“…Specifically, this strategy has been successfully applied to macrocyclic BACE inhibitors (47), 62,106-113 calpain inhibitors (48), 114,115 checkpoint kinase 1 (Chk1) inhibitors (49), [116][117][118] G-quadruplex stabilizing agents, 119 Grb2 SH2 domain inhibitors (50), 39,120-122 non-natural product inspired pan-HDAC inhibitors (51), 123 HIV inhibitors, [124][125][126][127] Hsp90 inhibitors (52), 128,129 insulin-regulated aminopeptidase (IRAP) inhibitors, 130 However, the most significant impact of this approach has been in the discovery and development of the plethora of macrocyclic HCV NS3/4A protease inhibitors, which relied almost exclusively on RCM to assemble the macrocyclic framework. [141][142][143] This includes several compounds that have progressed to advanced clinical evaluation, such as ITMN-191 (danoprevir, 55, Figure 11.7, site of cyclization indicated along with the catalyst employed using the designations in Figure 11.5), 144 Another series of clinical stage compounds prepared utilizing RCM are the multi-kinase inhibitors SB1317 (TG02, 62, Figure 11.8), an inhibitor of CDKs, Janus kinase 2 (JAK2) and Fms-like tyrosine kinase-3 (FLT3) for the treatment of cancers, including multiple myeloma and acute leukaemia, 154,155 SB1518 (pacritnib, 63), a JAK2, FLT3 and tyrosine kinase 2 (TYK2) inhibitor for the treatment of myelofibrosis and lymphoma, 156,157 and SB1578 (64), an inhibitor of JAK2, FLT3 and colony stimulating factor-1 receptor kinase (c-Fms) for the treatment of rheumatoid arthritis. 158 As is evident from the structures, these all originated from the same diaminopyridine-based core template.…”