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Schematic illustration of a chemical reaction depicting replacement of morpholine by 2-oxa-6-azaspiro[3.3]heptane in BTK inhibitors. Schematic illustration of a chemical reaction depicting top: Structure of thalidomide 34 and its oxetano analogue 35. Bottom: comparison of the physicochemical properties of thalidomide and oxetano-thalidomide.

      Source: Modified from Burkhard et al. [56].

      Notes: aLogarithmic n‐octanol/water distribution coefficient at pH 7.4. bIonization constants determined at 23 °C by spectrophotometry in water. cIntrinsic solubility measured at pH 6.5 by a Lyophilization Solubility Assay [μg ml−1]. dIntrinsic clearance rates [μl min−1 10−6 cells] measured in human hepatocytes. eStability in human plasma after five hours incubation time, expressed as a percentage of the initial concentration. The reported values represent the average of three runs (n = 3).

Schematic illustration of a chemical reaction depicting representative examples of spirocyclic bioactive lead molecules. Schematic illustration of a chemical reaction depicting additional examples further illustrating the breadth of ring types and sizes found in lead molecules of medicinal chemistry interest.

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