5-(8-Oxo-5-(6-(piperidin-4-yloxy)pyridin-3-yl)-6-thioxo-5,7-diazaspiro(3.4)octan-7-yl)-3-(trifluoromethyl)-picolinonitrile
5-(8-oxo-5-(6-(piperidin-4-yloxy)pyridin-3-yl)-6-thioxo-5,7-diazaspiro(3.4)octan-7-yl)-3-(trifluoromethyl)-picolinonitrile