Inhibitors of EZH2
The present invention relates to compounds that inhibit activity of the histone lysine methyltransferase, Enhancer of Zeste Homolog 2 (EZH2), pharmaceutical compositions comprising the compounds, and methods of using the compounds to treat cancer, such as hematologic and solid tumors.
1. A compound which is
or a pharmaceutically acceptable salt thereof.
2. The compound according to claim 1 which is 5-[(4,6-dimethyl-2-oxo-1,2-dihydropyridin-3-yl)methyl]-2-{(1R)-1-[4-(3-methoxyazetidin-1-yl)cyclohexyl]ethyl}-3-methyl-5,6,7,8-tetrahydro-4H-thieno[3,2-c]azepin-4-one, or a pharmaceutically acceptable salt thereof.
3. The compound according to claim 2 which is 5-[(4,6-dimethyl-2-oxo-1,2-dihydropyridin-3-yl)methyl]-2-{(1R)-1-[trans-4-(3-methoxyazetidin-1-yl)cyclohexyl]ethyl}-3-methyl-5,6,7,8-tetrahydro-4H-thieno[3,2-c]azepin-4-one, or a pharmaceutically acceptable salt thereof.
4. A pharmaceutical composition comprising 5-[(4,6-dimethyl-2-oxo-1,2-dihydropyridin-3-yl)methyl]-2-{(1R)-1-[trans-4-(3-methoxyazetidin-1-yl)cyclohexyl]ethyl}-3-methyl-5,6,7,8-tetrahydro-4H-thieno[3,2-c]azepin-4-one or a pharmaceutically acceptable salt thereof and one or more pharmaceutically acceptable excipients, carriers, or diluents.
5. A method of treating cancer in a patient, wherein the cancer is selected from the group consisting of lymphomas, rhabdoid tumors, tumors which lack or are defective in one or more components of the SWI/SNF complex, MLL complexes, and constitutively active PI3K pathway, sarcomas, multiple myeloma, melanoma, gastrointestinal cancer, colorectal cancer, lung cancer, kidney cancer, breast cancer, ovarian cancer, and prostate cancer comprising administering to the patient, an effective amount of 5-[(4,6-dimethyl-2-oxo-1,2-dihydropyridin-3-yl)methyl]-2-{(1R)-1-[trans-4-(3-methoxyazetidin-1-yl)cyclohexyl]ethyl}-3-methyl-5,6,7,8-tetrahydro-4H-thieno[3,2-c]azepin-4-one or a pharmaceutically acceptable salt thereof.
6. The method according to claim 5 wherein the cancer is diffuse large B-cell lymphoma and follicular lymphoma.
7. The method according to claim 5 wherein the cancer is diffuse large B-cell lymphoma.
8. The method according to claim 5 wherein the cancer is a rhabdoid tumor that lacks SNF5.
9. The method according to claim 5 wherein the cancer is gastric cancer.
10. The method according to claim 5 wherein the cancer is ovarian cancer.
11. The method according to claim 5 wherein the cancer is multiple myeloma.
12. The method according to claim 10 further comprising administering to the patient carboplatin and paclitaxel.
13. The method according to claim 9 further comprising administering to the patient oxaliplatin and paclitaxel.
14. The method according to claim 5 wherein the cancer is lung cancer and further comprising administering to the patient gemcitabine and cisplatin.
15. The method according to claim 5 wherein the cancer is colorectal cancer and further comprising administering to the patient irinotecan and oxaliplatin.