Compositions comprising CRAC inhibitors and corticosteroids and methods of use thereof

文档序号:156815 发布日期:2021-10-26 浏览:24次 中文

阅读说明:本技术 包含crac抑制剂和皮质类固醇的组合物及其使用方法 (Compositions comprising CRAC inhibitors and corticosteroids and methods of use thereof ) 是由 S·维司瓦纳德哈 S·K·V·S·瓦卡兰卡 于 2019-09-13 设计创作,主要内容包括:本公开涉及通过施用至少一种钙释放激活钙(CRAC)调节剂(例如CRAC抑制剂)和至少一种皮质类固醇治疗自身免疫性、呼吸道和/或炎性疾病或病症(例如银屑病、类风湿性关节炎或COPD)的方法。(The present disclosure relates to methods of treating autoimmune, respiratory, and/or inflammatory diseases or disorders (e.g., psoriasis, rheumatoid arthritis, or COPD) by administering at least one calcium release-activated calcium (CRAC) modulator (e.g., CRAC inhibitor) and at least one corticosteroid.)

1. A method of treating an autoimmune, respiratory and/or inflammatory disease or disorder, the method comprising administering to a subject in need thereof a therapeutically effective amount of (i) a CRAC modulator and (ii) a corticosteroid.

2. The method of claim 1, wherein the CRAC modulator is a CRAC inhibitor.

3. The method of claim 1, wherein the CRAC modulator is

(i) A compound of formula (I)

Or a tautomer, N-oxide, pharmaceutically acceptable ester, or pharmaceutically acceptable salt thereof, wherein

Ring Hy represents

Ring Hy is optionally substituted with R' ";

R1and R2Are the same or different and are selected from CH3、CH2F、CHF2、CF3Substituted or unsubstituted C(3-5)Cycloalkyl radical, CH2-ORa、CH2-NRaRbAnd COOH;

ring Ar represents:

t, U, V and W are the same or different and are independently selected from CRaAnd N;

Z1、Z2and Z3Are the same or different and are selected from CRa、CRaRbO, S and-NRaProvided that Z is1、Z2And Z3Represents O, S or-NRa

L1And L2Together represent-NH-C (═ X) -, -NH-S (═ O)q-C (═ X) NH-, -NH-CR' R "-or-S (═ O)qNH-;

A is absent or selected from- (CR' R ") -, O, S (═ O)qC (═ X) and-NRa

Each occurrence of R 'and R' is the same OR different and is selected from the group consisting of hydrogen, hydroxy, cyano, halogen, -ORa、-COORa、-S(=O)q-Ra、-NRaRb、–C(=X)-RaSubstituted or unsubstituted C(1-6)Alkyl, substituted or unsubstituted C(1-6)Alkenyl, substituted or unsubstituted C(1-6)Alkynyl and substituted or unsubstituted C(3-5)Cycloalkyl, or R' and R ", together with the common atoms to which they are attached, may be joined to form a saturated 3-6 membered carbocyclic ring; it may optionally comprise one or more of the same or different and selected from O, NRaAnd a heteroatom of S;

r' "is selected from hydrogen, hydroxy, cyano, halogen, -ORa、-COORa、-S(=O)q-Ra、-NRaRb、–C(=X)-RaSubstituted or unsubstituted C(1-6)Alkyl, substituted or unsubstituted C(1-6)Alkenyl, substituted or unsubstituted C(1-6)Alkynyl and substituted or unsubstituted C(3-5)A cycloalkyl group;

each occurrence of X is independently selected from O, S and-NRa

Cy is selected from the group consisting of substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, and substituted or unsubstituted heteroaryl;

Raand RbIs the same OR different at each occurrence and is selected from the group consisting of hydrogen, nitro, hydroxy, cyano, halogen, -ORc、-S(=O)q-Rc、–C(=Y)-Rc、-CRcRd-C(=Y)-Rc、-CRcRd-Y-CRcRd-、-C(=Y)-NRcRd-、-NRRd-C(=Y)-NRcRd-、-S(=O)q-NRcRd-、-NRcRd-S(=O)q-NRcRd-、-NRcRd-NRcRd-, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, optionally substituted or unsubstituted cycloalkyl, substituted or unsubstituted cycloalkylalkyl, substituted or unsubstituted cycloalkenyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted heterocyclylalkyl, substituted or unsubstituted aryl, substituted or unsubstituted aralkyl, substituted or unsubstituted heteroaryl, and substituted or unsubstituted heteroarylalkyl, or when R isaAnd RbWhen bonded directly to the same atom, they may be linked to form a substituted or unsubstituted saturated or unsaturated 3-10 membered ring, which may optionally include one or more of the same or different and is selected from O, NRcAnd a heteroatom of S;

Rcand RdMay be the same or different at each occurrence and is selected from the group consisting of hydrogen, nitro, hydroxy, cyano, halogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted cycloalkylalkyl, substituted or unsubstituted cycloalkenyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted heterocyclylalkyl, or when two R's are presentcAnd/or RdWhen the substituents are directly bonded to the same atom, they may be linked to form a substituted or unsubstituted saturated or unsaturated 3-to 10-membered ring, which may optionally contain one or more heteroatoms which may be the same or different and are selected from O, NH and S;

each occurrence of Y is independently selected from O, S and-NRa(ii) a And

each occurrence of q independently represents 0, 1 or 2; or

(ii)

CM2489;

CM4620;

N- (5- (6-chloro-2, 2-difluorobenzo [ d ] [1,3] dioxol-5-yl) pyrazin-2-yl) -2-fluoro-6-methylbenzamide;

n- [4- [3, 5-bis (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide (YM-58483);

2, 6-difluoro-N- {5- [ 4-methyl-1- (5-methylthiazol-2-yl) -1,2,5, 6-tetrahydro-pyridin-3-yl ] -pyrazin-2-yl } -benzamide (RO 2959);

2, 6-difluoro-N- (1- (4-hydroxy-2- (trifluoromethyl) benzyl) -1H-pyrazol-3-yl) benzamide (GSK-7975A);

2, 6-difluoro-N- (1- (2-phenoxybenzyl) -1H-pyrazol-3-yl) benzamide (GSK 5503A);

n- (2',5' -dimethoxy [1,1' -biphenyl ] -4-yl) -3-fluoro-4-pyridinecarboxamide (Synta 66),

or a pharmaceutically acceptable salt thereof.

4. The method of any one of claims 1-3, wherein the CRAC modulator is a compound of formula (IA)

Or a tautomer, N-oxide, pharmaceutically acceptable ester, or pharmaceutically acceptable salt thereof, wherein

R1And R2Are each cyclopropyl, or R1And R2One is CF3And the other is cyclopropyl;

t is CF or N, and U, V, W is independently CH, CF or N;

L1and L2Together represent-NH-C (═ X) -, -NH-S (═ O)q-, -C (═ X) NH-or-S (═ O)qNH-or-NH-CR' R "-;

a is absent or selectedFrom- (CR 'R') -and-NRa

Each occurrence of R 'and R' is the same or different and is independently selected from hydrogen or substituted or unsubstituted C(1-6)Alkyl, or R 'and R' may be combined to form a substituted or unsubstituted saturated or unsaturated 3-6 membered ring, which may optionally include one or more of the same or different and is selected from O, NRaAnd a heteroatom of S;

r' "is selected from hydrogen or halogen;

each occurrence of X is independently selected from O, S and-NRa

Cy is selected from

RaIndependently for each occurrence of (A) is selected from hydrogen, nitro, hydroxy, cyano, halogen, -ORc、-S(=O)q-Rc、-NRcRd、C(=Y)-Rc、-CRcRd-C(=Y)-Rc、-CRcRd-Y-CRcRd-、-C(=Y)-NRcRd-、-NRRd-C(=Y)-NRcRd-、-S(=O)q-NRcRd-、-NRcRd-S(=O)q-NRcRd-、-NRcRd-NRcRd-, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted cycloalkylalkyl, substituted or unsubstituted cycloalkenyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted heterocyclylalkyl, substituted or unsubstituted aryl, substituted or unsubstituted aralkyl, substituted or unsubstituted heteroaryl, and substituted or unsubstituted heteroarylalkyl;

Rcand RdMay be the same or different at each occurrence and is independently selected from the group consisting of hydrogen, nitro, hydroxy, cyano, halogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstitutedSubstituted alkynyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted cycloalkylalkyl, substituted or unsubstituted cycloalkenyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted heterocyclylalkyl, or when two R's are presentcAnd/or RdWhen the substituents are directly bonded to the same atom, they may be linked to form a substituted or unsubstituted saturated or unsaturated 3-to 10-membered ring, which may optionally contain one or more heteroatoms which may be the same or different and are selected from O, NH and S; each occurrence of Y is independently selected from O, S and-NRa(ii) a And

each occurrence of q independently represents 0, 1 or 2.

5. The method of any one of claims 1-3, wherein the CRAC modulator is a compound of formula (IB)

Or a tautomer, N-oxide, pharmaceutically acceptable ester, or pharmaceutically acceptable salt thereof, wherein

R1And R2Are each cyclopropyl, or R1And R2One is CF3And the other is cyclopropyl;

r' "is selected from hydrogen, hydroxy, cyano, halogen, -ORa、-COORa、-S(=O)q-Ra、-NRaRb、–C(=X)-RaSubstituted or unsubstituted C(1-6)Alkyl, substituted or unsubstituted C(1-6)Alkenyl, substituted or unsubstituted C(1-6)Alkynyl and substituted or unsubstituted C(3-5)A cycloalkyl group;

t, U, V and W are the same or different and are independently selected from CRaAnd N;

-CH2-,-CHMe-,

a is absent or selected from

Cy is selected from the following bicyclic rings: substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, and substituted or unsubstituted heteroaryl;

Raand RbIs the same OR different at each occurrence and is independently selected from hydrogen, nitro, hydroxy, cyano, halogen, -ORc、-S(=O)q-Rc、-NRcRd、–C(=Y)-Rc、-CRcRd-C(=Y)-Rc、-CRcRd-Y-CRcRd-、-C(=Y)-NRcRd-、-NRRd-C(=Y)-NRcRd-、-S(=O)q-NRcRd-、-NRcRd-S(=O)q-NRcRd-、-NRcRd-NRcRd-, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted cycloalkylalkyl, substituted or unsubstituted cycloalkenyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted heterocyclylalkyl, substituted or unsubstituted aryl, substituted or unsubstituted aralkyl, substituted or unsubstituted heteroaryl, and substituted or unsubstituted heteroarylalkyl, or when R isaAnd RbWhen bonded directly to the same atom, they may be linked to form a substituted or unsubstituted saturated or unsaturated 3-10 membered ring, which may optionally include one or more of the same or different and is selected from O, NRcAnd a heteroatom of S;

Rcand RdMay be the same or different for each occurrence and is independently selected from hydrogen, nitro, hydroxy, cyano, halogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted cycloalkylalkyl, substituted or unsubstituted cycloalkenyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted heterocyclylalkyl, or when two R's are presentcAnd/or RdWhen the substituents are bonded directly to the same atom, they may beLinked to form a substituted or unsubstituted saturated or unsaturated 3-to 10-membered ring, which may optionally contain one or more heteroatoms which are the same or different and are selected from O, NH and S;

each occurrence of X is independently selected from O, S and-NRa

Each occurrence of Y is independently selected from O, S and-NRa(ii) a And

each occurrence of q independently represents 0, 1 or 2.

6. The method of any one of claims 1-5, wherein R1And R2Are each cyclopropyl, or R1And R2One is CF3And the other is cyclopropyl.

7. The method of any one of claims 1-6, wherein Hy is

8. The method of any one of claims 1-7, wherein ring Ar is selected from

9. The method of any one of claims 1-8, wherein L1And L2Together represent-NH-C (═ X) -or-C (═ X) -NH-.

10. The method of any one of claims 1-9, wherein Cy is selected from the group consisting of

11. The method of any one of claims 1-10, wherein Cy is selected from the group consisting of

12. The method of any of claims 1-11, wherein the CRAC modulator is selected from the group consisting of

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -4-methylthiazole-5-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2, 4-dimethylthiazole-5-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -5-methylisoxazole-4-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -3, 5-dimethylisoxazole-4-carboxamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] benzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2-methylbenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2, 6-difluorobenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2, 3-difluorobenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl-3- (methylsulfonyl) benzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -4- (methylsulfonyl) benzamide

2-chloro-N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -5- (methylthio) benzamide

2-chloro-N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl) -5- (methylsulfonyl) benzamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] nicotinamide hydrochloride

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] isonicotinamide hydrochloride

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -3-fluoroisonicotinamide

3, 5-dichloro-N- (4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl) isonicotinamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -4-methylpyrimidine-5-carboxamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2-phenylacetamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (4-fluorophenyl) acetamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -1-phenylcyclopropanecarboxamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (pyridin-2-yl) acetamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (pyridin-3-yl) acetamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (pyridin-4-yl) acetamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (piperazin-1-yl) acetamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2-morpholinoacetamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] benzenesulfonamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -4-methylthiazole-5-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -3, 5-dimethylisoxazole-4-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -2-methylbenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -2, 3-difluorobenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -2, 6-difluorobenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] nicotinamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] isonicotinamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -4-methylpyrimidine-5-carboxamide

N- [4- (4-chloro-3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -4-methylthiazole-5-carboxamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -2, 4-dimethylthiazole-5-carboxamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -3, 5-dimethylisoxazole-4-carboxamide

6- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) -N-o-tolylnicotinamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -2-fluorobenzamide

N- [6- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -2, 3-difluorobenzamide

N- [6- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -2, 6-difluorobenzamide

N- [6- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] nicotinamide dihydrochloride

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] isonicotinamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -3-fluoroisonicotinamide

3, 5-dichloro-N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } isonicotinamide

3, 5-dichloro-N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] isonicotinamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -4-methylpyrimidine-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methylthiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -N, 4-dimethylthiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2, 4-dimethylthiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -5-methylisoxazole-4-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -3, 5-dimethylisoxazole-4-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -1-methyl-1H-imidazole-2-carboxamide

N- {4- [ 3-cyclopropyl-5- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methyl-1H-imidazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2-methylbenzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2, 3-difluorobenzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2, 6-difluorobenzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -3- (methylsulfonyl) benzamide

2-chloro-N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -5- (methylthio) benzamide

2-chloro-N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -5- (methylsulfonyl) benzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } pyridine-4-carboxamide hydrochloride

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -3-fluoroisonicotinamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methylpyrimidine-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2, 4-dimethylpyrimidine-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (4-fluorophenyl) acetamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (pyridin-2-yl) acetamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (pyridin-3-yl) acetamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (pyridin-4-yl) acetamide

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- [ (4-methylthiazol-5-yl) methyl ] aniline

1- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -3- (4-methyl-1, 2, 3-thiadiazol-5-yl) urea

1- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -3- (4-methylthiazol-5-yl) urea

1- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -3- (4-methylpyrimidin-5-yl) urea

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- (4-methylthiazol-5-yl) benzamide

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- (2, 6-difluorophenyl) benzamide

N- {4- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methylthiazole-5-carboxamide

N- {4- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (pyridin-2-yl) acetamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -4-methylthiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -5-methylisoxazole-4-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -3, 5-dimethylisoxazole-4-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -2-methylbenzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -2, 3-difluorobenzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -2, 6-difluorobenzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } nicotinamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } isonicotinamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -3-fluoroisonicotinamide

3, 5-dichloro-N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } isonicotinamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -4-methylpyrimidine-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -N, 4-dimethylpyrimidine-5-carboxamide

N- {4- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- {4- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -2- (pyridin-2-yl) acetamide

1- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -3- (4-methylpyrimidin-5-yl) urea

N- {4- [5) -cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] 3-fluorophenyl } -2, 6-dichlorobenzamide

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- (2, 3-difluorophenyl) -3-fluorobenzamide

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- (2, 6-difluorophenyl) -3-fluorobenzamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -4-methylthiazole-5-carboxamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3, 5-dimethylisoxazole-4-carboxamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide

2-chloro-N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } benzamide

N- (6- (5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl) pyridin-3-yl) -2-fluorobenzamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2, 3-difluorobenzamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2, 6-difluorobenzamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } picolinamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3-methylpyridine amide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } nicotinamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylnicotinamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } isonicotinamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3-fluoroisonicotinamide

3, 5-dichloro-N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } isonicotinamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -4-methylpyrimidine-5-carboxamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2- (pyridin-2-yl) acetamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2- (pyridin-4-yl) acetamide

N- {4- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -4-methylpyrimidine-5-carboxamide

1- {6- [ 3-cyclopropyl-5- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3- (4-methylthiazol-5-yl) urea

6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- (2, 3-difluorophenyl) nicotinamide

6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- (2, 6-difluorophenyl) nicotinamide

N- {6- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -4-methylthiazole-5-carboxamide

N- {2- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyrimidin-5-yl } -2, 6-difluorobenzamide

N- {4- [5- (fluoromethyl) -3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methylthiazole-5-carboxamide

N- {4- [5- (difluoromethyl) -3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methylthiazole-5-carboxamide

3, 5-dichloro-N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] isonicotinamide

N- (2-chloro-6-fluorophenyl) -4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorobenzamide

N- {2- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyrimidin-5-yl } -4-methylthiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3, 5-difluorophenyl } -4-methylpyrimidine-5-carboxamide

{4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -1-phenylcyclobutanecarboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -4-methyloxazole-5-carboxamide

N- {2- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyrimidin-5-yl } -4-methylpyrimidine-5-carboxamide

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluoro-N- (4-methylpyrimidin-5-yl) benzamide and

n- {4- [ 3-cyclopropyl-5- (difluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -2, 6-difluorobenzamide;

n- {4- [ 5-cyclopropyl-3- (difluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -2, 6-difluorobenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -1H-benzo [ d ] imidazole-6-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -1H-benzo [ d ] [1,2,3] triazole-6-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] quinoline-6-carboxamide hydrochloride

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] quinoxaline-6-carboxamide

2- (1H-benzo [ d ] imidazol-1-yl) -N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] acetamide

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] acetamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (1H-indol-3-yl) acetamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (imidazo [1,2-a ] pyridin-2-yl) acetamide hydrochloride

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (quinolin-6-yl) acetamide:

n- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (quinolin-6-yl) acetamide hydrochloride

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- (4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl) acetamide

Hydrochloric acid N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -2- (quinolin-6-yl) acetamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] quinoline-6-carboxamide dihydrochloride

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] quinoxaline-6-carboxamide

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] acetamide

N- [6- (3, 5-Bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -2- (quinolin-6-yl) acetamide dihydrochloride

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } quinoline-6-carboxamide hydrochloride

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } quinoxaline-6-carboxamide

2- (1H-benzo [ d ] imidazol-1-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } acetamide

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } acetamide

2- (2H-benzo [ d ] [1,2,3] triazol-2-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } acetamide

2- (3H- [1,2,3] triazolo [4,5-b ] pyridin-3-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } acetamide

(S) -2- (3H- [1,2,3] triazolo [4,5-b ] pyridin-3-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } propanamide

2- (6-amino-9H-purin-9-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } acetamide

N- (4- (5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl) phenyl) -2- (1, 3-dimethyl-2, 6-dioxo-2, 3-dihydro-1H-purin-7 (6H) -yl) acetamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl) phenyl) -2- (imidazo [1,2-a ] pyridin-2-yl) acetamide hydrochloride

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (quinolin-6-yl) acetamide hydrochloride

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (quinolin-6-yl) propanamide hydrochloride

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -1H-benzo [ d ] [1,2,3] triazole-6-carboxamide

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } acetamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -1H-benzo [ d ] [1,2,3] triazole-5-carboxamide

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } acetamide

2- (2H-benzo [ d ] [1,2,3] triazol-2-yl) -N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } acetamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2- (quinolin-6-yl) acetamide hydrochloride

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- {6- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } acetamide

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluoro-N- (quinolin-6-methyl) benzamide hydrochloride and

1- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -3- (quinolin-6-yl) urea,

and pharmaceutically acceptable salts thereof.

13. The method of any of claims 1-11, wherein the CRAC modulator is selected from the group consisting of

CM2489;

CM4620;

N- (5- (6-chloro-2, 2-difluorobenzo [ d ] [1,3] dioxol-5-yl) pyrazin-2-yl) -2-fluoro-6-methylbenzamide;

n- [4- [3, 5-bis (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide (YM-58483);

2, 6-difluoro-N- {5- [ 4-methyl-1- (5-methylthiazol-2-yl) -1,2,5, 6-tetrahydro-pyridin-3-yl ] -pyrazin-2-yl } -benzamide (RO 2959);

2, 6-difluoro-N- (1- (4-hydroxy-2- (trifluoromethyl) benzyl) -1H-pyrazol-3-yl) benzamide (GSK-7975A);

2, 6-difluoro-N- (1- (2-phenoxybenzyl) -1H-pyrazol-3-yl) benzamide (GSK 5503A);

n- (2',5' -dimethoxy [1,1' -biphenyl ] -4-yl) -3-fluoro-4-pyridinecarboxamide (Synta 66);

n- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide;

n- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3-fluoroisonicotinamide;

and pharmaceutically acceptable salts thereof.

14. The method of any of claims 1-13, the CRAC modulator is selected from

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide;

n- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3-fluoroisonicotinamide;

and pharmaceutically acceptable salts thereof.

15. The method of any one of claims 1-14, wherein the corticosteroid is selected from dexamethasone, betamethasone, prednisolone, methylprednisolone, prednisone, hydrocortisone, fluticasone, triamcinolone, budesonide or cortisone prednisolone, methylprednisolone, naphthalenone, desflurane, lorasone acetate, budesonide, beclomethasone dipropionate, hydrocortisone, triamcinolone acetonide, fluocinolone acetate, clocortolone, methylprednisolone aceponate, dexamethasone palmitate, tiprednisolone, hydrocortisone aceponate, prednisolone dipropionate, alclometasone dipropionate, halometasone, sulfoheptylprednisolone, mometasone furoate monohydrate, mometasone furoate, rimexolone, prednisolone farnesol, ciclesonide, desoxypropionate ketone, fluticasone propionate, halobetamethasone dipropionate, prednisolone acetonide, prednisone propionate, halobetamethasone dipropionate, hydrocortisone dipropionate, and combinations thereof, Loteprednol etabonate, betamethasone butyrate propionate, flunisolide, prednisone, dexamethasone sodium phosphate, triamcinolone, 17-betamethasone valerate, betamethasone dipropionate, hydrocortisone acetate, hydrocortisone sodium succinate, prednisolone sodium phosphate, hydrocortisone propionate and pharmaceutically acceptable salts thereof.

16. The method of claim 15, wherein the corticosteroid is selected from the group consisting of dexamethasone, betamethasone, prednisolone, methylprednisolone, prednisone, hydrocortisone, fluticasone, mometasone furoate monohydrate, triamcinolone, budesonide, cortisone, and pharmaceutically acceptable salts thereof.

17. The method of any one of claims 15-16, wherein the corticosteroid is selected from dexamethasone, fluticasone, and pharmaceutically acceptable salts thereof.

18. The method of any one of claims 1-17, wherein the CRAC modulator is N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide and the corticosteroid is dexamethasone.

19. The method of any one of claims 1-17, wherein the CRAC modulator is N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide and the corticosteroid is fluticasone.

20. The method of any one of claims 1-17, wherein the CRAC modulator is N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide and the corticosteroid is mometasone, mometasone furoate, or mometasone furoate monohydrate.

21. The method of any one of claims 1-20, wherein a therapeutically effective amount of (i) the CRAC modulator and a therapeutically effective amount of (ii) the corticosteroid are administered simultaneously as a combined preparation.

22. The method of any one of claims 1-20, wherein the therapeutically effective amount of (i) the CRAC modulator and the therapeutically effective amount of (ii) the corticosteroid are administered sequentially.

23. The method of claim 22, wherein the therapeutically effective amount of corticosteroid is administered prior to the therapeutically effective amount of the CRAC modulator.

24. The method of any one of claims 1-23, wherein the therapeutically effective amount of the CRAC modulator is administered from two times daily to once every three weeks, and the therapeutically effective amount of the corticosteroid is administered from two times daily to once every three weeks.

25. The method of any one of claims 1-24, wherein the autoimmune, respiratory and/or inflammatory disease or disorder is selected from asthma, chronic obstructive pulmonary disease, rheumatoid arthritis, inflammatory bowel disease, glomerulonephritis, neuroinflammatory diseases, multiple sclerosis, uveitis, psoriasis, arthritis, vasculitis, dermatitis, osteoarthritis, inflammatory muscle diseases, allergic rhinitis, vaginitis, interstitial cystitis, scleroderma, osteoporosis, eczema, allograft or xenograft (organ, bone marrow, stem cells and other cells and tissues) graft rejection, graft-versus-host disease, lupus erythematosus, inflammatory diseases, type I diabetes, pulmonary fibrosis, dermatomyositis, sjogren's syndrome, thyroiditis, myasthenia gravis, autoimmune hemolytic anemia, cystic fibrosis, idiopathic Pulmonary Fibrosis (IPF), chronic recurrent hepatitis, primary biliary cirrhosis, allergic conjunctivitis, atopic dermatitis, and combinations thereof.

26. The method of any one of claims 1-25, wherein the autoimmune, respiratory and/or inflammatory disease or disorder is selected from asthma, rheumatoid arthritis, psoriasis and chronic obstructive pulmonary disease.

27. The method of any one of claims 1-26, wherein the CRAC modulator and the corticosteroid are each administered in about the following amounts

(i)0.01mg to about 1000 mg;

(ii)0.01mg to about 500 mg;

(iii)0.01mg to about 250 mg; or

(iv)0.01mg to about 100 mg.

28. The method of any one of claims 1-27, wherein

(a) The CRAC modulator is administered in an amount of about

(i)0.01mg to about 1000 mg;

(ii)10mg to about 500 mg;

(iii)50mg to about 250 mg; or

(iv)50mg to about 100 mg; and is

(b) The corticosteroid is administered in an amount of about 0.01mg to about 100 mg.

29. The method of any one of claims 1-28, wherein

(a) The CRAC modulator is administered in an amount from about 10mg to about 500 mg; and

(b) the corticosteroid is administered in an amount of about 0.01mg to about 100 mg.

30. The method of any one of claims 1-29, wherein the CRAC modulator and the corticosteroid are administered at a rate of about 1: 100 to about 100: 1 ratio.

31. A pharmaceutical composition comprising (i) a CRAC modulator, (ii) a corticosteroid, and (iii) optionally, a pharmaceutically acceptable carrier, glidant, diluent, or excipient.

32. The pharmaceutical composition of claim 31, wherein the CRAC modulator is

(i) A compound of formula (I)

Or a tautomer, N-oxide, pharmaceutically acceptable ester, or pharmaceutically acceptable salt thereof, wherein

Ring Hy represents

Ring Hy is optionally substituted with R';

R1and R2Are the same or different and are selected from CH3、CH2F、CHF2、CF3Substituted or unsubstituted C(3-5)Cycloalkyl radical, CH2-ORa、CH2-NRaRbAnd COOH;

ring Ar represents:

t, U, V and W are the same or different and are independently selected from CRaAnd N;

Z1、Z2and Z3Are the same or different and are selected from CRa、CRaRbO, S and-NRaProvided that Z is1、Z2And Z3Represents O, S or-NRa

L1And L2Together represent-NH-C (═ X) -, -NH-S (═ O)q-C (═ X) NH-, -NH-CR' R "-or-S (═ O)qNH-;

A is absent or selected from- (CR' R ") -, O, S (═ O)qC (═ X) and-NRa

Each occurrence of R 'and R' is the same OR different and is selected from the group consisting of hydrogen, hydroxy, cyano, halogen, -ORa、-COORa、-S(=O)q-Ra、-NRaRb、–C(=X)-RaSubstituted or unsubstituted C(1-6)Alkyl, substituted or unsubstituted C(1-6)Alkenyl, substituted or unsubstituted C(1-6)Alkynyl and substituted or unsubstituted C(3-5)Cycloalkyl, or R' and R ", together with the common atoms to which they are attached, may be joined to form a saturated 3-6 membered carbocyclic ring; it may optionally comprise one or more of the same or different and selected from O, NRaAnd a heteroatom of S;

r' "is selected from hydrogen, hydroxy, cyano, halogen, -ORa、-COORa、-S(=O)q-Ra、-NRaRb、–C(=X)-RaGet, getSubstituted or unsubstituted C(1-6)Alkyl, substituted or unsubstituted C(1-6)Alkenyl, substituted or unsubstituted C(1-6)Alkynyl and substituted or unsubstituted C(3-5)A cycloalkyl group;

each occurrence of X is independently selected from O, S and-NRa

Cy is selected from the group consisting of substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, and substituted or unsubstituted heteroaryl;

Raand RbIs the same OR different at each occurrence and is selected from the group consisting of hydrogen, nitro, hydroxy, cyano, halogen, -ORc、-S(=O)q-Rc、–C(=Y)-Rc、-CRcRd-C(=Y)-Rc、-CRcRd-Y-CRcRd-、-C(=Y)-NRcRd-、-NRRd-C(=Y)-NRcRd-、-S(=O)q-NRcRd-、-NRcRd-S(=O)q-NRcRd-、-NRcRd-NRcRd-, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, optionally substituted or unsubstituted cycloalkyl, substituted or unsubstituted cycloalkylalkyl, substituted or unsubstituted cycloalkenyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted heterocyclylalkyl, substituted or unsubstituted aryl, substituted or unsubstituted aralkyl, substituted or unsubstituted heteroaryl, and substituted or unsubstituted heteroarylalkyl, or when R isaAnd RbWhen bonded directly to the same atom, they may be linked to form a substituted or unsubstituted saturated or unsaturated 3-10 membered ring, which may optionally include one or more of the same or different and is selected from O, NRcAnd a heteroatom of S;

Rcand RdMay be the same or different at each occurrence and is selected from the group consisting of hydrogen, nitro, hydroxy, cyano, halogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted cycloalkyl, substituted or unsubstitutedCycloalkylalkyl, substituted or unsubstituted cycloalkenyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted heterocyclylalkyl, or when two R's arecAnd/or RdWhen the substituents are directly bonded to the same atom, they may be linked to form a substituted or unsubstituted saturated or unsaturated 3-to 10-membered ring, which may optionally contain one or more heteroatoms which may be the same or different and are selected from O, NH and S;

each occurrence of Y is independently selected from O, S and-NRa(ii) a And

each occurrence of q independently represents 0, 1 or 2; or

(ii)

CM2489;

CM4620;

N- (5- (6-chloro-2, 2-difluorobenzo [ d ] [1,3] dioxol-5-yl) pyrazin-2-yl) -2-fluoro-6-methylbenzamide;

n- [4- [3, 5-bis (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide (YM-58483);

2, 6-difluoro-N- {5- [ 4-methyl-1- (5-methylthiazol-2-yl) -1,2,5, 6-tetrahydro-pyridin-3-yl ] -pyrazin-2-yl } -benzamide (RO 2959);

2, 6-difluoro-N- (1- (4-hydroxy-2- (trifluoromethyl) benzyl) -1H-pyrazol-3-yl) benzamide (GSK-7975A);

2, 6-difluoro-N- (1- (2-phenoxybenzyl) -1H-pyrazol-3-yl) benzamide (GSK 5503A);

n- (2',5' -dimethoxy [1,1' -biphenyl ] -4-yl) -3-fluoro-4-pyridinecarboxamide (Synta 66);

or a pharmaceutically acceptable salt thereof.

33. The pharmaceutical composition of any one of claims 31-32, wherein the CRAC modulator is a compound of formula (IA)

Or a tautomer, N-oxide, pharmaceutically acceptable ester, or pharmaceutically acceptable salt thereof, wherein

R1And R2Are each cyclopropyl, or R1And R2One is CF3And the other is cyclopropyl;

t is CF or N, and U, V, W is independently CH, CF or N;

L1and L2Together represent-NH-C (═ X) -, -NH-S (═ O)q-, -C (═ X) NH-or-S (═ O)qNH-or-NH-CR' R "-;

a is absent or selected from- (CR 'R') -and-NRa

Each occurrence of R 'and R' is the same or different and is independently selected from hydrogen or substituted or unsubstituted C(1-6)Alkyl, or R 'and R' may be combined to form a substituted or unsubstituted saturated or unsaturated 3-6 membered ring, which may optionally include one or more of the same or different and is selected from O, NRaAnd a heteroatom of S;

r' "is selected from hydrogen or halogen;

each occurrence of X is independently selected from O, S and-NRa

Cy is selected from

RaIndependently for each occurrence of (A) is selected from hydrogen, nitro, hydroxy, cyano, halogen, -ORc、-S(=O)q-Rc、-NRcRd、C(=Y)-Rc、-CRcRd-C(=Y)-Rc、-CRcRd-Y-CRcRd-、-C(=Y)-NRcRd-、-NRRd-C(=Y)-NRcRd-、-S(=O)q-NRcRd-、-NRcRd-S(=O)q-NRcRd-、-NRcRd-NRcRd-, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted cycloalkylAn alkyl group, a substituted or unsubstituted cycloalkenyl group, a substituted or unsubstituted heterocyclyl group, a substituted or unsubstituted heterocyclylalkyl group, a substituted or unsubstituted aryl group, a substituted or unsubstituted aralkyl group, a substituted or unsubstituted heteroaryl group, and a substituted or unsubstituted heteroarylalkyl group;

Rcand RdMay be the same or different for each occurrence and is independently selected from hydrogen, nitro, hydroxy, cyano, halogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted cycloalkylalkyl, substituted or unsubstituted cycloalkenyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted heterocyclylalkyl, or when two R's are presentcAnd/or RdWhen the substituents are directly bonded to the same atom, they may be linked to form a substituted or unsubstituted saturated or unsaturated 3-to 10-membered ring, which may optionally contain one or more heteroatoms which may be the same or different and are selected from O, NH and S;

each occurrence of Y is independently selected from O, S and-NRa(ii) a And

each occurrence of q independently represents 0, 1 or 2.

34. The pharmaceutical composition of any one of claims 31-33, wherein the CRAC modulator is a compound of formula (IB)

Or a tautomer, N-oxide, pharmaceutically acceptable ester, or pharmaceutically acceptable salt thereof, wherein

R1And R2Are each cyclopropyl, or R1And R2One is CF3And the other is cyclopropyl;

r' "is selected from hydrogen, hydroxy, cyano, halogen, -ORa、-COORa、-S(=O)q-Ra、-NRaRb、–C(=X)-RaSubstituted or unsubstituted C(1-6)Alkyl, substituted or unsubstituted C(1-6)Alkenyl, substituted or unsubstituted C(1-6)Alkynyl and substituted or unsubstituted C(3-5)A cycloalkyl group;

t, U, V and W are the same or different and are independently selected from CRaAnd N;

-CH2-,-CHMe-,

a is absent or selected from

Cy is selected from the following bicyclic rings: substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, and substituted or unsubstituted heteroaryl;

Raand RbIs the same OR different at each occurrence and is independently selected from hydrogen, nitro, hydroxy, cyano, halogen, -ORc、-S(=O)q-Rc、-NRcRd、–C(=Y)-Rc、-CRcRd-C(=Y)-Rc、-CRcRd-Y-CRcRd-、-C(=Y)-NRcRd-、-NRRd-C(=Y)-NRcRd-、-S(=O)q-NRcRd-、-NRcRd-S(=O)q-NRcRd-、-NRcRd-NRcRd-, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted cycloalkylalkyl, substituted or unsubstituted cycloalkenyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted heterocyclylalkyl, substituted or unsubstituted aryl, substituted or unsubstituted aralkyl, substituted or unsubstituted heteroaryl, and substituted or unsubstituted heteroarylalkyl, or when R isaAnd RbWhen bonded directly to the same atom, they may be linked to form a substituted or unsubstituted saturated or unsaturated 3-10 membered ring, which may optionally include one or more of the same or different and is selected from O, NRcAnd hetero of SAn atom;

Rcand RdMay be the same or different for each occurrence and is independently selected from hydrogen, nitro, hydroxy, cyano, halogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted cycloalkylalkyl, substituted or unsubstituted cycloalkenyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted heterocyclylalkyl, or when two R's are presentcAnd/or RdWhen the substituents are directly bonded to the same atom, they may be linked to form a substituted or unsubstituted saturated or unsaturated 3-to 10-membered ring, which may optionally contain one or more heteroatoms which may be the same or different and are selected from O, NH and S;

each occurrence of X is independently selected from O, S and-NRa

Each occurrence of Y is independently selected from O, S and-NRa(ii) a And

each occurrence of q independently represents 0, 1 or 2.

35. The pharmaceutical composition of any one of claims 31-34, wherein the CRAC modulator is selected from

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -4-methylthiazole-5-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2, 4-dimethylthiazole-5-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -5-methylisoxazole-4-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -3, 5-dimethylisoxazole-4-carboxamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] benzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2-methylbenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2, 6-difluorobenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2, 3-difluorobenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl-3- (methylsulfonyl) benzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -4- (methylsulfonyl) benzamide

2-chloro-N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -5- (methylthio) benzamide

2-chloro-N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl) -5- (methylsulfonyl) benzamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] nicotinamide hydrochloride

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] isonicotinamide hydrochloride

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -3-fluoroisonicotinamide

3, 5-dichloro-N- (4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl) isonicotinamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -4-methylpyrimidine-5-carboxamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2-phenylacetamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (4-fluorophenyl) acetamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -1-phenylcyclopropanecarboxamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (pyridin-2-yl) acetamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (pyridin-3-yl) acetamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (pyridin-4-yl) acetamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (piperazin-1-yl) acetamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2-morpholinoacetamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] benzenesulfonamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -4-methylthiazole-5-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -3, 5-dimethylisoxazole-4-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -2-methylbenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -2, 3-difluorobenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -2, 6-difluorobenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] nicotinamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] isonicotinamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -4-methylpyrimidine-5-carboxamide

N- [4- (4-chloro-3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -4-methylthiazole-5-carboxamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -2, 4-dimethylthiazole-5-carboxamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -3, 5-dimethylisoxazole-4-carboxamide

6- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) -N-o-tolylnicotinamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -2-fluorobenzamide

N- [6- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -2, 3-difluorobenzamide

N- [6- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -2, 6-difluorobenzamide

N- [6- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] nicotinamide dihydrochloride

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] isonicotinamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -3-fluoroisonicotinamide

3, 5-dichloro-N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } isonicotinamide

3, 5-dichloro-N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] isonicotinamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -4-methylpyrimidine-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methylthiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -N, 4-dimethylthiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2, 4-dimethylthiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -5-methylisoxazole-4-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -3, 5-dimethylisoxazole-4-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -1-methyl-1H-imidazole-2-carboxamide

N- {4- [ 3-cyclopropyl-5- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methyl-1H-imidazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2-methylbenzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2, 3-difluorobenzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2, 6-difluorobenzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -3- (methylsulfonyl) benzamide

2-chloro-N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -5- (methylthio) benzamide

2-chloro-N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -5- (methylsulfonyl) benzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } pyridine-4-carboxamide hydrochloride

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -3-fluoroisonicotinamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methylpyrimidine-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2, 4-dimethylpyrimidine-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (4-fluorophenyl) acetamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (pyridin-2-yl) acetamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (pyridin-3-yl) acetamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (pyridin-4-yl) acetamide

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- [ (4-methylthiazol-5-yl) methyl ] aniline

1- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -3- (4-methyl-1, 2, 3-thiadiazol-5-yl) urea

1- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -3- (4-methylthiazol-5-yl) urea

1- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -3- (4-methylpyrimidin-5-yl) urea

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- (4-methylthiazol-5-yl) benzamide

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- (2, 6-difluorophenyl) benzamide

N- {4- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methylthiazole-5-carboxamide

N- {4- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (pyridin-2-yl) acetamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -4-methylthiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -5-methylisoxazole-4-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -3, 5-dimethylisoxazole-4-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -2-methylbenzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -2, 3-difluorobenzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -2, 6-difluorobenzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } nicotinamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } isonicotinamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -3-fluoroisonicotinamide

3, 5-dichloro-N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } isonicotinamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -4-methylpyrimidine-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -N, 4-dimethylpyrimidine-5-carboxamide

N- {4- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- {4- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -2- (pyridin-2-yl) acetamide

1- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -3- (4-methylpyrimidin-5-yl) urea

N- {4- [5) -cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] 3-fluorophenyl } -2, 6-dichlorobenzamide

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- (2, 3-difluorophenyl) -3-fluorobenzamide

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- (2, 6-difluorophenyl) -3-fluorobenzamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -4-methylthiazole-5-carboxamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3, 5-dimethylisoxazole-4-carboxamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide

2-chloro-N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } benzamide

N- (6- (5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl) pyridin-3-yl) -2-fluorobenzamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2, 3-difluorobenzamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2, 6-difluorobenzamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } picolinamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3-methylpyridine amide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } nicotinamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylnicotinamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } isonicotinamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3-fluoroisonicotinamide

3, 5-dichloro-N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } isonicotinamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -4-methylpyrimidine-5-carboxamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2- (pyridin-2-yl) acetamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2- (pyridin-4-yl) acetamide

N- {4- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -4-methylpyrimidine-5-carboxamide

1- {6- [ 3-cyclopropyl-5- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3- (4-methylthiazol-5-yl) urea

6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- (2, 3-difluorophenyl) nicotinamide

6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- (2, 6-difluorophenyl) nicotinamide

N- {6- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -4-methylthiazole-5-carboxamide

N- {2- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyrimidin-5-yl } -2, 6-difluorobenzamide

N- {4- [5- (fluoromethyl) -3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methylthiazole-5-carboxamide

N- {4- [5- (difluoromethyl) -3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methylthiazole-5-carboxamide

3, 5-dichloro-N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] isonicotinamide

N- (2-chloro-6-fluorophenyl) -4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorobenzamide

N- {2- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyrimidin-5-yl } -4-methylthiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3, 5-difluorophenyl } -4-methylpyrimidine-5-carboxamide

{4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -1-phenylcyclobutanecarboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -4-methyloxazole-5-carboxamide

N- {2- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyrimidin-5-yl } -4-methylpyrimidine-5-carboxamide

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluoro-N- (4-methylpyrimidin-5-yl) benzamide and

n- {4- [ 3-cyclopropyl-5- (difluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -2, 6-difluorobenzamide;

n- {4- [ 5-cyclopropyl-3- (difluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -2, 6-difluorobenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -1H-benzo [ d ] imidazole-6-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -1H-benzo [ d ] [1,2,3] triazole-6-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] quinoline-6-carboxamide hydrochloride

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] quinoxaline-6-carboxamide

2- (1H-benzo [ d ] imidazol-1-yl) -N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] acetamide

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] acetamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (1H-indol-3-yl) acetamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (imidazo [1,2-a ] pyridin-2-yl) acetamide hydrochloride

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (quinolin-6-yl) acetamide:

n- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (quinolin-6-yl) acetamide hydrochloride

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- (4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl) acetamide

Hydrochloric acid N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -2- (quinolin-6-yl) acetamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] quinoline-6-carboxamide dihydrochloride

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] quinoxaline-6-carboxamide

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] acetamide

N- [6- (3, 5-Bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -2- (quinolin-6-yl) acetamide dihydrochloride

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } quinoline-6-carboxamide hydrochloride

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } quinoxaline-6-carboxamide

2- (1H-benzo [ d ] imidazol-1-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } acetamide

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } acetamide

2- (2H-benzo [ d ] [1,2,3] triazol-2-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } acetamide

2- (3H- [1,2,3] triazolo [4,5-b ] pyridin-3-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } acetamide

(S) -2- (3H- [1,2,3] triazolo [4,5-b ] pyridin-3-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } propanamide

2- (6-amino-9H-purin-9-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } acetamide

N- (4- (5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl) phenyl) -2- (1, 3-dimethyl-2, 6-dioxo-2, 3-dihydro-1H-purin-7 (6H) -yl) acetamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl) phenyl) -2- (imidazo [1,2-a ] pyridin-2-yl) acetamide hydrochloride

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (quinolin-6-yl) acetamide hydrochloride

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (quinolin-6-yl) propanamide hydrochloride

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -1H-benzo [ d ] [1,2,3] triazole-6-carboxamide

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } acetamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -1H-benzo [ d ] [1,2,3] triazole-5-carboxamide

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } acetamide

2- (2H-benzo [ d ] [1,2,3] triazol-2-yl) -N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } acetamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2- (quinolin-6-yl) acetamide hydrochloride

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- {6- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } acetamide

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluoro-N- (quinolin-6-methyl) benzamide hydrochloride and

1- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -3- (quinolin-6-yl) urea;

and pharmaceutically acceptable salts thereof.

36. The pharmaceutical composition of any one of claims 31-35, wherein the CRAC modulator is selected from

CM2489;

CM4620;

N- (5- (6-chloro-2, 2-difluorobenzo [ d ] [1,3] dioxol-5-yl) pyrazin-2-yl) -2-fluoro-6-methylbenzamide;

n- [4- [3, 5-bis (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide (YM-58483);

2, 6-difluoro-N- {5- [ 4-methyl-1- (5-methylthiazol-2-yl) -1,2,5, 6-tetrahydro-pyridin-3-yl ] -pyrazin-2-yl } -benzamide (RO 2959);

2, 6-difluoro-N- (1- (4-hydroxy-2- (trifluoromethyl) benzyl) -1H-pyrazol-3-yl) benzamide (GSK-7975A);

2, 6-difluoro-N- (1- (2-phenoxybenzyl) -1H-pyrazol-3-yl) benzamide (GSK 5503A);

n- (2',5' -dimethoxy [1,1' -biphenyl ] -4-yl) -3-fluoro-4-pyridinecarboxamide (Synta 66);

n- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide;

n- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3-fluoroisonicotinamide;

and pharmaceutically acceptable salts thereof.

37. The pharmaceutical composition of any one of claims 31-36, wherein the CRAC modulator is selected from

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide;

n- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3-fluoroisonicotinamide;

and pharmaceutically acceptable salts thereof.

38. The pharmaceutical composition of any one of claims 31-37, wherein the corticosteroid is selected from dexamethasone, betamethasone, prednisolone, methylprednisolone, prednisone, hydrocortisone, fluticasone, triamcinolone, budesonide or cortisone prednisolone, methylprednisolone, naphthalenone, desflurane, lorasone acetate, budesonide, beclomethasone dipropionate, hydrocortisone, triamcinolone acetonide, fluocinolone acetate, beclomethalone, methylprednisolone aceponate, dexamethasone palmitate, tiprednisolone, hydrocortisone aceponate, prednisolone dipropionate, alclometasone dipropionate, halometasone, methylprednisolone sulfometione, mometasone furoate monohydrate, rimexolone, prednisolone farnesoate, ciclesonide, desoxyproprionate, fluticasone propionate, halobetaxolone propionate, halobetamethasone, fluticasone diproprionate, and prednisolone acetonide, Loteprednol etabonate, betamethasone butyrate propionate, flunisolide, prednisone, dexamethasone sodium phosphate, triamcinolone, 17-betamethasone valerate, betamethasone dipropionate, hydrocortisone acetate, hydrocortisone sodium succinate, prednisolone sodium phosphate, hydrocortisone propionate and pharmaceutically acceptable salts thereof.

39. The pharmaceutical composition of claim 38, wherein the corticosteroid is selected from dexamethasone, betamethasone, prednisolone, methylprednisolone, prednisone, hydrocortisone, fluticasone, mometasone furoate monohydrate, triamcinolone, budesonide, cortisone, and pharmaceutically acceptable salts thereof.

40. The pharmaceutical composition of any one of claims 38-39, wherein the corticosteroid is selected from dexamethasone, fluticasone, and pharmaceutically acceptable salts thereof.

41. The pharmaceutical composition according to any one of claims 31-40, wherein the CRAC modulator is N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide and the corticosteroid is dexamethasone.

42. The pharmaceutical composition according to any one of claims 31-40, wherein the CRAC modulator is N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide and the corticosteroid is fluticasone.

43. The pharmaceutical composition of any one of claims 31-40, wherein the CRAC modulator is N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide and the corticosteroid is mometasone, mometasone furoate, or mometasone furoate monohydrate.

44. The pharmaceutical composition of any one of claims 31-42, wherein the composition comprises about

(i)0.01mg to about 1000 mg;

(ii)0.01mg to about 500 mg;

(iii)0.01mg to about 250 mg; or

(iv)0.01mg to about 100mg

Each of said CRAC modulator and said corticosteroid.

45. The pharmaceutical composition of any one of claims 31-44, wherein the composition comprises about

(a)

(i)0.01mg to about 1000 mg;

(ii)10mg to about 500 mg;

(iii)50mg to about 250 mg; or

(iv)50mg to about 100 mg;

the CRAC modulator of (a); and

(b) from about 0.01mg to about 100mg of the corticosteroid.

46. The pharmaceutical composition of any one of claims 31-45, wherein the composition comprises from about 10mg to about 500mg of the CRAC modulator; and about 0.01mg to about 100mg of a corticosteroid.

47. The pharmaceutical composition according to any one of claims 31-46, for use in a method of treating an autoimmune, respiratory and/or inflammatory disease or disorder selected from: asthma, chronic obstructive pulmonary disease, rheumatoid arthritis, inflammatory bowel disease, glomerulonephritis, neuroinflammatory diseases, multiple sclerosis, uveitis, psoriasis, arthritis, vasculitis, dermatitis, osteoarthritis, inflammatory muscle diseases, allergic rhinitis, vaginitis, interstitial cystitis, scleroderma, osteoporosis, eczema, allograft or xenograft (organ, bone marrow, stem cell and other cells and tissues) graft rejection, graft-versus-host disease, lupus erythematosus, inflammatory diseases, type I diabetes, pulmonary fibrosis, dermatomyositis, sjogren's syndrome, thyroiditis (e.g., hashimoto and autoimmune thyroiditis), myasthenia gravis, autoimmune hemolytic anemia, cystic fibrosis, Idiopathic Pulmonary Fibrosis (IPF), chronic relapsing hepatitis, primary biliary cirrhosis, allergic conjunctivitis and atopic dermatitis and combinations thereof.

48. Use of a pharmaceutical composition according to any one of claims 31-46 in the manufacture of a medicament for treating an autoimmune, respiratory or inflammatory disease or disorder selected from: asthma, chronic obstructive pulmonary disease, rheumatoid arthritis, inflammatory bowel disease, glomerulonephritis, neuroinflammatory diseases, multiple sclerosis, uveitis, psoriasis, arthritis, vasculitis, dermatitis, osteoarthritis, inflammatory muscle diseases, allergic rhinitis, vaginitis, interstitial cystitis, scleroderma, osteoporosis, eczema, allograft or xenograft (organ, bone marrow, stem cell and other cells and tissues) graft rejection, graft-versus-host disease, lupus erythematosus, inflammatory diseases, type I diabetes, pulmonary fibrosis, dermatomyositis, sjogren's syndrome, thyroiditis (e.g., hashimoto and autoimmune thyroiditis), myasthenia gravis, autoimmune hemolytic anemia, cystic fibrosis, Idiopathic Pulmonary Fibrosis (IPF), chronic relapsing hepatitis, primary biliary cirrhosis, allergic conjunctivitis and atopic dermatitis and combinations thereof.

49. A kit for treating an autoimmune, respiratory or inflammatory disease or disorder, the kit comprising:

(i) a CRAC modulator and (ii) a corticosteroid in a single pharmaceutical composition or in separate pharmaceutical compositions,

(ii) optionally, instructions for using the CRAC modulator and the corticosteroid to treat an autoimmune, respiratory, or inflammatory disease or disorder; and

(iii) optionally, a container for holding one or more pharmaceutical compositions.

50. The kit of claim 49, wherein the CRAC modulator and corticosteroid are used to treat an autoimmune, respiratory, or inflammatory disease or disorder selected from: asthma, chronic obstructive pulmonary disease, rheumatoid arthritis, inflammatory bowel disease, glomerulonephritis, neuroinflammatory diseases, multiple sclerosis, uveitis, psoriasis, arthritis, vasculitis, dermatitis, osteoarthritis, inflammatory muscle diseases, allergic rhinitis, vaginitis, interstitial cystitis, scleroderma, osteoporosis, eczema, allograft or xenograft (organ, bone marrow, stem cells and other cells and tissues) graft rejection, graft-versus-host disease, lupus erythematosus, inflammatory diseases, type I diabetes, pulmonary fibrosis, dermatomyositis, sjogren's syndrome, thyroiditis (e.g., hashimoto and autoimmune thyroiditis), myasthenia gravis, autoimmune hemolytic anemia, cystic fibrosis, Idiopathic Pulmonary Fibrosis (IPF), chronic relapsing hepatitis, primary biliary cirrhosis, allergic conjunctivitis and atopic dermatitis.

51. The kit of any one of claims 49 or 50, wherein the corticosteroid is selected from dexamethasone, betamethasone, prednisolone, methylprednisolone, prednisone, hydrocortisone, fluticasone, triamcinolone, budesonide or cortisone prednisolone, methylprednisolone, naphthalenone, desflurane, lorasone acetate, budesonide, beclomethasone dipropionate, hydrocortisone, triamcinolone acetonide, fluocinolone acetate, clocortolone, methylprednisolone aceponate, dexamethasone palmitate, tiprednisolone, hydrocortisone aceponate, prednisolone dipropionate, alclometasone dipropionate, halometasone, sulfoheptylprednisolone, mometasone furoate monohydrate, mometasone furoate, rimexolone, prednisolone farnesol, ciclesonide, desoxypropionate ketone, fluticasone propionate, halobetamethasone dipropionate, prednisolone acetonide, prednisone propionate, halobetamethasone dipropionate, hydrocortisone dipropionate, and combinations thereof, Loteprednol etabonate, betamethasone butyrate propionate, flunisolide, prednisone, dexamethasone sodium phosphate, triamcinolone, 17-betamethasone valerate, betamethasone dipropionate, hydrocortisone acetate, hydrocortisone sodium succinate, prednisolone sodium phosphate, hydrocortisone propionate and pharmaceutically acceptable salts thereof.

52. The kit of claim 51, wherein the corticosteroid is selected from dexamethasone, betamethasone, prednisolone, methylprednisolone, prednisone, hydrocortisone, fluticasone, mometasone furoate monohydrate, triamcinolone, budesonide, cortisone, and pharmaceutically acceptable salts thereof.

53. The kit of any one of claims 49-52, wherein the CRAC modulator is

(i) A compound of formula (I)

Or a tautomer, N-oxide, pharmaceutically acceptable ester, or pharmaceutically acceptable salt thereof, wherein

Ring Hy represents

Ring Hy is optionally substituted with R';

R1and R2Are the same or different and are selected from CH3、CH2F、CHF2、CF3Substituted or unsubstituted C(3-5)Cycloalkyl radical, CH2-ORa、CH2-NRaRbAnd COOH;

ring Ar represents:

t, U, V and W are the same or different and are independently selected from CRaAnd N;

Z1、Z2and Z3Are the same or different and are selected from CRa、CRaRbO, S and-NRaProvided thatZ1、Z2And Z3Represents O, S or-NRa

L1And L2Together represent-NH-C (═ X) -, -NH-S (═ O)q-C (═ X) NH-, -NH-CR' R "-or-S (═ O)qNH-;

A is absent or selected from- (CR' R ") -, O, S (═ O)qC (═ X) and-NRa

Each occurrence of R 'and R' is the same OR different and is selected from the group consisting of hydrogen, hydroxy, cyano, halogen, -ORa、-COORa、-S(=O)q-Ra、-NRaRb、–C(=X)-RaSubstituted or unsubstituted C(1-6)Alkyl, substituted or unsubstituted C(1-6)Alkenyl, substituted or unsubstituted C(1-6)Alkynyl and substituted or unsubstituted C(3-5)Cycloalkyl, or R' and R ", together with the common atoms to which they are attached, may be joined to form a saturated 3-6 membered carbocyclic ring; it may optionally comprise one or more of the same or different and selected from O, NRaAnd a heteroatom of S;

r' "is selected from hydrogen, hydroxy, cyano, halogen, -ORa、-COORa、-S(=O)q-Ra、-NRaRb、–C(=X)-RaSubstituted or unsubstituted C(1-6)Alkyl, substituted or unsubstituted C(1-6)Alkenyl, substituted or unsubstituted C(1-6)Alkynyl and substituted or unsubstituted C(3-5)A cycloalkyl group;

each occurrence of X is independently selected from O, S and-NRa

Cy is selected from the group consisting of substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, and substituted or unsubstituted heteroaryl;

Raand RbIs the same OR different at each occurrence and is selected from the group consisting of hydrogen, nitro, hydroxy, cyano, halogen, -ORc、-S(=O)q-Rc、–C(=Y)-Rc、-CRcRd-C(=Y)-Rc、-CRcRd-Y-CRcRd-、-C(=Y)-NRcRd-、-NRRd-C(=Y)-NRcRd-、-S(=O)q-NRcRd-、-NRcRd-S(=O)q-NRcRd-、-NRcRd-NRcRd-, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, optionally substituted or unsubstituted cycloalkyl, substituted or unsubstituted cycloalkylalkyl, substituted or unsubstituted cycloalkenyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted heterocyclylalkyl, substituted or unsubstituted aryl, substituted or unsubstituted aralkyl, substituted or unsubstituted heteroaryl, and substituted or unsubstituted heteroarylalkyl, or when R isaAnd RbWhen bonded directly to the same atom, they may be linked to form a substituted or unsubstituted saturated or unsaturated 3-10 membered ring, which may optionally include one or more of the same or different and is selected from O, NRcAnd a heteroatom of S;

Rcand RdMay be the same or different at each occurrence and is selected from the group consisting of hydrogen, nitro, hydroxy, cyano, halogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted cycloalkylalkyl, substituted or unsubstituted cycloalkenyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted heterocyclylalkyl, or when two R's are presentcAnd/or RdWhen the substituents are directly bonded to the same atom, they may be linked to form a substituted or unsubstituted saturated or unsaturated 3-to 10-membered ring, which may optionally contain one or more heteroatoms which may be the same or different and are selected from O, NH and S;

each occurrence of Y is independently selected from O, S and-NRa(ii) a And

each occurrence of q independently represents 0, 1 or 2; or

(ii)

CM2489,

CM4620,

N- (5- (6-chloro-2, 2-difluorobenzo [ d ] [1,3] dioxol-5-yl) pyrazin-2-yl) -2-fluoro-6-methylbenzamide;

n- [4- [3, 5-bis (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide (YM-58483),

2, 6-difluoro-N- {5- [ 4-methyl-1- (5-methylthiazol-2-yl) -1,2,5, 6-tetrahydro-pyridin-3-yl ] -pyrazin-2-yl } -benzamide (RO2959),

2, 6-difluoro-N- (1- (4-hydroxy-2- (trifluoromethyl) benzyl) -1H-pyrazol-3-yl) benzamide (GSK-7975A),

2, 6-difluoro-N- (1- (2-phenoxybenzyl) -1H-pyrazol-3-yl) benzamide (GSK5503A),

n- (2',5' -dimethoxy [1,1' -biphenyl ] -4-yl) -3-fluoro-4-pyridinecarboxamide (Synta 66),

or a pharmaceutically acceptable salt thereof.

54. The kit of any one of claims 49-53, wherein the CRAC modulator is a compound of formula (IA)

Or a tautomer, N-oxide, pharmaceutically acceptable ester, or pharmaceutically acceptable salt thereof, wherein

R1And R2Are each cyclopropyl, or R1And R2One is CF3And the other is cyclopropyl;

t is CF or N, and U, V, W is independently CH, CF or N;

L1and L2Together represent-NH-C (═ X) -, -NH-S (═ O)q-, -C (═ X) NH-or-S (═ O)qNH-or-NH-CR' R "-;

a is absent or selected from- (CR 'R') -and-NRa

Each occurrence of R 'and R' is the same or different and is independently selected from hydrogen or substituted or unsubstituted C(1-6)Alkyl, or R 'and R' can be combined to form a substituted or unsubstituted saturated or unsaturated 3-6 membered ring, which can optionally include one orA plurality of same or different and selected from O, NRaAnd a heteroatom of S;

r' "is selected from hydrogen or halogen;

each occurrence of X is independently selected from O, S and-NRa

Cy is selected from

RaIndependently for each occurrence of (A) is selected from hydrogen, nitro, hydroxy, cyano, halogen, -ORc、-S(=O)q-Rc、-NRcRd、C(=Y)-Rc、-CRcRd-C(=Y)-Rc、-CRcRd-Y-CRcRd-、-C(=Y)-NRcRd-、-NRRd-C(=Y)-NRcRd-、-S(=O)q-NRcRd-、-NRcRd-S(=O)q-NRcRd-、-NRcRd-NRcRd-, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted cycloalkylalkyl, substituted or unsubstituted cycloalkenyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted heterocyclylalkyl, substituted or unsubstituted aryl, substituted or unsubstituted aralkyl, substituted or unsubstituted heteroaryl, and substituted or unsubstituted heteroarylalkyl;

Rcand RdMay be the same or different for each occurrence and is independently selected from hydrogen, nitro, hydroxy, cyano, halogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted cycloalkylalkyl, substituted or unsubstituted cycloalkenyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted heterocyclylalkyl, or when two R's are presentcAnd/or RdWhen the substituents are directly bonded to the same atom, they may be linkedA substituted or unsubstituted, saturated or unsaturated 3-to 10-membered ring, which may optionally contain one or more heteroatoms which are the same or different and are selected from O, NH and S;

each occurrence of Y is independently selected from O, S and-NRa(ii) a And

each occurrence of q independently represents 0, 1 or 2.

55. The kit of any one of claims 49-54, wherein the CRAC modulator is a compound of formula (IB)

Or a tautomer, N-oxide, pharmaceutically acceptable ester, or pharmaceutically acceptable salt thereof, wherein

R1And R2Are each cyclopropyl, or R1And R2One is CF3And the other is cyclopropyl;

r' "is selected from hydrogen, hydroxy, cyano, halogen, -ORa、-COORa、-S(=O)q-Ra、-NRaRb、–C(=X)-RaSubstituted or unsubstituted C(1-6)Alkyl, substituted or unsubstituted C(1-6)Alkenyl, substituted or unsubstituted C(1-6)Alkynyl and substituted or unsubstituted C(3-5)A cycloalkyl group;

t, U, V and W are the same or different and are independently selected from CRaAnd N;

-CH2-,-CHMe-,

a is absent or selected from

Cy is selected from the following bicyclic rings: substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, and substituted or unsubstituted heteroaryl;

Raand RbIs the same OR different at each occurrence and is independently selected from hydrogen, nitro, hydroxy, cyano, halogen, -ORc、-S(=O)q-Rc、-NRcRd、–C(=Y)-Rc、-CRcRd-C(=Y)-Rc、-CRcRd-Y-CRcRd-、-C(=Y)-NRcRd-、-NRRd-C(=Y)-NRcRd-、-S(=O)q-NRcRd-、-NRcRd-S(=O)q-NRcRd-、-NRcRd-NRcRd-, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted cycloalkylalkyl, substituted or unsubstituted cycloalkenyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted heterocyclylalkyl, substituted or unsubstituted aryl, substituted or unsubstituted aralkyl, substituted or unsubstituted heteroaryl, and substituted or unsubstituted heteroarylalkyl, or when R isaAnd RbWhen bonded directly to the same atom, they may be linked to form a substituted or unsubstituted saturated or unsaturated 3-10 membered ring, which may optionally include one or more of the same or different and is selected from O, NRcAnd a heteroatom of S;

Rcand RdMay be the same or different for each occurrence and is independently selected from hydrogen, nitro, hydroxy, cyano, halogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted cycloalkylalkyl, substituted or unsubstituted cycloalkenyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted heterocyclylalkyl, or when two R's are presentcAnd/or RdWhen the substituents are directly bonded to the same atom, they may be linked to form a substituted or unsubstituted saturated or unsaturated 3-to 10-membered ring, which may optionally contain one or more heteroatoms which may be the same or different and are selected from O, NH and S;

each occurrence of Y is selected from the group consisting of O, S and-NRa(ii) a And

each occurrence of q independently represents 0, 1 or 2.

56. The kit of any one of claims 49-55, said CRAC modulator selected from

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -4-methylthiazole-5-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2, 4-dimethylthiazole-5-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -5-methylisoxazole-4-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -3, 5-dimethylisoxazole-4-carboxamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] benzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2-methylbenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2, 6-difluorobenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2, 3-difluorobenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl-3- (methylsulfonyl) benzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -4- (methylsulfonyl) benzamide

2-chloro-N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -5- (methylthio) benzamide

2-chloro-N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl) -5- (methylsulfonyl) benzamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] nicotinamide hydrochloride

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] isonicotinamide hydrochloride

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -3-fluoroisonicotinamide

3, 5-dichloro-N- (4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl) isonicotinamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -4-methylpyrimidine-5-carboxamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2-phenylacetamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (4-fluorophenyl) acetamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -1-phenylcyclopropanecarboxamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (pyridin-2-yl) acetamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (pyridin-3-yl) acetamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (pyridin-4-yl) acetamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (piperazin-1-yl) acetamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2-morpholinoacetamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] benzenesulfonamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -4-methylthiazole-5-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -3, 5-dimethylisoxazole-4-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -2-methylbenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -2, 3-difluorobenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -2, 6-difluorobenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] nicotinamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] isonicotinamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -4-methylpyrimidine-5-carboxamide

N- [4- (4-chloro-3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -4-methylthiazole-5-carboxamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -2, 4-dimethylthiazole-5-carboxamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -3, 5-dimethylisoxazole-4-carboxamide

6- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) -N-o-tolylnicotinamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -2-fluorobenzamide

N- [6- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -2, 3-difluorobenzamide

N- [6- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -2, 6-difluorobenzamide

N- [6- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] nicotinamide dihydrochloride

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] isonicotinamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -3-fluoroisonicotinamide

3, 5-dichloro-N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } isonicotinamide

3, 5-dichloro-N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] isonicotinamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -4-methylpyrimidine-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methylthiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -N, 4-dimethylthiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2, 4-dimethylthiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -5-methylisoxazole-4-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -3, 5-dimethylisoxazole-4-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -1-methyl-1H-imidazole-2-carboxamide

N- {4- [ 3-cyclopropyl-5- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methyl-1H-imidazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2-methylbenzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2, 3-difluorobenzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2, 6-difluorobenzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -3- (methylsulfonyl) benzamide

2-chloro-N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -5- (methylthio) benzamide

2-chloro-N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -5- (methylsulfonyl) benzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } pyridine-4-carboxamide hydrochloride

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -3-fluoroisonicotinamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methylpyrimidine-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2, 4-dimethylpyrimidine-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (4-fluorophenyl) acetamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (pyridin-2-yl) acetamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (pyridin-3-yl) acetamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (pyridin-4-yl) acetamide

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- [ (4-methylthiazol-5-yl) methyl ] aniline

1- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -3- (4-methyl-1, 2, 3-thiadiazol-5-yl) urea

1- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -3- (4-methylthiazol-5-yl) urea

1- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -3- (4-methylpyrimidin-5-yl) urea

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- (4-methylthiazol-5-yl) benzamide

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- (2, 6-difluorophenyl) benzamide

N- {4- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methylthiazole-5-carboxamide

N- {4- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (pyridin-2-yl) acetamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -4-methylthiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -5-methylisoxazole-4-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -3, 5-dimethylisoxazole-4-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -2-methylbenzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -2, 3-difluorobenzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -2, 6-difluorobenzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } nicotinamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } isonicotinamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -3-fluoroisonicotinamide

3, 5-dichloro-N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } isonicotinamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -4-methylpyrimidine-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -N, 4-dimethylpyrimidine-5-carboxamide

N- {4- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- {4- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -2- (pyridin-2-yl) acetamide

1- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -3- (4-methylpyrimidin-5-yl) urea

N- {4- [5) -cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] 3-fluorophenyl } -2, 6-dichlorobenzamide

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- (2, 3-difluorophenyl) -3-fluorobenzamide

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- (2, 6-difluorophenyl) -3-fluorobenzamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -4-methylthiazole-5-carboxamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3, 5-dimethylisoxazole-4-carboxamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide

2-chloro-N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } benzamide

N- (6- (5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl) pyridin-3-yl) -2-fluorobenzamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2, 3-difluorobenzamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2, 6-difluorobenzamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } picolinamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3-methylpyridine amide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } nicotinamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylnicotinamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } isonicotinamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3-fluoroisonicotinamide

3, 5-dichloro-N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } isonicotinamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -4-methylpyrimidine-5-carboxamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2- (pyridin-2-yl) acetamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2- (pyridin-4-yl) acetamide

N- {4- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -4-methylpyrimidine-5-carboxamide

1- {6- [ 3-cyclopropyl-5- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3- (4-methylthiazol-5-yl) urea

6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- (2, 3-difluorophenyl) nicotinamide

6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- (2, 6-difluorophenyl) nicotinamide

N- {6- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -4-methylthiazole-5-carboxamide

N- {2- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyrimidin-5-yl } -2, 6-difluorobenzamide

N- {4- [5- (fluoromethyl) -3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methylthiazole-5-carboxamide

N- {4- [5- (difluoromethyl) -3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methylthiazole-5-carboxamide

3, 5-dichloro-N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] isonicotinamide

N- (2-chloro-6-fluorophenyl) -4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorobenzamide

N- {2- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyrimidin-5-yl } -4-methylthiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3, 5-difluorophenyl } -4-methylpyrimidine-5-carboxamide

{4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -1-phenylcyclobutanecarboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -4-methyloxazole-5-carboxamide

N- {2- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyrimidin-5-yl } -4-methylpyrimidine-5-carboxamide

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluoro-N- (4-methylpyrimidin-5-yl) benzamide and

n- {4- [ 3-cyclopropyl-5- (difluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -2, 6-difluorobenzamide;

n- {4- [ 5-cyclopropyl-3- (difluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -2, 6-difluorobenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -1H-benzo [ d ] imidazole-6-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -1H-benzo [ d ] [1,2,3] triazole-6-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] quinoline-6-carboxamide hydrochloride

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] quinoxaline-6-carboxamide

2- (1H-benzo [ d ] imidazol-1-yl) -N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] acetamide

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] acetamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (1H-indol-3-yl) acetamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (imidazo [1,2-a ] pyridin-2-yl) acetamide hydrochloride

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (quinolin-6-yl) acetamide:

n- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (quinolin-6-yl) acetamide hydrochloride

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- (4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl) acetamide

Hydrochloric acid N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -2- (quinolin-6-yl) acetamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] quinoline-6-carboxamide dihydrochloride

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] quinoxaline-6-carboxamide

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] acetamide

N- [6- (3, 5-Bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -2- (quinolin-6-yl) acetamide dihydrochloride

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } quinoline-6-carboxamide hydrochloride

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } quinoxaline-6-carboxamide

2- (1H-benzo [ d ] imidazol-1-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } acetamide

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } acetamide

2- (2H-benzo [ d ] [1,2,3] triazol-2-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } acetamide

2- (3H- [1,2,3] triazolo [4,5-b ] pyridin-3-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } acetamide

(S) -2- (3H- [1,2,3] triazolo [4,5-b ] pyridin-3-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } propanamide

2- (6-amino-9H-purin-9-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } acetamide

N- (4- (5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl) phenyl) -2- (1, 3-dimethyl-2, 6-dioxo-2, 3-dihydro-1H-purin-7 (6H) -yl) acetamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl) phenyl) -2- (imidazo [1,2-a ] pyridin-2-yl) acetamide hydrochloride

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (quinolin-6-yl) acetamide hydrochloride

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (quinolin-6-yl) propanamide hydrochloride

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -1H-benzo [ d ] [1,2,3] triazole-6-carboxamide

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } acetamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -1H-benzo [ d ] [1,2,3] triazole-5-carboxamide

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } acetamide

2- (2H-benzo [ d ] [1,2,3] triazol-2-yl) -N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } acetamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2- (quinolin-6-yl) acetamide hydrochloride

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- {6- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } acetamide

Hydrochloric acid 4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluoro-N- (quinoline-6-methyl) benzamide

1- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -3- (quinolin-6-yl) urea;

and pharmaceutically acceptable salts thereof.

57. The kit of any one of claims 49-56, wherein the CRAC modulator is selected from

CM2489;

CM4620;

N- (5- (6-chloro-2, 2-difluorobenzo [ d ] [1,3] dioxol-5-yl) pyrazin-2-yl) -2-fluoro-6-methylbenzamide;

n- [4- [3, 5-bis (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide (YM-58483);

2, 6-difluoro-N- {5- [ 4-methyl-1- (5-methylthiazol-2-yl) -1,2,5, 6-tetrahydro-pyridin-3-yl ] -pyrazin-2-yl } -benzamide (RO 2959);

2, 6-difluoro-N- (1- (4-hydroxy-2- (trifluoromethyl) benzyl) -1H-pyrazol-3-yl) benzamide (GSK-7975A);

2, 6-difluoro-N- (1- (2-phenoxybenzyl) -1H-pyrazol-3-yl) benzamide (GSK 5503A);

n- (2',5' -dimethoxy [1,1' -biphenyl ] -4-yl) -3-fluoro-4-pyridinecarboxamide (Synta 66);

n- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide;

n- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3-fluoroisonicotinamide;

and pharmaceutically acceptable salts thereof.

58. The kit of any one of claims 49-57, wherein said CRAC modulator is selected from

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide and

n- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3-fluoroisonicotinamide and pharmaceutically acceptable salts thereof.

59. The kit of any one of claims 49-58, wherein the CRAC modulator is N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide and the corticosteroid is dexamethasone.

60. The kit of any one of claims 49-58, wherein the CRAC modulator is

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide and the corticosteroid is fluticasone.

61. The kit of any one of claims 49-58, wherein the CRAC modulator is

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide, and the corticosteroid is mometasone, mometasone furoate, or mometasone furoate monohydrate.

Technical Field

The present disclosure relates to methods of treating autoimmune, respiratory, and/or inflammatory diseases or disorders (e.g., psoriasis, rheumatoid arthritis, or COPD) by administering at least one calcium release-activated calcium (CRAC) modulator (e.g., CRAC inhibitor) and at least one corticosteroid.

Background

Autoimmune, respiratory and inflammatory diseases, such as Rheumatoid Arthritis (RA), psoriasis, Systemic Lupus Erythematosus (SLE), Chronic Obstructive Pulmonary Disease (COPD) and asthma, are chronic diseases associated with dysregulation or hyperactivity of the immune system, respectively, and are often progressive diseases. The causes and drivers of these diseases remain unclear. They are characterized by a complex cellular interaction between multiple inflammatory cells of the innate and adaptive immune systems. Thus, the heterogeneity and complexity of the etiology of these disorders makes finding new cellular targets challenging, as it is not clear who is the main participant in the pathology in cellular infiltration rather than an "innocent" bystander. Thus, targeting the signaling molecules required to activate a variety of immune cells may be a more likely approach to successfully combat these chronic immune cell-mediated diseases.

Rheumatoid Arthritis (RA) is a progressive systemic autoimmune disease characterized by chronic inflammation of multiple joints and associated systemic symptoms such as fatigue. This inflammation leads to joint pain, stiffness and swelling, loss of joint function due to destruction of bone and cartilage, and often progressive disability. Patients with RA also have an increased likelihood of other systemic complications, such as osteoporosis, anemia, and other complications affecting the lungs and skin.

RA is one of the most common forms of autoimmune disease, affecting over 2100 million people worldwide. Rheumatoid arthritis is distributed worldwide with an estimated prevalence of 1-2%. The prevalence increases with age, approaching 5% in women over the age of 55. The average incidence in the united states is about 70 per 100,000 per year. The incidence and prevalence of rheumatoid arthritis in women is two to three times higher than in men. Although rheumatoid arthritis may occur at any age, the most common patients are the first to develop in the third to sixth decades. RA is known to affect quality of life, not only causing physical problems, but also having a significant negative impact on quality of life. Moreover, the disease affects the average life expectancy, shortening it by an average of three to seven years. After 10 years, less than 50% of RA patients per day may work or function properly per day. It has also been reported that RA causes a heavy burden on national economy due to hospitalization, healthcare costs and decreased productivity. RA is responsible for over 900 million primary medical doctor visits per year in the uk, representing 8.33 billion pounds of production lost. It is also estimated that the uk economy in 2000 costs 55 billion pounds. In the united states, experts estimate that RA causes more commercial and industrial losses than any other disease, with 500,000 hospitalizations each year, and the disease economic burden of arthritis (as a whole) is estimated to be $ 1,280 million.

There are many therapeutic approaches available for treating RA. Some address the signs and symptoms of RA, others aim to alter the course of the disease and positively affect the systemic effects of RA, such as fatigue and anemia.

Current treatment methods include the use of:

biological preparation: these are genetically engineered drugs that target specific cell surface markers or messenger substances in the immune system called cytokines, which the cells produce in order to regulate other cells during the inflammatory response. One example of a particular cytokine targeted by a biologic is tumor necrosis factor alpha (TNF α).

Traditional disease modifying antirheumatic drugs (DMARDs): these are non-specific immunosuppressive drugs, intended to combat the symptoms and signs of RA and slow down progressive joint destruction. These treatments are often used in combination with each other, or with biological agents, to improve the patient's response.

Glucocorticoids (corticosteroids): these are anti-inflammatory agents associated with cortisol, a naturally occurring steroid in the human body that acts by counteracting inflammation. However, the side effects of glucocorticoids (including hyperglycemia, osteoporosis, hypertension, weight gain, cataracts, sleep problems, muscle loss and susceptibility to infection) limit their use.

Non-steroidal anti-inflammatory drugs (NSAIDs): these agents can treat signs and symptoms of RA, for example, reduce pain, swelling, and inflammation, but do not alter the course of disease or slow the progression of joint destruction.

There are also many RA treatments that target other components of the immune system. These include biological therapies that target replacement cytokines, such as interleukin 6(IL-6), which contribute to the reduction of inflammation and RA progression in joints and the entire body.

Asthma is the most common chronic disease in children, affecting millions of adults as well. About 2.35 million people worldwide suffer from this disease. The etiology of asthma is not well understood, but effective drugs can be used to treat asthma, largely avoiding the loss of life, disability and death that asthma can bring. Unfortunately, for many asthma sufferers, particularly poor people, effective treatment costs are too high or not available at all.

Chronic Obstructive Pulmonary Disease (COPD) is a highly prevalent condition and a major cause of morbidity and mortality worldwide. As the disease progresses, patients with COPD may be prone to frequent episodes, leading to patient anxiety, worsening health status, decreased lung function, and increased mortality. These episodes of respiratory deterioration result in increased healthcare utilization, hospitalization, and expense. Worse still, frequent episodes may lead to a more rapid decline in lung function, thereby shortening life expectancy.

According to the global recommendation for chronic obstructive pulmonary disease (GOLD), the first line treatment for COPD is long-acting beta agonists, long-acting muscarinic antagonists and inhaled corticosteroids. However, these drugs alleviate symptoms and exacerbations associated with the disease, rather than being directed to their molecular and cellular basis. Thus, there remains a need for further improvements in COPD therapy.

The regulation of intracellular calcium is a key factor in the transfer of signals into and within cells. Cellular responses to growth factors, neurotransmitters, hormones and a variety of other signaling molecules are initiated by calcium-dependent processes. The importance of calcium ions as a second messenger is underscored by a number of different mechanisms that work together to maintain calcium homeostasis. Changes in intracellular free calcium ion concentration represent the most widespread and important signaling event that regulates a variety of cellular responses. The general route of calcium entry into cells is through the calcium pool manipulation channel (SOC), the major pathway by which many cell types import calcium from the calcium pool as their calcium influx. Calcium ions participate in this mechanism upon release from the calcium pool, where depleted calcium pools lead to activation of Calcium Release Activated Calcium (CRAC) channels.

CRAC channels are a subfamily of store-operated channels that are activated by the release of calcium from intracellular stores, particularly from the Endoplasmic Reticulum (ER). These pathways are key factors in the regulation of a wide range of cellular functions, including muscle contraction, protein and fluid secretion, and control of cell growth and proliferation, and thus play a crucial role in various diseases (e.g., immune diseases and allergic reactions). Among the several biophysically different reservoir-operated currents, the one with the most abundant characteristics and the highest selectivity for calcium ions is the CRAC current. Thus, CRAC channels mediate essential functions from secretion to gene expression and cell growth and form the network necessary to activate immune cells that establish an adaptive immune response. Recently, two proteins, matrix interactive molecules (STIM1) and CRAC modulator 1(CRACM1 or Orai1), have been identified as essential components for the complete reconstitution and amplification of CRAC currents in heterologous expression systems with similar biophysical fingerprints. In mammals, there are several homologues of these proteins: STIM1 and STIM2 in the endoplasmic reticulum and CRACM1, CRACM2 and CRACM3 in the plasma membrane.

CRAC currents were originally found in lymphocytes and mast cells and have been obtained in a variety of cell linesCharacterization, e.g., S2 Drosophila, DT 40B cells, hepatocytes, dendritic cells, megakaryocytes, and Madin-Darby canine kidney cells. In lymphocytes and mast cells, activation by an antigen or Fc receptor triggers the release of calcium ions from the intracellular calcium pool by the second messenger, inositol (1,4,5) -triphosphate (Ins (1,4,5) P3), which in turn leads to the influx of calcium ions through CRAC channels in the plasma membrane. Calcium pool-manipulated Ca characterized in smooth muscle, A431 epidermal cells, endothelial cells from various tissues, and prostate cancer cell lines2+The current shows altered biophysical characteristics, indicating a unique molecular origin.

For example, the influx of calcium ions across cell membranes is important in lymphocyte activation and adaptive immune responses. It has been demonstrated that [ Ca ] is triggered by stimulation of TCR (T cell antigen receptor)2+]Oscillations are evident and appear to involve only a single calcium ion influx pathway, the cisternal operated CRAC channel. See, e.g., Lewis, "Calcium signalling mechanisms in T lymphocytes," Ann. Rev. Immunol.,19, (2001), 497-521; feske et al, "Ca + + calcine signalling in cells of the animal system," biochem. Biophys. Res. Commun. 311, (2003), 1117-; hogan et al, "transactional registration by calcium, calceinin, and NFAT," Genes Dev.,17, (2003) 2205-.

It has now been determined that intracellular calcium plays an important role in various cellular functions, and that its concentration is regulated by the influx of calcium ions through calcium channels on the cell membrane.

Further reference is made to the following U.S. patents, U.S. publications, and international publications: WO 2005/009954, WO 2005/009539, WO 2005/009954, WO 2006/034402, WO 2006/081389, WO 2006/081391, WO 2007/087429, WO 2007/087427, WO 2007087441, WO 200/7087442, WO 2007/087443, WO 2007/089904, WO 2007109362, WO 2007/112093, WO 2008/039520, WO 2008/063504, WO 2008/103310, WO 2009/017818, WO 2009/017819, WO 2009/017831, WO 2010/039238, WO 2010/039237, WO 2010/039236, WO 2009/089305, WO 2009/038775, US 2006/0173006, US 2007/0249051, WO 2007/121186, WO 2006/050214, WO 2007/139926, WO 2008/148108, US 7,452,675, US 2009/023177; WO 2007/139926, US 6,696,267, US 6,348,480, WO 2008/106731, US 2008/0293092, WO 2010/048559, WO 2010/027875, WO 2010/025295, WO 2010/034011, WO 2010/034003, WO 2009/076454, WO 2009/035818, US 2010/0152241, US 2010/0087415, US 2009/0311720, WO 2004/078995, WO 2010/122088, WO 2010/122089, WO 2011/034962, WO 2011/036130, WO 2011/139765, WO 2011/139489, WO 2011/109551, WO 2012/170931, WO 2012/027710, WO 2012/040511, WO 2012/170951, WO 2012/079020, WO 2012/056478, WO 2013/059666, WO 2013/059677, WO 2013/092463, WO 2013/092467, WO 2013/050270, WO 3563, WO 2013/050341, WO 2013/164773, WO 2013/164769, WO 2013/092444, WO 2013/064468, WO 2014/043715, WO 2014/059333, WO 2014/207648, WO 2014/203217, WO 2014/108336, WO 2014/108337, WO 2015/022073, WO 2015/090580, WO 2015/054283, WO 2015/197188, WO 2016/115054, WO 2017/212414 and WO 2018/140796, the entire contents of which are incorporated herein by reference.

Other known molecules related to CRAC channel modulators include, for example, CM2489, CM4620, N- (5- (6-chloro-2, 2-difluorobenzo [ d ] [1,3] dioxol-5-yl) pyrazin-2-yl) -2-fluoro-6-methylbenzamide, N- [4- [3, 5-bis (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide (YM-58483), 2, 6-difluoro-N- {5- [ 4-methyl-1- (5-methyl-thiazol-2-yl) -1,2,5, 6-tetrahydropyridin-3-yl ] -pyrazin-2-yl } -benzamide (RO2959), 2, 6-difluoro-N- (1- (4-hydroxy-2- (trifluoromethyl) benzyl) -1H-pyrazol-3-yl) benzamide (GSK-7975A), 2, 6-difluoro-N- (1- (2-phenoxybenzyl) -1H-pyrazol-3-yl) benzamide (GSK5503A) and N- (2',5' -dimethoxy [1,1' -biphenyl ] -4-yl) -3-fluoro-4-pyridinecarboxamide (Synta 66), and is currently used or in use in clinical studies for various indications.

Further reference is made herein to WO 2011/042797, WO 2011/042798, US 2011/0105447 and US 2011/0112058, each of which is incorporated herein by reference in its entirety.

Corticosteroids are potent anti-inflammatory agents capable of reducing the number, activity and motility of inflammatory cells. Corticosteroids are commonly used in the treatment of various chronic and acute inflammatory diseases, including asthma, Chronic Obstructive Pulmonary Disease (COPD), allergic rhinitis, rheumatoid arthritis, inflammatory bowel disease, and autoimmune diseases. Corticosteroids mediate their effects through the Glucocorticoid Receptor (GR). Binding of corticosteroids to GR induces its nuclear translocation, which in turn affects many downstream pathways through DNA binding dependent mechanisms (e.g., transactivation) and DNA binding independent mechanisms (e.g., transrepression).

Currently, corticosteroids for the treatment of chronic inflammation of the lungs, such as asthma and COPD, are administered by inhalation. One of the advantages of using Inhaled Corticosteroids (ICS) is that the drug can be delivered directly at the site of action, limiting systemic side effects, resulting in faster clinical response and higher therapeutic rates. While ICS treatment can bring important benefits, especially in asthma, it is important to minimize systemic exposure to ICS, which leads to the occurrence and severity of undesirable side effects that may be associated with chronic dosing.

Despite the currently available interventional therapies, autoimmune diseases such as RA, psoriasis and respiratory diseases such as asthma and COPD remain a category of diseases for which the medical need is severely unsatisfied.

Disclosure of Invention

It is an object of the present invention to provide methods and pharmaceutical compositions with enhanced activity for the treatment of respiratory and/or inflammatory diseases and conditions. Such pharmaceutical compositions allow for the treatment of autoimmune, respiratory and inflammatory diseases and conditions with lower amounts of active compounds and/or allow for the treatment of autoimmune, respiratory and inflammatory diseases and conditions in a more effective manner, thereby minimizing or eliminating the possible adverse effects that are typically associated with any type of treatment with large doses and/or longer periods of time of active compounds.

In one aspect, the invention provides a method of treating autoimmune, respiratory, and inflammatory diseases and disorders comprising administering a CRAC modulator (e.g., a CRAC inhibitor) in combination with at least one corticosteroid.

In one embodiment, the invention provides a method of treating autoimmune, respiratory and inflammatory diseases or disorders comprising administering a CRAC inhibitor in combination with at least one corticosteroid.

The invention also relates to a pharmaceutical combination comprising a CRAC inhibitor and at least one corticosteroid and to its use in the treatment of autoimmune, respiratory and/or inflammatory diseases or disorders, in particular in the treatment of asthma, Rheumatoid Arthritis (RA), psoriasis and/or COPD.

The invention also relates to pharmaceutical compositions comprising CRAC modulators (e.g., CRAC inhibitors) and at least one corticosteroid, and to the use of such pharmaceutical compositions for the treatment of autoimmune, respiratory or inflammatory diseases or disorders such as asthma, Rheumatoid Arthritis (RA), psoriasis and COPD.

In one embodiment, the invention provides a method of treating an autoimmune, respiratory and/or inflammatory disease or disorder comprising administering a CRAC inhibitor, or a pharmaceutically acceptable salt thereof, and a corticosteroid, or a pharmaceutically acceptable salt thereof, and to the use thereof for treating an autoimmune, respiratory and/or inflammatory disease or disorder, in particular for treating asthma.

Yet another embodiment of the present invention provides a method of treating an autoimmune, respiratory and/or inflammatory disease or disorder comprising administering (I) a CRAC modulator, wherein the CRAC modulator is a compound of formula (I)

Or a tautomer, N-oxide, pharmaceutically acceptable ester, or pharmaceutically acceptable salt thereof, wherein

Ring Hy represents

Ring Hy is optionally substituted with R';

R1and R2Are the same or different and are selected from CH3、CH2F、CHF2、CF3Substituted or unsubstituted C(3-5)Cycloalkyl radical, CH2-ORa、CH2-NRaRbAnd COOH;

ring Ar represents:

t, U, V and W are the same or different and are independently selected from CRaAnd N;

Z1、Z2and Z3Are the same or different and are selected from CRa、CRaRbO, S and-NRaProvided that Z is1、Z2And Z3Represents O, S or-NRa

L1And L2Together represent-NH-C (═ X) -, -NH-S (═ O)q-C (═ X) NH-, -NH-CR' R "-or-S (═ O)qNH-;

A is absent or selected from- (CR' R ") -, O, S (═ O)qC (═ X) and-NRa

Each occurrence of R 'and R' is the same OR different and is selected from the group consisting of hydrogen, hydroxy, cyano, halogen, -ORa、-COORa、-S(=O)q-Ra、-NRaRb、–C(=X)-RaSubstituted or unsubstituted C(1-6)Alkyl, substituted or unsubstituted C(1-6)Alkenyl, substituted or unsubstituted C(1-6)Alkynyl and substituted or unsubstituted C(3-5)Cycloalkyl, or R' and R ", together with the common atoms to which they are attached, may be joined to form a saturated 3-6 membered carbocyclic ring; it may optionally comprise one or more of the same or different and selected from O, NRaAnd a heteroatom of S;

r' "is selected from hydrogen, hydroxy, cyano, halogen, -ORa、-COORa、-S(=O)q-Ra、-NRaRb、–C(=X)-RaSubstituted or unsubstituted C(1-6)Alkyl, substituted or unsubstituted C(1-6)Alkenyl, substituted or unsubstituted C(1-6)Alkynyl and substituted or unsubstituted C(3-5)A cycloalkyl group;

each occurrence of X is independently selected from O, S and-NRa

Cy is selected from the group consisting of substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, and substituted or unsubstituted heteroaryl;

Raand RbIs the same OR different at each occurrence and is selected from the group consisting of hydrogen, nitro, hydroxy, cyano, halogen, -ORc、-S(=O)q-Rc、–C(=Y)-Rc、-CRcRd-C(=Y)-Rc、-CRcRd-Y-CRcRd-、-C(=Y)-NRcRd-、-NRRd-C(=Y)-NRcRd-、-S(=O)q-NRcRd-、-NRcRd-S(=O)q-NRcRd-、-NRcRd-NRcRd-, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, optionally substituted or unsubstituted cycloalkyl, substituted or unsubstituted cycloalkylalkyl, substituted or unsubstituted cycloalkenyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted heterocyclylalkyl, substituted or unsubstituted aryl, substituted or unsubstituted aralkyl, substituted or unsubstituted heteroaryl, and substituted or unsubstituted heteroarylalkyl, or when R isaAnd RbWhen bonded directly to the same atom, they may be linked to form a substituted or unsubstituted saturated or unsaturated 3-10 membered ring, which may optionally include one or more of the same or different and is selected from O, NRcAnd a heteroatom of S;

Rcand RdMay be the same or different at each occurrence and is selected from the group consisting of hydrogen, nitro, hydroxy, cyano, halogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, and mixtures thereofSubstituted or unsubstituted cycloalkyl, substituted or unsubstituted cycloalkylalkyl, substituted or unsubstituted cycloalkenyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted heterocyclylalkyl, or when two R's arecAnd/or RdWhen the substituents are directly bonded to the same atom, they may be linked to form a substituted or unsubstituted saturated or unsaturated 3-to 10-membered ring, which may optionally contain one or more heteroatoms which may be the same or different and are selected from O, NH and S;

each occurrence of Y is independently selected from O, S and-NRa(ii) a And

each occurrence of q independently represents 0, 1 or 2;

and (ii) a corticosteroid or a pharmaceutically acceptable salt thereof. In one embodiment, the disease or disorder is asthma, rheumatoid arthritis, psoriasis, or Chronic Obstructive Pulmonary Disease (COPD).

In a preferred embodiment of any of the methods and/or compositions described herein, the CRAC modulator is a compound of formula (IA)

Or a tautomer, N-oxide, pharmaceutically acceptable ester, or pharmaceutically acceptable salt thereof, wherein

R1And R2Are each cyclopropyl, or R1And R2One is CF3And the other is cyclopropyl;

t is CF or N, and U, V, W is independently CH, CF or N;

L1and L2Together represent-NH-C (═ X) -, -NH-S (═ O)q-, -C (═ X) NH-or-S (═ O)qNH-or-NH-CR' R "-;

a is absent or selected from- (CR 'R') -and-NRa

Each occurrence of R 'and R' is the same or different and is independently selected from hydrogen or substituted or unsubstituted C(1-6)Alkyl, or R 'and R' may combine to form a substituted or unsubstituted saturated or unsaturated 3-6 membered ringOptionally including one or more of the same or different and selected from O, NRaAnd a heteroatom of S;

r' "is selected from hydrogen or halogen;

each occurrence of X is independently selected from O, S and-NRa

Cy is selected from

RaIndependently for each occurrence of (A) is selected from hydrogen, nitro, hydroxy, cyano, halogen, -ORc、-S(=O)q-Rc、-NRcRd、C(=Y)-Rc、-CRcRd-C(=Y)-Rc、-CRcRd-Y-CRcRd-、-C(=Y)-NRcRd-、-NRRd-C(=Y)-NRcRd-、-S(=O)q-NRcRd-、-NRcRd-S(=O)q-NRcRd-、-NRcRd-NRcRd-, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted cycloalkylalkyl, substituted or unsubstituted cycloalkenyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted heterocyclylalkyl, substituted or unsubstituted aryl, substituted or unsubstituted aralkyl, substituted or unsubstituted heteroaryl, and substituted or unsubstituted heteroarylalkyl;

Rcand RdMay be the same or different for each occurrence and is independently selected from hydrogen, nitro, hydroxy, cyano, halogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted cycloalkylalkyl, substituted or unsubstituted cycloalkenyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted heterocyclylalkyl, or when two R's are presentcAnd/or RdThe substituents being directly bonded to the same atomWhen so, they may be linked to form a substituted or unsubstituted, saturated or unsaturated, 3-to 10-membered ring, which may optionally contain one or more heteroatoms, which may be the same or different, and are selected from O, NH and S;

each occurrence of Y is independently selected from O, S and-NRa(ii) a And

each occurrence of q independently represents 0, 1 or 2;

in another preferred embodiment of any of the methods and/or compositions described herein, the CRAC modulator is a compound of formula (IB)

Or a tautomer, N-oxide, pharmaceutically acceptable ester, or pharmaceutically acceptable salt thereof, wherein

R1And R2Are each cyclopropyl, or R1And R2One is CF3And the other is cyclopropyl;

r' "is selected from hydrogen, hydroxy, cyano, halogen, -ORa、-COORa、-S(=O)q-Ra、-NRaRb、–C(=X)-RaSubstituted or unsubstituted C(1-6)Alkyl, substituted or unsubstituted C(1-6)Alkenyl, substituted or unsubstituted C(1-6)Alkynyl and substituted or unsubstituted C(3-5)A cycloalkyl group;

t, U, V and W are the same or different and are independently selected from CRaAnd N;

a is absent or selected from

Cy is selected from the following bicyclic rings: substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted aryl, and substituted or unsubstituted heteroaryl;

Raand RbIs the same OR different at each occurrence and is independently selected from hydrogen, nitro, hydroxy, cyano, halogen, -ORc、-S(=O)q-Rc、-NRcRd、–C(=Y)-Rc、-CRcRd-C(=Y)-Rc、-CRcRd-Y-CRcRd-、-C(=Y)-NRcRd-、-NRRd-C(=Y)-NRcRd-、-S(=O)q-NRcRd-、-NRcRd-S(=O)q-NRcRd-、-NRcRd-NRcRd-, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted cycloalkylalkyl, substituted or unsubstituted cycloalkenyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted heterocyclylalkyl, substituted or unsubstituted aryl, substituted or unsubstituted aralkyl, substituted or unsubstituted heteroaryl, and substituted or unsubstituted heteroarylalkyl, or when R isaAnd RbWhen bonded directly to the same atom, they may be linked to form a substituted or unsubstituted saturated or unsaturated 3-10 membered ring, which may optionally include one or more of the same or different and is selected from O, NRcAnd a heteroatom of S;

Rcand RdMay be the same or different for each occurrence and is independently selected from hydrogen, nitro, hydroxy, cyano, halogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted cycloalkylalkyl, substituted or unsubstituted cycloalkenyl, substituted or unsubstituted heterocyclyl, substituted or unsubstituted heterocyclylalkyl, or when two R's are presentcAnd/or RdWhen the substituents are directly bonded to the same atom, they may be linked to form a substituted or unsubstituted saturated or unsaturated 3-to 10-membered ring, which may optionally contain one or more heteroatoms which may be the same or different and are selected from O, NH and S;

Each occurrence of X is independently selected from O, S and-NRa

Each occurrence of Y is independently selected from O, S and-NRa(ii) a And

each occurrence of q independently represents 0, 1 or 2;

in another preferred embodiment of any of the methods and/or compositions described herein, the CRAC modulator is a compound of formula (I), (IA), or (IB), wherein R1And R2Are both cyclopropyl or R1And R2Is CF3And the other is cyclopropyl.

In another preferred embodiment of any of the methods and/or compositions described herein, the CRAC modulator is a compound of formula (I), (IA) or (IB) wherein Hy is

In another preferred embodiment of any of the methods and/or compositions described herein, the CRAC modulator is a compound of formula (I), (IA), or (IB), wherein the Ar ring is selected from

In another preferred embodiment of any of the methods and/or compositions described herein, the CRAC modulator is a compound of formulae (I) and (IA), wherein L1And L2Together represent-NH-C (═ X) -or-C (═ X) NH;

in another preferred embodiment of any of the methods and/or compositions described herein, the CRAC modulator is a compound of formula (I), (IA) or (IB) wherein the Cy ring is selected from

In another preferred embodiment of any of the methods and/or compositions described herein, the CRAC modulator is a compound of formula (I), (IA) or (IB) wherein the Cy ring is selected from

The CRAC modulators of formulae (I), (IA) and (IB) may be CRAC inhibitors.

In another preferred embodiment of any of the methods and/or compositions described herein, the CRAC modulator (e.g., CRAC inhibitor) is selected from the group consisting of:

n- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -4-methylthiazole-5-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2, 4-dimethylthiazole-5-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -5-methylisoxazole-4-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -3, 5-dimethylisoxazole-4-carboxamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] benzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2-methylbenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2, 6-difluorobenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2, 3-difluorobenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl-3- (methylsulfonyl) benzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -4- (methylsulfonyl) benzamide

2-chloro-N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -5- (methylthio) benzamide

2-chloro-N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl) -5- (methylsulfonyl) benzamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] nicotinamide hydrochloride

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] isonicotinamide hydrochloride

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -3-fluoroisonicotinamide

3, 5-dichloro-N- (4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl) isonicotinamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -4-methylpyrimidine-5-carboxamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2-phenylacetamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (4-fluorophenyl) acetamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -1-phenylcyclopropanecarboxamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (pyridin-2-yl) acetamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (pyridin-3-yl) acetamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (pyridin-4-yl) acetamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (piperazin-1-yl) acetamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2-morpholinoacetamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] benzenesulfonamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -4-methylthiazole-5-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -3, 5-dimethylisoxazole-4-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -2-methylbenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -2, 3-difluorobenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -2, 6-difluorobenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] nicotinamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] isonicotinamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -4-methylpyrimidine-5-carboxamide

N- [4- (4-chloro-3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -4-methylthiazole-5-carboxamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -2, 4-dimethylthiazole-5-carboxamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -3, 5-dimethylisoxazole-4-carboxamide

6- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) -N-o-tolylnicotinamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -2-fluorobenzamide

N- [6- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -2, 3-difluorobenzamide

N- [6- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -2, 6-difluorobenzamide

N- [6- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] nicotinamide dihydrochloride

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] isonicotinamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -3-fluoroisonicotinamide

3, 5-dichloro-N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } isonicotinamide

3, 5-dichloro-N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] isonicotinamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -4-methylpyrimidine-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methylthiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -N, 4-dimethylthiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2, 4-dimethylthiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -5-methylisoxazole-4-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -3, 5-dimethylisoxazole-4-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -1-methyl-1H-imidazole-2-carboxamide

N- {4- [ 3-cyclopropyl-5- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methyl-1H-imidazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2-methylbenzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2, 3-difluorobenzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2, 6-difluorobenzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -3- (methylsulfonyl) benzamide

2-chloro-N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -5- (methylthio) benzamide

2-chloro-N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -5- (methylsulfonyl) benzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } pyridine-4-carboxamide hydrochloride

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -3-fluoroisonicotinamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methylpyrimidine-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2, 4-dimethylpyrimidine-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (4-fluorophenyl) acetamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (pyridin-2-yl) acetamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (pyridin-3-yl) acetamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (pyridin-4-yl) acetamide

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- [ (4-methylthiazol-5-yl) methyl ] aniline

1- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -3- (4-methyl-1, 2, 3-thiadiazol-5-yl) urea

1- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -3- (4-methylthiazol-5-yl) urea

1- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -3- (4-methylpyrimidin-5-yl) urea

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- (4-methylthiazol-5-yl) benzamide

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- (2, 6-difluorophenyl) benzamide

N- {4- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methylthiazole-5-carboxamide

N- {4- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (pyridin-2-yl) acetamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -4-methylthiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -5-methylisoxazole-4-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -3, 5-dimethylisoxazole-4-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -2-methylbenzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -2, 3-difluorobenzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -2, 6-difluorobenzamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } nicotinamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } isonicotinamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -3-fluoroisonicotinamide

3, 5-dichloro-N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } isonicotinamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -4-methylpyrimidine-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -N, 4-dimethylpyrimidine-5-carboxamide

N- {4- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- {4- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -2- (pyridin-2-yl) acetamide

1- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -3- (4-methylpyrimidin-5-yl) urea

N- {4- [5) -cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] 3-fluorophenyl } -2, 6-dichlorobenzamide

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- (2, 3-difluorophenyl) -3-fluorobenzamide

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- (2, 6-difluorophenyl) -3-fluorobenzamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -4-methyl-1, 2, 3-thiadiazole-5-carboxamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -4-methylthiazole-5-carboxamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3, 5-dimethylisoxazole-4-carboxamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide

2-chloro-N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } benzamide

N- (6- (5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl) pyridin-3-yl) -2-fluorobenzamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2, 3-difluorobenzamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2, 6-difluorobenzamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } picolinamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3-methylpyridine amide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } nicotinamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylnicotinamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } isonicotinamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3-fluoroisonicotinamide

3, 5-dichloro-N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } isonicotinamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -4-methylpyrimidine-5-carboxamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2- (pyridin-2-yl) acetamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2- (pyridin-4-yl) acetamide

N- {4- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -4-methylpyrimidine-5-carboxamide

1- {6- [ 3-cyclopropyl-5- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3- (4-methylthiazol-5-yl) urea

6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- (2, 3-difluorophenyl) nicotinamide

6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -N- (2, 6-difluorophenyl) nicotinamide

N- {6- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -4-methylthiazole-5-carboxamide

N- {2- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyrimidin-5-yl } -2, 6-difluorobenzamide

N- {4- [5- (fluoromethyl) -3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methylthiazole-5-carboxamide

N- {4- [5- (difluoromethyl) -3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -4-methylthiazole-5-carboxamide

3, 5-dichloro-N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] isonicotinamide

N- (2-chloro-6-fluorophenyl) -4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorobenzamide

N- {2- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyrimidin-5-yl } -4-methylthiazole-5-carboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3, 5-difluorophenyl } -4-methylpyrimidine-5-carboxamide

{4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -1-phenylcyclobutanecarboxamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -4-methyloxazole-5-carboxamide

N- {2- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyrimidin-5-yl } -4-methylpyrimidine-5-carboxamide

4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluoro-N- (4-methylpyrimidin-5-yl) benzamide and

n- {4- [ 3-cyclopropyl-5- (difluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -2, 6-difluorobenzamide;

n- {4- [ 5-cyclopropyl-3- (difluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -2, 6-difluorobenzamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -1H-benzo [ d ] imidazole-6-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -1H-benzo [ d ] [1,2,3] triazole-6-carboxamide

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] quinoline-6-carboxamide hydrochloride

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] quinoxaline-6-carboxamide

2- (1H-benzo [ d ] imidazol-1-yl) -N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] acetamide

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] acetamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (1H-indol-3-yl) acetamide

N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (imidazo [1,2-a ] pyridin-2-yl) acetamide hydrochloride

N- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (quinolin-6-yl) acetamide:

n- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) phenyl ] -2- (quinolin-6-yl) acetamide hydrochloride

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- (4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl) acetamide

Hydrochloric acid N- [4- (3, 5-dicyclopropyl-1H-pyrazol-1-yl) -3-fluorophenyl ] -2- (quinolin-6-yl) acetamide

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] quinoline-6-carboxamide dihydrochloride

N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] quinoxaline-6-carboxamide

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- [6- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] acetamide

N- [6- (3, 5-Bicyclopropyl-1H-pyrazol-1-yl) pyridin-3-yl ] -2- (quinolin-6-yl) acetamide dihydrochloride

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } quinoline-6-carboxamide hydrochloride

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } quinoxaline-6-carboxamide

2- (1H-benzo [ d ] imidazol-1-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } acetamide

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } acetamide

2- (2H-benzo [ d ] [1,2,3] triazol-2-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } acetamide

2- (3H- [1,2,3] triazolo [4,5-b ] pyridin-3-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } acetamide

(S) -2- (3H- [1,2,3] triazolo [4,5-b ] pyridin-3-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } propanamide

2- (6-amino-9H-purin-9-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } acetamide

N- (4- (5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl) phenyl) -2- (1, 3-dimethyl-2, 6-dioxo-2, 3-dihydro-1H-purin-7 (6H) -yl) acetamide

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl) phenyl) -2- (imidazo [1,2-a ] pyridin-2-yl) acetamide hydrochloride

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (quinolin-6-yl) acetamide hydrochloride

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl } -2- (quinolin-6-yl) propanamide hydrochloride

N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } -1H-benzo [ d ] [1,2,3] triazole-6-carboxamide

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- {4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluorophenyl } acetamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -1H-benzo [ d ] [1,2,3] triazole-5-carboxamide

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } acetamide

2- (2H-benzo [ d ] [1,2,3] triazol-2-yl) -N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } acetamide

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2- (quinolin-6-yl) acetamide hydrochloride

2- (1H-benzo [ d ] [1,2,3] triazol-1-yl) -N- {6- [ 4-chloro-5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } acetamide

Hydrochloric acid 4- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] -3-fluoro-N- (quinoline-6-methyl) benzamide,

1- [4- (3, 5-bicyclopropyl-1H-pyrazol-1-yl) phenyl ] -3- (quinolin-6-yl) urea

And pharmaceutically acceptable salts thereof.

In another preferred embodiment of any of the methods and/or compositions described herein, the CRAC inhibitor is selected from

CM2489;

CM4620;

N- (5- (6-chloro-2, 2-difluorobenzo [ d ] [1,3] dioxol-5-yl) pyrazin-2-yl) -2-fluoro-6-methylbenzamide;

n- [4- [3, 5-bis (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide (YM-58483);

2, 6-difluoro-N- {5- [ 4-methyl-1- (5-methylthiazol-2-yl) -1,2,5, 6-tetrahydro-pyridin-3-yl ] -pyrazin-2-yl } -benzamide (RO 2959);

2, 6-difluoro-N- (1- (4-hydroxy-2- (trifluoromethyl) benzyl) -1H-pyrazol-3-yl) benzamide (GSK-7975A);

2, 6-difluoro-N- (1- (2-phenoxybenzyl) -1H-pyrazol-3-yl) benzamide (GSK 5503A);

n- (2',5' -dimethoxy [1,1' -biphenyl ] -4-yl) -3-fluoro-4-pyridinecarboxamide (Synta 66);

n- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide;

n- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3-fluoroisonicotinamide;

and pharmaceutically acceptable salts thereof.

In another preferred embodiment of any of the methods and/or compositions described herein, the CRAC inhibitor is selected from

N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide (compound a);

n- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3-fluoroisonicotinamide;

and pharmaceutically acceptable salts thereof.

In another preferred embodiment of any of the methods and/or compositions described herein, the corticosteroid is selected from dexamethasone, betamethasone, prednisolone, methylprednisolone, prednisone, hydrocortisone, fluticasone, triamcinolone, budesonide or cortisone prednisolone, methylprednisolone, naphthalenone, desflurane, lorasone acetate, budesonide, beclomethasone dipropionate, hydrocortisone, triamcinolone acetonide, fluocinolone acetate, beclomethalone, methylprednisolone aceponate, dexamethasone palmitate, tipredane, hydrocortisone aceponate, prednisolone dipropionate, alclometasone dipropionate, halomethasone, methylprednisolone sulfomethasone, mometasone furoate monohydrate, rimexolone (nmexolone), prednisolone farnesyl acetate, ciclesonide, desquamate propionate, fluticasone, mometasone furoate monohydrate, mometasone furoate monohydrate, rimexolone (nmexolone, prednisolone farnesyl pivalate, prednisolone acetonide, triamcinolone propionate, and/or a, Halobetasol propionate, loteprednol etabonate, betamethasone butyrate propionate, flunisolide, prednisone, dexamethasone sodium phosphate, triamcinolone, 17-betamethasone valerate, betamethasone dipropionate, hydrocortisone acetate, hydrocortisone sodium succinate, prednisolone sodium phosphate, hydrocortisone butyrate propionate and pharmaceutically acceptable salts thereof.

In another preferred embodiment, the present invention provides a method of treating autoimmune, respiratory and inflammatory diseases and disorders comprising administering a combination comprising: (i) a compound of formula (I), (IA) or (IB) or a pharmaceutically acceptable salt thereof and (ii) a corticosteroid selected from dexamethasone, betamethasone, prednisolone, methylprednisolone, prednisone, mometasone furoate monohydrate, hydrocortisone, fluticasone, triamcinolone, budesonide or cortisone or a pharmaceutically acceptable salt thereof.

The invention also relates to pharmaceutical compositions comprising compounds of formulae (I), (IA) and (IB), a CRAC inhibitor and at least one corticosteroid, and to the use of said pharmaceutical compositions for the treatment of autoimmune, respiratory and inflammatory diseases and disorders.

The invention also relates to pharmaceutical compositions comprising a CRAC inhibitor selected from the group consisting of:

CM2489;

CM4620;

n- (5- (6-chloro-2, 2-difluorobenzo [ d ] [1,3] dioxol-5-yl) pyrazin-2-yl) -2-fluoro-6-methylbenzamide;

n- [4- [3, 5-bis (trifluoromethyl) -1H-pyrazol-1-yl ] phenyl ] -4-methyl-1, 2, 3-thiadiazole-5-carboxamide (YM-58483);

2, 6-difluoro-N- {5- [ 4-methyl-1- (5-methylthiazol-2-yl) -1,2,5, 6-tetrahydro-pyridin-3-yl ] -pyrazin-2-yl } -benzamide (RO 2959);

2, 6-difluoro-N- (1- (4-hydroxy-2- (trifluoromethyl) benzyl) -1H-pyrazol-3-yl) benzamide (GSK-7975A);

2, 6-difluoro-N- (1- (2-phenoxybenzyl) -1H-pyrazol-3-yl) benzamide (GSK 5503A);

n- (2',5' -dimethoxy [1,1' -biphenyl ] -4-yl) -3-fluoro-4-pyridinecarboxamide (Synta 66);

n- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide;

n- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3-fluoroisonicotinamide;

and pharmaceutically acceptable salts thereof; and

at least one corticosteroid selected from the group consisting of,

and to the use of said pharmaceutical compositions for the treatment of autoimmune, respiratory and inflammatory diseases and disorders.

In another preferred embodiment of any of the methods and/or compositions described herein, the compound of formula (I) is a CRAC inhibitor selected from the group consisting of:

n- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide (compound a);

n- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -3-fluoroisonicotinamide;

and pharmaceutically acceptable salts thereof;

and the corticosteroid is selected from dexamethasone, betamethasone, prednisolone, methylprednisolone, prednisone, mometasone furoate monohydrate, hydrocortisone, fluticasone, triamcinolone, budesonide, cortisone or pharmaceutically acceptable salts thereof.

In another preferred embodiment of any of the methods and/or compositions described herein, the CRAC modulator is N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide and the corticosteroid is dexamethasone.

In another preferred embodiment of any of the methods and/or compositions described herein, the CRAC modulator is N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide and the corticosteroid is mometasone, mometasone furoate, or mometasone furoate monohydrate.

In another preferred embodiment of any of the methods and/or compositions described herein, the CRAC modulator is N- {6- [ 5-cyclopropyl-3- (trifluoromethyl) -1H-pyrazol-1-yl ] pyridin-3-yl } -2-methylbenzamide and the corticosteroid is fluticasone.

In another aspect, the invention relates to a kit for treating an autoimmune, respiratory or inflammatory disease or disorder, the kit comprising:

in a single pharmaceutical composition or in separate pharmaceutical compositions according to any of the embodiments described herein

(i) A CRAC modulator or a pharmaceutically acceptable salt thereof and (ii) a corticosteroid or a pharmaceutically acceptable salt thereof,

(ii) optionally, instructions for treating an autoimmune, respiratory or inflammatory disease or disorder using a CRAC modulator and a corticosteroid; and

(iii) optionally, a container for holding one or more pharmaceutical compositions.

Drawings

FIG. 1A is a scatter plot, depicted at H2O2IC of Compound A vs dexamethasone (Dex) at IL-8 concentration in treated U937 cells50The influence of (c).

FIG. 1B is a bar graph depicting the result at H2O2IC of Compound A vs dexamethasone (Dex) at IL-8 concentration in treated U937 cells50The influence of (c).

FIG. 2 depicts the effect of Compound A on IL-1 β, IL-6 and GM-CSF release in cells isolated from asthmatic and healthy subjects.

FIG. 3 depicts the effect of Compound A in combination with fluticasone (F) on IL-1 β, IL-6 and GM-CSF release in cells isolated from asthmatic and healthy subjects.

Detailed Description

Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood in the art to which the subject matter belongs. In the event that there are multiple definitions of terms herein, the terms in this section prevail.

The abbreviations used herein have their conventional meaning in the chemical and biological arts unless otherwise indicated.

It is to be understood that both the foregoing general description and the following detailed description are exemplary and explanatory only and are not restrictive of any subject matter. In this application, the use of the singular includes the plural unless specifically stated otherwise. It must be noted that, as used in the specification, the singular forms "a (a/an)" and "the" include plural referents unless the context clearly dictates otherwise. In this application, the use of "or" means "and/or" unless stated otherwise. Furthermore, the use of the term "including" and other forms such as "includes", "including", and "included" is not limiting.

Standard chemical and molecular biological terms are defined in the reference works, including, but not limited to, Carey and Sundberg "ADVANCED ORGANIC CHEMISTRY 4 th edition (ADVANCED ORGANIC CHEMISTRY 4)thedition) "volumes A (2000) and B (2001), Plenum Press, New York and" Molecular BIOLOGY 5 th edition (MOLECULAR BIOLOGY OF THE same CELL 5)thedition) "(2007), Garland Science, New York. Unless otherwise indicated, conventional methods of mass spectrometry, NMR, HPLC, protein chemistry, biochemistry, recombinant DNA techniques, and pharmacology are encompassed within the scope of the embodiments disclosed herein.

Unless specific definitions are provided, the nomenclature employed in connection with, and the laboratory procedures and techniques of, analytical chemistry and pharmaceutical chemistry described herein are those commonly employed. In some embodiments, standard techniques are used for chemical analysis, drug preparation, formulation and delivery, and patient treatment. In other embodiments, standard techniques are used for recombinant DNA, oligonucleotide synthesis, and tissue culture and transformation (e.g., electroporation, lipofection). In certain embodiments, the reaction and purification techniques are performed, for example, using a manufacturer-specified kit or as described herein. The foregoing techniques and procedures are generally performed according to conventional methods and as described in various general and more specific references that are cited and discussed throughout this specification.

In addition, the present invention also includes compounds that differ only in one or more isotopically enriched atoms, such as replacement of hydrogen with deuterium and the like.

The term "subject" or "patient" includes mammals and non-mammals. Examples of mammals include, but are not limited to, any member of the class mammalia: human, non-human primates, such as chimpanzees and other apes and monkey species; farm animals such as cattle, horses, sheep, goats, and pigs; domestic animals such as rabbits, dogs, and cats; and laboratory animals, including rodents, such as rats, mice and guinea pigs. Examples of non-mammals include, but are not limited to, birds, fish, and the like. In one embodiment of the methods and compositions provided herein, the mammal is a human.

The term "treating" as used herein includes, prophylactically and/or therapeutically, alleviating, or ameliorating a symptom of a disease, disorder, or condition, preventing other symptoms, ameliorating or preventing a root cause of a symptom, inhibiting a disease, disorder, or condition, e.g., arresting the development of a disease, disorder, or condition, ameliorating a disease, disorder, or condition, causing regression of a disease, disorder, or condition, ameliorating a condition caused by a disease, disorder, or condition, or stopping a symptom of a disease, disorder, or condition.

As used herein, the term "target protein" refers to a protein or a portion of a protein that is capable of binding to or interacting with a compound described herein, e.g., a compound capable of modulating a STIM protein and/or an Orai protein. In certain embodiments, the target protein is a STIM protein. In other embodiments, the target protein is an Orai protein. In other embodiments, the compounds described herein target STIM and Orai proteins.

The term "STIM protein" refers to any protein located in the endoplasmic reticulum or plasma membrane that activates an increase in the rate of calcium influx into cells via CRAC channels (STIM refers to matrix-interacting molecules). As used herein, "STIM protein" includes, but is not limited to, mammalian STIM-1, such as human and rodent (e.g., mouse) STIM-1, Drosophila D-STIM, C-STIM, Anopheles gambiae (Anopheles gambiae) STIM, and mammalian STIM-2, such as human and rodent (e.g., mouse) STIM-2. As described herein, these proteins have been identified as involved in, involved in and/or providing for their calcium pool-operated calcium entry or regulation, modulation of calcium levels in cytoplasmic calcium buffering and/or intracellular calcium storage (e.g., endoplasmic reticulum) or in, within or out of calcium mobilization.

It will be understood that "activation" or "activation" refers to the ability of STIM proteins to up-regulate, stimulate, enhance or otherwise promote calcium influx into cells through CRAC channels. It is envisaged that cross-talk between STIM proteins and CRAC channels may occur by direct or indirect molecular interactions. Suitably, the STIM protein is a transmembrane protein associated with or in close proximity to the CRAC channel.

As used herein, "Orai protein" includes Orai1 (SEQ ID NO: 1 as described in WO 07/081804), Orai2 (SEQ ID NO: 2 as described in WO 07/081804), or Orai3 (SEQ ID NO: 3 as described in WO 07/081804). The Orai1 nucleic acid sequence corresponds to GenBank accession No. NM-032790, the Orai2 nucleic acid sequence corresponds to GenBank accession No. BC069270, and the Orai3 nucleic acid sequence corresponds to GenBank accession No. NM-152288. As used herein, Orai refers to any one of the Orai genes, e.g., Orai1, Orai2, and Orai3 (see table I of WO 07/081804). As described herein, these proteins have been identified as involved in, involved in and/or providing for their calcium pool-operated calcium entry or regulation, modulation of calcium levels in cytoplasmic calcium buffering and/or intracellular calcium storage (e.g., endoplasmic reticulum) or in, within or out of calcium mobilization. In alternative embodiments, the Orai protein may be tagged with a tag molecule, by way of example only, an enzyme fragment, a protein (e.g., c-myc or other tag protein or fragment thereof), an enzyme tag, a fluorescent tag, a fluorophore tag, a chromophore tag, a raman-activated tag, a chemiluminescent tag, a quantum dot tag, an antibody, a radioactive tag, or a combination thereof.

The term "fragment" or "derivative" when referring to a protein (e.g., STIM, Orai) refers to a protein or polypeptide that retains substantially the same biological function or activity as the native protein in at least one assay. For example, a fragment or derivative of a reference protein preferably maintains at least about 50% of the activity of the native protein, at least 75% of the activity of the native protein, or at least about 95% of the activity of the native protein, as determined by a calcium influx assay.

As used herein, "ameliorating" refers to amelioration of a disease or disorder or at least partial alleviation of symptoms associated with a disease or disorder. As used herein, ameliorating a symptom of a particular disease, disorder, or condition by administering a particular compound or pharmaceutical composition refers to any lessening of severity, delay of onset, slowing of progression, or shortening of duration, whether due to permanent or temporary, persistent, or transient nature associated with administration of the compound or composition.

As used herein, the term "modulate" refers to interacting with a target protein, either directly or indirectly, to alter the activity of the target protein, including, by way of example only, inhibiting the activity of the target protein, or limiting or reducing the activity of the target.

As used herein, the term "modulator" refers to a compound that alters the activity of a target (e.g., a target protein). For example, in some embodiments, a modulator causes an increase or decrease in the magnitude of a certain activity of a target as compared to the magnitude of the activity in the absence of the modulator. In certain embodiments, the modulator is an inhibitor that reduces the magnitude of one or more activities of the target. In certain embodiments, the inhibitor completely prevents one or more activities of the target.

As used herein, "modulation" with respect to intracellular calcium refers to any alteration or modulation of intracellular calcium, including, but not limited to, alterations in calcium concentration in the cytoplasm and/or intracellular calcium storage organelles, such as the endoplasmic reticulum, or alterations in the kinetics of calcium influx into and within the cell, efflux out of and within the cell. In one aspect, modulating refers to decreasing.

As used herein, the terms "inhibit", "inhibiting" or "inhibitor" of SOC channel activity or CRAC channel activity refers to calcium channel activity that inhibits either calcium pool-operated calcium channel activity or calcium release-activated calcium channel activity.

The term "acceptable" with respect to a formulation, composition or ingredient as used herein means having no lasting deleterious effect on the general health of the individual being treated.

As used herein, the term "pharmaceutically acceptable" refers to a material (e.g., carrier or diluent) that does not abrogate the biological activity or properties of the compound and is relatively non-toxic, i.e., the material can be administered to an individual without causing undesirable biological effects or interacting in a deleterious manner with any of the components of the composition in which it is contained.

Pharmaceutically acceptable salts forming part of the invention include those derived from inorganic materialsBases, such as salts of Li, Na, K, Ca, Mg, Fe, Cu, Zn and Mn; organic bases such as salts of N, N' -diacetylethylenediamine, reduced glucamine, triethylamine, choline, hydroxide, dicyclohexylamine, metformin, benzylamine, trialkylamine, thiamine, and the like; chiral bases, such as alkylanilines, glycerol and phenylglycerol, salts of natural amino acids, such as glycine, alanine, valine, leucine, isoleucine, norleucine, tyrosine, cystine, cysteine, methionine, proline, hydroxyproline, histidine, ornithine, lysine, arginine and serine; compounds of the invention with alkyl halides and alkyl sulfates (e.g., MeI and (Me)2SO4) Quaternary ammonium salts of unnatural amino acids (e.g., D-isomers or substituted amino acids); guanidines, substituted guanidines (where the substituents are selected from nitro, amino, alkyl, alkenyl, alkynyl), ammonium or substituted ammonium salts, and aluminum salts. Suitable salts may include acid addition salts which are sulphates, nitrates, phosphates, perchlorates, borates, hydrogen halides, acetates, tartrates, maleates, citrates, fumarates, succinates, palmitates, methanesulphonates, benzoates, salicylates, benzenesulphonates, ascorbates, glycerophosphates and ketoglutarates. The pharmaceutically acceptable solvate may be a hydrate or comprise other crystallization solvents, such as alcohols.

The term "pharmaceutical composition" refers to a mixture of a compound of the present invention with other chemical components such as, but not limited to, carriers, stabilizers, diluents, dispersants, suspending agents, thickening agents, and/or excipients.

The compounds and pharmaceutical compositions of the present invention may be administered by a variety of routes of administration, including but not limited to intravenous, oral, aerosol, parenteral, ocular, pulmonary, and topical administration.

As used herein, the term "effective amount" or "therapeutically effective amount" refers to the administration of a sufficient amount of an agent or compound that will alleviate one or more symptoms of the disease or condition being treated to some extent. The result is a reduction and/or alleviation of the signs, symptoms, or causes of a disease, or any other desired alteration of a biological system. For example, an "effective amount" for therapeutic use is the amount of a compound of the present invention required to provide a clinically significant reduction in disease symptoms. In some embodiments, a suitable "effective" amount in any individual case is determined using techniques such as dose escalation studies.

As used herein, the term "enhance" refers to increasing or prolonging the efficacy or duration of a desired effect. Thus, with respect to enhancing the effect of a therapeutic agent, the term "enhance" refers to the ability to increase or prolong the effect of other therapeutic agents on the system in terms of efficacy or duration. As used herein, "enhancing effective amount" refers to an amount sufficient to enhance the effect of another therapeutic agent in the desired system.

As used herein, the term "carrier" refers to a relatively non-toxic compound or agent that facilitates incorporation of the compound into a cell or tissue.

The term "diluent" refers to a compound used to dilute a compound of interest prior to delivery. In some embodiments, diluents are used to stabilize the compounds because they provide a more stable environment. Salts dissolved in buffered solutions (which may also provide control or maintenance of pH) may be used as diluents, including but not limited to phosphate buffered saline solutions.

As used herein, "intracellular calcium" refers to calcium that is located in a cell without a specific cellular location. By comparison, reference to "cytosolic" or "cytoplasmic" of calcium refers to calcium located in the cytoplasm of the cell.

As used herein, the effect on intracellular calcium is any alteration of any aspect of intracellular calcium, including but not limited to alterations in intracellular calcium levels and locations and the movement of calcium into or out of a cell or intracellular calcium pool or organelle. For example, in some embodiments, the effect on intracellular calcium is a change in a property of calcium flux or movement, such as kinetics, sensitivity, rate, amplitude, and electrophysiological properties, that occurs in a cell or moiety. In some embodiments, the effect on intracellular calcium is an alteration in any intracellular calcium regulation process, including calcium pool-operated calcium entry, cytosolic calcium buffering, and calcium levels in or from, migrating, out, or into the intracellular calcium pool. Any of these aspects can be assessed in a variety of ways, including, but not limited to, assessing the level of calcium or other ions (particularly cations), the movement of calcium or other ions (particularly cations), fluctuations in the level of calcium or other ions (particularly cations), the kinetics of the flux of calcium or other ions (particularly cations), and/or the transport of calcium or other ions (particularly cations) through the membrane. A change is any change of statistical significance. Thus, for example, in some embodiments, if it is said that intracellular calcium is different in the test cell and the control cell, then such difference is a statistically significant difference.

Modulation of intracellular calcium is any alteration or modulation of intracellular calcium, including but not limited to alterations in calcium concentration or levels in the cytoplasm and/or intracellular calcium storage organelles (e.g., the endoplasmic reticulum), alterations in calcium entry, exit and movement in the cell or intracellular calcium pool or organelle, alterations in the location of calcium within the cell, and alterations in calcium entry, exit and kinetics or other properties within the cell. In some embodiments, intracellular calcium modulation involves alteration or modulation of calcium pool-manipulated calcium entry, e.g., reduction or inhibition, cytosolic calcium buffering, calcium mobilization influx, efflux or calcium levels within intracellular calcium reservoirs or organelles, and/or basal or quiescent cytosolic calcium levels. Modulation of intracellular calcium involves alteration or modulation of receptor-mediated ion (e.g., calcium) movement, second messenger-manipulated ion (e.g., calcium) movement, calcium influx or efflux into cells, and/or ion (e.g., calcium) uptake into or release from intracellular compartments including, for example, endosomes and lysosomes.

As used herein, "participating in" with respect to a relationship between a protein and intracellular calcium or aspects of intracellular calcium regulation refers to the presence of a concomitant or associated reduction, alteration or elimination of one or more aspects of intracellular calcium or intracellular calcium regulation when expression or activity of the protein in a cell is reduced, altered or eliminated. Such changes or decreases in expression or activity occur due to changes in expression of the gene encoding the protein or by altering the level of the protein. Thus, a protein involved in an aspect of intracellular calcium, e.g., calcium pool-operated calcium entry, is a protein that provides or participates in an aspect of intracellular calcium or intracellular calcium regulation. For example, the protein providing calcium sink-operated calcium entry is a STIM protein and/or an Orai protein.

As used herein, "cation entry" or "calcium entry" refers to entry of a cation, such as calcium, into an intracellular location, such as the cytoplasm of a cell, or into the lumen of an intracellular organelle or storage site. Thus, in some embodiments, cation entry is, for example, the movement of a cation from the extracellular medium or from an intracellular organelle or storage site into the cytoplasm, or the movement of a cation from the cytoplasm or extracellular medium into an intracellular organelle or storage site. The movement of calcium from intracellular organelles or storage sites into the cytoplasm is also referred to as "liberating calcium" from the organelles or storage sites.

As used herein, "immune cell" includes cells of the immune system and cells that perform a function or activity in an immune response, such as, but not limited to, T cells, B cells, lymphocytes, macrophages, dendritic cells, neutrophils, eosinophils, basophils, mast cells, plasma cells, leukocytes, antigen presenting cells, and natural killer cells.

"calcium pool-manipulated calcium entry" or "SOCE" refers to a mechanism by which the release of calcium ions from the intracellular calcium pool is coordinated with ion influx across the plasma membrane.

As used herein, "therapeutic effect" includes a therapeutic benefit and/or a prophylactic benefit as described above. Prophylactic effects include delaying or eliminating the appearance of a disease or disorder, delaying or eliminating the onset of symptoms of a disease or disorder, slowing, stopping, or reversing the progression of a disease or disorder, or any combination thereof.

"Signal transduction" is a process in which a stimulatory or inhibitory signal is transmitted into a cell and into the cell to elicit an intracellular response. A modulator of a signal transduction pathway refers to a compound that modulates the activity of one or more cellular proteins that map to the same specific signal transduction pathway. Modulators may enhance (agonists) or inhibit (antagonists) the activity of signaling molecules.

As used herein, "inflammatory response" is characterized by redness, heat, swelling, and pain (i.e., inflammation), and is typically related to tissue damage or destruction. The inflammatory response is usually a local protective response caused by tissue damage or destruction, which acts to destroy, dilute, or exfoliate (entangle) the nociceptive factors and injured tissue. The inflammatory response is particularly associated with an influx of chemotaxis of leukocytes and/or leukocytes (e.g., neutrophils). Inflammatory responses may be caused by pathogenic biological and viral infections, non-infectious means (e.g. trauma or reperfusion following myocardial infarction or stroke), immune responses to foreign antigens, and autoimmune diseases. Inflammatory responses suitable for treatment with the methods and compounds according to the invention include conditions associated with a response of a specific defense system as well as conditions associated with a response of a non-specific defense system.

The therapeutic methods of the invention include methods for treating conditions associated with inflammatory cell activation. By "inflammatory cell activation" is meant the induction of a proliferative cell response by a stimulus including, but not limited to, cytokines, antigens or autoantibodies, the production of soluble mediators including, but not limited to, cytokines, oxygen radicals, enzymes, prostaglandins or vasoactive amines, or the cell surface expression of new or increased amounts of mediators including, but not limited to major histocompatibility antigens or cell adhesion molecules in inflammatory cells including, but not limited to, monocytes, macrophages, T lymphocytes, B lymphocytes, granulocytes (polymorphonuclear leukocytes including neutrophils, basophils and eosinophils), mast cells, dendritic cells, langerhans cells and endothelial cells. One skilled in the art will recognize that activation of one or a combination of these phenotypes in these cells can contribute to the initiation, persistence, or exacerbation of an inflammatory disorder.

As used herein, "autoimmune disease" refers to any type of disease in which tissue damage is associated with a humoral or cell-mediated response to the body's own components.

As used herein, "transplant rejection" refers to an immune response against transplanted tissue, including organs or cells (e.g., bone marrow), characterized by loss of function, pain, swelling, leukocytosis, and thrombocytopenia of the transplanted and surrounding tissues.

As used herein, "allergic disease" refers to any symptom, tissue damage, or loss of tissue function caused by an allergy.

As used herein, "arthritic disease" refers to any disease characterized by inflammatory damage to joints attributable to multiple etiologies.

As used herein, "dermatitis" refers to any of a large family of skin diseases characterized by skin inflammation due to a variety of etiologies.

The compounds of the present invention may also be used in combination (together or sequentially administered) with one or more steroidal anti-inflammatory drugs, non-steroidal anti-inflammatory drugs (NSAIDs), immunoselective anti-inflammatory derivatives (imsaids), or any combination.

As used herein, the terms "co-administration," "administration in combination with … …," and grammatical equivalents thereof encompass the administration of two or more agents to an animal such that both agents and/or metabolites thereof are present in the animal at the same time. Co-administration includes simultaneous administration in separate compositions, administration at different times in separate compositions, or administration in a composition where both agents are present.

According to the invention, the compounds of formulae (I), (IA) and (IB) or hydrates, pharmaceutically acceptable salts or solvates thereof may also be administered in combination with one or more other active ingredients useful in one of the pathologies mentioned above, such as antiemetics, analgesics, anti-inflammatory agents or anti-cachets.

The compositions of the present invention may also be combined with radiation therapy.

The compositions of the present invention may also be combined with surgery, including pre-surgery, post-surgery, or during surgery.

These treatments may be administered simultaneously, separately, sequentially and/or at timed intervals.

As described in any of the embodiments herein, the method of combining a CRAC inhibitor with a corticosteroid exhibits an activity (synergistic activity) that is significantly higher than would be expected from the individual activity of each of the known CRAC inhibitors or corticosteroids alone.

As described in any of the embodiments herein, the method of combining a CRAC inhibitor with a corticosteroid exhibits activity even when the corticosteroid alone is not susceptible as a single drug.

Thus, the method of the present invention should allow for the treatment of autoimmune, respiratory and inflammatory diseases and conditions with lower amounts of active compounds and/or should allow for the treatment of autoimmune, respiratory and inflammatory diseases and conditions over a longer period of time and in a more effective way.

The pharmaceutical composition according to the invention shows an activity which is significantly higher than would be expected if the individual activity of each component is known. Thus, the pharmaceutical composition should allow the treatment of respiratory and inflammatory diseases and conditions with a lower amount of active compound and/or should allow the treatment of respiratory and inflammatory diseases and conditions in a more effective manner.

Thus, the present invention further relates to pharmaceutical compositions according to the invention for the treatment of autoimmune, respiratory and inflammatory diseases and disorders.

Another embodiment of the present invention relates to a method of treating autoimmune, respiratory and inflammatory diseases and disorders comprising administering to a patient in need thereof a therapeutically effective amount of a pharmaceutical composition according to the present invention.

Another embodiment of the present invention relates to the use of a pharmaceutical composition according to the present invention for the preparation of a medicament for the treatment of autoimmune, respiratory and inflammatory diseases and disorders.

In the pharmaceutical composition according to the present invention, the CRAC inhibitor may be contained in a form selected from solvates, hydrates or salts with a pharmacologically acceptable acid or base.

In the pharmaceutical composition according to the present invention, the corticosteroid may be contained in a form selected from a solvate with a pharmacologically acceptable acid or base, a hydrate, or a salt.

Another embodiment of the invention is a method of treating an immune system-related disease (e.g., an autoimmune disease), a disease or disorder involving inflammation (e.g., asthma, chronic obstructive pulmonary disease, rheumatoid arthritis, inflammatory bowel disease, glomerulonephritis, neuroinflammatory disease, multiple sclerosis, uveitis, and an immune system disease), cancer or other proliferative disease, a liver disease or disorder, or a kidney disease or disorder. The method comprises administering an effective amount of one or more compositions according to any embodiment described herein.

Examples of immune diseases that can be treated by the compositions of the invention include, but are not limited to, psoriasis, rheumatoid arthritis, vasculitis, inflammatory bowel disease, dermatitis, osteoarthritis, asthma, inflammatory muscle disease, allergic rhinitis, vaginitis, interstitial cystitis, scleroderma, osteoporosis, eczema, allograft or xenograft (organ, bone marrow, stem cells and other cells and tissues) graft rejection, graft-versus-host disease, lupus erythematosus, inflammatory diseases, type I diabetes, pulmonary fibrosis, dermatomyositis, sjogren's syndrome, thyroiditis (e.g., hashimoto's and autoimmune thyroiditis), myasthenia gravis, autoimmune hemolytic anemia, multiple sclerosis, cystic fibrosis, Idiopathic Pulmonary Fibrosis (IPF), chronic recurrent hepatitis, primary conjunctivitis, allergic biliary cirrhosis, and atopic dermatitis.

When ranges are used herein for physical properties (e.g., molecular weight) or chemical properties (e.g., chemical formula), it is intended to include all combinations and subcombinations of ranges and specific embodiments therein. The term "about" when referring to a number or a numerical range means that the number or numerical range referred to is an approximation within experimental variability (or within statistical experimental error), and thus the number or numerical range may vary from, for example, between 1% to 15% of the number or numerical range. The term "comprising" (and related terms such as "comprises" or "comprising" or "having" or "containing") includes those embodiments that "consist of or" consist essentially of the described features, e.g., embodiments of any combination of materials, compositions, methods, or processes, etc.

Pharmaceutical composition

The present invention provides a pharmaceutical composition comprising a CRAC inhibitor and at least one corticosteroid (according to any of the embodiments described herein), and optionally one or more pharmaceutically acceptable carriers or excipients.

In one embodiment, the pharmaceutical composition comprises a therapeutically effective amount of a CRAC inhibitor and at least one corticosteroid (according to any of the embodiments described herein). As described herein, the pharmaceutical composition may include one or more additional active ingredients.

The pharmaceutical carrier and/or excipient may be selected from, for example, diluents, fillers, salts, disintegrants, binders, lubricants, glidants, wetting agents, controlled release matrices, colorants, flavoring agents, buffering agents, stabilizers, solubilizers, and any combination thereof.

The pharmaceutical compositions of the present invention may be administered alone or in combination with one or more other active agents. When necessary, the present compound and other agents may be mixed as a preparation, or the two components may be formulated into separate preparations to be used separately or simultaneously in combination.

The pharmaceutical compositions of the present invention may be administered together with one or more other active agents or in a sequential manner. If desired, the present compound and other agents may be co-administered, or the two components may be administered sequentially for use in combination.

The compounds and pharmaceutical compositions of the invention may be administered by any route that enables delivery of the compound to the site of action, such as orally, intranasally, topically (e.g., transdermally), intraduodenally, parenterally (including intravenously, intraarterially, intramuscularly, intravascularly, intraperitoneally, or by injection or infusion), intradermally, intramammarly, intrathecally, intraocularly, retrobulbar, intrapulmonary (e.g., aerosolized drugs) or subcutaneously (including depot administration for long-term release, e.g., buried in the splenic capsule, sub-cerebrum, or cornea), sublingually, transanally, rectally, vaginally, or by surgical implantation (e.g., buried in the splenic capsule, sub-cerebrum, or cornea).

The pharmaceutical compositions may be administered in solid, semi-solid, liquid or gaseous form, or may be in a dry powder, such as lyophilized form. Pharmaceutical compositions may be packaged in a form convenient for delivery, including, for example, solid dosage forms such as capsules, sachets, cachets, gelatin, paper, tablets, suppositories, pellets, pills, dragees, and buccal tablets. The type of packaging will generally depend on the desired route of administration. Implantable sustained release formulations, such as transdermal formulations, are also contemplated.

The amount of the compound administered will depend on the severity of the mammal, disorder or condition being treated, the rate of administration, the disposition of the compound, and the judgment of the prescribing physician. However, effective dosages of CRAC modulator and corticosteroid in single or divided doses range from about 0.001 to about 100mg, preferably from about 1 to about 35 mg/kg/day per kg of body weight per day. For a 70kg person, this would equate to about 0.05 to 7 grams per day, preferably about 0.05 to about 2.5 grams per day. In one embodiment, an effective dose of a CRAC modulator is in the range of about 0.001 to about 100mg, preferably about 1 to about 35 mg/kg/day per kg body weight per day in single or divided doses. In another embodiment, an effective dose of corticosteroid is in the range of about 0.001 to about 100mg, preferably about 1 to about 35 mg/kg/day per kg body weight per day in single or divided doses. An effective amount of a CRC modulator and/or corticosteroid, or a composition comprising both, can be administered in a single dose or in multiple doses (e.g., two or three times per day).

In one embodiment, the pharmaceutical compositions described herein comprise a CRAC modulator and a corticosteroid in a ratio of about 100: 1 to about 1: 100 by weight, such as about 50: 1 to about 1: 50 by weight or about 1: 10 to about 10: 1 by weight, or about 1: 5 to about 5: 1 by weight.

In one embodiment, the pharmaceutical compositions described herein comprise from about 0.01mg to about 1000mg, such as from about 0.01mg to about 500mg, from about 0.01mg to about 250mg, or from about 0.01mg to about 100mg of the CRAC modulator and from about 0.01mg to about 1000mg, such as from about 0.01mg to about 500mg, from about 0.01mg to about 250mg, or from about 0.01mg to about 100mg of the at least one corticosteroid.

In another embodiment, any of the pharmaceutical compositions described herein comprise from about 0.01mg to about 1000mg, e.g., from about 10mg to about 500mg, from about 50mg to about 250mg, or from about 50mg to about 100mg of a CRAC modulator.

In another embodiment, any of the pharmaceutical compositions described herein comprise from about 10mg to about 500mg of the CRAC modulator.

In another embodiment, any of the pharmaceutical compositions described herein comprise from about 0.01mg to about 100mg of a corticosteroid.

In one embodiment of any of the pharmaceutical compositions described herein, the corticosteroid is selected from dexamethasone, betamethasone, prednisolone, methylprednisolone, prednisone, hydrocortisone, fluticasone, triamcinolone acetonide, budesonide, cortisone prednisolone, methylprednisolone, naphthalenone, desflurane, lorasone acetate, budesonide, beclomethasone dipropionate, hydrocortisone, triamcinolone acetonide, fluocinolone acetonide acetate, clocortolone pivalate, clocortolone acetate, clocortolone hexanoate, methylprednisolone aceponate, dexamethasone palmitate, tiprednisolone, hydrocortisone butyrate, hydrocortisone acetate, prednisolone acetate, alclomethasone dipropionate, halometasone, methylprednisolone sulfoheptulone, methylprednisolone sodium succinate, methylprednisolone acetate, mometasone furoate, fluticasone, triamcinolone acetonide, and combinations, Mometasone furoate monohydrate, rimexolone, prednisolone farnesyl ester, ciclesonide, desoxypropionic acid ketone, fluticasone propionate, halobetasol propionate, loteprednol etabonate, betamethasone butyrate propionate, betamethasone sodium phosphate, betamethasone acetate, flunisolide hemihydrate, prednisone, dexamethasone sodium phosphate, 17-betamethasone valerate, betamethasone dipropionate, hydrocortisone acetate, hydrocortisone sodium succinate, prednisolone sodium phosphate, hydrocortisone butyrate propionate, and any combination thereof.

More preferably, the corticosteroid is selected from the group consisting of dexamethasone, betamethasone, prednisolone, methylprednisolone, prednisone, hydrocortisone, fluticasone, triamcinolone, budesonide, cortisone, mometasone furoate monohydrate, and any combination thereof.

A particular embodiment of the invention relates to a pharmaceutical composition according to any embodiment of the invention, wherein the corticosteroid is fluticasone.

Another particular embodiment of the present invention relates to a pharmaceutical composition according to the present invention, wherein the corticosteroid is budesonide.

Another specific embodiment of the present invention is directed to the pharmaceutical composition according to any embodiment of the present invention, wherein the corticosteroid is prednisolone.

Another particular embodiment of the present invention relates to a pharmaceutical composition according to any embodiment of the present invention, wherein the corticosteroid is mometasone, mometasone furoate or mometasone furoate monohydrate.

Another specific embodiment of the present invention relates to the pharmaceutical composition according to any embodiment of the present invention, wherein the corticosteroid is dexamethasone.

A further embodiment of the invention relates to a method of treating an indication selected from respiratory diseases and disorders such as airway and lung diseases with increased or altered mucus production and/or inflammatory and/or obstructive diseases of the airways, such as acute bronchitis, chronic obstructive bronchitis (COPD), cough, emphysema, allergic or non-allergic rhinitis or sinusitis, chronic sinusitis or rhinitis, nasal polyps, chronic rhinosinusitis, acute rhinosinusitis, asthma, allergic bronchitis, alveolitis, farmer's disease, airway hyperreactivity, bronchitis or pneumonia caused by infection by, for example, bacteria or viruses or worms or fungi or protozoa or other pathogens, pediatric asthma, bronchiectasis, pulmonary fibrosis, adult respiratory distress syndrome, bronchial and pulmonary edema, bronchitis or pneumonia or interstitial pneumonia from different sources (e.g. aspiration, inhalation and toxic gases, vapors), bronchitis or pneumonia or interstitial pneumonia from heart failure, X-ray, radiation, chemotherapy, bronchitis or pneumonia or interstitial pneumonia associated with collagen diseases such as lupus erythematosus, systemic scleroderma, pulmonary fibrosis, Idiopathic Pulmonary Fibrosis (IPF), interstitial lung diseases or interstitial pneumonia from different sources including asbestosis, silicosis, m.boeck or sarcoidosis, granuloma, cystic fibrosis or mucositis or a-1-antitrypsin deficiency; or selected from inflammatory diseases and disorders, such as gastrointestinal inflammatory diseases of various origins, e.g. inflammatory pseudopolyps, crohn's disease, ulcerative colitis, inflammatory diseases of joints, e.g. rheumatoid arthritis, or allergic inflammatory diseases of the oronasopharynx, skin or eyes, such as atopic dermatitis, unexplained seasonal and peri-menstrual periods, chronic urticaria, and allergic conjunctivitis; and in particular from asthma, allergic and non-allergic rhinitis, COPD and atopic dermatitis; the method comprises administering to a patient in need thereof a therapeutically effective amount of a pharmaceutical composition according to any embodiment of the invention.

A further embodiment of the present invention relates to the use of a pharmaceutical composition according to any embodiment of the present invention for the preparation of a medicament for the treatment of respiratory and/or inflammatory diseases and disorders, in particular wherein the respiratory and/or inflammatory diseases or diseases are selected from the group consisting of asthma, allergic and non-allergic rhinitis, COPD and atopic dermatitis.

Another embodiment of the present invention relates to a pharmaceutical composition according to any embodiment of the present invention for use in the treatment of respiratory and inflammatory diseases and disorders, in particular wherein the respiratory and inflammatory diseases or disorders are selected from the group consisting of asthma, allergic and non-allergic rhinitis, COPD and atopic dermatitis.

The invention will now be further illustrated by means of the following non-limiting biological examples.

Biological examples

Compound a is example 104 of international publication No. WO 2011/042797, which is incorporated herein by reference, as described in the examples below.

Example 1: h2O2Induction of corticosteroid insensitivity in U937 cells

Test program

U937 cells were kept in RPMI-1640 with 15mM glutamine. Mix 6x 106The cells were placed in a T-25 flask containing 12ml of fresh medium and treated with 1. mu.M Compound A at 37 ℃ and 5% CO2Incubate for 30 minutes.

H is to be2O2To the above cells was added at a final concentration of 200. mu.M, and incubated for 2 hours.

Cells were pelleted and resuspended in serum-free medium at 0.15x 10 per well6100 μ l of each cell was plated onto a 96-well plate.

Add 50. mu.l of 3 Xdexamethasone at the desired concentration and incubate for 45 min.

Add 50. mu.l TNF-. alpha.at 4X concentration to a final concentration of 10ng/ml to induce IL-8 and incubate for 18 hours.

Supernatants were collected and IL-8 was assessed by ELISA.

Cytokine assay

IL-8 strips were plated with fresh or thawed supernatant and incubated at room temperature for 2 hours or at 4 ℃ overnight.

The contents were discarded and the strip was washed 5 times with 200. mu.l of wash buffer per well for 15 seconds.

The strips were blotted dry and 100. mu.l of 1X detection antibody was added to each well and incubated for 1 hour at room temperature.

The contents were discarded and the strip was washed 5 times with 200. mu.l of wash buffer per well for 15 seconds.

The strips were blotted dry and 100. mu.l of 1X Avidin-HRP antibody was added per well and incubated at room temperature for 30 minutes.

The contents were discarded and the strip was washed with 200. mu.l/well of wash buffer for 15s a total of 5 times.

100 μ l of TMB substrate was added to each well and incubated for 5-15 minutes at room temperature.

Add 50. mu.l of 2N H per well2SO4The reaction was terminated.

On a microplate reader at A450nm and A570The absorbance was read at nm.

Results

As shown in FIG. 1A, compound A (Cmpd A) is in H2O2Reduced IC for dexamethasone (Dex) at IL-8 concentration in treated U937 cells50Indicates thatThe activity of dexamethasone is obviously enhanced.

Addition of 1 μ M Compound A to U937 macrophages reversed H2O2Induced dexamethasone insensitivity, manifested as IC of IL-8 release50A 3-fold decrease (fig. 1B).

Example 2: general description relating to patient identity, isolation of monocytes from healthy and asthmatic patients for in vitro testing of Compound A as a single agent or in combination with corticosteroids

Patients fall into two categories: A) healthy subjects-patients with normal lung function and no smoking; B) asthmatic patients-patients diagnosed as receiving iCS/LABA treatment according to GINA (global initiative for asthma (GINA)2014) guidelines.

TABLE 1 clinical characteristics of asthma patients (Single drug study)

Age (age) Sex Smoker's fume extractor Bag/year FEV 1% (formerly) FEV 1% (afterwards)
56 F Ex 40 23 33
48 F Whether or not - 38 48
63 M Whether or not - 70 88
62 F Is that 30 85 96
62 M Ex 50 51 70

Ex: smoking cessation

TABLE 2 clinical characteristics of asthmatic patients (Compound A in combination with corticosteroids)

Ex: smoking cessation

Monocytes were isolated from peripheral blood of healthy volunteers and asthmatic patients. Briefly, PBMCs were isolated from peripheral venous blood by standard laboratory procedures. Peripheral venous blood was mixed with 3% dextran 500 (in 0.9% saline) at 2: 1, and mixing. The mixture was incubated at room temperature for 30 minutes until the red blood cells precipitated. The upper phase was carefully collected and the mixture was heated to 3: 1 are stratified on a Ficoll-Paque Histopaque 1077 density gradient. The (PBMC) layer was isolated and quantified.

For the single drug study, isolated monocytes were incubated with Compound A or vehicle for 30 minutes, then under standard cell culture conditions (37 ℃ and 5% CO)2) Incubate for 6 hours with or without LPS. For the combined experiments, the same procedure was followed except that the cells were incubated with compound a (1 μ M) in combination with fluticasone (0.1 nM). Supernatants were collected for measurement of IL-1 β, IL-6 and GM-CSF. Data were analyzed using Graphpad Prism.

Results

In asthmatic patients, compound a inhibited the LPS-stimulated release of GM-CSF, IL6 and IL1 β (fig. 2), reaching maximum percentage effects (% Emax) of 80 ± 16.4%, 52.5 ± 30.3% and 68.9 ± 23.7%, respectively. The% Emax of compound a was higher for IL1 β in healthy donors, confirming the results observed in asthma monocytes.

LPS-induced release of GM-CSF, IL-1 β and IL-6 was inhibited by combination of Compound A with fluticasone in cells isolated from asthmatic and healthy subjects (FIG. 3).

Conclusion

The inhibitory effect of compound a in combination with fluticasone was significantly better than compound a alone.

Although the invention herein has been described with reference to particular embodiments, it is to be understood that these embodiments are merely illustrative of the principles and applications of the present invention. It is therefore to be understood that numerous modifications may be made to the illustrative embodiments and that other arrangements may be devised without departing from the spirit and scope of the present invention as described above. It is intended that the following claims define the scope of the invention and that methods and structures within the scope of these claims and their equivalents be covered thereby.

All publications, patents, and patent applications cited in this application are herein incorporated by reference to the same extent as if each individual publication, patent, or patent application were specifically and individually indicated to be incorporated by reference.

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