IP Library Granted Patent US 11,370,781
Granted Patent B2
US 11,370,781 · App. 16/985,404 · Granted Jun 28, 2022

Combination therapy for treating cancer

Inventors: Heike Keilhack (Belmont, MA); Sarah Kathleen Knutson (Lincoln, MA); Kevin Wayne Kuntz (Woburn, MA)
Assignee: Epizyme, Inc.
C07D405/12A61K31/436A61K31/444A61K31/4412A61K31/4439A61K31/4745A61K31/53A61K31/5355A61K31/5377A61K31/573A61K31/675A61K31/704A61K31/7068A61K33/243A61K45/06A61P35/00C07D213/64C07D413/14
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Quick Facts
Patent No.
US 11,370,781
App. No.
16/985,404
Granted
Jun 28, 2022
Kind
B2
Abstract

The present invention relates to compositions comprising inhibitors of human histone methyltransferase EZH2 and one or more other therapeutic agents, particularly anticancer agents such as prednisone, and methods of combination therapy for administering to subjects in need thereof for the treatment of cancer.

Claims (32)

1. A pack or container comprising: (i) a pharmaceutical composition comprising a compound of Formula (IIa):

or a pharmaceutically acceptable salt thereof, wherein

each of R a and R b , independently, is H or C 1 -C 6 alkyl, or R a and R b , together with the N atom to which they are attached, form a 4 to 7-membered heterocycloalkyl ring having 0 or 1 additional heteroatom, wherein the C 1 -C 5 alkyl or 4 to 7-membered ring is optionally substituted with one or more -Q 3 -T 3 , in which Q 3 is a bond or unsubstituted or substituted C 1 -C 3 alkyl linker, and T 3 is H, halo, 4 to 7-membered heterocycloalkyl, C 1 -C 3 alkyl, OR d , COOR d , —S(O) 2 R d , or —NR d R e , in which each of R d and R e is independently H or C 1 -C 6 alkyl, or -Q 3 T 3 is oxo;

R 7 is C 1 -C 6 alkyl, C 3 -C 8 cycloalkyl, or 4 to 12-membered heterocycloalkyl, each optionally substituted with one or more -Q 5 -T 5 , in which Q 5 is a bond, C(O), C(O)NR k , NR k C(O), S(O) 2 , or C 1 -C 3 alkyl linker, R k being H or C 1 -C 6 alkyl, and T 5 is H, halo, C 1 -C 6 alkyl, hydroxyl, cyano, C 1 -C 6 alkoxyl, amino, mono-C 1 -C 6 alkylamino, di-C 1 -C 6 alkylamino, C 3 -C 8 cycloalkyl, C 6 -C 10 aryl, 4 to 12-membered heterocycloalkyl, 5- or 6-membered heteroaryl, or S(O) q R q in which q is 0, 1, or 2 and R q is C 1 -C 6 alkyl, C 2 -C 6 alkenyl, C 2 -C 6 alkynyl, C 3 -C 8 cycloalkyl, C 6 -C 10 aryl, 4 to 12-membered heterocycloalkyl, or 5- or 6-membered heteroaryl, and T 5 is optionally substituted with one or more substituents selected from the group consisting of halo, C 1 -C 6 alkyl, hydroxyl, cyano, C 1 -C 6 alkoxyl, amino, mono-C 1 -C 6 alkylamino, di-C 1 -C 6 alkylamino, C 3 -C 8 cycloalkyl, C 6 -C 10 aryl, 4 to 12-membered heterocycloalkyl, and 5- or 6-membered heteroaryl except when T 5 is H, halo, hydroxyl, or cyano; or -Q 5 -T 5 is oxo; and

R 8 is H, methyl, or ethyl; and

(ii) a pharmaceutical composition comprising rituximab.

2. The pack or container of claim 1 , further comprising (iii) a pharmaceutical composition comprising lenalidomide.

3. The pack or container of claim 1 , wherein the compound of Formula (IIa) is Compound 44:

or a pharmaceutically acceptable salt thereof.

4. The pack or container of claim 1 , wherein in the compound of Formula (IIa), R a and R b , together with the N atom to which they are attached, form a 4 to 7-membered heterocycloalkyl ring having 0 or 1 additional heteroatom, which is optionally substituted with one or more -Q 3 -T 3 .

5. The pack or container of claim 1 , wherein in the compound of Formula (IIa), R a and R b , together with the N atom to which they are attached, form azetidinyl, pyrrolidinyl, imidazolidinyl, pyrazolidinyl, oxazolidinyl, isoxazolidinyl, triazolidinyl, tetrahydrofuranyl, piperidinyl, 1,2,3,6-tetrahydropyridinyl, piperazinyl, or morpholinyl, each of which is optionally substituted with one or more -Q 3 -T 3 .

6. The pack or container of claim 5 , wherein in the compound of Formula (IIa), R a and R b , together with the N atom to which they are attached, form morpholinyl.

7. The pack or container of claim 1 , wherein in the compound of Formula (IIa), R 7 is 4 to 7-membered heterocycloalkyl optionally substituted with one or more -Q 5 -T 5 .

8. The pack or container of claim 1 , wherein in the compound of Formula (IIa), R 7 is piperidinyl, tetrahydropyranyl, cyclopentyl, or cyclohexyl, each optionally substituted with one -Q 5 -T 5 .

9. The pack or container of claim 1 , wherein in the compound of Formula (IIa), R 7 is tetrahydropyranyl.

10. The pack or container of claim 1 , wherein in the compound of Formula (IIa), R 8 is H, methyl, or ethyl.

11. A pack or container comprising: (i) a pharmaceutical composition comprising a compound of Formula (IIa):

or a pharmaceutically acceptable salt thereof, wherein

each of R a and R b , independently, is H or C 1 -C 6 alkyl, or R a and R b , together with the N atom to which the are attached, form a 4 to 7-membered heterocycloalkyl ring having 0 or 1 additional heteroatom, wherein the C 1 -C 6 alkyl or 4 to 7-membered ring is optionally substituted with one or more -Q 3 -T 3 , in which Q 3 is a bond or unsubstituted or substituted C 1 -C 3 alkyl linker, and T 3 is H, halo, 4 to 7-membered heterocycloalkyl, C 1 -C 3 alkyl, OR d , COOR d , —S(O) 2 R d , or —NR d R e , in which each of R d and R e is independently H or C 1 -C 6 alkyl, or -Q 3 T 3 is oxo;

R 7 is C 1 -C 6 alkyl, C 3 -C 8 cycloalkyl, or 4 to 12-membered heterocycloalkyl, each optionally substituted with one or more -Q 5 -T 5 , in which Q 5 is a bond, C(O), C(O)NR k , NR k C(O), S(O) 2 , or C 1 -C 3 alkyl linker, R k being H or C 1 -C 6 alkyl, and T 5 is H, halo, C 1 -C 6 alkyl, hydroxyl, cyano, C 1 -C 6 alkoxyl, amino, mono-C 1 -C 6 alkylamino, di-C 1 -C 6 alkylamino, C 3 -C 8 cycloalkyl, C 6 -C 10 aryl, 4 to 12-membered heterocycloalkyl, 5- or 6-membered heteroaryl, or S(O) q R q in which q is 0, 1, or 2 and R q is C 1 -C 6 alkyl, C 2 -C 6 alkenyl, C 2 -C 6 alkynyl, C 3 -C 8 cycloalkyl, C 6 -C 10 aryl, 4 to 12-membered heterocycloalkyl, or 5- or 6-membered heteroaryl, and T 5 is optionally substituted with one or more substituents selected from the group consisting of halo, C 1 -C 6 alkyl, hydroxyl, cyano, C 1 -C 6 alkoxyl, amino, mono-C 1 -C 6 alkylamino, di-C 1 -C 6 alkylamino, C 3 -C 8 cycloalkyl, C 6 -C 10 aryl, 4 to 12-membered heterocycloalkyl, and 5- or 6-membered heteroaryl except when T 5 is H, halo, hydroxyl, or cyano; or -Q 5 -T 5 is oxo; and

R 8 is H, methyl, or ethyl; and

(ii) a pharmaceutical composition comprising lenalidomide.

12. The pack or container of claim 11 , further comprising (iii) a pharmaceutical composition comprising rituximab.

13. The pack or container of claim 11 , wherein the compound of Formula (IIa) is Compound 44:

or a pharmaceutically acceptable salt thereof.

14. The pack or container of claim 11 , wherein in the compound of Formula (IIa), R a and R b , together with the N atom to which they are attached, form a 4 to 7-membered heterocycloalkyl ring having 0 or 1 additional heteroatom, which is optionally substituted with one or more -Q 3 -T 3 .

15. The pack or container of claim 11 , wherein in the compound of Formula (IIa), R a and R b , together with the N atom to which they are attached, form azetidinyl, pyrrolidinyl, imidazolidinyl, pyrazolidinyl, oxazolidinyl, isoxazolidinyl, triazolidinyl, tetrahydrofuranyl, piperidinyl, 1,2,3,6-tetrahydropyridinyl, piperazinyl, or morpholinyl, each of which is optionally substituted with one or more -Q 3 -T 3 .

16. The pack or container of claim 15 , wherein in the compound of Formula (IIa), R a and R b , together with the N atom to which they are attached, form morpholinyl.

17. The pack or container of claim 11 , wherein in the compound of Formula (IIa), R 7 is 4 to 7-membered heterocycloalkyl optionally substituted with one or more -Q 5 -T 5 .

18. The pack or container of claim 11 , wherein in the compound of Formula (IIa), R 7 is piperidinyl, tetrahydropyranyl, cyclopentyl, or cyclohexyl, each optionally substituted with one -Q 5 -T 5 .

19. The pack or container of claim 11 , wherein in the compound of Formula (IIa), R 7 is tetrahydropyranyl.

20. The pack or container of claim 11 , wherein in the compound of Formula (IIa), R 8 is H, methyl, or ethyl.

Assignments (1)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Aug 5, 2020
From: KEILHACK, HEIKE; KNUTSON, SARAH KATHLEEN; KUNTZ, KEVIN WAYNE
To: EPIZYME, INC.
Reel/Frame 053407/0307 →