Compositions and methods for treating EZH2-mediated cancer

1. A bivalent compound comprising a degrader/disruption tag conjugated to an enhancer of zeste homologue 2 (EZH2) ligand via a Linker: degrader/disruption tag-Linker-EZH2 ligand, and enantiomers and pharmaceutically acceptable salts thereof, wherein:

the EZH2 ligand is selected from the group consisting of:

wherein

the waved bond with * indicates the linker attachment position;

R 3 is C 1-6 alkyl or methoxy (MeO)

the degrader/disruption tag is selected from

wherein

* indicates the chiral center

** indicate the linker attachment position;

X and Y are independently selected from O or H 2 in A′,

X is O, or C 1-6 -alkyl in B′;

X is C 1-6 -alkyl in C′; and

Y and Z are independently selected from O, and H 2 in B′ and C′; and

wherein the linker is selected from the group consisting of:

and combinations thereof.

2. A method of treating an enhancer of zeste homologue 2 (EZH2)-mediated cancer, comprising administering to a subject in a subject in need thereof with an EZH2-mediated cancer selected from the group consisting of breast cancer, glioblastoma, prostate cancer, uterine cancer, ovarian cancer, pancreatic cancer, melanoma, renal cell carcinoma, bladder cancer, colorectal cancer, lymphoma, leukemia, malignant rhabdoid tumor, and oropharyngeal cancer a bivalent compound according to claim 1 .

3. The method of claim 2 , wherein the EZH2-mediated cancer overexpresses EZH2 relative to a wild-type tissue of the same species and tissue type.

4. The method of claim 2 , wherein the EZH2-mediated cancer comprises hyper-trimethylated H3K27.

5. The method of claim 2 , wherein the at least one bivalent compound is administered orally, parenterally, intradermally, subcutaneously, topically, or rectally.

6. The method of claim 2 , further comprising treating the subject with one or more additional therapeutic regimens for treating cancer selected from the group consisting of surgery, chemotherapy, radiation therapy, hormone therapy, and immunotherapy.

7. The method of claim 2 , wherein the breast cancer is triple-negative breast cancer (TNBC).

8. The method of claim 2 , wherein the EZH2-mediated cancer is a relapsed cancer.

9. The method of claim 2 , wherein the EZH2-mediated cancer was refractory to one or more previous treatments.

10. N-((4,6-dimethyl-2-oxo-1,2-dihydropyridin-3-yl) methyl)-4′-((4-(2-(3-(2-((2-(2,6-dioxopiperidin-3-yl)-1,3-dioxoisoindolin-4-yl)amino)ethoxy) propanamido)ethyl) piperazin-1-yl)methyl)-5-(ethyl(tetrahydro-2H-pyran-4-yl)amino)-4-methyl-[1,1′-biphenyl]-3-carboxamide (CZ40-74).