oxaspiro[3.3]heptan-6- yl)-2,6-diazaspiro[3.3]heptane (5.8 mg, 100% ee, t R = 1.56 min, LCMS m/z = 418.1 (M+H) + ). and 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((4 r,6r)-1-oxaspiro[3.3]heptan- 6-yl)-2,6-diazaspiro[3.3]heptane (10.3 mg, 97.5% ee, tR = 1.88 min, LCMS m/z = 418.1 (M+H) + ). Example 72: 2-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-6 -((4- methyltetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]he ptane 1. Synthesis of tert-butyl 6-((4-methyltetrahydro-2H-pyran-4-yl)methyl)-2,6- diazaspiro[3.3]heptane-2-carboxylate tert-butyl 3,3-bis(bromomethyl)azetidine-1-carboxylate (350 mg, 1.02 mmol) and (4- methyltetrahydropyran-4-yl)methanamine (131.82 mg, 1.02 mmol) were dissolved in anhydrous DMF (4 mL) and stirred under nitrogen. DBU (341.71 mg, 2.24 mmol, 335.67 uL) was added and the reaction stirred at 60°C. The reaction was cooled to room temp, diluted with EtOAc and washed with water (4X). Solvent was removed in vacuo and the crude material purified by silica gel chromatography (EtOAc - EtOAc/EtOH (0-40%) to yield the title compound (150 mg, 47% yield). LCMS m/z = 311.1 (M+H) + . 2. Synthesis of 2-((4-methyltetrahydro-2H-pyran-4-yl)methyl)-2,6- diazaspiro[3.3]heptane To a flask containing tert-butyl 6-[(4-methyltetrahydropyran-4-yl)methyl]-2,6- diazaspiro[3.3]heptane-2-carboxylate (900 mg, 2.90 mmol) in HFiPA (4 mL) was added TFA (1.30 g, 11.43 mmol, 875.50 uL) carefully dropwise at <5 °C. Upon complete addition of TFA, the mixture was warmed to 23 °C and monitored by LCMS. After 19 hours, the mixture was concentrated under reduced pressure to afford a dark yellow residue that was triturated with ethanol and solvent removed to afford an off white solid. No further purification was performed. LCMS m/z = 211.1 (M+H) + . 3. Synthesis of 2-((6-bromo-2-methylpyridin-3-yl)sulfonyl)-6-(tetrahydro-2H- pyran-4- yl)-2,6-diazaspiro[3.3]heptane Hunigs base (321.63 mg, 2.49 mmol, 433.47 uL) was added to a vial containing 2-[(4- methyltetrahydropyran-4-yl)methyl]-2,6-diazaspiro[3.3]heptan e (128 mg, 395.88 umol, Trifluoroacetate) in anhydrous dichloromethane (2 mL). After 5 minutes, 2-methyl-5- (trifluoromethyl)pyrazole-3-sulfonyl chloride (98.42 mg, 395.88 umol) was added carefully to the solution. Upon complete addition of sulfonyl chloride, the reaction was stirred at room temperature and monitored with LCMS. After 3 hours, the reaction was carefully quenched with water. The solution was extracted three times with dichloromethane. The organic extractions were pooled then washed with NaHCO3 (sat, aq.) and water. Crude material was purified on column chromatography with {0 - 100%: EtOAc:EtOH (3:1) with 0.2%NH3OH} in EtOH to afford the title compound (78 mg, 47% yield). LCMS m/z = 423.1 (M+H) + . 1 H NMR (CHLOROFORM-d, 500 MHz) δ (ppm) 6.99 (s, 1H), 4.14 (s, 3H), 3.99 (s, 4H), 3.6- 3.7 (m, 2H), 3.5-3.6 (m, 2H), 3.31 (s, 4H), 2.22 (s, 2H), 1.4-1.5 (m, 2H), 1.19 (br d, 2H, J=13.4 Hz), 0.93 (s, 3H). Example 73: 2-((1-methyl-2-oxabicyclo[2.1.1]hexan-4-yl)methyl)-6-((2-met hyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]h eptane 1. Synthesis of (6-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptan-2-yl)(1-methyl-2-oxabicyclo[2.1.1]hexa n-4-yl)methanone A mixture of 2-[[2-methyl-6-(trifluoromethyl)-3-pyridyl]sulfonyl]-2,6-dia zaspiro[3.3]heptane (200 mg, 622.44 umol) and T3P (594.14 mg, 933.65 umol, 555.79 uL, 50% purity) in DMF (2 mL) and DIPEA (402.22 mg, 3.11 mmol, 542.07 uL) was heated at 80 0 C for 10 min.1- methyl-2-oxabicyclo[2.1.1]hexane-4-carboxylic acid (106.18 mg, 746.92 umol) in DMF (2 mL) was added at 80 0 C and the reaction stirred for 3 hrs. The reaction mixture was diluted with DCM (5 mL) and washed with sat. aq. NaHCO3, water and brine. The organic phase was dried over Na2SO4, filtered and concentrated. Solvent was removed and the crude material purified by silica gel chromatography (12g SiO2, 50-100% EtOH:EtOAc 1:3 in heptane) to yield the title compound (270 mg, 97% yield). LCMS m/z = 446.0 (M+H) + . 1 H NMR (CHLOROFORM-d, 500 MHz) δ (ppm) 8.37 (br d, 1H, J=8.2 Hz), 7.67 (br d, 1H, J=7.9 Hz), 4.32 (br s, 2H), 4.1-4.2 (m, 6H), 3.87 (s, 2H), 2.8-2.9 (m, 3H), 1.8-2.0 (m, 4H), 1.44 (s, 3H). 2. Synthesis of 2-((1-methyl-2-oxabicyclo[2.1.1]hexan-4-yl)methyl)-6-((2-met hyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]h eptane (1-methyl-2-oxabicyclo[2.1.1]hexan-4-yl)-[2-[[2-methyl-6-(tr ifluoromethyl)-3- pyridyl]sulfonyl]-2,6-diazaspiro[3.3]heptan-6-yl]methanone (270 mg, 606.12 umol) was dissolved in THF (1 mL).1M Borane-THF (2.4 mL, 2.4 mmol) was added dropwise, and the solution heated to 50°C overnight. The reaction was cooled to RT and quenched with the addition of 5 ml MeOH. The reaction was once again heated to 50°C and stirred overnight. The reaction was cooled to RT and solvent removed in vacuo. The crude product was purified by column chromatography with {0 – 100%: EtOAc:EtOH (3:1) with 0.2%NH3OH} in EtOH to provide the title compound (68 mg, 26%). LCMS m/z = 432.0 (M+H) + . 1 H NMR (CHLOROFORM-d, 500 MHz) δ (ppm) 8.36 (br d, 1H, J=7.9 Hz), 7.65 (br d, 1H, J=8.2 Hz), 4.04 (s, 4H), 3.61 (s, 2H), 3.33 (s, 4H), 2.90 (s, 3H), 2.70 (s, 2H), 1.50 (s, 4H), 1.40 (s, 3H). Example 74: 2-((1-methyl-2-oxabicyclo[3.1.1]heptan-5-yl)methyl)-6-((2-me thyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]h eptane 1. Synthesis of (6-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptan-2-yl)(1-methyl-2-oxabicyclo[3.1.1]hept an-5-yl)methanone A mixture of 2-[[2-methyl-6-(trifluoromethyl)-3-pyridyl]sulfonyl]-2,6-dia zaspiro[3.3]heptane (200 mg, 622.44 umol) and T3P (594.14 mg, 933.65 umol, 555.79 uL, 50% purity) in DMF (2 mL) and DIPEA (402.22 mg, 3.11 mmol, 542.07 uL) was heated at 80 0 C for 10 min. A solution of 1-methyl-2-oxabicyclo[3.1.1]heptane-5-carboxylic acid (116.65 mg, 746.92 umol) in DMF (2 mL) was added and the reaction stirred at 80 0 C for 4 hours. The reaction mixture was diluted with DCM (5 mL) and washed with sat. aq. NaHCO3l, water and brine. The organic phase was dried over Na2SO4, filtered and concentrated. Solvent was removed and the crude material purified by silica gel chromatography (12g SiO2, 50-100% EtOH:EtOAc 1:3 in heptane) to yield the title compound (195 mg, 68% yield). LCMS m/z = 460.1 (M+H) + . 1 H NMR (CHLOROFORM-d, 500 MHz) δ (ppm) 8.37 (br d, 1H, J=7.9 Hz), 7.67 (br d, 1H, J=8.2 Hz), 4.30 (br s, 2H), 4.1-4.2 (m, 8H), 2.90 (s, 3H), 2.1-2.2 (m, 4H), 2.0- 2.1 (m, 2H), 1.24 (s, 3H). 2. Synthesis of 2-((1-methyl-2-oxabicyclo[3.1.1]heptan-5-yl)methyl)-6-((2-me thyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]h eptane (1-methyl-2-oxabicyclo[3.1.1]heptan-5-yl)-[2-[[2-methyl-6-(t rifluoromethyl)-3- pyridyl]sulfonyl]-2,6-diazaspiro[3.3]heptan-6-yl]methanone (180 mg, 391.75 umol) was dissolved in THF (1 mL). borane;tetrahydrofuran (1 M, 1.57 mL) was added dropwise and the solution heated to 50°C overnight. The reaction was cooled to RT and quenched with addition of 5 ml MeoH. The reaction was again heated to 50°C and stirred overnight. The reaction was cooled to RT and solvent removed. The crude product was purified by column chromatography with {0 – 100%: EtOAc:EtOH (3:1) with 0.2%NH3OH} in EtOH to provide the title compound (130 mg, 74%). LCMS m/z = 446.1 (M+H) + . 1 H NMR (CHLOROFORM- d, 500 MHz) δ (ppm) 8.36 (br d, 1H, J=8.2 Hz), 7.65 (d, 1H, J=7.9 Hz), 3.9-4.1 (m, 6H), 3.29 (s, 4H), 2.90 (s, 3H), 2.33 (s, 2H), 1.87 (br t, 2H, J=6.7 Hz), 1.82 (br dd, 2H, J=2.0, 7.2 Hz), 1.55 (br d, 2H, J=7.9 Hz), 1.21 (s, 3H). Example 75: 4-((6-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2 ,6- diazaspiro[3.3]heptan-2-yl)methyl)tetrahydro-2H-pyran-4-ol Hunigs base (122.17 mg, 945.32 umol, 164.65 uL) was added to a mixture of 2-[[6-(1,1- difluoroethyl)-2-methyl-3-pyridyl]sulfonyl]-2,6-diazaspiro[3 .3]heptane (150 mg, 472.66 umol, Hydrochloride) and 1,6-dioxaspiro[2.5]octane (80.93 mg, 708.99 umol) in EtOH (4 mL). The mixture was heated at 55 C for 30 min, then RT overnight. The reaction was diluted with EtAOc and washed with satd. NaHCO3. The organic phase was further washed with water, and concentrated. The residue was purified by column chromatography (12 g, EtOAc/EtOH 3/1 in heptane 50-100%) to afford the title compound (200 mg, 98% yield). LCMS m/z = 432.3 (M+H) + . 1 H NMR (500 MHz, CHLOROFORM-d) δ (ppm) 8.21 (d, J=8.24 Hz, 1 H), 7.54 (d, J=8.24 Hz, 1 H), 3.94 (s, 4 H), 3.60 - 3.71 (m, 4 H), 3.38 (s, 4 H), 2.78 (s, 3 H), 2.31 (s, 2 H), 1.94 (br t, J=18.77 Hz, 3 H), 1.39 - 1.50 (m, 2 H), 1.28 (br d, J=12.82 Hz, 2 H). Example 76: 2-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-6 -(4- methyltetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane 1. Synthesis of 4-(6-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl )-2,6- diazaspiro[3.3]heptan-2-yl)tetrahydro-2H-pyran-4-carbonitril e 4-Hydroxytetrahydropyran-4-carbonitrile (90.14 mg, 709.00 umol) and 2-[2-methyl-5- (trifluoromethyl)pyrazol-3-yl]sulfonyl-2,6-diazaspiro[3.3]he ptane (220 mg, 709.00 umol) were dissolved in ethanol (3 mL) in a sealed tube and heated to 65°C. Heating was continued for 4 hrs. The reaction was cooled to RT and stirred overnight. Solvent was removed in vacuo and the crude material purified by column chromatography (0-100% EtOAc in Heptane) to afford the desired compound (220 mg, 74%). LCMS m/z = 420.1 (M+H) + . 1 H NMR (CHLOROFORM-d, 500 MHz) δ (ppm) 7.03 (s, 1H), 4.15 (s, 3H), 4.05 (s, 4H), 3.90 (br d, 2H, J=12.2 Hz), 3.5-3.7 (m, 2H), 3.42 (br s, 4H), 1.77 (br d, 2H, J=13.1 Hz), 1.4-1.6 (m, 2H). 2. Synthesis of 2-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-6 -(4- methyltetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane 4-[2-[2-Methyl-5-(trifluoromethyl)pyrazol-3-yl]sulfonyl-2,6- diazaspiro[3.3]heptan-6- yl]tetrahydropyran-4-carbonitrile (200 mg, 476.85 umol) was dissolved in THF (5 mL) and cooled to 0°C. Methylmagnesium bromide (1.4 M, 1.36 mL) was added dropwise and the reaction stirred. The reaction was allowed to warm to room temp. and stir overnight. The reaction was quenched by addition of NaHCO3 and extracted with EtOAc. Organics were combined and the solvent removed in vacuo. Crude material was purfied by column chromatography with {0 - 100%: EtOAc:EtOH (3:1) with 0.2%NH3OH} in EtOH. LCMS m/z = 409.1 (M+H) + . 1 H NMR (CHLOROFORM-d, 500 MHz) δ (ppm) 6.9-7.1 (m, 1H), 4.15 (s, 3H), 4.01 (s, 4H), 3.7-3.9 (m, 2H), 3.5-3.6 (m, 2H), 3.24 (s, 4H), 1.3-1.5 (m, 2H), 1.2-1.3 (m, 2H), 0.93 (s, 3H). Example 77: 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(4- methyltetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane 1. Synthesis of 4-(6-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2, 6- diazaspiro[3.3]heptan-2-yl)tetrahydro-2H-pyran-4-carbonitril e 4-Hydroxytetrahydropyran-4-carbonitrile (49.46 mg, 389.02 umol) and 2-[[2-methyl-6- (trifluoromethyl)-3-pyridyl]sulfonyl]-2,6-diazaspiro[3.3]hep tane (125 mg, 389.02 umol) were dissolved in ethanol (3 mL) in a sealed tube and heated to 65°C. Heating was continued for 4 hrs. The reaction was cooled to RT and stirred overnight. Solvent was removed in vacuo and the crude material was purified by column chromatography (0-100% EtOAc in Heptane) to afford the desired compound (220 mg, 74%). LCMS m/z = 431.0 (M+H) + . 1 H NMR (CHLOROFORM-d, 500 MHz) δ (ppm) 8.37 (br d, 1H, J=7.9 Hz), 7.66 (br d, 1H, J=7.9 Hz), 4.09 (s, 3H), 4.0-4.0 (m, 1H), 3.91 (br d, 2H, J=12.2 Hz), 3.60 (br t, 2H, J=10.2 Hz), 3.46 (s, 4H), 2.91 (s, 3H), 1.78 (br d, 2H, J=13.4 Hz), 1.5-1.6 (m, 2H). 2. Synthesis of 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(4- methyltetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane 4-[2-[[2-Methyl-6-(trifluoromethyl)-3-pyridyl]sulfonyl]-2,6- diazaspiro[3.3]heptan-6- yl]tetrahydropyran-4-carbonitrile (185 mg, 429.79 umol) was dissolved in THF (5 mL) and cooled to 0°C. Methylmagnesium bromide (1.4 M, 1.23 mL) was added dropwise and the reaction stirred. The reaction was allowed to warm to room temp. and stir overnight. The reaction was quenched by addition of NaHCO 3 and extracted with EtOAc. The organics were combined and solvent removed in vacuo. Crude material was purfied by column chromatography with {0 - 100%: EtOAc:EtOH (3:1) with 0.2%NH3OH} in EtOH to afford the target compound (108 mg, 59%). LCMS m/z = 420.0 (M+H) + . 1 H NMR (CHLOROFORM-d, 500 MHz) δ (ppm) 8.37 (br d, 1H, J=7.9 Hz), 7.66 (br d, 1H, J=7.9 Hz), 4.05 (s, 4H), 3.7-3.8 (m, 2H), 3.4-3.7 (m, 2H), 3.29 (s, 4H), 2.91 (s, 3H), 1.3-1.5 (m, 2H), 1.2-1.3 (m, 2H), 0.94 (s, 3H). Example 78: 2-((6-(1,1-difluoroethyl)-2-methylpyridin-3-yl)sulfonyl)-6-( 2- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane 1. Synthesis of 3-Bromo-6-(1,1-difluoroethyl)-2,3-dimethylpyridine To a solution of 1-(5-bromo-6-methylpyridin-2-yl)ethan-1-one (4 g, 15.94 mmol) in Toluene (100 mL) was added n-BuLi (2.5 M, 6.50 mL) at -78 °C under a nitrogen atmosphere. After stirring for 1h, DMA (8.38 g, 47.82 mmol, 4.5 mL) was added, the mixture was stirred at -78 °C for 1h and slowly warmed to 20 °C. Thereafter, saturated aqueous ammonium chloride solution was added to quench the reaction, and extraction and liquid separation. The extract was purified by silica gel column chromatography (Petroleum ether/EtOAc = 1/0 to 8/1) to give the title compound (2.6 g, 12.15 mmol, 76.19% yield) as a white solid. LCMS m/z = 216.1 (M+H) + . 1 H NMR (400 MHz, CDCl 3 ) δ (ppm) 7.93 (d, J=8.0 Hz, 1H), 7.73 (d, J=8.0 Hz, 1H), 2.73 (s, 3H), 2.70 (s, 3H). To a solution of 3-Bromo-6-(1,1-difluoroethyl)-2,3-dimethylpyridine (1.9 g, 8.05 mmol) in Dioxane (20 mL) was added DIEA (3.12 g, 24.15 mmol, 4.21 mL), Pd(tBu 3 P) 2 (411.34 mg, 804.89 µmol) and BnSH (2.43 g, 19.56 mmol, 2.30 mL). Then the mixture was stirred at 100 °C for 16 h under N2. The mixture was quenched with H2O (100 mL). The reaction mixture was extracted with DCM (50 mL x 5), and the combined organic phases were washed with brine (50mL), dried over Na 2 SO 4 , filtered and concentrated to afford the title compound (3 g, crude) as a yellow oil. LCMS m/z = 280.1 [M+ H]+. 1 H NMR (500 MHz, CDCl3) δ (ppm) 7.47 (d, J=8.0 Hz, 1H), 7.31 (d, J=8.5 Hz, 1H), 7.27-7.17 (m, 5H), 4.08 (s, 2H), 2.51 (s, 3H), 1.93 (t, J = 19.0 Hz, 3H). 3. Synthesis of 6-(1,1-difluoroethyl)-2-methylpyridine-3-sulfonyl chloride To a solution of 3-(benzylthio)-6-(1,1-difluoroethyl)-2-methylpyridine (1 g, 3.58 mmol) in DCM (10 mL) and water (2 mL) was added SO2Cl2 (3.38 g, 25.06 mmol, 2.03 mL at 0 °C. The mixture was stirred at 0 °C for 1 h under N2. The mixture was diluted with water (50 mL) and extracted with DCM (50 mL x 5). The combined organic phase was dried over anhydrous sodium sulfate and concentrated in vacuo to give the desired compound (550 mg, crude) as yellow oil. 1 H NMR (400 MHz, CDCl3) δ (ppm) 8.44 (d, J=8.4 Hz, 1H), 7.74 (d, J=8.0 Hz, 1H), 3.05 (s, 3H), 2.05 (t, J=18.4 Hz, 3H). 4. Synthesis of tert-butyl 6-((6-(1,1-difluoroethyl)-2-methylpyridin-3-yl)sulfonyl)-2,6 - diazaspiro[3.3]heptane-2-carboxylate To a solution of tert-butyl 2,6-diazaspiro[3.3]heptane-2-carboxylate (500 mg, 1.75 mmol, Oxalate salt) in DCM (10 mL) was added DIPEA (677.17 mg, 5.24 mmol, 912.63 µL) and 6- (1,1-difluoroethyl)-2-methylpyridine-3-sulfonyl chloride (535.84 mg, 2.10 mmol) at 0 °C. The mixture was stirred at 20 °C for 14h. Water (50 mL) was added and extracted with DCM (50 mL x 3). The organic layer was washed with brine (30 mL), dried over Na2SO4, filtered and concentrated. The crude product was purified by column chromatography (EtOAc in petroleum ether = 30% to 50%) to give the desired compound (720 mg, 1.72 mmol, 98.75% yield) as a white solid. LCMS m/z = 418.1 (M+H) + . 1 H NMR (400 MHz, MeOD) δ (ppm) 8.37 (d, J=8.4 Hz, 1H), 7.70 (d, J=8.0 Hz, 1H), 4.06 (s, 4H), 4.03 (s, 4H), 2.84 (s, 3H), 2.04- 1.94 (m, 3H), 1.41 (s, 9H). 5. Synthesis of 2-((6-(1,1-difluoroethyl)-2-methylpyridin-3-yl)sulfonyl)-2,6 - diazaspiro[3.3]heptane To a solution of tert-butyl 6-((6-(1,1-difluoroethyl)-2-methylpyridin-3-yl)sulfonyl)-2,6 - diazaspiro[3.3]heptane-2-carboxylate (700 mg, 1.68 mmol) in HFIP (15.96 g, 94.98 mmol, 10 mL) was added TFA (573.55 mg, 5.03 mmol, 385.19 µL) at 20 °C. The mixture was stirred at 20 °C for 3h. The mixture was concentrated to give the desired compound (700 mg, crude, TFA) as a yellow oil. LCMS m/z = 318.1 (M+H) + . 1 H NMR (400 MHz, MeOD) δ (ppm) 8.37 (d, J=8.0 Hz, 1H), 7.71 (d, J=8.4 Hz, 1H), 4.24 (s, 4H), 4.15 (s, 4H), 2.84 (s, 3H), 1.99 (t, J = 18.8 Hz, 3H). 6. Synthesis of 2-((6-(1,1-difluoroethyl)-2-methylpyridin-3-yl)sulfonyl)-6-( 2- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane To a solution of 2-((6-(1,1-difluoroethyl)-2-methylpyridin-3-yl)sulfonyl)-2,6 - diazaspiro[3.3]heptane (200 mg, 464.72 µmol, TFA) and 2-oxaspiro[3.3]heptan-6-one (78.16 mg, 697.08 µmol) in MeOH (5 mL) was added TEA (141.07 mg, 1.39 mmol, 194.32 µL) to pH = 8. The solution was stirred at 20 °C for 20 minutes then adjusted to pH = 6 using acetic acid. The stirring was continued for 30 minutes at 20 °C. NaBH3CN (146.02 mg, 2.32 mmol) was added and the reaction mixture was stirred at 20 °C for 14h. The mixture was diluted with water (50 mL) and extracted with DCM (50 mL x 3). The combined organic phase was dried over anhydrous sodium sulfate, filtered and concentrated in vacuo. The crude material was purified by prep-HPLC ((Column: C18-1150*30mm*5µm, Condition: water (NH 4 HCO 3 )-ACN, 32%~62%, Flow Rate (mL/min): 25)) to give the title compound (53.23 mg, 128.74 µmol, 27.70% yield) as a white oil. LCMS m/z = 414.1 (M+H) + . 1 H NMR (400 MHz, MeOD) δ (ppm) 8.36 (d, J=8.4 Hz, 1H), 7.70 (d, J=8.4 Hz, 1H), 4.67-4.56 (m, 4H), 2.80-3.98 (s, 4H), 3.27 (s, 4H), 2.94-2.87 (m, 1H), 2.83 (s, 3H), 2.33-2.26 (m, 2H), 2.05-1.97 (m, 3H), 1.97-1.93 (m, 2H). The Examples 79 - 89 in the following Table were prepared using a similar method described in step 4 for Example 78 from the TFA salt of 2-((6-(1,1-difluoroethyl)-2-methylpyridin-3- yl)sulfonyl)-2,6-diazaspiro[3.3]heptane (1 equiv.) and the corresponding aldehyde or ketone (SM).
Example 90: 2-((6-(difluoromethyl)-2-methylpyridin-3-yl)sulfonyl)-6-(tet rahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane 1. Synthesis of 6-bromo-2-methylnicotinaldehyde 3,6-Dibromo-2-methylpyridine (2 g, 7.97 mmol) was dissolved in toluene (30 mL). The solution was cooled to -78 °C under an argon atmosphere and n-BuLi (2.5 M, 4.78 mL) was added dropwise over 15 minutes. After stirring at -78 °C for 2.5 hours, DMF (1.05 g, 14.35 mmol, 1.11 mL) was added dropwise. The mixture was stirred 1 hour at -78 °C and was then allowed to slowly warm up to 15°C. After stirring for 3 hours at 15°C, NH4Cl (100 mL) was added dropwise to terminate the reaction. The aqueous phase was extracted with DCM (3 x 20 mL). The combined organic layers were dried with Na 2 SO 4 and the solvent was removed under reduced pressure. The residue was purified by flash column chromatography on silica gel (EtOAc/petroleum ether = 1%~6%) to give the desired compound (300 mg, 1.50 mmol, 18.82% yield) as white solid. 1 H NMR (500 MHz, CDCl3) δ (ppm) 10.01 (s, 1H), 7.99 (d, J=8.0 Hz, 1H), 7.66 (d, J=8.0 Hz, 1H), 2.77 (s, 3H). 2. Synthesis of 6-bromo-3-(difluoromethyl)-2-methylpyridine To a solution of 6-bromo-2-methylnicotinaldehyde (2.0 g, 10.00 mmol) in DCM (5 mL) cooled to -78 °C was added DAST (4.83 g, 30.00 mmol, 3.96 mL) in portions under N2 atmosphere. The mixture was stirred at 25 °C for 4 h. The reaction mixture was quenched by the addition of saturated aqueous NH4Cl solution (30 mL) at 0°C. The mixture was extracted with DCM (15 mL x 3). The combined organic phase was washed with brine (30 mL), dried over anhydrous sodium sulfate, filtered and concentrated to give the desired compound (1.67 g, crude) as yellow oil. 1 H NMR (400 MHz, CDCl 3 ) δ (ppm) 7.95 (d, J=8.0 Hz, 1H), 7.34 (d, J=8.0 Hz, 1H), 6.56 (t, J=55.2 Hz, 1H), 2.70 (s, 3H). 3. Synthesis of 6-(benzylthio)-3-(difluoromethyl)-2-methylpyridine To a solution of 6-bromo-3-(difluoromethyl)-2-methylpyridine (2.9 g, 10.45 mmol) in Dioxane (40 mL) was added DIEA (4.05 g, 31.35 mmol, 5.46 mL), Pd(tBu 3 P) 2 (534.00 mg, 1.04 mmol) and BnSH (2.51 g, 20.21 mmol, 2.37 mL). Then the mixture was stirred at 100 °C for 16 h under N2. The mixture was quenched with aq. NaClO (200 mL). The reaction mixture was extracted with DCM (40 mL x 3). The combined organic phases were washed with brine 100 mL, dried over Na 2 SO 4 , filtered and concentrated to give the desired compound (4.9 g, crude) as yellow oil. LCMS m/z = 266.1 (M+H) + . 1 H NMR (500 MHz, CDCl3) δ (ppm) 7.56 (d, J=8.0 Hz, 1H), 7.36 (d, J=8.0 Hz, 1H), 7.35-7.28 (m, 5H), 6.56 (t, J=55.5 Hz, 1H), 4.15 (s, 2H), 2.57 (s, 3H). 4. Synthesis of 5-(difluoromethyl)-6-methylpyridine-2-sulfonyl chloride To a solution of 6-(benzylthio)-3-(difluoromethyl)-2-methylpyridine (1.6 g, 6.03 mmol) in DCM (15 mL) and water (3 mL) was added SO2Cl2 (5.70 g, 42.21 mmol, 3.42 mL) at -10 °C. Then the mixture was stirred at -10 °C for 1 h under N 2 . The mixture was diluted with water (20 mL) and extracted with DCM (25 mL x 3). The combined organic phase was washed with brine (30 mL x 2), dried over anhydrous sodium sulfate, and concentrated in vacuum to give the desired compound (1.56 g, crude) as yellow oil. 1 H NMR (500 MHz, CDCl 3 ) δ (ppm) 8.48 (d, J=8.0 Hz, 1H), 7.72 (d, J=8.0 Hz, 1H), 6.65 (t, J=54.8 Hz, 1H), 3.05 (s, 3H). 5. Synthesis of 2-((6-(difluoromethyl)-2-methylpyridin-3-yl)sulfonyl)-6-(tet rahydro-2H- 5-(Difluoromethyl)-6-methylpyridine-2-sulfonyl chloride (294.61 mg, 1.22 mmol) was added to a solution of 2-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane (300 mg, 1.02 mmol, TFA) and DIEA (393.92 mg, 3.05 mmol, 530.89 ^L) in DCM (6 mL) at 0~5 °C. The mixture was stirred at 20 °C for 2 h. The mixture was diluted with water (20 mL) and extracted with DCM (20 mL x 3). The combined organic phase was washed with brine (20 mL), dried over anhydrous sodium sulfate, filtered and concentrated in vacuo. The crude material was purified by prep-HPLC (Column: Welch Xtimate C18150*25mm*5um; Condition: water (NH 4 HCO 3 )-ACN; Begin B: 26; End B: 56; Flow Rate (ml/min): 25) to give the target compound (170 mg, 438.77 ^mol, 43.19% yield) as white solid. LCMS m/z = 388.1 (M+H) + . 1 H NMR (400 MHz, CDCl 3 ) δ (ppm) 8.33 (d, J = 8.0 Hz, 1H), 7.60 (d, J = 8.0 Hz, 1H), 6.62 (t, J = 55.2 Hz, 1H), 4.03 (s, 4H), 3.96-3.90 (m, 2H), 3.37-3.30 (m, 2H), 3.28 (s, 4H), 2.86 (s, 3H), 2.19-2.07 (m, 1H), 1.56-1.50 (m, 2H), 1.33-1.23 (m, 2H). Example 91: 2-((6-(difluoromethyl)-2-methylpyridin-3-yl)sulfonyl)-6-(2- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane 1. Synthesis of tert-butyl 6-((6-(difluoromethyl)-2-methylpyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane-2-carboxylate 5-(Difluoromethyl)-6-methylpyridine-2-sulfonyl chloride (380 mg, 1.57 mmol) was added to a solution of tert-butyl 2,6-diazaspiro[3.3]heptane-2-carboxylate (260 mg, 1.31 mmol) in DCM (10 mL) and DIEA (508.46 mg, 3.93 mmol, 685.25 ^L). The reaction mixture was stirred at 15 °C for 2 h. The mixture was concentrated in vacuum to give crude, which was purified by flash column (EtOAc in petroleum ether = 1%~10%) to give the desired compound (330 mg, 817.96 ^mol, 62.37% yield) as a white solid. LCMS m/z = 404.1 (M+H) + . 1 H NMR (400 MHz, CDCl3) δ (ppm) 8.33 (d, J = 8.0 Hz, 1H), 7.61 (d, J = 8.0 Hz, 1H), 6.62 (t, J = 54.8 Hz, 1H), 4.06 (s, 4H), 4.03 (s, 4H), 2.86 (s, 3H), 1.42 (s, 9H). 2. Synthesis of 2-((6-(difluoromethyl)-2-methylpyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane To a solution of tert-butyl 6-((6-(difluoromethyl)-2-methylpyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane-2-carboxylate (320 mg, 793.17 ^mol) in HFIP (10 mL) was added TFA (2 mL) and the reaction mixture was stirred at 15 °C for 2 h. The mixture was concentrated in vacuum to give the desired compound (400 mg, crude, TFA salt) as colorless oil. LCMS m/z = 304.1 (M+H) + . 1 H NMR (500 MHz, MeOD) δ (ppm) 8.41 (d, J = 8.0 Hz, 1H), 7.71 (d, J = 8.0 Hz, 1H), 6.74 (t, J = 55.0 Hz 1H), 4.24 (s, 4H), 4.16 (s, 4H), 2.84 (s, 3H). 3. Synthesis of 2-((6-(difluoromethyl)-2-methylpyridin-3-yl)sulfonyl)-6-(2- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane A solution of 2-((6-(difluoromethyl)-2-methylpyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane (400 mg, 960.75 ^mol, TFA salt) and TEA (291.65 mg, 2.88 mmol, 401.73 ^L) in MeOH (10 mL) was cooled to 0-5 °C.2-Oxaspiro[3.3]heptan-6-one was added in portions. The mixture was stirred at 0-5 °C for 5 min and adjusted pH 5-6 by HOAc in one portion at 0 °C for 30 minutes. NaBH3CN (181.13 mg, 2.88 mmol) was added and the mixture was stirred at 20 °C for 3 h. The mixture was diluted with water (15 mL) and extracted with DCM (20 mL x 3). The combined organic phase was washed with brine (20 mL x 1), dried over anhydrous Na 2 SO 4 , filtered and concentrated in vacuum. The crude which was purified by prep-HPLC (Column: Welch Xtimate C18150*25mm*5um; Condition: water (NH4HCO3)-ACN; Begin B: 27; End B: 57; Flow Rate (ml/min): 25) to give the target compound (88 mg, 23% yield) as colorless oil. LCMS m/z = 400.1 (M+H) + . 1 H NMR (400 MHz, CDCl 3 ) δ (ppm) 8.31 (d, J = 8.0 Hz, 1H), 7.59 (d, J = 8.0 Hz, 1H), 6.61 (t, J = 54.8 Hz, 1H), 4.64 (s, 2H), 4.58 (s, 2H), 3.99 (s, 4H), 3.20 (s, 4H), 2.85 (s, 3H), 2.84-2.75 (m,1H), 2.29-2.21 (m, 2H), 1.95-1.86 (m, 2H). Example 92: 2-((6-(2-fluoropropan-2-yl)-2-methylpyridin-3-yl)sulfonyl)-6 -(2- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane n-BuLi (2.5 M, 8.77 mL) was added dropwise to a stirred solution of 3,6-dibromo-2- methylpyridine (5 g, 19.93 mmol) in toluene (100 mL) under nitrogen at -70 °C. The mixture was stirred at -70 °C for 1 h. Acetone (2.31 g, 39.85 mmol, 2.93 mL) was added dropwise and the mixture was stirred at -70 °C for 1 h. TLC (petroleum ether/EtOAc = 3/1, Rf = 0.5) showed the reaction was completed. The mixture was quenched with sat. aqueous NH4Cl at 0 °C and allowed to warm to 25 °C. The organic layer was separated, washed with sat. NaHCO 3 (50 mL) and brine (30 mL). The material was dried over anhydrous sodium sulfate, filtered and concentrated. The residue was purified by flash silica gel chromatography (EtOAc in petroleum ether = from 0% to 30%) to give the desired compound (3.52 g, 77% yield) as a yellow oil. 1 H NMR (500 MHz, CHLOROFORM-d) δ (ppm) 7.79 (d, J = 8.5 Hz, 1H), 7.06 (d, J = 8.0 Hz, 1H), 2.66 (s, 3H), 1.52 (s, 6H). To a stirred solution of 2-(6-bromo-2-methylpyridin-3-yl)propan-2-ol (3.5 g, 15.21 mmol) in DCM (35 mL) was added DAST (9.81 g, 60.84 mmol, 8.04 mL) at -78 °C. The reaction mixture was stirred at 25 °C for 16 h. The reaction mixture was quenched by the addition of saturated aqueous NaHCO3 solution (350 mL) at -5 °C, diluted with water (30 mL), extracted with DCM (50 mL x 3). The combined organic phase was washed with brine (20 mL x 2), dried over anhydrous sodium sulfate, filtered and concentrated. The residue was purified by flash silica gel chromatography (EtOAc in petroleum ether = from 0% to 10%) to give the desired compound (3.3 g, 93% yield) as yellow oil. 1 H NMR (400 MHz, CHLOROFORM-d) δ (ppm) 7.79 (d, J = 8.4 Hz, 1H), 7.25 (d, J = 8.0 Hz, 1H), 2.64 (s, 3H), 1.72 (s, 3H), 1.66 (s, 3H). To a solution of 2-(6-bromo-2-methylpyridin-3-yl)propan-2-ol (3.3 g, 14.22 mmol) in Dioxane (35 mL) was added DIPEA (5.51 g, 42.66 mmol, 7.43 mL), Pd(tBu 3 P) 2 (726.64 mg, 1.42 mmol) and BnSH (3.07 g, 24.72 mmol, 2.90 mL). Then the mixture was stirred at 100 °C for 16 h under N2. LCMS showed the desired product mass was observed. The mixture was quenched with H2O (130 mL). The reaction mixture was extracted with DCM (50 mL x 5). Combined organic phases were washed with brine (50 mL), dried over Na 2 SO 4 , filtered and concentrated to give the desired compound (5.4 g, crude) as yellow oil. LCMS m/z = 276.1 (M+H) + . 1 H NMR (400 MHz, CHLOROFORM-d) δ (ppm) 7.47 (d, J = 8.0 Hz, 1H), 7.33-7.27 (m, 3H), 7.26-7.18 (m, 3H), 4.05 (s, 2H), 2.51 (s, 3H), 1.70-1.62 (m, 6H). To a solution of 6-(benzylthio)-3-(2-fluoropropan-2-yl)-2-methylpyridine (1.8 g, 6.54 mmol) in DCM (10 mL) and water (2 mL) was added SO 2 Cl 2 (6.18 g, 45.75 mmol, 3.71 mL) at -10 °C. Then the mixture was stirred at 25 °C for 1 h under N 2 . The mixture was diluted with water (20 mL) and extracted with DCM (20 mL x 3). The combined organic phase was washed with brine (30 mL x 2), dried over anhydrous sodium sulfate, and concentrated in vacuo to give the desired compound (900 mg, crude) as a yellow oil. 1 H NMR (500 MHz, CHLOROFORM-d) δ (ppm) 8.23 (d, J = 8.0 Hz, 1H), 7.55-7.51 (m, 1H), 2.89 (s, 3H), 1.65 (s, 3H), 1.61 (s, 3H). 5. Synthesis of tert-butyl 6-((6-(2-fluoropropan-2-yl)-2-methylpyridin-3-yl)sulfonyl)-2 ,6- diazaspiro[3.3]heptane-2-carboxylate To a solution of tert-butyl 2,6-diazaspiro[3.3]heptane-2-carboxylate (220 mg, 768.48 ^mol, Oxalate salt) and DIPEA (496.59 mg, 3.84 mmol, 669.26 ^L) in DCM (10 mL) was added 5- (2-fluoropropan-2-yl)-6-methylpyridine-2-sulfonyl chloride (483.57 mg, 1.92 mmol) at 0 °C under N2. The mixture was stirred at 25 °C for 3 h. LCMS showed the desired product mass was observed. The reaction mixture was diluted with water (30 mL), extracted with DCM (20 mL x 3). The combined organic phase was washed with brine (20 mL x 2), dried over anhydrous sodium sulfate, filtered and concentrated to give the desired compound (300 mg, crude) as a yellow oil. LCMS m/z = 414.1 (M+H) + . 1 H NMR (500 MHz, CHLOROFORM-d) δ (ppm) 8.19 (d, J = 8.0 Hz, 1H), 7.53-7.50 (m, 1H), 4.05-4.02 (m, 8H), 2.81 (s, 3H), 1.73 (s, 3H), 1.69 (s, 3H), 1.43 (s, 9H). 6. Synthesis of 2-((6-(2-fluoropropan-2-yl)-2-methylpyridin-3-yl)sulfonyl)-2 ,6- diazaspiro[3.3]heptane TFA (248.17 mg, 2.18 mmol, 166.67 uL) was added to a solution of tert-butyl 6-((6-(2- fluoropropan-2-yl)-2-methylpyridin-3-yl)sulfonyl)-2,6-diazas piro[3.3]heptane-2-carboxylate (300 mg, 725.50 ^mol) in HFIP (31.92 g, 189.95 mmol, 20 mL) at 25 °C under N 2 . The mixture was stirred at 25 °C for 16 h. LCMS showed the desired product mass was observed. The mixture was concentrated to give the desired compound (300 mg, crude, TFA salt) as yellow oil. LCMS m/z = 314.1 (M+H) + . 1 H NMR (500 MHz, CHLOROFORM-d) δ (ppm) 8.16 (d, J = 8.0 Hz, 1H), 7.52 (d, J = 8.5 Hz, 1H), 4.25 (s, 4H), 4.07 (s, 4H), 2.78 (s, 3H), 1.72 (s, 3H), 1.68 (s, 3H). 7. Synthesis of 2-((6-(2-fluoropropan-2-yl)-2-methylpyridin-3-yl)sulfonyl)-6 -(2- A solution of 2-((6-(2-fluoropropan-2-yl)-2-methylpyridin-3-yl)sulfonyl)-2 ,6- diazaspiro[3.3]heptane (300 mg, 703.56 ^mol, TFA salt) and 2-oxaspiro[3.3]heptan-6-one (236.66 mg, 2.11 mmol) in MeOH (5 mL) was adjusted to pH = 6 using acetic acid. The stirring was continued for 1 h at 25 °C. NaBH 3 CN (221.06 mg, 3.52 mmol) was added and the reaction mixture was stirred at 25 °C for 6 h. LCMS showed the reaction was completed. The mixture was concentrated in vacuo. The crude was purified by pre-HPLC (Column: Boston Prime C18150*30mm*5 ^m, Condition: water (NH 3 . H 2 O+NH 4 HCO 3 )-ACN, Begin B: 43; End B: 73; Flow Rate (mL/min): 25) to give the title compound (90 mg, 31% yield) as a white solid. LCMS m/z = 410.2 (M+H) + . 1 H NMR (500 MHz, DMSO-d 6 ) δ (ppm) 8.25- 8.19 (m, 1H), 7.58 (d, J = 8.0 Hz, 1H), 4.54-4.37 (m, 4H), 3.90-3.89 (m, 4H), 3.32-3.30 (m, 1H), 3.09-3.06 (m, 4H), 2.73 (s, 3H), 2.16-2.09 (m, 2H), 1.85-1.77(m, 2H), 1.68 (s, 3H), 1.64 (s, 3H). Example 93: 2-((6-(2-fluoropropan-2-yl)-2-methylpyridin-3-yl)sulfonyl)-6 -(tetrahydro- 2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane To a solution of 2-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane (100 mg, 457.20 ^mol, HCl salt) in DCM (5 mL) was added DIPEA (295.44 mg, 2.29 mmol, 398.17 ^L) and 5-(2-fluoropropan-2-yl)-6-methylpyridine-2-sulfonyl chloride (287.7 mg, 1.14 mmol) at 0 °C under N2. The mixture was stirred at 25 °C for 4 h. LCMS showed the desired product mass was observed. The mixture was quenched by the addition of water (5 mL), extracted with DCM (20 mL x 3). The combined organic phase was washed with brine (20 mL x 2), dried over anhydrous sodium sulfate, filtered and concentrated. The residue was purified by prep- HPLC (Column: Boston Prime C18150*30mm*5um; Condition: water (NH 3 . H 2 O + NH 4 HCO 3 )-ACN; Begin B: 40; End B: 70; Flow Rate: 25 mL/min) to give the title compound (43 mg, 23.66% yield) as a white solid. LCMS m/z = 398.1 (M+H) + . 1 H NMR (500 MHz, CHLOROFORM-d) δ (ppm) 8.18 (d, J=8.0 Hz, 1H), 7.50 (d, J=7.5 Hz, 1H), 4.00 (s, 4H), 3.97-3.91 (m, 2H), 3.37-3.31 (m, 2H), 3.28 (s, 4H), 2.81 (s, 3H), 2.19-2.07 (m, 1H), 1.72 (s, 3H), 1.68 (s, 3H), 1.61-1.57 (m, 2H), 1.36-1.23 (m, 2H). Example 94: 2-((6-(difluoromethoxy)-2-methylpyridin-3-yl)sulfonyl)-6-(te trahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane 1. Synthesis of 6-(difluoromethoxy)-2-methyl-3-nitropyridine To a solution of 6-methyl-5-nitropyridin-2(1H)-one (5 g, 32.44 mmol) in CH 3 CN (150 mL) was added NaH (2.60 g, 64.88 mmol, 60% purity) at 0 °C. After stirring at 15 °C for 30 min, 2,2-difluoro-2-(fluorosulfonyl)acetic acid (8.67 g, 48.66 mmol, 5.03 mL) was added to the mixture stirred at 15 °C for 1 h. The mixture was diluted with water (100 ml x 2) and extracted with EtOAc (150 mL x 2). The combined phased layers were dried over anhydrous Na 2 SO 4 , filtered and concentrated. The residue was purified by column chromatography on silica gel with petroleum ether and ethyl acetate (EtOAc in Petroleum ether from 0% to 9%) to give the desired compound (3.1 g, 47% yield) as yellow oil. LCMS m/z = 205.1 (M+H) + . 1 H NMR (400 MHz, CDCl3) δ (ppm) 8.41 (d, J = 8.8 Hz, 1H), 7.55 (t, J = 72.0 Hz, 1H), 6.88 (d, J = 8.8 Hz, 1H), 2.83 (s, 3H). 2. Synthesis of 6-(difluoromethoxy)-2-methylpyridin-3-amine To a solution of 6-(difluoromethoxy)-2-methyl-3-nitropyridine (1 g, 4.90 mmol) was added Pd/C (1.00 g, 939.67 ^mol, 10% purity) at 25 °C under N2. The mixture was purged with H2 several times and stirred at 95 °C for 16 h under H2 (15 Psi). The mixture was filtered and concentrated. The residue was purified by column chromatography on silica gel with petroleum ether and ethyl acetate (EtOAc in Petroleum ether from 0% to 50%) to give the desired compound (300 mg, 35% yield) as a yellow oil. LCMS m/z = 175.2 (M+H) + . 1 H NMR (400 MHz, CDCl 3 ) δ (ppm) 7.32 (t, J = 74.0 Hz, 1H), 7.13 (s, 1H), 7.00 (d, J = 8.4 Hz, 1H), 6.61 (d, J = 8.4 Hz, 1H), 2.32 (s, 3H). 3. Synthesis of 6-(difluoromethoxy)-2-methylpyridine-3-sulfonyl chloride SOCl 2 (2 mL) was added over 10 min to water (10 mL), while the temperature was maintained 0-7 °C. The solution was stirred at 15 °C for 16 h. CuCl (3.41 mg, 34.45 ^mol) was added and cooled to -3 °C. In another flask, a solution of 6-(difluoromethoxy)-2- methylpyridin-3-amine (300 mg, 1.72 mmol) in HCl (12 M, 1.44 mL) at -5 °C was added dropwise to a solution of NaNO2 (130.74 mg, 1.89 mmol) in water (2 mL) while maintaining temperature -5 to 0 °C. When the addition was complete, this solution was then added to the precooled thionyl chloride solution and stirred at -2 °C for 0.5 h, then at 0 °C for 2 h. The mixture was diluted with water (80 ml) and extracted with EtOAc (50 mL x 3). The combined organic phase was dried over anhydrous sodium sulfate, filtered and concentrated to give the desired compound (300 mg, crude) as a yellow oil. 1 H NMR (400 MHz, CDCl3) δ (ppm) 8.34 (d, J = 8.4 Hz, 1H), 7.56 (t, J = 72.0 Hz, 1H), 6.92 (d, J = 8.8 Hz, 1H), 2.93 (s, 3H). 4. Synthesis of 2-((6-(difluoromethoxy)-2-methylpyridin-3-yl)sulfonyl)-6-(te trahydro-2H- To a solution of tert-butyl 2,6-diazaspiro[3.3]heptane-2-carboxylate (150 mg, 508.00 ^mol, TFA salt) and DIPEA (196.97 mg, 1.52 mmol, 265.45 ^L) in DCM (3 mL) was added 6- (difluoromethoxy)-2-methylpyridine-3-sulfonyl chloride (143.97 mg, 558.80 ^mol) in DCM (1 mL) at 0 °C for 5 min. Then the mixture was stirred at 20 °C for 2 h. The mixture was diluted with water (50 mL) and extracted with DCM (60 mL x 3). The combined organic phase was dried over anhydrous sodium sulfate, filtered and concentrated to give a residue which was purified by prep-HPLC (Column: Welch Xtimate: C18150*25mm*5um; Condition: water (NH 4 HCO 3 )-ACN; Begin B: 24%; End B: 54%; Flow Rate (ml/min): 25) to afford the title compound (62.2 mg, 30% yield) as a yellow oil. LCMS m/z = 404.1 (M+H) + . 1 H NMR (400 MHz, CD 3 OD) δ (ppm) 8.27 (d, J = 8.4 Hz, 1H), 7.65 (t, J = 72.0 Hz, 1H), 6.96 (d, J = 8.4 Hz, 1H), 3.94 (s, 4H), 3.93-3.88 (m, 2H), 3.38-3.36 (m, 1H), 3.35-3.33 (m, 1H), 3.33 (s, 4H), 2.75 (s, 3H), 2.28-2.22 (m, 1H), 1.68-1.63 (m, 2H), 1.27-1.16 (m, 2H). Example 95: 2-((6-(difluoromethoxy)-2-methylpyridin-3-yl)sulfonyl)-6-(2- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane 1. Synthesis of tert-butyl 6-((6-(difluoromethoxy)-2-methylpyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane-2-carboxylate To a solution of tert-butyl 2,6-diazaspiro[3.3]heptane-2-carboxylate (200 mg, 1.01 mmol) and DIPEA (391.13 mg, 3.03 mmol, 527.13 ^L) in DCM (3 mL) was added 6-(difluoromethoxy)- 2-methylpyridine-3-sulfonyl chloride (285.89 mg, 1.11 mmol) in DCM (1 mL) at 0 °C for 5 min. The mixture was stirred at 20 °C for 2 h. The mixture was diluted with water (100 mL) and extracted with DCM (40 mL x 5). The combined organic phase was dried over anhydrous sodium sulfate, filtered and concentrated to give a residue which was purified by silica gel column chromatography to afford the desired compound (220 mg, 52% yield) as a white solid. LCMS m/z = 420.1 (M+H) + . 1 H NMR (500 MHz, CD 3 OD) δ (ppm) 8.26 (d, J = 8.5 Hz, 1H), 7.64 (t, J = 72.5 Hz, 1H), 6.96 (d, J = 8.5 Hz, 1H), 4.01 (s, 4H), 4.00 (s, 4H), 2.75 (s, 3H), 1.41 (s, 9H). 2. Synthesis of 2-((6-(difluoromethoxy)-2-methylpyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane TFA (2.98 g, 26.12 mmol, 2 mL) was added to a solution of tert-butyl 6-((6- (difluoromethoxy)-2-methylpyridin-3-yl)sulfonyl)-2,6-diazasp iro[3.3]heptane-2-carboxylate (200 mg, 476.82 ^mol) in HFIP (10 mL). The mixture was stirred at 25 °C for 2 h. The residue was concentrated in vacuo to give the desired compound (200 mg, crude, TFA salt) as yellow oil. LCMS m/z = 320.1 (M+H) + . 1 H NMR (500 MHz, CDCl 3 ) δ (ppm) 8.19 (d, J = 9.0 Hz, 1H), 7.53 (t, J = 72.0 Hz, 1H), 6.84 (d, J = 8.5 Hz, 1H), 4.33 (br s, 4H), 4.11 (s, 4H), 2.73 (s, 3H). 3. Synthesis of 2-((6-(difluoromethoxy)-2-methylpyridin-3-yl)sulfonyl)-6-(2- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane A solution of 2-((6-(difluoromethoxy)-2-methylpyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane (200 mg, 462.60 ^mol, TFA salt) and 2-oxaspiro[3.3]heptan-6-one (155.61 mg, 1.39 mmol) in DCM (3 mL) was stirred at 20 °C for 1 h under N 2 . NaBH 3 CN (145.35 mg, 2.31 mmol) was added, and the mixture was stirred at 20 °C under N2 for another 2 h. The mixture was diluted with water (50 mL) and extracted with DCM (50 mL x 3). The combined organic phase was dried over anhydrous sodium sulfate, filtered and concentrated. The residue was purified by prep-HPLC (Column: Welch Xtimate: C18 150*25mm*5um; Condition: water (NH 4 HCO 3 )-ACN; Begin B: 33%; End B: 63%; Flow Rate (ml/min): 25) to afford the title compound (23.12 mg, 12% yield) as a yellow oil. LCMS m/z = 416.1 (M+H) + . 1 H NMR (400 MHz, DMSO-d6) δ (ppm) 8.23 (d, J = 8.8 Hz, 1H), 7.78 (t, J = 72.0 Hz, 1H), 7.12 (d, J = 8.8 Hz, 1H), 4.48 (s, 2H), 4.42 (s, 2H), 3.86 (s, 4H), 3.07 (s, 4H), 2.80-2.71 (m, 1H), 2.68 (s, 3H), 2.15-2.08 (m, 2H), 1.84-1.77 (m, 2H). Example 96: 2-((3-(difluoromethyl)-1-methyl-1H-pyrazol-5-yl)sulfonyl)-6- (tetrahydro- 2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane 1. Synthesis of 3-(difluoromethyl)-1-methyl-1H-pyrazole DAST (30.74 g, 190.71 mmol, 25.20 mL) was added dropwise to a -20 °C solution of 1- methyl-1H-pyrazole-3-carbaldehyde (7 g, 63.57 mmol) in DCM (100 mL) and the reaction was mixture stirred for 2 h at 15 °C. The mixture was quenched with saturated aqueous NaHCO 3 (40 mL) and extracted with DCM (30 mL x 2). The combined organic phase was washed with brine (80 mL x 2), dried over anhydrous sodium sulfate, filtered and concentrated in vacuo to give 3-(difluoromethyl)-1-methyl-1H-pyrazole (6.5 g, crude) as brown oil. 1 H NMR (400 MHz, CDCl3) δ (ppm) 7.38 (d, J = 2.0 Hz, 1H), 6.67 (t, J = 55.2 Hz, 1H), 6.48 - 6.42 (m, 1H), 3.92 (s, 3H). 2. Synthesis of lithium 3-(difluoromethyl)-1-methyl-1H-pyrazole-5-sulfinate To a -50 °C solution of 3-(difluoromethyl)-1-methyl-1H-pyrazole (3 g, 22.71 mmol) in THF (60 mL) was added n-BuLi (2.5 M, 14.53 mL) dropwise over 10 min under nitrogen. The mixture was stirred at -50 °C for 1 h. Excess SO 2 gas was bubbled into a solution of THF (10 mL) for 10 min which was then added into the above solution at -50 °C. The resulting mixture was allowed to warm to 15 °C and stir for 2 h. TLC (petroleum ether/EtOAc = 3/1) showed a new spot was formed. The mixture was concentrated to give the desired compound (4.5 g, crude) as brown solid. 1 H NMR (400 MHz, DMSO-d6) δ (ppm) 6.87 (t, J = 55.2 Hz, 1H), 6.29 (s, 1H), 3.91 (s, 3H). 3. Synthesis of 3-(difluoromethyl)-1-methyl-1H-pyrazole-5-sulfonyl chloride To a 0°C solution of lithium 3-(difluoromethyl)-1-methyl-1H-pyrazole-5-sulfinate (4.5 g, 22.27 mmol) in DCM (35 mL) and water (35 mL) was added NCS (4.46 g, 33.40 mmol) under nitrogen and the mixture was then stirred at 0~5 °C for 1 h. TLC (petroleum ether/EtOAc = 3/1) showed a new spot was formed. The mixture was diluted with water (10 mL) and extracted with DCM (15 mL x 3). The combined organic phase was dried over anhydrous sodium sulfate, filtered and concentrated in vacuo. The crude was purified by flash column (EtOAc in petroleum ether = 0% ~ 10%) to give the desired compound (1.26 g, 24% yield) as a yellow oil. 1 H NMR (400 MHz, CDCl 3 ) δ (ppm) 7.22 (s, 1H), 6.69 (t, J = 54.4 Hz, 1H), 4.24 (s, 3H). 4. Synthesis of 2-((3-(difluoromethyl)-1-methyl-1H-pyrazol-5-yl)sulfonyl)-6- (tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane To a 0~5 °C solution of 2-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane (100 mg, 548.66 µmol) and DIPEA (212.73 mg, 1.65 mmol, 286.70 µL) in DCM (4 mL) was added 3- (difluoromethyl)-1-methyl-1H-pyrazole-5-sulfonyl chloride (139.19 mg, 603.53 µmol) and the mixture was stirred at 15 °C for 1 h. The mixture was concentrated in vacuo purified by pre-HPLC (Column: Welch Xtimate C18150*30mm*5um, Condition: water (10 mM NH 4 HCO 3 )-ACN, 22%~52%, Flow Rate (mL/min): 25) to give the title compound (24.89 mg, 12% yield) as yellow oil. LCMS m/z = 377.1 (M+H) + . 1 H NMR (400 MHz, CDCl 3 ) δ (ppm) 6.95 (s, 1H), 6.66 (t, J = 54.8 Hz, 1H), 4.10 (s, 3H), 3.99 (s, 4H), 3.95-3.89 (m, 2H), 3.36-3.29 (m, 2H), 3.25 (s, 4H), 2.22-2.06 (m, 1H), 1.63-1.53 (m, 2H), 1.34-1.22 (m, 2H). Example 97: 2-((3-methoxy-1-methyl-1H-pyrazol-5-yl)sulfonyl)-6-(tetrahyd ro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane 1. Synthesis of 3-methoxy-1-methyl-1H-pyrazole To a solution of 1-methyl-1H-pyrazol-3-ol (8.0 g, 81.55 mmol) in THF (200 mL) was added NaH (4.89 g, 122.32 mmol, 60% purity) at 0 °C, after 30 min, MeI (28.94 g, 203.87 mmol, 12.69 mL) was added the mixture was stirred at 25 °C for 16 h under N2. TLC showed the new spot was detected. The mixture was quenched with H 2 O (20 mL) and extracted with DCM (80 mL x 2). The combined organic phase was washed with brine (40 mL x 1), dried over Na2SO4 and filtered. The filtrate was concentrated under reduced pressure and the residue was purified by flash column (EtOAc in petroleum ether from 10% to 30%) to give the desired compound (2.5 g, 27% yield) as colorless oil. 1 H NMR (500 MHz, CDCl 3 ), δ (ppm): 7.11 (d, J=2.5 Hz, 1H), 5.59 (s, 1H), 3.86 (s, 3H), 3.72 (s, 3H). 2. Synthesis of lithium 3-methoxy-1-methyl-1H-pyrazole-5-sulfinate To a solution of 3-methoxy-1-methyl-1H-pyrazole (500 mg, 4.46 mmol) in THF (10 mL) was added n-BuLi (2.5 M, 2.85 mL) dropwise over 5 min at -65 °C and the reaction mixture was stirred at 0 °C for 1 h under N 2 . SO 2 was bubbled into THF (10 mL) at -20 °C for 10 min and then added slowly into the solution over 10 min. The resulting mixture was stirred at -65 °C for 1 h and then at 25 °C for 1 h. The mixture was concentrated in vacuo and the residue triturated in petroleum ether (100 mL) and then filtered. The filter cake was collected and dried in vacuo to give the desired compound (1 g, crude) as yellow solid. 1 H NMR (400 MHz, DMSO-d6) δ (ppm) 5.44 (s, 1H), 3.70 (s, 3H), 3.67 (s, 3H). 3. Synthesis of 3-methoxy-1-methyl-1H-pyrazole-5-sulfonyl chloride Lithium 3-methoxy-1-methyl-1H-pyrazole-5-sulfinate (1.1 g, 6.04 mmol) was dissolved in DCM (10 mL) and water (12 mL). NCS (1.29 g, 9.66 mmol) was added portion-wise vigorous stirring. The reaction mixture was stirred further for 30 min at 5 °C. LCMS showed the reaction was completed. The mixture was diluted with water (30mL). The mixture was extracted with DCM (30 mL x 3). The combined organic phase was washed with brine (20 mL), dried over anhydrous sodium sulfate, filtered and concentrated to give the desired compound (1.0 g, crude) as yellow oil. LCMS m/z = 211.0 (M+H) + . 1 H NMR (500 MHz, CDCl3) δ (ppm) 6.37 (s, 1H), 4.05 (s, 3H), 3.90 (s, 3H). 4. Synthesis of tert-butyl 6-((3-methoxy-1-methyl-1H-pyrazol-5-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane-2-carboxylate To a solution of 3-methoxy-1-methyl-1H-pyrazole-5-sulfonyl chloride (847.12 mg, 4.27 mmol) and DIEA (1.66 g, 12.82 mmol, 2.23 mL) in DCM (10 mL) was added tert-butyl 2,6- diazaspiro[3.3]heptane-2-carboxylate (900 mg, 4.27 mmol) at 0~5 °C. The reaction mixture was stirred at 15 °C for 2 h, then diluted with water (15 mL). The reaction was extracted with DCM (15 mL x 3). The combined organic phase was washed with brine (15 mL x 2), dried over anhydrous sodium sulfate, filtered and concentrated in vacuo. The crude material was purified by flash column (EtOAc in petroleum ether = 15%~50%) to give the desired compound (1.1 g, 69% yield) as white solid. 1 H NMR (400 MHz, CDCl3) δ (ppm) 6.14 (s, 1H), 3.98 (s, 4H), 3.97 (s, 4H), 3.94 (s, 3H), 3.89 (s, 3H), 1.41 (s, 9H). 5. Synthesis of 2-((3-methoxy-1-methyl-1H-pyrazol-5-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane TFA (2.98 g, 26.12 mmol, 2 mL) was added to a solution of tert-butyl 6-((3-methoxy-1- methyl-1H-pyrazol-5-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane- 2-carboxylate (1.1 g, 2.95 mmol) in HFIP (10 mL) and the reaction mixture was stirred at 15 °C for 2 h. The mixture was concentrated in vacuo to give the desired compound (1.2 g, crude, TFA salt) as a colorless oil. LCMS m/z = 273.1 (M+H) + . 1 H NMR (500 MHz, MeOD) δ (ppm) 6.25 (s, 1H), 4.19 (s, 4H), 4.07(s, 4H), 3.93 (s, 3H), 3.87 (s, 3H). 6. Synthesis of 2-((3-methoxy-1-methyl-1H-pyrazol-5-yl)sulfonyl)-6-(tetrahyd ro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane Tetrahydro-4H-pyran-4-one (374.13 mg, 3.74 mmol, 345.14 ^L) was added to a solution of 2-((3-methoxy-1-methyl-1H-pyrazol-5-yl)sulfonyl)-2,6-diazasp iro[3.3]heptane (1.2 g, 3.11 mmol, TFA) and TEA (945.36 mg, 9.34 mmol, 1.30 mL) in MeOH (12 mL) pH was adjusted to 5-6 by adding acetic acid (187.01 mg, 3.11 mmol, 178.28 ^L) in one portion at 0 °C and the solution stirred for 30 min. NaBH3CN (587.10 mg, 9.34 mmol) was added and the mixture was stirred at 20 °C for 2 h. The mixture was diluted with water (15 mL), extracted with DCM (15 mL x 3). The combined organic phase was washed with brine (15 mL x 1), dried over anhydrous sodium sulfate, filtered and concentrated . The crude reaction was was purified by prep-HPLC (Column: Welch Xtimate C18150*25mm*5um; Condition: water (NH 4 HCO 3 )-ACN; Begin B: 16 ; End B: 46; Flow Rate (ml/min): 25) to give the title compound (1.0 g, 90% yield) as a white solid. LCMS m/z = 357.1 (M+H) + . 1 H NMR (500 MHz, CDCl3) δ (ppm) 6.14 (s, 1H), 3.94 (s, 3H), 3.94 (s, 4H), 3.93-3.90 (m, 2H), 3.89 (s, 3H), 3.36-3.30 (m, 2H), 3.22 (s, 4H), 2.15- 2.06 (m, 1H), 1.59-1.54 (m, 2H), 1.31-1.22 (m, 2H). Example 98: 2-((2-chloro-6-methoxypyridin-3-yl)sulfonyl)-6-(tetrahydro-2 H-pyran-4- yl)-2,6-diazaspiro[3.3]heptane 2-Chloro-6-methoxypyridine-3-sulfonyl chloride (98.05 mg, 405.02 µmol) was added at 0 °C to a solution of 2-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane (120 mg, 405.02 µmol, TFA salt) and DIPEA (157.03 mg, 1.22 mmol, 211.63 µL) in DCM (10 mL). The mixture was stirred for 1 h at 20 °C. LCMS showed desired mass was observed. The mixture was diluted with water (35 mL) and extracted with DCM (30 mL x 3). The combined organic phase was dried over anhydrous sodium sulfate, filtered and concentrated in vacuo. The residue was purified by prep-HPLC (Welch Xtimate C18150*25mm*5µm, Condition: water (NH4HCO3)-ACN, Flow Rate (mL/min): 25) to give the title compound (79 mg, 50% yield) as white solid. LCMS m/z = 388.1 (M+H) + . 1 H NMR (400 MHz, CDCl 3 ) δ (ppm) 8.14 (d, J=8.4Hz, 1H), 6.73 (d, J=8.4Hz, 1H), 4.10 (s, 4H), 4.01 (s, 3H), 3.96-3.91 (m, 2H), 3.37-3.31 (m, 2H), 3.27 (s, 4H), 2.16-2.09 (m, 1H), 1.59-1.57 (m, 2H) 1.33-1.23 (m, 2H). Example 99: 2-((5-chloro-2-methoxypyridin-3-yl)sulfonyl)-6-(tetrahydro-2 H-pyran-4- yl)-2,6-diazaspiro[3.3]heptane 2-((5-Chloro-2-methoxypyridin-3-yl)sulfonyl)-6-(tetrahydro-2 H-pyran-4-yl)-2,6- diazaspiro[3.3]heptane was prepared using a similar method described for Example 98 from 2-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane (120 mg, 405.02 µmol, TFA salt) and 5-chloro-2-methoxypyridine-3-sulfonyl chloride (98.05 mg, 405.02 µmol). The crude product was purified by prep-HPLC (Welch Xtimate C18150*25mm*5µm, Condition: water (NH4HCO3)-ACN, Flow Rate (mL/min): 25) to give the title compound (62 mg, 39.47% yield) as white solid. LCMS m/z = 388.1 (M+H) + . 1 H NMR (400 MHz, CDCl3) δ (ppm) 8.26 (d, J=2.8 Hz, 1H), 8.10 (d, J=2.8 Hz, 1H), 4.13 (s, 4H), 4.06 (s, 3H), 3.96-3.93 (m, 2H), 3.37-3.33 (m, 2H), 3.31-3.28 (m, 4H), 2.18-2.13 (m, 1H), 1.61-1.57 (m, 2H), 1.31-1.29 (m, 2H). Example 100: 2-((2,4-dimethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6 -(tetrahydro- 2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane Methylboronic acid (467.80 mg, 7.81 mmol) was added to a solution of 2,4-dibromo-6- (trifluoromethyl)pyridin-3-amine (500 mg, 1.56 mmol) in Dioxane (10 mL) and water (1 mL). K2CO3 (864.07 mg, 6.25 mmol) and Pd(dppf)Cl2 . DCM (114.36 mg, 156.30 umol) were added at 25 °C under N2. The mixture was stirred at 100 °C for 16 h under N2. LCMS showed the desired product mass was observed. The mixture was filtered and diluted with water (20 mL), extracted with EtOAc (30 mL x 2). The combined organic phase was washed with brine (30 mL), dried over anhydrous sodium sulfate, filtered and concentrated. The residue was purified by flash silica gel chromatography (EtOAc in petroleum ether = from 0% to 70%) to give the desired compound (240 mg, 603.79 umol, 91.89% yield) as yellow oil. LCMS m/z = 191.1 (M+H) + . 1 H NMR (500 MHz, CDCl3) δ (ppm) 7.27 (s, 1H), 3.87 (br s, 2H), 2.48 (s, 3H), 2.23 (s, 3H). SOCl 2 (0.5 mL) was added to water (3 mL), while the temperature was maintained 0-7 °C, then the solution was stirred at 25 °C for 16 h. CuCl (1.04 mg, 10.52 umol) was added and the solution cooled to -3 °C. In another flask, a solution of 2,4-dimethyl-6- (trifluoromethyl)pyridin-3-amine (100 mg, 525.86 umol) in HCl aq (12 M, 625.00 uL) at -5 °C was added dropwise to a solution of NaNO2 (38.10 mg, 552.15 umol) in water (0.25 mL) while maintaining temperature -5 °C to 0 °C. When the addition was completed, this solution was then added to the precooled thionyl chloride solution and stirred at -2 °C for 10 min, then at 0 °C for 2 h. TLC (DCM/MeOH = 9/1, Rf = 0.9) showed a new spot was observed. The mixture was extracted with DCM (10 mL x 4). The combined organic phase was dried over anhydrous sodium sulfate, filtered and concentrated to give desired compound (60 mg, crude) as a yellow oil. 1 H NMR (500 MHz, CDCl 3 ) δ (ppm) 7.57 (s, 1H), 3.08 (s, 3H), 2.89 (s, 3H). 3. Synthesis of 2-((2,4-dimethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6 - (tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane 2,4-Dimethyl-6-(trifluoromethyl)pyridine-3-sulfonyl chloride was added at 0 °C to a solution of 2-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane (50 mg, 274.33 umol) and DIPEA (141.82 mg, 1.10 mmol, 191.13 uL) in DCM (4 mL) under N2. The mixture was stirred at 25 °C for 3 h. LCMS showed the desired product mass was observed. The mixture was diluted with water (20 mL), extracted with DCM (30 mL x 2). The combined organic phase was washed with brine (30 mL), dried over anhydrous sodium sulfate, filtered and concentrated. The residue was purified by prep-HPLC (Column: Welch Xtimate C18 150*25mm*5um; Condition: water (NH4HCO3)-ACN; Begin B: 35; End B: 65; Flow Rate: 25 mL/min) to give the target compound (13 mg, 11% yield) as a yellow solid. LCMS m/z = 420.2 (M+H) + . 1 H NMR (500 MHz, CHLOROFORM-d) δ (ppm) 7.45 (s, 1H), 4.05 (s, 4H), 3.95 (br d, J = 11.0 Hz, 2H), 3.39-3.27 (m, 6H), 2.93 (s, 3H), 2.74 (s, 3H), 2.14 (br s, 1H), 1.61 (br d, J = 12.5 Hz, 2H), 1.33-1.26 (m, 2H). Example 101: 2-((2,4-dimethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6 -(2- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane 1. Synthesis of tert-butyl 6-((2,4-dimethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2 ,6- diazaspiro[3.3]heptane-2-carboxylate 2,4-Dimethyl-6-(trifluoromethyl)pyridine-3-sulfonyl chloride (125.61 mg, 458.99 µmol) in DCM (1 mL) was added to a solution of tert-butyl 2,6-diazaspiro[3.3]heptane-2-carboxylate (70 mg, 353.07 µmol) and DIPEA (182.52 mg, 1.41 mmol, 245.99 µL) at 0 °C under N 2 . The mixture was stirred at 25 °C for 3h. The mixture was diluted with water (20 mL) and extracted with DCM (30 mL x 2). The combined organic phase was washed with brine (30 mL), dried over anhydrous sodium sulfate, filtered and concentrated to give the deisired compound (140 mg, crude) as a yellow oil. LCMS m/z = 436.2 (M+H) + . 1 H NMR (400 MHz, CHLOROFORM-d) δ (ppm) 7.45 (s, 1H), 4.07 (s, 4H), 4.05 (s, 4H), 2.91 (s, 3H), 2.73 (s, 3H), 1.42 (s, 9H). 2. Synthesis of 2-((2,4-dimethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2 ,6- diazaspiro[3.3]heptane TFA (78.55 mg, 688.93 µmol, 52.76 µL) was added to a solution of tert-butyl 6-((2,4- dimethyl-6-(trifluoromethyl) yridine-3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane-2-carboxyl ate (120 mg, 275.57 µmol) in HFIP (57.46 g, 341.92 mmol, 36 mL). The mixture was stirred at 25 °C for 3h. The mixture was neutralized with DIPEA and concentrated to give the desired compound (110 mg, crude) as a yellow oil. LCMS m/z = 336.1 (M+H) + . 1 H NMR (400 MHz, CHLOROFORM-d) δ (ppm) 7.45 (s, 1H), 4.11 (s, 4H), 4.08 (s, 4H), 2.90 (s, 3H), 2.71 (s, 3H). 3. Synthesis of 2-((2,4-dimethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6 -(2- azaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane A solution of 2-oxaspiro[3.3]heptan-6-one (90 mg, 268.38 µmol), 2-((2,4-dimethyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]h eptane (180.55 mg, 1.61 mmol) in DCM (5 mL) was added NaBH3CN (284.40 mg, 1.34 mmol). The reaction was stirred at 25 °C for 16 h. The mixture was diluted with water (50 mL) and extracted with DCM (50 mL x 3). The combined organic phase was dried over anhydrous sodium sulfate, filtered and concentrated in vacuo. The crude material was purified by pre-HPLC (Column: Boston Prime C18150*30 mm*5 µm, Condition: water (NH3 . H2O+NH4HCO3)-ACN, 37%~67%, Flow Rate (mL/min): 25) to give the title compound (12.20 mg, 10% yield) as a white oil. LCMS m/z = 432.1 (M+H) + . 1 H NMR (400 MHz, MeOD) δ (ppm) 7.67 (s, 1H), 4.66 (s, 2H), 4.58 (s, 2H), 4.01 (s, 4H), 3.30 (s, 4H), 2.97-2.90 (m, 1H), 2.87 (s, 3H), 2.73 (s, 3H), 2.34-2.27 (m, 2H), 2.00-1.94 (m, 2H). Example 102: 2-((2,4-dimethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6 -(2- ((tetrahydro-2H-pyran-4-yl)methyl)-2-azaspiro[3.3]heptan-6-y l)-2,6- diazaspiro[3.3]heptane 2-((2,4-dimethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6 -(2-((tetrahydro-2H-pyran-4- yl)methyl)-2-azaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]he ptane was prepared using a similar method described for Example 101 step 3 from 2-((2,4-dimethyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]h eptane (50 mg, 111.52 umol, TFA salt) and tetrahydro-2H-pyran-4-carbaldehyde (25.46 mg, 223.04 umol). The crude product was purified by prep-HPLC (Column: Welch Xtimate C18150*30mm*5um; Condition: water (10mM NH4HCO3)-ACN; Begin B: 38; End B: 68; Gradient Time (min): 10; 100%B Hold Time (min): 2; Flow Rate (ml/min): 25; Detection wavelength: 220 nm) to give the title compound (39 mg, 80% yield) as a white solid. LCMS m/z = 434.1 (M+H) + . 1 H NMR (400 MHz, CDCl3) δ (ppm) 7.44 (s, 1H), 4.03 (s, 4H), 3.96-3.91 (m, 2H), 3.38-3.29 (m, 6H), 2.91 (s, 3H), 2.72 (s, 3H), 2.28-2.25 (m, 2H), 1.58-1.55 (m, 3H), 1.29-1.21 (m, 2H). Example 103: rac-2-((2,4-dimethyl-6-(trifluoromethyl)pyridin-3-yl)sulfony l)-6-(2- ((tetrahydrofuran-3-yl)methyl)-2-azaspiro[3.3]heptan-6-yl)-2 ,6-diazaspiro[3.3]heptane rac-2-((2,4-dimethyl-6-(trifluoromethyl)pyridin-3-yl)sulfony l)-6-(2-((tetrahydrofuran-3- yl)methyl)-2-azaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]he ptane was prepared using a similar method described for Example 101 step 3 from 2-((2,4-dimethyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]h eptane (50 mg, 111.52 umol, TFA salt) and tetrahydrofuran-3-carbaldehyde (22.33 mg, 223.04 umol). The crude product was purified by prep-HPLC (Column: Welch Xtimate C18150*30mm*5um; Condition: water (10mM NH4HCO3)-ACN; Begin B: 35; End B: 65; Gradient Time (min): 10; 100%B Hold Time (min): 2; Flow Rate (ml/min): 25; Detection wavelength: 220 nm) to give the the target compound (35 mg, 75% yield) as a white solid. LCMS m/z = 420.1 (M+H) + . 1 H NMR (400 MHz, CDCl3) δ (ppm) 7.44 (s, 1H), 4.03 (s, 4H), 3.84-3.79 (m, 2H), 3.73-3.70 (m, 1H), 3.42-3.39 (m, 1H), 3.30 (s, 4H), 2.91 (s, 3H), 2.73 (s, 3H), 2.40-2.37 (m, 2H), 2.17-2.15 (m, 1H), 1.99-1.96 (m, 1H), 1.53-1.49 (m, 1H). Example 104: 2-((2,4-dimethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6 -(2-(oxetan-3- ylmethyl)-2-azaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]hep tane 2-((2,4-dimethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6 -(2-(oxetan-3-ylmethyl)-2- azaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane was prepared using a similar method described for Example 101 step 3 from 2-((2,4-dimethyl-6-(trifluoromethyl)pyridin-3- yl)sulfonyl)-2,6-diazaspiro[3.3]heptane (150 mg, 333.80 µmol, TFA salt) and oxetane-3- carbaldehyde (57.47 mg, 667.60 µmol)). The crude product was purified by prep-HPLC (Phenomenex C18150*40mm*5µm, Condition: water (NH 3 ·H 2 O+NH 4 HCO 3 )-ACN, 20%~50%, Flow Rate (mL/min): 60) to give the title compound (46 mg, 34% yield,) as white solid. LCMS m/z = 406.1 (M+H) + . 1 H NMR (400 MHz, CDCl3) δ (ppm) 7.44 (s, 1H), 4.76-4.72 (m, 2H), 4.35 (t, J=6.0 Hz, 2H), 4.01 (s, 4H), 3.28 (s, 4H), 2.96-2.92 (m, 1H), 2.91 (s, 3H), 2.72 (s, 3H), 2.70-2.68 (m, 2H). Example 105: 2-((6-methyl-2-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(te trahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane 1. Synthesis of 6-chloro-2-(trifluoromethyl)pyridine-3-sulfonyl chloride While maintaining temperature at 0-7 °C, SOCl 2 (5 mL) was added over 10 min to water (25 mL), The solution was stirred at 15 °C for 14h. CuCl (9.07 mg, 91.58 µmol) was added and and the temperature maintained at -3 °C. In another flask, a solution of 6-methyl-2- (trifluoromethyl)pyridin-3-amine (900 mg, 4.58 mmol) in HCl (12 M, 3.36 mL) at -5 °C, was added dropwise to a solution of NaNO2 (338.03 mg, 4.90 mmol) in water (2 mL) while maintaining temperature -5 °C to 0 °C. When the addition was complete, this solution was then added to the precooled thionyl chloride solution and stirred at -3 °C for 10 min, then at 0 °C for 75 min. TLC (Petroleum ether/EtOAc = 3/1, R f = 0.7)showed the reaction was complete. The reaction was added water H 2 O (50 mL) and extracted with DCM (50 mL x 5), dried over anhydrous Na 2 SO 4 , filtered and concentrated to give the desired compound (1 g, crude) as a yellow oil. 1 H NMR (400 MHz, CDCl3) δ (ppm) 8.58 (d, J=8.0 Hz, 1H), 7.82 (d, J=8.4 Hz, 1H). 2. Synthesis of 2-((6-chloro-2-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(te trahydro- 2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane A solution of 6-chloro-2-(trifluoromethyl)pyridine-3-sulfonyl chloride (210.06 mg, 750.07 µmol), 2-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane (124.28 mg, 681.89 µmol, TFA salt) and DIEA (264.38 mg, 2.05 mmol, 356.31 µL) in DCM (5 mL) was stirred for 1h at 0 °C. The mixture was concentrated to give the desired compound (250 mg, crude) as a yellow oil. LCMS m/z = 426.1 (M+H) + . Synthesis of 2-((6-methyl-2-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(te trahydro-2H-pyran-4- yl)-2,6-diazaspiro[3.3]heptane To a solution of 2-((6-chloro-2-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(te trahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane (100 mg, 234.82 µmol) in Dioxane (5 mL) and water (0.5 mL) was added 2,4,6-trimethyl-1,3,5,2,4,6-trioxatriborinane (147.39 mg, 1.17 mmol, 164.13 µL), K2CO3 (97.36 mg, 704.47 µmol) and PEPPSI-IPr catalyst (32.01 mg, 46.96 µmol) under N2. The mixture was stirred at 100 °C for 3 h. The reaction was filtered and concentrated. The residue was purified by prep-HPLC (Column: Boston Prime C18150*30 mm*5 µm Condition: water (NH 3 . H 2 O+NH 4 HCO 3 )-ACN; from 37% to 67%; Flow Rate: 25 mL/min) to give the title compound (44.80 mg, 47% yield) as a white solid. LCMS m/z = 406.1 (M+H) + . 1 H NMR (400 MHz, MeOD) δ (ppm) 8.38 (d, J=8.4 Hz, 1H), 7.68 (d, J=8.0 Hz, 1H), 4.04 (s, 4H), 3.93-3.88 (m, 2H), 3.38-3.34 (m, 2H), 3.33 (s, 4H), 2.67 (s, 3H), 2.30- 2.22 (m, 1H), 1.68-1.63 (m, 2H), 1.27-1.16 (m, 2H). Example 106: 2-((6-methyl-2-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((t etrahydro-2H- pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane 1. Synthesis of tert-butyl 6-((6-chloro-2-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane-2-carboxylate A solution of 6-chloro-2-(trifluoromethyl)pyridine-3-sulfonyl chloride (621.52 mg, 2.22 mmol), tert-butyl 2,6-diazaspiro[3.3]heptane-2-carboxylate (400 mg, 2.02 mmol) and DIPEA (782.24 mg, 6.05 mmol, 1.05 mL) in DCM (10 mL) was stirred for 1h at 0 °C. Water (50 mL) was added and extracted with DCM (50 mL x 3). The organic layer was washed with brine (30 mL), dried over Na 2 SO 4 , filtered and concentrated. The crude product was purified by column chromatography (EtOAc in petroleum ether =30% to 50%) to give the desired compound (800 mg, 1.81 mmol, 90% yield) as a white solid. LCMS m/z = 486.1 (M-t- Bu+H) + . 2. Synthesis of 2-((6-chloro-2-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane To a solution of tert-butyl 6-((6-chloro-2-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane-2-carboxylate (800 mg, 1.81 mmol) in HFIP (10 mL) was added TFA (619.32 mg, 5.43 mmol, 415.93 µL) at 20 °C. The mixture was stirred at 20 °C for 14h. The mixture was concentrated to give the desired compound (800 mg, crude, TFA salt) as a yellow oil. LCMS m/z = 342.1 (M+H) + . 1 H NMR (400 MHz, MeOD) δ (ppm) 8.51 (d, J=8.8 Hz, 1H), 7.91 (d, J=8.4 Hz, 1H), 4.25-4.22 (m, 8H). 3. Synthesis of 2-((6-chloro-2-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((t etrahydro- 2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane To a solution of 2-((6-chloro-2-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane (800 mg, 1.76 mmol, TFA salt) and tetrahydro-2H-pyran-4- carbaldehyde (301.20 mg, 2.64 mmol) in MeOH (10 mL) was added TEA (178.01 mg, 1.76 mmol, 245.20 µL) at 20 °C, the mixture was stirred at 20 °C for 20 min, then adjusted to pH = 6 using acetic acid. The stirring was continued for 30 minutes at 20 °C. NaBH 3 CN (552.76 mg, 8.80 mmol) was added at 20 °C, the mixture was stirred at 20 °C for 14 h. The mixture was concentrated and purified by column chromatography (EtOAc in petroleum ether = 30% to 50%) to give the title compound (350 mg, 54% yield) as a clear oil. LCMS m/z = 440.1 (M+H) + . 1 H NMR (400 MHz, MeOD) δ (ppm) 8.50 (d, J=8.4 Hz, 1H), 7.91 (d, J=8.8 Hz, 1H), 4.19 (s, 3H), 3.98 (s, 3H), 3.92 (dd, J=11.6 Hz, 3.6 Hz, 2H), 3.43-3.35 (m, 2H), 3.25- 3.18 (m, 3H), 2.82 (d, J=7.2 Hz, 2H), 1.98 (s, 1H), 1.82-1.72 (m, 1H), 1.61-1.56 (m, 2H). 1. Synthesis of 2-((6-methyl-2-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((t etrahydro- 2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane To a solution of 2-((6-chloro-2-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((t etrahydro-2H- pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane (100 mg, 227.34 µmol) in Dioxane (5 mL) and water (0.5 mL) was added 2,4,6-trimethyl-1,3,5,2,4,6-trioxatriborinane (142.69 mg, 1.14 mmol, 158.90 µL), K2CO3 (94.26 mg, 682.01 µmol) and PEPPSI-IPr catalyst (30.98 mg, 45.47 µmol) under N2. The mixture was stirred at 100 °C for 3 h. The reaction was filtered and concentrated. The residue was purified by prep-HPLC (Column: Boston Prime C18 150*30 mm*5 µm Condition: water (NH3 . H2O+NH4HCO3)-ACN; from 40% to 70%; Flow Rate: 25 mL/min) to give the title compound (43.29 mg, 103.20 µmol, 45.40% yield) as a white solid. LCMS m/z = 420.1 (M+H) + . (400 MHz, MeOD) δ (ppm) 8.37 (d, J=8.4 Hz, 1H), 7.68 (d, J=8.0 Hz, 1H), 4.04 (s, 4H), 3.89 (dd, J=11.2 Hz, 4.0 Hz, 2H), 3.40-3.36 (m, 2H), 3.34 (s, 4H), 2.67 (s, 3H), 2.32 (d, J=6.4 Hz, 2H), 1.64-1.54 (m, 3H), 1.27-1.16 (m, 2H). Example 107: 2-((6-cyclopropyl-2-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 6-(tetrahydro- 2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane To a solution of 2-((6-chloro-2-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(te trahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane (120 mg, 281.79 µmol) and cyclopropylboronic acid (48.41 mg, 563.58 µmol) in Toluene (5 mL) and water (0.5 mL) was added Pd2(dba)3 (25.80 mg, 28.18 µmol), SPhos (11.57 mg, 28.18 µmol) and K 3 PO 4 (179.45 mg, 845.36 µmol) under N2. The mixture was stirred at 100 °C for 3h. The reaction was filtered and concentrated. The residue was purified by prep-HPLC (Column: Boston Prime C18150*30 mm*5 µm Condition: water (NH 3 . H 2 O+NH 4 HCO 3 )-ACN; from 39% to 69%; Flow Rate: 25 mL/min) to give the title compound (106.28 mg, 86% yield) as a clear oil. LCMS m/z = 432.1 (M+H) + . 1 H NMR (400 MHz, MeOD) δ (ppm) 8.30 (d, J=8.4 Hz, 1H), 7.67 (d, J=8.4 Hz, 1H), 4.02 (s, 4H), 3.90 (d, J=10.8 Hz, 2H), 3.38-3.32 (m, 6H), 2.30-2.21 (m, 2H), 1.65 (d, J=11.6 Hz, 2H), 1.26-1.18 (m, 2H), 1.17-1.13 (m, 4H). Example 108: 2-((6-cyclopropyl-2-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 6- ((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptan e To a solution of 2-((6-chloro-2-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((t etrahydro-2H- pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane (100 mg, 227.34 µmol) and cyclopropylboronic acid (39.05 mg, 454.67 µmol) in Toluene (5 mL) and water (0.5 mL) was added Pd 2 (dba) 3 (20.82 mg, 22.73 µmol), SPhos (9.33 mg, 22.73 µmol) and K 3 PO 4 (144.77 mg, 682.01 µmol) under N2. The mixture was stirred at 100 °C for 3 h. The reaction was filtered and concentrated. The residue was purified by prep-HPLC (Column: Boston Prime C18150*30 mm*5 µm; Condition: water (NH3 . H2O+NH4HCO3)-ACN; from 47% to 77%; Flow Rate: 25 mL/min) and further purified by prep-HPLC (Column: Welch Xtimate C18 150*25 mm*5 µm; Condition: water (NH 4 HCO 3 )-ACN; from 40% to 70%; Flow Rate: 25 mL/min) to give the title compound (22.64 mg, 17% yield) as a clear oil. LCMS m/z = 446.1 (M+H) + . 1 H NMR (400 MHz, MeOD) δ (ppm) 8.30 (d, J=8.4 Hz, 1H), 7.67 (d, J=8.4 Hz, 1H), 4.01 (s, 4H), 3.89 (dd, J=11.2, 4.0 Hz, 2H), 3.40-3.34 (m, 2H), 3.33 (s, 4H), 2.32 (d, J=6.8 Hz, 2H), 2.29-2.23 (m, 1H), 1.62-1.55 (m, 3H), 1.27-1.19 (m, 2H), 1.18-1.16 (m, 1H), 1.16-1.12 (m, 3H). Example 109: 2-((2,6-bis(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(tetrah ydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane 1. Synthesis of N-(2,6-bis(trifluoromethyl)pyridin-3-yl)-1,1-diphenylmethani mine To a solution of 3-bromo-2,6-bis(trifluoromethyl)pyridine (100 mg, 340.15 µmol) in Toluene (3 mL) was added Xantphos (19.68 mg, 34.01 µmol), Cs 2 CO 3 (332.48 mg, 1.02 mmol), diphenylmethanimine (123.29 mg, 680.29 µmol, 114.16 µL) and Pd 2 (dba) 3 (15.57 mg, 17.01 µmol) under N2. The mixture was stirred at 100 °C for 16h. The reaction mixture was extracted with DCM (30 mL x 3). The combined organic phase was washed with brine (20 mL x 2), dried over Na 2 SO 4 , filtered and concentrated to give the desired compound (130 mg, crude) as yellow oil. LCMS m/z = 395.1 (M+H) + . 1 H NMR (400 MHz, CDCl 3 ) δ (ppm) 7.60 (d, J=7.6 Hz, 2H), 7.55-7.41 (m, 8H), 7.00 (d, J=8.4 Hz, 1H). 2. Synthesis of 2,6-bis(trifluoromethyl)pyridin-3-amine A solution of N-(2,6-bis(trifluoromethyl)pyridin-3-yl)-1,1-diphenylmethani mine (130 mg, 329.69 µmol) in HCl/dioxane (2 mL) was stirred at 20 °C for 16h. The mixture was concentrated in vacuo to give the residue, which was purified by Combi-Flash (Petroleun ether/EtOAc = 1/0 to 3/1) to give the desired compound (80 mg, 300.11 µmol, 91.03% yield) as yellow oil. LCMS m/z = 231.1 (M+H) + . 1 H NMR (400 MHz, CDCl3) δ (ppm) 7.61 (d, J=8.4 Hz, 1H), 7.19 (d, J=8.8 Hz, 1H), 4.57 (br s, 2H). 3. Synthesis of 2,6-bis(trifluoromethyl)pyridine-3-sulfonyl chloride SOCl 2 (1 mL) was added to water (5 mL), while the temperature was maintained 0-7 °C, then the solution was stirred at 15 °C for 14h. CuCl (1 mg, 10.10 µmol) was added and cooled to - 3 °C. In another flask, a solution of 2,6-bis(trifluoromethyl)pyridin-3-amine (80 mg, 347.66 µmol) in HCl (12 M, 1 mL) at -5 °C, was added dropwise to a solution of NaNO 2 (25.67 mg, 372.00 µmol) in water (0.5 mL) while maintaining temperature -5 to 0 °C. When the addition was complete, this solution was then added to the precooled thionyl chloride solution and stirred at -2 °C for 10 min, then at 0 °C for 75 min. TLC (Petroleun ether/EtOAc = 3/1, R f = 0.7)showed the reaction was complete. The reaction was added H 2 O (20 mL) and extracted with DCM (30 mL x 5), dried over anhydrous Na 2 SO 4 , filtered and concentrated to give the desired compound (80 mg, crude) as a yellow oil. 1 H NMR (400 MHz, CDCl 3 ) δ (ppm) 8.88 (d, J=8.4 Hz, 1H), 8.19 (d, J=8.4 Hz, 1H). 4.Synthesis of tert-butyl 6-((2,6-bis(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane-2-carboxylate A solution of 2,6-bis(trifluoromethyl)pyridine-3-sulfonyl chloride (80 mg, 255.10 µmol), tert- butyl 2,6-diazaspiro[3.3]heptane-2-carboxylate (50.58 mg, 255.10 µmol) and DIPEA (98.91 mg, 765.29 µmol, 133.30 µL) in DCM (2 mL) was stirred for 1h at 0 °C. The mixture was filtered and concentrated in vacuo. The crude was purified by flash column (Petroleun ether in EtOAc from 0% to 30%) to give the desired compound (260 mg, 33% yield) as a yellow solid. LCMS m/z = 420.1 (M-t-Bu+H) + . 1 H NMR (400 MHz, CDCl3) δ (ppm) 8.68 (d, J=8.4 Hz, 1H), 8.03 (d, J=8.0 Hz, 1H), 4.21 (s, 4H), 4.06 (s, 4H), 1.44 (s, 9H). 5.Synthesis of 2-((2,6-bis(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane TFA (71.95 mg, 631.04 µmol, 48.32 µL) was added to a 20 °C solution of tert-butyl 6-((2,6- bis(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3. 3]heptane-2-carboxylate (100 mg, 210.35 µmol) in HFIP (3 mL). The mixture was stirred at 20 °C for 3h. The mixture was concentrated to give the desired compound (100 mg, crude, TFA salt) as a yellow solid. LCMS m/z = 376.1 (M+H) + . 1 H NMR (400 MHz, MeOD) δ (ppm) 8.80 (d, J=8.0 Hz, 1H), 8.29 (d, J=8.4 Hz, 1H), 4.27 (s, 4H), 4.24 (s, 4H). 6.Synthesis of 2-((2,6-bis(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(tetrah ydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane To a solution of 2-((2,6-bis(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diaza spiro[3.3]heptane (90 mg, 184.31 µmol, TFA salt) and tetrahydro-4H-pyran-4-one (36.90 mg, 368.62 µmol, 34.05 µL) in MeOH (5 mL) was added NaBH3CN (34.75 mg, 552.93 µmol) at 20 °C. The mixture was stirred at 20 °C for 3h. The mixture was concentrated and purified by pre-HPLC (Column: Welch Xtimate C18150*25 mm*5 µm, Condition: water (NH4HCO3)-ACN, 32%~62%, Flow Rate (mL/min): 25) to give the title compound (50.69 mg, 65% yield) as a white solid. LCMS m/z = 460.1 (M+H) + . 1 H NMR (400 MHz, MeOD) δ (ppm) 8.79 (d, J=8.4 Hz, 1H), 8.28 (d, J=8.0 Hz, 1H), 4.14 (s, 4H), 3.94-3.88 (m, 2H), 3.38-3.34 (m, 6H), 2.31- 2.23 (m, 1H), 1.68-1.64 (m, 2H), 1.28-1.16 (m, 2H). Examples 110-112: The Examples 110 - 112 in the following Table were prepared using a similar method described for Example 109 from the TFA salt of 2-((2,6-bis(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane (1 equiv.) and the corresponding aldehyde or ketone. Example 113: 2-((2,6-bis(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(tetrah ydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane DMAP (476.59 mg, 3.90 mmol) and DIEA (1.51 g, 11.70 mmol, 2.04 mL) were added to a solution of (2-oxaspiro[3.3]heptan-6-yl)methanol (500 mg, 3.90 mmol) and TsCl (1.12 g, 5.85 mmol) in DCM (10 mL). The mixture was stirred at 25 °C for 12 h. The reaction mixture was diluted with H2O (50 mL) and extracted with DCM (50 mL x 3). The combined organic layers were washed with brine (100 mL), dried over Na2SO4, filtered and concentrated under reduced pressure to give a residue, which was purified by flash silica gel chromatography (ISCO®; 12 g SepaFlash® Silica Flash Column, Eluent of 0~50% Ethyl acetate/Petroleum ether gradient @ 30 mL/min) to give the desired compound (590 mg, 48% yield) as a yellow oil. 1 H NMR (400 MHz, CDCl 3 ) δ (ppm) 7.78 (d, J = 8.0 Hz, 2H), 7.35 (d, J = 8.0 Hz, 2H), 4.64 (s, 2H), 4.52 (s, 2H), 3.91 (d, J = 6.0 Hz, 2H), 2.45 (s, 3H), 2.43-2.37 (m, 1H), 2.35-2.27 (m, 2H), 1.99- 1.89 (m, 2H). 2. Synthesis of 2-((2,6-bis(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(tetrah ydro- 2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane To a solution of (2-oxaspiro[3.3]heptan-6-yl)methyl 4-methylbenzenesulfonate (100 mg, 318.75 umol) and 2-[[2-methyl-6-(trifluoromethyl)-3-pyridyl]sulfonyl]-2,6- diazaspiro[3.3]heptane (154.18 mg, 318.75 umol, TFA salt) in CH 3 CN (10 mL) was added K2CO3 (220.27 mg, 1.59 mmol). The mixture was stirred at 80 °C for 12 h. LCMS showed the reaction was completed. The mixture was filtered and concentrated to give a residue. The residue was purified by preperative HPLC (column: Phenomenex C18150 x 25 mmx10 um; mobile phase: [water (NH 4 HCO 3 )-ACN]; B%: 28%-58%, 8 min) to give the title compound (29.3 mg, 21% yield) as a yellow solid. LCMS m/z = 432.1 (M+H) + . 1 H NMR (400 MHz, MeOD) δ (ppm) 8.45 (d, J = 8.0 Hz, 1H), 7.83 (d, J = 8.0 Hz, 1H), 4.69 (s, 2H), 4.54 (s, 2H), 4.02 (s, 4H), 3.32 (s, 4H), 2.86 (s, 3H), 2.40 (d, J = 7.2 Hz, 2H), 2.35-2.27 (m, 2H), 2.15-2.01 (m, 1H), 1.91-1.82 (m, 2H). Examples 114 and 115: The Examples 114 and 115 in the following Table were prepared using a similar method described for Example 113 from (2-oxaspiro[3.3]heptan-6-yl)methyl 4- methylbenzenesulfonate and the corresponding 2,6-diazaspiro[3.3]heptane sulfonamide. Example 116: 2-((2-cyclopropyl-6-(difluoromethyl)pyridin-3-yl)sulfonyl)-6 -(tetrahydro- 2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane 1. Synthesis of 2-bromo-6-(difluoromethyl)pyridin-3-amine. To a solution of 6-(difluoromethyl)pyridin-3-amine (550 mg, 3.82 mmol) in ACN (20 mL) was added NBS (679 mg, 3.82 mmol) at 0 °C. The mixture was stirred for 20 min at 0 °C under nitrogen, then the reaction mixture was concentrated in vacuo. The crude was purified by flash column (ethyl acetate in petroleum ether from 10% to 30%) to afford 2-bromo-6- (difluoromethyl)pyridin-3-amine (760 mg, 89%) as a white solid. 1 H NMR (500 MHz, CDCl3) δ = 7.40 (d, J=8.0 Hz, 1H), 7.07 (d, J=8.5 Hz, 1H), 6.52 (t, J=55.5 Hz, 1H), 4.38 (br s, 2H). 2. Synthesis of 2-cyclopropyl-6-(difluoromethyl)pyridin-3-amine. To a solution of 2-bromo-6-(difluoromethyl)pyridin-3-amine (730 mg, 3.27 mmol) and cyclopropylboronic acid (562 mg, 6.55 mmol) in toluene (30 mL) and water (2 mL) was added S-Phos (134 mg, 327 ^mol), K 3 PO 4 (2.08 g, 9.82 mmol) and Pd 2 (dba) 3 (300 mg, 327 ^mol) at 20 °C. The mixture was stirred for 3 h at 100 °C under nitrogen. The reaction mixture was filtered and concentrated under vacuum. The crude material was purified by flash column (ethyl acetate in petroleum ether from 10% to 20%) to afford 2-cyclopropyl-6- (difluoromethyl)pyridin-3-amine (350 mg, 58 %) as a red oil that was used without further purification. LCMS m/z = 185.1 (M+ H) + . 3. Synthesis of 2-cyclopropyl-6-(difluoromethyl)pyridine-3-sulfonyl chloride. Thionyl chloride (1 mL, 13.7 mmol) was slowly added over 10 minutes to water (2 mL) at 0 °C. During the addition to water, the temperature was maintained between 0 - 5 °C. After addition to water, the solution was warmed to 15 °C, then copper chloride (13 mg, 135 ^mol) was added. The solution was cooled back to 0 °C. A solution of sodium nitrite (100 mg, 1.45 mmol) in water (2 mL) was slowly added to a solution of 2-cyclopropyl-6- (difluoromethyl)pyridin-3-amine (250 mg, 1.36 mmol) in conc. HCl (1 mL) at 0 °C. During addition, the temperature was maintained between 0-5° C. This mixture was slowly added to the above prepared solution to maintain a temperature between 0-5 °C. The mixture was stirred for an additional 1 hour after addition, then the mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous sodium sulfate, filtered, and concentrated to afford a yellow oil as 2-cyclopropyl-6- (difluoromethyl)pyridine-3-sulfonyl chloride that was used without purification. 1 H NMR (400 MHz, CDCl3) δ (ppm) 8.41 (d, J=8.0 Hz, 1H), 7.55 (d, J=8.4 Hz, 1H), 6.53 (t, J=54.8 Hz, 1H), 3.03-2.98 (m, 1H), 1.41-1.39 (m, 2H), 1.31-1.28 (m, 2H). 4. Synthesis of tert-butyl 6-((2-cyclopropyl-6-(difluoromethyl)pyridin-3-yl)sulfonyl)- 2,6-diazaspiro[3.3]heptane-2-carboxylate. To a solution of tert-butyl 2,6-diazaspiro[3.3]heptane-2-carboxylate (130 mg, 658 ^mol) and DIPEA (0.43 mL, 2.5 mmol) in DCM (10 mL) was added 2-cyclopropyl-6- (difluoromethyl)pyridine-3-sulfonyl chloride (220 mg, 822 ^mol) at 0 °C under nitrogen. The mixture was stirred at 25 °C for 1 h. The mixture was diluted with water (30 mL) and extracted with DCM (30 mL x 2). The combined organic phase was washed with brine (30 mL), dried over anhydrous sodium sulfate, filtered, and concentrated under vacuum. The residue was purified by flash column (ethyl acetate in petroleum ether from 5% to 20%) to afford tert-butyl 6-((2-cyclopropyl-6-(difluoromethyl)pyridin-3-yl)sulfonyl)-2 ,6-diazaspiro[3.3]heptane-2- carboxylate (260 mg, 52%) as yellow solid. LCMS m/z = 430.1 (M+ H) + . 1 H NMR (400 MHz, CDCl3) δ (ppm) 8.28 (d, J=8.4 Hz, 1H), 7.47 (d, J=8.4 Hz, 1H), 6.51 (t, J=55.2 Hz, 1H), 4.05 (s, 4H), 4.00 (s, 4H), 2.89-2.83 (m, 1H), 1.42 (s, 9H), 1.31-1.27 (m, 2H), 1.16-1.13 (m, 2H). 5. Synthesis of 2-((2-cyclopropyl-6-(difluoromethyl)pyridin-3-yl)sulfonyl)-2 ,6- diazaspiro[3.3]heptane trifluoroacetate. To a solution of tert-butyl 6-((2-cyclopropyl-6-(difluoromethyl)pyridin-3-yl)sulfonyl)-2 ,6- diazaspiro[3.3]heptane-2-carboxylate (250 mg, 582 ^mol) in HFiPA (10 mL) was added TFA (0.22 mL, 2.9 mmol) at 15 °C. After 3 h, the mixture was concentrated under reduced pressure to afford a yellow oil as 2-((2-cyclopropyl-6-(difluoromethyl)pyridin-3-yl)sulfonyl)-2 ,6- diazaspiro[3.3]heptane trifluoroacetate that was used without purification. LCMS m/z = 330.1 (M+ H) + . 1 H NMR (400 MHz, CD 3 OD) δ (ppm) 8.36 (d, J=8.0 Hz, 1H), 7.57 (d, J=8.0 Hz, 1H), 6.64 (t, J=55.2 Hz, 1H), 4.22 (s, 4H), 4.15 (s, 4H), 2.94-2.88 (m, 1H), 1.28-1.24 (m, 2H), 1.19-1.13 (m, 2H). 6. Synthesis of 2-((2-cyclopropyl-6-(difluoromethyl)pyridin-3-yl)sulfonyl)-6 - (tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane. A solution of 2-((2-cyclopropyl-6-(difluoromethyl)pyridin-3-yl)sulfonyl)-2 ,6- diazaspiro[3.3]heptane trifluoroacetate (130 mg, 293 ^mol) and tetrahydropyran-4-one (29 mg, 293 ^mol) in MeOH (10 mL) was adjusted to pH 7-8 by dropwise addition of triethylamine. After 10 minutes, the mixture was adjusted to pH 5-6 by acetic acid and stirred for 30 minutes at 20 °C. Sodium cyanoborohydride (55 mg, 880 ^mol) was added to the mixture and stirred for 1 h at 20°C. The mixture was diluted with water (30 mL) and extracted with DCM (20 mL x 3). The combined organic phase was dried over anhydrous sodium sulfate, filtered, and concentrated under vacuum. The residue was purified by prep-HPLC (Welch Xtimate C18150*25mm*5um, Condition: water (NH4HCO3)-ACN, Flow Rate (mL/min): 25) to give 2-((2-cyclopropyl-6-(difluoromethyl)pyridin-3-yl)sulfonyl)-6 -(tetrahydro-2H-pyran-4- yl)-2,6-diazaspiro[3.3]heptane (51 mg, 42 %) as a light- yellow solid. LCMS m/z = 414.1 (M+ H) + . 1 H NMR (400 MHz, CDCl3) δ (ppm) 8.28 (d, J=8.4 Hz, 1H), 7.47 (d, J=8.0 Hz, 1H), 6.51 (t, J=54.8 Hz, 1H), 4.02 (s, 4H), 3.95-3.90 (m, 2H), 3.36-3.30 (m, 2H), 3.25 (s, 4H), 2.93-2.86 (m, 1H), 2.15-2.08 (m, 1H), 1.60-1.56 (m, 2H), 1.30-1.26 (m, 4H), 1.15-1.12 (m, 2H). Examples 117 and 118: 2-((2-cyclopropyl-6-(difluoromethyl)pyridin-3-yl)sulfonyl)-6 -(4- methoxycyclohexyl)-2,6-diazaspiro[3.3]heptane and 2-((2-cyclopropyl-6- (difluoromethyl)pyridin-3-yl)sulfonyl)-6-(4-methoxycyclohexy l)-2,6- diazaspiro[3.3]heptane The title compound was prepared using a similar method to step 6 of Example 116 from 2-((2- cyclopropyl-6-(difluoromethyl)pyridin-3-yl)sulfonyl)-2,6-dia zaspiro[3.3]heptane trifluoroacetate (200 mg, 451 ^mol) and 4-methoxycyclohexanone (58 mg, 451 ^mol) to afford the following compounds: 2-((2-cyclopropyl-6-(difluoromethyl)pyridin-3-yl)sulfonyl)-6 -(4-methoxycyclohexyl)-2,6- diazaspiro[3.3]heptane (TRANS) after HPLC (basic conditions) (first peak off the prep HPLC) (48 mg, 24%). LCMS m/z = 442.2 (M+H) + . 1 H NMR (500 MHz, CDCl3) δ (ppm) 8.27 (d, J=8.0 Hz, 1H), 7.46 (d, J=8.5 Hz, 1H), 6.51 (t, J=55.0 Hz, 1H), 4.01 (s, 4H), 3.32 (s, 3H), 3.25 (s, 4H), 3.10-3.05 (m, 1H), 2.92-2.86 (m, 1H), 2.03-2.01 (m, 2H), 1.90 (br s, 1H), 1.74-1.72 (m, 2H), 1.30-1.27 (m, 2H), 1.16-1.11 (m, 4H), 0.99-0.97 (m, 2H). 2-((2-cyclopropyl-6-(difluoromethyl)pyridin-3-yl)sulfonyl)-6 -(4-methoxycyclohexyl)-2,6- diazaspiro[3.3]heptane (CIS) after HPLC (basic conditions) (second peak off the prep HPLC) (46 mg, 23%). LCMS m/z = 442.1 (M+H) + . 1 H NMR (500 MHz, CDCl 3 ) δ (ppm) 8.27 (d, J=8.0 Hz, 1H), 7.46 (d, J=8.5 Hz, 1H), 6.51 (t, J=55.0 Hz, 1H), 4.00 (s, 4H), 3.30-3.29 (m, 1H), 3.26 (s, 3H), 3.21 (s, 4H), 2.92-2.87 (m, 1H), 1.94 (br s, 1H), 1.83-1.81 (m, 2H), 1.38-1.35 (m, 6H), 1.30-1.27 (m, 2H), 1.15-1.12 (m, 2H). Example 119: 2-((2-cyclopropyl-6-(difluoromethyl)pyridin-3-yl)sulfonyl)-6 -(2- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane The title compound was prepared using a similar method to step 6 of Example 116 from 2-((2- cyclopropyl-6-(difluoromethyl)pyridin-3-yl)sulfonyl)-2,6-dia zaspiro[3.3]heptane trifluoroacetate (1000 mg, 225 ^mol) and oxaspiro[3.3]heptan-6-one (25 mg, 225 ^mol) to afford 2-((2-cyclopropyl-6-(difluoromethyl)pyridin-3-yl)sulfonyl)-6 -(2-oxaspiro[3.3]heptan- 6-yl)-2,6-diazaspiro[3.3]heptane after HPLC (basic conditions) (48 mg, 50 %). LCMS m/z = 426.2 (M+H) + . 1 H NMR (400 MHz, CDCl 3 ) δ (ppm) 8.27 (d, J=8.0 Hz, 1H), 7.46 (d, J=8.0 Hz, 1H), 6.50 (t, J=55.2 Hz, 1H), 4.64 (s, 2H), 4.58 (s, 2H), 3.99 (s, 4H), 3.19 (s, 4H), 2.91- 2.79 (m, 2H), 2.27-2.22 (m, 2H), 1.94-1.89 (m, 2H), 1.30-1.25 (m, 2H), 1.15-1.11 (m, 2H). Example 120: 2-((1-cyclopropyl-3-(difluoromethyl)-1H-pyrazol-5-yl)sulfony l)-6- (tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane 1. Synthesis of 1-cyclopropyl-3-(difluoromethyl)-1H-pyrazole. To a solution of 1-cyclopropylpyrazole-3-carbaldehyde (2.2 g, 16 mmol) in DCM (40 mL) was added DAST (5.3 mL, 40 mmol) at -30 °C. The mixture was stirred at 20 °C for 12 h. The reaction mixture was carefully quenched by sat. NH4Cl (20 mL) at 15 °C then diluted with H2O (20 mL) and extracted with DCM (40 mL x 3). The combined organic layers were dried over Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by flash column (ethyl acetate in petroleum ether from 0% to 12%) to give 1-cyclopropyl-3- (difluoromethyl)-1H-pyrazole (1.3 g, 51 %) as a colorless oil. LCMS m/z = 159.1 (M+H) + . 1 H NMR (400 MHz, CDCl 3 ) δ (ppm) 7.47 (s, 1H), 6.66 (t, J=55.0 Hz, 1H), 6.44 (s, 1H), 3.61-3.60 (m, 1H), 1.15-1.13 (m, 2H), 1.07-1.03 (m, 2H). 2. Synthesis of 5-bromo-1-cyclopropyl-3-(difluoromethyl)-1H-pyrazole. To a solution of 1-cyclopropyl-3-(difluoromethyl)-1H-pyrazole (1.3 g, 8.2 mmol) in THF (20 mL) was added butyllithium (2.5 M, 3.95 mL) at -65 °C. The mixture was stirred at -65 °C for 1 hour, then carbon tetrabromide (3.54 g, 10.7 mmol) in THF (4 mL) was added to the mixture at -65 °C and stirred for 0.5 hour. The mixture was warmed to 25 °C and stirred for 1 hour. The reaction mixture was carefully quenched by sat. NH4Cl (20 mL) at 0 °C then diluted with H2O (20 mL) and extracted with ethyl acetate (40 mL x 3). The combined organic layers were dried over Na 2 SO 4 , filtered, and concentrated under reduced pressure. The residue was purified by flash column (ethyl acetate in petroleum ether from 0% to 8%) to give 5-bromo-1-cyclopropyl- 3-(difluoromethyl)-1H-pyrazole (1.6 g, 82 %) as a colorless oil. LCMS m/z = 238.9 (M+H) + . 1 H NMR (500 MHz, CDCl 3 ) δ (ppm) 6.57 (t, J=55.2 Hz, 1H), 6.52 (s, 1H), 3.52-3.47 (m, 1H), 1.24-1.20 (m, 2H), 1.14-1.08 (m, 2H). 3. Synthesis of N-(1-cyclopropyl-3-(difluoromethyl)-1H-pyrazol-5-yl)-1,1- diphenylmethanimine. To a solution of 5-bromo-1-cyclopropyl-3-(difluoromethyl)-1H-pyrazole (1.6 g, 6.7 mmol) and diphenylmethanimine (2.3 mL, 13.5 mmol) in dioxane (30 mL) was added Pd2(dba)3 (618 mg, 675 ^mol), Xantphos (781 mg, 1.35 mmol), and K2CO3 (2.80 g, 20.2 mmol), then stirred at 100 °C for 16 h. The mixture was filtered. The organic phase was diluted with water (20 mL) then extracted with ethyl acetate (30 mL x 3). The combined organic phase was washed with brine (20 mL x 1), dried over anhydrous sodium sulfate, filtered, and concentrated under vacuum. The crude was purified by flash column (ethyl acetate in petroleum ether from 0% to 10 %) to give N-(1-cyclopropyl-3-(difluoromethyl)-1H-pyrazol- 5-yl)-1,1-diphenylmethanimine as a yellow oil that was used without further purification. LCMS m/z = 338.1 (M+H) + . 1 H NMR (500 MHz, CDCl 3 ) δ (ppm) 7.82-7.81 (m, 5H), 7.81- 7.80 (m, 5H), 6.43 (t, J=55.0 Hz, 1H), 4.95 (s, 1H), 3.99-3.95 (m, 1H), 1.32-1.28 (m, 2H), 1.09- 1.05 (m, 2H). 4. Synthesis of 1-cyclopropyl-3-(difluoromethyl)-1H-pyrazol-5-amine. To a solution of N-(1-cyclopropyl-3-(difluoromethyl)-1H-pyrazol-5-yl)-1,1- diphenylmethanimine (2.2 g, 3.3 mmol) in THF (40 mL) and water (8 mL) was added HCl (2 M, 11 mL), then the mixture was stirred at 25 °C for 1 h. Aqueous NaHCO3 (50 mL) solution was added dropwise to quench the reaction, then the mixture was extracted with ethyl acetate (50 mL x 3). The combined organic phase was washed with brine, dried over anhydrous sodium sulfate, filtered, and concentrated. The residue was purified by flash column (MeOH in DCM = from 0% to 8%) to give 1-cyclopropyl-3-(difluoromethyl)-1H-pyrazol-5-amine (450 mg, 80 %) as a yellow oil. LCMS m/z = 174.1 (M+H) + . 5. Synthesis of 1-cyclopropyl-3-(difluoromethyl)-1H-pyrazole-5-sulfonyl chloride. Thionyl chloride (2.5 mL, 34 mmol) was added over 10 min to water (5 mL) while the temperature was maintained 0-5 °C, then the solution was stirred at 20 °C for 12 hours. Copper chloride (14 mg, 144 ^mol) was added, then the mixture was cooled to -3° C. In another flask, a solution of 1-cyclopropyl-3-(difluoromethyl)-1H-pyrazol-5-amine (250 mg, 1.44 mmol) in HCl (12 M, 3.7 mL) at -5 °C was added dropwise to a solution of sodium nitrite (100 mg, 1.46 mmol) in water (0.5 mL) while maintaining temperature -5 to 0 °C for 1 h. When the addition was complete, this solution was added to a precooled thionyl chloride solution and stirred at -2 °C for 10 min, then at 0 °C for 75 min. The mixture was extracted with DCM (30 mL X 3). The combined organic phase was dried over Na2SO4, filtered, and concentrated to give 1-cyclopropyl-3-(difluoromethyl)-1H-pyrazole-5-sulfonyl chloride that was used without purification. 1 H NMR (400 MHz, CDCl3) δ (ppm) 6.55 (t, J=54.8 Hz, 1H), 6.42 (s, 1H), 3.51- 3.45 (m, 1H), 1.25-1.20 (m, 2H), 1.13-1.08 (m, 2H). 6. Synthesis of 2-((1-cyclopropyl-3-(difluoromethyl)-1H-pyrazol-5-yl)sulfony l)-6- (tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane. To a solution of 2-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane trifluoroacetate (69 mg, 234 ^mol) and DIPEA (0.1 mL, 584 ^mol) in DCM (15 mL) was added 1-cyclopropyl-3- (difluoromethyl)-1H-pyrazole-5-sulfonyl chloride (100 mg, 195 ^mol) in DCM (3 mL) at 0 °C. The mixture was stirred for 1 hour at 20 °C. The mixture was diluted with water (30 mL) and extracted with DCM (40 mL x 3). The combined organic phase was dried over anhydrous sodium sulfate, filtered, and concentrated in vacuum. The residue was purified by prep-HPLC (Column : Boston Green ODS 150*30mm*5um, Condition: water(formic acid)- ACN,8%~38%, Flow Rate (mL/min): 25) to give 2-((1-cyclopropyl-3-(difluoromethyl)-1H- pyrazol-5-yl)sulfonyl)-6-(tetrahydro-2H-pyran-4-yl)-2,6-diaz aspiro[3.3]heptane (4 mg, 6 %) as a white solid. LCMS m/z = 403.1 (M+ H) + . 1 H NMR (500 MHz, CD 3 OD) δ (ppm) 7.05 (s, 1H), 6.75 (t, J=54.5 Hz, 1H), 4.22-4.18 (m, 1H), 4.12 (s, 4H), 3.97-3.95 (m, 2H), 3.75 (s, 4H), 3.38-3.35 (m, 2H), 2.75-2.72 (m, 1H), 1.77-1.75 (m, 2H), 1.37-1.32 (m, 2H), 1.30-1.25 (m, 2H), 1.15-1.11 (m, 2H). Example 121: 2-((4-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 6-(2- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane 1. Synthesis of 4-cyclopropyl-6-(trifluoromethyl)pyridin-3-amine. To a solution of 4-bromo-6-(trifluoromethyl)pyridin-3-amine (1.5 g, 6.2 mmol) and cyclopropylboronic acid (1.1 g, 12 mmol) in toluene (20 mL) and water (2 mL) was added S-Phos (255 mg, 622 ^mol), Pd2(dba)3 (570 mg, 622 ^mol) and K3PO4 (3.96 g, 18.7 mmol) at 20 °C. The mixture was stirred for 3 hours at 100 °C under nitrogen. After cooling to room temperature, the reaction was diluted with water (15 mL) then extracted with DCM (20 mL x 3). The combined organic phase was washed with brine (15 mL x1), dried over anhydrous sodium sulfate, filtered, and concentrated under vacuum. The crude material was purified by flash column (ethyl acetate in petroleum ether = 10-50%) to give 4-cyclopropyl-6- (trifluoromethyl)pyridin-3-amine (900 mg, 71%) as a brown solid that was used without further purification. LCMS m/z = 203.1 (M+ H) + . 1 H NMR (500 MHz, CDCl3) δ (ppm) 8.06 (s, 1H), 7.24 (s, 1H), 4.25 (br s, 2H), 1.72-1.61 (m, 1H), 1.06-1.01 (m, 2H), 0.70-0.66 (m, 2H). 2. Synthesis of 4-cyclopropyl-6-(trifluoromethyl)pyridine-3-sulfonyl chloride. Thionyl chloride (3 mL) was added over 10 minutes to water (18 mL), while the temperature was maintained 0-5 °C, then the solution was stirred at 20 °C for 12 hours. Copper chloride (3 mg, 35 ^mol) was added, then the mixture was cooled to -3 °C. In another flask, a solution of 4-cyclopropyl-6-(trifluoromethyl)pyridin-3-amine (350 mg, 1.73 mmol) in HCl (12 M, 4.5 mL) at -5 °C was added dropwise to a solution of sodium nitrite (125 mg, 1.82 mmol) in water (1.5 mL) while maintaining temperature -5 to 0 °C for 1 hour. When the addition was complete, this solution was added to the precooled thionyl chloride solution and stirred at -2 °C for 10 minutes, then at 0 °C for 75 minutes. The mixture was concentrated, then water (10 mL) was added. The mixture was extracted with DCM (10 mL x 3). The combined organic layers were washed with brine (10 mL), dried over Na2SO4, filtered, and concentrated to give 4- cyclopropyl-6-(trifluoromethyl)pyridine-3-sulfonyl chloride as yellow oil that was used without further purification. 1 H NMR (500 MHz, CDCl 3 ) δ (ppm) 9.25 (s, 1H), 7.28 (s, 1H), 3.00-2.93 (m, 1H), 1.62-1.48 (m, 2H), 1.21-1.13 (m, 2H). 3. Synthesis of tert-butyl 6-((4-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 2,6-diazaspiro[3.3]heptane-2-carboxylate. To a solution of 4-cyclopropyl-6-(trifluoromethyl)pyridine-3-sulfonyl chloride (380 mg, 1.33 mmol) and DIPEA (0.7 mL, 4 mmol) in DCM (10 mL) was added tert-butyl 2,6- diazaspiro[3.3]heptane-2-carboxylate (316 mg, 1.60 mmol) at 0 °C. The mixture was stirred at 20 °C for 2 hours. The mixture was diluted with water (15 mL) then extracted with DCM (15 mL x 3). The combined organic phase was washed with brine (15 mL x 1), dried over anhydrous sodium sulfate, filtered, and concentrated under vacuum. The crude material was purified on silica gel column chromatography (petroleum ether/ ethyl acetate = 5/1 to 1/1) to yield tert-butyl 6-((4-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 2,6- diazaspiro[3.3]heptane-2-carboxylate (370 mg, 62 %) as a white solid. 1 H NMR (500 MHz, CDCl 3 ) δ (ppm) 9.08 (s, 1H), 7.12 (s, 1H), 4.08 (s, 4H), 4.03 (s, 4H), 2.84-2.75 (m, 1H), 1.42 (s, 9H), 1.32 (br s, 2H), 1.05-1.02 (m, 2H). 4. Synthesis of 2-((4-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 2,6- diazaspiro[3.3]heptane trifluoroacetate. To a solution of tert-butyl 6-((4-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 2,6- diazaspiro[3.3]heptane-2-carboxylate (120 mg, 268 ^mol) in HFiPA (3 mL) was added TFA (0.5 mL, 6.5 mmol). The reaction mixture was stirred at 15 °C for 2 hours. The mixture was concentrated in vacuum to give 2-((4-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 2,6-diazaspiro[3.3]heptane trifluoroacetate as a yellow oil that was used without purification. 1 H NMR (500 MHz, CD 3 OD) δ (ppm) 9.03 (s, 1H), 7.37 (s, 1H), 4.24 (s, 4H), 4.18 (s, 4H), 2.85-2.79 (m, 1H), 1.41-1.36 (m, 2H), 1.15-1.11 (m, 2H). 5. Synthesis of 2-((4-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 6-(2- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane. To a solution of 2-((4-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 2,6- diazaspiro[3.3]heptane trifluoroacetate (130 mg, 282 ^mol) and TEA (0.12 mL, 847 ^mol) in MeOH (3 mL) was added 2-oxaspiro[3.3]heptan-6-one (38 mg, 339 ^mol). The mixture pH was adjusted to pH = 5-6 by dropwise addition of acetic acid at 0 °C. After 30 minutes, sodium cyanoborohydride (53 mg, 847 ^mol) was added, and the mixture was stirred at 20 °C for 2 hours. The mixture was diluted with water (15 mL) and extracted with DCM (15 mL x 3). The combined organic phase was washed with brine (15 mL x 1), dried over anhydrous sodium sulfate, filtered, and concentrated under vacuum. The crude which was purified by prep-HPLC (Column: Waters Xbridge BEH C18100*30mm*10um; Condition: water (NH4HCO3)-ACN; Begin B: 31; End B: 61 ; Flow Rate (ml/min): 50) to give 2-((4-cyclopropyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(2-oxaspiro[3.3]he ptan-6-yl)-2,6- diazaspiro[3.3]heptane (60 mg, 48 %) as a white solid. LCMS m/z = 444.1 (M+ H) + . 1 H NMR (500 MHz, CDCl3) δ (ppm) 9.07 (s, 1H), 7.11 (s, 1H), 4.64 (s, 2H), 4.58 (s, 2H), 4.02 (s, 4H), 3.20 (br s, 4H), 2.88-2.73 (m, 2H), 2.30-2.18 (m, 2H), 1.92 (br s, 2H), 1.42-1.32 (m, 2H), 1.04- 0.98 (m, 2H). Example 122: 2-((4-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 6- ((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptan e To a solution of 2-((4-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 2,6- diazaspiro[3.3]heptane trifluoroacetate (100 mg, 287 ^mol) and TEA (0.12 mL, 847 ^mol) in MeOH (5 mL) was added tetrahydropyran-4-carbaldehyde (33 mg, 287 ^mol). The mixture was adjusted to pH = 5-6 by dropwise addition of acetic acid at 0 °C. After 30 minutes, sodium cyanoborohydride (54 mg, 863 ^mol) was added, and the mixture was stirred at 20 °C for 2 hours. The mixture was diluted with water (15 mL) and extracted with DCM (15 mL x 3). The combined organic phase was washed with brine (15 mL x 1), dried over anhydrous sodium sulfate, filtered, and concentrated under vacuum. The crude material was purified by prep- HPLC (Column: Welch Xtimate C18150*25mm*5um; Condition: water (NH 4 HCO 3 )-ACN; Begin B: 35 ; End B: 65; Flow Rate (ml/min): 25) to give 2-((4-cyclopropyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((tetrahydro-2H-py ran-4-yl)methyl)-2,6- diazaspiro[3.3]heptane (25 mg, 19 %) as a white solid. LCMS m/z = 446.1 (M+ H) + . 1 H NMR (500 MHz, CDCl3) δ (ppm) 9.08 (s, 1H), 7.11 (s, 1H), 4.04 (s, 4H), 3.95-3.90 (m, 2H), 3.37- 3.30 (m, 2H), 3.27 (s, 4H), 2.88-2.80 (m, 1H), 2.26 (br d, J=6.5 Hz, 2H), 1.57 (br s, 1H),1.54- 1.46 (m, 2H), 1.39-1.35 (m, 2H), 1.28-1.22 (m, 2H), 1.04-1.00 (m, 2H). Examples 123 and 124: 4-(6-((4-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfony l)- 2,6-diazaspiro[3.3]heptan-2-yl)-1-methylcyclohexan-1-ol AND 4-(6-((4-cyclopropyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]h eptan-2-yl)-1- methylcyclohexan-1-ol To a solution of 2-((4-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 2,6- diazaspiro[3.3]heptane trifluoroacetate (280 mg, 608 ^mol) and TEA (0.25 mL, 1.8 mmol) in MeOH (5 mL) was added 4-hydroxy-4-methyl-cyclohexanone (86 mg, 669 ^mol). The mixture was adjusted to pH = 5-6 by dropwise addition of acetic acid at 0 °C. After 30 minutes, sodium cyanoborohydride (115 mg, 1.8 mmol) was added, and the mixture was stirred at 20 °C for 2 hours. The mixture was diluted with water (15 mL) and extracted with DCM (15 mL x 3). The combined organic phase was washed with brine (15 mL x 1), dried over anhydrous sodium sulfate, filtered, and concentrated under vacuum. The crude material was purified by prep-HPLC (Column: Waters Xbridge BEH C18 100*30mm*10um; Condition: water (NH4HCO3)-ACN; Begin B: 32 ; End B: 62; Flow Rate (ml/min): 50) and by prep-HPLC (Column: Boston Prime C18150*30mm*5um; Condition: water(NH3H2O+NH4HCO3)-ACN; Begin B: 40 ; End B: 70; Flow Rate (ml/min): 25) to give the following compounds: 4-(6-((4-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfony l)-2,6-diazaspiro[3.3]heptan-2- yl)-1-methylcyclohexan-1-ol (TRANS) after HPLC (basic conditions) (first peak off the prep HPLC) (22 mg, 8%). LCMS m/z = 460.1 (M+H) + . 1 H NMR (500 MHz, CDCl 3 ) δ (ppm) 9.07 (s, 1H), 7.11 (s, 1H), 4.04 (s, 4H), 3.29 (s, 4H), 2.88-2.79 (m, 1H), 2.03 (br s, 1H), 1.68-1.64 (m, 4H), 1.40-1.34 (m, 4H), 1.21 (s, 3H), 1.20-1.12 (m, 2H), 1.04-0.99 (m, 2H). 4-(6-((4-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfony l)-2,6-diazaspiro[3.3]heptan-2- yl)-1-methylcyclohexan-1-ol (CIS) after HPLC (basic conditions) (second peak off the prep HPLC) (22 mg, 8%). LCMS m/z = 460.2 (M+H) + . 1 H NMR (500 MHz, CDCl3) δ (ppm) 9.08 (s, 1H), 7.11 (s, 1H), 4.05 (s, 4H), 3.33 (s, 4H), 2.88-2.79 (m, 1H), 1.92 (br s, 1H), 1.66-1.62(m, 2H), 1.57-1.47 (m, 2H), 1.42-1.30 (m, 6H), 1.20 (s, 3H), 1.04-0.97 (m, 2H). Example 125: 2-((4-ethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(2- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane 1. Synthesis of 6-(trifluoromethyl)-4-vinylpyridin-3-amine. To a solution of 4-bromo-6-(trifluoromethyl)pyridin-3-amine (1.0 g, 4.15 mmol) and 4,4,5,5- tetramethyl-2-vinyl-1,3,2-dioxaborolane (767 mg, 4.98 mmol) in toluene (20 mL) and water (1 mL) was added S-Phos (170 mg, 415 ^mol), Pd2(dba)3 (380 mg, 415 ^mol), and K3PO4 (2.64 g, 12.5 mmol) at 20 °C. The mixture was stirred for 3 hours at 100 °C under nitrogen. The reaction mixture was cooled then filtered and concentrated under vacuum. The crude material was purified by flash column (ethyl acetate in petroleum ether from 0% to 20%) to afford 6- (trifluoromethyl)-4-vinylpyridin-3-amine (650 mg, 83%) as a red oil that was used without further purification. LCMS m/z = 189.1 (M+H) + . 1 H NMR (500 MHz, CDCl3) δ (ppm) 8.11 (s, 1H), 7.50 (s, 1H), 6.70-6.64 (m, 1H), 5.85 (d, J=17.0 Hz, 1H), 5.59 (d, J=11.0 Hz, 1H), 4.11 (br s, 2H). 2. Synthesis of 4-ethyl-6-(trifluoromethyl)pyridin-3-amine. To a solution of 6-(trifluoromethyl)-4-vinylpyridin-3-amine (650 mg, 3.45 mmol) in MeOH (10 mL) was added 10% Pd/C (100 mg, 95 ^mol) at 20 °C. The mixture was stirred for 16 hours at 20 °C under hydrogen (15 psi). Nitrogen was bubbled through reaction solution for 10 minutes, then the reaction was filtered and concentrated under vacuum to yield 4-ethyl-6- (trifluoromethyl)pyridin-3-amine as a yellow solid that was used without purification. 1 H NMR (400 MHz, CDCl 3 ) δ (ppm) 8.06 (s, 1H), 7.36 (s, 1H), 2.53 (q, J=7.6 Hz, 2H), 1.30 (t, J=7.6 Hz, 3H). Thionyl chloride (2.5 mL, 34 mmol) was added over 10 minutes to water (8 mL) while the temperature was maintained 0-5 °C, then the solution was stirred at 20 °C for 12 hours. Copper chloride (22 mg, 226 ^mol) was added, and the mixture was cooled to -3 °C. In another flask, a solution of 4-ethyl-6-(trifluoromethyl)pyridin-3-amine (430 mg, 2.26 mmol) in HCl (12 M, 4 mL) at -5 °C was added dropwise to the solution of sodium nitrite (158 mg, 2.28 mmol) in water (2 mL) while maintaining temperature -5 to 0° C for 1 hour. When the addition was complete, this solution was added to the precooled thionyl chloride solution and stirred at -2 °C for 10 minutes, then at 0 °C for 75 minutes. The mixture was extracted with DCM (30 mL X 3). The combined organic phase was dried over Na2SO4, filtered, and concentrated to give 4-ethyl-6-(trifluoromethyl)pyridine-3-sulfonyl chloride as a yellow oil that was used without purification. 1 H NMR (400 MHz, CDCl 3 ) δ (ppm) 9.27 (s, 1H), 7.80 (s, 1H), 3.30 (q, J=7.6 Hz, 2H), 1.44 (t, J=7.6 Hz, 3H). 4. Synthesis of tert-butyl 6-((4-ethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane-2-carboxylate. To a solution of tert-butyl 2,6-diazaspiro[3.3]heptane-2-carboxylate (319 mg, 1.61 mmol) and DIPEA (0.77 mL, 4.39 mmol) in DCM (20 mL) was added 4-ethyl-6- (trifluoromethyl)pyridine-3-sulfonyl chloride (400 mg, 1.46 mmol) in DCM (5 mL) at 0 °C, then the mixture was stirred for 1 hour at 20 °C. The mixture was diluted with water (30 mL) and extracted with DCM (40 mL x 3). The combined organic phase was dried over anhydrous sodium sulfate, filtered, and concentrated under vacuum. The residue was purified by flash column (ethyl acetate in petroleum ether from 5% to 35%) to give tert-butyl 6-((4-ethyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]h eptane-2-carboxylate (400 mg, 63 %) as a yellow solid. 1 H NMR (400 MHz, CDCl3) δ (ppm) 9.11 (s, 1H), 7.69 (s, 1H), 4.08 (s, 4H), 4.04 (s, 4H), 3.09 (q, J=7.6 Hz, 2H), 1.42 (s, 9H), 1.35 (t, J=7.6 Hz, 3H). 5. Synthesis of 2-((4-ethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- To a solution of tert-butyl 6-((4-ethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane-2-carboxylate (400 mg, 919 ^mol) in HFiPA (20 mL) was added TFA (0.35 mL 4.59 mmol). The mixture was stirred for 10 hours at 20 °C. The mixture was concentrated under vacuum to give 2-((4-ethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane trifluoroacetate as a yellow solid that was used without purification. LCMS m/z = 336.1 (M+H) + . 6. Synthesis of 2-((4-ethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(2- A solution of 2-((4-ethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-di azaspiro[3.3]heptane trifluoroacetate (100 mg, 222 ^mol), 2-oxaspiro[3.3]heptan-6-one (25 mg, 222 ^mol), and triethylamine in MeOH (10 mL) was adjusted to a pH 5-6 by acetic acid. The mixture was stirred for 0.5 hour at 20 °C, then sodium cyanoborohydride (42 mg, 668 ^mol) was added to the mixture. The mixture was stirred for 1 hour at 20 °C. The mixture was diluted with aqueous NaHCO3 (15 mL), water (20 mL) then extracted with DCM (30 mL x 3). The combined organic phase was dried over anhydrous sodium sulfate, filtered, and concentrated under vacuum. The residue was purified by prep-HPLC (Column: Phenomenex C18 150*40mm*5um, Condition: water( NH4HCO3)-ACN, 23%~53%, Flow Rate (mL/min): 60) to give 2-((4-ethyl- 6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(2-oxaspiro[3.3] heptan-6-yl)-2,6- diazaspiro[3.3]heptane (39 mg, 41 %) as a white solid. LCMS m/z = 432.1 (M+H) + . 1 H NMR (400 MHz, CDCl3) δ (ppm) 9.10 (s, 1H), 7.68 (s, 1H), 4.64 (s, 2H), 4.59 (s, 2H), 4.02 (s, 4H), 3.21 (s, 4H), 3.09 (q, J=7.2 Hz, 2H), 2.84-2.78 (m, 1H), 2.28-2.23 (m, 2H), 1.94-1.90 (m, 2H), 1.34 (t, J=7.2 Hz, 3H). Example 126: 2-((4-ethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((te trahydro-2H- pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane A solution of 2-((4-ethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-di azaspiro[3.3]heptane trifluoroacetate (60 mg, 134 ^mol), tetrahydropyran-4-carbaldehyde (15 mg, 134 ^mol), and triethylamine in MeOH (10 mL) was adjusted to a pH 5-6 by acetic acid. The mixture was stirred for 0.5 hours at 20 °C, then sodium cyanoborohydride (25 mg, 400 ^mol) was added to the mixture. The mixture was stirred for 1 hour at 20 °C. The mixture was diluted with aqueous NaHCO3 (15 mL), water (20 mL) then extracted with DCM (30 mL x 3). The combined organic phase was dried over anhydrous sodium sulfate, filtered, and concentrated under vacuum. The residue was purified by flash column (MeOH in DCM from 0% to 8%) to give 2-((4-ethyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((tetrahydro-2H-py ran-4-yl)methyl)-2,6- diazaspiro[3.3]heptane (25 mg, 43%) as a white solid. LCMS m/z = 434.1 (M+H) + . 1 H NMR (400 MHz, CDCl 3 ) δ (ppm) 9.11 (s, 1H), 7.68 (s, 1H), 4.04 (s, 4H), 3.95-3.91 (m, 2H), 3.37- 3.29 (m, 6H), 3.09 (q, J=7.2 Hz, 2H), 2.28-2.27 (m, 2H), 1.62-1.56 (m, 2H), 1.35 (t, J=7.2 Hz, 3H), 1.29-1.19 (m, 3H). Examples 127 and 128: 4-(6-((4-ethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6 - diazaspiro[3.3]heptan-2-yl)-1-methylcyclohexan-1-ol (TRANS) AND 4-(6-((4-ethyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]h eptan-2-yl)-1- m A solution of 2-((4-ethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-di azaspiro[3.3]heptane trifluoroacetate (300 mg, 668 ^mol), 4-hydroxy-4-methyl-cyclohexanone (94 mg, 734 ^mol), and triethylamine in MeOH (15 mL) was adjusted to a pH 5-6 by acetic acid. The mixture was stirred for 0.5 hours at 20 °C, then sodium cyanoborohydride (42 mg, 400 ^mol) was added to the mixture. The mixture was stirred for 1 hour at 20 °C. The mixture was diluted with aqueous NaHCO 3 (15 mL), water (20 mL) then extracted with DCM (30 mL x 3). The combined organic phase was dried over anhydrous sodium sulfate, filtered, and concentrated under vacuum. The residue was purified by prep-HPLC (Column: Phenomenex C18 150*40mm*5um, Condition: water (NH4HCO3)-ACN, 25%-55%, Flow Rate (mL/min): 60) to give the following compounds as white solids: 4-(6-((4-ethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6 -diazaspiro[3.3]heptan-2-yl)-1- methylcyclohexan-1-ol (TRANS) after HPLC (basic conditions) (first peak off the prep HPLC) (43 mg, 14%). LCMS m/z = 448.2 (M+H) + . 1 H NMR (400 MHz, CDCl 3 ) δ (ppm) 9.11 (s, 1H), 7.68 (s, 1H), 4.04 (s, 4H), 3.26 (s, 4H), 3.10 (q, J=7.6 Hz, 2H), 2.03-1.99 (m, 1H), 1.68-1.66 (m, 4H), 1.40-1.33 (m, 5H), 1.22 (s, 3H), 1.18-1.12 (m, 2H). 4-(6-((4-ethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6 -diazaspiro[3.3]heptan-2-yl)-1- methylcyclohexan-1-ol (CIS) after HPLC (basic conditions) (second peak off the prep HPLC) (79 mg, 26%). LCMS m/z = 448.2 (M+H) + . 1 H NMR (400 MHz, CDCl3) δ (ppm) 9.11 (s, 1H), 7.68 (s, 1H), 4.04 (s, 4H), 3.29 (s, 4H), 3.09 (q, J=7.6 Hz, 2H), 1.89-1.85 (m, 1H), 1.69-1.63 (m, 4H), 1.55-1.51 (m, 2H), 1.36-1.29 (m, 5H), 1.20 (s, 3H). Example 129: 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((4 - methyltetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]he ptane 1. Synthesis of tert-butyl 6-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane-2-carboxylate. To a vial containing tert-butyl 2,6-diazaspiro[3.3]heptane-2-carboxylate hydrochloride (730 mg, 3.11 mmol) in anhydrous dichloromethane (12 mL) was added Hunigs Base (1.7 mL, 10 mmol) carefully dropwise at < 5 °C. After 5 minutes, 2-methyl-6-(trifluoromethyl)pyridine-3- sulfonyl chloride (922 mg, 3.55 mmol) was added carefully to the cold solution. Upon complete addition of sulfonyl chloride, the reaction was warmed to 23 °C and monitored with LCMS. After 30 minutes, the reaction was carefully quenched with slow addition of aqueous saturated sodium bicarbonate solution. The mixture was stirred at 23 °C for 20 minutes, then the biphasic mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (10-60 % ethyl acetate in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a white solid as tert-butyl 6-((2-methyl-6-(trifluoromethyl)pyridin-3- yl)sulfonyl)-2,6-diazaspiro[3.3]heptane-2-carboxylate (1.23 g, 94%) that was used without further purification. 1 H NMR (500 MHz, DMSO-d 6 ) δ (ppm) 8.43 (br d, J = 7.9 Hz, 1H), 7.98 (br d, J = 7.9 Hz, 1H), 4.05 (s, 4H), 3.94 (br s, 4H), 2.81 (s, 3H), 1.34 (s, 9H). 2. Synthesis of 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane trifluoroacetate. To a flask containing tert-butyl 6-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane-2-carboxylate (1.23 g, 2.92 mmol) in HFiPA (20 mL) was added TFA (0.67 mL, 8.75 mmol) carefully dropwise at <5 °C. Upon complete addition of TFA, the mixture was warmed to 23 °C and monitored with LCMS. After 19 hours, the mixture was concentrated under reduced pressure to afford a dark yellow residue that was triturated with methanol to afford a white solid as 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane trifluoroacetate (551 mg, 41%) that was used without purification. LCMS m/z = 322.0 [M+ H] + . 1 H NMR (500 MHz, DMSO-d 6 ) δ (ppm) 8.51 (br s, 1H), 8.45 (br d, J = 8.2 Hz, 1H), 7.99 (br d, J = 8.2 Hz, 1H), 4.14 - 4.08 (m, 8H), 2.81 (s, 3H). 3. Synthesis of 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((4 - methyltetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]he ptane. A solution of 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane trifluoroacetate (100 mg, 230 ^mol), 4-methyltetrahydropyran-4- carbaldehyde (35 mg, 276 ^mol), and triethylamine in MeOH (10 mL) was adjusted to a pH 5-6 by acetic acid. The mixture was stirred for 0.5 hour at 20 °C, then sodium cyanoborohydride (43 mg, 689 ^mol) was added to the mixture. The mixture was stirred for 20 hours at 20 °C. The mixture was diluted with aqueous NaHCO 3 (15 mL), water (20 mL) then extracted with DCM (30 mL x 3). The combined organic phase was dried over anhydrous sodium sulfate, filtered, and concentrated under vacuum. The residue was purified by prep-HPLC (Welch Xtimate C18150*25mm*5um, Condition: water (NH4HCO3)-ACN, Flow Rate (mL/min): 25) to give 2-((2-methyl-6-(trifluoromethyl)pyridin- 3-yl)sulfonyl)-6-((4-methyltetrahydro-2H-pyran-4-yl)methyl)- 2,6-diazaspiro[3.3]heptane (62 mg, 63 %) as a white solid. LCMS m/z = 434.1 (M+H) + . 1 H NMR (500 MHz, CDCl 3 ) δ (ppm) 8.35 (d, J=8.0 Hz, 1H), 7.64 (d, J=8.0 Hz, 1H), 4.03 (s, 4H), 3.68-3.65 (m, 2H), 3.59- 3.56 (m, 2H), 3.34 (s, 4H), 2.90 (s, 3H), 2.22 (s, 2H), 1.59-1.44 (m, 2H), 1.20-1.18 (m, 2H), 0.94 (s, 3H). Examples 130 to 154: The Examples 130 to 154 in the following Table were prepared using a similar method described for Example 129 from 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane trifluoroacetate (1 equiv.) and the aldehyde or ketone (1.2 equiv.; unless otherwise stated) Example 156 and 157: (S)-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6 -(1- (tetrahydro-2H-pyran-4-yl)ethyl)-2,6-diazaspiro[3.3]heptane and (R)-2-((2-methyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(1-(tetrahydro-2H- pyran-4-yl)ethyl)-2,6- diazaspiro[3.3]heptane rac-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6 -(1-(tetrahydro-2H-pyran-4- yl)ethyl)-2,6-diazaspiro[3.3]heptane (Example 153) was purified via SFC (CHIRALPAK AD-H 30x250mm, 5um Method: 30% MeOH w/ 0.1% DEA in CO2 (flow rate: 100mL/min, ABPR 120bar, MBPR 40psi, column temp 40 deg C)), to yield two enantiomers of arbitrarily assigned stereochemistry: (S)-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6 -(1-(tetrahydro-2H-pyran-4- yl)ethyl)-2,6-diazaspiro[3.3]heptane (16 mg, 99.4% ee, t R = 1.20 min, LCMS m/z = 434.1 (M+H) + ) and (R)-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6 -(1-(tetrahydro-2H-pyran-4- yl)ethyl)-2,6-diazaspiro[3.3]heptane (17.5 mg, 97.8% ee, t R = 1.36 min, LCMS m/z = 434.1 (M+H) + ). Example 158 and 159: (S)-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6 -(1- (oxetan-3-yl)ethyl)-2,6-diazaspiro[3.3]heptane and (R)-2-((2-methyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(1-(oxetan-3-yl)et hyl)-2,6- diazaspiro[3.3]heptane rac-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6 -(1-(oxetan-3-yl)ethyl)-2,6- diazaspiro[3.3]heptane (Example 155) was purified via SFC (LUX Cellulose-4 LC 30x250mm, 5um Method: 30% MeOH w/ 0.1% DEA in CO2 (flow rate: 100mL/min, ABPR 120bar, MBPR 40psi, column temp 40 deg C)), to yield two enantiomers of arbitrarily assigned stereochemistry: (S)-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6 -(1- (oxetan-3-yl)ethyl)-2,6-diazaspiro[3.3]heptane (18 mg, 99.6% ee, t R = 1.28 min, LCMS m/z = 406.1 (M+H) + ) and (R)-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6 -(1-(oxetan-3-yl)ethyl)-2,6- diazaspiro[3.3]heptane (18 mg, 98.7% ee, t R = 1.69 min, LCMS m/z = 406.1 (M+H) + ). Examples 160 and 161: (R)-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6 - ((tetrahydrofuran-3-yl)methyl)-2,6-diazaspiro[3.3]heptane and (S)-2-((2-methyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((tetrahydrofuran- 3-yl)methyl)-2,6- diazaspiro[3.3]heptane rac-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6 -((tetrahydrofuran-3-yl)methyl)- 2,6-diazaspiro[3.3]heptane (67 mg, 165 umol) (Example 139) was purified via SFC (CHIRALPAK IG 30x250mm, 5um Method:20% MeOH w/0.1% DEA in CO2 (flow rate:100mL/min, ABPR 120bar, MBPR 40psi, column temp 40 C)) to yielding two enantiomers of arbitrarily assigned stereochemistry: first off column (R)-2-((2-methyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((tetrahydrofuran- 3-yl)methyl)-2,6- diazaspiro[3.3]heptane (22 mg, 100% ee, 33% yield, t R = 2.64 min, LCMS m/z = 406.1 (M+H) + ); Second off column (R)-2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6 - ((tetrahydrofuran-3-yl)methyl)-2,6-diazaspiro[3.3]heptane (23 mg, 96.6% ee, 34% yield, t R = 2.90 min, LCMS m/z = 406.1 (M+H) + ). Example 162: 2-(tetrahydro-2H-pyran-4-yl)-6-((2-(trifluoromethyl)pyridin- 3- yl)sulfonyl)-2,6-diazaspiro[3.3]heptane 2-(tetrahydro-2H-pyran-4-yl)-6-((2-(trifluoromethyl)pyridin- 3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane was prepared using a similar method described for Example 36 from the hydrochloride salt of 2-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane (50 mg, 200 µmol) and 2-(trifluoromethyl)pyridine-3-sulfonyl chloride (77 mg, 247 µmol). The crude product was purified by HPLC (basic conditions, 5-50% acetonitrile) yielding the title compound as an off-white residue (13 mg, 12% yield). LCMS m/z = 392.2 (M+H) + . 1 H NMR (400 MHz, CD 3 OD) δ (ppm): 9.0-8.8 (m, 1H), 8.6-8.5 (m, 1H), 7.87 (dd, J=4.7, 8.1 Hz, 1H), 4.10 (s, 4H), 3.9-4.0 (m, 2H), 3.36 (s, 6H), 2.28 (tt, J=4.1, 10.7 Hz, 1H), 1.68 (br dd, J=1.7, 12.7 Hz, 2H), 1.3-1.2 (m, 2H). Example 163: 2-((6-(2,2-difluorocyclopropyl)-2-methylpyridin-3-yl)sulfony l)-6- (tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane 1. Synthesis of of tert-butyl 6-((6-bromo-2-methylpyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane-2-carboxylate To a solution of tert-butyl 2,6-diazaspiro[3.3]heptane-2-carboxylate (1 g, 5.04 mmol) and DIPEA (717 mg, 5.6 mmol, 970 uL) in DCM (10 mL) was added 6-bromo-2-methyl-pyridine- 3-sulfonyl chloride (1.38 g, 5.09 mmol) in batches at rt. Stirring was continued for 15min. The reaction mixture was diluted with DCM, washed twice with 1N HCl, washed with water and brine, dried over Na2SO4, filtered concentrated. Crude tert-butyl 2-[(6-bromo-2-methyl-3- pyridyl)sulfonyl]-2,6-diazaspiro[3.3]heptane-6-carboxylate (2.05 g, 4.7 mmol, 94% yield) was used without further purification in the next step 2. Synthesis of of tert-butyl 6-((2-methyl-6-vinylpyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane-2-carboxylate A mixture of 6-((6-bromo-2-methylpyridin-3-yl)sulfonyl)-2,6-diazaspiro[3. 3]heptane-2- carboxylate (120 mg, 278 umol) Potassium vinyltrifluoroborate (56 mg, 416 umol), Pd(dppf)Cl2 (40 mg, 56 umol) and potassium carbonate (115 mg, 833 umol) in dioxane (2.25 mL) and water (0.25 mL) was degassed by purging with nitrogen for 5 min. The resulting orange mixture was heated at 80 C for overnight. The reaction mixture was cooled to rt diluted with EtOAc, filtered and directly subjected to column chromatography (24g SiO2, 0-100% EtOH:EtOAc 1:3 in heptane). The title compound was obtained as an off white solid (73 mg, 192 umol, 69% yield). LCMS m/z = 380.2 (M+H) + . 1 H NMR (400 MHz, CD 3 OD) δ (ppm): 8.08 (d, J=8.5 Hz, 1H), 7.39 (d, J=8.5 Hz, 1H), 6.76 (dd, J=11.0, 17.5 Hz, 1H), 6.28 (dd, J=1.0, 17.5 Hz, , 1H), 5.55 (dd, J=1.3, 10.8 Hz, 1H), 3.9-3.9 (m, 8H), 2.69 (s, 3H), 1.31 (s, 9H). 3. Synthesis of tert-butyl 6-((6-(2,2-difluorocyclopropyl)-2-methylpyridin-3- yl)sulfonyl)-2,6-diazaspiro[3.3]heptane-2-carboxylate To a mixture of tert-butyl 6-((2-methyl-6-vinylpyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane-2-carboxylate (72 mg, 190 umol) and sodium iodide (28 mg, 190 umol) in THF (1.5 mL) was added trimethyl(trifluoromethyl)silane (216 mg, 1.5 mmol, 220 uL) in a microwave flask at rt. The vial was capped and heated at 75 C for 4 hrs after which another batch of sodium iodide (28 mg, 190 umol) and trimethyl(trifluoromethyl)silane (216 mg, 1.5 mmol, 220 uL) were added and heating was continues for 8 hr. The contents of the microwave vial were cooled to rt and poured onto a mixture of EtOAc (4 mL) and water (4 mL). The aq. phase was extracted twice with EtOAc (4 mL) and the combined organic layers were dried over Na2SO4, filtered and concentrated. Column chromatography (12g SiO2, 0-100% EtOH:EtOAc 1:3 in heptane) yielded the desired product (49 mg, 114 umol, 60% yield). LCMS m/z = 430.2 (M+H) + . 1 H NMR (400 MHz, CD 3 OD) δ (ppm): 8.06 (d, 1H, J=8.0 Hz), 7.27 (d, 1H, J=8.0 Hz), 3.91 (s, 8H), 2.98 (ddd, 1H, J=8.0, 11.3, 12.8 Hz), 2.6-2.7 (m, 3H), 2.2-2.3 (m, 1H), 1.8- 1.9 (m, 1H), 1.31 (s, 9H). 4. Synthesis of 2-((6-(2,2-difluorocyclopropyl)-2-methylpyridin-3-yl)sulfony l)-2,6- diazaspiro[3.3]heptane To a solution of tert-butyl 6-((6-(2,2-difluorocyclopropyl)-2-methylpyridin-3-yl)sulfony l)-2,6- diazaspiro[3.3]heptane-2-carboxylate (49 mg, 114 umol) in DCM (0.5 mL) was added TFA (149 mg, 1.31 mmol, 100 uL) at rt. The resulting mixture was stirred for 60 min after which sodium bicarbonate (125 mg, 1.48 mmol) was added followed by methanol (3 mL). The reaction mixture was sonicated for 5 min and the resulting brown mixture was directly loaded onto a silica. Column chromatography (12g SiO2, 50-100% EtOH:EtOAc 1:3 in heptane) yielded the title compound (19 mg, 58 umol, 51% yield). LCMS m/z = 330.1 (M+H) + . LCMS t R (2 min) = 0.54 min. 5. Synthesis of 2-((6-(2,2-difluorocyclopropyl)-2-methylpyridin-3-yl)sulfony l)-6- (tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane To a solution of 2-((6-(2,2-difluorocyclopropyl)-2-methylpyridin-3-yl)sulfony l)-2,6- diazaspiro[3.3]heptane (19 mg, 58 umol), tetrahydropyran-4-one (12 mg, 115 umol, 11 uL) and acetic acid (10 mg, 173. umol, 10 uL) in DCM (1.5 mL) was added sodium triacetoxyborohydride (STAB) (36.68 mg, 173.06 umol). The resulting reaction mixture was stirred for 1hr diluted with DCM (5 mL) and sat. aq. NaHCO3 (5 mL) was added. The organic phase was separated, dried over Na2SO4, filtered and concentrated. Purification by basic HPLC (5-45% acetonitrile) yielded the title compund (13 mg, 31 umol, 55% yield) as a colorless residue. LCMS m/z = 414.2 (M+H) + . 1 H NMR (400 MHz, CD 3 OD) δ (ppm): 8.07 (d, 1H, J=8.2 Hz), 7.28 (d, 1H, J=8.2 Hz), 3.87 (s, 4H), 3.81 (br d, 2H, J=10.7 Hz), 3.32 (s, 4H), 3.2-3.3 (m, 2H), 2.99 (dt, 1H, J=8.2, 11.9 Hz), 2.68 (s, 3H), 2.2-2.3 (m, 2H), 1.8-1.9 (m, 1H), 1.57 (br d, 2H, J=12.2 Hz), 1.13 (dq, 2H, J=4.3, 11.8 Hz). Example 164: 2-((2-methylpyridin-3-yl)sulfonyl)-6-(tetrahydro-2H-pyran-4- yl)-2,6- diazaspiro[3.3]heptane 2-((6-bromo-2-methylpyridin-3-yl)sulfonyl)-2,6-diazaspiro[3. 3]heptane was prepared from tert-butyl 6-((6-bromo-2-methylpyridin-3-yl)sulfonyl)-2,6-diazaspiro[3. 3]heptane-2- carboxylate (1g, 2.31 mmol) using a similar method described in step 4 for Example 163. The crude compound (768, 2.18 mmol, 94% yield) was obtained by filtration and used without further purification in the next step. LCMS m/z = 332.0 (M+H) + . 5. Synthesis of 2-((6-bromo-2-methylpyridin-3-yl)sulfonyl)-6-(tetrahydro-2H- pyran-4- yl)-2,6-diazaspiro[3.3]heptane 2-((6-bromo-2-methylpyridin-3-yl)sulfonyl)-6-(tetrahydro-2H- pyran-4-yl)-2,6- diazaspiro[3.3]heptane was prepared from2-((6-bromo-2-methylpyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane (71 mg, 214 µ mol) and tetrahydropyran-4-one (24 mg, 230 µ mol) using a similar method described in step 5 for Example 163. The crude compound (77 mg, 185 umol, 87% yield) was used without further purification in the next step. LCMS m/z = 416.1 (M+H) + . 6. Synthesis of 2-((2-methylpyridin-3-yl)sulfonyl)-6-(tetrahydro-2H-pyran-4- yl)-2,6- diazaspiro[3.3]heptane A mixture of 2-((6-bromo-2-methylpyridin-3-yl)sulfonyl)-6-(tetrahydro-2H- pyran-4-yl)-2,6- diazaspiro[3.3]heptane (200 mg, 480 umol) Pd(dppf)Cl2 (70 mg, 96 umol) , potassium carbonate (199 mg, 1.44 mmol) and trifluoro-[1-(trifluoromethyl)vinyl]boron (117 mg, 721 umol) in dioxane (2.25 mL) and water (0.25 mL) was degassed by purging with nitrogen for 5 min. The resulting orange mixture was heated at 80 C for overnight. The mixture was diluted with EtOAc (5 mL), filtered and directly subjected to column chromatography (24g SiO2, 0- 100% EtOH:EtOAc 1:3 in heptane).The obtained material was further purified by HPLC (NH4OH, 0-60% ACN in water, 60 mL/min system) yielding the title compound (7 mg, 22 umol, 5% yield) as a colorless oil. LCMS m/z = 338.3 (M+H) + . 1 H NMR (400 MHz, CD 3 OD) δ (ppm): 8.67 (dd, 1H, J=1.5, 4.9 Hz), 8.30 (dd, 1H, J=1.5, 7.9 Hz), 7.48 (dd, 1H, J=5.0, 7.8 Hz), 4.00 (s, 4H), 3.93 (br dd, 2H, J=1.5, 11.9 Hz), 3.35 (m, 6H), 2.83 (s, 3H), 2.27 (tt, 1H, J=4.0, 10.6 Hz), 1.67 (br dd, 2H, J=1.7, 12.7 Hz), 1.2-1.3 (m, 2H). Example 165: 2-((6-chloro-5-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(te trahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane 2-((6-chloro-5-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(te trahydro-2H-pyran-4-yl)-2,6- diazaspiro[3.3]heptane was prepared using a similar method described for Example 36 from the hydrochloride salt of 2-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane (50 mg, 200 µmol) and 6-chloro-5-(trifluoromethyl)pyridine-3-sulfonyl chloride (77 mg, 247 µmol). The crude product was purified by HPLC (basic conditions, 5-50% acetonitrile) yielding the title compound as a colorless oil (16 mg, 14% yield). LCMS m/z = 426.2 (M+H) + . 1 H NMR (400 MHz, CD 3 OD) δ (ppm): 8.93 (d, 1H, J=2.1 Hz), 8.39 (d, 1H, J=2.1 Hz), 3.86 (s, 4H), 3.79 (br dd, 2H, J=1.8, 10.1 Hz), 3.2-3.3 (m, 2H), 3.15 (s, 4H), 2.12 (tt, 1H, J=4.0, 10.8 Hz), 1.52 (br dd, 2H, J=1.8, 12.5 Hz), 1.0-1.1 (m, 2H). Example 166: 2-((3-(1,1-difluoroethyl)-1-methyl-1H-pyrazol-5-yl)sulfonyl) -6- (tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane 1. Synthesis of 2-((3-bromo-1-methyl-1H-pyrazol-5-yl)sulfonyl)-6-(tetrahydro -2H-pyran- 2-((3-bromo-1-methyl-1H-pyrazol-5-yl)sulfonyl)-6-(tetrahydro -2H-pyran-4-yl)-2,6- diazaspiro[3.3]heptane was prepared using a similar method described for Example 36 from the hydrochloride salt of 2-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane (328 mg, 1.5 mmol) and 3-bromo-1-methyl-1H-pyrazole-5-sulfonyl chloride (503 mg, 1.9 mmol). The crude product was purified by column chromatography (24g SiO2, 40-85% EtOH:EtOAc 1:3 in heptane) yielding the title compound (316 mg, 780 umol, 52% yield). LCMS m/z = 405.2(M+H) + . 1 H NMR (500 MHz, DICHLOROMETHANE-d 2 ) δ (ppm) 6.74 (s, 1H), 4.05 (s, 3H), 3.94 (s, 4H), 3.88 - 3.82 (m, 2H), 3.33 - 3.26 (m, 2H), 3.17 (s, 4H), 2.14 - 2.03 (m, 1H), 1.58 - 1.53 (m, 2H), 1.24 - 1.14 (m, 2H). 2. Synthesis of 1-(1-methyl-5-((6-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[ 3.3]heptan- A mixture of 2-((3-bromo-1-methyl-1H-pyrazol-5-yl)sulfonyl)-6-(tetrahydro -2H-pyran-4-yl)- 2,6-diazaspiro[3.3]heptane (82 mg, 202 umol), Tetrakis(triphenylphosphine)palladium(0) (47 mg, 41 umol) and dibutyl-(1-ethoxyvinyl)-propyl-stannane (141 mg, 405 umol, 131 uL) in dioxane (2 mL) was degassed by purging with nitrogen for 15 min. the resulting orange mixture was heated at reflux for overnight. The resulting reaction mixture was cooled to room temperature and 3N HCl (2 mL) was added. After 2 hr, EtOAc (5 mL) was added. the organic phase was separated, dried over Na2SO4, filtered and concentrated under reduced pressure. Column chromatography (12g SiO2, 30-100% EtOH:EtOAc 1:3 in heptane) of the crude residue yielded the title compound (51 mg, 138 umol, 68% yield) as a pale orange residue as a mixture of unidentified impurities. The material was used without further purification in the next step. LCMS m/z = 369.3 (M+H) + . 3. Synthesis of 2-((3-(1,1-difluoroethyl)-1-methyl-1H-pyrazol-5-yl)sulfonyl) -6- (tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane 1-(1-methyl-5-((6-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[ 3.3]heptan-2-yl)sulfonyl)-1H- pyrazol-3-yl)ethan-1-one (51 mg, 138 umol) was taken up in a DCM (2 mL) and DAST (134 mg, 831 umol, 110 uL) was added at room temperature. As no product formation was observed the reaction mixture was concentrated under reduced pressure more DAST (134 mg, 831 umol, 110 uL) and triethylamine trihydrofluoride (199 mg, 1.23 mmol, 200 uL) were added and the resulting mixture was stirred at rt for 5 hr. EtOAc (10 mL) and sat. aq. NaHCO3 (10 mL) were added. The organic phase was separated, dried over Na2SO4, filtered and concentrated under reduced pressure. The resulting residue was purified by HPLC under basic conditions (5-55% CH 3 CN in water) yielding the title compound (4 mg, 10 umol, 7% yield) as a colorless residue. LCMS m/z = 391.3 (M+H) + . 1 H NMR (400 MHz, CD 3 OD) δ (ppm): 6.92 (s, 1H), 4.00 (d, 7H, J=7.0 Hz), 3.88 (br dd, 2H, J=3.2, 11.8 Hz), 3.83 (br s, 4H), 3.2-3.3 (m, 4H), 2.82 (br d, 1H, J=0.9 Hz), 1.88 (t, 3H, J=18.6 Hz), 1.6-1.8 (m, 2H), 1.2-1.3 (m, 3H). Example 167: rac-2-(1-(1-methyl-2-oxabicyclo[2.1.1]hexan-4-yl)ethyl)-6-(( 2-methyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]h eptane To a mixture of 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane (50 mg, 115 umol, Trifluoroacetic acid) and 1-(1-methyl-2- oxabicyclo[2.1.1]hexan-4-yl)ethanone (20 mg, 138 umol) in acetic acid (41 mg, 689 umol, 40 uL) and DCM (2 mL) was added STAB (100 mg, 472 umol) at rt. Stirring was continued for 30 min. The reaction mixture was diluted with EtOAc (5 mL) and washed with sat. aq. NaHCO3 (2 mL), water (2 mL) and brine (2 mL). The organic phase was dried over Na2SO4, filtered and concentrated. Column chromatography (12g SiO2, 50-100 % EtOH:EtOAc 1:3 in heptane) of the resulting residue resulted in the title compound as a pale yellow residue (41 mg, 92 umol, 80% yield). LCMS m/z = 446.0 (M+H) + . 1 H NMR (500 MHz, CD 3 OD) δ (ppm): 8.35 (br d, 1H, J=7.9 Hz), 7.73 (br d, 1H, J=8.2 Hz), 3.93 (s, 4H), 3.53 (br s, 2H), 3.2-3.4 (m, 4H), 2.76 (s, 3H), 2.53 (br d, 1H, J=6.4 Hz), 1.4-1.6 (m, 2H), 1.3-1.4 (m, 2H), 1.26 (s, 3H), 0.83 (br d, 3H, J=6.7 Hz). Example 168: 2-((6-methoxy-4-methylpyridin-3-yl)sulfonyl)-6-(tetrahydro-2 H-pyran-4- yl)-2,6-diazaspiro[3.3]heptane The title compound was prepared using a similar method described for Example 36 from the hydrochloride salt of 2-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane (26 mg, 100 µmol) and 6-methoxy-4-methylpyridine-3-sulfonyl chloride (24 mg, 110 µmol). The crude product was purified by HPLC (acidic conditions, 5-55% acetonitrile) yielding the title compound as an off-white residue (43 mg, 88% yield, TFA salt). LCMS m/z = 368.2 (M+H) + . LCMS t R (2 min) = 0.49 min. Example 169: 2-methyl-3-((6-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3 ]heptan-2- yl)sulfonyl)-2,4,5,6-tetrahydrocyclopenta[c]pyrazole The title compound was prepared using a similar method described for Example 36 from the hydrochloride salt of 2-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane (26 mg, 100 µmol) and 2-methyl-2,4,5,6-tetrahydrocyclopenta[c]pyrazole-3-sulfonyl chloride (24 mg, 110 µmol). The crude product was purified by HPLC (acidic conditions, 5-55% acetonitrile) yielding the title compound as an off-white residue (45 mg, 94% yield, TFA salt). LCMS m/z = 367.2 (M+H) + . LCMS t R (2 min) = 0.49 min. Examples 170 to 186: Examples 170 to 186, shown in the Table below, were made using the general procedure described below: 1. Synthesis of 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- tert-Butyl 6-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-d iazaspiro[3.3]heptane- 2-carboxylate (7.0 g, 16.61 mmol) was dissolved in acetonitrile (50 mL) and p- toluenesulfonic acid monohydrate (7 g, 36.80 mmol) was added. The reaction was stirred at RT for 2 hrs. The resulting thick white solid was filtered and the filter cake was rinsed with acetonitrile to afford the title compound as a TsOH salt. 1 H NMR (500 MHz, DMSO-d6) δ (ppm) 8.39 - 8.52 (m, 3H), 7.99 (d, J=8.24 Hz, 1H), 7.50 (d, J=7.94 Hz, 2H), 7.13 (d, J=7.94 Hz, 2H), 4.08 - 4.14 (m, 8H), 2.81 (s, 3H), 2.29 (s, 3H). LCMS m/z = 322.0 [M+ H] + . 2. General procedure for the reductive amination using 2-((2-methyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]h eptane p-toluenesulfonic acid salt To a mixture of 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane (35 mg, 70 umol, pTsOH salt, 1 equiv.), aldehyde (1.4 equiv.) and DIPEA (1 equiv.) in 1,2-dichloroethane (1 ml) was added tetramethylammonium triacetoxyborohydride. (5 equiv., In case of using a salt of any reagent, an additional equivalent of DIPEA was added). The reaction mixture was stirred at room temperature for 16 hours. The solvent was evaporated under reduce pressure and the residue was mixed with ammonium hydroxide (1 ml, of 5% solution in MeOH). The resulting mixture was evaporated under reduce pressure and the residue was dissolved in DMSO (appr. 1 ml up to 100 mg of product). The solution was neutralized with acetic acid, filtered, analyzed by LCMS, and transferred for HPLC purification. The purification was performed using Agilent 1260 Infinity systems equipped with DAD and mass-detector. Waters Sunfire C18 OBD Prep Column, 100 A, 5 µm, 19 mm × 100 mm with SunFire C18 Prep Guard Cartridge, 100 A, 10 µm, 19 mm × 10 mm was used. Deionized Water (phase A) and HPLC-grade Methanol or Acetonitrile (phase B) were used as an eluent. In some cases, ammonia or TFA was used as an additive to improve the separation of the products. In these cases, free bases and TFA salts of the products were formed respectively.
Example 187: 4-((6-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2 ,6- diazaspiro[3.3]heptan-2-yl)methyl)tetrahydro-2H-pyran-4-ol To a mixture of 1,6-dioxaspiro[2.5]octane (32 mg, 0.28 mmol) and 2-[[2-methyl-6- (trifluoromethyl)-3-pyridyl]sulfonyl]-2,6-diazaspiro[3.3]hep tane TFA salt (80 mg, 0.18 mmol,) in EtOH (1 mL) was added Hunigs base (64 mL, 0.37 mmol). The reaction solution was heated at 55 C for 30 min, and rt overnight. Added EtOAc and satd. NaHCO 3 , the organic phase was washed with water and concentrated. The residue was purified by normal phase column (12 g, EtOAc/EtOH 3/1 in heptane 50-100%) to get 4-((6-((2-methyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]h eptan-2-yl)methyl)tetrahydro-2H- pyran-4-ol as a white solid (64 mg, 80% yield). LCMS m/z = 436.2 (M+H) + . 1 H NMR (400 MHz, CD 3 OD) δ (ppm): 8.48 (d, J = 8.0 Hz, 1H), 7.85 (d, J = 8.0 Hz, 1H), 4.61 (br s, 1H), 4.05 (s, 4H), 3.63-3.82 (m, 4H), 3.44 (s, 4H), 2.88 (s, 3H), 2.44 (s, 2H), 1.55-1.70 (m, 2H), 1.38- 1.52 (m, 2H) Example 188: 2-((4-fluorotetrahydro-2H-pyran-4-yl)methyl)-6-((2-methyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]h eptane To a solution of 4-((6-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2 ,6- diazaspiro[3.3]heptan-2-yl)methyl)tetrahydro-2H-pyran-4-ol (22 mg, 0.051 mmol) in DCM (2 mL) was added DAST (19 mg, 0.12 mmol) at rt. The mixture was stirred at rt for 30 min. Added DCM and satd. NaHCO3. The organic phase was washed with water and concentrated. The residue was purified by normal phase column chromatography on silica gel (12g, EtOAc in EtOH 3/1 in heptane 20-100%) to get 2-((4-fluorotetrahydro-2H-pyran-4-yl)methyl)-6-((2- methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazasp iro[3.3]heptane as a white solid (5.8 mg, 26% yield). LCMS m/z = 438.2 (M+H) + . 1 H NMR (400 MHz, CD 3 OD) δ (ppm): 8.47 (d, J = 8.0 Hz, 1H), 7.85 (d, J = 8.0 Hz, 1H), 4.05 (s, 4H), 3.61-3.81 (m, 4H), 3.43 (s, 4H), 2.88 (s, 3H), 2.57-2.68 (m, 2H), 1.59-1.82 (m, 4H). Example 189: 2-((3-isopropyl-1-methyl-1H-pyrazol-5-yl)sulfonyl)-6-(tetrah ydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane To a mixture of 2-tetrahydropyran-4-yl-2,6-diazaspiro[3.3]heptane, 2HCl (18 mg, 0.071 mmol) and 5-isopropyl-2-methyl-pyrazole-3-sulfonyl chloride (17 mg, 0.074 mmol) in DCM (5 mL) was added Hunigs base (49 mL, 0.28 mmol). The reaction mixture was stirred at rt for 3h. It was quanched with satd. NaHCO3, added water, and stirred at rt for 5 min. The organic phase was washed with water and concentrated. The residue was purified by normal phase column chromatography on silica gel (12g, EtOAc/EtOH 3/1 in heptane 50-100%) to get 2-((3- isopropyl-1-methyl-1H-pyrazol-5-yl)sulfonyl)-6-(tetrahydro-2 H-pyran-4-yl)-2,6- diazaspiro[3.3]heptane as a colorless oil after lyophilization. LCMS m/z = 369.2 (M+H) + . 1 H NMR (400 MHz, CD 3 OD) δ (ppm): 6.58 (s, 1H), 3.92 (s, 3H), 3.75-3.88 (m, 7H), 3.23-3.28 (m, 1H), 3.15 (s, 4H), 2.87 (quin, J = 7.0 Hz, 1H), 2.13 (tt, J = 10.7, 4.1 Hz, 1H), 1.46-1.63 (m, 2H), 1.16 (d, J = 7.0 Hz, 6H), 1.03-1.14 (m, 2H). Example 190: 2-((2-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 6- ((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptan e 4. Synthesis of 2-cyclopropyl-6-(trifluoromethyl)pyridin-3-amine. To a solution of 2-iodo-6-(trifluoromethyl)pyridin-3-amine (14.7 g, 51 mmol) in toluene (150 mL) and water (50 mL) was added cyclopropylboronic acid (21.9 g, 255 mmol) , K3PO4 (32.5 g, 153 mmol), S-Phos (2.1 g, 5.1 mmol), and Pd 2 (dba) 3 (2.3 g, 2.5 mmol). The mixture was stirred at 70 °C under nitrogen. After 16 hours, the mixture was cooled to room temperature then filtered. The solution was diluted with brine then extracted with ethyl acetate. After drying over anhydrous sodium sulfate and concentration under vacuum, the residue was purified by a silica gel column eluting with dichloromethane/ petroleum ether (1/10) to afford a brown oil as 2-cyclopropyl-6-(trifluoromethyl)pyridin-3-amine (9.5 g, 92 %). LCMS m/z = 203.0 (M+ H) + . 1 H NMR (400 MHz, CDCl 3 ) δ (ppm) 7.35 (d, J = 8.8 Hz, 1H), 6.93 (d, J = 7.6 Hz, 1H), 4.46 (br s, 2H), 1.80-1.84 (m , 1H), 0.97-1.05 (m, 4H). 5. Synthesis of 2-cyclopropyl-6-(trifluoromethyl)pyridine-3-sulfonyl chloride. Thionyl chloride (12 mL, 170 mmol) was slowly added to water (76 mL) at 0 °C. During the addition of water, the temperature was maintained between 0 - 5 °C. After addition of water, the solution was warmed to 15 °C, then copper chloride (1.2 g, 12 mmol) was added. The solution was diluted with additional water (48 mL) and cooled back to 0 °C. A solution of sodium nitrite (2.7 g, 40 mmol) in water (48 mL) was slowly added to a solution of 2- cyclopropyl-6-(trifluoromethyl)pyridin-3-amine (8 g, 40 mmol) in conc. HCl (64 mL) at 0 °C. During addition, the temperature was maintained between 0-5° C. This mixture was slowly added to the above prepared solution to maintain a temperature between 0-5 °C. A voluminous precipitate formed. The mixture was stirred for an additional 30 min after addition, then the solid was collected by filtration. The filter cake was washed with water (300 mL x2) to afford an orange solid as 2-cyclopropyl-6-(trifluoromethyl)pyridine-3-sulfonyl chloride (5 g, 44 %). 1 H NMR (400 MHz, CDCl3) δ (ppm) 8.43 (d, J = 8.4 Hz, 1H), 7.58 (d, J = 8.4 Hz, 1H), 2.98- 3.04 (m, 1H), 1.44-1.46 (m, 2H), 1.32-1.35 (m, 2H). 6. Synthesis of tert-butyl 6-((2-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 2,6-diazaspiro[3.3]heptane-2-carboxylate. To a vial containing tert-butyl 2,6-diazaspiro[3.3]heptane-2-carboxylate hydrochloride (474 mg, 2.0 mmol) in anhydrous dichloromethane (10 mL) was added Hunigs Base (1.6 mL, 9.2 mmol) carefully dropwise at < 5 °C. After 5 minutes, 2-cyclopropyl-6- (trifluoromethyl)pyridine-3-sulfonyl chloride (711 mg, 2.5 mmol) was added carefully to the cold solution. Upon complete addition of sulfonyl chloride, the reaction was warmed to 23 °C and monitored with LCMS. After 1 hour, the reaction was carefully quenched with slow addition of aqueous saturated sodium bicarbonate solution. The mixture was stirred at 23 °C for 20 minutes, then the biphasic mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (5-45% ethyl acetate in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a white solid as tert-butyl 6-((2-cyclopropyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]h eptane-2-carboxylate (888 mg, 98%) that was used without further purification. 1 H NMR (500 MHz, DICHLOROMETHANE-d2) δ (ppm) 8.31 (d, J = 8.2 Hz, 1H), 7.53 (d, J = 8.2 Hz, 1H), 4.05 (s, 4H), 3.97 (s, 4H), 2.88 (ddd, J = 3.2, 4.7, 8.0 Hz, 1H), 1.39 (s, 9H), 1.32 - 1.29 (m, 2H), 1.20 - 1.16 (m, 2H). 7. Synthesis of 2-((2-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 2,6- diazaspiro[3.3]heptane trifluoroacetate. To a flask containing tert-butyl 6-((2-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 2,6-diazaspiro[3.3]heptane-2-carboxylate (888 mg, 2 mmol) in HFiPA (6 mL) was added TFA (0.6 mL, 7.8 mmol) carefully dropwise at <5 °C. Upon complete addition of TFA, the mixture was warmed to room temperature and monitored with LCMS. After 19 hours, the mixture was concentrated under reduced pressure to afford a dark yellow residue that was triturated with methanol to afford a white solid as 2-((2-cyclopropyl-6-(trifluoromethyl)pyridin-3- yl)sulfonyl)-2,6-diazaspiro[3.3]heptane trifluoroacetate that was used without purification. LCMS m/z = 348.2 (M+ H) + . 8. Synthesis of 2-((2-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 6- ((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptan e. A vial containing 2-((2-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 2,6- diazaspiro[3.3]heptane trifluoroacetate (80 mg, 174 ^mol) in anhydrous methanol (1 mL) was cooled in an ice water bath, then Hunigs Base (0.13 mL, 746 ^mol) was added carefully to free base the starting material. After 20 minutes, tetrahydropyran-4-carbaldehyde (46 mg, 401 ^mol) and acetic acid (0.05 mL, 873 ^mol) were carefully added to the cooled mixture. After 15 minutes, sodium triacetoxyborohydride (214 mg, 1.0 mmol) was added carefully in portions to the cooled reaction solution. Upon complete addition of STAB, the reaction was maintained at <5 °C and monitored with LCMS. After 1.5 hours, the reaction was carefully quenched with slow addition of aqueous saturated sodium bicarbonate solution. The mixture was stirred at 23 °C for 30 minutes, then the mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (20-70 % 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a colorless film as 2-((2-cyclopropyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((tetrahydro-2H-py ran-4-yl)methyl)-2,6- diazaspiro[3.3]heptane (36 mg, 44%). LCMS m/z = 446.4 (M+ H) + . 1 H NMR (500 MHz, DMSO-d6) δ (ppm) 8.39 (d, J = 8.2 Hz, 1H), 7.84 (d, J = 7.9 Hz, 1H), 3.99 (s, 4H), 3.77 (br dd, J = 2.9, 11.1 Hz, 2H), 3.20 (br t, J = 11.4 Hz, 2H), 3.13 (s, 4H), 2.91 - 2.86 (m, 1H), 2.15 (br d, J = 6.7 Hz, 2H), 1.48 (br d, J = 12.8 Hz, 2H), 1.43 - 1.36 (m, 1H), 1.24 - 1.18 (m, 2H), 1.17 - 1.12 (m, 2H), 1.11 - 1.02 (m, 2H). Example 191: 2-((2-methyl-6-(1-(trifluoromethyl)cyclopropyl)pyridin-3-yl) sulfonyl)-6- ((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptan e 1. Synthesis of tert-butyl 6-((tetrahydro-2H-pyran-4-yl)methyl)-2,6- diazaspiro[3.3]heptane-2-carboxylate. A flask containing tert-butyl 2,6-diazaspiro[3.3]heptane-2-carboxylate hydrochloride (1.0 g, 4.5 mmol) in anhydrous methanol (25 mL) was cooled in an ice water bath, then Hunigs Base (2.4 mL, 13.8 mmol) was added carefully dropwise. After 10 minutes, tetrahydropyran-4- carbaldehyde (1.1 g, 9.6 mmol) and acetic acid (1.1 mL, 19.2 mmol) were added carefully at <5 °C. After 10 minutes, sodium triacetoxyborohydride (4.1 g, 19.5 mmol) was added carefully in portions to the cooled reaction solution. Upon complete addition of STAB, the reaction was warmed to 23 °C and monitored with LCMS. After 2 hours, the reaction was carefully quenched with slow addition of aqueous saturated sodium bicarbonate solution. The mixture was stirred at 23 °C for 30 minutes, then the mixture was extracted three times with ethyl acetate. The organic extractions were pooled then dried over anhydrous sodium sulfate. After filtration and concentration under reduced pressure, the colorless residue was loaded onto a silica gel column and purified with (50-100% 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a colorless film that solidified into a white solid as tert-butyl 6-((tetrahydro-2H-pyran-4-yl)methyl)-2,6- diazaspiro[3.3]heptane-2-carboxylate (1.1 g, 87%) that was used without further purification. LCMS m/z = 297.3 (M+ H) + . 1 H NMR (500 MHz, DMSO-d 6 ) δ (ppm) 3.86 (br s, 4H), 3.78 (br dd, J = 2.7, 11.3 Hz, 2H), 3.22 (dt, J = 1.7, 11.7 Hz, 2H), 3.20 - 3.12 (m, 4H), 2.17 (d, J = 6.7 Hz, 1H), 1.90 (s, 1H), 1.51 (br d, J = 13.1 Hz, 2H), 1.43 (dtd, J = 3.7, 7.4, 14.6 Hz, 1H), 1.35 (s, 9H), 1.08 (dq, J = 4.4, 12.2 Hz, 2H). 2. Synthesis of 2-((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]hept ane trifluoroacetate. To a flask containing tert-butyl 6-((tetrahydro-2H-pyran-4-yl)methyl)-2,6- diazaspiro[3.3]heptane-2-carboxylate (1.1 g, 3.9 mmol) in HFiPA (11 mL) was added TFA (1.1 mL, 14 mmol) carefully dropwise at <5 °C. Upon complete addition of TFA, the mixture was warmed to room temperature and monitored with LCMS. After 18 hours, the mixture was concentrated under reduced pressure to afford a yellow film as 2-((tetrahydro-2H-pyran-4- yl)methyl)-2,6-diazaspiro[3.3]heptane trifluoroacetate that was used without purification. LCMS m/z = 197.3 (M+ H) + . 3. Synthesis of 2-((2-methylpyridin-3-yl)sulfonyl)-6-((tetrahydro-2H-pyran-4 - yl)methyl)-2,6-diazaspiro[3.3]heptane. To a vial containing 2-((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]hept ane trifluoroacetate (511 mg, 1.6 mmol) in anhydrous dichloromethane (10 mL) was added Hunigs Base (1.3 mL, 7.5 mmol) carefully dropwise at room temperature. After 10 minutes, 2- methylpyridine-3-sulfonyl chloride (406 mg, 2.1 mmol) was added carefully to the homogeneous mixture. Upon complete addition of sulfonyl chloride, the reaction was maintained at 23 °C and monitored with LCMS. After 19 hours, the reaction mixture was cooled to room temperature then carefully quenched with slow addition of aqueous saturated sodium bicarbonate solution. The heterogeneous mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (55-100 % 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a faint yellow film as 2-((2-methylpyridin-3-yl)sulfonyl)-6-((tetrahydro-2H-pyran-4 -yl)methyl)-2,6- diazaspiro[3.3]heptane (256 mg, 42%) that was used without further purification. LCMS m/z = 352.3 (M+ H) + . 1 H NMR (500 MHz, DMSO-d6) δ (ppm) 8.72 (br d, J = 4.6 Hz, 1H), 8.17 (d, J = 7.9 Hz, 1H), 7.49 (dd, J = 5.0, 7.8 Hz, 1H), 3.92 (br s, 4H), 3.78 (br dd, J = 2.9, 10.8 Hz, 2H), 3.49 - 3.33 (m, 3H), 3.21 (br t, J = 11.4 Hz, 4H), 2.74 (s, 3H), 2.43 - 2.18 (m, 1H), 1.49 (br d, J = 12.5 Hz, 3H), 1.13 - 1.04 (m, 2H). 4. Synthesis of 2-((2-methyl-6-(1-(trifluoromethyl)cyclopropyl)pyridin-3-yl) sulfonyl)- 6-((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]hept ane. A vial containing 2-((2-methylpyridin-3-yl)sulfonyl)-6-((tetrahydro-2H-pyran-4 -yl)methyl)- 2,6-diazaspiro[3.3]heptane (47 mg, 135 ^mol) and sodium 1- (trifluoromethyl)cyclopropanesulfinate (169 mg, 861 ^mol) in diethyl carbonate (0.8 mL) and water (0.6 mL) was cooled in an ice water bath, then 2-hydroperoxy-2-methyl- propane, 70 wt % in water (0.2 mL, 1.4 mmol) was added carefully dropwise at <5 °C. After 10 minutes, the reaction was carefully heated to 85 °C and monitored with LCMS. After 1.5 hours, the reaction mixture was cooled to room temperature then diluted with dichloromethane. The mixture was carefully quenched with slow addition of saturated, aqueous sodium bicarbonate. The organic layer was dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (25-90 % 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a colorless film that was dissolved in DMSO and few drops of water then filtered. The homogeneous solution was submitted for mass directed reverse phase HPLC purification. Liquid chromatography was performed using a Waters XSelect CSH C18, 5 μm, 30 mm × 50 mm column with mobile phase H 2 O (A) and MeCN (B) and a gradient of 5 − 60 % B (0.2% NH 4 OH final v/v % modifier) with flow rate at 60 mL/min. The desired fractions were pooled then concentrated under reduced pressure to afford a colorless film as 2-[[2-methyl-6-[1-(trifluoromethyl)cyclopropyl]-3- pyridyl]sulfonyl]-6-(tetrahydropyran-4-ylmethyl)-2,6-diazasp iro[3.3]heptane (2.8 mg, 4 %). LCMS m/z = 460.3 (M+ H) + . 1 H NMR (500 MHz, DICHLOROMETHANE-d 2 ) δ (ppm) 8.09 (d, J = 8.5 Hz, 1H), 7.51 (d, J = 8.2 Hz, 1H), 3.92 (s, 4H), 3.86 (br dd, J = 3.1, 11.0 Hz, 2H), 3.29 (dt, J = 1.5, 11.7 Hz, 2H), 3.20 (s, 4H), 2.74 (s, 3H), 2.20 (br d, J = 6.7 Hz, 2H), 1.57 - 1.52 (m, 4H), 1.49 - 1.42 (m, 3H), 1.21 - 1.13 (m, 2H). Example 192: 2-((2-chloro-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(te trahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane To a vial containing 2-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane hydrochloride (529 mg, 2.4 mmol) in anhydrous dichloromethane (10 mL) was added Hunigs Base (1.8 mL, 10 mmol) carefully dropwise at < 5 °C. After 5 minutes, 2-chloro-6-(trifluoromethyl)pyridine- 3-sulfonyl chloride (820 mg, 2.9 mmol) was added carefully to the cold solution. Upon complete addition of sulfonyl chloride, the reaction was warmed to 23 °C and monitored with LCMS and TLC. After 30 minutes, the reaction was carefully quenched with slow addition of saturated, aqueous sodium bicarbonate solution. The mixture was stirred at 23 °C for 20 minutes, then the biphasic mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (15-75% 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a white solid as 2-((2-chloro-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(tetrahydro-2H-pyr an-4-yl)-2,6- diazaspiro[3.3]heptane (624 mg, 58%). LCMS m/z = 426.3 (M+H) + . 1 H NMR (500 MHz, DICHLOROMETHANE-d2) δ (ppm) 8.50 (d, J = 7.9 Hz, 1H), 7.77 (d, J = 7.9 Hz, 1H), 4.19 (s, 4H), 3.85 (td, J = 3.5, 11.5 Hz, 2H), 3.33 - 3.28 (m, 2H), 3.27 - 3.21 (m, 4H), 2.14 - 2.07 (m, 1H), 1.56 (br d, J = 12.8 Hz, 2H), 1.24 - 1.16 (m, 2H). Example 193: 2-((2-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 6-(tetrahydro- 2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane A vial containing 2-((2-chloro-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(te trahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane (181 mg, 425 ^mol), potassium cyclopropyltrifluoroborate (200 mg, 1.5 mmol), tricyclohexylphosphine (42 mg, 151 ^mol), Pd2dba3 (46 mg, 50 ^mol), Pd(dppf)Cl2 CH 2 Cl2 (73 mg, 89 ^mol), and potassium carbonate (277 mg, 2.0 mmol) in Dioxane (4 mL) and water (0.4 mL) was degassed and backfilled with nitrogen. The heterogeneous reaction mixture was carefully heated to 85 °C and monitored with LCMS. After 19 hours, the heterogeneous reaction was cooled to room temperature then filtered through a celite plug. The filtrate was concentrated under reduced pressure, then the residue was loaded onto a silica gel column and purified with (10-65% 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a brown film that was dissolved in DMSO and few drops of water then filtered. The homogeneous solution was submitted for mass directed reverse phase HPLC purification. Liquid chromatography was performed using a Waters XSelect CSH C18, 5 μm, 30 mm × 100 mm column with mobile phase H2O (A) and MeCN (B) and a gradient of 5 − 55 % B (0.2% NH4OH final v/v % modifier) with flow rate at 50 mL/min. Fractions containing desired product were pooled then concentrated under reduced pressure to afford a brown film as 2-((2-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 6-(tetrahydro-2H-pyran- 4-yl)-2,6-diazaspiro[3.3]heptane (46 mg, 24 %). LCMS m/z = 432.2 (M+H) + . 1 H NMR (400 MHz, DICHLOROMETHANE-d2) δ (ppm) 8.34 - 8.26 (m, 1H), 7.52 (d, J = 8.0 Hz, 1H), 4.01 (s, 4H), 3.88 - 3.82 (m, 2H), 3.30 (dt, J = 2.4, 11.2 Hz, 2H), 3.19 (s, 4H), 2.92 (tt, J = 4.8, 8.0 Hz, 1H), 2.09 (tt, J = 3.9, 9.8 Hz, 1H), 1.59 - 1.53 (m, 2H), 1.32 - 1.27 (m, 2H), 1.23 - 1.12 (m, 4H). Example 194: 2-((2-methyl-4-(trifluoromethyl)phenyl)sulfonyl)-6-((tetrahy dro-2H- pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane To a vial containing 2-((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]hept ane trifluoroacetate (65 mg, 210 ^mol) in anhydrous dichloromethane (1 mL) was added Hunigs Base (0.16 mL, 919 ^mol) carefully dropwise at room temperature. After 10 minutes, 2- methyl-4-(trifluoromethyl)benzenesulfonyl chloride (73 mg, 283 ^mol) was added carefully to the homogeneous mixture. Upon complete addition of sulfonyl chloride, the reaction was maintained at 23 °C and monitored with LCMS and TLC. After 1.5 hours, the reaction mixture was carefully quenched with slow addition of saturated aqueous sodium bicarbonate solution. The heterogeneous mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (35-95 % 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a colorless film as 2-((2-methyl-4- (trifluoromethyl)phenyl)sulfonyl)-6-((tetrahydro-2H-pyran-4- yl)methyl)-2,6- diazaspiro[3.3]heptane (2.3 mg, 2 %). LCMS m/z = 419.1 (M+ H) + . 1 H NMR (500 MHz, DICHLOROMETHANE-d2) δ (ppm) 8.02 (d, J = 8.2 Hz, 1H), 7.62 - 7.56 (m, 2H), 3.94 (s, 4H), 3.86 (br dd, J = 3.1, 11.0 Hz, 2H), 3.36 - 3.19 (m, 6H), 2.66 (s, 3H), 2.23 (br s, 2H), 1.56 - 1.39 (m, 3H), 1.21 - 1.12 (m, 2H). Examples 195 and 196: 4-(6-((2-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfony l)- 2,6-diazaspiro[3.3]heptan-2-yl)-1-methylcyclohexan-1-ol and 4-(6-((2-cyclopropyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazaspiro[3.3]h eptan-2-yl)-1- methylcyclohexan-1-ol vial containing 2-((2-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 2,6- diazaspiro[3.3]heptane trifluoroacetate (191 mg, 415 ^mol) in anhydrous methanol (3 mL) was cooled in an ice water bath, then Hunigs Base (0.3 mL, 1.7 mmol) was added carefully to free base the starting material. After 20 minutes, 4-hydroxy-4-methyl-cyclohexanone (119 mg, 927 ^mol) and acetic acid (0.13 mL, 2.3 mmol) were carefully added to the cooled mixture. After 15 minutes, sodium triacetoxyborohydride (510 mg, 2.4 mmol) was added carefully in portions to the cooled reaction solution. Upon complete addition of STAB, the reaction was maintained at <5 °C and monitored with LCMS. After 1.5 hours, the reaction was carefully quenched with slow addition of aqueous saturated sodium bicarbonate solution. The mixture was stirred at 23 °C for 30 minutes, then the mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (20-65 % 3:1 ethyl acetate: ethanol in heptane.) Two compounds were obtained as colorless film, stereochemistry was arbitrarily assigned: First off column: 4-(6-((2-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfony l)-2,6- diazaspiro[3.3]heptan-2-yl)-1-methylcyclohexan-1-ol (92 mg, 46 %). LCMS m/z = 460.3 (M+ H) + . 1 H NMR (500 MHz, DMSO-d6) δ (ppm) 8.39 (br d, J = 7.9 Hz, 1H), 7.84 (br d, J = 8.2 Hz, 1H), 4.09 (br s, 1H), 3.98 (br s, 4H), 3.19 - 2.95 (m, 4H), 2.92 - 2.85 (m, 1H), 2.00 - 1.85 (m, 1H), 1.57 - 1.48 (m, 2H), 1.47 - 1.40 (m, 2H), 1.25 - 1.18 (m, 4H), 1.17 - 1.13 (m, 2H), 1.05 - 0.95 (m, 5H). Second off column: 4-(6-((2-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfony l)-2,6- diazaspiro[3.3]heptan-2-yl)-1-methylcyclohexan-1-ol (58 mg, 29 %). LCMS m/z = 460.3 (M+ H) + . LCMS m/z = 460.3 (M+ H) + . 1 H NMR (500 MHz, DMSO-d6) δ (ppm) 8.40 (d, J = 8.2 Hz, 1H), 7.85 (d, J = 8.2 Hz, 1H), 3.99 (s, 4H), 3.95 - 3.90 (m, 1H), 3.19 - 3.16 (m, 1H), 3.14 - 3.07 (m, 3H), 2.93 - 2.87 (m, 1H), 1.88 - 1.67 (m, 1H), 1.47 (br d, J = 11.3 Hz, 2H), 1.30 (br s, 2H), 1.25 - 1.20 (m, 3H), 1.19 - 1.11 (m, 5H), 1.05 (s, 3H). Examples 197: rac-2-((1-Methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfony l)-6- ((tetrahydrofuran-3-yl)methyl)-2,6-diazaspiro[3.3]heptane AND (S)-2-((1-methyl-3- (trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-6-((tetrahydrofu ran-3-yl)methyl)-2,6- diazaspiro[3.3]heptane 1. Synthesis of tert-butyl 6-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-2 ,6- To a vial containing tert-butyl 2,6-diazaspiro[3.3]heptane-2-carboxylate hydrochloride (1.2 g, 5.2 mmol) in anhydrous dichloromethane (20 mL) was added Hunigs Base (4.1 mL, 23 mmol) carefully dropwise at < 5 °C. After 5 minutes, 2-methyl-5-(trifluoromethyl)pyrazole-3- sulfonyl chloride (1.6 g, 6.5 mmol) was added carefully to the cold solution. Upon complete addition of sulfonyl chloride, the reaction was warmed to 23 °C and monitored with LCMS. After 1 hour, the reaction was carefully quenched with slow addition of aqueous 1 M sodium hydroxide solution. The mixture was stirred at 23 °C for 20 minutes, then the biphasic mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (10-45% ethyl acetate in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a white solid as tert-butyl 6-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5- yl)sulfonyl)-2,6-diazaspiro[3.3]heptane-2-carboxylate (1.4 g, 65%). 1 H NMR (500 MHz, DICHLOROMETHANE-d 2 ) δ (ppm) 7.02 (s, 1H), 4.13 (s, 3H), 4.03 (s, 4H), 3.98 (s, 4H), 1.39 (s, 9H). 2. Synthesis of 2-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-2 ,6- diazaspiro[3.3]heptane trifluoroacetate. To a vial containing tert-butyl 6-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)- 2,6-diazaspiro[3.3]heptane-2-carboxylate (1.3 g, 3.17 mmol) in anhydrous dichloromethane (11 mL) was added TFA (1 mL, 13 mmol) carefully dropwise at <5 °C. Upon complete addition of TFA, the mixture was monitored with LCMS. After 3.5 hours, the mixture was concentrated under reduced pressure to afford a faint yellow oil that solidified into an off white solid as 2-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-2 ,6- diazaspiro[3.3]heptane trifluoroacetate that was used without purification. LCMS m/z = 311.1 (M+ H) + . 3. Synthesis of rac-2-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfony l)-6- ((tetrahydrofuran-3-yl)methyl)-2,6-diazaspiro[3.3]heptane A vial containing 2-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-2 ,6- diazaspiro[3.3]heptane trifluoroacetate (106 mg, 251 ^mol) in anhydrous methanol (2 mL) was cooled in an ice water bath, then Hunigs Base (0.25 mL, 1.4 mmol) was added carefully to free base the starting material. After 20 minutes, tetrahydrofuran-3-carbaldehyde (121 mg, 605 ^mol) and acetic acid (1.1 mL, 19 mmol) were carefully added to the cooled mixture. After 15 minutes, sodium triacetoxyborohydride (389 mg, 1.8 mmol) was added carefully in portions to the cooled reaction solution. Upon complete addition of STAB, the reaction was maintained at <5 °C and monitored with LCMS. After 1.5 hours, the reaction was carefully quenched with slow addition of aqueous saturated sodium bicarbonate solution. The mixture was stirred at 23 °C for 30 minutes, then the mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (40-100 % 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a colorless film as rac-2-((1-methyl- 3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-6-((tetrahydro furan-3-yl)methyl)-2,6- diazaspiro[3.3]heptane (60 mg, 58%). LCMS m/z = 395.3 (M+ H) + . 1 H NMR (500 MHz, DICHLOROMETHANE-d2) δ (ppm) 7.01 (s, 1H), 4.13 (s, 3H), 3.98 (br s, 4H), 3.78 - 3.71 (m, 2H), 3.64 (q, J = 7.6 Hz, 1H), 3.34 (br t, J = 6.9 Hz, 1H), 3.32 - 3.05 (m, 4H), 2.44 - 2.22 (m, 2H), 2.19 - 1.88 (m, 2H), 1.49 (br d, J = 7.0 Hz, 1H). Example 198: rac-2-((2,2-dimethyltetrahydro-2H-pyran-4-yl)methyl)-6-((1-m ethyl-3- (trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-2,6-diazaspiro[3 .3]heptane A vial containing 2-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-2 ,6- diazaspiro[3.3]heptane trifluoroacetate (122 mg, 393 ^mol) in anhydrous methanol (2 mL) was cooled in an ice water bath, then Hunigs Base (0.4 mL, 2.3 mmol) was added carefully to free base the starting material. After 20 minutes, 2,2-dimethyltetrahydropyran-4-carbaldehyde (133 mg, 937 ^mol) and acetic acid (0.16 mL, 2.8 mmol) were carefully added to the cooled mixture. After 15 minutes, sodium triacetoxyborohydride (488 mg, 2.3 mmol) was added carefully in portions to the cooled reaction solution. Upon complete addition of STAB, the reaction was maintained at <5 °C and monitored with LCMS. After 2 hours, the milky heterogenous reaction was carefully quenched with slow addition of aqueous saturated sodium bicarbonate solution. The mixture was stirred at 23 °C for 30 minutes, then the mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (50-85 % 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a colorless film as rac-2-((2,2-dimethyltetrahydro-2H-pyran-4-yl)methyl)-6- ((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-2,6 -diazaspiro[3.3]heptane (623 mg, 35 %). LCMS m/z = 437.4 (M+ H) + . 1 H NMR (500 MHz, DICHLOROMETHANE-d2) δ (ppm) 7.01 (s, 1H), 4.13 (s, 3H), 3.97 (s, 4H), 3.67 - 3.60 (m, 1H), 3.59 - 3.52 (m, 1H), 3.18 (br s, 4H), 2.15 (br s, 2H), 1.62 (br s, 1H), 1.56 - 1.47 (m, 2H), 1.13 (d, J = 3.7 Hz, 6H), 1.12 - 0.89 (m, 2H). Examples 199 and 200: (R)-2-((2,2-dimethyltetrahydro-2H-pyran-4-yl)methyl)-6-((1- methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-2,6-dia zaspiro[3.3]heptane AND (S)-2-((2,2-dimethyltetrahydro-2H-pyran-4-yl)methyl)-6-((1-m ethyl-3-(trifluoromethyl)- 1H-pyrazol-5-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane rac-2-((2,2-dimethyltetrahydro-2H-pyran-4-yl)methyl)-6-((1-m ethyl-3-(trifluoromethyl)-1H- pyrazol-5-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane (50 mg, 114 ^mol) was dissolved in methanol (5 mL) then purified on a Chiralpak AD-H 30 x 250mm, 5um column using 20% methanol with 0.1% DEA modifier. Flow rate: 100 mL/min; ABPR 120 bar; MBPR 40 psi, column temperature 40°C to afford the following compounds of arbitrarily assigned stereochemistry: (R)-2-((2,2-dimethyltetrahydro-2H-pyran-4-yl)methyl)-6-((1-m ethyl-3-(trifluoromethyl)-1H- pyrazol-5-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane (19 mg, 36 %). LCMS m/z = 437.4 (M+H) + , (E1 with Rf =1.12 min). 1 H NMR (400 MHz, DMSO-d6) δ (ppm) 7.52 (s, 1H), 4.13 (s, 3H), 3.98 (s, 4H), 3.56 - 3.51 (m, 1H), 3.49 - 3.43 (m, 1H), 3.08 (s, 4H), 2.15 - 2.05 (m, 2H), 1.61 - 1.51 (m, 1H), 1.44 (dd, J = 3.5, 13.0 Hz, 2H), 1.08 (s, 3H), 1.07 (s, 3H), 0.97 - 0.81 (m, 2H). and (S)-2-((2,2-dimethyltetrahydro-2H-pyran-4-yl)methyl)-6-((1-m ethyl-3-(trifluoromethyl)-1H- pyrazol-5-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane (19 mg, 36 %). LCMS m/z = 437.3 (M+H) + , (E2 with Rf =1.25 min). 1 H NMR (400 MHz, DMSO-d6) δ (ppm) 7.52 (s, 1H), 4.13 (s, 3H), 3.98 (s, 4H), 3.56 - 3.43 (m, 2H), 3.09 (br s, 4H), 2.17 - 2.04 (m, 2H), 1.60 - 1.51 (m, 1H), 1.47 - 1.41 (m, 2H), 1.08 (s, 3H), 1.07 (s, 3H), 0.97 - 0.81 (m, 2H). Example 201: 2-((tetrahydro-2H-pyran-4-yl)methyl)-6-((2-(trifluoromethyl) pyridin-3- yl)sulfonyl)-2,6-diazaspiro[3.3]heptane To a vial containing 2-((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]hept ane trifluoroacetate (317 mg, 1.02 mmol) in anhydrous dichloromethane (6 mL) was added Hunigs Base (0.72 mL, 4.13 mmol) carefully dropwise at room temperature. After 10 minutes, 2- (trifluoromethyl)pyridine-3-sulfonyl chloride (307 mg, 1.25 mmol) was added carefully to the homogeneous mixture. Upon complete addition of sulfonyl chloride, the reaction was maintained at 23 °C and monitored with LCMS and TLC. After 0.5 hours, the reaction mixture was carefully quenched with slow addition of saturated aqueous sodium bicarbonate solution. The heterogeneous mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (40-100 % 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a white solid as 2-((tetrahydro-2H- pyran-4-yl)methyl)-6-((2-(trifluoromethyl)pyridin-3-yl)sulfo nyl)-2,6-diazaspiro[3.3]heptane (348 mg, 84 %). LCMS m/z = 406.1 [M+ H] + . 1 H NMR (500 MHz, DICHLOROMETHANE- d2) δ (ppm) 8.84 (br d, J = 3.7 Hz, 1H), 8.44 (br d, J = 7.9 Hz, 1H), 7.69 (br dd, J = 4.6, 7.6 Hz, 1H), 4.07 (br s, 4H), 3.86 (br d, J = 8.9 Hz, 2H), 3.47 – 3.02 (m, 6H), 2.47 – 2.06 (m, 2H), 1.53 – 1.42 (m, 2H), 1.24 – 1.13 (m, 3H). Example 202: 2-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-6 - ((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptan e A vial containing 2-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-2 ,6- diazaspiro[3.3]heptane trifluoroacetate (122 mg, 393 ^mol) in anhydrous methanol (2 mL) was cooled in an ice water bath, then Hunigs Base (0.4 mL, 2.3 mmol) was added carefully to free base the starting material. After 20 minutes, tetrahydropyran-4-carbaldehyde (102 mg, 891 ^mol) and acetic acid (0.16 mL, 2.8 mmol) were carefully added to the cooled mixture. After 15 minutes, sodium triacetoxyborohydride (478 mg, 2.25 mmol) was added carefully in portions to the cooled reaction solution. Upon complete addition of STAB, the reaction was maintained at <5 °C and monitored with LCMS. After 2 hours, the milky heterogenous reaction was carefully quenched with slow addition of aqueous saturated sodium bicarbonate solution. The mixture was stirred at 23 °C for 30 minutes, then the mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (50-100 % 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a colorless film that was dissolved in DMSO and few drops of water then filtered. The homogeneous solution was submitted for mass directed reverse phase HPLC purification. Liquid chromatography was performed using a Waters Xselect CSH C18, 5 μm, 30 mm × 100 mm column with mobile phase H 2 O (A) and MeCN (B) and a gradient of 5 – 55 % B (0.2% NH 4 OH final v/v % modifier) with flow rate at 50 mL/min. The desired fractions were pooled then concentrated under reduced pressure to afford a colorless film as 2-((1-methyl-3- (trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-6-((tetrahydro-2 H-pyran-4-yl)methyl)-2,6- diazaspiro[3.3]heptane (40 mg, 23%). LCMS m/z = 409.3 (M+ H) + . 1 H NMR (500 MHz, DICHLOROMETHANE-d2) δ (ppm) 7.01 (s, 1H), 4.13 (s, 3H), 3.97 (br s, 4H), 3.86 (br d, J = 9.2 Hz, 2H), 3.29 (br t, J = 11.6 Hz, 2H), 3.25 – 3.14 (m, 4H), 2.20 (br d, J = 5.8 Hz, 2H), 1.54 – 1.40 (m, 3H), 1.23 – 1.12 (m, 2H). Example 203: 2-(tetrahydro-2H-pyran-4-yl)-6-((6-(trifluoromethyl)-2-vinyl pyridin-3- yl)sulfonyl)-2,6-diazaspiro[3.3]heptane A vial containing 2-((2-chloro-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(te trahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane (152 mg, 357 ^mol), potassium vinyltrifluoroborate (100 mg, 745 ^mol), Pd(dppf)Cl 2 CH 2 Cl 2 (68 mg, 83 ^mol), and potassium carbonate (208 mg, 1.5 mmol) in Dioxane (2.5 mL) and water (0.25 mL) was degassed and backfilled with nitrogen. The heterogeneous reaction mixture was carefully heated to 90 °C and monitored with LCMS. After 23 hours, the heterogeneous reaction was cooled to room temperature then carefully partitioned between water and ethyl acetate. The aqueous layer was extracted two additional times with ethyl acetate. The organic extractions were pooled then washed once saturated aqueous sodium chloride solution, then the organic layer was dried over anhydrous sodium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (40-80% 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a dark yellow film that was dissolved in DMSO and few drops of water then filtered. The homogeneous solution was submitted for mass directed reverse phase HPLC purification. Liquid chromatography was performed using a Waters Xselect CSH C18, 5 μm, 30 mm × 100 mm column with mobile phase H2O (A) and MeCN (B) and a gradient of 5 – 65 % B (0.2% NH 4 OH final v/v % modifier) with flow rate at 50 mL/min. The desired fractions were pooled then concentrated under reduced pressure to afford a colorless film as 2-(tetrahydro-2H-pyran- 4-yl)-6-((6-(trifluoromethyl)-2-vinylpyridin-3-yl)sulfonyl)- 2,6-diazaspiro[3.3]heptane (58 mg, 37 %). LCMS m/z = 418.3 (M+H) + . 1 H NMR (400 MHz, DMSO-d 6 ) δ (ppm) 8.48 (d, J = 7.5 Hz, 1H), 8.02 (d, J = 8.0 Hz, 1H), 7.51 (dd, J = 10.8, 16.8 Hz, 1H), 6.59 (dd, J = 2.0, 17.0 Hz, 1H), 5.86 – 5.82 (m, 1H), 3.96 (s, 4H), 3.75 (td, J = 3.9, 11.3 Hz, 2H), 3.25 – 3.18 (m, 2H), 3.11 (s, 4H), 2.11 – 2.03 (m, 1H), 1.49 (br d, J = 11.0 Hz, 2H), 1.09 – 0.99 (m, 2H). Example 204: 2-((2-ethyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(tet rahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane A flask containing 10% palladium on carbon (70 mg, 66 ^mol) in ethyl alcohol (2 mL) was evacuated and backfilled with nitrogen. After 5 minutes a homogeneous solution of 2- (tetrahydro-2H-pyran-4-yl)-6-((6-(trifluoromethyl)-2-vinylpy ridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane (106 mg, 254 ^mol) in ethyl alcohol (2 mL) was added under nitrogen. Upon complete addition, hydrogen was carefully introduced to the reaction mixture. The reaction was stirred at 23 °C and monitored with LCMS. After 20 hours, nitrogen was carefully bubbled through the reaction solution, then the heterogenous mixture was carefully filtered through a celite plug. The filtrate was concentrated under reduced pressure to afford a dark yellow film that was loaded onto a silica gel column and purified with (40-100 % 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a dark yellow film that was dissolved in DMSO and few drops of water then filtered. The homogeneous solution was submitted for mass directed reverse phase HPLC purification. Liquid chromatography was performed using a Waters Xselect CSH C18, 5 μm, 30 mm × 100 mm column with mobile phase H2O (A) and MeCN (B) and a gradient of 5 – 65 % B (0.2% NH 4 OH final v/v % modifier) with flow rate at 50 mL/min. The desired fractions were pooled then concentrated under reduced pressure to afford a colorless film as 2-((2-ethyl- 6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(tetrahydro-2H-p yran-4-yl)-2,6- diazaspiro[3.3]heptane (24 mg, 21 %). LCMS m/z = 420.3 (M+ H) + . 1 H NMR (500 MHz, DICHLOROMETHANE-d 2 ) δ (ppm) 8.37 (d, J = 8.2 Hz, 1H), 7.66 (d, J = 8.2 Hz, 1H), 4.39 – 4.32 (m, 4H), 4.10 – 4.03 (m, 4H), 3.87 – 3.79 (m, 2H), 3.36 – 3.28 (m, 2H), 3.18 (q, J = 7.5 Hz, 2H), 3.09 – 2.97 (m, 1H), 1.79 (br s, 4H), 1.35 (t, J = 7.3 Hz, 3H). Example 205: 2-((6-(difluoromethyl)-2-ethylpyridin-3-yl)sulfonyl)-6-(tetr ahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane 1. Synthesis of 6-(difluoromethyl)-2-vinylpyridin-3-amine To a solution of compound 3-bromo-6-(difluoromethyl)-2-vinylpyridine (2.5 g, 11.21 mmol) and compound 4,4,5,5-tetramethyl-2-vinyl-1,3,2-dioxaborolane (3.45 g, 22.42 mmol, 3.80 mL) in water (3 mL) and Toluene (50 mL) was added Sphos (460.20 mg, 1.12 mmol), K3PO4 (7.14 g, 33.63 mmol) and Pd 2 (dba) 3 .CHCl 3 (1.03 g, 1.12 mmol) at 20 °C. The mixture was stirred for 3 h at 100 °C under N2. The reaction mixture was filtered and concentrated in vacuum. The crude was purified by flash column (EtOAc in petroleum ether from 0% to 20%) to afford the title compound (1.06 g, 6.23 mmol, 55.57% yield) as red oil. LCMS m/z = 171.1 [M + H] + . 1 H NMR (400 MHz, CDCl3) δ (ppm) 7.35 (d, J=8.4 Hz, 1H), 7.05 (d, J=8.4 Hz, 1H), 6.86-6.79 (m, 1H), 6.57 (t, J=56.0 Hz, 1H), 6.27 (dd, J=17.2 Hz, 2.0 Hz, 1H), 5.58 (dd, J=10.8 Hz, 1.6 Hz, 1H), 3.97 (br s, 2H). 2. Synthesis of 6-(difluoromethyl)-2-ethylpyridin-3-amine To a solution of compound 6-(difluoromethyl)-2-vinylpyridin-3-amine (1.06 g, 6.23 mmol) in MeOH (30 mL) was added Pd/C (300 mg, 281.90 µmol, 10% purity) at 20 °C. The mixture was stirred at 20 °C under H 2 (15 psi) for 16 h. The reaction mixture was filtered and concentrated in vacuum to give the title compound (800 mg, crude) as yellow solid. LCMS m/z = 173.1 [M + H] + . 3. Synthesis of 6-(difluoromethyl)-2-ethylpyridine-3-sulfonyl chloride SOCl 2 (1.93 g, 16.26 mmol, 1.19 mL) was added over 10 min to water (1 mL), while the temperature was maintained 0-5 °C, then the solution was stirred at 20 °C for 12 h. CuCl (23.00 mg, 232.32 µmol) was added and the mixture was cooled to -3 °C. In another flask, a solution of compound 6-(difluoromethyl)-2-ethylpyridin-3-amine (400 mg, 2.32 mmol) in HCl (12 M, 1.70 mL) at -5 °C was added dropwise to the solution of NaNO 2 (160.29 mg, 2.32 mmol) in water (0.5 mL) while maintaining temperature -5 to 0 °C for 1 h. When the addition was complete, this solution was then added to the precooled SOCl 2 solution and stirred at -2 °C for 10 min, then at 0 °C for 75 min. The mixture was extracted with DCM (30 mL X 3). The combined organic phase was dried over Na2SO4, filtered and concentrated to give the title compound (320 mg, crude) as yellow oil. 1 H NMR (400 MHz, CDCl 3 ) δ (ppm) 8.48 (d, J=8.5 Hz, 1H), 7.71 (d, J=8.0 Hz, 1H), 6.67 (t, J=55.0 Hz, 1H), 3.38 (q, J=7.5 Hz, 2H), 1.43 (t, J=7.5 Hz, 3H). 4. Synthesis of tert-butyl 6-((6-(difluoromethyl)-2-ethylpyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane-2-carboxylate To a solution of compound tert-butyl 2,6-diazaspiro[3.3]heptane-2-carboxylate (293.12 mg, 1.48 mmol) in DCM (20 mL) was added DIEA (955.39 mg, 7.39 mmol, 1.29 mL) and the mixture was stirred at 0 °C.6-(Difluoromethyl)-2-ethylpyridine-3-sulfonyl chloride (630 mg, 2.46 mmol) was added and the mixture was stirred at 20 °C under N 2 for 1 h. The mixture was diluted with water (30 mL) and extracted with DCM (30 mL X 3). The combined organic phase was dried over anhydrous sodium sulfate, filtered and concentrated in vacuum. The residue was purified by flash column (EtOAc in petroleum ether from 5% to 20%) to give the title compound (430 mg, 1.03 mmol, 41.80% yield) as yellow solid. LCMS m/z = 418.1 [M + H] + . 1 H NMR (400 MHz, CDCl 3 ) δ (ppm) 8.33 (d, J=8.0 Hz, 1H), 7.59 (d, J=8.4 Hz, 1H), 6.63 (t, J=55.2 Hz, 1H), 4.05 (s, 4H), 4.03 (s, 4H), 3.17 (q, J=7.2 Hz, 1H), 1.42 (s, 9H), 1.35 (t, J=7.6 Hz, 3H). 5. Synthesis of 2-((6-(difluoromethyl)-2-ethylpyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane To a solution of compound tert-butyl 6-((6-(difluoromethyl)-2-ethylpyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane-2-carboxylate (500 mg, 1.20 mmol) in HFIP (15 mL) was added TFA (682.82 mg, 5.99 mmol, 458.58 µL) and the mixture was stirred at 15 °C for 2 hThe mixture was concentrated in vacuum to give the title compound (700 mg, crude, TFA salt) as yellow oil. LCMS m/z = 318.1 [M + H] + . 1 H NMR (500 MHz, METHANOL-d4) δ (ppm) 8.42 (d, J=8.0 Hz, 1H), 7.69 (d, J=8.4 Hz, 1H), 6.75 (t, J=55.2 Hz, 1H), 4.24 (s, 4H), 4.14 (s, 4H), 3.18 (q, J=7.2 Hz, 1H), 1.33 (t, J=7.6 Hz, 3H). 6. Synthesis of 2-((6-(difluoromethyl)-2-ethylpyridin-3-yl)sulfonyl)-6-(tetr ahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane To a solution of compound 2-((6-(difluoromethyl)-2-ethylpyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane (120 mg, 378.13 µmol, TFA salt) and compound tetrahydro-4H-pyran- 4-one (75.71 mg, 756.25 µmol, 69.85 µL) in MeOH (3 mL) was added TEA (114.79 mg, 1.13 mmol, 158.11 µL) at 20 °C. The mixture was stirred at 20 °C for 20 min, then adjusted pH = 6 using acetic acid. After 30 minutes NaBH 3 CN (118.81 mg, 1.89 mmol) was added at 20 °C and the mixture was stirred for 3 h. The mixture was concentrated and the resulting residue was purified by HPLC (Column: Welch Xtimate C18 150*25 mm*5 µm, Condition: water (NH 4 HCO 3 )-ACN, 28%~58%, Flow Rate (mL/min): 25) to give the title compound (35.19 mg, 24% yield) as a white solid. LCMS m/z = 402.1 [M+H] + . 1 H NMR (500 MHz, METHANOL- d4) δ (ppm) 8.41 (d, J=8.4 Hz, 1H), 7.69 (d, J=8.4 Hz, 1H), 6.75 (t, J=55.2 Hz, 1H), 4.00 (s, 4H), 3.91 (d, J=10.4 Hz, 2H), 3.38-3.33 (m, 6H), 3.18 (q, J=7.6 Hz, 2H), 2.30-2.22 (m, 1H), 1.66 (dd, J=12.4, 1.6 Hz, 2H), 1.33 (t, J=7.6 Hz, 3H), 1.27-1.16 (m, 2H). Example 206: 2-((6-(difluoromethyl)-2-ethylpyridin-3-yl)sulfonyl)-6-(2- oxaspiro[3.3]heptan-6-yl)-2,6-diazaspiro[3.3]heptane 2-((6-(Difluoromethyl)-2-ethylpyridin-3-yl)sulfonyl)-6-(2-ox aspiro[3.3]heptan-6-yl)-2,6- diazaspiro[3.3]heptane was prepared was prepared using a similar method to step 6 for Example 205 starting from 2-((6-(difluoromethyl)-2-ethylpyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane (120 mg, 278.18 µmol, TFA salt) and 2-oxaspiro[3.3]heptan-6-one (31.19 mg, 278.18 µmol). The crude product was purified by prep-HPLC (Welch Xtimate C18150*25mm*5µm, Condition: water (NH 4 HCO 3 )-ACN, Flow Rate (mL/min): 25) to give the title compound (50 mg, 44% yield) as light yellow oil. LCMS m/z = 414.1 [M + H] + . 1 H NMR (400 MHz, CDCl 3 ) δ (ppm) 8.32 (d, J=8.0 Hz, 1H), 7.58 (d, J=8.0 Hz, 1H), 6.63 (t, J=55.2 Hz, 1H), 4.64 (s, 2H), 4.58 (s, 2H), 3.99 (s, 4H), 3.21-3.14 (m, 6H), 2.84-2.77 (m, 1H), 2.28-2.23 (m, 2H), 1.94-1.89 (m, 2H), 1.34 (t, J=7.6 Hz, 3H). Example 207 and 208: (1r,4r)-4-(6-((6-(difluoromethyl)-2-ethylpyridin-3-yl)sulfon yl)-2,6- diazaspiro[3.3]heptan-2-yl)-1-methylcyclohexan-1-ol and (1s,4s)-4-(6-((6- (difluoromethyl)-2-ethylpyridin-3-yl)sulfonyl)-2,6-diazaspir o[3.3]heptan-2-yl)-1- methylcyclohexan-1-ol The title compounds were prepared using a similar method to step 6 for Example 205 starting from 2-((6-(difluoromethyl)-2-ethylpyridin-3-yl)sulfonyl)-2,6-dia zaspiro[3.3]heptane (300 mg, 695 µmol, TFA salt) and 4-hydroxy-4-methylcyclohexan-1-one (89.13 mg, 695 µmol). The crude residue was purified by prep-HPLC (Welch Xtimate C18150*25mm*5µm, Condition: water (NH4HCO3)-ACN, 33%~60%, Flow Rate (mL/min): 25) to give two compounds of arbitrarily assigned stereochemistry as white solids: First off column, (1r,4r)-4-(6-((6-(difluoromethyl)-2-ethylpyridin-3-yl)sulfon yl)-2,6- diazaspiro[3.3]heptan-2-yl)-1-methylcyclohexan-1-ol (50 mg, 16% yield, 97.64% purity). LCMS m/z = 430.1 [M+H] + . 1 H NMR (400 MHz, CDCl 3 ) δ (ppm) 8.32 (d, J=8.4 Hz, 1H), 7.58 (d, J=8.4 Hz, 1H), 6.63 (t, J=55.2 Hz, 1H), 4.00 (s, 4H), 3.26 (s, 4H), 3.17 (q, J=7.6 Hz, 2H), 2.02-2.00 (m, 1H), 1.67-1.65 (m, 3H), 1.39-1.32 (m, 5H), 1.25-1.12 (m, 6H). Second off column, (1s,4s)-4-(6-((6-(difluoromethyl)-2-ethylpyridin-3-yl)sulfon yl)-2,6- diazaspiro[3.3]heptan-2-yl)-1-methylcyclohexan-1-ol (86 mg, 28% yield) LCMS m/z = 430.1 [M+H] + . 1 H NMR (400 MHz, CDCl3) δ (ppm) 8.32 (d, J=8.4 Hz, 1H), 7.58 (d, J=8.4 Hz, 1H), 6.63 (t, J=55.2 Hz, 1H), 4.00 (s, 4H), 3.28 (s, 4H), 3.17 (q, J=7.6 Hz, 2H), 1.89-1.84 (m, 1H), 1.68-1.63 (m, 3H), 1.52-1.51 (m, 2H), 1.36-1.29 (m, 6H), 1.20 (s, 3H). Example 209: 2-((2-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 6-(oxetan-3- ylmethyl)-2,6-diazaspiro[3.3]heptane A vial containing 2-((2-cyclopropyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)- 2,6- diazaspiro[3.3]heptane trifluoroacetate (92 mg, 199 ^mol) in anhydrous methanol (2 mL) was cooled in an ice water bath, then Hunigs Base (0.15 mL, 861 ^mol) was added carefully to free base the starting material. After 20 minutes, oxetane-3-carbaldehyde (37 mg, 426 ^mol) and acetic acid (0.06 mL, 1.05 mmol) were carefully added to the cooled mixture. After 15 minutes, sodium triacetoxyborohydride (256 mg, 1.2 mmol) was added carefully in portions to the cooled reaction solution. Upon complete addition of STAB, the reaction was maintained at <5 °C and monitored with LCMS. After 1.5 hours, the reaction was carefully quenched with slow addition of aqueous saturated sodium bicarbonate solution. The mixture was stirred at 23 °C for 30 minutes, then the mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (35-90 % 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a colorless film as 2-((2-cyclopropyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(oxetan-3-ylmethyl )-2,6-diazaspiro[3.3]heptane (54 mg, 62%). LCMS m/z = 418.1 (M+ H) + . 1 H NMR (500 MHz, DMSO-d 6 ) δ (ppm) 8.38 (d, J = 7.9 Hz, 1H), 7.84 (d, J = 7.9 Hz, 1H), 4.54 (br t, J = 6.7 Hz, 2H), 4.17 (br t, J = 6.0 Hz, 2H), 3.98 (s, 4H), 3.14 (br s, 4H), 2.91 - 2.81 (m, 2H), 2.56 (br d, J = 6.7 Hz, 2H), 1.23 - 1.18 (m, 2H), 1.16 - 1.10 (m, 2H). Example 210: 2-((3-(1,1-difluoroethyl)-1-methyl-1H-pyrazol-5-yl)sulfonyl) -6- ((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptan e To a vial containing 2-((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]hept ane trifluoroacetate (58 mg, 188 ^mol) in anhydrous dichloromethane (1 mL) was added Hunigs Base (0.15 mL, 861 ^mol) carefully dropwise at room temperature. After 10 minutes, 5-(1,1- difluoroethyl)-2-methyl-pyrazole-3-sulfonyl chloride (55 mg, 226 ^mol) was added carefully to the homogeneous mixture. Upon complete addition of sulfonyl chloride, the reaction was maintained at 23°C and monitored with LCMS and TLC. After 1.5 hours, the reaction mixture was carefully quenched with slow addition of saturated aqueous sodium bicarbonate solution. The heterogeneous mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (40-90 % 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a colorless film that was dissolved in DMSO and few drops of water then filtered. The homogeneous solution was submitted for mass directed reverse phase HPLC purification. Liquid chromatography was performed using a Waters XSelect CSH C18, 5 μm, 30 mm × 100 mm column with mobile phase H 2 O (A) and MeCN (B) and a gradient of 5 − 50 % B (0.2% NH 4 OH final v/v % modifier) with flow rate at 50 mL/min. The desired fractions were pooled then concentrated under reduced pressure to afford a colorless film as 2-((3-(1,1-difluoroethyl)-1-methyl-1H-pyrazol-5-yl)sulfonyl) -6- ((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptan e (5 mg, 6 %). LCMS m/z = 405.1 (M+ H) + . 1 H NMR (500 MHz, DICHLOROMETHANE-d2) δ (ppm) 6.90 (s, 1H), 4.08 (s, 3H), 3.94 (s, 4H), 3.86 (br dd, J = 3.2, 11.1 Hz, 2H), 3.32 - 3.26 (m, 2H), 3.17 (br s, 4H), 2.20 (br d, J = 6.7 Hz, 2H), 1.99 (t, J = 18.5 Hz, 3H), 1.53 (br d, J = 14.0 Hz, 2H), 1.49 - 1.41 (m, 1H), 1.21 - 1.12 (m, 2H). Example 211: 2-((2,4-bis(trifluoromethyl)phenyl)sulfonyl)-6-((tetrahydro- 2H-pyran-4- yl)methyl)-2,6-diazaspiro[3.3]heptane To a vial 2-((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]hept ane trifluoroacetate (64 mg, 207 ^mol) in anhydrous dichloromethane (1.5 mL) was added Hunigs Base (0.16 mL, 919 ^mol) carefully dropwise at room temperature. After 10 minutes, 2,4- bis(trifluoromethyl)benzenesulfonyl chloride (69 mg, 220 ^mol) was added carefully to the homogeneous mixture. Upon complete addition of sulfonyl chloride, the reaction was maintained at 23 °C and monitored with LCMS and TLC. After 1.5 hours, the reaction mixture was carefully quenched with slow addition of saturated aqueous sodium bicarbonate solution. The heterogeneous mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (25-75 % 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a white solid as 2-((2,4- bis(trifluoromethyl)phenyl)sulfonyl)-6-((tetrahydro-2H-pyran -4-yl)methyl)-2,6- diazaspiro[3.3]heptane (8 mg, 8 %). LCMS m/z = 473.0 [M+ H] + . 1 H NMR (500 MHz, DMSO- d6) δ (ppm) 8.37 - 8.27 (m, 3H), 3.94 (br d, J = 0.9 Hz, 4H), 3.83 - 3.70 (m, 2H), 3.22 - 3.14 (m, 6H), 2.19 - 2.14 (m, 2H), 1.49 - 1.37 (m, 3H), 1.08 - 1.02 (m, 2H). Example 212: rac-2-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfony l)-6-(1- (tetrahydro-2H-pyran-4-yl)ethyl)-2,6-diazaspiro[3.3]heptane A vial containing 2-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-2 ,6- diazaspiro[3.3]heptane trifluoroacetate (126 mg, 296 ^mol) in anhydrous methanol (3 mL) was cooled in an ice water bath, then Hunigs Base (0.22 mL, 1.3 mmol) was added carefully to free base the starting material. After 20 minutes, 1-tetrahydropyran-4-ylethanone (81 mg, 630 ^mol) and acetic acid (0.11 mL, 1.9 mmol) were carefully added to the cooled mixture. After 15 minutes, sodium triacetoxyborohydride (488 mg, 2.3 mmol) was added carefully in portions to the cooled reaction solution. Upon complete addition of STAB, the reaction was maintained at <5 °C and monitored with LCMS. After 1.5 hours, the reaction was carefully quenched with slow addition of aqueous saturated sodium bicarbonate solution. The mixture was stirred at 23 °C for 30 minutes, then the mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (40-100 % 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a colorless film as (R)-2-((1-methyl- 3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-6-(1-(tetrahyd ro-2H-pyran-4-yl)ethyl)-2,6- diazaspiro[3.3]heptane AND (S)-2-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfony l)- 6-(1-(tetrahydro-2H-pyran-4-yl)ethyl)-2,6-diazaspiro[3.3]hep tane (116 mg, 88 %). LCMS m/z = 423.3 (M+ H) + . 1 H NMR (500 MHz, DMSO-d 6 ) δ (ppm) 7.53 (s, 1H), 4.13 (s, 3H), 3.98 (s, 4H), 3.85 - 3.78 (m, 2H), 3.23 (dt, J = 4.0, 10.7 Hz, 1H), 3.17 - 3.16 (m, 1H), 3.09 - 3.01 (m, 4H), 1.98 - 1.92 (m, 1H), 1.49 - 1.40 (m, 1H), 1.39 - 1.33 (m, 1H), 1.28 - 1.20 (m, 2H), 1.19 - 1.09 (m, 1H), 0.67 (d, J = 6.4 Hz, 3H). Example 213: 2-((6-chloro-2-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(te trahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane To a vial containing 2-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane hydrochloride (81 mg, 371 ^mol) in anhydrous dichloromethane (2 mL) was added Hunigs Base (0.26 mL, 1.5 mmol) carefully dropwise at room temperature. After 10 minutes, 6-chloro-2- (trifluoromethyl)pyridine-3-sulfonyl chloride (145 mg, 517 ^mol) was added carefully to the homogeneous mixture. Upon complete addition of sulfonyl chloride, the reaction was maintained at 23 °C and monitored with LCMS and TLC. After 1 hour, the reaction mixture was carefully quenched with slow addition of saturated, aqueous sodium bicarbonate. The heterogeneous mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (50-80 % 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a white solid as 2-((6-chloro-2- (trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(tetrahydro-2H-pyr an-4-yl)-2,6- diazaspiro[3.3]heptane (32 mg, 19 %). LCMS m/z = 426.0 (M+ H) + . 1 H NMR (500 MHz, DMSO-d6) δ (ppm) 8.50 (d, J = 8.5 Hz, 1H), 8.10 (d, J = 8.2 Hz, 1H), 4.01 (s, 4H), 3.76 (br d, J = 11.3 Hz, 2H), 3.22 (br t, J = 10.7 Hz, 2H), 3.15 - 3.13 (m, 4H), 2.12 - 2.05 (m, 1H), 1.50 (br d, J = 11.9 Hz, 2H), 1.10 - 1.01 (m, 2H). Example 214: 2-((2-fluoro-4-(trifluoromethoxy)phenyl)sulfonyl)-6-(tetrahy dro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane To a vial containing 2-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane hydrochloride (60 mg, 273 ^mol) in anhydrous dichloromethane (2 mL) was added Hunigs base (0.3 mL, 1.7 mmol) carefully dropwise at < 5 °C. After 5 minutes, 2-fluoro-4- (trifluoromethoxy)benzenesulfonyl chloride (101 mg, 364 ^mol) was added carefully to the cold solution. Upon complete addition of sulfonyl chloride, the reaction was allowed to warm to 23 °C and monitored with LCMS and TLC. After 3 hours, the reaction was carefully quenched with slow addition of aqueous 1 M sodium hydroxide solution. The mixture was stirred at 23 °C for 20 minutes, then the biphasic mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (40-80% 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a colorless film as 2-((2-fluoro-4-(trifluoromethoxy)phenyl)sulfonyl)-6-(tetrahy dro-2H-pyran-4-yl)-2,6- diazaspiro[3.3]heptane (44 mg, 36 %). LCMS m/z = 425.3 (M+H) + . 1 H NMR (500 MHz, DICHLOROMETHANE-d2) δ (ppm) 7.90 (t, J = 8.1 Hz, 1H), 7.17 (br t, J = 10.4 Hz, 2H), 3.98 (s, 4H), 3.84 (td, J = 3.7, 11.5 Hz, 2H), 3.29 (dt, J = 2.3, 11.2 Hz, 2H), 3.15 (s, 4H), 2.09 - 2.03 (m, 1H), 1.53 (br d, J = 12.8 Hz, 2H), 1.22 - 1.14 (m, 2H). Example 215: rac-2-((1,4-dioxan-2-yl)methyl)-6-((1-methyl-3-(trifluoromet hyl)-1H- pyrazol-5-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane A vial containing 2-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-2 ,6- diazaspiro[3.3]heptane trifluoroacetate (92 mg, 298 ^mol) in anhydrous methanol (2 mL) was cooled in an ice water bath, then Hunigs Base (0.24 mL, 1.4 mmol) was added carefully to free base the starting material. After 20 minutes, 1,4-dioxane-2-carbaldehyde (74 mg, 608 ^mol) and acetic acid (0.1 mL, 1.75 mmol) were carefully added to the cooled mixture. After 15 minutes, sodium triacetoxyborohydride (323 mg, 1.5 mmol) was added carefully in portions to the cooled reaction solution. Upon complete addition of STAB, the reaction was maintained at <5 °C and monitored with LCMS. After 1 hour, the reaction was carefully quenched with slow addition of aqueous saturated sodium bicarbonate solution. The mixture was stirred at 23 °C for 30 minutes, then the mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (35-85 % 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford rac-2-((1,4-dioxan-2-yl)methyl)-6-((1- methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-2,6-dia zaspiro[3.3]heptane (46 mg, 36 %) as a white solid . LCMS m/z = 411.0 [M+ H] + . 1 H NMR (500 MHz, DMSO-d6) δ (ppm) 7.53 (br s, 1H), 4.13 (br s, 3H), 3.98 (br s, 4H), 3.66 - 3.57 (m, 3H), 3.49 (br t, J = 11.3 Hz, 1H), 3.43 - 3.34 (m, 2H), 3.20 - 3.10 (m, 5H), 2.29 (br s, 2H). Example 216: rac-2-((1,4-dioxan-2-yl)methyl)-6-((2-methyl-6-(trifluoromet hyl)pyridin- 3-yl)sulfonyl)-2,6-diazaspiro[3.3]heptane A vial containing 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane trifluoroacetate (85 mg, 195 ^mol) in anhydrous methanol (1 mL) was cooled in an ice water bath, then Hunigs Base (0.16 mL, 919 ^mol) was added carefully to free base the starting material. After 20 minutes, 1,4-dioxane-2-carbaldehyde (50 mg, 409 ^mol) and acetic acid (0.07 mL, 1.22 mmol) were carefully added to the cooled mixture. After 15 minutes, sodium triacetoxyborohydride (211 mg, 996 ^mol) was added carefully in portions to the cooled reaction solution. Upon complete addition of STAB, the reaction was maintained at <5 °C and monitored with LCMS. After 1 hour, the reaction was carefully quenched with slow addition of aqueous saturated sodium bicarbonate solution. The mixture was stirred at 23 °C for 30 minutes, then the mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (25-85 % 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a colorless film as rac-2-((1,4-dioxan-2- yl)methyl)-6-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulf onyl)-2,6-diazaspiro[3.3]heptane (41 mg, 48%). LCMS m/z = 422.0 [M+ H] + . 1 H NMR (500 MHz, DMSO-d 6 ) δ (ppm) 8.43 (br d, J = 8.5 Hz, 1H), 7.98 (br d, J = 7.6 Hz, 1H), 3.97 (br s, 4H), 3.67 - 3.57 (m, 3H), 3.49 (br t, J = 11.1 Hz, 1H), 3.42 - 3.36 (m, 2H), 3.32 - 3.28 (m, 2H), 3.28 - 3.16 (m, 4H), 3.15 - 3.10 (m, 1H), 2.81 (s, 3H). Example 217: 2-((4-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((t etrahydro-2H- pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane To a vial containing 2-((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]hept ane trifluoroacetate (104 mg, 334 ^mol) in anhydrous dichloromethane (2 mL) was added Hunigs Base (0.35 mL, 2.01 mmol) carefully dropwise at < 5 °C. After 5 minutes, 4-methyl-6- (trifluoromethyl)pyridine-3-sulfonyl chloride (122 mg, 471 ^mol) was added carefully to the cold solution. Upon complete addition of sulfonyl chloride, the reaction was warmed to 23 °C and monitored with LCMS. After 3 hours, the reaction was carefully quenched with slow addition of aqueous saturated sodium bicarbonate solution. The mixture was stirred at 23 °C for 20 minutes, then the biphasic mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (40-100% 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a colorless film as 2-((4-methyl-6- (trifluoromethyl)pyridin-3-yl)sulfonyl)-6-((tetrahydro-2H-py ran-4-yl)methyl)-2,6- diazaspiro[3.3]heptane (20 mg, 13%). LCMS m/z = 420.3 (M+H) + . 1 H NMR (500 MHz, DICHLOROMETHANE-d2) δ (ppm) 9.07 (s, 1H), 7.67 (s, 1H), 4.59 - 4.50 (m, 2H), 4.40 - 4.36 (m, 2H), 4.06 (s, 2H), 3.93 (br dd, J = 3.8, 11.4 Hz, 2H), 3.87 - 3.81 (m, 2H), 3.35 (t, J = 11.3 Hz, 2H), 2.93 - 2.86 (m, 2H), 2.69 (s, 3H), 1.96 - 1.87 (m, 1H), 1.77 (br d, J = 12.8 Hz, 2H), 1.37 - 1.28 (m, 2H). Example 218: 2-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-6 -(oxetan-3- ylmethyl)-2,6-diazaspiro[3.3]heptane A vial containing 2-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-2 ,6- diazaspiro[3.3]heptane trifluoroacetate (105 mg, 338 ^mol) in anhydrous methanol (3 mL) was cooled in an ice water bath, then Hunigs Base (0.26 mL, 1.5 mmol) was added carefully to free base the starting material. After 20 minutes, oxetane-3-carbaldehyde (61 mg, 705 ^mol) and acetic acid (0.1 mL, 1.7 mmol) were carefully added to the cooled mixture. After 15 minutes, sodium triacetoxyborohydride (422 mg, 1.99 mmol) was added carefully in portions to the cooled reaction solution. Upon complete addition of STAB, the reaction was maintained at <5 °C and monitored with LCMS. After 1.5 hours, the reaction was carefully quenched with slow addition of aqueous saturated sodium bicarbonate solution. The mixture was stirred at 23 °C for 30 minutes, then the mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (40-90 % 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a white solid as 2-((1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl)sulfonyl)-6 -(oxetan-3-ylmethyl)- 2,6-diazaspiro[3.3]heptane (44 mg, 33%). LCMS m/z = 381.0 (M+ H) + . 1 H NMR (500 MHz, DMSO-d 6 ) δ (ppm) 7.52 (br s, 1H), 4.56 - 4.50 (m, 2H), 4.19 - 4.15 (m, 2H), 4.14 (br s, 3H), 3.97 (br s, 4H), 3.09 (br s, 4H), 2.87 - 2.78 (m, 1H), 2.56 - 2.53 (m, 2H). Example 219: 2-((3-cyclopropyl-1-methyl-1H-pyrazol-5-yl)sulfonyl)-6-((tet rahydro-2H- pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane To a vial containing 2-((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]hept ane trifluoroacetate (98 mg, 317 ^mol) in anhydrous dichloromethane (2 mL) was added Hunigs Base (0.35 mL, 2.01 mmol) carefully dropwise at < 5 °C. After 5 minutes, 5-cyclopropyl-2- methyl-pyrazole-3-sulfonyl chloride (91 mg, 411 ^mol) was added carefully to the cold solution. Upon complete addition of sulfonyl chloride, the reaction was warmed to 23 °C and monitored with LCMS. After 3 hours, the reaction was carefully quenched with slow addition of aqueous saturated sodium bicarbonate solution. The mixture was stirred at 23 °C for 20 minutes, then the biphasic mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (40-100% 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a colorless film as 2-((3- cyclopropyl-1-methyl-1H-pyrazol-5-yl)sulfonyl)-6-((tetrahydr o-2H-pyran-4-yl)methyl)-2,6- diazaspiro[3.3]heptane (18 mg, 14% ). LCMS m/z = 381.3 (M+H) + . 1 H NMR (500 MHz, DICHLOROMETHANE-d2) δ (ppm) 6.45 (s, 1H), 4.53 - 4.45 (m, 2H), 4.24 (s, 2H), 3.96 (s, 3H), 3.95 - 3.90 (m, 4H), 3.78 (br d, J = 6.7 Hz, 2H), 3.34 (br t, J = 11.6 Hz, 2H), 2.90 - 2.85 (m, 2H), 1.92 - 1.86 (m, 2H), 1.78 - 1.74 (m, 2H), 1.35 - 1.28 (m, 2H), 0.95 - 0.91 (m, 2H), 0.74 - 0.70 (m, 2H). Example 220: 2-((2-fluoro-4-(trifluoromethoxy)phenyl)sulfonyl)-6-((tetrah ydro-2H- pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane To a vial containing 2-((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]hept ane trifluoroacetate (107 mg, 345 ^mol) in anhydrous dichloromethane (2 mL) was added Hunigs Base (0.35 mL, 2.01 mmol) carefully dropwise at < 5 °C. After 5 minutes, 2-fluoro-4- (trifluoromethoxy)benzenesulfonyl chloride (156 mg, 560 ^mol) was added carefully to the cold solution. Upon complete addition of sulfonyl chloride, the reaction was warmed to 23 °C and monitored with LCMS. After 1.5 hours, the reaction was carefully quenched with slow addition of aqueous saturate sodium bicarbonate solution. The mixture was stirred at 23 °C for 20 minutes, then the biphasic mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (35-75% 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a white solid as 2-((2-fluoro-4- (trifluoromethoxy)phenyl)sulfonyl)-6-((tetrahydro-2H-pyran-4 -yl)methyl)-2,6- diazaspiro[3.3]heptane (19 mg, 12%). LCMS m/z = 439.2 (M+H) + . 1 H NMR (500 MHz, DMSO-d6) δ (ppm) 7.94 (t, J = 8.4 Hz, 1H), 7.77 (br d, J = 9.8 Hz, 1H), 7.48 (br d, J = 8.9 Hz, 1H), 3.91 (s, 4H), 3.76 (br dd, J = 2.6, 11.1 Hz, 2H), 3.23 - 3.16 (m, 2H), 3.06 (s, 4H), 2.12 (br d, J = 6.7 Hz, 2H), 1.47 (br d, J = 13.1 Hz, 2H), 1.42 - 1.34 (m, 1H), 1.09 - 1.00 (m, 2H). Example 221: 2-((3-methyl-5-(trifluoromethyl)pyridin-2-yl)sulfonyl)-6-(te trahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane 1. Synthesis of 2-((2-chloro-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(te trahydro- 2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane. To a vial containing 2-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane hydrochloride (206 mg, 942 ^mol) in anhydrous methanol (1.5 mL) was added Hunigs Base (0.7 mL, 4.0 mmol) carefully dropwise at room temperature. After 10 minutes, the homogeneous mixture was concentrated to afford an off white solid. 2-Methyl-2-butanol (2 mL), 3-chloro-5- (trifluoromethyl)pyridine-2-sulfonyl fluoride (311 mg, 1.18 mmol), and Ca(NTf 2 ) 2 (617 mg, 1.03 mmol) were added carefully in portions. Upon complete addition of calcium triflimide, the heterogeneous reaction was heated to 60 °C and monitored with LCMS. After 19 hours, the reaction mixture was cooled to room temperature then carefully quenched with slow addition of aqueous 2 M sodium hydroxide. The heterogeneous mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (35-85 % 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a colorless film as 2-((2-chloro-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(te trahydro-2H-pyran-4-yl)- 2,6-diazaspiro[3.3]heptane that was used without further purification. LCMS m/z = 426.3 (M+ H) + . 2. Synthesis of 2-((3-methyl-5-(trifluoromethyl)pyridin-2-yl)sulfonyl)-6-(te trahydro- 2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane. A vial containing 2-((2-chloro-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-6-(te trahydro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane (1723 mg, 406 ^mol), potassium methyl trifluoroborate (155 mg, 1.27 mmol), Pd(dppf)Cl 2 CH 2 Cl 2 (109 mg, 133 ^mol), and potassium carbonate (289 mg, 2.09 mmol) in dioxane (2.5 mL) and water (0.25 mL) was degassed and backfilled with nitrogen. The heterogeneous reaction mixture was carefully heated to 90 °C and monitored with LCMS. After 23 hours, the heterogeneous reaction was cooled to room temperature then carefully partitioned between water and dichloromethane. The aqueous layer was extracted two additional times with dichloromethane. The organic extractions were pooled then washed once saturated aqueous sodium chloride solution, then the organic layer was dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (40-80% 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a dark yellow film that was dissolved in DMSO and few drops of water then filtered. The homogeneous solution was submitted for mass directed reverse phase HPLC purification. Liquid chromatography was performed using a Waters XSelect CSH C18, 5 μm, 30 mm × 100 mm column with mobile phase H2O (A) and MeCN (B) and a gradient of 5 − 55 % B (0.2% NH4OH final v/v % modifier) with flow rate at 50 mL/min. The desired fractions were pooled then concentrated under reduced pressure to afford an off-white solid as 2-((3-methyl-5- (trifluoromethyl)pyridin-2-yl)sulfonyl)-6-(tetrahydro-2H-pyr an-4-yl)-2,6- diazaspiro[3.3]heptane (31 mg, 19% ). LCMS m/z = 406.3 (M+ H) + . 1 H NMR (400 MHz, DMSO-d6) δ (ppm) 8.93 (s, 1H), 8.46 (d, J = 1.5 Hz, 1H), 4.30 (s, 4H), 3.82 - 3.76 (m, 2H), 3.32 - 3.29 (m, 4H), 3.28 - 3.21 (m, 2H), 2.60 (s, 3H), 2.17 - 2.08 (m, 1H), 1.58 (br d, J = 10.5 Hz, 2H), 1.15 - 1.06 (m, 2H). Example 222 and 223: 1-methyl-4-(6-((2-methyl-6-(trifluoromethyl)pyridin-3- yl)sulfonyl)-2,6-diazaspiro[3.3]heptan-2-yl)cyclohexan-1-ol AND 1-methyl-4-(6-((2- methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6-diazasp iro[3.3]heptan-2- yl)cyclohexan-1-ol A vial containing 2-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sulfonyl)-2,6- diazaspiro[3.3]heptane trifluoroacetate (200 mg, 459 ^mol) in anhydrous methanol (2 mL) was cooled in an ice water bath, then Hunigs Base (0.3 mL, 1.7 mmol) was added carefully to free base the starting material. After 20 minutes, 4-hydroxy-4-methyl-cyclohexanone (126 mg, 985 ^mol) and acetic acid (0.15 mL, 2.6 mmol) were carefully added to the cooled mixture. After 15 minutes, sodium triacetoxyborohydride (513 mg, 2.42 mmol) was added carefully in portions to the cooled reaction solution. Upon complete addition of STAB, the reaction was maintained at <5 °C and monitored with LCMS. After 2 hours, the milky heterogenous reaction was carefully quenched with slow addition of aqueous saturated sodium bicarbonate solution. The mixture was stirred at 23 °C for 30 minutes, then the mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous sodium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (40-100 % 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a colorless film. The film was dissolved in DMSO and few drops of water then filtered. The homogeneous solution was submitted for mass directed reverse phase HPLC purification. Liquid chromatography was performed using a Waters XSelect CSH C18, 5 μm, 30 mm × 100 mm column with mobile phase H 2 O (A) and MeCN (B) and a gradient of 5 − 55 % B (0.2% NH 4 OH final v/v % modifier) with flow rate at 50 mL/min. The following compounds of arbitrarily assigned stereochemistry were isolated: First off the column, 1-methyl-4-(6-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sul fonyl)-2,6- diazaspiro[3.3]heptan-2-yl)cyclohexan-1-ol (17 mg, 8%). LCMS m/z = 434.4 (M+ H) + . 1 H NMR (500 MHz, DMSO-d6) δ (ppm) 8.44 (d, J = 8.2 Hz, 1H), 7.98 (d, J = 8.2 Hz, 1H), 4.09 (s, 1H), 3.96 (s, 4H), 3.18 - 3.09 (m, 4H), 2.81 (s, 3H), 1.91 (br s, 1H), 1.57 - 1.49 (m, 2H), 1.45 (br d, J = 9.2 Hz, 2H), 1.21 (br t, J = 9.2 Hz, 2H), 1.06 - 0.96 (m, 5H). Second off the column, 1-methyl-4-(6-((2-methyl-6-(trifluoromethyl)pyridin-3-yl)sul fonyl)- 2,6-diazaspiro[3.3]heptan-2-yl)cyclohexan-1-ol (18 mg, 8%). LCMS m/z = 434.4 (M+ H) + . 1 H NMR (500 MHz, DMSO-d6) δ (ppm) 8.44 (d, J = 8.2 Hz, 1H), 7.98 (d, J = 8.2 Hz, 1H), 3.97 (s, 4H), 3.94 - 3.88 (m, 1H), 3.18 - 3.07 (m, 4H), 2.81 (s, 3H), 1.82 - 1.70 (m, 1H), 1.47 (br d, J = 11.6 Hz, 2H), 1.35 - 1.26 (m, 2H), 1.25 - 1.11 (m, 4H), 1.04 (s, 3H). Example 224: 2-((3-methyl-5-(trifluoromethyl)pyridin-2-yl)sulfonyl)-6-((t etrahydro-2H- pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane 1. Synthesis of 2-((3-chloro-5-(trifluoromethyl)pyridin-2-yl)sulfonyl)-6-((t etrahydro- 2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane. To a vial containing 2-((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]hept ane trifluoroacetate (255 mg, 823 ^mol) in anhydrous methanol (1.5 mL) was added Hunigs Base (0.7 mL, 4.02 mmol) carefully dropwise at room temperature. After 10 minutes, the homogeneous mixture was concentrated to afford an off-white solid. 2-Methyl-2-butanol (2 mL), 3-chloro-5-(trifluoromethyl)pyridine-2-sulfonyl fluoride (289 mg, 1.10 mmol), and Ca(NTf2)2 (544 mg, 907 ^mol) were added carefully in portions. Upon complete addition of calcium triflimide, the heterogeneous reaction was heated to 60 °C and monitored with LCMS. After 19 hours, the reaction mixture was cooled to room temperature then carefully quenched with slow addition of aqueous 2 M sodium hydroxide. The heterogeneous mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (35-85 % 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a colorless film as 2-((3-chloro-5-(trifluoromethyl)pyridin-2-yl)sulfonyl)-6- ((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptan e (105 mg, 29%) that was used without further purification. LCMS m/z = 440.3 (M+ H) + . 2. Synthesis of 2-((3-methyl-5-(trifluoromethyl)pyridin-2-yl)sulfonyl)-6-((t etrahydro- 2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane. A vial containing 2-((3-chloro-5-(trifluoromethyl)pyridin-2-yl)sulfonyl)-6-((t etrahydro-2H- pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane (105 mg, 240 ^mol), potassium methyl trifluoroborate (940 mg, 7.71 mmol), Pd(dppf)Cl2 CH 2 Cl2 (63 mg, 77 ^mol), and potassium carbonate (178 mg, 1.29 mmol) in Dioxane (1.5 mL) and water (0.15 mL) was degassed and backfilled with nitrogen. The heterogeneous reaction mixture was carefully heated to 90 °C and monitored with LCMS. After 19 hours, the heterogeneous reaction was cooled to room temperature then carefully partitioned between water and dichloromethane. The aqueous layer was extracted two additional times with dichloromethane. The organic extractions were pooled then washed once saturated aqueous sodium chloride solution, then the organic layer was dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (40-80% 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a dark yellow film that was dissolved in DMSO and few drops of water then filtered. The homogeneous solution was submitted for mass directed reverse phase HPLC purification. Liquid chromatography was performed using a Waters XSelect CSH C18, 5 μm, 30 mm × 100 mm column with mobile phase H 2 O (A) and MeCN (B) and a gradient of 5 − 60 % B (0.2% NH4OH final v/v % modifier) with flow rate at 50 mL/min. The desired fractions were pooled then concentrated under reduced pressure to afford an off-white solid as 2-((3- methyl-5-(trifluoromethyl)pyridin-2-yl)sulfonyl)-6-((tetrahy dro-2H-pyran-4-yl)methyl)-2,6- diazaspiro[3.3]heptane (19 mg, 18%). LCMS m/z = 420.3 (M+ H) + . 1 H NMR (400 MHz, DMSO-d 6 ) δ (ppm) 8.91 (s, 1H), 8.46 (s, 1H), 4.29 (s, 4H), 3.80 (br dd, J = 3.3, 11.3 Hz, 2H), 3.36 - 3.30 (m, 4H), 3.29 - 3.20 (m, 3H), 2.59 (s, 3H), 2.26 - 2.17 (m, 2H), 1.57 - 1.51 (m, 2H), 1.16 - 1.06 (m, 2H). Example 225: 2-((4-(difluoromethoxy)-2,6-difluorophenyl)sulfonyl)-6-((tet rahydro-2H- pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane To a vial containing 2-((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]hept ane trifluoroacetate (63 mg, 203 ^mol) in anhydrous dichloromethane (1.5 mL) was added Hunigs Base (0.16 mL, 919 ^mol) carefully dropwise at room temperature. After 10 minutes, 4- (difluoromethoxy)-2,6-difluoro-benzenesulfonyl chloride (73 mg, 263 ^mol) was added carefully to the homogeneous mixture. Upon complete addition of sulfonyl chloride, the reaction was maintained at 23 °C and monitored with LCMS. After 1.5 hours, the reaction mixture was carefully quenched with slow addition of saturated aqueous sodium bicarbonate solution. The heterogeneous mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (35-95 % 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford an off-white solid that was dissolved in DMSO and few drops of water then filtered. The homogeneous solution was submitted for mass directed reverse phase HPLC purification. Liquid chromatography was performed using a Waters XSelect CSH C18, 5 μm, 30 mm × 100 mm column with mobile phase H 2 O (A) and MeCN (B) and a gradient of 5 − 60 % B (0.2% NH4OH final v/v % modifier) with flow rate at 50 mL/min. The desired fractions were pooled then concentrated under reduced pressure to afford a white solid as 2-((4-(difluoromethoxy)-2,6-difluorophenyl)sulfonyl)-6-((tet rahydro- 2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane (10 mg, 11 %). LCMS m/z = 439.1 (M+ H) + . 1 H NMR (500 MHz, DICHLOROMETHANE-d2) δ (ppm) 6.86 (s, 1H), 6.84 (s, 1H), 6.65 (t, J = 71.9 Hz, 1H), 4.56 - 4.35 (m, 1H), 4.02 (br s, 4H), 3.87 - 3.76 (m, 2H), 3.30 (br d, J = 8.9 Hz, 2H), 3.26 - 2.85 (m, 4H), 2.19 (br s, 1H), 1.95 - 1.63 (m, 1H), 1.45 - 1.11 (m, 4H). Example 226: 2-((4-(difluoromethoxy)-2-fluorophenyl)sulfonyl)-6-((tetrahy dro-2H- pyran-4-yl)methyl)-2,6-diazaspiro[3.3]heptane To a vial containing 2-((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]hept ane trifluoroacetate (100 mg, 324 ^mol) in anhydrous dichloromethane (2 mL) was added Hunigs base (0.4 mL, 2.3 mmol) carefully dropwise at < 5 °C. After 5 minutes, 4-(difluoromethoxy)- 2-fluoro-benzenesulfonyl chloride (130 mg, 501 ^mol) was added carefully to the cold solution. Upon complete addition of sulfonyl chloride, the reaction was warmed to 23 °C and monitored with LCMS. After 1.5 hours, the reaction was carefully quenched with slow addition of aqueous 1 M sodium hydroxide solution. The mixture was stirred at 23 °C for 20 minutes, then the biphasic mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (40-100% 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a colorless film as 2-((4- (difluoromethoxy)-2-fluorophenyl)sulfonyl)-6-((tetrahydro-2H -pyran-4-yl)methyl)-2,6- diazaspiro[3.3]heptane (96 mg, 67 %). LCMS m/z = 421.3 (M+H) + . 1 H NMR (500 MHz, DICHLOROMETHANE-d 2 ) δ (ppm) 7.88 - 7.82 (m, 1H), 7.15 - 7.02 (m, 2H), 6.66 (t, J = 72.3 Hz, 1H), 3.95 (br s, 4H), 3.85 (br dd, J = 3.1, 11.0 Hz, 2H), 3.28 (br t, J = 11.6 Hz, 2H), 3.25 - 3.06 (m, 4H), 2.28 - 2.11 (m, 2H), 1.62 - 1.42 (m, 3H), 1.22 - 1.12 (m, 2H). Example 227: 2-((4-(difluoromethoxy)-2-fluorophenyl)sulfonyl)-6-(tetrahyd ro-2H- pyran-4-yl)-2,6-diazaspiro[3.3]heptane To a vial containing 2-(tetrahydro-2H-pyran-4-yl)-2,6-diazaspiro[3.3]heptane hydrochloride (88 mg, 401 ^mol) in anhydrous dichloromethane (2 mL) was added Hunigs Base (0.4 mL 2.3 mmol) carefully dropwise at < 5 °C. After 5 minutes, 4-(difluoromethoxy)-2-fluoro- benzenesulfonyl chloride (135 mg, 519 ^mol) was added carefully to the cold solution. Upon complete addition of sulfonyl chloride, the reaction was warmed to 23 °C and monitored with LCMS and TLC. After 30 minutes, the reaction was carefully quenched with slow addition of aqueous 1 M sodium hydroxide solution. The mixture was stirred at 23 °C for 20 minutes, then the biphasic mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (40- 80% 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a white solid that was dissolved in DMSO and few drops of water then filtered. The homogeneous solution was submitted for mass directed reverse phase HPLC purification. Liquid chromatography was performed using a Waters XSelect CSH C18, 5 μm, 30 mm × 100 mm column with mobile phase H2O (A) and MeCN (B) and a gradient of 5 − 45 % B (0.2% NH4OH final v/v % modifier) with flow rate at 50 mL/min. The desired fractions were pooled then concentrated under reduced pressure to afford a colorless film as 2- ((4-(difluoromethoxy)-2-fluorophenyl)sulfonyl)-6-(tetrahydro -2H-pyran-4-yl)-2,6- diazaspiro[3.3]heptane (38 mg, 22 %). LCMS m/z = 407.3 (M+H) + . 1 H NMR (500 MHz, DICHLOROMETHANE-d2) δ (ppm) 7.85 (t, J = 8.2 Hz, 1H), 7.08 - 7.03 (m, 2H), 6.66 (t, J = 72.3 Hz, 1H), 3.96 (s, 4H), 3.84 (br d, J = 11.0 Hz, 2H), 3.32 - 3.26 (m, 2H), 3.14 (br s, 4H), 2.07 (br s, 1H), 1.53 (br d, J = 11.9 Hz, 2H), 1.18 (br d, J = 9.8 Hz, 2H). Example 228: 2-((6-((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3] heptan-2- yl)sulfonyl)-5-(trifluoromethyl)benzonitrile To a vial containing 2-((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]hept ane trifluoroacetate (66 mg, 212 ^mol) in anhydrous dichloromethane (1 mL) was added Hunigs Base (0.16 mL, 919 ^mol) carefully dropwise at room temperature. After 10 minutes, 2-cyano- 4-(trifluoromethyl)benzenesulfonyl chloride (75 mg, 279 ^mol) was added carefully to the homogeneous mixture. Upon complete addition of sulfonyl chloride, the reaction was maintained at 23°C and monitored with LCMS and TLC. After 1.5 hours, the reaction mixture was carefully quenched with slow addition of saturated aqueous sodium bicarbonate solution. The heterogeneous mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (35-95 % 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford an off-white solid that was dissolved in DMSO and few drops of water then filtered. The homogeneous solution was submitted for mass directed reverse phase HPLC purification. Liquid chromatography was performed using a Waters XSelect CSH C18, 5 μm, 30 mm × 100 mm column with mobile phase H2O (A) and MeCN (B) and a gradient of 5 − 60 % B (0.2% NH 4 OH final v/v % modifier) with flow rate at 50 mL/min. The desired fractions were pooled then concentrated under reduced pressure to afford a white solid as 2-((6-((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3] heptan-2- yl)sulfonyl)-5-(trifluoromethyl)benzonitrile (23 mg, 24 %). LCMS m/z = 430.1 (M+ H) + . 1 H NMR (500 MHz, DICHLOROMETHANE-d2) δ (ppm) 8.17 (br d, J = 8.2 Hz, 1H), 8.14 (s, 1H), 8.01 (br d, J = 8.2 Hz, 1H), 4.12 (br s, 4H), 3.91 - 3.83 (m, 2H), 3.45 - 3.14 (m, 6H), 2.21 (br s, 2H), 1.57 - 1.41 (m, 3H), 1.27 - 1.14 (m, 2H). Example 229: 2-((tetrahydro-2H-pyran-4-yl)methyl)-6-((6-(trifluoromethyl) pyridin-3- yl)sulfonyl)-2,6-diazaspiro[3.3]heptane To a vial containing 2-((tetrahydro-2H-pyran-4-yl)methyl)-2,6-diazaspiro[3.3]hept ane trifluoroacetate (310 mg, 999 ^mol) in anhydrous dichloromethane (6 mL) was added Hunigs Base (0.7 mL, 4.02 mmol) carefully dropwise at room temperature. After 10 minutes, 6- (trifluoromethyl)pyridine-3-sulfonyl chloride (307 mg, 1.25 mmol) was added carefully to the homogeneous mixture. Upon complete addition of sulfonyl chloride, the reaction was maintained at 23°C and monitored with LCMS. After 0.5 hours, the reaction mixture was carefully quenched with slow addition of saturated aqueous sodium bicarbonate solution. The heterogeneous mixture was extracted three times with dichloromethane. The organic extractions were pooled then dried over anhydrous magnesium sulfate. After filtration and concentration under reduced pressure, the residue was loaded onto a silica gel column and purified with (40-100 % 3:1 ethyl acetate: ethanol in heptane.) The desired fractions were pooled then concentrated under reduced pressure to afford a white solid as 2-((tetrahydro-2H- pyran-4-yl)methyl)-6-((6-(trifluoromethyl)pyridin-3-yl)sulfo nyl)-2,6-diazaspiro[3.3]heptane (139 mg, 33 %). LCMS m/z = 406.1 [M+ H] + . 1 H NMR (500 MHz, DICHLOROMETHANE- d 2 ) δ (ppm) 9.11 (s, 1H), 8.30 (br d, J = 7.3 Hz, 1H), 7.91 (br d, J = 8.2 Hz, 1H), 3.91 (br s, 4H), 3.87 - 3.81 (m, 2H), 3.28 (br t, J = 11.4 Hz, 2H), 3.24 - 2.94 (m, 4H), 2.17 (br s, 2H), 1.53 - 1.33 (m, 3H), 1.20 - 1.08 (m, 2H). ASSAYS EBP Functional Assay The EBP immunoaffinity (IA) LC-MS assay measures the potency of small molecule inhibitors of EBP by quantifying their concentration-dependent changes in the enzyme’s substrate and product using liquid chromatography atmospheric pressure chemical ionization multiple reaction monitoring mass spectrometry (LC-APCI MRM MS). HEK293T cells were utilized as the source of EBP enzyme. The enzyme was incubated with the small molecule inhibitors at variable concentrations for 30 min. Deuterated form of EBP substrate, zymosterol-d5 (Avanti Polar Lipids, Cat# 700068P-1mg), was then added and the plate was incubated at 37 o C for 4 h. Finally, the sterol isomers were extracted and injected to LC-APCI MRM MS. MRM transition used for the quantification for both zymosterol and dihydrolathosterol (substrate and product of EBP enzymatic reaction, respectively) is 372.3-203.2, CE 30 and DP 80 in positive ion mode. Percent conversion of the zymosterol-d5 to dehydrolathosterol-d5 was used to derive IC50 curves. Tasin-1 (1′-[(4-Methoxyphenyl)sulfonyl]-4-methyl-1,4′-bipiperidi ne, CAS 792927-06-1) was used as the reference small molecule inhibitor. Percent conversion versus the compound concentration data were fit to the following 4- parameter logistic model to generate IC50 curves:
DATA FOR EXAMPLES
*N/A means >4000 nM; + means equal to or greater than 250nM and equal to or less than 4000 nM; ++ means equal to or greater than 100nM and less than 250 nM; +++ means <100 nM; NT = Not Tested
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