METHODS OF USING EHMT2 INHIBITORS IN TREATING OR PREVENTING BLOOD DISORDERS

Information

  • Patent Application
  • 20210260040
  • Publication Number
    20210260040
  • Date Filed
    October 18, 2018
    6 years ago
  • Date Published
    August 26, 2021
    3 years ago
Abstract
The present disclosure relates to a method of preventing or treating a blood disorder (e.g., sickle-cell disease) via administering an EHMT2 inhibitor compound disclosed herein or a pharmaceutical composition thereof to subjects in need thereof. The present disclosure also relates to the use of such compounds for research or other non-therapeutic purposes.
Description
BACKGROUND

Methylation of protein lysine residues is an important signaling mechanism in eukaryotic cells, and the methylation state of histone lysines encodes signals that are recognized by a multitude of proteins and protein complexes in the context of epigenetic gene regulation.


Histone methylation is catalyzed by histone methyltransferases (HMTs), and HMTs have been implicated in various human diseases. HMTs can play a role in either activating or repressing gene expression, and certain HMTs (e.g., euchromatic histone-lysine N-methyltransferase 2 or EHMT2, also called G9a) may methylate many nonhistone proteins, such as tumor suppressor proteins (see, e.g., Liu et al., Journal of Medicinal Chemistry 56:8931-8942, 2013 and Krivega et al., Blood 126(5):665-672, 2015).


SUMMARY

In one aspect, the present disclosure provides methods of preventing or treating a blood disorder (e.g., sickle-cell disease), the method comprising administering to a subject in need thereof a therapeutically effective amount of an EHMT2 inhibitor. In some embodiments, the EHMT2 inhibitor is a compound disclosed herein. In some embodiments, the EHMT2 inhibitor is not 2-cyclohexyl-6-methoxy-N-[1-(1-methylethyl)-4-piperidinyl]-7-[3-(1-pyrrolidinyl)propoxy]-4-quinazolinamine; N-(1-isopropylpiperidin-4-yl)-6-methoxy-2-(4-methyl-1,4-diazepan-1-yl)-7-(3-(piperidin-1-yl)propoxy)quinazolin-4-amine; 2-(4,4-difluoropiperidin-1-yl)-N-(1-isopropylpiperidin-4-yl)-6-methoxy-7-(3-(pyrrolidin-1-yl)propoxy)quinazolin-4-amine; or 2-(4-isopropyl-1,4-diazepan-1-yl)-N-(1-isopropylpiperidin-4-yl)-6-methoxy-7-(3-(piperidin-1-yl)propoxy)quinazolin-4-amine. In some embodiments, the blood disorder is anemia. In some embodiments, the blood disorder is thalassemia. In some embodiments, the blood disorder is leukemia. In some embodiments, the blood disorder is lymphoma. In certain embodiments, the blood disorder is Acute lymphoblastic leukemia (ALL), Acute myeloid leukemia (AML) (e.g., acute promyelocytic leukemia, APL), Amyloidosis, Anemia, Aplastic anemia, Bone marrow failure syndromes, Chronic lymphocytic leukemia (CLL), Chronic myeloid leukemia (CML), Deep vein thrombosis (DVT), Diamond-Blackfan anemia, Dyskeratosis congenita (DKC), Eosinophilic disorder, Essential thrombocythemia, Fanconi anemia, Gaucher disease, Hemochromatosis, Hemolytic anemia, Hemophilia, Hereditary spherocytosis, Hodgkin's lymphoma, Idiopathic thrombocytopenic purpura (ITP), Inherited bone marrow failure syndromes, Iron-deficiency anemia, Langerhans cell histiocytosis, Large granular lymphocytic (LGL) leukemia, Leukemia, Leukopenia, Mastocytosis, Monoclonal gammopathy, Multiple myeloma, Myelodysplastic syndromes (MDS), Myelofibrosis, Myeloproliferative neoplasms (MPN), Non-Hodgkin's lymphoma, Paroxysmal nocturnal hemoglobinuria (PNH), Pernicious anemia (B12 deficiency), Polycythemia vera, Porphyria, Post-transplant lymphoproliferative disorder (PTLD), Pulmonary embolism (PE), Shwachman-Diamond syndrome (SDS), Sickle-cell disease (SCD), Thalassemia, Thrombocytopenia, Thrombotic thrombocytopenic purpura (TTP), Venous thromboembolism, Von Willebrand disease, or Waldenstrom's macroglobulinemia (lymphoplasmacytic lymphoma). In some embodiments, the blood disorder is sickle-cell disease.


In certain embodiments, the EHMT2 inhibitor is a compound of any one of Formulae (I), (I′), (I″), (II″), (III″), (I′″)(I′″), and (III′″):




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a tautomer thereof, a pharmaceutically acceptable salt of the compound, or a pharmaceutically acceptable salt of the tautomer, wherein the variables are as defined herein.


In some aspects, the present disclosure provides an EHMT2 inhibitor disclosed herein for preventing or treating a blood disorder.


In some aspects, the present disclosure provides an EHMT2 inhibitor disclosed herein for preventing or treating a blood disorder, wherein the blood disorder is Acute lymphoblastic leukemia (ALL), Acute myeloid leukemia (AML) (e.g., acute promyelocytic leukemia, APL), Amyloidosis, Anemia, Aplastic anemia, Bone marrow failure syndromes, Chronic lymphocytic leukemia (CLL), Chronic myeloid leukemia (CML), Deep vein thrombosis (DVT), Diamond-Blackfan anemia, Dyskeratosis congenita (DKC), Eosinophilic disorder, Essential thrombocythemia, Fanconi anemia, Gaucher disease, Hemochromatosis, Hemolytic anemia, Hemophilia, Hereditary spherocytosis, Hodgkin's lymphoma, Idiopathic thrombocytopenic purpura (ITP), Inherited bone marrow failure syndromes, Iron-deficiency anemia, Langerhans cell histiocytosis, Large granular lymphocytic (LGL) leukemia, Leukemia, Leukopenia, Mastocytosis, Monoclonal gammopathy, Multiple myeloma, Myelodysplastic syndromes (MDS), Myelofibrosis, Myeloproliferative neoplasms (MPN), Non-Hodgkin's lymphoma, Paroxysmal nocturnal hemoglobinuria (PNH), Pernicious anemia (B12 deficiency), Polycythemia vera, Porphyria, Post-transplant lymphoproliferative disorder (PTLD), Pulmonary embolism (PE), Shwachman-Diamond syndrome (SDS), Sickle-cell disease (SCD), Thalassemia, Thrombocytopenia, Thrombotic thrombocytopenic purpura (TTP), Venous thromboembolism, Von Willebrand disease, or Waldenstrom's macroglobulinemia (lymphoplasmacytic lymphoma).


In some aspects, the present disclosure provides an EHMT2 inhibitor disclosed herein for use in combination with one or more additional therapeutic agent for preventing or treating a blood disorder.


In some aspects, the present disclosure provides an EHMT2 inhibitor disclosed herein for use in combination with one or more additional therapeutic agent for preventing or treating a blood disorder, wherein the blood disorder is Acute lymphoblastic leukemia (ALL), Acute myeloid leukemia (AML) (e.g., acute promyelocytic leukemia, APL), Amyloidosis, Anemia, Aplastic anemia, Bone marrow failure syndromes, Chronic lymphocytic leukemia (CLL), Chronic myeloid leukemia (CML), Deep vein thrombosis (DVT), Diamond-Blackfan anemia, Dyskeratosis congenita (DKC), Eosinophilic disorder, Essential thrombocythemia, Fanconi anemia, Gaucher disease, Hemochromatosis, Hemolytic anemia, Hemophilia, Hereditary spherocytosis, Hodgkin's lymphoma, Idiopathic thrombocytopenic purpura (ITP), Inherited bone marrow failure syndromes, Iron-deficiency anemia, Langerhans cell histiocytosis, Large granular lymphocytic (LGL) leukemia, Leukemia, Leukopenia, Mastocytosis, Monoclonal gammopathy, Multiple myeloma, Myelodysplastic syndromes (MDS), Myelofibrosis, Myeloproliferative neoplasms (MPN), Non-Hodgkin's lymphoma, Paroxysmal nocturnal hemoglobinuria (PNH), Pernicious anemia (B12 deficiency), Polycythemia vera, Porphyria, Post-transplant lymphoproliferative disorder (PTLD), Pulmonary embolism (PE), Shwachman-Diamond syndrome (SDS), Sickle-cell disease (SCD), Thalassemia, Thrombocytopenia, Thrombotic thrombocytopenic purpura (TTP), Venous thromboembolism, Von Willebrand disease, or Waldenstrom's macroglobulinemia (lymphoplasmacytic lymphoma).


In some aspects, the present disclosure provides use of an EHMT2 inhibitor disclosed herein in the manufacture of a medicament for preventing or treating a blood disorder.


In some aspects, the present disclosure provides use of an EHMT2 inhibitor disclosed herein in the manufacture of a medicament for preventing or treating a blood disorder, wherein the blood disorder is Acute lymphoblastic leukemia (ALL), Acute myeloid leukemia (AML) (e.g., acute promyelocytic leukemia, APL), Amyloidosis, Anemia, Aplastic anemia, Bone marrow failure syndromes, Chronic lymphocytic leukemia (CLL), Chronic myeloid leukemia (CML), Deep vein thrombosis (DVT), Diamond-Blackfan anemia, Dyskeratosis congenita (DKC), Eosinophilic disorder, Essential thrombocythemia, Fanconi anemia, Gaucher disease, Hemochromatosis, Hemolytic anemia, Hemophilia, Hereditary spherocytosis, Hodgkin's lymphoma, Idiopathic thrombocytopenic purpura (ITP), Inherited bone marrow failure syndromes, Iron-deficiency anemia, Langerhans cell histiocytosis, Large granular lymphocytic (LGL) leukemia, Leukemia, Leukopenia, Mastocytosis, Monoclonal gammopathy, Multiple myeloma, Myelodysplastic syndromes (MDS), Myelofibrosis, Myeloproliferative neoplasms (MPN), Non-Hodgkin's lymphoma, Paroxysmal nocturnal hemoglobinuria (PNH), Pernicious anemia (B12 deficiency), Polycythemia vera, Porphyria, Post-transplant lymphoproliferative disorder (PTLD), Pulmonary embolism (PE), Shwachman-Diamond syndrome (SDS), Sickle-cell disease (SCD), Thalassemia, Thrombocytopenia, Thrombotic thrombocytopenic purpura (TTP), Venous thromboembolism, Von Willebrand disease, or Waldenstrom's macroglobulinemia (lymphoplasmacytic lymphoma).


In some aspects, the present disclosure provides use of an EHMT2 inhibitor disclosed herein in the manufacture of a medicament for use in combination with one or more additional therapeutic agent for preventing or treating a blood disorder.


In some aspects, the present disclosure provides use of an EHMT2 inhibitor disclosed herein in the manufacture of a medicament for use in combination with one or more additional therapeutic agent for preventing or treating a blood disorder, wherein the blood disorder is Acute lymphoblastic leukemia (ALL), Acute myeloid leukemia (AML) (e.g., acute promyelocytic leukemia, APL), Amyloidosis, Anemia, Aplastic anemia, Bone marrow failure syndromes, Chronic lymphocytic leukemia (CLL), Chronic myeloid leukemia (CML), Deep vein thrombosis (DVT), Diamond-Blackfan anemia, Dyskeratosis congenita (DKC), Eosinophilic disorder, Essential thrombocythemia, Fanconi anemia, Gaucher disease, Hemochromatosis, Hemolytic anemia, Hemophilia, Hereditary spherocytosis, Hodgkin's lymphoma, Idiopathic thrombocytopenic purpura (ITP), Inherited bone marrow failure syndromes, Iron-deficiency anemia, Langerhans cell histiocytosis, Large granular lymphocytic (LGL) leukemia, Leukemia, Leukopenia, Mastocytosis, Monoclonal gammopathy, Multiple myeloma, Myelodysplastic syndromes (MDS), Myelofibrosis, Myeloproliferative neoplasms (MPN), Non-Hodgkin's lymphoma, Paroxysmal nocturnal hemoglobinuria (PNH), Pernicious anemia (B12 deficiency), Polycythemia vera, Porphyria, Post-transplant lymphoproliferative disorder (PTLD), Pulmonary embolism (PE), Shwachman-Diamond syndrome (SDS), Sickle-cell disease (SCD), Thalassemia, Thrombocytopenia, Thrombotic thrombocytopenic purpura (TTP), Venous thromboembolism, Von Willebrand disease, or Waldenstrom's macroglobulinemia (lymphoplasmacytic lymphoma).


Compounds that are suitable for the methods of the disclosure include subsets of the compounds of Formulae (I), (I′), (I″), (II″), (III″), (I′″), (II′″) and specific examples that are described in U.S. Application Nos. 62/323,602, 62/348,837, 62/402,997, 62/402,863, 62/509,620, 62/436,139, 62/517,840, 62/573,442, 62/681,804, 62/746,252, and 62/746,495, and 15/601,888, and PCT Application Nos. PCT/US2017/027918, PCT/US2017/054468, PCT/US2017/067192, PCT/US2018/056333, and PCT/US2018/056428, the contents of each of which are incorporated herein by reference in their entireties.


In some embodiments, the method of preventing or treating a blood disorder (e.g., sickle-cell disease) comprises administering to a subject in need thereof a therapeutically effective amount of an EHMT2 inhibitor and a therapeutically effective amount of one or more additional therapeutic agent. In some embodiments, the one or more additional therapeutic agent consists of a single additional therapeutic agent. In some embodiments, the one or more additional therapeutic agent comprises a therapeutic agent provided herein. In some embodiments, the one or more additional therapeutic agent comprises a plurality of therapeutic agents, e.g., 2, 3, 4, 5, 6, 7, 8, 9, or 10 additional therapeutic agents. In some embodiments, the one or more additional therapeutic agent comprises more than 10 additional therapeutic agents.


Unless otherwise stated, any description of a method of preventing or treating embraces use of a compound, e.g., an EHMT2 inhibitor, provided herein to effect such prevention or treatment, as well as use of such compound to prepare a medicament for treating or preventing such condition. In some embodiments, the subject being treated is a human subject. In some embodiments, the subject being treated is a non-human primate. In some embodiments, the subject is a mammal, for example, a rodent. In some embodiments, the subject being treated is an animal, e.g., an animal that serves as a disease model. Methods described herein may be used to determine the efficiency of an EHMT2 inhibitor, also referred to as a candidate, in treating or preventing blood disorders. In some embodiments, the disclosure also provides methods of identifying an inhibitor of EHMT1, of EHMT2, or of both EHMT1 and EHMT2.


In some embodiments, the method further comprises the steps of performing an assay to detect a degree of protein methylation, e.g., of histone methylation, by EHMT1 and/or EHMT2 in a sample comprising blood cells from a subject in need thereof, e.g., a subject being subjected to a method provided herein, or being treated with an EHMT2 inhibitor provided herein.


In some embodiments, performing the assay to detect methylation of lysine 9 of histone 3 (H3-K9) in the histone substrate comprises measuring incorporation of labeled methyl groups.


In some embodiments, the labeled methyl groups are isotopically labeled methyl groups.


In some embodiments, performing the assay to detect methylation of H3-K9 in the histone substrate comprises contacting the histone substrate with an antibody that binds specifically to dimethylated H3-K9.


Some aspects of the disclosure provide a method of inhibiting conversion of H3-K9 to dimethylated H3-K9. In some embodiments, the method comprises contacting a mutant EHMT, a wild-type EHMT, or both, with a histone substrate comprising H3-K9 and an effective amount of a compound of the present disclosure, wherein the compound inhibits histone methyltransferase activity of EHMT, thereby inhibiting conversion of H3-K9 to dimethylated H3-K9.


Further, the compounds or methods described herein can be used for research (e.g., studying epigenetic enzymes) and other non-therapeutic purposes.


Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this disclosure belongs. In the specification, the singular forms also include the plural unless the context clearly dictates otherwise. Although methods and materials similar or equivalent to those described herein can be used in the practice or testing of the present disclosure, suitable methods and materials are described below. All publications, patent applications, patents and other references mentioned herein are incorporated by reference. The references cited herein are not admitted to be prior art to the present disclosure. In the case of conflict, the present specification, including definitions, will control. In addition, the materials, methods and examples are illustrative only and are not intended to be limiting. In the case of conflict between the chemical structures and names of the compounds disclosed herein, the chemical structures will control.


Other features and advantages of the disclosure will be apparent from the following detailed description and claims.





BRIEF DESCRIPTION OF THE FIGURES


FIG. 1A-ID area series of graphs illustrating the in vitro and in vivo studies of combining Compound 205 (an EHMT2 or G9a inhibitor) with various second agents as described in Example 3 including an exemplary dose matrix, Loewe excess model and synergy quantification by V Loewe and iobologram as well as dose response curves of Fa (fraction affected) vs log concentration of compound in the presence or absence of a combination partner and IC50 of one compound vs concentration of combination partner plots (FIG. 1A), exemplary studies of synergy observed in several cell lines cotreated with Compound 205 and ATRA (FIG. 1B), exemplary studies of synergy observed in several cell lines cotreated with Compound 205 and Venetoclax (FIG. 1C), and exemplary studies of synergy observed in several cell lines cotreated with Compound 205 and DNA hypomethylating agents in 7-day cotreatment models (FIG. 1D).



FIG. 2A is a plot of cell count IC50 in micromolar (μM) concentration values for all cell lines compared to type of cancer with cell lines having a cell count IC50 less than 1 μM labeled demonstrating that multiple indications are sensitive to inhibition by Compound 205 in a 10-day proliferation assay and thus suitable for treatment via EHMT2 inhibition via a single agent (e.g. an EHMT2 inhibitor) as described in Example 4.



FIG. 2B is a bar graph of the number of cell lines within each type of cancer that were investigated as suitable for treatment via EHMT2 inhibition via a single agent (e.g. an EHMT2 inhibitor) as described in Example 4.



FIGS. 3A and 3B are bar graphs demonstrating the positive combinatorial effect observed for Compound 205 combined with 10 μM hydroxyurea (FIG. 3A) and observed for Compound 205 combined with 0.1 μM pomalidomide.



FIG. 4 is a series of graphs demonstrating the synergistic increase in % HbF+ CD34+ cells observed by treatment with combinations of Compound 205 and hydroxyurea by FACS analysis.



FIG. 5 is a series of graphs demonstrating the synergistic increase in protein expression of Hbγ in CD34+ cells by treatment with combinations of Compound 205 and hydroxyurea by mass spectrometry analysis.



FIG. 6 is a series of graphs demonstrating the pan cellular effect Compound D5R has on human CD34+ progenitor cells isolated from SCD donors.



FIG. 7 is a series of graphs demonstrating the pan cellular combinatorial effect observed between hydroxyurea and a low dose of compound D5R.





DETAILED DESCRIPTION

Some aspects of the present disclosure provide a method of preventing or treating a blood disorder (e.g., sickle-cell disease), the method comprising administering to a subject in need thereof a therapeutically effective amount of an EHMT2 inhibitor. In some embodiments, the EHMT2 inhibitor is a compound disclosed herein.


In certain embodiments, the blood disorder is Acute lymphoblastic leukemia (ALL), Acute myeloid leukemia (AML) (e.g., acute promyelocytic leukemia, APL), Amyloidosis, Anemia, Aplastic anemia, Bone marrow failure syndromes, Chronic lymphocytic leukemia (CLL), Chronic myeloid leukemia (CML), Deep vein thrombosis (DVT), Diamond-Blackfan anemia, Dyskeratosis congenita (DKC), Eosinophilic disorder, Essential thrombocythemia, Fanconi anemia, Gaucher disease, Hemochromatosis, Hemolytic anemia, Hemophilia, Hereditary spherocytosis, Hodgkin's lymphoma, Idiopathic thrombocytopenic purpura (ITP), Inherited bone marrow failure syndromes, Iron-deficiency anemia, Langerhans cell histiocytosis, Large granular lymphocytic (LGL) leukemia, Leukemia, Leukopenia, Mastocytosis, Monoclonal gammopathy, Multiple myeloma, Myelodysplastic syndromes (MDS), Myelofibrosis, Myeloproliferative neoplasms (MPN), Non-Hodgkin's lymphoma, Paroxysmal nocturnal hemoglobinuria (PNH), Pernicious anemia (B12 deficiency), Polycythemia vera, Porphyria, Post-transplant lymphoproliferative disorder (PTLD), Pulmonary embolism (PE), Shwachman-Diamond syndrome (SDS), Sickle-cell disease (SCD), Thalassemia, Thrombocytopenia, Thrombotic thrombocytopenic purpura (TTP), Venous thromboembolism, Von Willebrand disease, or Waldenstrom's macroglobulinemia (lymphoplasmacytic lymphoma).


In some embodiments, the blood disorder is sickle-cell anemia or beta-thalassemia. In some embodiments, the blood disease or disorder is a hematological cancer. In some embodiments, the hematological cancer is acute myeloid leukemia (AML) or chronic lymphocytic leukemia (CLL).


In some embodiments the blood disorder is sickle-cell disease (SCD).


In some embodiments, the sickle-cell disease is hemoglobin SS disease, hemoglobin SC disease, hemoglobin Sβ0 thalassemia disease, hemoglobin Sβ+ thalassemia disease, hemoglobin SD disease, or hemoglobin SE disease.


Without wishing to be bound by any theory, it is believed that sickle-cell disease describes a group of inherited red blood cell disorders in which at least some of the red blood cells of a subject having sickle-cell disease contain hemoglobin S (“HbS”). Hemoglobin S is a mutated, abnormal form of adult hemoglobin. Without wishing to be bound by any theory, it is believed that, in some embodiments, the contemplated compounds may treat sickle-cell disease by inducing fetal hemoglobin (“HbF”) expression. See, e.g., Renneville et al., Blood 126(16): 1930-1939, 2015, the content of which is incorporated herein by reference in its entirety.


In some embodiments, one or more complications of sickle-cell disease may be treated or prevented using a compound and/or a method disclosed herein. Non-limiting examples of complications that may be treated or prevented using such compounds and/or methods include anemia (e.g., severe anemia), hand-foot syndrome, splenic sequestration, delayed developmental growth, eye disorders (e.g., vision loss caused by, e.g., blockages in blood vessels supplying the eyes), skin ulcers (e.g., leg ulcers), heart disease, chest syndrome (e.g., acute chest syndrome), priapism, and pain.


Some aspects of the present disclosure provide a method of preventing or treating a blood disorder (e.g., sickle-cell disease) by administering to a subject in need thereof an effective amount of a compound of Formula (I) below:




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or a tautomer thereof, or a pharmaceutically acceptable salt of the compound or the tautomer, wherein


ring A is phenyl or a 5- or 6-membered heteroaryl;


X1 is N, CR2, or NR2′ as valency permits;


X2 is N, CR3, or NR3′ as valency permits;


X3 is N, CR4, or NR4′ as valency permits;


X4 is N or CR5, or X4 is absent such that ring A is a 5-membered heteroaryl containing at least one N atom;


X5 is C or N as valency permits;


B is absent or a ring structure selected from the group consisting of C6-C10 aryl, C3-C10 cycloalkyl, 5- to 10-membered heteroaryl, and 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S;

    • T is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, oxo; or C1-C6 alkoxy when B is present; or T is H and n is 0 when B is absent; or T is C1-C6 alkyl optionally substituted with (R7)n when B is absent; or when B is absent, T and R1 together with the atoms to which they are attached optionally form a 4-7 membered heterocycloalkyl or 5-6 membered heteroaryl, each of which is optionally substituted with (R7)n;
    • R1 is H or C1-C4 alkyl;
    • each of R2, R3, and R4, independently is selected from the group consisting of H, halo, cyano, C1-C6 alkoxyl, C6-C10 aryl, NRaRb, C(O)NRaRb, NRaC(O)Rb, C3-C8 cycloalkyl, 4- to 7-membered heterocycloalkyl, 5- to 6-membered heteroaryl, and C1-C6 alkyl, wherein C1-C6 alkoxyl and C1-C6 alkyl are optionally substituted with one or more of halo, ORa, or NRaRb, in which each of Ra and Rb independently is H or C1-C6 alkyl, or R3 is -Q1-T1, in which Q1 is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, oxo, or C1-C6 alkoxyl, and T1 is H, halo, cyano, NR8R9, C(O)NR8R9, OR8, OR9, or RS1, in which RS1 is C3-C8 cycloalkyl, phenyl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- or 6-membered heteroaryl and RS1 is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, —C(O)R9, —SO2R8, —SO2N(R8)2, —NR8C(O)R9, amino, mono- or di-alkylamino, or C1-C6 alkoxyl; or when ring A is a 5-membered heteroaryl containing at least one N atom, R4 is a spiro-fused 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S;


each of R2′, R3′ and R4′ independently is H or C1-C3 alkyl;


R5 is selected from the group consisting of H, F, Br, cyano, C1-C6 alkoxyl, C6-C10 aryl, NRaRb, C(O)NRaRb, NRaC(O)Rb, C3-C8 cycloalkyl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, C1-C6 alkyl optionally substituted with one or more of halo, ORa or NRaRb, and C2-C6 alkynyl optionally substituted with 4- to 12-membered heterocycloalkyl; wherein said C3-C8 cycloalkyl or 4- to 12-membered heterocycloalkyl are optionally substituted with one or more of halo, C(O)Ra, ORa, NRaRb, 4- to 7-membered heterocycloalkyl, —C1-C6 alkylene-4- to 7-membered heterocycloalkyl, or C1-C4 alkyl optionally substituted with one or more of halo, ORa or NRaRb, in which each of Ra and Rb independently is H or C1-C6 alkyl; or


R5 and one of R3 or R4 together with the atoms to which they are attached form phenyl or a 5- or 6-membered heteroaryl; or R5 and one of R3′ or R4′ together with the atoms to which they are attached form a 5- or 6-membered heteroaryl, in which the phenyl or 5- or 6-membered heteroaryl as formed is optionally substituted with one or more of halo, C1-C3 alkyl, hydroxyl or C1-C3 alkoxyl;


R6 is absent when X5 is N and ring A is a 6-membered heteroaryl; or R6 is -Q1-T1, in which Q1 is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, oxo, or C1-C6 alkoxyl, and T1 is H, halo, cyano, NR8R9, C(O)NR8R9, C(O)R9, OR8, OR9, or RS1, in which RS1 is C3-C8 cycloalkyl, phenyl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- or 6-membered heteroaryl and RS1 is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, —C(O)R9, —SO2R8, —SO2N(R8)2, —NR8C(O)R9, NR8R9, or C1-C6 alkoxyl; and R6 is not NR8C(O)NR12R13; or


R6 and one of R2 or R3 together with the atoms to which they are attached form phenyl or a 5- or 6-membered heteroaryl; or R6 and one of R2′ or R3′ together with the atoms to which they are attached form a 5- or 6-membered heteroaryl, in which the phenyl or 5- or 6-membered heteroaryl as formed is optionally substituted with one or more of halo, C1-C3 alkyl, hydroxyl, oxo (═O), C1-C3 alkoxyl, or -Q1-T1;


each R7 is independently oxo (═O) or -Q2-T2, in which each Q2 independently is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, or C1-C6 alkoxyl, and each T2 independently is H, halo, cyano, OR10, OR11, C(O)R11, NR10R11, C(O)NR10R11, NR10C(O)R11, 5- to 10-membered heteroaryl, C3-C8 cycloalkyl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and wherein the 5- to 10-membered heteroaryl, C3-C8 cycloalkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of halo, C1-C6 alkyl optionally substituted with NRxRy, hydroxyl, oxo, N(R8)2, cyano, C1-C6 haloalkyl, —SO2R8, or C1-C6 alkoxyl, each of Rx and Ry independently being H or C1-C6 alkyl; and R7 is not H or C(O)ORg;


each R8 independently is H or C1-C6 alkyl;


each R9 is independently -Q3-T3, in which Q3 is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T3 is H, halo, OR12, OR13, NR12R13, NR12C(O)R13, C(O)NR12R13, C(O)R13, S(O)2R13, S(O)2NR12R13, or R12, in which RS2 is C3-C8 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- to 10-membered heteroaryl, and RS2 is optionally substituted with one or more -Q4-T4, wherein each Q4 independently is a bond or C1-C3 alkylene, C2-C3 alkenylene, or C2-C3 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T4 independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORc, C(O)Rc, S(O)2Rc, NRcRd, C(O)NRcRd, and NRcC(O)Rd, each of Rc and Rd independently being H or C1-C6 alkyl; or -Q4-T4 is oxo; or


R8 and R9 taken together with the nitrogen atom to which they are attached form a 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O and S, which is optionally substituted with one or more of -Q5-T5, wherein each Q5 independently is a bond or C1-C3 alkylene, C2-C3 alkenylene, or C2-C3 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T5 independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORe, C(O)Re, S(O)2Re, S(O)2NReRf, NReRf, C(O)NReRf, and NReC(O)Rf, each of Re and Rf independently being H or C1-C6 alkyl; or -Q5-T5 is oxo;


R10 is selected from the group consisting of H and C1-C6 alkyl;


R11 is -Q6-T6, in which Q6 is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, oxo, or C1-C6 alkoxyl, and T6 is H, halo, ORg, NRgRh, NRg(O)Rh, C(O)NRgRh, C(O)Rg, S(O)2Rg, or RS3, in which each of Rg and Rh independently is H, phenyl, C3-C8 cycloalkyl, or C1-C6 alkyl optionally substituted with C3-C8 cycloalkyl, or Rg and Rh together with the nitrogen atom to which they are attached form a 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and RS3 is C3-C8 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O and S, or a 5- to 10-membered heteroaryl, and RS3 is optionally substituted with one or more -Q7-T7, wherein each Q7 independently is a bond or C1-C3 alkylene, C2-C3 alkenylene, or C2-C3 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T7 independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORj, C(O)Rj, NRjRk, C(O)NRjRk, S(O)2Rj, and NRjC(O)Rk, each of Rj and Rk independently being H or C1-C6 alkyl optionally substituted with one or more halo; or -Q7-T7 is oxo; or


R10 and R11 taken together with the nitrogen atom to which they are attached form a 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, which is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, or C1-C6 alkoxyl;


R12 is H or C1-C6 alkyl;


R13 is C1-C6 alkyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- to 10-membered heteroaryl, each of which is optionally substituted with one or more -Q8-T8, wherein each Q8 independently is a bond or C1-C3 alkylene, C2-C3 alkenylene, or C2-C3 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T8 independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and 5- to 6-membered heteroaryl; or -Q8-T8 is oxo; and


n is 0, 1, 2, 3, or 4, provided that


the compound of Formula (I) is not

  • 2-cyclohexyl-6-methoxy-N-[1-(1-methylethyl)-4-piperidinyl]-7-[3-(1-pyrrolidinyl)propoxy]-4-quinazolinamine;
  • N-(1-isopropylpiperidin-4-yl)-6-methoxy-2-(4-methyl-1,4-diazepan-1-yl)-7-(3-(piperidin-1-yl)propoxy)quinazolin-4-amine;
  • 2-(4,4-difluoropiperidin-1-yl)-N-(1-isopropylpiperidin-4-yl)-6-methoxy-7-(3-(pyrrolidin-1-yl)propoxy)quinazolin-4-amine; or
  • 2-(4-isopropyl-1,4-diazepan-1-yl)-N-(1-isopropylpiperidin-4-yl)-6-methoxy-7-(3-(piperidin-1-yl)propoxy)quinazolin-4-amine.


The compounds of Formula (I) may have one or more of the following features when applicable.


In some embodiments, the EHMT2-inhibitor is not a compound selected from the group consisting of:

  • 4-(((2-((1-acetylindolin-6-yl)amino)-6-(trifluoromethyl)pyrimidin-4-yl)amino)methyl)benzenesulfonamide;
  • 5-bromo-N4-(4-fluorophenyl)-N2-(4-methoxy-3-(2-(pyrrolidin-1-yl)ethoxy)phenyl)pyrimidine-2,4-diamine;
  • N2-(4-methoxy-3-(2-(pyrrolidin-1-yl)ethoxy)phenyl)-N4-(5-(tert-pentyl)-1H-pyrazol-3-yl)pyrimidine-2,4-diamine;
  • 4-((2,4-dichloro-5-methoxyphenyl)amino)-2-((3-(2-(pyrrolidin-1-yl)ethoxy)phenyl)amino)pyrimidine-5-carbonitrile;
  • N-(naphthalen-2-yl)-2-(piperidin-1-ylmethoxy)pyrimidin-4-amine;
  • N-(3,5-difluorobenzyl)-2-(3-(pyrrolidin-1-yl)propyl)pyrimidin-4-amine;
  • N-(((4-(3-(piperidin-1-yl)propyl)pyrimidin-2-yl)amino)methyl)benzamide;
  • N-(2-((2-(3-(dimethylamino)propyl)pyrimidin-4-yl)amino)ethyl)benzamide; and
  • 2-(hexahydro-4-methyl-1H-1,4-diazepin-1-yl)-6,7-dimethoxy-N-[1-(phenylmethyl)-4-piperidinyl]-4-quinazolinamine;


In some embodiments, when T is a bond, B is substituted phenyl, and R6 is NR8R9, in which R9 is -Q3-RS2, and RS2 is optionally substituted 4- to 7-membered heterocycloalkyl or a 5- to 6-membered heteroaryl, then B is substituted with at least one substituent selected from (i) Q2-OR11 in which R11 is -Q6-RS3 and Q6 is optionally substituted C2-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker and (ii) -Q2-NR10R11 in which R11 is -Q6-RS3;


In some embodiments, when T is a bond and B is optionally substituted phenyl, then R6 is not OR9 or NR8R9 in which R9 is optionally substituted naphthyl;


In some embodiments, when T is a bond and B is optionally substituted phenyl, naphthyl, indanyl or 1,2,3,4-tetrahydronaphthyl, then R6 is not NR8R9 in which R9 is optionally substituted phenyl, naphthyl, indanyl or 1,2,3,4-tetrahydronaphthyl;


In some embodiments, when T is a bond and B is optionally substituted phenyl or thiazolyl, then R6 is not optionally substituted imidazolyl, pyrazolyl, pyridyl, pyrimidyl, or NR8R9 in which R9 is optionally substituted imidazolyl or 6- to 10-membered heteroaryl; or


In some embodiments, when T is a C1-C6 alkylene linker and B is absent or optionally substituted C1-C10 aryl or 4- to 12-membered heterocycloalkyl; or when T is a bond and B is optionally substituted C3-C10 cycloalkyl or 4- to 12-membered heterocycloalkyl, then R6 is not NR8C(O)R3;


In some embodiments, when X1 and X3 are N, X2 is CR3, X4 is CR5, X5 is C, R5 is 4- to 12-membered heterocycloalkyl substituted with one or more C1-C6 alkyl, and R6 and R3 together with the atoms to which they are attached form phenyl which is substituted with one or more of optionally substituted C1-C3 alkoxyl, then B is absent, C6-C10 aryl, C3-C10 cycloalkyl, or 5- to 10-membered heteroaryl, or


In some embodiments, when X2 and X3 are N, X1 is CR2, X4 is CR5, X5 is C, R5 is C3-C8 cycloalkyl or 4- to 12-membered heterocycloalkyl, each optionally substituted with one or more C1-C6 alkyl, and R6 and R2 together with the atoms to which they are attached form phenyl which is substituted with one or more of optionally substituted C1-C3 alkoxyl, then B is absent, C6-C10 aryl, C3-C10 cycloalkyl, or 5- to 10-membered heteroaryl.


In some embodiments, ring A is a 6-membered heteroaryl, at least one of X1, X2, X3 and X4 is N and X5 is C.


In some embodiments, ring A is a 6-membered heteroaryl, two of X1, X2, X3 and X4 are N and X5 is C.


In some embodiments, R6 and one of R2 or R3 together with the ring A to which they are attached form a 6,5-fused bicyclic heteroaryl; or R6 and one of R2′ or R3′ together the ring A to which they are attached form a 6,5-fused bicyclic heteroaryl.


In some embodiments, at least one of R6, R2, R3, and R4 is not H.


In some embodiments, when one or more of R2′, R3′, and R4′ are present, at least one of R6, R2′, R3′, and R4′ is not H.


In some embodiments, the EHMT2 inhibitor is a compound of Formula (II):




embedded image


wherein


ring B is phenyl or pyridyl,


one or both of X1 and X2 are N while X3 is CR4 and X4 is CR5 or one or both of X1 and X3 are N while X2 is CR3 and X4 is CR5; and


n is 1, 2, or 3.


In some embodiments, the EHMT2 inhibitor is a compound of Formula (IIa1), (IIa2), (IIa3), (IIa4), or (IIa5):




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In some embodiments, at most one of R3 and R5 is not H.


In some embodiments, the EHMT2 inhibitor is a compound of Formula (IIb1), (IIb2), (IIb3), (IIb4), or (IIb5):




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In some embodiments, at most one of R3, R4 and R5 is not H.


In some embodiments, the EHMT2 inhibitor is a compound of Formula (IIc1), (IIc2), (IIc3), (IIc4), or (IIc5):




embedded image


In some embodiments, at most one of R4 and R5 is not H.


In some embodiments, the EHMT2 inhibitor is a compound of Formula (IId1), (IId2), (IId3), (IId4), or (IId5):




embedded image


In some embodiments, at most one of R2, R4, and R5 is not H.


In some embodiments, ring A is a 5-membered heteroaryl.


In some embodiments, the EHMT2 inhibitor is a compound of Formula (III):




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wherein


ring B is phenyl or pyridyl,


at least one of X2 and X3 is N; and


n is 1 or 2.


In some embodiments, the EHMT2 inhibitor is a compound of Formula (IIIa):




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In some embodiments, at most one of R4′ and R2 is not H.


In some embodiments, the optionally substituted 6,5-fused bicyclic heteroaryl contains 1-4 N atoms.


In some embodiments, T is a bond and ring B is phenyl or pyridyl.


In some embodiments, n is 1 or 2.


In some embodiments, the EHMT2 inhibitor is a compound of Formula (IV):




embedded image


wherein

    • ring B is C3-C6 cycloalkyl;
    • each of R20, R21, R22 and R23 independently is H, halo, C1-C3 alkyl, hydroxyl, or C1-C3 alkoxyl; and
    • n is 1 or 2.


In some embodiments, ring B is cyclohexyl.


In some embodiments, R1 is H or CH3.


In some embodiments, n is 1 or 2, and at least one of R7 is -Q2-OR11 in which R11 is -Q6-RS3 and Q6 is optionally substituted C2-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker.


In some embodiments, n is 1 or 2, and at least one of R7 is -Q2-NR10R11 in which R11 is -Q6-RS3.


In some embodiments, Q6 is C2-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with a hydroxyl and RS1 is 4- to 7-membered heterocycloalkyl optionally substituted with one or more -Q1-T1.


In some embodiments, Q6 is C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with a hydroxyl and RS1 is C3-C6 cycloalkyl optionally substituted with one or more


-Q7-T7.


In some embodiments, each Q7 is independently a bond or a C1-C3 alkylene, C2-C3 alkenylene, or C2-C3 alkynylene linker and each T7 is independently H, halo, C1-C6 alkyl, or phenyl.


In some embodiments, Q2 is a bond or a C1-C4 alkylene, C2-C4 alkenylene, or C2-C4 alkynylene linker.


In some embodiments, at least one of R7 is




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In some embodiments, n is 2 and the compound further comprises another R7 selected from halo and methoxy.


In some embodiments, ring B is selected from phenyl, pyridyl, and cyclohexyl, and the halo or methoxy is at the para-position to NR1.


In some embodiments, R6 is NR8R9.


In some embodiments, R9 is -Q3-T3, in which T3 is OR12, NR12C(O)R13, C(O)R13, C(O)NR12R13, S(O)2NR12R13, or RS2.


In some embodiments, Q3 is C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with a hydroxyl.


In some embodiments, RS2 is C3-C6 cycloalkyl, phenyl, 4- to 12-membered heterocycloalkyl, or a 5- to 10-membered heteroaryl, and RS2 is optionally substituted with one or more-Q4-T4.


In some embodiments, each Q4 is independently a bond or C1-C3 alkylene, C2-C3 alkenylene, or C2-C3 alkynylene linker optionally substituted with one or more of hydroxyl and halo, and each T4 is independently H, halo, C1-C6 alkyl, or phenyl; or -Q4-T4 is oxo.


In some embodiments, R6 or NR8R9 is selected from the group consisting of:




embedded image


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In some embodiments, B is absent and T is unsubstituted C1-C6 alkyl or T is C1-C6 alkyl substituted with at least one R7.


In some embodiments, B is 4- to 12-membered heterocycloalkyl and T is unsubstituted C1-C6 alkyl.


In some embodiments, the EHMT2 inhibitor is a compound of Formula (V):




embedded image


wherein


ring B is absent or C3-C6 cycloalkyl;


X3 is N or CR4 in which R4 is H or C1-C4 alkyl;


R1 is H or C1-C4 alkyl;


or when B is absent, T and R1 together with the atoms to which they are attached optionally form a 4-7 membered heterocycloalkyl or 5-6 membered heteroaryl, each of which is optionally substituted with (R7)n; or when B is absent, T is H and n is 0;


each R7 is independently oxo (═O) or -Q2-T2, in which each Q2 independently is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, or C1-C6 alkoxyl, and each T2 independently is H, halo, OR10, OR11, C(O)R11, NR10R11, C(O)NR10R11, NR10C(O)R11, C3-C8 cycloalkyl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and wherein the C3-C8 cycloalkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of halo, C1-C6 alkyl optionally substituted with NRxRy, hydroxyl, oxo, N(R8)2, cyano, C1-C6 haloalkyl, —SO2R8, or C1-C6 alkoxyl, each of Rx and Ry independently being H or C1-C6 alkyl; and R7 is not H or C(O)ORg;


R5 is selected from the group consisting of C1-C6 alkyl, C3-C8 cycloalkyl and 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O and S, wherein the C3-C8 cycloalkyl and 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of 4- to 7-membered heterocycloalkyl, —C1-C6 alkylene-4- to 7-membered heterocycloalkyl, —C(O)C1-C6 alkyl or C1-C6 alkyl optionally substituted with one or more of halo or ORa;


R9 is -Q3-T3, in which Q3 is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T3 is 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, optionally substituted with one or more -Q4-T4, wherein each Q4 independently is a bond or C1-C3 alkylene, C2-C3 alkenylene, or C2-C3 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T4 independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORc, C(O)Rc, S(O)2Rc, NRcRd, C(O)NRcRd, and NRcC(O)Rd each of Rc and Rd independently being H or C1-C6 alkyl; or -Q4-T4 is oxo; and


n is 0, 1 or 2.


In some embodiments, the EHMT2 inhibitor is a compound of Formula (VI):




embedded image


wherein


R5 and R6 are independently selected from the group consisting of C1-C6 alkyl and NR8R9, or R6 and R3 together with the atoms to which they are attached form phenyl or a 5- or 6-membered heteroaryl.


In some embodiments, R6 is methyl.


In some embodiments, the EHMT2 inhibitor is a compound of Formula (VII):




embedded image


wherein m is 1 or 2 and n is 0, 1, or 2.


In some embodiments, both of X1 and X3 are N while X2 is CR3 and X4 is CR5.


In some embodiments, the EHMT2 inhibitor is a compound of Formula (VIIIa):




embedded image


wherein


X1 is N or CR2;


X2 is N or CR3;


X3 is N or CR4;


X4 is N or CR5:


R2 is selected from the group consisting of H, C3-C8 cycloalkyl, and C1-C6 alkyl optionally substituted with one or more of halo, ORa, or NRaRb;


each of R3 and R4 is H; and


R5 are independently selected from the group consisting of H, C3-C8 cycloalkyl, and C1-C6 alkyl optionally substituted with one or more of halo or ORa; or


R5 and one of R3 or R4 together with the atoms to which they are attached form phenyl or a 5- or 6-membered heteroaryl; or R5 and one of R3′ or R4′ together with the atoms to which they are attached form a 5- or 6-membered heteroaryl, in which the phenyl or 5- or 6-membered heteroaryl as formed is optionally substituted with one or more of halo, C1-C3 alkyl, hydroxyl or C1-C3 alkoxyl; and


wherein at least one of R2 or R5 are not H.


In some embodiments, the EHMT2 inhibitor is a compound of Formula (VIIIb):




embedded image


wherein


X1 is N or CR2;


X2 is N or CR3;


X3 is N or CR4;


X4 is N or CR1;


R2 is selected from the group consisting of H, C3-C8 cycloalkyl, and C1-C6 alkyl each of R3 and R4 is H; and


R5 is selected from the group consisting of H, C3-C8 cycloalkyl, and C1-C6 alkyl; or


R5 and one of R3 or R4 together with the atoms to which they are attached form phenyl or a 5- or 6-membered heteroaryl; or R5 and one of R3′ or R4′ together with the atoms to which they are attached form a 5- or 6-membered heteroaryl, in which the phenyl or 5- or 6-membered heteroaryl as formed is optionally substituted with one or more of halo, C1-C3 alkyl, hydroxyl or C1-C3 alkoxyl; and


wherein at least one of R2 or R5 are not H.


In some embodiments, the EHMT2 inhibitor is a compound of Formula (VIIIc):




embedded image


wherein

    • X1 is N or CR2;
    • X2 is N or CR3;
    • X3 is N or CR4;
    • X4 is N or CR5;
    • R2 is selected from the group consisting of H, C3-C8 cycloalkyl, and C1-C6 alkyl each of R3 and R4 is H; and
    • R5 is selected from the group consisting of H, C3-C8 cycloalkyl, and C1-C6 alkyl; or


R5 and one of R3 or R4 together with the atoms to which they are attached form phenyl or a 5- or 6-membered heteroaryl; or R5 and one of R3′ or R4′ together with the atoms to which they are attached form a 5- or 6-membered heteroaryl, in which the phenyl or 5- or 6-membered heteroaryl as formed is optionally substituted with one or more of halo, C1-C3 alkyl, hydroxyl or C1-C3 alkoxyl; and


wherein at least one of R2 or R5 are not H.


In some embodiments, the EHMT2 inhibitor is a compound of (IX):




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or a tautomer thereof, or a pharmaceutically acceptable salt of the compound or the tautomer, wherein X6 is N or CH;


X6 is N or CH;


X3 is N or CR4;


R4, independently is selected from the group consisting of H, halo, cyano, C1-C6 alkoxyl, C6-C10 aryl, NRaRb, C(O)NRaRb, NRaC(O)Rb, C3-C8 cycloalkyl, 4- to 7-membered heterocycloalkyl, 5- to 6-membered heteroaryl, and C1-C6 alkyl, wherein C1-C6 alkoxyl and C1-C6 alkyl are optionally substituted with one or more of halo, ORa, or NRaRb, in which each of Ra and Rb independently is H or C1-C6 alkyl;


each R9 is independently -Q3-T3, in which Q3 is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T3 is H, halo, OR12, OR13, NR12R13, NR12C(O)R13, C(O)NR12R13, C(O)R13, S(O)2R13, S(O)2NR12R13, or RS2, in which RS2 is C3-C8 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- to 10-membered heteroaryl, and RS2 is optionally substituted with one or more -Q4-T4, wherein each Q4 independently is a bond or C1-C3 alkylene, C2-C3 alkenylene, or C2-C3 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T4 independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORc, C(O)Rc, S(O)2Rc, NRcRd, C(O)NRcRd, and NRcC(O)Rd, each of Rc and Rd independently being H or C1-C6 alkyl; or -Q4-T4 is oxo; or


R12 is H or C1-C6 alkyl;


R13 is C1-C6 alkyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- to 10-membered heteroaryl, each of which is optionally substituted with one or more -Q8-T8, wherein each Q8 independently is a bond or C1-C3 alkylene, C2-C3 alkenylene, or C2-C3 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T8 independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and 5- to 6-membered heteroaryl; or -Q8-T8 is oxo;


R15 is C1-C6 alkyl, NHR17, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or 5- to 10-membered heteroaryl, wherein each of said C1-C6 alkyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl, and 5- to 10-membered heteroaryl is optionally substituted with one or more -Q9-T9, wherein each Q9 independently is a bond or C1-C3 alkylene, C2-C3 alkenylene, or C2-C3 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T9 independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and 5- to 6-membered heteroaryl; or -Q9-T9 is oxo;


R16 is C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- to 10-membered heteroaryl, each of which is optionally substituted with one or more -Q10-T10, wherein each Q10 independently is a bond or C1-C3 alkylene, C2-C3 alkenylene, or C2-C3 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T10 independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and 5- to 6-membered heteroaryl; or -Q10-T10 is oxo;


R17 is H or C1-C6 alkyl; and


v is 0, 1, or 2.


In some embodiments, each T3 independently is OR12 or OR13.


In some embodiments, each Q3 independently is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with a hydroxyl.


In some embodiments, R15 is C1-C6 alkyl, NHR7, or 4- to 12-membered heterocycloalkyl.


In some embodiments, R16 is C1-C6 alkyl or 4- to 12-membered heterocycloalkyl, each optionally substituted with one or more -Q10-T10.


In some embodiments, each T10 independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, and 4- to 7-membered heterocycloalkyl.


In some embodiments, each Q10 independently is a bond or C1-C3 alkylene, C2-C3 alkenylene, or C2-C3 alkynylene linker optionally substituted with a hydroxyl.


In some embodiments, the EHMT2 inhibitor is a compound of Formula (X):




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wherein X3 is N or CR4, wherein R4 is selected from the group consisting of H, halo, and cyano.


In some embodiments, the EHMT2 inhibitor is a compound of Formula (Xa), (Xb), (Xc), (Xd), (Xe), (Xf), or (Xg):




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In some embodiments, at least one of X1, X2, X3 and X4 is N.


In some embodiments, X2 and X3 is CH, and X1 and X4 is N.


In some embodiments, X2 and X3 is N, X1 is CR2, and X4 is CR5.


In some embodiments, R6 is NR8R9 and R5 is C1-6 alkyl or R5 and R3 together with the atoms to which they are attached form phenyl or a 5- to 6-membered heteroaryl ring.


In another aspect, the present disclosure provides a method of preventing or treating a blood disorder (e.g., sickle-cell disease) by administering to a subject in need thereof an effective amount of a compound of Formula (I′):




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or a tautomer thereof, or a pharmaceutically acceptable salt of the compound or the tautomer, wherein


X1a is O, S, CR1aR11a, or NR1a′ when custom-character is a single bond, or X1a is N when custom-character is a double bond;


X2a is N or CR2a when custom-character is a double bond, or X2a is NR2a′ when custom-character is a single bond:


X3a is N or C; when X3a is N, custom-character is a double bond and custom-character is a single bond, and when X3a is C, custom-character is a single bond and custom-character is a double bond;


each of R1a, R2a and R11a, independently, is -Q1a-T1a, in which each Q1a independently is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and each T1a independently is H, halo, cyano, NR5aR6a, C(O)NR5aR6a, —OC(O)NR5aR6a, C(O)OR5a, —OC(O)R5a, C(O)R5a, —NR5aC(O)R6a, —NR5aC(O)OR6a, OR5a, or RS1a, in which RS1a is C3-C12 cycloalkyl, phenyl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- or 6-membered heteroaryl and RS1a is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, —C(O)R6a, —SO2R5a, —SO2N(R5a)2, —NR5aC(O)R6a, amino, mono- or di-alkylamino, or C1-C6 alkoxyl; or


R1a and R11a together with the carbon atom to which they are attached form a C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, wherein the C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, amino, mono- or di-alkylamino, or C1-C6 alkoxyl;


each of R1a′ and R2a′, independently, is -Q2a-T2a, in which Q2a is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T2a is H, halo, cyano, or RS2a, in which RS2a is C3-C2 cycloalkyl, phenyl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- or 6-membered heteroaryl and RS1 is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, —C(O)R6a, —SO2R5a, —SO2N(R5a)2, —NR5aC(O)R6a, amino, mono- or di-alkylamino, or C1-C6 alkoxyl;


R3a is H, NRaaRba, ORaa, or RS4a, in which RS4a is C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C1 cycloalkyl, phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, wherein each of Raa and Rba independently is H or RS5a, or Raa and Rba together with the nitrogen atom to which they are attached form a 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S; in which RS5a is C1-C6 alkyl, phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and each of RS4a, RS5a, and the heterocycloalkyl formed by Raa and Rba is independently optionally substituted with one or more of halo, hydroxyl, oxo, CN, amino, mono- or di-alkylamino, C1-C6 alkyl, C1-C6 alkoxyl, C3-C12 cycloalkyl, phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or alternatively;


R3a and one of R1a′, R2a′, R1a, R2a and R11a, together with the atoms to which they are attached, form a 5- or 6-membered heteroaryl that is optionally substituted with one or more of halo, C1-C3 alkyl, hydroxyl or C1-C3 alkoxyl; or


R3a is oxo and custom-character is a single bond;


each R4a independently is -Q3a-T3a, in which each Q3a independently is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, or C1-C6 alkoxyl, and each T3a independently is H, halo, cyano, OR7a, OR8a, C(O)R8a, NR7aR8a, C(O)NR7aR8a, NR7aC(O)R8a, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of halo, hydroxyl, cyano, C1-C6 haloalkyl, —SO2R5, C1-C6 alkoxyl or C1-C6 alkyl optionally substituted with one or more of NR5aR6a;


each of R5a, R6a, and R7a, independently, is H or C1-C6 alkyl optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, or C1-C6 alkoxyl;


R8a is -Q4a-T4a, in which Q4a is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T4a is H, halo, or RS3a, in which RS3a is C3-C12 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O and S, or a 5- to 10-membered heteroaryl, and RS3a is optionally substituted with one or more -Q5a-T5a, wherein each Q5a independently is a bond or C1-C3 alkylene, C2-C3 alkenylene, or C2-C3 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T5a independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C3-C12 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORca, C(O)Rca, NRcaRda, C(O)NRcaRda, S(O)2Rca, and NRcaC(O)Rda, each of Rca and Rda independently being H or C1-C6 alkyl optionally substituted with one or more halo; or -Q5a-T5a is oxo; and


n is 1, 2, 3, or 4.


In some embodiments, the compound is not




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In some embodiments, when n is 2, X1a is CR1aR11a, X2a is N, X3a is C, R3a is NH2, and at least one R4a is OR7a, then one of (1)-(4) below applies:


(1) at least one of R1a and R11a is -Q1a-T1a, in which Q1a is a C1-C6 alkylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T1a is cyano, NR5aR6a, C(O)NR5aR6a, —OC(O)NR5aR6a, C(O)OR5a, —OC(O)R5a, C(O)R5a, —NR5aC(O)R6a, —NR5aC(O)OR6a, OR5a, or RS1a, in which RS1a is C3-C12 cycloalkyl, phenyl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- or 6-membered heteroaryl and RS1a is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, —C(O)R6a, —SO2R5a, —SO2N(R5a)2, —NR5aC(O)R6a, amino, mono- or di-alkylamino, or C1-C6 alkoxyl; or


(2) at least one of R1a and R11a is -Q1a-T1a, in which Q1a is a C2-C6 alkenylene or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T1a is H, halo, cyano, NR5aR6a, C(O)NR5aR6a, —OC(O)NR5aR6a, C(O)OR5a, —OC(O)R5a, C(O)R5a, —NR5aC(O)R6a, —NR5aC(O)OR6a, OR5a, or RS1a, in which RS1a is C3-C12 cycloalkyl, phenyl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- or 6-membered heteroaryl and RS1a is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, —C(O)R6a, —SO2R5a, —SO2N(R5a)2, —NR5aC(O)R6a, amino, mono- or di-alkylamino, or C1-C6 alkoxyl; or


(3) at least one of R1a and R11a is -Q1a-T1a, in which Q1a is a bond, and T1a is halo, cyano, NR5aR6a, C(O)NR5aR6a, —OC(O)NR5aR6a, C(O)OR5a, —OC(O)R5a, C(O)R5a, —NR5aC(O)R6a, —NR5aC(O)OR6a, OR5a, or RS1a, in which RS1a is C3-C12 cycloalkyl, phenyl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- or 6-membered heteroaryl and RS1a is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, —C(O)R6a, —SO2R5a, —SO2N(R5a)2, —NR5aC(O)R6a, amino, mono- or di-alkylamino, or C1-C6 alkoxyl; or


(4) R1a and R11a together with the carbon atom to which they are attached form a C7-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, wherein the C7-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, amino, mono- or di-alkylamino, or C1-C6 alkoxyl.


In some embodiments, at least one of X2a and X3a is N.


In some embodiments, at least two of X1a, X2a, and X3a comprise N.


In some embodiments, at least one of custom-character, custom-character and custom-character is a double bond.


In some embodiments, custom-character is a double bond.


In some embodiments, custom-character is a single bond.


In some embodiments, X2a is NR2a′ and R3a is oxo.


In some embodiments, X2a is N and X3a is C.


In some embodiments, X2a is CR2a and X3a is N.


In some embodiments, X1a is S.


In some embodiments, X1a is NR1a′.


In some embodiments, X1a is CR1aR11a.


In some embodiments, R1a and R11a together with the carbon atom to which they are attached form a 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, wherein the 4- to 7-membered heterocycloalkyl is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, amino, mono- or di-alkylamino, or C1-C6 alkoxyl.


In some embodiments, n is 1 or 2.


In some embodiments, n is 2.


In some embodiments, the compound is of Formula (IIa′), (IIb′), (IIc′), (IId′), (IIe′), (IIIa′), (IIIb′), (IIIc′), (IIId′), (IIIe′), (IIIf′), (IVa′), or (IVb′):




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a tautomer thereof, or a pharmaceutically acceptable salt of the compound or the tautomer.


In some embodiments, the compound is of Formula (IIf′), (IIg′) (IIh′), (IIIi′), (IIIj′), (IIIk′), or (IIIl′):




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a tautomer thereof, or a pharmaceutically acceptable salt of the compound or the tautomer, wherein


R3a is H, NRaaRba, ORaa, or RS4a, in which RS4a is C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C12 cycloalkyl, phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, wherein each of Raa and Rba independently is H or RS5a, or Raa and Rba together with the nitrogen atom to which they are attached form a 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, in which RS5a is C1-C6 alkyl, phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and each of RS4a, RS5a, and the heterocycloalkyl formed by Raa and Rba is independently optionally substituted with one or more of halo, hydroxyl, oxo, CN, amino, mono- or di-alkylamino, C1-C6 alkyl, C1-C6 alkoxyl, C3-C12 cycloalkyl, phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S;


each of R4a and R4a′ independently is -Q3a-T3a, in which each Q3a independently is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, or C1-C6 alkoxyl, and each T3a independently is H, halo, cyano, OR7a, OR8a, C(O)R8a, NR7aR8a, C(O)NR7aR8a, NR7aC(O)R8a, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of halo, hydroxyl, cyano, C1-C6 haloalkyl, —SO2R5a, C1-C6 alkoxyl or C1-C6 alkyl optionally substituted with one or more of NR5aR6a;


each of R5a, R6a, and R7a, independently, is H or C1-C6 alkyl optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkyl amino, or C1-C6 alkoxyl;


R8a is -Q4a-T4a, in which Q4a is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T43 is H, halo, or RS3a, in which RS3a is C3-C12 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O and S, or a 5- to 10-membered heteroaryl, and RS3a is optionally substituted with one or more -Q5a-T5a, wherein each Q5a independently is a bond or C1-C3 alkylene, C2-C3 alkenylene, or C2-C3 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T5a independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C3-C12 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORca, C(O)Rca, NRcaRda, C(O)NRcaRda, S(O)2Rca, and NRcaC(O)Rda, each of Rca and Rda independently being H or C1-C6 alkyl optionally substituted with one or more halo; or -Q5a-T5a is oxo.


In some embodiments, the compound is not one of those described in EP 0356234, U.S. Pat. Nos. 5,106,862, 6,025,379; 9,284,272; WO2002/059088; and/or WO2015/200329.


In some embodiments, when n is 2, X1a is CR1aR11a, X2a is N, X3a is C, R3a is NH2, and at least one R4a is OR7a, then at least one of R1a and R11a is -Q1a-T1a, in which Q1a is a C1-C6 alkylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T1a is cyano, NR5aR6a, C(O)NR5aR6a, —OC(O)NR5aR6a, C(O)OR5a, —OC(O)R5a, C(O)R5a, —NR5aC(O)R6a, —NR5aC(O)OR6a, OR5a, or RS1a, in which RS1a is C3-C12 cycloalkyl, phenyl, 4- to 12-membered heterocycloalkyl (e.g., 4- to 7-membered heterocycloalkyl) containing 1-4 heteroatoms selected from N, O, and S, or a 5- or 6-membered heteroaryl and RS1a is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, —C(O)R6a, —SO2R5a, —SO2N(R5a)2, —NR5aC(O)R6a, amino, mono- or di-alkylamino, or C1-C6 alkoxyl.


In some embodiments, when n is 2, X1a is CR1aR11a, X2a is N, X3a is C, R3a is NH2, and at least one R4a is OR7a, then at least one of R1a and R11a is -Q1a-T1a, in which Q1a is a C2-C6 alkenylene or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T1a is H, halo, cyano, NR5R6a, C(O)NR5aR6a, —OC(O)NR5aR6a, C(O)OR5a, —OC(O)R5a, C(O)R5a, —NR5aC(O)R6a, —NR5aC(O)OR6a, OR5a, or RS1a, in which RS1a is C3-C12 cycloalkyl, phenyl, 4- to 12-membered heterocycloalkyl (e.g., 4- to 7-membered heterocycloalkyl) containing 1-4 heteroatoms selected from N, O, and S, or a 5- or 6-membered heteroaryl and RS1a is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, —C(O)R6a, —SO2R5a, —SO2N(R5a)2, —NR5aC(O)R6a, amino, mono- or di-alkylamino, or C1-C6 alkoxyl.


In some embodiments, when n is 2, X1a is CR1aR11a, X2a is N, X3a is C, R3a is NH2, and at least one R4a is OR7a, then at least one of R1a and R11a is -Q1a-T1a, in which Q1a is a bond, and T1a is halo, cyano, NR5aR6a, C(O)NR5aR6a, —OC(O)NR5aR6a, C(O)OR5a, —OC(O)R5a, C(O)R5a, —NR5aC(O)R6a, —NR5aC(O)OR6a, OR5a, or RS1a, in which RS1a is C3-C12 cycloalkyl, phenyl, 4- to 12-membered heterocycloalkyl (e.g., 4- to 7-membered heterocycloalkyl) containing 1-4 heteroatoms selected from N, O, and S, or a 5- or 6-membered heteroaryl and RS1a is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, —C(O)R6a, —SO2R5a, —SO2N(R5a)2, —NR5aC(O)R6a, amino, mono- or di-alkylamino, or C1-C6 alkoxyl.


In some embodiments, when n is 2, X1a is CR1aR11a, X2a is N, X3a is C, R3a is NH2, and at least one R4a is OR7a, then R1a and R11a together with the carbon atom to which they are attached form a C7-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl (e.g., 4- to 7-membered heterocycloalkyl) containing 1-4 heteroatoms selected from N, O, and S, wherein the C7-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl (e.g., 4- to 7-membered heterocycloalkyl) is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, amino, mono- or di-alkyl amino, or C1-C6 alkoxyl.


In some embodiments, R2a is -Q1a-T1a, in which Q1a is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T1a is H, halo, cyano, or RS1a, in which RS1a is C3-C12 cycloalkyl (e.g., C3-C8 cycloalkyl), phenyl, 4- to 12-membered heterocycloalkyl (e.g., 4- to 7-membered heterocycloalkyl) containing 1-4 heteroatoms selected from N, O, and S, or a 5- or 6-membered heteroaryl and RS1a is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, amino, mono- or di-alkylamino, or C1-C6 alkoxyl.


In some embodiments, R2a is C1-C6 alkyl optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl. In some embodiments, R2a is unsubstituted C1-C6 alkyl.


In some embodiments, Q1a is a bond or C1-C6 alkylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T1a is H, halo, cyano, or RS1a, in which RS1a is C3-C12 cycloalkyl (e.g., C3-C8 cycloalkyl), phenyl, 4- to 12-membered heterocycloalkyl (e.g., 4- to 7-membered heterocycloalkyl) containing 1-4 heteroatoms selected from N, O, and S, or a 5- or 6-membered heteroaryl and RS1a is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, amino, mono- or di-alkylamino, or C1-C6, alkoxyl.


In some embodiments, Q1a is a C2-C6 alkenylene or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T1a is H, halo, cyano, or RS1a, in which RS1a is C3-C12 cycloalkyl (e.g., C3-C8 cycloalkyl), phenyl, 4- to 12-membered heterocycloalkyl (e.g., 4- to 7-membered heterocycloalkyl) containing 1-4 heteroatoms selected from N, O, and S, or a 5- or 6-membered heteroaryl and RS1a is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, amino, mono- or di-alkylamino, or C1-C6 alkoxyl.


In some embodiments, R1a is -Q2a-T2a, in which Q2a is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T2a is H, halo, cyano, or RS2a, in which RS2a is C3-C12 cycloalkyl (e.g., C3-C8 cycloalkyl), phenyl, 4- to 12-membered heterocycloalkyl (e.g., 4- to 7-membered heterocycloalkyl) containing 1-4 heteroatoms selected from N, O, and S, or a 5- or 6-membered heteroaryl and RS2a is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, amino, mono- or di-alkylamino, or C1-C6 alkoxyl.


In some embodiments, R23 is -Q2a-T2a, in which Q2a is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T2a is H, halo, cyano, or RS2a, in which RS2a is C3-C12 cycloalkyl (e.g., C3-C8 cycloalkyl), phenyl, 4- to 12-membered heterocycloalkyl (e.g., 4- to 7-membered heterocycloalkyl) containing 1-4 heteroatoms selected from N, O, and S, or a 5- or 6-membered heteroaryl and RS2a is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, amino, mono- or di-alkylamino, or C1-C6 alkoxyl.


In some embodiments, each Q2a independently is a bond or C1-C6 alkylene linker optionally substituted with one or more of halo and each T2a independently is H, halo, C3-C12 cycloalkyl (e.g., C3-C8 cycloalkyl), or a 4- to 7-membered heterocycloalkyl.


In some embodiments, each Q2a independently is C2-C6 alkenylene or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl.


In some embodiments, R2a′ is H or C1-C6 alkyl.


In some embodiments, R3a is H.


In some embodiments, R3a is NRaaRba or ORaa, wherein each of Raa and Rba independently is H or C1-C6 alkyl optionally substituted with one or more of halo, hydroxyl, CN, amino, mono- or di-alkylamino, or C1-C6 alkoxyl.


In some embodiments, R3a is NRaaRba or ORaa, wherein each of Raa and Rba independently is H or C1-C6 alkyl optionally substituted with one or more of halo, hydroxyl, amino, mono- or di-alkylamino, C1-C6 alkoxyl, C3-C12 cycloalkyl, phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl (e.g., 4- to 7-membered heterocycloalkyl) containing 1-4 heteroatoms selected from N, O, and S.


In some embodiments, R3a is NRaaRba.


In some embodiments, each of Raa and Rba independently is H or RS5a.


In some embodiments, one of Raa and Rba is H and the other is RS5a.


In some embodiments, Raa and Rba together with the nitrogen atom to which they are attached form a 4- to 12-membered heterocycloalkyl (e.g., 4- to 7-membered heterocycloalkyl), which is optionally substituted with one or more of halo, hydroxyl, oxo, CN, amino, mono- or di-alkylamino, C1-C6 alkyl, C1-C6 alkoxyl, C3-C12 cycloalkyl, phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl (e.g., 4- to 7-membered heterocycloalkyl).


In some embodiments, Raa and Rba together with the nitrogen atom to which they are attached form a 4- to 12-membered heterocycloalkyl (e.g., 4- to 7-membered heterocycloalkyl), which is optionally substituted with one or more of halo, hydroxyl, oxo, CN, amino, mono- or di-alkyl amino, C1-C6 alkyl, or C1-C6 alkoxyl.


In some embodiments, RS5a is C1-C6 alkyl, and RS5a is optionally substituted with one or more of halo, hydroxyl, CN, amino, mono- or di-alkylamino, C1-C6 alkoxyl, C3-C12 cycloalkyl, phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl (e.g., 4- to 7-membered heterocycloalkyl).


In some embodiments, RS5a is phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl (e.g., 4- to 7-membered heterocycloalkyl), and RS5a is optionally substituted with one or more of halo, hydroxyl, oxo, CN, amino, mono- or di-alkylamino, C1-C6 alkyl, C1-C6 alkoxyl, C3-C12 cycloalkyl, phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl (e.g., 4- to 7-membered heterocycloalkyl).


In some embodiments, the compound is of Formulae (Va′), (Vb′), (Vc′), (Vd′), (Ve′), or (Vf′):




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a tautomer thereof, or a pharmaceutically acceptable salt of the compound or the tautomer, wherein

    • R3a is H, NRaaRba, ORaa, or RS4a, in which RS4a is C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C12 cycloalkyl, phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, wherein each of Raa and Rba independently is H or RS5a, or Raa and Rba together with the nitrogen atom to which they are attached form a 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, in which RS5a is C1-C6 alkyl, phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and each of RS4a, RS5a, and the heterocycloalkyl formed by Raa and Rba is independently optionally substituted with one or more of halo, hydroxyl, oxo, CN, amino, mono- or di-alkylamino, C1-C6 alkyl, C1-C6 alkoxyl, C3-C12 cycloalkyl, phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S;


each of R4a and R4a′ independently is -Q3a-T3a, in which each Q3a independently is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, or C1-C6 alkoxyl, and each T3a independently is H, halo, cyano, OR7a, OR8a, C(O)R8a, NR7aR8a, C(O)NR7aR8a, NR7aC(O)R8a, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of halo, hydroxyl, cyano, C1-C6 haloalkyl, —SO2R5a, C1-C6 alkoxyl or C1-C6 alkyl optionally substituted with one or more of NR5aR6a;


each of R5a, R6a, and R7a, independently, is H or C1-C6 alkyl optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, or C1-C6 alkoxyl; and


R8a is -Q4a-T4a, in which Q4a is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T4a is H, halo, or RS3a, in which RS3a is C3-C12 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O and S, or a 5- to 10-membered heteroaryl, and RS3a is optionally substituted with one or more -Q5a-T5a, wherein each Q5a independently is a bond or C1-C3 alkylene, C2-C3 alkenylene, or C2-C3 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T5a independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C3-C12 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORca, C(O)Rca, NRcaRda, C(O)NRcaRda, S(O)2Rca, and NRcaC(O)Rda, each of Rca and Rda independently being H or C1-C6 alkyl optionally substituted with one or more halo; or -Q5a-T5a is oxo.


In some embodiments, when R3a is —NH2, then R4a is not —OCH3.


In some embodiments, when R3a is —NH2, and R4a is not —OCH3, then R4a is not OR8a.


In some embodiments, R3a is C1-C6 alkyl, C2-C6 alkenyl, or C2-C6 alkynyl, each of which is optionally substituted with one or more of halo, hydroxyl, oxo, CN, amino, mono- or di-alkylamino, C1-C6 alkoxyl, C3-C12 cycloalkyl, phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl (e.g., 4- to 7-membered heterocycloalkyl) containing 1-4 heteroatoms selected from N, O, and S; in which each of the C3-C12 cycloalkyl, phenyl, 5- or 6-membered heteroaryl, and 4- to 12-membered heterocycloalkyl (e.g., 4- to 7-membered heterocycloalkyl) is independently optionally substituted with one or more of halo, hydroxyl, oxo, CN, amino, mono- or di-alkylamino, C1-C6 alkyl, or C1-C6 alkoxyl.


In some embodiments, R3a is C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl (e.g., 4- to 7-membered heterocycloalkyl) containing 1-4 heteroatoms selected from N, O, and S, wherein each of the C3-C12 cycloalkyl and 4- to 12-membered heterocycloalkyl (e.g., 4- to 7-membered heterocycloalkyl) is independently optionally substituted with one or more of halo, hydroxyl, oxo, CN, amino, mono- or di-alkylamino, C1-C6 alkyl, or C1-C6 alkoxyl.


In some embodiments, R3a is




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In some embodiments, R3a is NH2.


In some embodiments, R3a is NRaaRba, in which one of Raa and Rba is H and the other is C1-C6 alkyl optionally substituted with one or more of halo or C1-C6 alkoxyl.


In some embodiments, R3a is oxo and custom-character is a single bond.


In some embodiments, R3a is OH.


In some embodiments, R3a is C1-C6 alkoxyl.


In some embodiments, R3a and one of R1a′, R2a′, R1a, R2a and R11a, together with the atoms to which they are attached, form a 6-membered heteroaryl that is optionally substituted with one or more of halo, C1-C3 alkyl, hydroxyl or C1-C3 alkoxyl.


In some embodiments, R3a and one of R1a, R2a, R1a, R2a and R11a, together with the atoms to which they are attached, form a 5-membered heteroaryl that is optionally substituted with one or more of halo, C1-C3 alkyl, hydroxyl or C1-C3 alkoxyl.


In some embodiments, the compound is of Formulae (VIa′), (VIb′), (VIc′), (VId′), (VIe′), or (VIf′):




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a tautomer thereof, or a pharmaceutically acceptable salt of the compound or the tautomer, wherein


each of Raa and Rba independently is H or RS5a, or Raa and Rba together with the nitrogen atom to which they are attached form a 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S; in which RS5a is C1-C6 alkyl, phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and each of RS4a, RS5a, and the heterocycloalkyl formed by Raa and Rba is independently optionally substituted with one or more of halo, hydroxyl, oxo, CN, amino, mono- or di-alkylamino, C1-C6 alkyl, C1-C6 alkoxyl, C3-C12 cycloalkyl, phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or alternatively; and


each of R4a and R4a′ independently is -Q3a-T3a, in which each Q3a independently is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, or C1-C6 alkoxyl, and each T3a independently is H, halo, cyano, OR7a, OR8a, C(O)R8a, NR7aR8a, C(O)NR7aR8a, NR7aC(O)R8a, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of halo, hydroxyl, cyano, C1-C6 haloalkyl, —SO2R5a, C1-C6 alkoxyl or C1-C6 alkyl optionally substituted with one or more of NR5aR6a;


each of R5a, R6a, and R7a, independently, is H or C1-C6 alkyl optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, or C1-C6 alkoxyl; and


R8a is -Q4a-T4a, in which Q4a is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T4a is H, halo, or RS3a, in which RS3a is C3-C12 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O and S, or a 5- to 10-membered heteroaryl, and RS3a is optionally substituted with one or more -Q5a-T5a, wherein each Q5a independently is a bond or C1-C3 alkylene, C2-C3 alkenylene, or C2-C3 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T5a independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C3-C12 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORca, C(O)Rca, NRcaRda, C(O)NRcaRda, S(O)2Rca, and NRcaC(O)Rda, each of Rca and Rda independently being H or C1-C6 alkyl optionally substituted with one or more halo; or -Q5a-T5a is oxo.


In some embodiments, at least one of Raa and Rba is RS5a.


In some embodiments, when both of Raa and Rba are H, then R4a is not —OCH3.


In some embodiments, when both of Raa and Rba are H, and R4a is —OCH3, then R4a′ is not OR8a.


In some embodiments, each of R4a and R4a′ is independently -Q3a-T3a, in which each Q3a independently is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, or C1-C6 alkoxyl, and each T3a independently is H, halo, OR7a, OR8a, NR7aR8a, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl.


In some embodiments, R4a is -Q3a-T3a, in which Q3a is a bond or C1-C6 alkylene linker, and T3a is H, halo, OR7a, C6-C10 aryl, or 5- to 10-membered heteroaryl.


In some embodiments, R4a is -Q3a-T3a, in which Q3a independently is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, or C1-C6 alkoxyl, and each T3a independently is H, OR7a, OR8a, NR7aR8a, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl.


In some embodiments, at least one of R4a and R4a′ is C1-C6 alkyl. In some embodiments, R4a is C1-C6 alkyl.


In some embodiments, at least one of R4a and R4a′ is CH3. In some embodiments, R4a is CH3.


In some embodiments, at least one of R4a and R4a′ is halo. In some embodiments, R4a is halo.


In some embodiments, at least one of R4a and R4a′ is F or Cl. In some embodiments, R4a is F or Cl.


In some embodiments, at least one of R4a and R4a′ is C6-C10 aryl. In some embodiments, R4a is C6-C10 aryl.


In some embodiments, at least one of R4a and R4a′ is




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In some embodiments, R4a is




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In some embodiments, at least one of R4a and R4a′ is 5- to 10-membered heteroaryl. In some embodiments, R4a is 5- to 10-membered heteroaryl.


In some embodiments, at least one of R4a and R4a′ is




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In some embodiments, R4a is




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In some embodiments, at least one of R4a and R4a′ is




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wherein T3a is H, halo, cyano, OR7a, OR8a, C(O)R8a, NR7aR8a, C(O)NR7aR8a, NR7aC(O)R8a, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of halo, hydroxyl, cyano, C1-C6 haloalkyl, —SO2R5a, C1-C6 alkoxyl or C1-C6 alkyl optionally substituted with one or more of NR5aR6a.


In some embodiments, R4a is




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wherein T3a is H, halo, cyano, OR7a, OR8a, C(O)R8a, NR7aR8a, C(O)NR7aR8a, NR7aC(O)R8a, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of halo, hydroxyl, cyano, C1-C6 haloalkyl, —SO2R5a, C1-C6 alkoxyl or C1-C6 alkyl optionally substituted with one or more of NR5aR6a.


In some embodiments, at least one of R4a and R4a′ is




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wherein T3a is 5- to 10-membered heteroaryl or 4- to 12-membered heterocycloalkyl optionally substituted with one or more of halo, hydroxyl, C1-C6 alkoxyl or C1-C6 alkyl.


In some embodiments, R4a′ is




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wherein T3a is 5- to 10-membered heteroaryl or 4- to 12-membered heterocycloalkyl optionally substituted with one or more of halo, hydroxyl, C1-C6 alkoxyl or C1-C6 alkyl.


In some embodiments, at least one of R4a and R4a′ is




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wherein T3a is 5- to 10-membered heteroaryl or 4- to 12-membered heterocycloalkyl optionally substituted with one or more of halo, hydroxyl, C1-C6 alkoxyl or C1-C6 alkyl and the other of R4a and R4a′ is halo, C1-C6 alkyl, or OR7a. In some embodiments, R7a is H or C1-C6 alkyl optionally substituted with one or more of hydroxyl, amino or mono- or di-alkylamino.


In some embodiments, at least one of R4a and R4a′ is —OCH3, —OCH2CH3, or —OCH(CH3)2. In some embodiments, at least one of R4a and R4a′ is




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wherein T3a is 5- to 10-membered heteroaryl or 4- to 12-membered heterocycloalkyl optionally substituted with one or more of halo, hydroxyl, C1-C6 alkoxyl or G-Q alkyl and the other of R4a and R4a′ is OCH3, —OCH2CH3, or —OCH(CH3)2.


In some embodiments, at least one of R4a and R4a′ is —OCH3.


In some embodiments, at least one of R4a and R4a′ is




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In some embodiments, R4a′ is




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In some embodiments, at least one of R4a and R4a′ is OR7a. In some embodiments, R4a is OR7a. In some embodiments, R4a′ is OR7a.


In some embodiments, at least one of R4a and R4a′ is OR8a. In some embodiments, R4a′ is OR8a.


In some embodiments, at least one of R4a and R4a′ is —CH2-T3a, wherein T3a is H, halo, cyano, OR7a, OR8a, C(O)R8a, NR7aR8a, C(O)NR7aR8a, NR7aC(O)R8a, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of halo, hydroxyl, cyano, C1-C6 haloalkyl, —SO2R5a, C1-C6 alkoxyl or C1-C6 alkyl optionally substituted with one or more of NR5aR6a.


In some embodiments, R4a′ is —CH2-T3a, wherein T3a is H, halo, cyano, OR7a, OR8a, C(O)R8a, NR7aR8a, C(O)NR7aR8a, NR7aC(O)R8a, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of halo, hydroxyl, cyano, C1-C6 haloalkyl, —SO2R5a, C1-C6 alkoxyl or C1-C6 alkyl optionally substituted with one or more of NR5aR6a.


In some embodiments, at least one of R4a and R4a′ is —CH2—OR8. In some embodiments, R4a is —CH2—OR8.


In some embodiments, at least one of R4a and R4a′ is —CH2—NR7R8. In some embodiments, R4a′ is —CH2—NR7R8.


In some embodiments, at least one of R4a and R4a′ is halo, C1-C6 alkyl, or OR7a. In some embodiments, R4a is halo, C1-C6 alkyl, or OR7a.


In some embodiments, at least one of R4a and R4a′ is C1-C6 alkoxyl. In some embodiments, R4a is C1-C6 alkoxyl.


In some embodiments, at least one of R4a and R4a′ is —OCH3, —OCH2CH3, or —OCH(CH3)2. In some embodiments, R4a is —OCH3, —OCH2CH3, or —OCH(CH3)2.


In some embodiments, at least one of R4a and R4a′ is —OCH3. In some embodiments, R4a is —OCH3.


In some embodiments, R7a is H or C1-C6 alkyl optionally substituted with one or more of hydroxyl, amino or mono- or di-alkylamino.


In some embodiments, R8a is -Q4a-T4a, in which Q4a is a C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T4a is C3-C12 cycloalkyl, C6-C10 aryl, or 4- to 12-membered heterocycloalkyl (e.g., 4- to 7-membered heterocycloalkyl) containing 1-4 heteroatoms selected from N, O and S which is optionally substituted with one or more -Q5a-T5a.


In some embodiments, each 4- to 12-membered heterocycloalkyl described herein include, e.g., a 4 to 7-membered monocyclic heterocycloalkyl or 7 to 12-membered bicyclic heterocycloalkyl such as azetidinyl, oxetanyl, thietanyl, pyrrolidinyl, imidazolidinyl, pyrazolidinyl, oxazolidinyl, isoxazolidinyl, triazolidinyl, tetrahyrofuranyl, piperidinyl, 1,2,3,6-tetrahydropyridinyl, piperazinyl, tetrahydro-2H-pyranyl, 3,6-dihydro-2H-pyranyl, tetrahydro-2H-thiopyranyl, 1,4-diazepanyl, 1,4-oxazepanyl, 2-oxa-5-azabicyclo[2.2.1]heptanyl, 2,5-diazabicyclo[2.2.1]heptanyl, 2-oxa-6-azaspiro[3.3]heptanyl, 2,6-diazaspiro[3.3]heptanyl, morpholinyl, 3-azabicyclo[3.1.0]hexan-3-yl, 3-azabicyclo[3.1.0]hexanyl, 1,4,5,6-tetrahydropyrrolo[3,4-c]pyrazolyl, 3,4,5,6,7,8-hexahydropyrido[4,3-d]pyrimidinyl, 4,5,6,7-tetrahydro-1H-pyrazolo[3,4-c]pyridinyl, 5,6,7,8-tetrahydropyrido[4,3-d]pyrimidinyl, 2-azaspiro[3.3]heptanyl, 2-methyl-2-azaspiro[3.3]heptanyl, 2-azaspiro[3.5]nonanyl, 2-methyl-2-azaspiro[3.5]nonanyl, 2-azaspiro[4.5]decanyl, 2-methyl-2-azaspiro[4.5]decanyl, 2-oxa-azaspiro[3.4]octanyl, 2-oxa-azaspiro[3.4]octan-6-yl, and the like.


In some embodiments, R8a is -Q4a-RS3a, in which Q4a is a bond or a C1-C6 alkylene linker (e.g., C2-C6 alkylene linker) optionally substituted with a hydroxyl and RS3a is 4- to 12-membered heterocycloalkyl (e.g., a 4 to 7-membered monocyclic heterocycloalkyl or 7 to 12-membered bicyclic heterocycloalkyl such as azetidinyl, oxetanyl, thietanyl, pyrrolidinyl, imidazolidinyl, pyrazolidinyl, oxazolidinyl, isoxazolidinyl, triazolidinyl, tetrahyrofuranyl, piperidinyl, 1,2,3,6-tetrahydropyridinyl, piperazinyl, tetrahydro-2H-pyranyl, 3,6-dihydro-2H-pyranyl, tetrahydro-2H-thiopyranyl, 1,4-diazepanyl, 1,4-oxazepanyl, 2-oxa-5-azabicyclo[2.2.1]heptanyl, 2,5-diazabicyclo[2.2.1]heptanyl, 2-oxa-6-azaspiro[3.3]heptanyl, 2,6-diazaspiro[3.3]heptanyl, morpholinyl, 3-azabicyclo[3.1.0]hexan-3-yl, 3-azabicyclo[3.1.0]hexanyl, 1,4,5,6-tetrahydropyrrolo[3,4-c]pyrazolyl, 3,4,5,6,7,8-hexahydropyrido[4,3-d]pyrimidinyl, 4,5,6,7-tetrahydro-1H-pyrazolo[3,4-c]pyridinyl, 5,6,7,8-tetrahydropyrido[4,3-d]pyrimidinyl, 2-azaspiro[3.3]heptanyl, 2-methyl-2-azaspiro[3.3]heptanyl, 2-azaspiro[3.5]nonanyl, 2-methyl-2-azaspiro[3.5]nonanyl, 2-azaspiro[4.5]decanyl, 2-methyl-2-azaspiro[4.5]decanyl, 2-oxa-azaspiro[3.4]octanyl, 2-oxa-azaspiro[3.4]octan-6-yl, and the like), which is optionally substituted with one or more -Q5a-T5a.


In some embodiments, Q4a is C1-C6 alkylene linker optionally substituted with a hydroxyl and RS3a is C3-C6 cycloalkyl optionally substituted with one or more -Q5a-T5a.


In some embodiments, Q4a is an optionally substituted C2-C6 alkenylene or C2-C6 alkynylene linker and RS3a is 4- to 12-membered heterocycloalkyl (e.g., a 4 to 7-membered monocyclic heterocycloalkyl or 7 to 12-membered bicyclic heterocycloalkyl such as azetidinyl, oxetanyl, thietanyl, pyrrolidinyl, imidazolidinyl, pyrazolidinyl, oxazolidinyl, isoxazolidinyl, triazolidinyl, tetrahyrofuranyl, piperidinyl, 1,2,3,6-tetrahydropyridinyl, piperazinyl, tetrahydro-2H-pyranyl, 3,6-dihydro-2H-pyranyl, tetrahydro-2H-thiopyranyl, 1,4-diazepanyl, 1,4-oxazepanyl, 2-oxa-5-azabicyclo[2.2.1]heptanyl, 2,5-diazabicyclo[2.2.1]heptanyl, 2-oxa-6-azaspiro[3.3]heptanyl, 2,6-diazaspiro[3.3]heptanyl, morpholinyl, 3-azabicyclo[3.1.0]hexan-3-yl, 3-azabicyclo[3.1.0]hexanyl, 1,4,5,6-tetrahydropyrrolo[3,4-c]pyrazolyl, 3,4,5,6,7,8-hexahydropyrido[4,3-d]pyrimidinyl, 4,5,6,7-tetrahydro-1H-pyrazolo[3,4-c]pyridinyl, 5,6,7,8-tetrahydropyrido[4,3-d]pyrimidinyl, 2-azaspiro[3.3]heptanyl, 2-methyl-2-azaspiro[3.3]heptanyl, 2-azaspiro[3.5]nonanyl, 2-methyl-2-azaspiro[3.5]nonanyl, 2-azaspiro[4.5]decanyl, 2-methyl-2-azaspiro[4.5]decanyl, 2-oxa-azaspiro[3.4]octanyl, 2-oxa-azaspiro[3.4]octan-6-yl, and the like), which is optionally substituted with one or more -Q5a-T5a.


In some embodiments, Q4a is an optionally substituted C2-C6 alkenylene or C2-C6 alkynylene linker and RS3a is C3-C6 cycloalkyl optionally substituted with one or more -Q5a-T5a.


In some embodiments, each Q5a independently is a bond or C1-C3 alkylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T5a independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C3-C12cycloalkyl (e.g., C3-C8 cycloalkyl), or 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S.


In some embodiments, each Q5a independently is a C2-C3 alkenylene, or C2-C3 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T5a independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C3-C12cycloalkyl (e.g., C3-C8 cycloalkyl), or 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S.


In some embodiments, -Q5a-T5a is oxo.


In some embodiments, at least one of R4a and R4a′ is




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In some embodiments, R4a′ is




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In some embodiments, at least one of R4a and R4a′ is




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In some embodiments, R4a′ is




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In some embodiments, at least one of R4a and R4a′ is




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In some embodiments, R4a is




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In some embodiments, at least one of R4a and R4a′ is




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In some embodiments, R4a′ is




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In some embodiments, wherein at least one of R4a and R4a′ is




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In some embodiments, R4a′ is




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In some embodiments, wherein at least one of R4a and R4a′ is




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In some embodiments, R4a′ is




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In some embodiments, one of R4a and R4a′ is halo, C1-C6 alkyl, or OR7a, and the other is




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wherein T3a is 5- to 10-membered heteroaryl or 4- to 12-membered heterocycloalkyl optionally substituted with one or more of halo, hydroxyl, C1-C6 alkoxyl or C1-C6 alkyl.


In some embodiments, R4a is halo, C1-C6 alkyl, or OR7a, and R4a′ is




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wherein T3a is 5- to 10-membered heteroaryl or 4- to 12-membered heterocycloalkyl optionally substituted with one or more of halo, hydroxyl, C1-C6 alkoxyl or C1-C6 alkyl.


In some embodiments, one of R4a and R4a′ is C1-C6 alkoxyl and the other is




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wherein T3a is 5- to 10-membered heteroaryl or 4- to 12-membered heterocycloalkyl optionally substituted with one or more of halo, hydroxyl, C1-C6 alkoxyl or C1-C6 alkyl.


In some embodiments, R4a is C1-C6 alkoxyl, and R4a′ is




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wherein T3a is 5- to 10-membered heteroaryl or 4- to 12-membered heterocycloalkyl optionally substituted with one or more of halo, hydroxyl, C1-C6 alkoxyl or C1-C6 alkyl.


In some embodiments, one of R4a and R4a′ is —OCH3, and the other is




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In some embodiments, R4a is —OCH3, and R4a′ is




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In some embodiments, and one of R4a and R4a′ is —OCH3, and the other is




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In some embodiments, R4a is —OCH3, and R4a′ is




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In some embodiments, the compound is of Formula (VIIa′), (VIIb′), (VIIe′), (VIId′), (VIIe′), or (VIIf′):




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a tautomer thereof, or a pharmaceutically acceptable salt of the compound or the tautomer, wherein


each of Raa and Rba independently is H or RS5a, or Raa and Rba together with the nitrogen atom to which they are attached form a 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S; in which RS5a is C1-C6 alkyl, phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and each of RS4a, RS5a, and the heterocycloalkyl formed by Raa and Rba is independently optionally substituted with one or more of halo, hydroxyl, oxo, CN, amino, mono- or di-alkylamino, C1-C6 alkyl, C1-C6 alkoxyl, C3-C12 cycloalkyl, phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or alternatively; and


R4a is halo, C1-C6 alkyl, or OR7a;


T3a is H, halo, cyano, OR7a, OR8a, C(O)R8a, NR7aR8a, C(O)NR7aR8a, NR7aC(O)R8a, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of halo, hydroxyl, cyano, C1-C6 haloalkyl, —SO2R5a, C1-C6 alkoxyl or C1-C6 alkyl optionally substituted with one or more of NR5aR6a;


each of R5a, R6a, and R7a, independently, is H or C1-C6 alkyl optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, or C1-C6 alkoxyl; and each R8a independently is -Q4a-T4a, in which Q4a is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T4a is H, halo, or RS3a, in which RS3a is C3-C12 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O and S, or a 5- to 10-membered heteroaryl, and RS3a is optionally substituted with one or more -Q5a-T5a, wherein each Q5a independently is a bond or C1-C3 alkylene, C2-C3 alkenylene, or C2-C3 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T5a independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C3-C12 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORca, C(O)Rca, NRcaRda, C(O)NRcaRda, S(O)2Rca, and NRcaC(O)Rda, each of Rca and Rda independently being H or C1-C6 alkyl optionally substituted with one or more halo; or -Q5a-T5a is oxo.


In some embodiments, R4a is —OCH3.


In some embodiments, T3a is 5- to 10-membered heteroaryl or 4- to 12-membered heterocycloalkyl optionally substituted with one or more of halo, hydroxyl, C1-C6 alkoxyl or C1-C6 alkyl.


In some embodiments, the compound is of Formula (VIIIa′), (VIIIb′), (VIIIc′), (VIIId′), (VIIIe′), or (VIIIf′):




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a tautomer thereof, or a pharmaceutically acceptable salt of the compound or the tautomer, wherein


each of Raa and Rba independently is H or RS5a, or Raa and Rba together with the nitrogen atom to which they are attached form a 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S; in which RS5a is C1-C6 alkyl, phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and each of RS4a, RS5a, and the heterocycloalkyl formed by Raa and Rba is independently optionally substituted with one or more of halo, hydroxyl, oxo, CN, amino, mono- or di-alkylamino, C1-C6 alkyl, C1-C6 alkoxyl, C3-C12 cycloalkyl, phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or alternatively; and


R4a is -Q3a-T3a, in which Q3a is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, or C1-C6 alkoxyl, and T3a is H, halo, cyano, OR7a, OR8a, C(O)R8a, NR7aR8a, C(O)NR7aR8a, NR7aC(O)R8a, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of halo, hydroxyl, cyano, C1-C6 haloalkyl, —SO2R5a, C1-C6 alkoxyl or C1-C6 alkyl optionally substituted with one or more of NR5aR6a;


each of R5a, R6a, and R7a, independently, is H or C1-C6 alkyl optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkyl amino, or C1-C6 alkoxyl; and


each R8a independently is -Q4a-T4a, in which Q4a is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T48 is H, halo, or RS3a, in which RS3a is C3-C12 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O and S, or a 5- to 10-membered heteroaryl, and RS3a is optionally substituted with one or more -Q5a-T5a, wherein each Q5a independently is a bond or C1-C3 alkylene, C2-C3 alkenylene, or C2-C3 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T5a independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C3-C12 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORca, C(O)Rca, NRcaRda, C(O)NRcaRda, S(O)2Rca, and NRcaC(O)Rda, each of Rca and Rda independently being H or C1-C6 alkyl optionally substituted with one or more halo; or -Q5a-T5a is oxo.


In some embodiments, R4a is halo, C1-C6 alkyl, or OR7a. In some embodiments, R4a is C1-C6 alkoxyl. In some embodiments, R4a is —OCH3.


In some embodiments, the compound is of Formulae (IXa′), (IXb′), (IXc′), (IXd′), (IXe′), or (IXf′):




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a tautomer thereof, or a pharmaceutically acceptable salt of the compound or the tautomer, wherein


each of Raa and Rba independently is H or RS5a, or Raa and Rba together with the nitrogen atom to which they are attached form a 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S; in which RS5a is C1-C6 alkyl, phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and each of RS4a, RS5a, and the heterocycloalkyl formed by Raa and Rba is independently optionally substituted with one or more of halo, hydroxyl, oxo, CN, amino, mono- or di-alkylamino, C1-C6 alkyl, C1-C6 alkoxyl, C3-C12 cycloalkyl, phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or alternatively; and


R4a is -Q3a-T3a, in which Q3a is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, or C1-C6 alkoxyl, and T3a is H, halo, cyano, OR7a, OR8a, C(O)R8a, NR7aR8a, C(O)NR7aR8a, NR7aC(O)R8a, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of halo, hydroxyl, cyano, C1-C6 haloalkyl, —SO2R5a, C1-C6 alkoxyl or C1-C6 alkyl optionally substituted with one or more of NR5aR6a;


each of R5a, R6a, and R7a, independently, is H or C1-C6 alkyl optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, or C1-C6 alkoxyl; and


each R8a independently is -Q4a-T4a, in which Q4a is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T4a is H, halo, or RS3a, in which RS3a is C3-C12 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O and S, or a 5- to 10-membered heteroaryl, and RS3a is optionally substituted with one or more -Q5a-T5a, wherein each Q5a independently is a bond or C1-C3 alkylene, C2-C3 alkenylene, or C2-C3 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T5a independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C3-C12 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORca, C(O)Rca, NRcaRda, C(O)NRcaRda, S(O)2Rca, and NRcaC(O)Rda, each of Rca and Rda independently being H or C1-C6 alkyl optionally substituted with one or more halo; or -Q5a-T5a is oxo.


In some embodiments, R4a is halo, C1-C6 alkyl, or OR7a. In some embodiments, R4a is C1-C6 alkoxyl. In some embodiments, R4a is —OCH3.


In some embodiments, the compound is of Formula (Xa′), (Xb′), (Xc′), (Xd′), (Xe′), or (Xf′):




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a tautomer thereof, or a pharmaceutically acceptable salt of the compound or the tautomer, wherein


each of Raa and Rba independently is H or RS5a, or Raa and Rba together with the nitrogen atom to which they are attached form a 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S; in which RS5a is C1-C6 alkyl, phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and each of RS4a, RS5a, and the heterocycloalkyl formed by Raa and Rba is independently optionally substituted with one or more of halo, hydroxyl, oxo, CN, amino, mono- or di-alkylamino, C1-C6 alkyl, C1-C6 alkoxyl, C3-C12 cycloalkyl, phenyl, 5- or 6-membered heteroaryl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or alternatively; and


R4a is -Q1a-T3a, in which Q3a is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, or C1-C6 alkoxyl, and T3a is H, halo, cyano, OR7a, OR8a, C(O)R8a, NR7aR8a, C(O)NR7aR8a, NR7aC(O)R8a, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of halo, hydroxyl, cyano, C1-C6 haloalkyl, —SO2R5a, C1-C6 alkoxyl or C1-C6 alkyl optionally substituted with one or more of NR5aR6a;


each of R5a, R6a, and R7a, independently, is H or C1-C6 alkyl optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, or C1-C6 alkoxyl; and


each R8a independently is -Q4a-T4a, in which Q4a is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T4a is H, halo, or RS3a, in which RS3a is C3-C12 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O and S, or a 5- to 10-membered heteroaryl, and RS3a is optionally substituted with one or more -Q5a-T5a, wherein each Q5a independently is a bond or C1-C3 alkylene, C2-C3 alkenylene, or C2-C3 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T5a independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C3-C12 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, OR6a, C(O)Rca, NRcaRda, C(O)NRcaRda, S(O)2Rca, and NRcaC(O)Rda, each of Rca and Rda independently being H or C1-C6 alkyl optionally substituted with one or more halo; or -Q5a-T5a is oxo.


In some embodiments, R4a is halo, C1-C6 alkyl, or OR7a. In some embodiments, R4a is C1-C6 alkoxyl. In some embodiments, R4a is —OCH3.


In another aspect, the present disclosure provides a method of preventing or treating a blood disorder (e.g., sickle-cell disease) by administering to a subject in need thereof an effective amount of a compound of Formula (I″), (II″), or (III″):




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or a tautomer thereof, or a pharmaceutically acceptable salt of the compound or the tautomer, wherein


X1b is N or CR2b;


X2b is N or CR3b;


X3b is N or CR4b;


X4b is N or CR5b;


each of X5b, X6b and X7b is independently N or CH;


B is C6-C10 aryl or 5- to 10-membered heteroaryl;


R1b is H or C1-C4 alkyl;


each of R2b, R3b, R4b, and R5b, independently is selected from the group consisting of H, halo, cyano, C1-C6 alkoxyl, C6-C10 aryl, OH, NRabRbb, C(O)NRabRbb, NRabC(O)Rbb, C(O)ORab, OC(O)Rab, OC(O)NRabRbb, NRabC(O)ORbb, C3-C8 cycloalkyl, 4- to 7-membered heterocycloalkyl, 5- to 6-membered heteroaryl, C1-C6 alkyl, C2-C6 alkenyl, and C2-C6 alkynyl, wherein the C6-C10 aryl, C3-C8 cycloalkyl, 4- to 7-membered heterocycloalkyl, 5- to 6-membered heteroaryl, C1-C6 alkoxyl, C1-C6 alkyl, C2-C6 alkenyl, and C2-C6 alkynyl, are each optionally substituted with one or more of halo, ORab, or NRabRbb, in which each of Rab and Rbb independently is H or C1-C6 alkyl;


R6b is -Q1b-T1b, in which Q1b is a bond, or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, oxo, or C1-C6 alkoxyl, and T1b is H, halo, cyano, or RS1b, in which RS1b is C3-C8 cycloalkyl, phenyl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- or 6-membered heteroaryl and RS1b is optionally substituted with one or more of halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, hydroxyl, oxo, —C(O)Rcb, —C(O)ORcb, —SO2Rcb, —SO2N(Rcb)2, —NRcbC(O)Rdb, —C(O)NRcbRdb, —NRcbC(O)ORdb, —OC(O)NRcbRdb, NRcbRdb, or C1-C6 alkoxyl, in which each of Rcb and Rdb independently is H or C1-C6 alkyl;


R7b is -Q2b-T2b, in which Q2b is a bond, C(O)NReb, or NRebC(O), Reb being H or C1-C6 alkyl and T2b is 5- to 10-membered heteroaryl or 4- to 12-membered heterocycloalkyl, and wherein the 5- to 10-membered heteroaryl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more -Q3b-T3b, wherein each Q3b independently is a bond or C1-C3 alkylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T3b independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORfb, C(O)Rfb, C(O)ORfb, OC(O)Rfb, S(O)2Rfb, NRfbRgb, OC(O)NRfbRgb, NRfbC(O)ORgb, C(O)NRfbRgb, and NRfbC(O)Rgb, each of Rfb and Rgb independently being H or C1-C6 alkyl, in which the C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl or 5- to 6-membered heteroaryl is optionally substituted with one or more halo, cyano, hydroxyl, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, or C1-C6 alkoxy; or -Q3b-T3b is oxo;


R8b is H or C1-C6 alkyl;


R9b is -Q4b-T4b, in which Q4b is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T4b is H, halo, ORhb, NRhbRib, NRhbC(O)Rib, C(O)NRhbRib, C(O)Rhb, C(O)ORhb, NRhbC(O)ORib, OC(O)NRhbRib, S(O)2Rhb, S(O)2NRhbRib, or RS2b, in which each of Rhb and Rib independently is H or C1-C6 alkyl, and RS2b is C3-C8 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- to 10-membered heteroaryl, and RS2b is optionally substituted with one or more -Q5b-T5b, wherein each Q5b independently is a bond or C1-C3 alkylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T5b independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORjb, C(O)Rjb, C(O)ORjb, OC(O)Rjb, S(O)2Rjb, NRjbRkb, OC(O)NRjbRkb, NRjbC(O)ORkb, C(O)NRjbRkb, and NRjbC(O)Rkb, each of Rjb and Rkb independently being H or C1-C6 alkyl; or -Q5b-T5b is oxo;


R10b is 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, which is optionally substituted with one or more halo, cyano, hydroxyl, oxo, amino, mono- or di-alkylamino, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, or C1-C6 alkoxy; and


R11b and R12b together with the carbon atom to which they are attached form a C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, wherein the C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, hydroxyl, oxo, amino, mono- or di-alkylamino, or C1-C6 alkoxyl.


The compounds of Formulae may have one or more of the following features when applicable.


In some embodiments, the EHMT2 inhibitor is a compound is of Formula (I″).


In some embodiments, at least one of X1b, X2b, X3b and X4b is N.


In some embodiments, X1b and X3b are N.


In some embodiments, X1b and X3b are N, X2b is CR3b and X4b is CR5b.


In some embodiments,




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In some embodiments,




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In some embodiments, ring B is phenyl or 6-membered heteroaryl.


In some embodiments,




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In some embodiments, ring B is phenyl or pyridyl.


In some embodiments, the EHMT2 inhibitor is a compound of Formula (Ia″), (Ib″), (Ic″), or (Id″):




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In some embodiments, at most one of R3b and R5b is not H.


In some embodiments, at least one of R3b and R5b is not H.


In some embodiments, R3b is H or halo.


In some embodiments, the EHMT2 inhibitor is a compound of Formula (Ie″), (If″), (Ig″), or (Ih″).




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In some embodiments, at most one of R4b and R5b is not H.


In some embodiments, at least one of R4b and R5b is not H.


In some embodiments, R4b is H, C1-C6 alkyl, or halo.


In some embodiments, the EHMT2 inhibitor is a compound of Formula (Ii″), (Ij″), (Ik″), or (II″):




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In some embodiments, at most one of R2b and R5b is not H.


In some embodiments, at least one of R2b and R5b is not H.


In some embodiments, R2b is H, C1-C6 alkyl, or halo.


In some embodiments, R5b is C1-C6 alkyl.


In some embodiments, the EHMT2 inhibitor is a compound is of Formula (II″).


In some embodiments, each of X5b, X6b and X7b is CH.


In some embodiments, at least one of X5b, X6b and X7b is N.


In some embodiments, at most one of X5b, X6b and X7b is N.


In some embodiments, R10b is optionally substituted 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S.


In some embodiments, R10b is connected to the bicyclic group of Formula (II″) via a carbon-carbon bond.


In some embodiments, R10b is connected to the bicyclic group of Formula (II″) via a carbon-nitrogen bond.


In some embodiments, the compound is of Formula (III″).


In some embodiments, R11b and R12b together with the carbon atom to which they are attached form a 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, wherein the 4- to 7-membered heterocycloalkyl is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, amino, mono- or di-alkylamino, or C1-C6 alkoxyl.


In some embodiments, R11b and R12b together with the carbon atom to which they are attached form a C4-C8 cycloalkyl which is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, amino, mono- or di-alkylamino, or C1-C6 alkoxyl.


In some embodiments, each of X5b and X6b is CH.


In some embodiments, each of X5b and X6b is N.


In some embodiments, one of X5b and X6b is CH and the other is CH.


In some embodiments, R6b is -Q1b-T1b, in which Q1b is a bond or C1-C6 alkylene linker optionally substituted with one or more of halo, and T1b is H, halo, cyano, or RS1b, in which RS1b is C3-C8 cycloalkyl, phenyl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- or 6-membered heteroaryl and RS1b is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, NRcbRdb, or C1-C6 alkoxyl.


In some embodiments, R6b is C1-C6 alkyl optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl.


In some embodiments, R6b is unsubstituted C1-C6 alkyl.


In some embodiments, R7b is -Q2b-T2b, in which Q2b is a bond or C(O)NReb, and T2b is 5- to 10-membered heteroaryl or 4- to 12-membered heterocycloalkyl, wherein the 5- to 10-membered heteroaryl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more -Q3b-T3b.


In some embodiments, Q2b is a bond.


In some embodiments, T2b is 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, which is optionally substituted with one or more -Q3b-T3b.


In some embodiments, T2b is 8- to 12-membered bicyclic heterocycloalkyl that comprises a 5- or 6-membered aryl or heteroaryl ring fused with a non-aromatic ring.


In some embodiments, T2b is 8- to 12-membered bicyclic heterocycloalkyl that comprises a 5- or 6-membered aryl or heteroaryl ring fused with a non-aromatic ring, in which the 5- or 6-membered aryl or heteroaryl ring is connected to Q2b.


In some embodiments, T2b is 5- to 10-membered heteroaryl.


In some embodiments, T2b is selected from




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and tautomers thereof, each of which is optionally substituted with one or more -Q3b-T3b, wherein X8c is NH, O, or S, each of X9b, X10b, X11b, and X12b is independently CH or N, and at least one of X9b, X10b, X11b, and X12b is N, and ring A is a C5-C8 cycloalkyl, phenyl, 6-membered heteroaryl, or 4- to 8-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S.


In some embodiments, T2b is selected from




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and tautomers thereof, each of which is optionally substituted with one or more -Q3b-T3b.


In some embodiments, each Q3b independently is a bond or C1-C3 alkylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T3b independently is selected from the group consisting of H, C1-C6 alkyl, C3-C8 cycloalkyl, 4- to 7-membered heterocycloalkyl, ORfb, C(O)Rfb, C(O)ORfb, NRfbRgb, C(O)NRfbRgb, and NRfbC(O)Rgb, in which the C3-C8 cycloalkyl or 4- to 7-membered heterocycloalkyl is optionally substituted with one or more halo, cyano, hydroxyl, C1-C6 alkyl or C1-C6 alkoxy.


In some embodiments, at least one of R8b and R9b is H.


In some embodiments, each of R8b and R9b is H.


In some embodiments, R8b is H.


In some embodiments, R8b is -Q4b-T4b, in which Q4b is a bond or C1-C6 alkylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T4b is H, halo, ORhb, NRhbRib, NRhbC(O)Rib, C(O)NRhbRib, C(O)Rhb, C(O)ORhb, or RS2b, in which RS2b is C3-C8 cycloalkyl or 4- to 7-membered heterocycloalkyl, and RS2b is optionally substituted with one or more -Q5b-T5b.


In some embodiments, each Q5b independently is a bond or C1-C3 alkylene linker.


In some embodiments, each T5b independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, ORjb, C(O)Rjb, C(O)ORjb, NRjbRkb, C(O)NRjbRkb, and NRjbC(O)Rkb.


In some embodiments, R9b is C1-C3 alkyl.


In some embodiments, for the methods disclosed herein, the EHMT2 inhibitor is of Formula (I′″), (II′″), or (III′″):




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tautomers thereof, and pharmaceutically acceptable salts of the compounds and the tautomers, wherein


X1c is N or CR2c;


X2c is N or CR3c;


X3c is N or CR4c;


X4c is N or CR5c;


each of X5c, X6c and X7c is independently N or CH;


X8c is NR13c or CR11cR12c;


R1c is H or C1-C4 alkyl;


each of R2c, R3c, R4c, and R5c, independently is selected from the group consisting of H, halo, cyano, C1-C6 alkoxyl, C6-C10 aryl, OH, NRacRbc, C(O)NRacRbc, NRacC(O)Rbc, C(O)ORac, OC(O)Rac, OC(O)NRacRbc, NRacC(O)ORbc, C3-C8 cycloalkyl, 4- to 7-membered heterocycloalkyl, 5- to 6-membered heteroaryl, C1-C6 alkyl, C2-C6 alkenyl, and C2-C6 alkynyl, wherein the C6-C10 aryl, C3-C8 cycloalkyl, 4- to 7-membered heterocycloalkyl, 5- to 6-membered heteroaryl, C1-C6 alkoxyl, C1-C6 alkyl, C2-C6 alkenyl, and C2-C6 alkynyl, are each optionally substituted with one or more of halo, ORac, or NRacRbc, in which each of Rac and Rbc independently is H or C1-C6 alkyl;


R6c is -Q1c-T1c, in which Q1c is a bond, or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, oxo, or C1-C6 alkoxyl, and T1c is H, halo, cyano, or RS1c, in which RS1c is C3-C8 cycloalkyl, phenyl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- or 6-membered heteroaryl and RS1c is optionally substituted with one or more of halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, hydroxyl, oxo, —C(O)Rcc, —C(O)ORcc, —SO2Rcc, —SO2N(Rcc)2, —NRccC(O)Rdc, —C(O)NRccRdc, —NRccC(O)ORdc, —OC(O)NRccRdc, NRccRdc, or C1-C6 alkoxyl, in which each of Rcc and Rdc independently is H or C1-C6 alkyl;


R7c is -Q2c-T2c, in which Q2c is a bond, C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, and T2c is H, halo, cyano, ORec, ORfc, C(O)Rfc, NRecRfc, C(O)NRecRfc, NRecC(O)Rfc, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl, and wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more -Q3c-T3c, wherein each Q3c independently is a bond or C1-C3 alkylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T3c independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORec, ORfc, C(O)Rfc, C(O)ORfc, OC(O)Rfc, S(O)2Rfc, NRfcRgc, OC(O)NRfcRgc, NRfcC(O)ORgc, C(O)NRfcRgc, and NRfcC(O)Rgc; or -Q3c-T3c is oxo;


each Rec independently is H or C1-C6 alkyl optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, or C1-C6 alkoxyl;


each of Rfc and Rgc, independently, is -Q6c-T6, in which Q6c is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T6 is H, halo, ORm1c, NRm1cRm2c, NRm1cC(O)Rm2c, C(O)NRm1cRm2c, C(O)Rm1c, C(O)ORm1c, NRm1cC(O)ORm2c, OC(O)NRm1cRm2c, S(O)2Rm1c, S(O)2NRm1cRm2c, or RS3c, in which each of Rm1c and Rm2c independently is H, C1-C6 alkyl, or (C1-C6 alkyl)-RS3c, and RS3c is C3-C8 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- to 10-membered heteroaryl, and RS3c is optionally substituted with one or more -Q7c-T7c, wherein each Q7c independently is a bond or C1-C3 alkylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T7c independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORn1c, C(O)Rn1c, C(O)ORn1c, OC(O)Rn1c, S(O)2Rn1c, NRn1cRn2c, OC(O)NRn1cRn2c, NRn1cC(O)ORn2c, C(O)NRn1cRn2c, and NRn1cC(O)Rn2c, each of Rn1c and Rn2c independently being H or C1-C6 alkyl; or -Q7c-T7c is oxo;


R8c is H or C1-C6 alkyl;


R9c is -Q4c-T4c, in which Q4c is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T4c is H, halo, ORhc, NRhcRic, NRhcC(O)Ric, C(O)NRhcRic, C(O)Rhc, C(O)ORhc, NRhcC(O)ORic, OC(O)NRhcRic, S(O)2Rhc, S(O)2NRhcRic, or RS2c, in which each of Rhc and Ric independently is H or C1-C6 alkyl, and RS2c is C3-C8 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- to 10-membered heteroaryl, and RS2c is optionally substituted with one or more -Q5c-T5c, wherein each Q5c independently is a bond or C1-C3 alkylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T5c independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORjc, C(O)Rjc, C(O)ORjc, OC(O)Rjc, S(O)2Rjc, NRjcRkc, OC(O)NRjcRkc, NRjcC(O)ORkc, C(O)NRjcRkc, and NRjcC(O)Rkc, each of Rjc and Rkc independently being H or C1-C6 alkyl; or -Q5c-T5c is oxo;


R10c is halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, wherein each of the C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, and 4- to 12-membered heterocycloalkyl is optionally substituted with one or more halo, cyano, hydroxyl, oxo, amino, mono- or di-alkylamino, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, C(O)NRjcRkc, or NRjcC(O)Rkc;


R11c and R12c together with the carbon atom to which they are attached form a C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, wherein the C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, hydroxyl, oxo, amino, mono- or di-alkylamino, or C1-C6 alkoxyl;


R13c is H, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S; and


each of R14c and R15c, independently, is H, halo, cyano, C1-C6 alkyl optionally substituted with one or more of halo or cyano, C2-C6 alkenyl optionally substituted with one or more of halo or cyano, C2-C6 alkynyl optionally substituted with one or more of halo or cyano, C3-C8 cycloalkyl optionally substituted with one or more of halo or cyano, or —OR6c.


In some embodiments, for the methods disclosed herein, the EHMT2 inhibitor is of Formula (I′″), (II′″), or (III′″), a tautomer thereof, or a pharmaceutically acceptable salt of the compound or the tautomer, wherein


X1c is N or CR2c;


X2c is N or CR3c;


X3c is N or CR4c;


X4c is N or CR5c;


each of X5c, X6c and X7c is independently N or CH;


X8c is NR13c or CR11cR12c;


R1c is H or C1-C4 alkyl;


each of R2c, R3c, R4c, and R5c, independently is selected from the group consisting of H, halo, cyano, C1-C6 alkoxyl, C6-C10 aryl, OH, NRacRbc, C(O)NRacRbc, NRacC(O)Rbc, C(O)ORac, OC(O)Rac, OC(O)NRacRbc, NRacC(O)ORbc, C3-C8 cycloalkyl, 4- to 7-membered heterocycloalkyl, 5- to 6-membered heteroaryl, C1-C6 alkyl, C2-C6 alkenyl, and C2-C6 alkynyl, wherein the C6-C10 aryl, C3-C8 cycloalkyl, 4- to 7-membered heterocycloalkyl, 5- to 6-membered heteroaryl, C1-C6 alkoxyl, C1-C6 alkyl, C2-C6 alkenyl, and C2-C6 alkynyl, are each optionally substituted with one or more of halo, ORac, or NRacRbc, in which each of Rac and Rbc independently is H or C1-C6 alkyl;


R6c is -Q1c-T1c, in which Q1c is a bond, or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, oxo, or C1-C6 alkoxyl, and T1c is H, halo, cyano, or RS1c, in which RS1c is C3-C8 cycloalkyl, phenyl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- or 6-membered heteroaryl and RS1c is optionally substituted with one or more of halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, hydroxyl, oxo, —C(O)Rcc, —C(O)ORcc, —SO2Rcc, —SO2N(Rcc)2, —NRccC(O)Rdc, —C(O)NRccRdc, —NRccC(O)ORdc, —OC(O)NRccRdc, NRccRdc, or C1-C6 alkoxyl, in which each of Rcc and Rdc independently is H or C1-C6 alkyl;


R7c is -Q2c-T2c, in which Q2c is a bond, C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, and T2c is H, halo, cyano, ORec, ORfc, C(O)Rfc, NRecRfc, C(O)NRecRfc, NRecC(O)Rfc, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl, and wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more -Q3c-T3c, wherein each Q3c independently is a bond or C1-C3 alkylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T3c independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORec, ORfc, C(O)Rfc, C(O)ORfc, OC(O)Rfc, S(O)2Rfc, NRfcRgc, OC(O)NRfcRgc, NRfcC(O)ORgc, C(O)NRfcRgc, and NRfcC(O)Rgc; or -Q3c-T3c is oxo;


each Rec independently is H or C1-C6 alkyl optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, or C1-C6 alkoxyl;


each of Rfc and Rgc, independently, is -Q6c-T6c, in which Q6c is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T6c is H, halo, ORm1c, NRm1cRm2c, NRm1cC(O)Rm2c, C(O)NRm1cRm2c, C(O)Rm1c, C(O)ORm1c, NRm1cC(O)ORm2c, OC(O)NRm1cRm2c, S(O)2Rm1c, S(O)2NRm1cRm2c, or RS3c, in which each of Rm1c and Rm2c independently is H or C1-C6 alkyl, and RS3c is C3-C8 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- to 10-membered heteroaryl, and RS3c is optionally substituted with one or more -Q7c-T7c, wherein each Q7c independently is a bond or C1-C3 alkylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T7c independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORn1c, C(O)Rn1c, C(O)ORn1c, OC(O)Rn1c, S(O)2Rn1c, NRn1cRn2c, OC(O)NRn1cRn2c, NRn1cC(O)ORn2c, C(O)NRn1cRn2c, and NRn1cC(O)Rn2c, each of Rn1c and Rn2c independently being H or C1-C6 alkyl; or -Q7c-T7c is oxo;


R8c is H or C1-C6 alkyl;


R9c is -Q4c-T4c, in which Q4c is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T4c is H, halo, ORhc, NRhcRic, NRhcC(O)Ric, C(O)NRhcRic, C(O)Rhc, C(O)ORhc, NRhcC(O)ORic, OC(O)NRhcRic, S(O)2Rhc, S(O)2NRhcRic, or RS2c, in which each of Rhc and Ric independently is H or C1-C6 alkyl, and RS2c is C3-C8 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- to 10-membered heteroaryl, and RS2c is optionally substituted with one or more -Q5c-T5c, wherein each Q5c independently is a bond or C1-C3 alkylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T5 independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORjc, C(O)Rjc, C(O)ORjc, OC(O)Rjc, S(O)2Rjc, NRjcRkc, OC(O)NRjcRkc, NRjcC(O)ORkc, C(O)NRjcRkc, and NRjcC(O)Rkc, each of Rjc and Rkc independently being H or C1-C6 alkyl; or -Q5c-T5c is oxo;


R10c is halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, wherein each of the C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, and 4- to 12-membered heterocycloalkyl is optionally substituted with one or more halo, cyano, hydroxyl, oxo, amino, mono- or di-alkylamino, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, C(O)NRjcRkc, or NRjcC(O)Rkc;


R11c and R12c together with the carbon atom to which they are attached form a C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, wherein the C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, hydroxyl, oxo, amino, mono- or di-alkylamino, or C1-C6 alkoxyl;


R13c is H, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S; and


each of R14c and R15c, independently, is H, halo, cyano, C1-C6 alkyl optionally substituted with one or more of halo or cyano, C2-C6 alkenyl optionally substituted with one or more of halo or cyano, C2-C6 alkynyl optionally substituted with one or more of halo or cyano, C3-C8 cycloalkyl optionally substituted with one or more of halo or cyano, or —OR6c.


In some embodiments, the compound is of Formula (I′″), a tautomer thereof, or a pharmaceutically acceptable salt of the compound or the tautomer.


In some embodiments, when X1c is N, X2c is CH, X3c is N, X4c is CCH3, X5c is CH, X6c is CH, R1c is H, R7c is




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one of R8c and R9c is H and the other one is CH3, and R14c is OCH3, then


R15c is H, halo, cyano, C1-C6 alkyl optionally substituted with one or more of halo or cyano, C2-C6 alkenyl optionally substituted with one or more of halo or cyano, C2-C6 alkynyl optionally substituted with one or more of halo or cyano, C3-C8 cycloalkyl optionally substituted with one or more of halo or cyano, or —OR6c.


In some embodiments, when X1c is N, X2c is CH, X3c is N, X4c is CCH3, X5c is CH, X6c is CH, R1c is H, R7c is




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one of R8c and R9c is H and the other one is CH3, and R14c is OCH3, then


R15c is H, Cl, Br, cyano, C1-C6 alkyl optionally substituted with one or more of halo or cyano, C2-C6 alkenyl optionally substituted with one or more of halo or cyano, C2-C6 alkynyl optionally substituted with one or more of halo or cyano, C3-C8 cycloalkyl optionally substituted with one or more of halo or cyano, or —OR6c.


In some embodiments, wherein when X1c is N, X2c is CH, X3c is N, X4c is CCH3, X5c is CH, X6c is CH, R1c is H, R7c is selected from the group consisting of




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one of R8c and R9c is H and the other one is CH3, and R14c is Cl, then


R15c is H, halo, cyano, C1-C6 alkyl optionally substituted with one or more of halo or cyano, C2-C6 alkenyl optionally substituted with one or more of halo or cyano, C2-C6 alkynyl optionally substituted with one or more of halo or cyano, C3-C8 cycloalkyl optionally substituted with one or more of halo or cyano, or —OR6c.


In some embodiments, wherein when X1c is N, X2c is CH, X3c is N, X4c is CCH3, X5c is CH, X6c is CH, R1c is H, R7c is selected from the group consisting of




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one of R8c and R9c is H and the other one is CH3, and R14c is Cl, then


R15c is halo, cyano, C1-C6 alkyl optionally substituted with one or more of halo or cyano, C2-C6 alkenyl optionally substituted with one or more of halo or cyano, C2-C6 alkynyl optionally substituted with one or more of halo or cyano, C3-C8 cycloalkyl optionally substituted with one or more of halo or cyano, or —OR6c.


In some embodiments, the compound is not one of the following compounds:




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In some embodiments, the compound is of Formula (II′″) or a tautomer thereof, or a pharmaceutically acceptable salt of the compound or the tautomer.


In some embodiments, when X5c is CH, X7c is CH, R7c is




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one of R8c and R9c is H and the other one is CH3, R10c is




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and R14c is OCH3, then


R15c is H, halo, cyano, C1-C6 alkyl optionally substituted with one or more of halo or cyano, C2-C6 alkenyl optionally substituted with one or more of halo or cyano, C2-C6 alkynyl optionally substituted with one or more of halo or cyano, C3-C8 cycloalkyl optionally substituted with one or more of halo or cyano, or —OR6c.


In some embodiments, when X5c is CH, X7c is CH, R7c is




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one of R8c and R9c is H and the other one is CH3, R10c is




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and R14c is OCH3, then


R15c is H, Cl, Br, cyano, C1-C6 alkyl optionally substituted with one or more of halo or cyano, C2-C6 alkenyl optionally substituted with one or more of halo or cyano, C2-C6 alkynyl optionally substituted with one or more of halo or cyano, C3-C8 cycloalkyl optionally substituted with one or more of halo or cyano, or —OR6c.


In some embodiments, the compound is not




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In some embodiments, the compound is of Formula (III′″) or a tautomer thereof, or a pharmaceutically acceptable salt of the compound or the tautomer.


In some embodiments, when X5c is CH, X8c is CR11cR12c, in which R11c and R12b together with the carbon atom to which they are attached form a cyclobutyl, R7c is




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one of R8c and R9c is H and the other one is CH3, and R14c is OCH3, then


R15c is H, halo, cyano, C1-C6 alkyl optionally substituted with one or more of halo or cyano, C2-C6 alkenyl optionally substituted with one or more of halo or cyano, C2-C6 alkynyl optionally substituted with one or more of halo or cyano, C3-C8 cycloalkyl optionally substituted with one or more of halo or cyano, or —OR6c.


In some embodiments, when X5c is CH, X8c is CR11cR12c, in which R11c and R12c together with the carbon atom to which they are attached form a cyclobutyl, R7c is




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one of R8c and R9c is H and the other one is CH3, and R14c is OCH3, then


R15c is H, Cl, Br, cyano, C1-C6 alkyl optionally substituted with one or more of halo or cyano, C2-C6 alkenyl optionally substituted with one or more of halo or cyano, C2-C6 alkynyl optionally substituted with one or more of halo or cyano, C3-C8 cycloalkyl optionally substituted with one or more of halo or cyano, or —OR6c.


In some embodiments, the compound is not




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In some embodiments, at least one of R14c and R15c is halo. In some embodiments, at least one of R14c and R15c is F. In some embodiments, at least one of R14c and R15c is Cl. In some embodiments, at least one of R14c and R15c is Br. In some embodiments, one of R14c and R15c is halo. In some embodiments, one of R14c and R15c is F. In some embodiments, one of R14c and R15c is Cl. In some embodiments, one of R14c and R15c is Br. In some embodiments, R14c is halo. In some embodiments, R14c is F. In some embodiments, R14c is Cl. In some embodiments, R14c is Br. In some embodiments, R15c is halo. In some embodiments, R15c is F. In some embodiments, R15c is Cl. In some embodiments, R15c is Br. In some embodiments, both of R14c and R15c are halo.


In some embodiments, one of R14c and R15c is halo, and the other one is H, cyano, C1-C6 alkyl optionally substituted with one or more of halo or cyano, C2-C6 alkenyl optionally substituted with one or more of halo or cyano, C2-C6 alkynyl optionally substituted with one or more of halo or cyano, C3-C8 cycloalkyl optionally substituted with one or more of halo or cyano, or —OR6c.


In some embodiments, one of R14c and R15c is halo, and the other one is H, C1-C6 alkyl optionally substituted with one or more of halo or cyano, C3-C8 cycloalkyl optionally substituted with one or more of halo or cyano, or —OR6c, in which R6c is C1-C6 alkyl optionally substituted with one or more of halo or cyano.


In some embodiments, one of R14c and R15c is halo, and the other one is H, C1-C6 alkyl, C3-C8 cycloalkyl, or —OR6c, in which R6c is C1-C6 alkyl. In some embodiments, R14c is halo, and R15c is H, C1-C6 alkyl, C3-C8 cycloalkyl, or —OR6c, in which R6c is C1-C6 alkyl. In some embodiments, R14c is halo, and R15c is H. In some embodiments, R14c is halo, and R15c is C1-C6 alkyl. In some embodiments, R14c is halo, and R15c is C3-C8 cycloalkyl. In some embodiments, R14c is halo, and R15c is —OR6c, in which R6c is C1-C6 alkyl. In some embodiments, R15c is halo, and R14c is H, C1-C6 alkyl, C3-C8 cycloalkyl, or —OR6c, in which R6c is C1-C6 alkyl. In some embodiments, R15c is halo, and R14c is H. In some embodiments, R15c is halo, and R14c is C1-C6 alkyl. In some embodiments, R15c is halo, and R14c is C3-C8 cycloalkyl. In some embodiments, R15c is halo, and R14c is —OR6c, in which R6c is C1-C6 alkyl. In some embodiments, one of R14c and R15c is halo, and the other one is H, —CH3, cyclopropyl, or —OCH3.


In some embodiments, the compound is of any of Formula (I′″-1), (I′″-2), (II′″-1), (II′″-2), (III′″-1), or (III′″-2):




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a tautomer thereof, or a pharmaceutically acceptable salt of the compound or the tautomer, wherein


X1c is N or CR2c;


X2c is N or CR3c;


X3c is N or CR4c;


X4c is N or CR5c;


each of X5c, X6c and X7c is independently N or CH;


R1c is H or C1-C4 alkyl;


each of R2c, R3c, R4c, and R5c, independently is selected from the group consisting of H, halo, cyano, C1-C6 alkoxyl, C6-C10 aryl, OH, NRacRbc, C(O)NRacRbc, NRacC(O)Rbc, C(O)ORac, OC(O)Rac, OC(O)NRacRbc, NRacC(O)ORbc, C3-C8 cycloalkyl, 4- to 7-membered heterocycloalkyl, 5- to 6-membered heteroaryl, C1-C6 alkyl, C2-C6 alkenyl, and C2-C6 alkynyl, wherein the C6-C10 aryl, C3-C8 cycloalkyl, 4- to 7-membered heterocycloalkyl, 5- to 6-membered heteroaryl, C1-C6 alkoxyl, C1-C6 alkyl, C2-C6 alkenyl, and C2-C6 alkynyl, are each optionally substituted with one or more of halo, ORac or NRacRbc, in which each of Rac and Rbc independently is H or C1-C6 alkyl;


R6c is -Q1c-T1c, in which Q1c is a bond, or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, oxo, or C1-C6 alkoxyl, and T1c is H, halo, cyano, or RS1c, in which RS1c is C3-C8 cycloalkyl, phenyl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- or 6-membered heteroaryl and RS1c is optionally substituted with one or more of halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, hydroxyl, oxo, —C(O)Rcc, —C(O)ORcc, —SO2Rcc, —SO2N(Rcc)2, —NRccC(O)Rdc, —C(O)NRccRdc, —NRccC(O)ORdc, —OC(O)NRccRdc, NRccRdc, or C1-C6 alkoxyl, in which each of Rcc and Rdc independently is H or C1-C6 alkyl;


R7c is -Q2c-T2c, in which Q2c is a bond, a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, and T2c is H, halo, cyano, ORec, ORfc, C(O)Rfc, NRecRfc, C(O)NRecRfc, NRecC(O)Rfc, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl, and wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more -Q3c-T3c, wherein each Q3c independently is a bond or C1-C3 alkylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T3c independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORec, ORfc, C(O)Rfc, C(O)ORfc, OC(O)Rfc, S(O)2Rfc, NRfcRgc, OC(O)NRfcRgc, NRfcC(O)ORgc, C(O)NRfcRgc, and NRfcC(O)Rgc; or -Q3c-T3c is oxo;


each Rec independently is H or C1-C6 alkyl optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, or C1-C6 alkoxyl;


each of Rfc and Rgc, independently, is -Q6c-T6c, in which Q6c is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T6c is H, halo, ORm1c, NRm1cRm2c, NRm1cC(O)Rm2c, C(O)NRm1cRm2c, C(O)Rm1c, C(O)ORm1c, NRm1cC(O)ORm2c, OC(O)NRm1cRm2c, S(O)2Rm1c, S(O)2NRm1cRm2c, or RS3c, in which each of Rm1c and Rm2c independently is H or C1-C6 alkyl, and RS3c is C3-C8 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- to 10-membered heteroaryl, and RS3c is optionally substituted with one or more -Q7c-T7c, wherein each Q7c independently is a bond or C1-C3 alkylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T7c independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORn1c, C(O)Rn1c, C(O)ORn1c, OC(O)Rn1c, S(O)2Rn1c, NRn1cRn2c, OC(O)NRn1cRn2c, NRn1cC(O)ORn2c, C(O)NRn1cRn2c, and NRn1cC(O)Rn2c, each of Rn1c and Rn2c independently being H or C1-C6 alkyl; or -Q7c-T7c is oxo; R8c is H or C1-C6 alkyl;


R9c is -Q4c-T4c, in which Q4c is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T4c is H, halo, ORhc, NRhcRic, NRhcC(O)Ric, C(O)NRhcRic, C(O)Rhc, C(O)ORhc, NRhcC(O)ORic, OC(O)NRhcRic, S(O)2Rhc, S(O)2NRhcRic, or RS2c, in which each of Rhc and Ric independently is H or C1-C6 alkyl, and RS2c is C3-C8 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- to 10-membered heteroaryl, and RS2c is optionally substituted with one or more -Q5c-T5c, wherein each Q5c independently is a bond or C1-C3 alkylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T5c independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORjc, C(O)Rjc, C(O)ORjc, OC(O)Rjc, S(O)2Rjc, NRjcRkc, OC(O)NRjcRkc, NRjcC(O)ORkc, C(O)NRjcRkc, and NRjcC(O)Rkc, each of Rjc and Rkc independently being H or C1-C6 alkyl; or -Q5c-T5c is oxo;


R10 is halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, wherein each of the C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, and 4- to 12-membered heterocycloalkyl is optionally substituted with one or more halo, cyano, hydroxyl, oxo, amino, mono- or di-alkylamino, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, C(O)NRjcRkc, or NRjcC(O)Rkc; and


R11c and R12c together with the carbon atom to which they are attached form a C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, wherein the C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, hydroxyl, oxo, amino, mono- or di-alkylamino, or C1-C6 alkoxyl


each of R14c and R15c, independently, is H, halo, cyano, C1-C6 alkyl optionally substituted with one or more of halo or cyano, C2-C6 alkenyl optionally substituted with one or more of halo or cyano, C2-C6 alkynyl optionally substituted with one or more of halo or cyano, or C3-C8 cycloalkyl optionally substituted with one or more of halo or cyano.


In some embodiments, the compound is of Formula (I′″-1) or (I′″-2), a tautomer thereof, or a pharmaceutically acceptable salt of the compound or the tautomer.


In some embodiments, at least one of X1c, X2c, X3c and X4c is N. In some embodiments, X1c and X3c are N. In some embodiments, X1c and X3c are N, X2c is CR3c and X4c is CR5c.


In some embodiments,




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In some embodiments,




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In some embodiments, the compound is of Formula (I′″-1a), (I′″-2a), (I′″-1b), (I′″-2b), (I′″-1c), or (I′″-2c):




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a tautomer thereof, or a pharmaceutically acceptable salt of the compound or the tautomer.


In some embodiments, at most one of R3c and R5c is not H. In some embodiments, at least one of R3c and R5c is not H. In some embodiments, R3c is H or halo.


In some embodiments, the compound is of Formula (I′″-1d), (I′″-2d), (I′″-1e), (I′″-2e), (I′″-1f), or (I′″-2f).




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a tautomer thereof, or a pharmaceutically acceptable salt of the compound or the tautomer.


In some embodiments, at most one of R4c and R5c is not H. In some embodiments, at least one of R4c and R5c is not H. In some embodiments, R4c is H, C1-C6 alkyl, or halo.


In some embodiments, the compound of Formula (I′″-1g), (I′″-2g), (I′″-1h), (I′″-2h), (I′″-1i), or (I′″-2i):




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a tautomer thereof, or a pharmaceutically acceptable salt of the compound or the tautomer.


In some embodiments, at most one of R2c and R5c is not H. In some embodiments, at least one of R2c and R5c is not H. In some embodiments, R2c is H, C1-C6 alkyl, or halo. In some embodiments, R5c is C1-C6 alkyl.


In some embodiments, the compound is of Formula (II′″-1) of (H′″-2), a tautomer thereof, or a pharmaceutically acceptable salt of the compound or the tautomer.


In some embodiments, each of X5c, X6c and X7c is CH. In some embodiments, at least one of X5b, X6c and X7c is N. In some embodiments, at most one of X5b, X6c and X7c is N.


In some embodiments, R10 is optionally substituted 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S. In some embodiments, R10 is connected to the bicyclic group of Formula (II′″-1) or (II′″-2) via a carbon-carbon bond. In some embodiments, R10 is connected to the bicyclic group of Formula (II′″-1) or (II′″-2) via a carbon-nitrogen bond.


In some embodiments, the compound is of Formula (III′″-1) or (III′″-2), a tautomer thereof, or a pharmaceutically acceptable salt of the compound or the tautomer.


In some embodiments, R11c and R12c together with the carbon atom to which they are attached form a 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, wherein the 4- to 7-membered heterocycloalkyl is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, amino, mono- or di-alkylamino, or C1-C6 alkoxyl.


In some embodiments, R11c and R12c together with the carbon atom to which they are attached form a C4-C8 cycloalkyl which is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, amino, mono- or di-alkylamino, or C1-C6 alkoxyl.


In some embodiments, each of X5c and X6c is CH. In some embodiments, each of X5c and X6c is N. In some embodiments, one of X5c and X6c is CH and the other is CH.


In some embodiments, R6c is -Q1c-T1c, in which Q1c is a bond or C1-C6 alkylene linker optionally substituted with one or more of halo, and T1c is H, halo, cyano, or RS1c, in which RS1c is C3-C8 cycloalkyl, phenyl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- or 6-membered heteroaryl and RS1c is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, NRccRdc, or C1-C6 alkoxyl.


In some embodiments, wherein R6c is C1-C6 alkyl optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl. In some embodiments, R6c is C1-C6 alkyl. In some embodiments, R6c is —CH3.


In some embodiments, R7c is -Q2c-T2c, in which Q2c is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, and T2c is C(O)NRecRfc.


In some embodiments, Q2c is a bond. In some embodiments, Rcc is H.


In some embodiments, Rfc is -Q6c-T6c, in which Q6c is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker each optionally substituted with (me or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T6c is H, NRm1cRm2c, or RS3c, in which each of Rm1c and Rm2c independently is H, C1-C6 alkyl, or —(C1-C6 alkyl)-RS3c, and RS3c is C3-C8 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- to 10-membered heteroaryl, and RS3c is optionally substituted with one or more -Q7c-T7c.


In some embodiments, Rfc is -Q6c-T6c, in which Q6c is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T6c is H, NRm1cRm2c, or RS3c, in which each of Rm1c and Rm2c independently is H or C1-C6 alkyl, and RS3c is C3-C8 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- to 10-membered heteroaryl, and RS3c is optionally substituted with one or more -Q7c-T7c.


In some embodiments, T6c is 8- to 12-membered bicyclic heterocycloalkyl that comprises a 5- or 6-membered aryl or heteroaryl ring fused with a non-aromatic ring. In some embodiments, T6c is 8- to 12-membered bicyclic heterocycloalkyl that comprises a 5- or 6-membered aryl or heteroaryl ring fused with a non-aromatic ring, in which the 5- or 6-membered aryl or heteroaryl ring is connected to Q2c. In some embodiments, T6c is 5- to 10-membered heteroaryl.


In some embodiments, T6c is selected from




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and tautomers thereof, each of which is optionally substituted with one or more -Q7c-T7c, wherein X8c is NH, O, or S, each of X9c, X10, X11c, and X12c is independently CH or N, and at least one of X9c, X10, X11c, and X12c is N, and ring A is a C5-C8 cycloalkyl, phenyl, 6-membered heteroaryl, or 4- to 8-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S.


In some embodiments, T6c is selected from




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and tautomers thereof, each of which is optionally substituted with one or more -Q7c-T7c.


In some embodiments, each Q7c independently is a bond or C1-C3 alkylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T7c independently is selected the group consisting of H, halo, cyano, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORn1c, C(O)Rn1c, C(O)ORn1c, OC(O)Rn1c, S(O)2Rn1c, NRn1cRn2c, OC(O)NRn1cRn2c, NRn1cC(O)ORn2c, C(O)NRn1cRn2c, and NRn1cC(O)Rn2c, each of Rn1c and Rn2c independently being H or C1-C6 alkyl, or -Q7c-T7c is oxo.


In some embodiments, each Q7c independently is a bond or C1-C3 alkylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T7c independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, and NRn1cRn2c, each of Rn1c and Rn2c independently being H or C1-C6 alkyl.


In some embodiments, R7c is




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In some embodiments, R7c is -Q2c-T2c, in which Q2c is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, or C1-C6 alkoxyl, and each T2c independently is H, ORec, ORfc, NRecRfc, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl.


In some embodiments, R7c is




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wherein T2c is H, halo, cyano, ORec, ORfc, C(O)Rfc, NRecRfc, C(O)NRecRfc, NRecC(O)Rfc, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of halo, hydroxyl, cyano, C1-C6 haloalkyl, —SO2Rcc, C1-C6 alkoxyl or C1-C6 alkyl optionally substituted with one or more of NRccRdc.


In some embodiments, R7c is




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wherein T2c is 5- to 10-membered heteroaryl or 4- to 12-membered heterocycloalkyl optionally substituted with one or more of halo, hydroxyl, C1-C6 alkoxyl or C1-C6 alkyl.


In some embodiments, R7c is




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In some embodiments, R7c is ORec.


In some embodiments, R7c is ORfc.


In some embodiments, R7c is O-Q6c-NRm1cRm2c. In some embodiments, R7c is O-Q6c-NH—(C1-C6 alkyl)-RS3c.


In some embodiments, R7c is —CH2-T2c, wherein T2c is H, halo, cyano, ORec, ORfc, C(O)Rfc, NR7cRfc, C(O)NRecRfc, NRecC(O)Rfc, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, and wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of halo, hydroxyl, cyano, C1-C6 haloalkyl, —SO2Rcc, C1-C6 alkoxyl or C1-C6 alkyl optionally substituted with one or more of NRccRdc.


In some embodiments, R7c is —CH2—OR8.


In some embodiments, R7c is —CH2—NR7R8.


In some embodiments, R7c is




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In some embodiments, R7c is




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In some embodiments, R7c is




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In some embodiments, R7c is




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In some embodiments, R7c is




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In some embodiments, R7c is




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In some embodiments, R7c is is




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In some embodiments, at least one of R8c and R9c is H. In some embodiments, each of R8c and R9c is H. In some embodiments, R8c is H.


In some embodiments, R9c is -Q4c-T4c, in which Q4c is a bond or C1-C6 alkylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T4c is H, halo, ORhc, NRhcRic, NRhcC(O)Ric, C(O)NRhcRic, C(O)Rhc, C(O)ORhc, or RS2c, in which RS2c is C3-C8 cycloalkyl or 4- to 7-membered heterocycloalkyl, and RS2c is optionally substituted with one or more -Q5c-T5c.


In some embodiments, each Q5c independently is a bond or C1-C3 alkylene linker.


In some embodiments, each T5c independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, ORjc, C(O)Rjc, C(O)ORjc, NRjcRkc, C(O)NRjcRkc, and NRjcC(O)Rkc.


In some embodiments, R9c is C1-C3 alkyl.


In some embodiments, R14c is H, halo, or C1-C6 alkyl.


In some aspects, the present disclosure provides a compound of Formula (IA′″) or (IIA′″):




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a tautomer thereof, a pharmaceutically acceptable salt thereof, or a pharmaceutically acceptable salt of the tautomer, wherein:


R8c is C1-C6 alkyl;


R5c is C1-C6 alkyl;


R11c and R12c each independently is C1-C6 alkyl, or R11c and R12c together with the carbon atom to which they are attached form C3-C12 cycloalkyl;


R14c and R15c each independently is H, halogen, or C1-C6 alkoxyl; and


R7c is 5- to 10-membered heteroaryl or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, wherein the 5- to 10-membered heteroaryl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of R7cS; each R7cS independently is COOH, oxo, C1-C6 alkyl, C1-C6 haloalkyl, or 4- to 12-membered heterocycloalkyl, wherein the C1-C6 alkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of oxo, C1-C6 alkyl, or NR7cSaR7cSb; R7cSa and R7cSb each independently is H or C1-C6 alkyl, or R7cSa and R7cSb together with the nitrogen atom to which they are attached form C3-C6 heterocycloalkyl.


In some embodiments, the compound is of Formula (IA′″) or (IIA′″), a tautomer thereof, a pharmaceutically acceptable salt thereof, or a pharmaceutically acceptable salt of the tautomer, wherein:


R8c is C1-C6 alkyl;


R5c is C1-C6 alkyl;


R11c and R12c each independently is C1-C6 alkyl, or R11c and R12c together with the carbon atom to which they are attached form C3-C12 cycloalkyl;


R14c and R15c each independently is H, halogen, or C1-C6 alkoxyl; and


R7c is 5- to 10-membered heteroaryl or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, wherein the 5- to 10-membered heteroaryl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of R7cS, each R7cS independently is C1-C6 alkyl or 4- to 12-membered heterocycloalkyl, wherein the C1-C6 alkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of NR7cSaR7cSb; R7cSa and R7cSb each independently is H or C1-C6 alkyl, or R7cSa and R7cSb together with the nitrogen atom to which they are attached form C3-C6 heterocycloalkyl.


In some embodiments, R8c is methyl or ethyl. In some embodiments, R8c is methyl.


In some embodiments, R5c is methyl, ethyl, n-propyl, or i-propyl. In some embodiments, R5c is methyl. In some embodiments, R5c is i-propyl.


In some embodiments, R11c and R12c each independently is C1-C6 alkyl. In some embodiments, R11c and R12c each independently is methyl, ethyl, n-propyl, i-propyl, n-butyl, i-butyl, s-butyl, t-butyl, pentyl, or hexyl. In some embodiments, R11c and R12c each independently is methyl, ethyl, n-propyl, or i-propyl.


In some embodiments, R11c and R12c together with the carbon atom to which they are attached form C6-C12 cycloalkyl. In some embodiments, R11c and R12c together with the carbon atom to which they are attached form cyclopropyl, cyclobutyl, cyclopentyl, or cyclohexyl. In some embodiments, R11c and R12c together with the carbon atom to which they are attached form cyclobutyl.


In some embodiments, at least one of R14c and R15c is halogen. In some embodiments, at least one of R14c and R15c is F or Cl. In some embodiments, at least one of R14c and R15c is F. In some embodiments, at least one of R14c and R15c is Cl.


In some embodiments, R14c is halogen. In some embodiments, R14c is F or C1. In some embodiments, R14c is F. In some embodiments, R3c is Cl.


In some embodiments, R15c is halogen. In some embodiments, R15c is F or C1. In some embodiments, R15c is F. In some embodiments, R15c is Cl.


In some embodiments, one of R14c and R15c is halogen, and the other one is H or or C1-C6 alkoxyl. In some embodiments, at least one of R14c and R15c is F or Cl, and the other one is H or or C1-C6 alkoxyl. In some embodiments, at least one of R14c and R15c is F or Cl, and the other one is H. In some embodiments, at least one of R14c and R15c is F or Cl, and the other one is methoxy.


In some embodiments, R14c is halogen, and R15c is H or or C1-C6 alkoxyl. In some embodiments, R14c is F or Cl, and R15c is H or or C1-C6 alkoxyl. In some embodiments, R14c is F or Cl, and R15c is H. In some embodiments, R14c is F or Cl, and R15c is methoxy.


In some embodiments, R15c is halogen, and R14c is H or or C1-C6 alkoxyl. In some embodiments, R15c is F or Cl, and R14c is H or or C1-C6 alkoxyl. In some embodiments, R15c is F or Cl, and R14c is H. In some embodiments, R15c is F or Cl, and R14c is methoxy.


In some embodiments, both R14c and R15c are halogen. In some embodiments, R14c and R15c each independently is F or C1. In some embodiments, both R14c and R15c are F. In some embodiments, R14c is F, and R15c is Cl. In some embodiments, R15c is F, and R14c is Cl. In some embodiments, both R14c and R15c are C1.


In some embodiments, R7c is 5- to 10-membered heteroaryl containing 1-4 heteroatoms selected from N, O, and S, wherein the 5- to 10-membered heteroaryl is optionally substituted with one or more of R7cS.


In some embodiments, R7c is 5-membered heteroaryl containing 3 of N, wherein the 5-membered heteroaryl is optionally substituted with one or more of R7cS.


In some embodiments, R7c is




embedded image


wherein n is 0, 1, or 2.


In some embodiments, R7c is




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wherein n is 0, 1, or 2.


In some embodiments, the compound is of Formula (IAa′″) or (IIAa′″):




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a tautomer thereof, a pharmaceutically acceptable salt thereof, or a pharmaceutically acceptable salt of the tautomer.


In some embodiments, the compound is of Formula (IAb′″) or (IIAb)′″:




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a tautomer thereof, a pharmaceutically acceptable salt thereof, or a pharmaceutically acceptable salt of the tautomer.


In some embodiments, n is 0 or 1. In some embodiments, n is 0. In some embodiments, n is 1.


In some embodiments, R7c is 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, wherein the 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of R7cS.


In some embodiments, at least one R7cS is COOH.


In some embodiments, at least one R7cS is oxo.


In some embodiments, at least one R7cS is C1-C6 haloalkyl (e.g., methyl, ethyl, propyl, butyl, pental, or hexyl in which at least one H is substituted with a halogen (e.g., F, Cl, Br, or I)). In some embodiments, at least one R7cS is CH2F, CHF2, or CF3. In some embodiments, at least one R7cS is CF3.


In some embodiments, at least one R7cS is C1-C6 alkyl optionally substituted with one or more of oxo or NR7cSaR7cSb. In some embodiments, at least one R7cS is C1-C6 alkyl substituted with one oxo and one NR7cSaR7cSb.


In some embodiments, at least one R7cS is C1-C6 alkyl optionally substituted with one or more of NR7cSaR7cSb. In some embodiments, at least one R7cS is methyl optionally substituted with one or more of NR7cSaR7cSb. In some embodiments, at least one R7cS is




embedded image


In some embodiments, at least one R7cS is




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In some embodiments, at least one R7cS is 4- to 12-membered heterocycloalkyl optionally substituted with one or more of oxo, C1-C6 alkyl, or NR7cSaR7cSb. In some embodiments, at least one R7cS is 4- to 12-membered heterocycloalkyl optionally substituted with one or more of C1-C6 alkyl.


In some embodiments, at least one R7cS is 4- to 12-membered heterocycloalkyl optionally substituted with one or more of NR7cSaR7cSb In some embodiments, at least one R7cS is 5-membered heterocycloalkyl optionally substituted with one or more of NR7cSaR7cSb. In some embodiments, at least one R7cS is pyrrolidinyl optionally substituted with one or more of NR7cSaR7cSb. In some embodiments, at least one R7cS is pyrrolidinyl. In some embodiments, at least one R7cS is




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In some embodiments, at least one R7cS is




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In some embodiments, at least one R7cS is




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In some embodiments, both of R7cSa and R7cSb are H. In some embodiments, one of R7cSa and R7cSb is H, and the other is C1-C6 alkyl. In some embodiments, one of R7cSa and R7cSb is H, and the other is methyl. In some embodiments, both of R7cSa and R7cSb are C1-C6 alkyl. In some embodiments, both of R7cSa and R7cSb are methyl.


In some embodiments, R7cSa and R7cSb together with the nitrogen atom to which they are attached form C3-C6 heterocycloalkyl. In some embodiments, R7cSa and R7cSb together with the nitrogen atom to which they are attached form C4 heterocycloalkyl. In some embodiments, R7cSa and R7cSb together with the nitrogen atom to which they are attached form




embedded image


In some embodiments, R7c is




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embedded image


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In some embodiments, the compound is selected from those in Tables 1A-1E, 2-4, 4A, and 5, tautomers thereof, and pharmaceutically acceptable salts of the compounds and tautomers.


In some embodiments of the methods provided herein, e.g., of the therapeutic methods comprising administering an EHMT2 inhibitor to a subject in need thereof, the EHMT2 inhibitor used is not 2-cyclohexyl-6-methoxy-N-[1-(1-methylethyl)-4-piperidinyl]-7-[3-(1-pyrrolidinyl)propoxy]-4-quinazolinamine; N-(1-isopropylpiperidin-4-yl)-6-methoxy-2-(4-methyl-1,4-diazepan-1-yl)-7-(3-(piperidin-1-yl)propoxy)quinazolin-4-amine; 2-(4,4-difluoropiperidin-1-yl)-N-(1-isopropylpiperidin-4-yl)-6-methoxy-7-(3-(pyrrolidin-1-yl)propoxy)quinazolin-4-amine; or 2-(4-isopropyl-1,4-diazepan-1-yl)-N-(1-isopropylpiperidin-4-yl)-6-methoxy-7-(3-(piperidin-1-yl)propoxy)quinazolin-4-amine.


In some embodiments of the methods provided herein, the EHMT2 inhibitor used is a selective inhibitors of EHMT2.


In some embodiments of the methods provided herein, administration of the EHMT2 inhibitor activates a gene the deactivation of which is associated with a blood disorder. In some embodiments, administration of the EHMT2 inhibitor deactivates a gene the activation of which is associated with a blood disorder.


For example, in some embodiments, administration of the EHMT2 inhibitor activates a gene located on a chromosome selected from the group consisting of 6q24, 7, 11p15.5, 14q32, 15q11q13, 15q11.2, 20q13, and 20. In some embodiments, administration of the EHMT2 inhibitor deactivates a gene located on a chromosome selected from the group consisting of 6q24, 7, 11p15.5, 14q32, 15q11q13, 15q11.2, 20q13, and 20.


In some embodiments, administration of the EHMT2 inhibitor inhibits dimethylation of histone 3 at lysine residue 9 (H3K9me2).


In some embodiments, a compound, composition, or treatment modality provided herein, e.g., an EHMT2 inhibitor provided herein, is used in combination with one or more additional therapeutic treatments (e.g., one or more additional therapeutic agent, or one or more intervention), e.g., with one or more approved or experimental treatment of a blood disorder. In some embodiments, the one or more additional therapeutic treatment is an approved or experimental treatment of sickle-cell disease. In some embodiments, the one or more additional therapeutic treatment is an approved or experimental therapeutic agent used for the treatment of sickle-cell disease. For example, in some embodiments, a therapeutic method is provided that comprises administering to a subject having a blood disorder, e.g., sickle-cell disease, an effective amount of an EHMT2 inhibitor provided herein, and one or more therapeutic agent(s) for the treatment of sickle-cell disease. In some embodiments, the method comprises administering to the subject an effective amount of an EHMT2 inhibitor provided herein and an effective amount of hydroxyurea. In some embodiments, the method comprises administering to the subject an effective amount of an EHMT2 inhibitor provided herein and an effective amount of L-glutamine. In some embodiments, the method comprises administering to the subject an effective amount of an EHMT2 inhibitor provided herein, an effective amount of hydroxyurea, and an effective amount of L-glutamine.


In some embodiments, a method of the present disclosure further comprises administering to the subject in need thereof a therapeutically effective amount of one or more additional therapeutic agent. In some embodiments, the EHMT2 inhibitor and the one or more therapeutic agent is administered to the subject in temporal proximity, e.g., at the same time, within an hour, two hours, three hours, four hours, five hours, six hours, eight hours, twelve hours, eighteen hours, one day, two days, three days, four days, five days, six days, one week, two weeks, three weeks, or a month of each other; or, where the administration schedule of the EHMT2 inhibitor and/or the one or more additional therapeutic agent is recurrent over a certain period of time (e.g., recurrent (e.g., daily, twice daily, etc.) doses over several days or weeks), the administration schedule of the EHMT2 inhibitor and of the one or more additional therapeutic agent overlap. In some embodiments, the EHMT2 inhibitor and the one or more additional therapeutic agent is administered simultaneously, sequentially, or alternately.


In some embodiments, a method of the present disclosure comprises administering the EHMT2 inhibitor and the one or more additional therapeutic agent simultaneously. In some embodiments, a method of the present disclosure comprises administering the EHMT2 inhibitor and the one or more additional therapeutic agent sequentially. In some embodiments, a method of the present disclosure further comprises administering the EHMT2 inhibitor and the one or more additional therapeutic agent alternately.


In some embodiments, the EHMT2 inhibitor is administered prior to administering one or more additional therapeutic agent. In some embodiments, one or more additional therapeutic agent is administered prior to administering the EHMT2 inhibitor.


In some embodiments, the one or more additional therapeutic agent comprises a standard-of-care agent, a therapeutic agent for a blood disorder, a histone deacetylase (HDAC) inhibitor, a DNA methyltransferase (DNMT) inhibitor or a hypomethylating agent, a BCL11A inhibitor, a KLF inhibitor, a GATA inhibitor, a c-MYB inhibitor, a PRMT1 inhibitor, a PRMT5 inhibitor, a LSD inhibitor, a P-selectin inhibitor, an immunosuppressive agent, an anti-inflammatory agent, an antihistamine, an aromatic L-amino acid decarboxylase (AADC) or DOPA decarboxylase inhibitor, an immunomodulatory drug, an interleukin-1 beta inhibitor, a cell transplant or a cell population transplant, a clinical intervention associated with preparing a subject for a transplantation procedure, a gene or a protein that induces expression of a target gene or to provide and/or express a functional copy of a gene product in a target cell (e.g., in a blood cell), or any combination thereof.


In some embodiments, the one or more additional therapeutic agent comprises a standard-of-care agent for SCD. In some embodiments, the one or more additional therapeutic agent comprises hydroxyurea. In some embodiments, the one or more additional therapeutic agent comprises L-glutamine. Other standard-of-care agents that can be used in combination with the compounds, compositions, or treatment modalities provided herein are disclosed elsewhere herein or will otherwise be apparent to the person of ordinary skill in the art based on the present disclosure. The disclosure is not limited in this respect.


In some embodiments, the one or more additional therapeutic agent comprises a therapeutic agent for a blood disorder. In some embodiments, the one or more additional therapeutic agent comprises a therapeutic agent for anemia, thalassemia, and/or a hemoglobinopathy, e.g., an agent that increases the number of red blood cells, the amount of functional hemoglobin in the blood, and/or the amount of oxygen-bound hemoglobin in the blood. In some embodiments, the one or more additional therapeutic agent comprises BAX-555 (5-HMF-Aes; 5-hydroxymethyl furfural, Aes-103). In some embodiments, the one or more additional therapeutic agent comprises erythropoietin. In some embodiments, the one or more additional therapeutic agent comprises epogen. In some embodiments, the one or more additional therapeutic agent comprises aranesp. In some embodiments, the one or more additional therapeutic agent comprises Procrit. In some embodiments, the one or more additional therapeutic agent comprises epoetin alfa. In some embodiments, the one or more additional therapeutic agent comprises IMR-687. In some embodiments, the one or more additional therapeutic agent comprises GBT440. In some embodiments, the one or more additional therapeutic agent comprises GCSF. In some embodiments, the one or more additional therapeutic agent comprises isobutyramide. In some embodiments, the one or more additional therapeutic agent comprises anticoagulant treatment. In some embodiments, the anticoagulant treatment comprises a heparin treatment, e.g., tinzaparin.


In some embodiments, the one or more additional therapeutic agent comprises a histone deacetylase (HDAC) inhibitor. In some embodiments, the one or more additional therapeutic agent comprises an HDAC1 inhibitor. In some embodiments, the one or more additional therapeutic agent comprises an HDAC2 inhibitor. In some embodiments, the one or more additional therapeutic agent comprises an HDAC3 inhibitor. In some embodiments, the one or more additional therapeutic agent comprises an HD AC 1/2 inhibitor. In some embodiments, the one or more additional therapeutic agent comprises an HDAC1/3 inhibitor. In some embodiments, the one or more additional therapeutic agent comprises an HDAC2/3 inhibitor. In some embodiments, the one or more additional therapeutic agent comprises entinostat. In some embodiments, the one or more additional therapeutic agent comprises vorinostat. In some embodiments, the one or more additional therapeutic agent comprises BG-45.


In some embodiments, the one or more additional therapeutic agent comprises a chemotherapeutic (such as 2CdA, 5-FU, 6-Mercaptopurine, 6-TG, Abraxane™, Accutane®, Actinomycin-D, Adriamycin®, Alimta®, all-trans retinoic acid, amethopterin, Ara-C, Azacitadine, BCNU, Blenoxane®, Camptosar®, CeeNU®, Clofarabine, Clolar™, Cytoxan®, daunorubicin hydrochloride, DaunoXome®, Dacogen®, DIC, Doxil®, Ellence®, Eloxatin®, Emcyt®, etoposide phosphate, Fludara®, FUDR®, Gemzar®, Gleevec®, hexamethylmelamine, Hycamtin®, Hydrea®, Idamycin®, Ifex®, ixabepilone, Ixempra®, L-asparaginase, Leukeran®, liposomal Ara-C, L-PAM, Lysodren, Matulane®, mithracin, Mitomycin-C, Myleran®, Navelbine®, Neutrexin®, nilotinib, Nipent®, Nitrogen Mustard, Novantrone®, Oncaspar®, Panretin®, Paraplatin®, Platinol®, prolifeprospan 20 with carmustine implant, Sandostatin®, Targretin®, Tasigna®, Taxotere®, Temodar®, TESPA, Trisenox®, Valstar®, Velban®, Vidaza™, vincristine sulfate, VM 26, Xeloda® and Zanosar®), biologies (such as Alpha Interferon, Bacillus Calmette-Guerin, Bexxar®, Campath®, Ergamisol®, Erlotinib, Herceptin®, Interieukin-2, Iressa®, lenalidomide, Mylotarg®, Ontak®, Pegasys®, Revlimid®, Rituxan®, Tarceva™, Thalomid®, Velcade® and Zevalin™); a small molecule (such as Tykerb®); a corticosteroid (such as dexamethasone sodium phosphate, DeltaSone® and Delta-Cortef®); a hormonal therapeutic (such as Arimidex®, Aromasin®, Casodex®, Cytadren®, Eligard®, Eulexin®, Evista®, Faslodex®, Femara®, Halotestin®, Megace®, Nilandron®, Nolvadex®, Plenaxis™ and Zoladex®); or a radiopharmaceutical (such as Iodotope®, Metastron®, Phosphocol® and Samarium SM-153).


In some embodiments, the one or more additional therapeutic agent comprises a DNA methyltransferase (DNMT) inhibitor or a hypomethylating agent. In some embodiments, the one or more additional therapeutic agent comprises azacitidine, cytarabine, daunorubicin, decitabine, tetrahydroridine, or any combination thereof. In some embodiments, the one or more additional therapeutic agent comprises azacitidine. In some embodiments, the one or more additional therapeutic agent comprises decitabine. In some embodiments, the one or more additional therapeutic agent comprises decitabine, tetrahydrouridine, or a combination thereof.


In some embodiments, the one or more additional therapeutic agent comprises a BCL11a inhibitor (e.g., a BCL11a inhibitor described in Blood 121 (5).830-839 (2013)). In some embodiments, the one or more additional therapeutic agent comprises a KLF inhibitor (e.g., a KLF inhibitor described in Blood 121 (5) 830-839 (2013)). In some embodiments, the one or more additional therapeutic agent comprises a GATA1 inhibitor. In some embodiments, the one or more additional therapeutic agent comprises a c-MYB inhibitor. In some embodiments, the one or more additional therapeutic agent comprises a PRMT1 inhibitor. In some embodiments, the one or more additional therapeutic agent comprises a PRMT5 inhibitor. In some embodiments, the PRMT1 inhibitors and/or the PRMT5 inhibitor is a PRMT1 inhibitor or a PRMT5 inhibitor described in PCT Application PCT/US2013/77151, filed Dec. 20, 2013; PCT Application PCT/US2013/77221, filed Dec. 20, 2013, PCT Application PCT/US2013/77235, filed Dec. 20, 2013; PCT Application PCT/US2013/77250, filed Dec. 20, 2013; PCT Application PCT/US2013/077308, filed Dec. 20, 2013; PCT Application PCT/US2013/77256, filed Dec. 20, 2013, PCT Application PCT/US2015/037759, filed Jun. 25, 2015; PCT Application PCT/US2015/037768, filed Jun. 25, 2015; PCT Application PCT/US2015/043679, filed Aug. 4, 2015, PCT Application PCT/US2014/029583, filed Mar. 14, 2014; PCT Application PCT/US2014/029710, filed Mar. 14, 2014; PCT Application PCT/US2014/029062, filed Mar. 14, 2014; PCT Application PCT/US2015/050750, filed Sep. 17, 2015, PCT Application PCT/US2014/029009, filed Mar. 14, 2014; PCT Application PCT/US2014/029160, filed Mar. 14, 2014; PCT Application PCT/US2014/029605, filed Mar. 14, 2014; PCT Application PCT/US2014/029665, filed Mar. 14, 2014, PCT Application PCT/US2014/029750, filed Mar. 14, 2014; PCT Application PCT/US2014/029408, filed Mar. 14, 2014; PCT Application PCT/US2015/050675, filed Sep. 17, 2015; PCT Application PCT/US2015/050629, filed Sep. 17, 2015; and/or PCT Application PCT/US2017/016472, filed Feb. 3, 2017, the entire contents of each of which are incorporated herein by reference.


In some embodiments, the one or more additional therapeutic agent comprises a LSD1 inhibitor. In some embodiments, the one or more additional therapeutic agent comprises a P-selectin inhibitor, e.g., a small-molecule P-selectin antagonist or an anti-P-selectin antibody. In some embodiments, the one or more additional therapeutic agent comprises PSI697. In some embodiments, the one or more additional therapeutic agent comprises SelG1 (Crizanlizumab).


In some embodiments, a protein inhibitor described herein (e.g., the BCL11A inhibitor, KLF inhibitor, GATA inhibitor, c-MYB inhibitor, PRMT1 inhibitor, PRMT5 inhibitor, LSD inhibitor, or P-selectin inhibitor) is a small molecule inhibitor. In some embodiments, a protein inhibitor described herein is a nucleic acid mediating protein-targeted RNA interference. For example, in some embodiments, the BCL11a inhibitor is a nucleic acid mediating BCL11a-targeted RNA interference, e.g., a BLC11a-targeted shRNA or siRNA. In some embodiments, a protein inhibitor described herein is an endonuclease that targets a protein-encoding nucleic acid, and mediates a nuclease activity resulting in abolishment or reduction of the protein expression from the protein-encoding nucleic acid. For example, in some embodiments, the BCL11a inhibitor is an endonuclease that targets a BCL11a-encoding nucleic acid, and mediates a nuclease activity resulting in abolishment or reduction of BCL11a expression from the BCL11a-encoding nucleic acid, e.g., a zinc-finger nuclease, a TALE nuclease, or a CRISPR/Cas nuclease. In some embodiments, the one or more additional therapeutic agent comprises a hematopoietic stem cell, e.g., a bone marrow-derived CD34+ cell transduced with a heterologous nucleic acid, e.g., in the form of a viral vector (e.g., a lentiviral vector) encoding a protein inhibitor. For example, in some embodiments, the one or more additional therapeutic agent comprises a hematopoietic stem cell, e.g., a bone marrow-derived CD34+ cell transduced with a heterologous nucleic acid, e.g., in the form of a viral vector (e.g., a lentiviral vector) encoding a BCL11a inhibitor, e.g., encoding a short-hairpin RNA targeting BCL11a or a CRISPR/Cas nuclease targeting BCL11a.


In some embodiments, the one or more additional therapeutic agent comprises an immunosuppressive agent, e.g., an immunosuppressive agent used or useful in the context of an organ or cell transplantation, or in the context of treatment of anemia, e.g., aplastic anemia. In some embodiments, the one or more additional therapeutic agent comprises anti-thymocyte globulin (ATG), e.g., horse- or rabbit-derived ATG. In some embodiments, the one or more additional therapeutic agent comprises cyclosporine, e.g., cyclosporine A. In some embodiments, the one or more additional therapeutic agent comprises mycophenolate mofetil (MMF). In some embodiments, the one or more additional therapeutic agent comprises cyclosporine A and MMF. In some embodiments, the one or more additional therapeutic agent comprises anti-thymocyte globulin (ATG), e.g., derived from horse or rabbit.


In some embodiments, the one or more additional therapeutic agent comprises an anti-inflammatory agent. In some embodiments, the one or more additional therapeutic agent comprises a nonsteroidal anti-inflammatory drug. In some embodiments, the one or more additional therapeutic agent comprises a corticosteroid, e.g., a glucocorticoid. In some embodiments, the one or more additional therapeutic agent comprises prednisone or prednisolone. In some embodiments, the one or more additional therapeutic agent comprises dexamethasone. In some embodiments, the one or more additional therapeutic agent comprises vepoloxamer.


In some embodiments, the one or more additional therapeutic agent comprises an antihistamine. In some embodiments, the antihistamine is an H1 antihistamine. In some embodiments, the antihistamine is desloratidine.


In some embodiments, the one or more additional therapeutic agent comprises an aromatic L-amino acid decarboxylase (AADC) or DOPA decarboxylase inhibitor. In some embodiments, the one or more additional therapeutic agent comprises Benzerazide.


In some embodiments, the one or more additional therapeutic agent comprises an immunomodulatory drug. In some embodiments, the one or more additional therapeutic agent comprises an LSD1-specific inhibitor. In some embodiments, the one or more additional therapeutic agent comprises INCB59872. In some embodiments, the one or more additional therapeutic agent comprises an immune checkpoint inhibitor.


In some embodiments, the one or more additional therapeutic agent comprises an interleukin-1 beta inhibitor. In some embodiments, the one or more additional therapeutic agent comprises Canakinumab.


In some embodiments, the one or more additional therapeutic agent comprises a cell transplant or a cell population transplant, e.g., a blood cell transplant or cell population transplant, or a bone marrow cell transplant or cell population transplant. In some embodiments, the transplant comprises a blood transplant. In some embodiments, the transplant comprises a bone marrow transplant. In some embodiments, the transplant comprises a transplant of a cell population enriched in hematopoietic stem cells. For example, in some embodiments, the transplant comprises the transplant of a cell population enriched in cells expressing CD34 and/or CD133. In some embodiments, the transplant comprises a transplant of a cell population depleted for T-cells or specific sub-populations of T-cells. For example, in some embodiments, the transplant comprises a transplant of a cell population depleted for CD4 and/or CD8 expressing T-cells. In some embodiments, the transplant comprises a transplant of a cell population that is haploidentical with a cell or cell population in the recipient subject, e.g., a haploidentical bone marrow transplant or a haploidentical stem cell transplant. In some embodiments, the transplant comprises a cord blood transplant. In some embodiments, the transplant comprises a transplant of a cell population obtained from cord blood and enriched for CD34 and/or CD133 expressing cells. In some embodiments, the one or more additional therapeutic agent comprises leukapheresis. In some embodiments, the one or more additional therapeutic agent comprises blood transfusion, e.g., whole blood transfusion or transfusion of blood cell populations enriched and/or depleted in certain blood cell subtypes. In some embodiments, the blood transfucion is in the form of a one-time intervention or in the form of a recurring transaction schedule.


In some embodiments, the one or more additional therapeutic agent comprises a clinical intervention associated with preparing a subject for a transplantation procedure. In some embodiments, the one or more additional therapeutic agent comprises a preparative regimen ablating certain cell populations within the recipient subject, e.g., a myeloablative preparative regimen. In some embodiments, the one or more additional therapeutic agent comprises radiotherapy, e.g., total-body irradiation.


In some embodiments, the one or more additional therapeutic agent comprises a stem cell transplant, e.g., a peripheral blood stem cell transplant, a bone marrow transplant, or a hematopoietic stem cell transplant. In some embodiments, the one or more additional therapeutic agent comprises a cell or plasma exchange, e.g., an amicus red cell exchange. In some embodiments, the transplant is an allogeneic transplant. In some embodiments, the transplant is an autologous transplant, e.g., a cell or cell population is obtained from a subject, treated or expanded ex vivo, and then re-administered to the same subject. In some embodiments of an autologous transplant, cells that are obtained from the subject are dedifferentiated, e.g., into a stem cell or stem-cell-like state, e.g., into an embryonic stem (ES) cell-like state or a hematopoietic stem cell state, and then differentiated into a cell type of interest, e.g., from an ES cell-like state into a hematopoietic stem cell state, or from a hematopoietic stem cell state into a peripheral blood cell state, and then returned to the donor subject.


In some embodiments, a cell is obtained from a subject and a genetic defect is corrected ex vivo before the cell is returned to the donor subject. In some embodiments, a cell is obtained from a donor subject, and a nucleic acid encoding a gene product missing or lacking in the cell, e.g., a nucleic acid encoding a functional hemoglobin gene product, or a portion thereof, is introduced into the cell before the cell is returned to the donor subject. In some embodiments, the nucleic acid is introduced into the cell by viral infection, e.g., by lentiviral infection. In some embodiments, the one or more additional therapeutic agent comprises a treatment of a cell or cell population, e.g., a hematopoietic stem cell population, obtained from a subject expressing a dysfunctional version of the HBB gene encoding the beta chain of hemoglobin with LentiGlobin BB305, thus delivering a functional version of the HBB gene encoding the beta chain of hemoglobin to the cells, before returning the cells to the donor subject. In some embodiments, the cells obtained from the donor are enriched for hematopoietic stem cells (e.g., based on their expression of CD34 and/or CD133) before the cells are contacted with the nucleic acid, e.g., in the form of infection by a lentiviral vector. In some embodiments, the nucleic acid delivered to the cells encodes an anti-sickling form of hemoglobin, or a hemoglobin chain characteristic for an anti-sickling form of hemoglobin, e.g., a with a lentiviral beta-AS3-FB vector.


In some embodiments, a cell is obtained from a donor subject, and a gene or allele associated with a disease or disorder is repaired, knocked out, or silenced in the cell, e.g., by delivering a targeted endonuclease (e.g., a TALE nuclease, zinc finger nuclease, or a CRISPR/Cas nuclease to the cell), or an RNA interference agent (e.g., an shRNA or an siRNA) to the cell.


In some embodiments, the one or more additional therapeutic agent comprises a gene or a protein that induces expression of a target gene or to provide and/or express a functional copy of a gene product in a target cell, e.g., in a blood cell. In some embodiments, the one or more additional therapeutic agent comprises an agent that increases or prolongs the expression of fetal hemoglobin. In some embodiments, the one or more additional therapeutic agent comprises a gene or a protein encoding a transcription factor or cell signaling protein involved in the regulation of fetal hemoglobin. In some embodiments, the one or more additional therapeutic agent comprises a gene or a protein that induces or increases expression of TR2/TR4 or members of the direct repeat eryhtroid definitive (DRED) complex. In some embodiments, the one or more additional therapeutic agent comprises a gene or a protein that is an epigenetic regulator of the human beta globin locus LCR. In some embodiments, the one or more additional therapeutic agent comprises a synthetic zinc finger transcriptional activator, e.g., zinc finger gg1-VP64. In some embodiments, the synthetic zinc finger transcriptional activator targets a locus of (i.e. binds to the DNA of) a fetal or adult hemoglobin gene. In some embodiments the synthetic zinc finger transcriptional activator targets a locus of a gene that regulates the production of fetal or adult hemoglobin. In some embodiments, the one or more additional therapeutic agent comprises an adoptive cell therapy agent. In some embodiments, a functional copy of a fetal or adult hemoglobin gene is inserted into at least one cell of a patient. In some embodiments, the cells are hematopoietic stem cells. In some embodiments, the cells are autologous. In some embodiments, the cells are allogenic. In some embodiments, the functional copy of a fetal or adult hemoglobin gene is inserted into the at least one cell of a patient with a viral vector. In some embodiments, the viral vector encodes a functional copy of a fetal or adult hemoglobin gene. In some embodiments, the viral vector is a lentiviral vector. In some embodiments, the one or more additional therapeutic agent comprises LentiGlobin BB305. In some embodiments, the viral vector is an adenovirus vector, adeno-associated vector (AAV), or a retroviral vector. In some embodiments, the functional copy of a fetal or adult hemoglobin gene is inserted into the at least one cell of a patient using genome engineering. In some embodiments, the genome engineering comprises homologous recombination. In some embodiments, the genome engineering comprises a Cas9, a TALEN, a zinc finger nuclease, an endonuclease or a combination thereof. In some embodiments, the genome engineering repairs a genetic lesion in a hemoglobin locus of the patient to restore function to that locus. In certain embodiments, the genome engineering introduces a functional copy of a hemoglobin gene at another location in the genome.


In some embodiments, the one or more additional therapeutic agent comprises 6R-BH4 (sapropterin), A-001 (Varespladib sodium), Abatacept, Abrisentan, Acetaminophen, Acetylcholine, Aes-103 (BAX-555, 5-hydroxymethyl-2-furfural (5-HMF)), Albuterol, Alemtuzumab, alpha-lipoic acid, acetyl-L-camitine, ambrisentan, anti-thymocyte globulin (ATG), Apixaban, Arginine (e.g., arginine butyrate, arginine hydrochloride; continuous or loading,), aspirin, atorvastatin, azacitadine, azithromycin, benzerazide, BG-45, BMD, BPX-501 (rivogenlecleucel), API903 (rimiducid), budesonide, busulfan, busulfex, butyrate, canakinumab, clotrimazole, codeine, cogmed, crizanlizumab, cyclophosphamide (CTX), cyclosporine, dalteparin, decitabine, tetrahydrouridine, deferasirox (ICL670), deferiprone, deferoxamine (DFO), defibrotide, desloratidine, desmopressin, dihydroartemisinin-piperaquine (DP), diphenhydramine, a DNMT inhibitor, docosahexaenoic acid, erythropoietin, hydroxyurea, etinostat, FBS0701, fentanyl citrate, ferriprox, fludarabine, gabapentin, GBT440, GCSF, gene therapy, GMI-1070, granulocyte colony-stimulating factor, GSK1024850A (Synflorix), graft-versus-host-disease (GVHD) prophylaxis, a HDAC inhibitor, a HDAC1/2 inhibitor, HID A, high dose ICA-17043, HQK-1001, hydromorphone, hydroxyurea, a hypomethylating agent, ICL670, ilaris, intravenous immune globulin, IMR-687, a vaccine (e.g., inactivated influenza A (H1N1) virus vaccine), INCB059872, citrulline, magnesium sulfate, isobutyramide, ketamine, LDV/SOF, LentiGlobin BB305, levetiracetam, L-Glutamine, lidocaine, L-NMMA, losartan, low dose ICA-17043, low dose ketamine, an LSD1 inhibitor, macitentan, magnesium pidolate, a TR2/TR4 agonist, a DRED (direct repeat eryhtroid definitive) agonist, a BCL11 inhibitor, a c-MYB inhibitor, a GATA1 inhibitor, a KLF inhibitor, mefloquine, artesunate, melphalan, memantine hydrochloride, meperidine, mesna (e.g., mesnex), metformin, methadone, methotrexate, methylphenidate, methylprednisolone, prednisone, mometasone furcate, montelukast (e.g., in combination with hydroxyurea), morphine, MP4CO, MST-188 (vepoloxamer), mycophenolate mofetil (MMF), N-acetylcysteine (NAC), niacin-ER, NiCord (ex vivo expanded cell graft derived from umbilical cord stem cells), nitric oxide (e.g., by inhalation), nitroglycerin, NKTT120 (NKT Therapeutics), NO-CO (e.g., by inhalation and expiration), nubain (nalbuphine hydrochloride), NVX-508, omega-3 fatty acids, tetrahydrouridine, L-citrulline, oxypurinol, paludrine, folic acid, panobinostat, PDE9i, penicillin, pentostatin, plerixafor, poloxamer 188, pomalidomide, prasugrel, a PRMT1 inhibitor, a PRMT5 inhibitor, proguanil, propranolol, PSI697, a RAS Inhibitors, r-ATG, recombinant-methionyl human stem cell factor, riociguat, rivaroxaban, rivipansel, sangstat, sanguinate, SC411, SCD-101, SCD-Omegatex, SelG1 (crizanlizumab), sevuparin, siklos (hydroxycarbamide), sildenafil, simvastatin, sirolimus, sodium bicarbonate, sodium nitrite, SPD602 (FBS0701, SSP-004184), sulfadoxine pyrimethamine, synthetic zinc finger transcriptional activators, tacrolimus, t-butylhydroquinone, tDCS plus PES, thiotepa, thymoglobulin, ticagrelor, TLI, treosulfan, tritanrix-HepB/Hib, unfractionated heparin. Vaccination (e.g., Polio Sabin, Prevenar, Pneumo 23), vepoloxamer, vitamin D3, vorinostat, or zileuton, or any combination thereof.


In some embodiments, the one or more additional therapeutic agent comprises hydroxyurea. In some embodiments, the one or more additional therapeutic agent comprises L-Glutamine. In some embodiments, the one or more additional therapeutic agent comprises hydroxyurea and L-Glutamine. Additional, non-limiting examples of some embodiments include those, where the one or more additional therapeutic agent comprises alpha-lipoic acid and acetyl-L-camitine; BPX-501 and AP1903; cyclosporine A and MMF; decitabine and tetrahydrouridine, erythropoietin and hydroxyurea; mefloquine and artesunate; methylprednisolone and prednisone (e.g., in the form of a prednisone taper); montelukast and hydroxyurea; decitabine and tetrahydrouridine; paludrine and folic acid; paludrine, folic acid, and jobelyn; simvastatin and t-butylhydroquinone; and sulfadoxine-pyrimethamine and amodiaquine.


In some embodiments, the administration of the EHMT2 inhibitor and the one or more additional therapeutic agent results in a pan-cellular induction of HbF.


In some embodiments, the one or more additional therapeutic agent comprises an HbF inducing agent.


In some embodiments, the HbF inducing agent is not an HbF pan cellular inducing agent.


In some embodiments, the one or more additional therapeutic agent comprises an HbF pan cellular inducing agent.


In some embodiments, the one or more additional therapeutic agent does not comprise an HbF pan cellular inducing agent.


In some embodiments, the one or more additional therapeutic agent comprises hydroxyurea.


In some embodiments, the one or more additional therapeutic agent comprises a Pan-HDAC inhibitor.


In some embodiments, the one or more additional therapeutic agent comprises entinostat, vorinostat, or panobinostat.


In some embodiments, the one or more additional therapeutic agent comprises an HDAC inhibitor.


In some embodiments, the one or more additional therapeutic agent comprises an HDAC 1/2 inhibitor. In some embodiments, the one or more additional therapeutic agent comprises Acethylon ACY-957.


In some embodiments, the one or more additional therapeutic agent comprises an HDAC 3 inhibitor. In some embodiments, the one or more additional therapeutic agent comprises Acethylon BG-45.


In some embodiments, the one or more additional therapeutic agent comprises a DMNT1 inhibitor. In some embodiments, the one or more additional therapeutic agent comprises Decitabine.


In some embodiments, the one or more additional therapeutic agent comprises a Decarboxilase inhibitor. In some embodiments, the one or more additional therapeutic agent comprises Benzerazide.


In some embodiments, the one or more additional therapeutic agent comprises an Immunomodulator. In some embodiments, the one or more additional therapeutic agent comprises Pomalidomide.


In some embodiments, the one or more additional therapeutic agent comprises a FOXO-3 Inducer. In some embodiments, the one or more additional therapeutic agent comprises Metformin.


In some embodiments, the one or more additional therapeutic agent comprises a Phosphodiesterase 9 Inhibitor. In some embodiments, the one or more additional therapeutic agent comprises PDE9.


Exemplary EHMT2 inhibitory compounds suitable for use in the methods of the present disclosure include, without limitation, compounds listed in Tables 1A-1E, 2-4, 4A, and 5, and tautomers and salts thereof.


The compounds of Tables 1A-1E are the compounds found in U.S. Application Nos. 62/323,602, 62/348,837, 62/402,997, and Ser. No. 15/601,888, and PCT Application No. PCT/US2017/027918, the entire contents of which are incorporated herein by reference.










TABLE 1A





Compound



No.
Structure







 1


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 2


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 3


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 4


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 5


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 6


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 7


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 8


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 9


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 11


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 13


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 14


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 15


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 64


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333


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334


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335


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336


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337


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TABLE 1B





Cmpd.



No.
Structure







338


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339


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340


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341


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342


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343


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344


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345


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517a


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517b


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TABLE 1C





Comd.



No.
Structure







270


embedded image







518


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519


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520


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521


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522


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523


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524


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531


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619


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621


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623


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629


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631


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764


embedded image







765


embedded image



















TABLE 1D





Cmpd.



No.
Structure







 784


embedded image







 786


embedded image







 787


embedded image







 788


embedded image







 789


embedded image







 790


embedded image







 791


embedded image







 792


embedded image







 793


embedded image







 794


embedded image







 795


embedded image







 796


embedded image







 797


embedded image







 798


embedded image







 799


embedded image







 800


embedded image







 801


embedded image







 802


embedded image







 803


embedded image







 804


embedded image







 805


embedded image







 806


embedded image







 807


embedded image







 808


embedded image







 809


embedded image







 810


embedded image







 811


embedded image







 812


embedded image







 813


embedded image







 814


embedded image







 815


embedded image







 816


embedded image







 817


embedded image







 820


embedded image







 821


embedded image







 822


embedded image







 823


embedded image







 824


embedded image







 825


embedded image







 826


embedded image







 827


embedded image







 828


embedded image







 832


embedded image







 833


embedded image







 834


embedded image







 836


embedded image







 837


embedded image







 838


embedded image







 839


embedded image







 840


embedded image







 841


embedded image







 842


embedded image







 844


embedded image







 845


embedded image







 846


embedded image







 847


embedded image







 848


embedded image







 849


embedded image







 850


embedded image







 851


embedded image







 852


embedded image







 853


embedded image







 854


embedded image







 855


embedded image







 856


embedded image







 857


embedded image







 858


embedded image







 859


embedded image







 860


embedded image







 861


embedded image







 862


embedded image







 863


embedded image







 864


embedded image







 865


embedded image







 866


embedded image







 867


embedded image







 868


embedded image







 869


embedded image







 870


embedded image







 871


embedded image







 872


embedded image







 873


embedded image







 874


embedded image







 875


embedded image







 876


embedded image







 877


embedded image







 878


embedded image







 879


embedded image







 881


embedded image







 882


embedded image







 883


embedded image







 884


embedded image







 885


embedded image







 886


embedded image







 887


embedded image







 888


embedded image







 890


embedded image







 891


embedded image







 892


embedded image







 893


embedded image







 894


embedded image







 895


embedded image







 896


embedded image







 897


embedded image







 898


embedded image







 899


embedded image







 900


embedded image







 901


embedded image







 902


embedded image







 903


embedded image







 904


embedded image







 905


embedded image







 906


embedded image







 907


embedded image







 908


embedded image







 909


embedded image







 910


embedded image







 911


embedded image







 912


embedded image







 913


embedded image







 914


embedded image







 915


embedded image







 916


embedded image







 917


embedded image







 918


embedded image







 919


embedded image







 920


embedded image







 921


embedded image







 922


embedded image







 927


embedded image







 928


embedded image







 929


embedded image







 930


embedded image







 931


embedded image







 932


embedded image







 933


embedded image







 934


embedded image







 935


embedded image







 936


embedded image







 937


embedded image







 938


embedded image







 939


embedded image







 940


embedded image







 941


embedded image







 942


embedded image







 943


embedded image







 944


embedded image







 945


embedded image







 946


embedded image







 947


embedded image







 948


embedded image







 949


embedded image







 950


embedded image







 951


embedded image







 961


embedded image







 962


embedded image







 963


embedded image







 964


embedded image







 965


embedded image







 966


embedded image







 967


embedded image







 968


embedded image







 969


embedded image







 970


embedded image







 971


embedded image







 972


embedded image







 974


embedded image







 975


embedded image







 976


embedded image







 977


embedded image







 983


embedded image







 985


embedded image







 986


embedded image







 989


embedded image







 990


embedded image







 991


embedded image







 992


embedded image







 993


embedded image







 994


embedded image







 997


embedded image







 998


embedded image







 999


embedded image







1000


embedded image







1001


embedded image







1002


embedded image







1004


embedded image







1005


embedded image







1006


embedded image







1007


embedded image







1008


embedded image







1009


embedded image







1010


embedded image







1011


embedded image







1012


embedded image







1013


embedded image







1014


embedded image







1015


embedded image







1016


embedded image







1017


embedded image







1018


embedded image







1019


embedded image







1020


embedded image







1021


embedded image







1022


embedded image







1023


embedded image







1024


embedded image







1025


embedded image







1026


embedded image







1027


embedded image







1028


embedded image







1029


embedded image







1030


embedded image







1031


embedded image







1032


embedded image







1033


embedded image







1034


embedded image







1035


embedded image







1036


embedded image







1037


embedded image







1038


embedded image







1039


embedded image







1040


embedded image







1041


embedded image







1042


embedded image



















TABLE 1E





Cmpd.



No.
Structure







1043


embedded image







1044


embedded image







1045


embedded image







1046


embedded image







1047


embedded image







1048


embedded image







1049


embedded image







1050


embedded image







1051


embedded image







1052


embedded image







1053


embedded image







1054


embedded image







1055


embedded image







1056


embedded image







1057


embedded image







1058


embedded image







1059


embedded image







1060


embedded image







1061


embedded image







1062


embedded image







1063


embedded image







1064


embedded image







1065


embedded image







1066


embedded image







1067


embedded image







1068


embedded image







1069


embedded image







1070


embedded image







1071


embedded image







1072


embedded image







1073


embedded image







1074


embedded image







1075


embedded image







1076


embedded image







1077


embedded image







1078


embedded image







1079


embedded image







1080


embedded image







1081


embedded image







1082


embedded image







1083


embedded image







1084


embedded image







1085


embedded image







1086


embedded image







1087


embedded image







1088


embedded image







1089


embedded image







1090


embedded image







1091


embedded image







1092


embedded image







1093


embedded image







1094


embedded image







1095


embedded image







1096


embedded image







1097


embedded image







1098


embedded image







1099


embedded image







1100


embedded image







1101


embedded image







1102


embedded image







1103


embedded image







1104


embedded image







1105


embedded image







1106


embedded image







1107


embedded image







1108


embedded image







1109


embedded image







1110


embedded image







1111


embedded image







1112


embedded image







1113


embedded image







1114


embedded image







1115


embedded image







1116


embedded image







1117


embedded image







1118


embedded image


















TABLE 2







The compounds of Table 2 are the compounds found in U.S. Application Nos.


62/402,863 and 62/509,620, and PCT Appr'n No. PCT/US2017/054468,


the entire contents of which are incorporated herein by reference.








Com-



pound



No.
Structure





A1


embedded image







A2


embedded image







A3


embedded image







A4


embedded image







A5


embedded image







A6


embedded image







A7


embedded image







A8


embedded image







A9


embedded image







A10


embedded image







A11


embedded image







A12


embedded image







A13


embedded image







A14


embedded image







A15


embedded image







A16


embedded image







A17


embedded image







A18


embedded image







A19


embedded image







A20


embedded image







A21


embedded image







A22


embedded image







A23


embedded image







A24


embedded image







A25


embedded image







A26


embedded image







A27


embedded image







A28


embedded image







A29


embedded image







A30


embedded image







A31


embedded image







A32


embedded image







A33


embedded image







A34


embedded image







A35


embedded image







A36


embedded image







A37


embedded image







A38


embedded image







A39


embedded image







A40


embedded image







A41


embedded image







A42


embedded image







A43


embedded image







A44


embedded image







A45


embedded image







A46


embedded image







A47


embedded image







A48


embedded image







A49


embedded image







A50


embedded image







A51


embedded image







A52


embedded image







A53


embedded image







A54


embedded image







A55


embedded image







A56


embedded image







A57


embedded image







A58


embedded image







A59


embedded image







A60


embedded image







A61


embedded image







A62


embedded image







A63


embedded image







A64


embedded image







A65


embedded image







A66


embedded image







A67


embedded image







A68


embedded image







A69


embedded image







A70


embedded image







A71


embedded image







A72


embedded image







A73


embedded image







A74


embedded image







A75


embedded image







A76


embedded image







A77


embedded image







A78


embedded image







A79


embedded image







A80


embedded image







A81


embedded image







A82


embedded image







A83


embedded image







A84


embedded image







A85


embedded image







A86


embedded image







A87


embedded image







A88


embedded image







A89


embedded image







A90


embedded image







A91


embedded image







A92


embedded image







A93


embedded image







A94


embedded image







A95


embedded image







A96


embedded image







A97


embedded image







A98


embedded image







A99


embedded image







A100


embedded image







A101


embedded image







A106


embedded image







A107


embedded image







A110


embedded image







A111


embedded image







A112


embedded image







A113


embedded image







A114


embedded image







A115


embedded image







A116


embedded image







A117


embedded image







A118


embedded image







A119


embedded image







A120


embedded image







A121


embedded image







A122


embedded image







A123


embedded image







A124


embedded image







A125


embedded image







A126


embedded image







A127


embedded image







A128


embedded image







A129


embedded image







A130


embedded image







A131


embedded image







A132


embedded image







A133


embedded image







A134


embedded image







A135


embedded image







A136


embedded image







A137


embedded image







A138


embedded image







A139


embedded image







A140


embedded image







A141


embedded image


















TABLE 3







The compounds of Table 3 are the compounds found in U.S. Application Nos. 62/436,139


and 62/517,840, and ITT Application No. PCT/US20170067192, the entire contents of


which are incorporated herein by reference.








Cmpd.



No.
Structure





B1


embedded image







B2


embedded image







B3


embedded image







B4


embedded image







B5


embedded image







B6


embedded image







B7


embedded image







B8


embedded image







B9


embedded image







B10


embedded image







B11


embedded image







B12


embedded image







B13


embedded image







B14


embedded image







B15


embedded image







B16


embedded image







B17


embedded image







B18


embedded image







B19


embedded image







B20


embedded image







B21


embedded image







B22


embedded image







B23


embedded image







B24


embedded image







B25


embedded image







B26


embedded image







B27


embedded image







B28


embedded image







B29


embedded image







B30


embedded image







B31


embedded image







B32


embedded image







B33


embedded image







B34


embedded image







B35


embedded image







B36


embedded image







B37


embedded image







B38


embedded image







B39


embedded image







B40


embedded image







B41


embedded image







B42


embedded image







B43


embedded image







B44


embedded image







B45


embedded image







B46


embedded image







B47


embedded image







B48


embedded image







B49


embedded image







B50


embedded image







B51


embedded image







B52


embedded image







B53


embedded image







B54


embedded image







B55


embedded image







B56


embedded image







B57


embedded image







B58


embedded image







B59


embedded image







B60


embedded image







B61


embedded image







B62


embedded image







B63


embedded image







B64


embedded image







B65


embedded image







B66


embedded image







B67


embedded image







B68


embedded image







B69


embedded image







B70


embedded image







B71


embedded image







B72


embedded image







B73


embedded image







B74


embedded image







B75


embedded image







B76


embedded image







B77


embedded image







B78


embedded image







B79


embedded image







B80


embedded image







B81


embedded image







B82


embedded image







B83


embedded image







B84


embedded image







B85


embedded image







B86


embedded image







B87


embedded image







B88


embedded image







B89


embedded image







B90


embedded image







B91


embedded image







B92


embedded image







B93


embedded image







B94


embedded image







B95


embedded image







B96


embedded image







B97


embedded image







B98


embedded image







B99


embedded image







B100


embedded image







B101


embedded image







B102


embedded image







B103


embedded image







B104


embedded image







B105


embedded image







B106


embedded image







B107


embedded image







B108


embedded image







B109


embedded image







B110


embedded image







B111


embedded image







B112


embedded image







B113


embedded image







B114


embedded image







B115


embedded image







B116


embedded image







B117


embedded image







B118


embedded image







B119


embedded image







B120


embedded image







B121


embedded image







B122


embedded image







B123


embedded image







B124


embedded image







B125


embedded image







B126


embedded image







B127


embedded image







B128


embedded image







B129


embedded image







B130


embedded image







B131


embedded image







B132


embedded image







B133


embedded image







B134


embedded image







B135


embedded image







B136


embedded image







B137


embedded image







B138


embedded image







B139


embedded image







B140


embedded image







B141


embedded image







B142


embedded image







B143


embedded image







B144


embedded image







B145


embedded image







B146


embedded image







B147


embedded image







B148


embedded image







B149


embedded image







B150


embedded image







B151


embedded image







B152


embedded image







B153


embedded image







B154


embedded image







B155


embedded image







B156


embedded image







B157


embedded image







B158


embedded image







B159


embedded image







B160


embedded image







B161


embedded image







B162


embedded image







B163


embedded image







B164


embedded image







B165


embedded image







B166


embedded image







B167


embedded image







B168


embedded image







B169


embedded image







B170


embedded image







B171


embedded image







B172


embedded image







B173


embedded image







B174


embedded image







B175


embedded image







B176


embedded image







B177


embedded image







B178


embedded image







B179


embedded image







B180


embedded image







B181


embedded image







B182


embedded image







B183


embedded image







B184


embedded image







B185


embedded image







B186


embedded image







B187


embedded image







B188


embedded image







B191


embedded image







B192


embedded image







B193


embedded image







B194


embedded image







B195


embedded image







B196


embedded image







B197


embedded image







B198


embedded image







B199


embedded image







B200


embedded image







B201


embedded image







B202


embedded image







B203


embedded image







B204


embedded image







B205


embedded image







B206


embedded image







B207


embedded image







B208


embedded image







B209


embedded image







B210


embedded image







B211


embedded image







B212


embedded image







B213


embedded image







B214


embedded image







B215


embedded image







B216


embedded image







B217


embedded image







B218


embedded image







B219


embedded image







B220


embedded image







B221


embedded image







B222


embedded image







B223


embedded image







B224


embedded image







B225


embedded image







B226


embedded image







B227


embedded image







B228


embedded image







B229


embedded image







B230


embedded image







B231


embedded image







B232


embedded image







B233


embedded image







B234


embedded image







B235


embedded image







B236


embedded image







B237


embedded image







B238


embedded image







B239


embedded image







B240


embedded image







B241


embedded image







B242


embedded image







B243


embedded image







B244


embedded image







B245


embedded image







B246


embedded image







B247


embedded image







B248


embedded image







B249


embedded image







B250


embedded image







B251


embedded image







B252


embedded image







B253


embedded image







B254


embedded image







B255


embedded image







B256


embedded image







B257


embedded image







B258


embedded image







B259


embedded image







B260


embedded image







B261


embedded image







B262


embedded image







B269


embedded image







B271


embedded image







B274


embedded image







B276


embedded image







B277


embedded image







B278


embedded image







B279


embedded image







B280


embedded image







B281


embedded image







B282


embedded image







B283


embedded image







B284


embedded image







B285


embedded image







B286


embedded image







B287


embedded image







B288


embedded image







B289


embedded image







B290


embedded image







B291


embedded image


















TABLE 4







The compounds of Table 4 are the compounds found in U.S. Application No. 62/573,442


and 62/746,495, and PCT Application No. PCT/US2018/056333, the entire contents of


which are incorporated herein by reference.








Compound



No.
Structure





C1


embedded image







C2


embedded image







C3


embedded image







C4


embedded image







C5


embedded image







C6


embedded image







C7


embedded image







C8


embedded image







C9


embedded image







C10


embedded image







C11


embedded image







C12


embedded image







C13


embedded image







C14


embedded image







C15


embedded image







C16


embedded image







C17


embedded image







C18


embedded image







C19


embedded image







C20


embedded image







C21


embedded image







C22


embedded image







C23


embedded image







C24


embedded image







C25


embedded image







C26


embedded image







C27


embedded image







C28


embedded image







C29


embedded image







C30


embedded image







C31


embedded image







C32


embedded image







C33


embedded image







C34


embedded image







C35


embedded image







C36


embedded image







C37


embedded image







C38


embedded image







C39


embedded image







C40


embedded image







C41


embedded image







C42


embedded image







C43


embedded image







C44


embedded image







C45


embedded image







C46


embedded image







C47


embedded image







C48


embedded image







C49


embedded image







C50


embedded image







C51


embedded image







C52


embedded image







C53


embedded image







C54


embedded image







C55


embedded image







C56


embedded image







C57


embedded image







C58


embedded image







C59


embedded image







C60


embedded image







C61


embedded image







C62


embedded image







C63


embedded image







C64


embedded image







C65


embedded image







C66


embedded image







C67


embedded image







C68


embedded image







C69


embedded image







C70


embedded image







C71


embedded image







C72


embedded image







C73


embedded image







C74


embedded image







C75


embedded image







C76


embedded image







C77


embedded image







C78


embedded image







C79


embedded image







C79S


embedded image







C79R


embedded image







C80


embedded image







C80S


embedded image







C80R


embedded image


















TABLE 4A







The compounds of Table 4A are the compounds found in U.S. Application Nos.


62/681,804, 62/746,252, and 62/746,495, and PCT Application No.


PCT/US2018/056333, the entire contents of which are incorporated herein by reference.








Cmpd. No.
Structure





CA1


embedded image







CA2


embedded image







CA2S


embedded image







CA2R


embedded image







CA3


embedded image







CA4


embedded image







CA4S


embedded image







CA4R


embedded image







CA5


embedded image







CA6


embedded image







CA7


embedded image







CA8


embedded image







CA9


embedded image







CA10


embedded image







CA11


embedded image







CA12


embedded image







CA13


embedded image







CA14


embedded image







CA15


embedded image







CA16


embedded image







CA17


embedded image







CA18


embedded image







CA19


embedded image







CA20


embedded image







CA21


embedded image







CA22


embedded image







CA23


embedded image







CA24


embedded image







CA25


embedded image







CA26


embedded image







CA27


embedded image







CA27R


embedded image







CA27S


embedded image







CA28


embedded image







CA28R


embedded image







CA28S


embedded image







CA29


embedded image







CA30


embedded image







CA31


embedded image







CA31S


embedded image







CA31R


embedded image







CA32


embedded image







CA33


embedded image







CA33S


embedded image







CA33R


embedded image







CA34


embedded image







CA35


embedded image







CA35S


embedded image







CA35R


embedded image







CA36


embedded image







CA37


embedded image







CA38


embedded image







CA39


embedded image







CA39S


embedded image







CA39R


embedded image







CA40


embedded image







CA40S


embedded image







CA40R


embedded image







CA41


embedded image







CA41S


embedded image







CA41R


embedded image







CA42


embedded image







CA43


embedded image







CA43S


embedded image







CA43R


embedded image







CA44


embedded image







CA45


embedded image







CA46


embedded image







CA46S


embedded image







CA46R


embedded image







CA47


embedded image







CA48


embedded image







CA49


embedded image







CA50


embedded image







CA51


embedded image







CA52


embedded image







CA52S


embedded image







CA52R


embedded image







CA53


embedded image







CA53S


embedded image







CA53R


embedded image







CA54


embedded image







CA55


embedded image







CA56


embedded image







CA57


embedded image







CA58


embedded image







CA59


embedded image







CA59S


embedded image







CA59R


embedded image







CA60


embedded image







CA61


embedded image







CA62


embedded image







CA63


embedded image







CA64


embedded image







CA65


embedded image







CA66


embedded image







CA67


embedded image







CA68


embedded image







CA69


embedded image







CA70


embedded image







CA71


embedded image







CA72


embedded image







CA72S


embedded image







CA72R


embedded image







CA73


embedded image







CA73S


embedded image







CA73R


embedded image







CA74


embedded image







CA75


embedded image







CA76


embedded image


















TABLE 5







The compounds of Table 5 are the compounds found in U.S. Application No. 62/573,917,


and PCT Application No. PCT/US2018/056428, the entire contents of which are


incorporated herein by reference.








Compound No.
Structure





D1


embedded image







D1R


embedded image







D1S


embedded image







D2


embedded image







D3


embedded image







D4


embedded image







D4R


embedded image







D4S


embedded image







D5


embedded image







D5R


embedded image







D5S


embedded image







D6


embedded image







D7


embedded image











In some embodiments, the EHMT2 inhibitor is a compound selected from Compound Nos. A75, CA51, CA70, D1R, D2, D3, D4R, D5R, D6, and D7, tautomers thereof, pharmaceutically acceptable salts thereof, and pharmaceutically acceptable salts of the tautomers.


In some embodiments, the EHMT2 inhibitor is a compound selected from Compound Nos. A75, CA51, CA70, D1R, D2, D3, D4R, D5R, D6, and D7, and pharmaceutically acceptable salts thereof.


In some embodiments, the EHMT2 inhibitor is a compound selected from Compound Nos. A75, CA51, CA70, D1R, D2, D3, D4R, D5R, D6, and D7.


In some embodiments, the EHMT2 inhibitor is Compound No. A75 or a pharmaceutically acceptable salt thereof.


In some embodiments, the EHMT2 inhibitor is Compound No. A75.


In some embodiments, the EHMT2 inhibitor is Compound No. CAS 1 or a pharmaceutically acceptable salt thereof.


In some embodiments, the EHMT2 inhibitor is Compound No. CAS 1.


In some embodiments, the EHMT2 inhibitor is Compound No. CA70 or a pharmaceutically acceptable salt thereof.


In some embodiments, the EHMT2 inhibitor is Compound No. CA70.


In some embodiments, the EHMT2 inhibitor is Compound No. D1R or a pharmaceutically acceptable salt thereof.


In some embodiments, the EHMT2 inhibitor is Compound No. D1R.


In some embodiments, the EHMT2 inhibitor is Compound No. D2 or a pharmaceutically acceptable salt thereof.


In some embodiments, the EHMT2 inhibitor is Compound No. D2


In some embodiments, the EHMT2 inhibitor is Compound No. D3 or a pharmaceutically acceptable salt thereof.


In some embodiments, the EHMT2 inhibitor is Compound No. D3.


In some embodiments, the EHMT2 inhibitor is Compound No. D4R or a pharmaceutically acceptable salt thereof.


In some embodiments, the EHMT2 inhibitor is Compound No. D4R.


In some embodiments, the EHMT2 inhibitor is Compound No. D5R or a pharmaceutically acceptable salt thereof.


In some embodiments, the EHMT2 inhibitor is Compound No. D5R.


In some embodiments, the EHMT2 inhibitor is Compound No. D6 or a pharmaceutically acceptable salt thereof.


In some embodiments, the EHMT2 inhibitor is Compound No. D6.


In some embodiments, the EHMT2 inhibitor is Compound No. D7 or a pharmaceutically acceptable salt thereof.


In some embodiments, the EHMT2 inhibitor is Compound No. D7.


As used herein, “alkyl”, “C1, C2, C3, C4, C5 or C6 alkyl” or “C1-C6 alkyl” is intended to include C1, C2, C3, C4, C5 or C6 straight chain (linear) saturated aliphatic hydrocarbon groups and C3, C4, C5 or C6 branched saturated aliphatic hydrocarbon groups. For example, C1-C6 alkyl is intended to include C1, C2, C3, C4, C5 and C6 alkyl groups. Examples of alkyl include, moieties having from one to six carbon atoms, such as, but not limited to, methyl, ethyl, n-propyl, i-propyl, n-butyl, s-butyl, t-butyl, n-pentyl, s-pentyl or n-hexyl.


In certain embodiments, a straight chain or branched alkyl has six or fewer carbon atoms (e.g., C1-C6 for straight chain, C3-C6 for branched chain), and in another embodiment, a straight chain or branched alkyl has four or fewer carbon atoms.


As used herein, the term “cycloalkyl” refers to a saturated or unsaturated nonaromatic hydrocarbon mono- or multi-ring (e.g., fused, bridged, or spiro rings) system having 3 to 30 carbon atoms (e.g., C3-C12, C3-C10, or C3-C8). Examples of cycloalkyl include, but are not limited to, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclooctyl, cyclopentenyl, cyclohexenyl, cycloheptenyl, 1,2,3,4-tetrahydronaphthalenyl, and adamantyl.


The term “heterocycloalkyl” refers to a saturated, partially unsaturated, or unsaturated nonaromatic 3-8 membered monocyclic, 7-12 membered bicyclic (fused, bridged, or spiro rings), or 11-14 membered tricyclic ring system (fused, bridged, or spiro rings) having one or more heteroatoms (such as O, N, S, P, or Se), e.g., 1 or 1-2 or 1-3 or 1-4 or 1-5 or 1-6 heteroatoms, or e.g., 1, 2, 3, 4, 5, or 6 heteroatoms, independently selected from the group consisting of nitrogen, oxygen and sulfur, unless specified otherwise. Examples of heterocycloalkyl groups include, but are not limited to, piperidinyl, piperazinyl, pyrrolidinyl, dioxanyl, tetrahydrofuranyl, isoindolinyl, indolinyl, imidazolidinyl, pyrazolidinyl, oxazolidinyl, isoxazolidinyl, triazolidinyl, oxiranyl, azetidinyl, oxetanyl, thietanyl, 1,2,3,6-tetrahydropyridinyl, tetrahydropyranyl, dihydropyranyl, pyranyl, morpholinyl, tetrahydrothiopyranyl, 1,4-diazepanyl, 1,4-oxazepanyl, 2-oxa-5-azabicyclo[2.2.1]heptanyl, 2,5-diazabicyclo[2.2.1]heptanyl, 2-oxa-6-azaspiro[3.3]heptanyl, 2,6-diazaspiro[3.3]heptanyl, 1,4-dioxa-8-azaspiro[4.5]decanyl, 1,4-dioxaspiro[4.5]decanyl, 1-oxaspiro[4.5]decanyl, l-azaspiro[4.5]decanyl, 3′H-spiro[cyclohexane-1,1′-isobenzofuran]-yl, 7′H-spiro[cyclohexane-1,5′-furo[3,4-b]pyridin]-yl, 3′H-spiro[cyclohexane-1,1′-furo[3,4-c]pyridin]-yl, 3-azabicyclo[3.1.0]hexanyl, 3-azabicyclo[3.1.0]hexan-3-yl, 1,4,5,6-tetrahydropyrrolo[3,4-c]pyrazolyl, 3,4,5,6,7,8-hexahydropyrido[4,3-d]pyrimidinyl, 4,5,6,7-tetrahydro-1H-pyrazolo[3,4-c]pyridinyl, 5,6,7,8-tetrahydropyrido[4,3-d]pyrimidinyl, 2-azaspiro[3.3]heptanyl, 2-methyl-2-azaspiro[3.3]heptanyl, 2-azaspiro[3.5]nonanyl, 2-methyl-2-azaspiro[3.5]nonanyl, 2-azaspiro[4.5]decanyl, 2-methyl-2-azaspiro[4.5]decanyl, 2-oxa-azaspiro[3.4]octanyl, 2-oxa-azaspiro[3.4]octan-6-yl, and the like. In the case of multicyclic non-aromatic rings, only one of the rings needs to be non-aromatic (e.g., 1,2,3,4-tetrahydronaphthalenyl or 2,3-dihydroindole).


The term “optionally substituted alkyl” refers to unsubstituted alkyl or alkyl having designated substituents replacing one or more hydrogen atoms on one or more carbons of the hydrocarbon backbone. Such substituents can include, for example, alkyl, alkenyl, alkynyl, halogen, hydroxyl, alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate, alkylcarbonyl, arylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylaminocarbonyl, dialkylaminocarbonyl, alkylthiocarbonyl, alkoxyl, phosphate, phosphonato, phosphinato, amino (including alkylamino, dialkylamino, arylamino, diarylamino and alkylarylamino), acylamino (including alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfhydryl, alkylthio, arylthio, thiocarboxylate, sulfates, alkylsulfinyl, sulfonato, sulfamoyl, sulfonamido, nitro, trifluoromethyl, cyano, azido, heterocyclyl, alkylaryl, or an aromatic or heteroaromatic moiety.


As used herein, “alkyl linker” or “alkylene linker” is intended to include C1, C2, C3, C4, C5 or C6 straight chain (linear) saturated divalent aliphatic hydrocarbon groups and C3, C4, C5 or C6 branched saturated aliphatic hydrocarbon groups. For example, C1-C6 alkylene linker is intended to include C1, C2, C3, C4, C5 and C6 alkylene linker groups. Examples of alkylene linker include, moieties having from one to six carbon atoms, such as, but not limited to, methyl (—CH2—), ethyl (—CH2CH2—), n-propyl (—CH2CH2CH2—), i-propyl (—CHCH3CH2—), n-butyl (—CH2CH2CH2CH2—), s-butyl (—CHCH3CH2CH2—), i-butyl (—C(CH3)2CH2—), n-pentyl (—CH2CH2CH2CH2CH2—), s-pentyl (—CHCH3CH2CH2CH2—) or n-hexyl (—CH2CH2CH2CH2CH2CH2—).


“Alkenyl” includes unsaturated aliphatic groups analogous in length and possible substitution to the alkyls described above, but that contain at least one double bond. For example, the term “alkenyl” includes straight chain alkenyl groups (e.g., ethenyl, propenyl, butenyl, pentenyl, hexenyl, heptenyl, octenyl, nonenyl, decenyl), and branched alkenyl groups.


In certain embodiments, a straight chain or branched alkenyl group has six or fewer carbon atoms in its backbone (e.g., C2-C6 for straight chain, C3-C6 for branched chain). The term “C2-C6” includes alkenyl groups containing two to six carbon atoms. The term “C3-C6” includes alkenyl groups containing three to six carbon atoms.


The term “optionally substituted alkenyl” refers to unsubstituted alkenyl or alkenyl having designated substituents replacing one or more hydrogen atoms on one or more hydrocarbon backbone carbon atoms. Such substituents can include, for example, alkyl, alkenyl, alkynyl, halogen, hydroxyl, alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate, alkylcarbonyl, arylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylaminocarbonyl, dialkylaminocarbonyl, alkylthiocarbonyl, alkoxyl, phosphate, phosphonato, phosphinato, amino (including alkylamino, dialkylamino, arylamino, diarylamino and alkylarylamino), acylamino (including alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfhydryl, alkylthio, arylthio, thiocarboxylate, sulfates, alkylsulfinyl, sulfonato, sulfamoyl, sulfonamide, nitro, trifluoromethyl, cyano, heterocyclyl, alkylaryl, or an aromatic or heteroaromatic moiety.


“Alkynyl” includes unsaturated aliphatic groups analogous in length and possible substitution to the alkyls described above, but which contain at least one triple bond. For example, “alkynyl” includes straight chain alkynyl groups (e.g., ethynyl, propynyl, butynyl, pentynyl, hexynyl, heptynyl, octynyl, nonynyl, decynyl), and branched alkynyl groups. In certain embodiments, a straight chain or branched alkynyl group has six or fewer carbon atoms in its backbone (e.g., C2-C6 for straight chain, C3-C6 for branched chain). The term “C2-C6” includes alkynyl groups containing two to six carbon atoms. The term “C3-C6” includes alkynyl groups containing three to six carbon atoms. As used herein, “C2-C6 alkenylene linked” or “C2-C6 alkynylene linker” is intended to include C2, C3, C4, C5 or C6 chain (linear or branched) divalent unsaturated aliphatic hydrocarbon groups. For example, C2-C6 alkenylene linker is intended to include C2, C3, C4, C5 and C6 alkenylene linker groups.


The term “optionally substituted alkynyl” refers to unsubstituted alkynyl or alkynyl having designated substituents replacing one or more hydrogen atoms on one or more hydrocarbon backbone carbon atoms. Such substituents can include, for example, alkyl, alkenyl, alkynyl, halogen, hydroxyl, alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate, alkylcarbonyl, arylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylaminocarbonyl, dialkylaminocarbonyl, alkylthiocarbonyl, alkoxyl, phosphate, phosphonato, phosphinato, amino (including alkylamino, dialkylamino, arylamino, diarylamino and alkylarylamino), acylamino (including alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfhydryl, alkylthio, arylthio, thiocarboxylate, sulfates, alkylsulfinyl, sulfonate, sulfamoyl, sulfonamide, nitro, trifluoromethyl, cyano, azido, heterocyclyl, alkylaryl, or an aromatic or heteroaromatic moiety.


Other optionally substituted moieties (such as optionally substituted cycloalkyl, heterocycloalkyl, aryl, or heteroaryl) include both the unsubstituted moieties and the moieties having one or more of the designated substituents. For example, substituted heterocycloalkyl includes those substituted with one or more alkyl groups, such as 2,2,6,6-tetramethyl-piperidinyl and 2,2,6,6-tetramethyl-1,2,3,6-tetrahydropyridinyl.


“Aryl” includes groups with aromaticity, including “conjugated,” or multicyclic systems with one or more aromatic rings and do not contain any heteroatom in the ring structure. Examples include phenyl, naphthalenyl, etc.


“Heteroaryl” groups are aryl groups, as defined above, except having from one to four heteroatoms in the ring structure, and may also be referred to as “aryl heterocycles” or “heteroaromatics.” As used herein, the term “heteroaryl” is intended to include a stable 5-, 6-, or 7-membered monocyclic or 7-, 8-, 9-, 10-, 11- or 12-membered bicyclic aromatic heterocyclic ring which consists of carbon atoms and one or more heteroatoms, e.g., 1 or 1-2 or 1-3 or 1-4 or 1-5 or 1-6 heteroatoms, or e.g., 1, 2, 3, 4, 5, or 6 heteroatoms, independently selected from the group consisting of nitrogen, oxygen and sulfur. The nitrogen atom may be substituted or unsubstituted (i.e., N or NR wherein R is H or other substituents, as defined). The nitrogen and sulfur heteroatoms may optionally be oxidized (i.e., N→O and S(O)p, where p=1 or 2). It is to be noted that total number of S and O atoms in the aromatic heterocycle is not more than 1.


Examples of heteroaryl groups include pyrrole, furan, thiophene, thiazole, isothiazole, imidazole, triazole, tetrazole, pyrazole, oxazole, isoxazole, pyridine, pyrazine, pyridazine, pyrimidine, and the like.


Furthermore, the terms “aryl” and “heteroaryl” include multi cyclic aryl and heteroaryl groups, e.g., tricyclic, bicyclic, e.g., naphthalene, benzoxazole, benzodioxazole, benzothiazole, benzoimidazole, benzothiophene, quinoline, isoquinoline, naphthrydine, indole, benzofuran, purine, benzofuran, deazapurine, indolizine.


The cycloalkyl, heterocycloalkyl, aryl, or heteroaryl ring can be substituted at one or more ring positions (e.g., the ring-forming carbon or heteroatom such as N) with such substituents as described above, for example, alkyl, alkenyl, alkynyl, halogen, hydroxyl, alkoxy, alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate, alkylcarbonyl, alkylaminocarbonyl, aralkylaminocarbonyl, alkenylaminocarbonyl, alkylcarbonyl, arylcarbonyl, aralkyl carbonyl, alkenylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylthiocarbonyl, phosphate, phosphonato, phosphinato, amino (including alkylamino, dialkylamino, arylamino, diarylamino and alkylarylamino), acylamino (including alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfhydryl, alkylthio, arylthio, thiocarboxylate, sulfates, alkylsulfinyl, sulfonato, sulfamoyl, sulfonamide, nitro, trifluoromethyl, cyano, azido, heterocyclyl, alkylaryl, or an aromatic or heteroaromatic moiety. Aryl and heteroaryl groups can also be fused or bridged with alicyclic or heterocyclic rings, which are not aromatic so as to form a multi cyclic system (e.g., tetralin, methylenedioxyphenyl such as benzo[d][1,3]dioxole-5-yl).


As used herein, “carbocycle” or “carbocyclic ring” is intended to include any stable monocyclic, bicyclic or tricyclic ring having the specified number of carbons, any of which may be saturated, unsaturated, or aromatic. Carbocycle includes cycloalkyl and aryl. For example, a C3-C14 carbocycle is intended to include a monocyclic, bicyclic or tricyclic ring having 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13 or 14 carbon atoms. Examples of carbocycles include, but are not limited to, cyclopropyl, cyclobutyl, cyclobutenyl, cyclopentyl, cyclopentenyl, cyclohexyl, cycloheptenyl, cycloheptyl, cycloheptenyl, adamantyl, cyclooctyl, cyclooctenyl, cyclooctadienyl, fluorenyl, phenyl, naphthyl, indanyl, adamantyl and tetrahydronaphthyl. Bridged rings are also included in the definition of carbocycle, including, for example, [3.3.0]bicyclooctane, [4.3.0]bicyclononane, and [4.4.0] bicyclodecane and [2.2.2] bicyclooctane. A bridged ring occurs when one or more carbon atoms link two non-adjacent carbon atoms. In some embodiments, bridge rings are one or two carbon atoms. It is noted that a bridge always converts a monocyclic ring into a tricyclic ring. When a ring is bridged, the substituents recited for the ring may also be present on the bridge. Fused (e.g., naphthyl, tetrahydronaphthyl) and spiro rings are also included.


As used herein, “heterocycle” or “heterocyclic group” includes any ring structure (saturated, unsaturated, or aromatic) which contains at least one ring heteroatom (e.g., 1-4 heteroatoms selected from N, O and S). Heterocycle includes heterocycloalkyl and heteroaryl. Examples of heterocycles include, but are not limited to, morpholine, pyrrolidine, tetrahydrothiophene, piperidine, piperazine, oxetane, pyran, tetrahydropyran, azetidine, and tetrahydrofuran.


Examples of heterocyclic groups include, but are not limited to, acridinyl, azocinyl, benzimidazolyl, benzofuranyl, benzothiofuranyl, benzothiophenyl, benzoxazolyl, benzoxazolinyl, benzthiazolyl, benztriazolyl, benztetrazolyl, benzisoxazolyl, benzisothiazolyl, benzimidazolinyl, carbazolyl, 4aH-carbazolyl, carbolinyl, chromanyl, chromenyl, cinnolinyl, decahydroquinolinyl, 2H,6H-1,5,2-dithiazinyl, dihydrofuro[2,3-b]tetrahydrofuran, furanyl, furazanyl, imidazolidinyl, imidazolinyl, imidazolyl, 1H-indazolyl, indolenyl, indolinyl, indolizinyl, indolyl, 3H-indolyl, isatinoyl, isobenzofuranyl, isochromanyl, isoindazolyl, isoindolinyl, isoindolyl, isoquinolinyl, isothiazolyl, isoxazolyl, methylenedioxyphenyl (e.g., benzo[d][1,3]dioxole-5-yl), morpholinyl, naphthyridinyl, octahydroisoquinolinyl, oxadiazolyl, 1,2,3-oxadiazolyl, 1,2,4-oxadiazolyl, 1,2,5-oxadiazolyl, 1,3,4-oxadiazolyl, 1,2,4-oxadiazol5(4H)-one, oxazolidinyl, oxazolyl, oxindolyl, pyrimidinyl, phenanthridinyl, phenanthrolinyl, phenazinyl, phenothiazinyl, phenoxathinyl, phenoxazinyl, phthalazinyl, piperazinyl, piperidinyl, piperidonyl, 4-piperidonyl, piperonyl, pteridinyl, purinyl, pyranyl, pyrazinyl, pyrazolidinyl, pyrazolinyl, pyrazolyl, pyridazinyl, pyridooxazole, pyridoimidazole, pyridothiazole, pyridinyl, pyridyl, pyrimidinyl, pyrrolidinyl, pyrrolinyl, 2H-pyrrolyl, pyrrolyl, quinazolinyl, quinolinyl, 4H-quinolizinyl, quinoxalinyl, quinuclidinyl, tetrahydrofuranyl, tetrahydroisoquinolinyl, tetrahydroquinolinyl, tetrazolyl, 6H-1,2,5-thiadiazinyl, 1,2,3-thiadiazolyl, 1,2,4-thiadiazolyl, 1,2,5-thiadiazolyl, 1,3,4-thiadiazolyl, thianthrenyl, thiazolyl, thienyl, thienothiazolyl, thienooxazolyl, thienoimidazolyl, thiophenyl, triazinyl, 1,2,3-triazolyl, 1,2,4-triazolyl, 1,2,5-triazolyl, 1,3,4-triazolyl and xanthenyl.


The term “substituted,” as used herein, means that any one or more hydrogen atoms on the designated atom is replaced with a selection from the indicated groups, provided that the designated atom's normal valency is not exceeded, and that the substitution results in a stable compound. When a substituent is oxo or keto (i.e., ═O), then 2 hydrogen atoms on the atom are replaced. Keto substituents are not present on aromatic moieties. Ring double bonds, as used herein, are double bonds that are formed between two adjacent ring atoms (e.g., C═C, C═N or N═N). “Stable compound” and “stable structure” are meant to indicate a compound that is sufficiently robust to survive isolation to a useful degree of purity from a reaction mixture, and formulation into an efficacious therapeutic agent.


When a bond to a substituent is shown to cross a bond connecting two atoms in a ring, then such substituent may be bonded to any atom in the ring. When a substituent is listed without indicating the atom via which such substituent is bonded to the rest of the compound of a given formula, then such substituent may be bonded via any atom in such formula. Combinations of substituents and/or variables are permissible, but only if such combinations result in stable compounds.


When any variable (e.g., R) occurs more than one time in any constituent or formula for a compound, its definition at each occurrence is independent of its definition at every other occurrence. Thus, for example, if a group is shown to be substituted with 0-2 R moieties, then the group may optionally be substituted with up to two R moieties and R at each occurrence is selected independently from the definition of R. Also, combinations of substituents and/or variables are permissible, but only if such combinations result in stable compounds.


The term “hydroxy” or “hydroxyl” includes groups with an —OH or —O.


As used herein, “halo” or “halogen” refers to fluoro, chloro, bromo and iodo. The term “perhalogenated” generally refers to a moiety wherein all hydrogen atoms are replaced by halogen atoms. The term “haloalkyl” or “haloalkoxyl” refers to an alkyl or alkoxyl substituted with one or more halogen atoms.


The term “carbonyl” includes compounds and moieties which contain a carbon connected with a double bond to an oxygen atom. Examples of moieties containing a carbonyl include, but are not limited to, aldehydes, ketones, carboxylic acids, amides, esters, anhydrides, etc.


The term “carboxyl” refers to —COOH or its C1-C6 alkyl ester.


“Acyl” includes moieties that contain the acyl radical (R—C(O)—) or a carbonyl group. “Substituted acyl” includes acyl groups where one or more of the hydrogen atoms are replaced by, for example, alkyl groups, alkynyl groups, halogen, hydroxyl, alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate, alkylcarbonyl, arylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylaminocarbonyl, dialkylaminocarbonyl, alkylthiocarbonyl, alkoxyl, phosphate, phosphonato, phosphinato, amino (including alkylamino, dialkylamino, arylamino, diarylamino and alkylarylamino), acylamino (including alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfhydryl, alkylthio, arylthio, thiocarboxylate, sulfates, alkylsulfinyl, sulfonato, sulfamoyl, sulfonamide, nitro, trifluoromethyl, cyano, azido, heterocyclyl, alkylaryl, or an aromatic or heteroaromatic moiety.


“Aroyl” includes moieties with an aryl or heteroaromatic moiety bound to a carbonyl group. Examples of aroyl groups include phenylcarboxy, naphthyl carboxy, etc.


“Alkoxyalkyl,” “alkylaminoalkyl,” and “thioalkoxyalkyl” include alkyl groups, as described above, wherein oxygen, nitrogen, or sulfur atoms replace one or more hydrocarbon backbone carbon atoms.


The term “alkoxy” or “alkoxyl” includes substituted and unsubstituted alkyl, alkenyl and alkynyl groups covalently linked to an oxygen atom. Examples of alkoxy groups or alkoxyl radicals include, but are not limited to, methoxy, ethoxy, isopropyloxy, propoxy, butoxy and pentoxy groups. Examples of substituted alkoxy groups include halogenated alkoxy groups. The alkoxy groups can be substituted with groups such as alkenyl, alkynyl, halogen, hydroxyl, alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate, alkylcarbonyl, arylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylaminocarbonyl, dialkylaminocarbonyl, alkylthiocarbonyl, alkoxyl, phosphate, phosphonato, phosphinato, amino (including alkylamino, dialkylamino, arylamino, diarylamino, and alkylarylamino), acylamino (including alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfhydryl, alkylthio, arylthio, thiocarboxylate, sulfates, alkylsulfinyl, sulfonato, sulfamoyl, sulfonamido, nitro, trifluoromethyl, cyano, azido, heterocyclyl, alkylaryl, or an aromatic or heteroaromatic moieties. Examples of halogen substituted alkoxy groups include, but are not limited to, fluoromethoxy, difluoromethoxy, trifluoromethoxy, chloromethoxy, dichloromethoxy and trichloromethoxy.


The term “ether” or “alkoxy” includes compounds or moieties which contain an oxygen bonded to two carbon atoms or heteroatoms. For example, the term includes “alkoxyalkyl,” which refers to an alkyl, alkenyl, or alkynyl group covalently bonded to an oxygen atom which is covalently bonded to an alkyl group.


The term “ester” includes compounds or moieties which contain a carbon or a heteroatom bound to an oxygen atom which is bonded to the carbon of a carbonyl group. The term “ester” includes alkoxycarboxy groups such as methoxycarbonyl, ethoxy carbonyl, propoxycarbonyl, butoxycarbonyl, pentoxycarbonyl, etc.


The term “thioalkyl” includes compounds or moieties which contain an alkyl group connected with a sulfur atom. The thioalkyl groups can be substituted with groups such as alkyl, alkenyl, alkynyl, halogen, hydroxyl, alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate, carboxyacid, alkylcarbonyl, arylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylaminocarbonyl, dialkylaminocarbonyl, alkylthiocarbonyl, alkoxyl, amino (including alkylamino, dialkylamino, arylamino, diarylamino and alkylarylamino), acylamino (including alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfhydryl, alkylthio, arylthio, thiocarboxylate, sulfates, alkylsulfinyl, sulfonato, sulfamoyl, sulfonamido, nitro, trifluoromethyl, cyano, azido, heterocyclyl, alkylaryl, or an aromatic or heteroaromatic moieties.


The term “thiocarbonyl” or “thiocarboxy” includes compounds and moieties which contain a carbon connected with a double bond to a sulfur atom.


The term “thioether” includes moieties which contain a sulfur atom bonded to two carbon atoms or heteroatoms. Examples of thioethers include, but are not limited to alkthioalkyls, alkthioalkenyls, and alkthioalkynyls. The term “alkthioalkyls” include moieties with an alkyl, alkenyl, or alkynyl group bonded to a sulfur atom which is bonded to an alkyl group. Similarly, the term “alkthioalkenyls” refers to moieties wherein an alkyl, alkenyl or alkynyl group is bonded to a sulfur atom which is covalently bonded to an alkenyl group, and alkthioalkynyls” refers to moieties wherein an alkyl, alkenyl or alkynyl group is bonded to a sulfur atom which is covalently bonded to an alkynyl group.


As used herein, “amine” or “amino” refers to —NH2. “Alkylamino” includes groups of compounds wherein the nitrogen of —NH2 is bound to at least one alkyl group. Examples of alkylamino groups include benzylamino, methylamino, ethylamino, phenethylamino, etc. “Dialkylamino” includes groups wherein the nitrogen of —NH2 is bound to two alkyl groups. Examples of dialkylamino groups include, but are not limited to, dimethylamino and diethylamino. “Arylamino” and “diarylamino” include groups wherein the nitrogen is bound to at least one or two aryl groups, respectively. “Aminoaryl” and “aminoaryloxy” refer to aryl and aryloxy substituted with amino. “Alkylarylamino,” “alkylaminoaryl” or “arylaminoalkyl” refers to an amino group which is bound to at least one alkyl group and at least one aryl group. “Alkaminoalkyl” refers to an alkyl, alkenyl, or alkynyl group bound to a nitrogen atom which is also bound to an alkyl group. “Acylamino” includes groups wherein nitrogen is bound to an acyl group. Examples of acylamino include, but are not limited to, alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido groups.


The term “amide” or “aminocarboxy” includes compounds or moieties that contain a nitrogen atom that is bound to the carbon of a carbonyl or a thiocarbonyl group. The term includes “alkaminocarboxy” groups that include alkyl, alkenyl or alkynyl groups bound to an amino group which is bound to the carbon of a carbonyl or thiocarbonyl group. It also includes “arylaminocarboxy” groups that include aryl or heteroaryl moieties bound to an amino group that is bound to the carbon of a carbonyl or thiocarbonyl group. The terms “alkylaminocarboxy”, “alkenylaminocarboxy”, “alkynylaminocarboxy” and “arylaminocarboxy” include moieties wherein alkyl, alkenyl, alkynyl and aryl moieties, respectively, are bound to a nitrogen atom which is in turn bound to the carbon of a carbonyl group. Amides can be substituted with substituents such as straight chain alkyl, branched alkyl, cycloalkyl, aryl, heteroaryl or heterocycle. Substituents on amide groups may be further substituted.


Compounds of the present disclosure that contain nitrogens can be converted to N-oxides by treatment with an oxidizing agent (e.g., 3-chloroperoxybenzoic acid (mCPBA) and/or hydrogen peroxides) to afford other compounds of the present disclosure. Thus, all shown and claimed nitrogen-containing compounds are considered, when allowed by valency and structure, to include both the compound as shown and its N-oxide derivative (which can be designated as N→O or N+—O). Furthermore, in other instances, the nitrogens in the compounds of the present disclosure can be converted to N-hydroxy or N-alkoxy compounds. For example, N-hydroxy compounds can be prepared by oxidation of the parent amine by an oxidizing agent such as m-CPBA. All shown and claimed nitrogen-containing compounds are also considered, when allowed by valency and structure, to cover both the compound as shown and its N-hydroxy (i.e., N—OH) and N-alkoxy (i.e., N—OR, wherein R is substituted or unsubstituted C1-C6 alkyl, C1-C6 alkenyl, C1-C6 alkynyl, 3-14-membered carbocycle or 3-14-membered heterocycle) derivatives.


In the present specification, the structural formula of the compound represents a certain isomer for convenience in some cases, but the present disclosure includes all isomers, such as geometrical isomers, optical isomers based on an asymmetrical carbon, stereoisomers, tautomers, and the like, it being understood that not all isomers may have the same level of activity. In addition, a crystal polymorphism may be present for the compounds represented by the formula. It is noted that any crystal form, crystal form mixture, or anhydride or hydrate thereof is included in the scope of the present disclosure.


“Isomerism” means compounds that have identical molecular formulae but differ in the sequence of bonding of their atoms or in the arrangement of their atoms in space. Isomers that differ in the arrangement of their atoms in space are termed “stereoisomers.” Stereoisomers that are not mirror images of one another are termed “diastereoisomers,” and stereoisomers that are non-superimposable mirror images of each other are termed “enantiomers” or sometimes optical isomers. A mixture containing equal amounts of individual enantiomeric forms of opposite chirality is termed a “racemic mixture.”


A carbon atom bonded to four nonidentical substituents is termed a “chiral center.”


“Chiral isomer” means a compound with at least one chiral center. Compounds with more than one chiral center may exist either as an individual diastereomer or as a mixture of diastereomers, termed “diastereomeric mixture.” When one chiral center is present, a stereoisomer may be characterized by the absolute configuration (R or S) of that chiral center. Absolute configuration refers to the arrangement in space of the substituents attached to the chiral center. The substituents attached to the chiral center under consideration are ranked in accordance with the Sequence Rule of Cahn, Ingold and Prelog. (Cahn et al., Angew. Chem. Inter. Edit. 1966, 5, 385; errata 511, Cahn et al., Angew. Chem. 1966, 78, 413, Cahn and Ingold, J. Chem. Soc. 1951 (London), 612; Cahn et al., Experientia 1956, 12, 81; Cahn, J. Chem. Educ. 1964, 41, 116).


“Geometric isomer” means the diastereomers that owe their existence to hindered rotation about double bonds or a cycloalkyl linker (e.g., 1,3-cyclobutyl). These configurations are differentiated in their names by the prefixes cis and trans, or Z and E, which indicate that the groups are on the same or opposite side of the double bond in the molecule according to the Cahn-Ingold-Prelog rules.


It is to be understood that the compounds of the present disclosure may be depicted as different chiral isomers or geometric isomers. It should also be understood that when compounds have chiral isomeric or geometric isomeric forms, all isomeric forms are intended to be included in the scope of the present disclosure, and the naming of the compounds does not exclude any isomeric forms, it being understood that not all isomers may have the same level of activity.


Furthermore, the structures and other compounds discussed in this disclosure include all atropic isomers thereof, it being understood that not all atropic isomers may have the same level of activity. “Atropic isomers” are a type of stereoisomer in which the atoms of two isomers are arranged differently in space. Atropic isomers owe their existence to a restricted rotation caused by hindrance of rotation of large groups about a central bond. Such atropic isomers typically exist as a mixture, however as a result of recent advances in chromatography techniques, it has been possible to separate mixtures of two atropic isomers in select cases.


“Tautomer” is one of two or more structural isomers that exist in equilibrium and is readily converted from one isomeric form to another. This conversion results in the formal migration of a hydrogen atom accompanied by a switch of adjacent conjugated double bonds. Tautomers exist as a mixture of a tautomeric set in solution. In solutions where tautomerization is possible, a chemical equilibrium of the tautomers will be reached. The exact ratio of the tautomers depends on several factors, including temperature, solvent and pH. The concept of tautomers that are interconvertible by tautomerizations is called tautomerism.


Of the various types of tautomerism that are possible, two are commonly observed. In keto-enol tautomerism a simultaneous shift of electrons and a hydrogen atom occurs. Ring-chain tautomerism arises as a result of the aldehyde group (—CHO) in a sugar chain molecule reacting with one of the hydroxy groups (—OH) in the same molecule to give it a cyclic (ring-shaped) form as exhibited by glucose.


Common tautomeric pairs are: ketone-enol, amide-nitrile, lactam-lactim, amide-imidic acid tautomerism in heterocyclic rings (e.g., in nucleobases such as guanine, thymine and cytosine), imine-enamine and enamine-enamine. Examples of lactam-lactim tautomerism are as shown below.




embedded image


It is to be understood that the compounds of the present disclosure may be depicted as different tautomers. It should also be understood that when compounds have tautomeric forms, all tautomeric forms are intended to be included in the scope of the present disclosure, and the naming of the compounds does not exclude any tautomer form. It will be understood that certain tautomers may have a higher level of activity than others.


The term “crystal polymorphs”, “polymorphs” or “crystal forms” means crystal structures in which a compound (or a salt or solvate thereof) can crystallize in different crystal packing arrangements, all of which have the same elemental composition. Different crystal forms usually have different X-ray diffraction patterns, infrared spectral, melting points, density hardness, crystal shape, optical and electrical properties, stability and solubility. Recrystallization solvent, rate of crystallization, storage temperature, and other factors may cause one crystal form to dominate. Crystal polymorphs of the compounds can be prepared by crystallization under different conditions.


The compounds of any Formula described herein include the compounds themselves, as well as their salts, and their solvates, if applicable. A salt, for example, can be formed between an anion and a positively charged group (e.g., amino) on a substituted benzene compound. Suitable anions include chloride, bromide, iodide, sulfate, bisulfate, sulfamate, nitrate, phosphate, citrate, methanesulfonate, trifluoroacetate, glutamate, glucuronate, glutarate, malate, maleate, succinate, fumarate, tartrate, tosylate, salicylate, lactate, naphthalenesulfonate, and acetate (e.g., trifluoroacetate). The term “pharmaceutically acceptable anion” refers to an anion suitable for forming a pharmaceutically acceptable salt. Likewise, a salt can also be formed between a cation and a negatively charged group (e.g., carboxylate) on a substituted benzene compound. Suitable cations include sodium ion, potassium ion, magnesium ion, calcium ion, and an ammonium cation such as tetramethylammonium ion. The substituted benzene compounds also include those salts containing quaternary nitrogen atoms.


Additionally, the compounds of the present disclosure, for example, the salts of the compounds, can exist in either hydrated or unhydrated (the anhydrous) form or as solvates with other solvent molecules. Nonlimiting examples of hydrates include monohydrates, dihydrates, etc. Nonlimiting examples of solvates include ethanol solvates, acetone solvates, etc.


“Solvate” means solvent addition forms that contain either stoichiometric or non-stoichiometric amounts of solvent. Some compounds have a tendency to trap a fixed molar ratio of solvent molecules in the crystalline solid state, thus forming a solvate. If the solvent is water the solvate formed is a hydrate; and if the solvent is alcohol, the solvate formed is an alcoholate. Hydrates are formed by the combination of one or more molecules of water with one molecule of the substance in which the water retains its molecular state as H2O.


As used herein, the term “analog” refers to a chemical compound that is structurally similar to another but differs slightly in composition (as in the replacement of one atom by an atom of a different element or in the presence of a particular functional group, or the replacement of one functional group by another functional group). Thus, an analog is a compound that is similar or comparable in function and appearance, but not in structure or origin to the reference compound.


As defined herein, the term “derivative” refers to compounds that have a common core structure, and are substituted with various groups as described herein. For example, all of the compounds represented by Formula (II) are substituted bi-heterocyclic compounds, and have Formula (II) as a common core.


The term “bioisostere” refers to a compound resulting from the exchange of an atom or of a group of atoms with another, broadly similar, atom or group of atoms. The objective of a bioisosteric replacement is to create a new compound with similar biological properties to the parent compound. The bioisosteric replacement may be physicochemically or topologically based. Examples of carboxylic acid bioisosteres include, but are not limited to, acyl sulfonimides, tetrazoles, sulfonates and phosphonates. See, e.g., Patani and LaVoie, Chem. Rev. 96, 3147-3176, 1996.


The present disclosure is intended to include all isotopes of atoms occurring in the present compounds. Isotopes include those atoms having the same atomic number but different mass numbers. By way of general example and without limitation, isotopes of hydrogen include tritium and deuterium, and isotopes of carbon include C-13 and C-14.


As used herein, the expressions “one or more of A, B, or C,” “one or more A, B, or C,” “one or more of A, B, and C,” “one or more A, B, and C,” “selected from the group consisting of A, B, and C”, “selected from A, B, and C”, and the like are used interchangeably and all refer to a selection from a group consisting of A, B, and/or C, i.e., one or more As, one or more Bs, one or more Cs, or any combination thereof, unless indicated otherwise.


The present disclosure provides methods for the synthesis of the compounds of any of the Formulae described herein. The present disclosure also provides detailed methods for the synthesis of various disclosed compounds of the present disclosure according to the following schemes as well as those shown in the Examples.


Throughout the description, where compositions are described as having, including, or comprising specific components, it is contemplated that compositions also consist essentially of, or consist of, the recited components. Similarly, where methods or processes are described as having, including, or comprising specific process steps, the processes also consist essentially of, or consist of, the recited processing steps. Further, it should be understood that the order of steps or order for performing certain actions is immaterial so long as the respective embodiments remain operable. Moreover, two or more steps or actions can be conducted simultaneously.


The synthetic processes of the disclosure can tolerate a wide variety of functional groups, therefore various substituted starting materials can be used. The processes generally provide the desired final compound at or near the end of the overall process, although it may be desirable in certain instances to further convert the compound to a pharmaceutically acceptable salt thereof.


Compounds of the present disclosure can be prepared in a variety of ways using commercially available starting materials, compounds known in the literature, or from readily prepared intermediates, by employing standard synthetic methods and procedures either known to those skilled in the art, or which will be apparent to the skilled artisan in light of the teachings herein. Standard synthetic methods and procedures for the preparation of organic molecules and functional group transformations and manipulations can be obtained from the relevant scientific literature or from standard textbooks in the field. Although not limited to any one or several sources, classic texts such as Smith, M. B., March, J., March's Advanced Organic Chemistry: Reactions, Mechanisms, and Structure, 5th edition, John Wiley & Sons: New York, 2001; Greene, T. W., Wuts, P. G. M., Protective Groups in Organic Synthesis, 3rd edition, John Wiley & Sons: New York, 1999; R. Larock, Comprehensive Organic Transformations, VCH Publishers (1989); L. Fieser and M. Fieser, Fieser and Fieser's Reagents for Organic Synthesis, John Wiley and Sons (1994); and L. Paquette, ed., Encyclopedia of Reagents for Organic Synthesis, John Wiley and Sons (1995), incorporated by reference herein, are useful and recognized reference textbooks of organic synthesis known to those in the art. The following descriptions of synthetic methods are designed to illustrate, but not to limit, general procedures for the preparation of compounds of the present disclosure.


Compounds of the present disclosure can be conveniently prepared by a variety of methods familiar to those skilled in the art.


One of ordinary skill in the art will note that, during the reaction sequences and synthetic schemes described herein, the order of certain steps may be changed, such as the introduction and removal of protecting groups.


One of ordinary skill in the art will recognize that certain groups may require protection from the reaction conditions via the use of protecting groups. Protecting groups may also be used to differentiate similar functional groups in molecules. A list of protecting groups and how to introduce and remove these groups can be found in Greene, T. W., Wuts, P. G. M., Protective Groups in Organic Synthesis, 3rd edition, John Wiley & Sons: New York, 1999.


Some aspects of this disclosure provide that compounds that inhibit the histone methyltransferase activity of G9a, also known as KMT1C (lysine methyltransferase 1C) or EHMT2 (euchromatic histone methyltransferase 2), or a mutant thereof are useful for treating and/or preventing certain conditions, diseases, and disorders in which EHMT2 plays a role, e.g., certain blood disorders disclosed herein. The present disclosure provides methods for treating conditions, diseases, and disorders, the course of which can be influenced by modulating the methylation status of histones or other proteins, wherein said methylation status is mediated at least in part by the activity of EHMT2. Modulation of the methylation status of histones can in turn influence the level of expression of target genes activated by methylation, and/or target genes suppressed by methylation. The therapeutic methods provided herein typically comprise administering to a subject in need of such treatment, a therapeutically effective amount of an EHMT2 inhibitor, e.g., of an EHMT2 inhibitory compound provided herein, or a pharmaceutically acceptable salt, polymorph, solvate, or stereoisomer thereof.


Unless otherwise stated, any description of a method of treatment includes use of the respective agent(s), e.g., an EHMT2 inhibitor, to provide such treatment or prophylaxis as is described herein, as well as use of such an agent, e.g., of the EHMT2 inhibitor, to prepare a medicament to treat or prevent such condition.


In still another aspect, this disclosure relates to a method of modulating the activity of EHMT2, which catalyzes the dimethylation of lysine 9 on histone H3 (H3K9) in a subject in need thereof.


The present disclosure also provides methods for treating conditions and diseases the course of which can be influenced by modulating the methylation status of histones or other proteins, wherein said methylation status is mediated at least in part by the activity of EHMT2, by administering to a subject having such a disease or condition, or being at risk of developing such a disease or condition, an EHMT2 inhibitor, e.g., an EHMT2 inhibitor provided herein. Modulation of the methylation status of histones can in turn influence the level of expression of target genes activated by methylation, and/or target genes suppressed by methylation.


For example, certain methods and compounds disclosed herein are useful for preventing or treating a blood disorder (e.g., sickle-cell disease).


As used herein, a “subject” is interchangeable with a “subject in need thereof”, both of which refer to a subject having a disorder in which EHMT2-mediated protein methylation plays a part, or a subject having an increased risk of developing such disorder relative to the population at large. A “subject” includes a mammal. The mammal can be e.g., a human or appropriate non-human mammal, such as primate, rodent, mouse, rat, dog, cat, cow, horse, goat, camel, sheep or a pig. The subject can also be a bird or fowl. In some embodiments, the subject is a human. A subject in need thereof can be one who has been previously diagnosed or identified as having a blood disorder. A subject in need thereof can also be one who has (e.g., is suffering from) a blood disorder. In some embodiments, a subject in need thereof can be one who has an increased risk of developing such disorder relative to the population at large (e.g., a subject who is predisposed to developing such disorder relative to the population at large). A subject in need thereof can have a refractory or resistant blood disorder (e.g., a blood disorder that doesn't respond or hasn't yet responded to treatment). The subject may be resistant at start of treatment or may become resistant during treatment. In some embodiments, the subject in need thereof received and failed all known effective therapies for a blood disorder. In some embodiments, the subject in need thereof received at least one prior therapy. In a preferred embodiment, the subject has a blood disorder. In some embodiments, the blood disorder is Acute lymphoblastic leukemia (ALL), Acute myeloid leukemia (AML) (e.g., acute promyelocytic leukemia, APL), Amyloidosis, Anemia, Aplastic anemia, Bone marrow failure syndromes, Chronic lymphocytic leukemia (CLL), Chronic myeloid leukemia (CML), Deep vein thrombosis (DVT), Diamond-Blackfan anemia, Dyskeratosis congenita (DKC), Eosinophilic disorder, Essential thrombocythemia, Fanconi anemia, Gaucher disease, Hemochromatosis, Hemolytic anemia, Hemophilia, Hereditary spherocytosis, Hodgkin's lymphoma, Idiopathic thrombocytopenic purpura (ITP), Inherited bone marrow failure syndromes, Iron-deficiency anemia, Langerhans cell histiocytosis, Large granular lymphocytic (LGL) leukemia, Leukemia, Leukopenia, Mastocytosis, Monoclonal gammopathy, Multiple myeloma, Myelodysplastic syndromes (MDS), Myelofibrosis, Myeloproliferative neoplasms (MPN), Non-Hodgkin's lymphoma, Paroxysmal nocturnal hemoglobinuria (PNH), Pernicious anemia (B12 deficiency), Polycythemia vera. Porphyria, Post-transplant lymphoproliferative disorder (PTLD), Pulmonary embolism (PE), Shwachman-Diamond syndrome (SDS), Sickle-cell disease (SCD), Thalassemias, Thrombocytopenia, Thrombotic thrombocytopenic purpura (TTP), Venous thromboembolism, Von Willebrand disease, or Waldenstrom's macroglobulinemia (lymphoplasmacytic lymphoma). In some embodiments, the subject has sickle-cell disease. In some embodiments, the subject has a blood disorder known to those skilled in the art, e.g., a blood disorder described in Table 6 below, and in Kim et al., Nature Medicine 23:213-222, 2017 and Soellner et al., Clinical Genetics 91:3-13, 2017















TABLE 6







Molecular
Frequencies





Disorder
Chromosome
Alterations
(%)
MLID
recurrence risk
Clinical features







Transient Neonatal
6q24
UPD(6)pat
41

<1%
IUGR, transient diabetes,


Diabetes mellitus





hyperglycemia without


(TNDM)





ketoacidosis, macroglossia,








omphalocele




dup(6q)
29

Increased in case of







a paternal structural







variation




PLAGL1:alt-TSS-DMR: LOM

30%

 50%
In case of a ZFP57







mutation


Silver-Russell
7
upd(7)mat
7-10%
1 case
<1%, but a single
IUGR/PNGR, relative


syndrome (SRS)




familial structural
macrocephaly, asymmetry,







variation has been
G1 prominent







reported
forehead/triangular face,








feeding difficulties




CNVs (dup7p), del7q
Single cases

Increased in case of







a familial structural







variation



11p15.5
upd(11)mat
n = 1

<1%




upd(11p15)mat
 1-2%

Increased in case of







a familial structural







variation




H19/IGF2:IG-DMR: LOM
 >38%
~10%
Only single families,







risk might be increased







in case of MLID




CDKN1C mutations
n = 1

50% in case of







maternal transmission




IGF2 mutations
n = 1

50% in case of







paternal transmission


Birk-Barel mental
8q24.3
KCNK9 mutations
Unknown

50% in case of
Intellectual disability,


retardation




maternal transmission
hyperactivity, feeding








difficulties, hypotonia,








elongated face


Beckwith-
11p15.5
upd(11)pat

20%


No
Pre- and postnatal


Wiedemann





overgrowth, organomegaly,


syndrome (BWS)





macroglossia, omphalocele,








neonatal hypoglycemia,








hemihypertrophy,








increased tumor risk




Uniparental diploidy*
 ~10%




Paternal UPD
 ~90%




dup(11p15)pat
 1-2%

Increased in case of







a familial structural







variation




H19/IGF2:IG-DMR: GOM
  4%

20% (in case of







microdeletions or SNPs







in the OCT4/SOX2







binding site)




KCNQ1OT1:TSS-DMR: LOM

50%

25
Only single families







have been reported,







but the risk might be







increased shen MLID




CDKN1C mutations
  5%

50% in case of







maternal transmission


Temple syndrome
14q32
upd(14)mat
78.4%

<1%, but increased
IUGR, PNGR, hypotonia,


(UPD(14)mat)




in case of familial
feeding difficulties in







Robertsonian
infancy, truncal obesity,







translocation
scoliosis, precocious








puberty




del(14q32)pat
 9.8%

<1%, but increased







in case of familial







translocation




MEG3/DLK1:IG-DMR and
11.7%
NR
Unknown




MEG3:TSS-DMR: LOM


Kagami-Ogata
14q32
upd(14)pat
65.4%

<1%, but increased
IUGR, polyhydramnion,


syndrome




in case of familial
abdominal and thoracal


(UPD(14)pat)




Robertsonian
wall defects, bell-shaped







translocation
thorax, coat-hanger ribs




del(14q32)mat
19.2%

<1%, but increased







in case of familial







translocation




MEG3/DLK1:IG-DMR and
15.4%
NR




MEG3:TSS-DMR: GOM


Angelman
15q11q13
upd(15)pat
 1-2%

<1%
Mental retardation,


syndrome (AS)





microcephaly, no








speech, unmotivated








laughing, ataxia,








seizures




del(15q11q13)mat

75%


<1%, but increased







in case of familial







translocation




SNURF:TSS-DMR: LOM

~3%


Up to 50%




UBE3A mutations
5-10%

Up to 50%


Prader-Willi
15q11q13
upd(15)mat
25-30% 

<1%
PNGR, mental retardation,


syndrome (PWS)





neonatal hypotonia,








hypogenitalism,








hypopigmentation,








obesity/hyperphagia




del(15q11q13)pat
70-75% 

<1%, but increased







in case of familial







translocation




SNURF:TSS-DMR: GOM

~1%

1 case
Up to 50%


Precocious puberty
15q11.2
MKRN3 mutations
Unknown

50% in case of
Precocious puberty







paternal transmission
(girls: 5.75 years,








boys: 8.10 years)


Schaaf-Yang
15q11.2
MAGEL2 mutations
Unknown

50% in case of
Neonatal hypotonia, feeding


syndrome




paternal transmission
problems in infancy, then


(SHFYNG)





hyperphagia, developmental








delay, hypogonadism


Sporadic
20q13
upd(20)pat
10-25% 

<1%
Resistance to PTH and


pseudohypopara-





other hormones, Albright


thyreoidism 1b





hereditary osteodystrophy,








subcutaneous ossifications,








feeding behavior anomalies,








abnormal growth




del(20q13)
Rare

<1%, but increased







in case of familial







translocation




GNAS-NESP:TSS-DMR: LOM
 >60%
12.5% 
<1%




GNAS-XL:Ex1-DMR: LOM




GNAS A/B:TSS-DMR


upd(20)mat
20
upd(20)mat
Unknown
9 cases
<1%, but familial
IUGR, PNGR, failure to







translocation should
thrive







be considered









Some aspects of the present disclosure provide diagnostic and/or prognostic methods that are useful for predicting the response of a subject having a blood disorder to treatment with an EHMT2 inhibitor. For example, in some embodiments, a method is provided that comprises determining a levels of a globin, e.g., gamma globin and/or fetal hemoglobin (HbF), in a subject having a blood disorder, e.g., sickle-cell disease or a blood disorder described herein, and comparing the level of the globin determined in the subject with a reference or control level, Current Protocols in Molecular Biology, John Wiley and Sons, Inc. (2005), Sambrook et al., Molecular Cloning, A laboratory Manual (3rd edition), Cold Spring Harbor Press, Cold Spring Harbor, N.Y. (2000); Coligan et al., Current Protocols in Immunology, John Wiley & Sons, N.Y., Enna et al., Current Protocols in Pharmacology, John Wiley & Sons, N.Y., Fingl et al., The Pharmacological Basis of Therapeutics (1975), Remington's Pharmaceutical Sciences, Mack Publishing Co., Easton, Pa., 18th edition (1990). These texts can, of course, also be referred to in making or using an aspect of the disclosure.


As used herein, “combination therapy” or “co-therapy” includes the administration of a compound of the present disclosure, or a pharmaceutically acceptable salt, polymorph or solvate thereof, and at least a second agent as part of a specific treatment regimen intended to provide the beneficial effect from the co-action of these therapeutic agents. The beneficial effect of the combination includes, but is not limited to, pharmacokinetic or pharmacodynamic co-action resulting from the combination of therapeutic agents.


The present disclosure also provides pharmaceutical compositions comprising a compound of any of the Formulae described herein in combination with at least one pharmaceutically acceptable excipient or carrier.


A “pharmaceutical composition” is a formulation containing the compounds of the present disclosure in a form suitable for administration to a subject. In some embodiments, the pharmaceutical composition is in bulk or in unit dosage form. The unit dosage form is any of a variety of forms, including, for example, a capsule, an IV bag, a tablet, a single pump on an aerosol inhaler or a vial. The quantity of active ingredient (e.g., a formulation of the disclosed compound or salt, hydrate, solvate or isomer thereof) in a unit dose of composition is an effective amount and is varied according to the particular treatment involved. One skilled in the art will appreciate that it is sometimes necessary to make routine variations to the dosage depending on the age and condition of the patient. The dosage will also depend on the route of administration. A variety of routes are contemplated, including oral, pulmonary, rectal, parenteral, transderm al, subcutaneous, intravenous, intramuscular, intraperitoneal, inhalational, buccal, sublingual, intrapleural, intrathecal, intranasal, and the like. Dosage forms for the topical or transdermal administration of a compound of this disclosure include powders, sprays, ointments, pastes, creams, lotions, gels, solutions, patches and inhalants. In some embodiments, the active compound is mixed under sterile conditions with a pharmaceutically acceptable carrier, and with any preservatives, buffers, or propellants that are required.


As used herein, the phrase “pharmaceutically acceptable” refers to those compounds, anions, cations, materials, compositions, carriers, and/or dosage forms which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of human beings and animals without excessive toxicity, irritation, allergic response, or other problem or complication, commensurate with a reasonable benefit/risk ratio.


“Pharmaceutically acceptable excipient” means an excipient that is useful in preparing a pharmaceutical composition that is generally safe, non-toxic and neither biologically nor otherwise undesirable, and includes excipient that is acceptable for veterinary use as well as human pharmaceutical use. A “pharmaceutically acceptable excipient” as used in the specification and claims includes both one and more than one such excipient.


A pharmaceutical composition of the disclosure is formulated to be compatible with its intended route of administration. Examples of routes of administration include parenteral, e.g., intravenous, intradermal, subcutaneous, oral (e.g., inhalation), transdermal (topical), and transmucosal administration. Solutions or suspensions used for parenteral, intradermal, or subcutaneous application can include the following components, a sterile diluent such as water for injection, saline solution, fixed oils, polyethylene glycols, glycerine, propylene glycol or other synthetic solvents; antibacterial agents such as benzyl alcohol or methyl parabens; antioxidants such as ascorbic acid or sodium bisulfite; chelating agents such as ethylenediaminetetraacetic acid;


buffers such as acetates, citrates or phosphates, and agents for the adjustment of tonicity such as sodium chloride or dextrose. The pH can be adjusted with acids or bases, such as hydrochloric acid or sodium hydroxide. The parenteral preparation can be enclosed in ampoules, disposable syringes or multiple dose vials made of glass or plastic.


A compound or pharmaceutical composition of the disclosure can be administered to a subject in many of the well-known methods currently used for chemotherapeutic treatment. For example, a compound of the disclosure may be injected into the blood stream or body cavities or taken orally or applied through the skin with patches. The dose chosen should be sufficient to constitute effective treatment but not so high as to cause unacceptable side effects. The state of the disease condition (e.g., blood disorders, and the like) and the health of the patient should preferably be closely monitored during and for a reasonable period after treatment.


The term “therapeutically effective amount”, as used herein, refers to an amount of a pharmaceutical agent to treat, ameliorate, or prevent an identified disease or condition, or to exhibit a detectable therapeutic or inhibitory effect. The effect can be detected by any assay method known in the art. The precise effective amount for a subject will depend upon the subject's body weight, size, and health; the nature and extent of the condition; and the therapeutic or combination of therapeutics selected for administration. Therapeutically effective amounts for a given situation can be determined by routine experimentation that is within the skill and judgment of the clinician. In a preferred aspect, the disease or condition to be treated is a blood disorder. In some embodiments, e.g., in some embodiments disclosed herein that comprise administering an EHMT2 inhibitor to a subject having a blood disorder, e.g., sickle-cell disease (also referred to as sickle-cell anemia), a therapeutically effective amount of an EHMT2 inhibitor is an amount sufficient to raise the fetal hemoglobin (HbF) level in the subject by at least 2-fold, at least 3-fold, at least 4-fold, at least 5-fold, at least 10-fold, at least 15-fold, at least 10-fold, at least 30-fold, at least 50-fold, at least 100-fold, or at least 1000-fold. In some embodiments, e.g., in some embodiments disclosed herein that comprise administering an EHMT2 inhibitor to a subject having a blood disorder, e.g., sickle-cell disease (also referred to as sickle-cell anemia), a therapeutically effective amount of an EHMT2 inhibitor is an amount sufficient to raise the fetal hemoglobin (HbF) level in the subject to at least 1%, at least 2%, at least 3%, at least 4%, at least 5%, at least 6%, at least 7%, at least 8%, at least 9%, at least 10%, at least 15%, at least 20%, at least 25%, at least 30%, at least 40%, or at least 50% of total hemoglobin in the subject.


For any compound, the therapeutically effective amount can be estimated initially either in cell culture assays, e.g., of neoplastic cells, or in animal models, usually rats, mice, rabbits, dogs, or pigs. The animal model may also be used to determine the appropriate concentration range and route of administration. Such information can then be used to determine useful doses and routes for administration in humans. Therapeutic/prophylactic efficacy and toxicity may be determined by standard pharmaceutical procedures in cell cultures or experimental animals, e.g., ED50 (the dose therapeutically effective in 50% of the population) and LD50 (the dose lethal to 50% of the population). The dose ratio between toxic and therapeutic effects is the therapeutic index, and it can be expressed as the ratio, LD50/ED50. Pharmaceutical compositions that exhibit large therapeutic indices are preferred. The dosage may vary within this range depending upon the dosage form employed, sensitivity of the patient, and the route of administration.


Dosage and administration are adjusted to provide sufficient levels of the active agent(s) or to maintain the desired effect. Factors which may be taken into account include the severity of the disease state, general health of the subject, age, weight, and gender of the subject, diet, time and frequency of administration, drug combination(s), reaction sensitivities, and tolerance/response to therapy. Long-acting pharmaceutical compositions may be administered every 3 to 4 days, every week, or once every two weeks depending on half-life and clearance rate of the particular formulation.


The pharmaceutical compositions containing active compounds of the present disclosure may be manufactured in a manner that is generally known, e.g., by means of conventional mixing, dissolving, granulating, dragee-making, levigating, emulsifying, encapsulating, entrapping, or lyophilizing processes. Pharmaceutical compositions may be formulated in a conventional manner using one or more pharmaceutically acceptable carriers comprising excipients and/or auxiliaries that facilitate processing of the active compounds into preparations that can be used pharmaceutically. Of course, the appropriate formulation is dependent upon the route of administration chosen.


Pharmaceutical compositions suitable for injectable use include sterile aqueous solutions (where water soluble) or dispersions and sterile powders for the extemporaneous preparation of sterile injectable solutions or dispersion. For intravenous administration, suitable carriers include physiological saline, bacteriostatic water, Cremophor EL™ (BASF, Parsippany, N.J.) or phosphate buffered saline (PBS). In all cases, the composition must be sterile and should be fluid to the extent that easy syringeability exists. It must be stable under the conditions of manufacture and storage and must be preserved against the contaminating action of microorganisms such as bacteria and fungi. The carrier can be a solvent or dispersion medium containing, for example, water, ethanol, polyol (for example, glycerol, propylene glycol, and liquid polyethylene glycol, and the like), and suitable mixtures thereof. The proper fluidity can be maintained, for example, by the use of a coating such as lecithin, by the maintenance of the required particle size in the case of dispersion and by the use of surfactants. Prevention of the action of microorganisms can be achieved by various antibacterial and antifungal agents, for example, parabens, chlorobutanol, phenol, ascorbic acid, thimerosal, and the like. In many cases, it will be preferable to include isotonic agents, for example, sugars, polyalcohols such as mannitol and sorbitol, and sodium chloride in the composition. Prolonged absorption of the injectable compositions can be brought about by including in the composition an agent which delays absorption, for example, aluminum monostearate and gelatin.


Sterile injectable solutions can be prepared by incorporating the active compound in the required amount in an appropriate solvent with one or a combination of ingredients enumerated above, as required, followed by filtered sterilization. Generally, dispersions are prepared by incorporating the active compound into a sterile vehicle that contains a basic dispersion medium and the required other ingredients from those enumerated above. In the case of sterile powders for the preparation of sterile injectable solutions, methods of preparation are vacuum drying and freeze-drying that yields a powder of the active ingredient plus any additional desired ingredient from a previously sterile-filtered solution thereof.


Oral compositions generally include an inert diluent or an edible pharmaceutically acceptable carrier. They can be enclosed in gelatin capsules or compressed into tablets. For the purpose of oral therapeutic administration, the active compound can be incorporated with excipients and used in the form of tablets, troches, or capsules. Oral compositions can also be prepared using a fluid carrier for use as a mouthwash, wherein the compound in the fluid carrier is applied orally and swished and expectorated or swallowed. Pharmaceutically compatible binding agents, and/or adjuvant materials can be included as part of the composition. The tablets, pills, capsules, troches and the like can contain any of the following ingredients, or compounds of a similar nature: a binder such as microcrystalline cellulose, gum tragacanth or gelatin; an excipient such as starch or lactose, a disintegrating agent such as alginic acid, Primogel, or cornstarch; a lubricant such as magnesium stearate or Sterotes; a glidant such as colloidal silicon dioxide; a sweetening agent such as sucrose or saccharin; or a flavoring agent such as peppermint, methyl salicylate, or orange flavoring.


For administration by inhalation, the compounds are delivered in the form of an aerosol spray from pressured container or dispenser, which contains a suitable propellant, e.g., a gas such as carbon dioxide, or a nebulizer.


Systemic administration can also be by transmucosal or transdermal means. For transmucosal or transdermal administration, penetrants appropriate to the barrier to be permeated are used in the formulation. Such penetrants are generally known in the art, and include, for example, for transmucosal administration, detergents, bile salts, and fusidic acid derivatives. Transmucosal administration can be accomplished through the use of nasal sprays or suppositories. For transdermal administration, the active compounds are formulated into ointments, salves, gels, or creams as generally known in the art.


The active compounds can be prepared with pharmaceutically acceptable carriers that will protect the compound against rapid elimination from the body, such as a controlled release formulation, including implants and microencapsulated delivery systems. Biodegradable, biocompatible polymers can be used, such as ethylene vinyl acetate, polyanhydrides, polyglycolic acid, collagen, polyorthoesters, and polylactic acid. Methods for preparation of such formulations will be apparent to those skilled in the art. The materials can also be obtained commercially from Alza Corporation and Nova Pharmaceuticals, Inc. Liposomal suspensions (including liposomes targeted to infected cells with monoclonal antibodies to viral antigens) can also be used as pharmaceutically acceptable carriers. These can be prepared according to methods known to those skilled in the art, for example, as described in U.S. Pat. No. 4,522,811.


It is especially advantageous to formulate oral or parenteral compositions in dosage unit form for ease of administration and uniformity of dosage. Dosage unit form as used herein refers to physically discrete units suited as unitary dosages for the subject to be treated; each unit containing a predetermined quantity of active compound calculated to produce the desired therapeutic effect in association with the required pharmaceutical carrier. The specification for the dosage unit forms of the disclosure are dictated by and directly dependent on the unique characteristics of the active compound and the particular therapeutic effect to be achieved.


In therapeutic applications, the dosages of the pharmaceutical compositions used in accordance with the disclosure vary depending on the agent, the age, weight, and clinical condition of the recipient patient, and the experience and judgment of the clinician or practitioner administering the therapy, among other factors affecting the selected dosage. Generally, the dose used in the methods provided herein should be sufficient to result in slowing, and preferably regressing, the symptoms of the blood disorder and also preferably causing complete regression of the blood disorder. Dosages can range from about 0.01 mg/kg per day to about 5000 mg/kg per day. In preferred aspects, dosages can range from about 1 mg/kg per day to about 1000 mg/kg per day. In an aspect, the dose will be in the range of about 0.1 mg/day to about 50 g/day; about 0.1 mg/day to about 25 g/day; about 0.1 mg/day to about 10 g/day; about 0.1 mg to about 3 g/day; or


about 0.1 mg to about 1 g/day, in single, divided, or continuous doses (which dose may be adjusted for the patient's weight in kg, body surface area in m2, and age in years). An effective amount of a pharmaceutical agent is that which provides an objectively identifiable improvement as noted by the clinician or other qualified observer. Improvement in survival and growth indicates regression. As used herein, the term “dosage effective manner” refers to amount of an active compound to produce the desired biological effect in a subject or cell.


The pharmaceutical compositions can be included in a container, pack, or dispenser together with instructions for administration.


The compounds of the present disclosure are capable of further forming salts. All of these forms are also contemplated within the scope of the claimed disclosure.


As used herein, “pharmaceutically acceptable salts” refer to derivatives of the compounds of the present disclosure wherein the parent compound is modified by making acid or base salts thereof. Examples of pharmaceutically acceptable salts include, but are not limited to, mineral or organic acid salts of basic residues such as amines, alkali or organic salts of acidic residues such as carboxylic acids, and the like. The pharmaceutically acceptable salts include the conventional non-toxic salts or the quaternary ammonium salts of the parent compound formed, for example, from non-toxic inorganic or organic acids. For example, such conventional non-toxic salts include, but are not limited to, those derived from inorganic and organic acids selected from 2-acetoxybenzoic, 2-hydroxyethane sulfonic, acetic, ascorbic, benzene sulfonic, benzoic, bicarbonic, carbonic, citric, edetic, ethane disulfonic, 1,2-ethane sulfonic, fumaric, glucoheptonic, gluconic, glutamic, glycolic, glycollyarsanilic, hexylresorcinic, hydrabamic, hydrobromic, hydrochloric, hydroiodic, hydroxymaleic, hydroxynaphthoic, isethionic, lactic, lactobionic, lauryl sulfonic, maleic, malic, mandelic, methane sulfonic, napsylic, nitric, oxalic, pamoic, pantothenic, phenylacetic, phosphoric, polygalacturonic, propionic, salicylic, stearic, subacetic, succinic, sulfamic, sulfanilic, sulfuric, tannic, tartaric, toluene sulfonic, and the commonly occurring amine acids, e.g., glycine, alanine, phenylalanine, arginine, etc.


Other examples of pharmaceutically acceptable salts include hexanoic acid, cyclopentane propionic acid, pyruvic acid, malonic acid, 3-(4-hydroxybenzoyl)benzoic acid, cinnamic acid, 4-chlorobenzenesulfonic acid, 2-naphthalenesulfonic acid, 4-toluenesulfonic acid, camphorsulfonic acid, 4-methylbicyclo-[2.2.2]-oct-2-ene-1-carboxylic acid, 3-phenylpropionic acid, trimethylacetic acid, tertiary butylacetic acid, muconic acid, and the like. The present disclosure also encompasses salts formed when an acidic proton present in the parent compound either is replaced by a metal ion, e.g., an alkali metal ion, an alkaline earth ion, or an aluminum ion; or coordinates with an organic base such as ethanolamine, diethanolamine, triethanolamine, tromethamine, N-methylglucamine, and the like. In the salt form, it is understood that the ratio of the compound to the cation or anion of the salt can be 1:1, or any ration other than 1:1, e.g., 3:1, 2:1, 1:2, or 1:3.


It should be understood that all references to pharmaceutically acceptable salts include solvent addition forms (solvates) or crystal forms (polymorphs) as defined herein, of the same salt.


The compounds of the present disclosure can also be prepared as esters, for example, pharmaceutically acceptable esters. For example, a carboxylic acid function group in a compound can be converted to its corresponding ester, e.g., a methyl, ethyl or other ester. Also, an alcohol group in a compound can be converted to its corresponding ester, e.g., acetate, propionate or other ester.


The compounds, or pharmaceutically acceptable salts thereof, are administered orally, nasally, transdermally, pulmonary, inhalationally, buccally, sublingually, intraperitoneally, subcutaneously, intramuscularly, intravenously, rectally, intrapleurally, intrathecally and parenterally. In some embodiments, the compound is administered orally. One skilled in the art will recognize the advantages of certain routes of administration.


The dosage regimen utilizing the compounds is selected in accordance with a variety of factors including type, species, age, weight, sex and medical condition of the patient; the severity of the condition to be treated; the route of administration; the renal and hepatic function of the patient; and the particular compound or salt thereof employed. An ordinarily skilled physician or veterinarian can readily determine and prescribe the effective amount of the drug required to prevent, counter, or arrest the progress of the condition.


Techniques for formulation and administration of the disclosed compounds of the disclosure can be found in Remington: the Science and Practice of Pharmacy, 19th edition, Mack Publishing Co., Easton, Pa. (1995). In an embodiment, the compounds described herein, and the pharmaceutically acceptable salts thereof, are used in pharmaceutical preparations in combination with a pharmaceutically acceptable carrier or diluent. Suitable pharmaceutically acceptable carriers include inert solid fillers or diluents and sterile aqueous or organic solutions. The compounds will be present in such pharmaceutical compositions in amounts sufficient to provide the desired dosage amount in the range described herein.


All percentages and ratios used herein, unless otherwise indicated, are by weight. Other features and advantages of the present disclosure are apparent from the different examples. The provided examples illustrate different components and methodology useful in practicing the present disclosure. The examples do not limit the claimed disclosure. Based on the present disclosure the skilled artisan can identify and employ other components and methodology useful for practicing the present disclosure.


In the synthetic schemes described herein, compounds may be drawn with one particular configuration for simplicity. Such particular configurations are not to be construed as limiting the disclosure to one or another isomer, tautomer, regioisomer or stereoisomer, nor does it exclude mixtures of isomers, tautomers, regioisomers or stereoisomers; however, it will be understood that a given isomer, tautomer, regioisomer or stereoisomer may have a higher level of activity than another isomer, tautomer, regioisomer or stereoisomer.


Compounds designed, selected and/or optimized by methods described above, once produced, can be characterized using a variety of assays known to those skilled in the art to determine whether the compounds have biological activity. For example, the molecules can be characterized by conventional assays, including but not limited to those assays described below, to determine whether they have a predicted activity, binding activity and/or binding specificity.


Furthermore, high-throughput screening can be used to speed up analysis using such assays. As a result, it can be possible to rapidly screen the molecules described herein for activity, using techniques known in the art. General methodologies for performing high-throughput screening are described, for example, in Devlin (1998) High Throughput Screening, Marcel Dekker; and U.S. Pat. No. 5,763,263. High-throughput assays can use one or more different assay techniques including, but not limited to, those described below.


All publications and patent documents cited herein are incorporated herein by reference as if each such publication or document was specifically and individually indicated to be incorporated herein by reference. Citation of publications and patent documents is not intended as an admission that any is pertinent prior art, nor does it constitute any admission as to the contents or date of the same. Some non-limiting embodiments having now been described by way of written description, those of skill in the art will recognize that the concepts, strategies, methods, and aspects of this disclosure can be practiced in a variety of embodiments and that the foregoing description and examples below are for purposes of illustration and not limitation of the claims that follow.


Example 1: Synthesis of EHMT2 Inhibitor Compounds

EHMT2 inhibitor compounds useful for the treatment of blood disorders as provided herein were synthesized or may be synthesized by, e.g., methods described in U.S. Application Nos. 62/323,602, 62/348,837, 62/402,997, 62/402,863, 62/509,620, 62/436,139, 62/517,840, 62/573,442, 62/681,804, 62/746,252, and 62/746,495, and Ser. No. 15/601,888, and PCT Application Nos. PCT/US2017/027918, PCT/US2017/054468, PCT/US2017/067192, PCT/US2018/056333, and PCT/US2018/056428, the contents of each of which are incorporated herein by reference in their entireties.


Example 2: Treatment of Sickle-Cell Anemia

A first subject having sickle-cell disease is administered an EHMT2 inhibitor provided herein. The EHMT2 inhibitor is administered to the subject at a dose sufficient to inhibit more than 90% EHMT2 methyltransferase activity in the subject and/or to increase fetal hemoglobin (HbF) levels to at least 20% total hemoglobin in the subject.


A second subject is treated with a similar EHMT2 inhibitor regimen as the first subject, and also administered hydroxyurea at a dose used for the clinical treatment of sickle-cell anemia.


A third subject is treated with a similar EHMT2 inhibitor regimen as the first subject, and also administered L-glutamine at a dose used for the clinical treatment of sickle-cell anemia.


A fourth subject is treated with a similar EHMT2 inhibitor regimen as the first subject, and also administered hydroxyurea and L-Glutamine at a dose used for the clinical treatment of sickle-cell anemia.


Example 3: In Vitro Combination Studies of EHMT2 Inhibitor Compounds with Other Agents

Pretreatment model: Various cell lines were seeded in flasks at densities that ensured log-linear growth rates for the duration of the assay. Flasks were dosed with 3 or 4 concentrations of Compound 205 (an EHMT2 inhibitor) in 3-fold dilutions and one additional flask was dosed with DMSO (vehicle) only at a final concentration of 0.1% v/v. Cultures were incubated in a humidified atmosphere of 5% CO2 at 37° C. for 4 days. On Day 4 cells were spun down, resuspended in fresh medium, counted and diluted to the original cell density in new flasks. Cell cultures were re-dosed with Compound 205 and incubated for an additional 3 days. Cells were then spun down on Day 7, re-suspended in fresh medium and plated to assay-ready 384 well plates with an automated multichannel dispenser. The assay-ready 384-well plates contained 3-fold serial dilutions in triplicated of the combination partner compounds alone or in combination with the corresponding pre-treatment concentration of Compound 205. Compounds listed in Table 7 were dispensed with a HP-D300 nanoliter dispenser (Tecan, Mannedorf, Switzerland), with each plate containing 8 combination partners. Plates were then incubated for an additional three or seven days as noted in FIG. 1D to follow a 7+3 or 7+7 model (cell lines with slow growth characteristics were tested in a 7+7 model). Quantification of proliferation through measurement of cellular adenosine triphosphate (ATP) was performed via a luminescent cell viability assay and read on a plate reader with luminescence module. Quantification of synergy was performed with Chalice software (Horizon™, Cambridge, UK) using the Loewe Additivity model and calculating the Loewe Volume or VLoewe (Lehar J et al. (2007) Chemical combination effects predict connectivity in biological systems, Molecular Systems Biology 3:80). Examples of dose matrix, Loewe excess model, synergy quantification by V Loewe and isobologram are shown in FIG. 1A. Dose response curves of Fa (fraction affected) vs log concentration of compound in the presence or absence of a combination partner, IC50 of one compound vs concentration of combination partner plots shown in FIG. 1A were generated with Graphpad Prism software.


Fa was calculated with the formula.






Fa=1−(Luminescence of test compound/Luminesence of untreated control)


Examples of pretreatment model studies are shown in FIGS. 1B and 1C.


Cotreatment Model: various cell lines were directly plated to 384 well plates with an automated multichannel dispenser onto plates containing 3-fold serial dilutions of combination partners, and Compound 205 in a matrix format in quadriplicates. Cells were incubated for seven days under humidified atmosphere of 5% CO2 at 37° C. The final concentration of DMSO (vehicle) in the assay was 0.1% v/v. Quantification of proliferation through measurement of cellular adenosine triphosphate (ATP) was performed via a luminescent cell viability assay. Plates were read in a plate reader with luminescence module. Quantification of synergy was performed using the Loewe Additivity model and calculating the Loewe Volume (V Loewe) with the Chalice Software (Horizon) and dose response curves and IC50 vs concentration plots were generated with Graphpad Prism software.


Examples of co-treatment studies are shown in FIG. 1D. The results of the combination studies of Compound 205 with other therapies in the pretreatment and cotreatment models described above are summarized in Table 8A and Table 8B.











TABLE 7





Rationale
Modality
Drug name







AML Standard
Antimetabolite
Cytarabine (Ara-C)


of Care
Topoisomerase II inhibitor
Daunorubicin


Epigenetic
DNA Hypomethylating agent
Azacitidine


drugs

Decitabine



HDAC inhibitors
Pracinostat




Panobinostat



EZH2 inhibitor
Tazemetostat



DOT1L inhibitor
Pinometostat



IDH1/2 inhibitors
AG-120




AG-220


Targeted
Differentiation agent
ATRA


Therapies
FLT3 inhibitors
Gilteritinib




Midostaurin



BCL2 inhibitor
Venetoclax


















TABLE 8A









Cell line














AML-193
AP-1060
EOL-1
HL-60
Kasumi-1
ML-2









Model tested














7 + 7
7 + 7
7 + 3
7 + 3
7 + 7
7 + 3









Genetic alterations

















PML-
MLL-
MYC
AML1-
MLL-AF6





RARA
PTD
amplification
ETO
TP53





Combination
Cytarabine
B
C
A
C
B
C


partner
Daunorubicin
C
C
C
C
C
B



ATRA
D
C
C
A
A
A



Azacitidine
B
C
C
C
B
C



Decitabine
A
C
C
A
A
A



Pinometostat
F
C
A
F
A
F



(EPZ-5676)



Tazemetostat
F
B
B
F
C
F



(EPZ-6438)



Gilteritinib
C
B
B
A
B
A



Midostaurin
C
B
A
C
B
C



Panobinostat
C
B
A
B
B
B



Pracinostat
C
B
A
B
B
C



Venetoclax
E
A
B
A
A
E












Cell line














MOLM-13
MOLM-16
NOMO-1
OCI-AML-2
OCI-AML-3
SKM-1









Model tested














7 + 3
7 + 3
7 + 3
7 + 3
7 + 3
7 + 3









Genetic alterations
















MLL-AF9

MLL-AF9

DNMT3A





FLIT3-ITD

KRAS
DNMT3
NPM1
ASXL1





Combination
Cytarabine
C
E
E
C
C
C


partner
Daunorubicin
C
C
E
C
C
C



ATRA
C
D
C
A
A
B



Azacitidine
C
C
B
B
C
C



Decitabine
C
D
C
A
C
B



Pinometostat
A
F
F
B
F
B



(EPZ-5676)



Tazemetostat
F
F
F
B
F
C



(EPZ-6438)



Gilteritinib
A
C
B
B
C
B



Midostaurin
A
E
E
B
C
C



Panobinostat
C
B
C
A
B
B



Pracinostat
C
C
C
B
C
C



Venetoclax
A
E
C
B
D
B


















TABLE 8B









Cell line













AML-193
AP-1060
EOL-1
HL-60
Kasumi-1









Genetic Alterations
















PML-
MLL-

AML1-





RARA
PTD
MYCamp
ETO





Combination
Azacitidine
A
C
C
A
A


partner
Decitabine
A
A
C
A
A



Pinometostat
D
A
A
E
A



(EPZ-5676)



Tazemetostat
E
A
B
E
B



(EPZ-6438)



Cytarabine


A

B



Atra


A

C



Pracinostat


D



Venetoclax


C

A












Cell line














ML-2
MOLM-13
MOLM-16
OCI-AML2
OCI-AML-3
SKM-1









Genetic Alterations
















MLL-AF6
MLL-AF9


DNMT3A





TP53
FLIT3-ITD

DNMT3
NPM1
ASXL1





Combination
Azacitidine
B
C
C
A
D
A


partner
Decitabine
A
B
E
A
C
A



Pinometostat
A
A
A
A
D
A



(EPZ-5676)



Tazemetostat
E
E
C
A
E
C



(EPZ-6438)



Cytarabine



C
D
A



Atra



A
A
A



Pracinostat



A
D



Venetoclax



C
C
C















A
B
C
D
E
F





Synergy
Slight Synergy
Additivity
Slight Antagonism
Antagonism
No Effect


Loewe volume >2
Loewe volume
Loewe volume
Loewe volume
Loewe volume <−2
Neither agent or



between 1.0
between −1
between −1.1

combination of the two



and 1.9
and 0.9
and 2

reached 50% inhibition









Example 4: In Vitro Single-Agent Studies of EHMT2 Inhibitor Compound

A screen of 284 cell lines to assess the antiproliferative effect of EHMT2 inhibition was conducted by treating cell lines in 384-well format with a half-log step dilutions of Compound 205 over 10 concentrations with a maximum concentration of 0.1% v/v DMSO. Cells were plated on Day 0 and treated with compound on Day 1. Culture medium was replaced on day 7 and cells redosed. After 10-day incubation, cells were fixed and stained with nuclear dye. Automated fluorescence microscopy was carried out using a Molecular Devices ImageXpress Micro XL high-content imager, and images were collected with a 4× objective. 16-bit TIFF images were acquired and analyzed with MetaXpress 5.1.0.41 software. Cell proliferation was measured by the fluorescence intensity of the incorporated nuclear dye. Cell count IC50 is the test compound concentration at 50% of maximal response of the untreated control.


The results of the single-agent studies of EHMT2 Inhibitor, Compound 205, are summarized in FIGS. 2 and 3. FIG. 2A shows a plot of Cell Count IC50 in micromolar (microM) concentration values for all cell lines vs type of cancer. Cell lines with Cell Count IC50 less than 1 uM are labeled on the graph. The number of cell lines within each type of cancer are shown as a bar graph in FIG. 2B. Table 9 shows the results for the 284 cell lines (“A” means IC50<10 nM; “B” means IC50 ranging between 10 nM and <100 nM; “C” means IC50 ranging between 100 nM and <1 μM, “D” means IC50 ranging between 1 μM and 10 μM; “E” means IC50>10 μM).









TABLE 9







Cell count results for the 284 tested cell lines.













Cell Count


Cell Line
Tissue
Type
IC50 (μM)





SCC-9
Head and Neck
Head and Neck
A


SCC-25
Head and Neck
Head and Neck
A


BFTC-905
Bladder
Bladder
B


A204
Soft & Connective
Sarcoma
B



Tissue


Hs 729
Soft & Connective
Sarcoma
B



Tissue


DB
Hematopoietic
Lymphoma
B


WM-266-4
Skin
Melanoma
C


MT-3
Colon
Colon
C


LNCaP
Prostate
Prostate
C


CHP-212
Central Nervous
Neuroblastoma
C



System


Ca Ski
Female GU
Cervix
C


SW684
Soft & Connective
Sarcoma
C



Tissue


BC-1
Hematopoietic
Lymphoma
C


SW1463
Colon
Colon
C


MV-4-11
Hematopoietic
Leukemia
C


RPMI 6666
Hematopoietic
Lymphoma
C


TCCSUP
Bladder
Bladder
C


DMS53
Lung
SCLC
C


NCI-H69
Lung
SCLC
C


U-118 MG
Central Nervous
Glioma
C



System


SaOS2
Bone
Osteosarcoma
C


HOS
Bone
Osteosarcoma
C


SU-DHL-4
Hematopoietic
Lymphoma
C


OCUG-1
Liver
Liver
C


NCI-H661
Lung
NSCLC
C


TE 125.T
Soft & Connective
Sarcoma
C



Tissue


COR-L105
Lung
NSCLC
D


CAMA-1
Breast
Breast
D


NAMALWA
Hematopoietic
Lymphoma
D


SJSA1
Bone
Osteosarcoma
D


MeWo
Skin
Melanoma
D


ACHN
Kidney
Kidney
D


Hs 445
Hematopoietic
Lymphoma
D


MG-63
Bone
Osteosarcoma
D


ARH-77
Hematopoietic
Myeloma
D


TF-1
Hematopoietic
Leukemia
D


RS4;11
Hematopoietic
Leukemia
D


SR
Hematopoietic
Lymphoma
D


NALM-6
Hematopoietic
Leukemia
D


DMS114
Lung
SCLC
D


SK-N-AS
Central Nervous
Neuroblastoma
D



System


MOLT-16
Hematopoietic
Leukemia
D


MDA MB 468
Breast
Breast
D


SUP-T1
Hematopoietic
Lymphoma
D


DoTc2 4510
Female GU
Cervix
D


SU-DHL-10
Hematopoietic
Lymphoma
D


HUH-6 Clone 5
Liver
Liver
D


KATO III
Stomach
Stomach
D


HPAF-II
Pancreas
Pancreas
D


Jurkat
Hematopoietic
Leukemia
D


Colo 201
Colon
Colon
D


SK-BR-3
Breast
Breast
D


LS123
Colon
Colon
D


RPMI 8226
Hematopoietic
Myeloma
D


PA-1
Female GU
Ovary
D


SKO-007
Hematopoietic
Myeloma
D


SNB-19
Central Nervous
Glioma
D



System


Daudi
Hematopoietic
Lymphoma
D


AsPC-1
Pancreas
Pancreas
D


SK-MEL-28
Skin
Melanoma
D


COLO 829
Skin
Melanoma
D


BV-173
Hematopoietic
Leukemia
D


SJRH30
Soft & Connective
Sarcoma
D



Tissue


D283 Med
Central Nervous
Medulloblastoma
D



System


Thp1
Hematopoietic
Leukemia
D


OE21
Head and Neck
Head and Neck
D


FaDu
Head and Neck
Head and Neck
D


U-138MG
Central Nervous
Glioma
D



System


HT
Hematopoietic
Lymphoma
D


SNU-423
Liver
Liver
D


A172
Central Nervous
Glioma
D



System


Hs 683
Central Nervous
Glioma
D



System


JeKo-1
Hematopoietic
Lymphoma
D


22Rv1
Prostate
Prostate
D


Hs 611.T
Hematopoietic
Lymphoma
D


SNU-C2B
Colon
Colon
D


Daoy
Central Nervous
Medulloblastoma
D



System


A2058
Skin
Melanoma
D


RKO-AS45-1
Colon
Colon
D


SNU-5
Stomach
Stomach
D


MOLT-3
Hematopoietic
Leukemia
D


LS513
Colon
Colon
D


SK-PN-DW
Soft & Connective
Sarcoma
D



Tissue


SU-DHL-8
Hematopoietic
Lymphoma
D


C32TG
Skin
Melanoma
D


MES-SA
Soft & Connective
Sarcoma
D



Tissue


Caki-1
Kidney
Kidney
D


G-402
Kidney
Kidney
D


A388
Skin
Head and Neck
D


EM-2
Hematopoietic
Leukemia
D


DOHH-2
Hematopoietic
Lymphoma
D


SNU-16
Stomach
Stomach
D


DBTRG-05MG
Central Nervous
Glioma
D



System


G-361
Skin
Melanoma
D


CML-T1
Hematopoietic
Leukemia
D


A-704
Kidney
Kidney
D


Detroit 562
Head and Neck
Head and Neck
D


Colo 205
Colon
Colon
D


Cal 27
Head and Neck
Head and Neck
D


RD
Soft & Connective
Sarcoma
D



Tissue


SW403
Colon
Colon
D


MDA MB 453
Breast
Breast
D


769-P
Kidney
Kidney
D


CA46
Hematopoietic
Lymphoma
D


A427
Lung
NSCLC
D


SK-MEL-3
Skin
Melanoma
D


MHH-PREB-1
Hematopoietic
Leukemia
D


U266B1
Hematopoietic
Myeloma
D


TE 381.T
Soft & Connective
Sarcoma
D



Tissue


KHOS-240S
Bone
Osteosarcoma
D


CaOV3
Female GU
Ovary
D


HT-1197
Bladder
Bladder
D


SH-4
Skin
Melanoma
D


C32
Skin
Melanoma
D


BT474
Breast
Breast
D


TUR
Hematopoietic
Lymphoma
D


ST486
Hematopoietic
Lymphoma
D


PSN-1
Pancreas
Pancreas
D


U-87 MG
Central Nervous
Glioma
D



System


AU565
Breast
Breast
D


SW1417
Colon
Colon
D


Hs 936.T(C1)
Skin
Melanoma
D


Hs 695T
Skin
Melanoma
D


Hs 821.T
Soft & Connective
Sarcoma
D



Tissue


MS751
Female GU
Cervix
D


SW1783
Central Nervous
Glioma
D



System


A498
Kidney
Kidney
D


RPMI-7951
Skin
Melanoma
D


HuCCT1
Liver
Liver
D


MEG01
Hematopoietic
Leukemia
D


AGS
Stomach
Stomach
D


BHT-101
Endocrine
Thyroid
D


HuP-T4
Pancreas
Pancreas
D


RKOE6
Colon
Colon
D


Hs 294T
Skin
Melanoma
D


SiHa
Female GU
Cervix
D


DK-MG
Central Nervous
Glioma
D



System


WiDr
Colon
Colon
D


SCaBER
Bladder
Bladder
D


NCI-H747
Colon
Colon
D


LS411N
Colon
Colon
D


SW837
Colon
Colon
D


A101D
Skin
Melanoma
D


TT
Endocrine
Thyroid
D


LS-174T
Colon
Colon
D


Hs 688(A).T
Skin
Melanoma
D


HLF
Liver
Liver
D


HT-29
Colon
Colon
D


SW872
Soft & Connective
Sarcoma
D



Tissue


MDA MB 231
Breast
Breast
D


Ramos (RA 1)
Hematopoietic
Lymphoma
D


SW620
Colon
Colon
D


RKO
Colon
Colon
D


U2OS
Bone
Osteosarcoma
D


D341 Med
Central Nervous
Medulloblastoma
D



System


EB2
Hematopoietic
Lymphoma
D


HuTu 80
Duodenum
Duodenum
D


SW48
Colon
Colon
D


SW1088
Central Nervous
Glioma
D



System


Caki-2
Kidney
Kidney
D


K562
Hematopoietic
Leukemia
D


CCF-STTG1
Central Nervous
Glioma
D



System


PANC-1
Pancreas
Pancreas
D


NCIH446
Lung
SCLC
D


HEC-1-A
Female GU
Uterus
D


SKMES1
Lung
NSCLC
D


647-V
Bladder
Bladder
D


SK-MEL-1
Skin
Melanoma
D


SW900
Lung
SCLC
D


A375
Skin
Melanoma
D


NTERA-2
Testis
Testis
D


cl.D1


J82
Bladder
Bladder
D


BxPC-3
Pancreas
Pancreas
D


COR-L23
Lung
NSCLC
D


Mia PaCa-2
Pancreas
Pancreas
D


SW480
Colon
Colon
D


A431
Skin
Head and Neck
D


UM-UC-3
Bladder
Bladder
D


5637
Bladder
Bladder
E


639-V
Bladder
Bladder
E


786-O
Kidney
Kidney
E


A-253
Head and Neck
Head and Neck
E


A549
Lung
NSCLC
E


A-673
Soft & Connective
Sarcoma
E



Tissue


A7
Skin
Melanoma
E


AN3 CA
Female GU
Uterus
E


BE(2)C
Central Nervous
Neuroblastoma
E



System


BeWo
Placenta
Placenta
E


BM-1604
Prostate
Prostate
E


BPH1
Prostate
Prostate
E


BT20
Breast
Breast
E


BT-549
Breast
Breast
E


C-33A
Female GU
Cervix
E


C-4 II
Female GU
Cervix
E


CAL-62
Endocrine
Thyroid
E


Calu1
Lung
NSCLC
E


Calu6
Lung
NSCLC
E


Capan-1
Pancreas
Pancreas
E


Capan-2
Pancreas
Pancreas
E


CCRFCEM
Hematopoietic
Leukemia
E


CEM-C1
Hematopoietic
Leukemia
E


CFPAC-1
Pancreas
Pancreas
E


CGTH-W-1
Endocrine
Thyroid
E


ChaGoK1
Lung
NSCLC
E


CHL-1
Skin
Melanoma
E


Colo 320 HSR
Colon
Colon
E


Colo 320DM
Colon
Colon
E


DLD-1
Colon
Colon
E


DU145
Prostate
Prostate
E


EB-3
Hematopoietic
Lymphoma
E


EFM-19
Breast
Breast
E


G-292,
Bone
Osteosarcoma
E


clone A141B1


G-401
Kidney
Kidney
E


H4
Central Nervous
Glioma
E



System


HCT-116
Colon
Colon
E


HCT-15
Colon
Colon
E


HCT-8
Colon
Colon
E


HEL-92-1-7
Hematopoietic
Leukemia
E


HeLa
Female GU
Cervix
E


HepG2
Liver
Liver
E


HLE
Liver
Liver
E


HMCB
Skin
Melanoma
E


Hs 229.T
Lung
NSCLC
E


Hs 578T
Breast
Breast
E


HS 746T
Stomach
Stomach
E


Hs 766T
Pancreas
Pancreas
E


Hs 852.T
Skin
Melanoma
E


Hs 888.Sk
Bone
Osteosarcoma
E


Hs 934.T
Skin
Melanoma
E


HT-1080
Soft & Connective
Sarcoma
E



Tissue


HT1376
Bladder
Bladder
E


HT-3
Female GU
Cervix
E


IM-9
Hematopoietic
Myeloma
E


JAR
Placenta
Placenta
E


JEG-3
Placenta
Placenta
E


Jiyoye
Hematopoietic
Lymphoma
E


KLE
Female GU
Uterus
E


KPL-1
Breast
Breast
E


KU812
Hematopoietic
Leukemia
E


LS1034
Colon
Colon
E


M059J
Central Nervous
Glioma
E



System


MALME3M
Skin
Melanoma
E


MCF7
Breast
Breast
E


MC-IXC
Central Nervous
Neuroblastoma
E



System


MDA-MB-415
Breast
Breast
E


MDA-MB-436
Breast
Breast
E


ME-180
Female GU
Cervix
E


MX1
Hematopoietic
Leukemia
E


NCI-H292
Lung
NSCLC
E


NCI-H295R
Endocrine
Adrenal gland
E


NCIH441
Lung
NSCLC
E


NCI-H460
Lung
NSCLC
E


NCI-H508
Colon
Colon
E


NCI-H520
Lung
NSCLC
E


NCI-H596
Lung
NSCLC
E


OE19
Head and Neck
Head and Neck
E


OE33
Head and Neck
Head and Neck
E


OVCAR3
Female GU
Ovary
E


PC-3
Prostate
Prostate
E


PFSK-1
Central Nervous
Glioma
E



System


Raji
Hematopoietic
Lymphoma
E


RL95-2
Female GU
Uterus
E


SCC-4
Head and Neck
Head and Neck
E


SHP-77
Lung
SCLC
E


SK-LMS-1
Soft & Connective
Sarcoma
E



Tissue


SK-NEP-1
Kidney
Kidney
E


SK-N-FI
Central Nervous
Neuroblastoma
E



System


SKOV3
Female GU
Ovary
E


SK-UT-1
Soft & Connective
Sarcoma
E



Tissue


SNU-1
Stomach
Stomach
E


SU.86.86
Pancreas
Pancreas
E


SW-13
Endocrine
Adrenal gland
E


SW1353
Bone
Osteosarcoma
E


SW948
Colon
Colon
E


SW954
Female GU
Vulva
E


SW962
Female GU
Vulva
E


SW982
Soft & Connective
Sarcoma
E



Tissue


T24
Bladder
Bladder
E


T47D
Breast
Breast
E


T98G
Central Nervous
Glioma
E



System


VA-ES-BJ
Soft & Connective
Sarcoma
E



Tissue


Y79
Eye
Eye
E


YAPC
Pancreas
Pancreas
E


ZR-75-1
Breast
Breast
E









Example 5: Human CD34+ Progenitors Assay to Test for Fetal Hemoglobin Induction

An in-vitro system to test the ability of compound to induce fetal hemoglobin expression was developed. This system used Human CD34+ progenitor cells freshly isolated from healthy donors blood collections. Peripheral blood mononuclear cells (PBMCs) were isolated from whole blood by density gradient centrifugation using SepMate™-50 and Lymphoprep™ from Stem Cell Technologies. CD34+ hematopoietic progenitor cells (HSPCs) were isolated from PBMCs by magnetic separation using Stem Cells Technologies CD34+ positive selection/isolation kit (Stem Cell Technologies, #18056). CD34+ cells were cultured using a 2-phase 14 day culture system. During phase 1 (day 0 to day 7) cells were expanded. Expansion was followed by phase 2 (day 7 to day 14) where cells were differentiated toward the erythroid lineage. Compounds were added on day 1 and day 7 as 1000× stock after being diluted in dimethyl sulfoxide (DMSO) in a 3-fold series. Final DMSO concentration in the assay was 0.1%. At day 14 cells were harvested for Fluorescent Activated Cell Sorting (FACS) analysis and for HbF quantitation by Mass spectrometry. For cell surface and intracellular marker analysis by FACS, cells were fixed and stained with a cocktail of antibodies covering erythroid lineage markers, HbF and H3 and H3K9me2 (Table 11). Data was collected using Canto II flow cytometer (BD Biosciences) and the FACSDiva software. Data was analyzed using FlowJo software. % HbF+ cells and ratios H3/H3K9me2 intensities were calculated for CD71+/CD235a+ gated populations.









TABLE 10







Human CD34+ system culture conditions for Phase 1 and Phase 2










Additive
Source
Catalog Number
[final]










CD34+ Culture Conditions Phase 1










IMDM
Thermofisher
12440079
94% 


Human Serum


5%


Glutamax 100x
Thermofisher
35050-061
1%











Holotransferrin
Sigma
T4132-1G
330
ug/mL


Insulin
Sigma
I9278
10
ug/mL


Heparin
Sigma
1304005
2
IU/mL


EPO
R&D
287-TC
0.5
U/mL


SCF
R&D
255-SC-010/CF
100
ng/mL


IL-3
R&D
203-IL-010
5
ng/mL


Hydrocortisone
Sigma
H6909
1
μM







CD34+ Culture Conditions Phase 2










IMDM
Thermofisher
12440079
94% 


Human Serum


5%


Glutamax 100x
Thermofisher
35050-061
1%











Holotransferrin
Sigma
T4132-1G
330
ug/mL


Insulin
Sigma
I9278
10
ug/mL


Heparin
Sigma
1304005
2
IU/mL


EPO
R&D
287-TC
3
U/mL


SCF
R&D
255-SC-010/CF
100
ng/mL
















TABLE 11







Antibodies cocktail for FACS analysis












Antibody
Conjugate
Vendor
Cat No







CD34
BV510
Biolegend
343528



CD235a
BV421
BD
562938



CD71
PE-Cy7
eBiosciences
25071942



CD45
APC/fire 450
Biolegend
368518



CD36
Percp-Cy5.5
BD
561536



H3
A647
CST
12230S



HbF
PE
Invitrogen
MHFH04-4



H3K9me2
A488
Abcam
Ab203850










Example 6: HBF Inducers and Combination Studies for G9A Inhibitors

A list of pharmacological agents was evaluated for their potential to induce fetal Hemoglobin (HbF) in order to identify combination partners for our EHMT1/2 inhibitors. HbF can be induced by toxicity; therefore, the potential of the agents to induce HbF were evaluated in the context of cell viability. (Table 12). The EHMT1/2 inhibitor Compound 205 was evaluated in combination with a fixed dose of 10 μM Hydroxyurea and 0.1 μM Pomalidomide. A combination of 0.016 μM compound 205 and 10 μM Hydroxyurea showed a clear positive effect while maintaining cell viability>90%. 10 μM Hydroxyurea as a single agent was able to induce % HbF+ cells from 26% basal level to 45% while 0.016 μM compound 205 as a single agent induced to 45%. In combination these two agents were able to induced % HbF+ to 63% (FIG. 3A). A combination of 0.016 μM compound 205 and 0.1 μM Pomalidomide showed a clear positive effect while maintaining cell viability>90%. 0.1 μM Pomalidomide as a single agent was able to induce % HbF+ cells from 26% basal level to 48% while 0.016 μM compound 205 as a single agent induced to 45%. In combination these two agents were able to induce % HbF+ to 78% (FIG. 3B).


Hydroxyurea was also evaluated as single agent and in combination with the EHMT1/2 inhibitor compound 205 in a matrix format using CD34+ cells isolated from a pool of 5 healthy donors. Results showed the ability of these two agents to act synergistically using data from FACS analysis and MS quantification. (FIG. 4 and FIG. 5, respectively). It is noted that for Loewe excess determination in Chalice, data was normalized to the highest and lowest Hbγ induction observed under the conditions and dose ranges in the assay.









TABLE 12







Pharmacological agents with potential


to induce Fetal hemoglobin expression











Observed Induction




of % HbF + Human


Agent
Class
Erythroid Progenitors





Hydroxyurea
SOC for SCD
Yes


Entinostat
Pan-HDAC Inhibitor
Yes


Vorinostat
Pan-HDAC Inhibitor
No


Panobinostat
Pan-HDAC Inhibitor
No


AcethyIon ACY-957
HDAC 1/2 Inhibitor
Yes


BG-45
HDAC 3 Inhibitor
Yes


Decitabine
DMNT1 Inhibitor
Yes


Desloratidine
Anti-histamine (Claritin)
No


Benzerazide
Decarboxilase Inhibitor
Very small



(Parkinson)


Pomalidomide
Immunomodulator
Yes


Metformin
Diabetes drug shown
Yes



to be FOXO-3 Inducer


PDE9
Phosphodiesterase 9
No



Inhibitors









An agent can be defined as an HbF pan cellular inducer if it has the capability to induce the expression of HbF in all the cells of a treated population versus in a fraction of cells (heterocellular). For each treatment, HbF expressing cells (HbF+) were expressed as a percent of the total population and were defined as cells right of the threshold bar which was determined based on the DMSO control shown in (FIG. 6 (i)) (dotted lines). In FIG. 6 (i) are cells treated at 0.1% DMSO showed baseline levels of 42.7% of HbF expressing cells, in FIG. 6 (ii)-(vi) are cells treated with Compound D5R in a dose response manner. In this range of concentration, Compound D5R was able to sustain pan-cellularity effect of induction of HbF shown by % HbF+ cells>98.


An agent can be defined as an HbF pan cellular inducer if it has the capability to induce the expression of HbF in all the cells of a treated population versus in a fraction of cells (heterocellular). For each treatment, HbF expressing cells (HbF+) were expressed as a percent of the total population and are defined as cells right of the threshold bar which was determined based on the DMSO control shown in (FIG. 7 (i)) (dotted lines). In FIG. 7 (i) are cells treated at 0.1% DMSO showed baseline levels of 42.7% of HbF expressing cells with a wide spread of MFI, in FIG. 7 (ii) are cells treated at 10 μM Hydroxyurea showed 78.1% of HbF expressing cells with a wide spread of MFI but with most of the positive cells concentrated at ˜10(4) Fluorescence Intensity, in FIG. 7 (iii) are cells treated at 0.012 μM Compound D5R showed 98.1% of HbF expressing cells with a wide spread of MFI but with most of the positive cells concentrated at ˜10(3) Fluorescence Intensity, in FIG. 7 (iv) are cells treated at 10 μM Hydroxyurea in combination with 0.012 μM Compound D5R showed 99.8%% of HbF expressing cells with a strong single peak centered at ˜3×10(4) Fluorescence Intensity


Aspects of this disclosure can be embodied in other specific forms without departing from the spirit or essential characteristics thereof. The foregoing embodiments are therefore to be considered in all respects illustrative rather than limiting on the disclosed inventive concepts described herein. The scope of the disclosure is thus indicated by the appended claims rather than by the foregoing description, and all changes that come within the meaning and range of equivalency of the claims are intended to be embraced therein.

Claims
  • 1. A method of preventing or treating a blood disorder, the method comprising administering to a subject in need thereof a therapeutically effective amount of an EHMT2 inhibitor.
  • 2. The method of claim 1, wherein the blood disorder is Acute lymphoblastic leukemia (ALL), Acute myeloid leukemia (AML) (e.g., acute promyelocytic leukemia, APL), Amyloidosis, Anemia, Aplastic anemia, Bone marrow failure syndromes, Chronic lymphocytic leukemia (CLL), Chronic myeloid leukemia (CML), Deep vein thrombosis (DVT), Diamond-Blackfan anemia, Dyskeratosis congenita (DKC), Eosinophilic disorder, Essential thrombocythemia, Fanconi anemia, Gaucher disease, Hemochromatosis, Hemolytic anemia, Hemophilia, Hereditary spherocytosis, Hodgkin's lymphoma, Idiopathic thrombocytopenic purpura (ITP), Inherited bone marrow failure syndromes, Iron-deficiency anemia, Langerhans cell histiocytosis, Large granular lymphocytic (LGL) leukemia, Leukemia, Leukopenia, Mastocytosis, Monoclonal gammopathy, Multiple myeloma, Myelodysplastic syndromes (MDS), Myelofibrosis, Myeloproliferative neoplasms (MPN), Non-Hodgkin's lymphoma, Paroxysmal nocturnal hemoglobinuria (PNH), Pernicious anemia (B12 deficiency), Polycythemia vera, Porphyria, Post-transplant lymphoproliferative disorder (PTLD), Pulmonary embolism (PE), Shwachman-Diamond syndrome (SDS), Sickle-cell disease (SCD), Thalassemia, Thrombocytopenia, Thrombotic thrombocytopenic purpura (TTP), Venous thromboembolism, Von Willebrand disease, or Waldenstrom's macroglobulinemia (lymphoplasmacytic lymphoma).
  • 3. The method of claim 1 or 2, wherein the EHMT2 inhibitor is a compound of Formula (I):
  • 4. The method of any one of the preceding claims, wherein (1) the EHMT2-inhibitor is not a compound selected from the group consisting of:4-(((2-((1-acetylindolin-6-yl)amino)-6-(trifluoromethyl)pyrimidin-4-yl)amino)methyl)benzenesulfonamide;5-bromo-N4-(4-fluorophenyl)-N2-(4-methoxy-3-(2-(pyrrolidin-1-yl)ethoxy)phenyl)pyrimidine-2,4-diamine;N2-(4-methoxy-3-(2-(pyrrolidin-1-yl)ethoxy)phenyl)-N4-(5-(tert-pentyl)-1H-pyrazol-3-yl)pyrimidine-2,4-diamine;4-((2,4-dichloro-5-methoxyphenyl)amino)-2-((3-(2-(pyrrolidin-1-yl)ethoxy)phenyl)amino)pyrimidine-5-carbonitrile;N-(naphthalen-2-yl)-2-(piperidin-1-ylmethoxy)pyrimidin-4-amine;N-(3,5-difluorobenzyl)-2-(3-(pyrrolidin-1-yl)propyl)pyrimidin-4-amine;N-(((4-(3-(piperidin-1-yl)propyl)pyrimidin-2-yl)amino)methyl)benzamide;N-(2-((2-(3-(dimethylamino)propyl)pyrimidin-4-yl)amino)ethyl)benzamide; and2-(hexahydro-4-methyl-1H-1,4-diazepin-1-yl)-6,7-dimethoxy-N-[1-(phenylmethyl)-4-piperidinyl]-4-quinazolinamine;(2) when T is a bond, B is substituted phenyl, and R6 is NR8R9, in which R9 is -Q3-RS2, and RS2 is optionally substituted 4- to 7-membered heterocycloalkyl or a 5- to 6-membered heteroaryl, then B is substituted with at least one substituent selected from (i) -Q2-OR11 in which R11 is -Q6-RS3 and Q6 is optionally substituted C2-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker and (ii) -Q2-NR10R11 in which R11 is -Q6-RS3;(3) when T is a bond and B is optionally substituted phenyl, then R6 is not OR9 or NR8R9 in which R9 is optionally substituted naphthyl;(4) when T is a bond and B is optionally substituted phenyl, naphthyl, indanyl or 1,2,3,4-tetrahydronaphthyl, then R6 is not NR8R9 in which R9 is optionally substituted phenyl, naphthyl, indanyl or 1,2,3,4-tetrahydronaphthyl;(5) when T is a bond and B is optionally substituted phenyl or thiazolyl, then R6 is not optionally substituted imidazolyl, pyrazolyl, pyridyl, pyrimidyl, or NR8R9 in which Ry is optionally substituted imidazolyl or 6- to 10-membered heteroaryl; or(6) when T is a C1-C6 alkylene linker and B is absent or optionally substituted C6-C10 aryl or 4- to 12-membered heterocycloalkyl; or when T is a bond and B is optionally substituted C3-C10 cycloalkyl or 4- to 12-membered heterocycloalkyl, then R6 is not NR8C(O)R13;(7) when X1 and X3 are N, X2 is CR3, X4 is CR5, X5 is C, R5 is 4- to 12-membered heterocycloalkyl substituted with one or more C1-C6 alkyl, and R6 and R3 together with the atoms to which they are attached form phenyl which is substituted with one or more of optionally substituted C1-C3 alkoxyl, then B is absent, C6-C10 aryl, C3-C10 cycloalkyl, or 5- to 10-membered heteroaryl, or(8) when X2 and X3 are N, X1 is CR2, X4 is CR5, X5 is C, R5 is C3-C8 cycloalkyl or 4- to 12-membered heterocycloalkyl, each optionally substituted with one or more C1-C6 alkyl, and R6 and R2 together with the atoms to which they are attached form phenyl which is substituted with one or more of optionally substituted C1-C3 alkoxyl, then B is absent, C6-C10 aryl, C3-C10 cycloalkyl, or 5- to 10-membered heteroaryl.
  • 5. The method of any one of the preceding claims, wherein ring A is a 6-membered heteroaryl, at least one of X1, X2, X3 and X4 is N and X5 is C.
  • 6. The method of any one of the preceding claims, wherein ring A is a 6-membered heteroaryl, two of X1, X2, X3 and X4 are N and X5 is C.
  • 7. The method of any one of the preceding claims, wherein R6 and one of R2 or R3 together with the ring A to which they are attached form a 6,5-fused bicyclic heteroaryl; or R6 and one of R2′ or R3′ together the ring A to which they are attached form a 6,5-fused bicyclic heteroaryl.
  • 8. The method of any one of the preceding claims, wherein at least one of R6, R2, R3, and R4 is not H.
  • 9. The method of any one of the preceding claims, wherein when one or more of R2′, R3′, and R4′ are present, at least one of R6, R2′, R3′, and R4′ is not H.
  • 10. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is a compound of Formula (II):
  • 11. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is a compound of Formula (IIa1), (IIa2), (IIa3), (IIa4), or (IIa5):
  • 12. The method of any one of the preceding claims, wherein at most one of R3 and R5 is not H.
  • 13. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is a compound of Formula (IIb1), (IIb2), (IIb3), (IIb4), or (IIb5):
  • 14. The method of any one of the preceding claims, wherein at most one of R3, R4 and R5 is not H.
  • 15. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is a compound of Formula (IIc1), (IIc2), (IIc3), (IIc4), or (IIc5):
  • 16. The method of any one of the preceding claims, wherein at most one of R4 and R5 is not H.
  • 17. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is a compound of Formula (IId1), (IId2), (IId3), (IId4), or (IId5).
  • 18. The method of any one of the preceding claims, wherein at most one of R2, R4, and R5 is not H.
  • 19. The method of any one of the preceding claims, wherein ring A is a 5-membered heteroaryl.
  • 20. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is a compound of Formula (ID):
  • 21. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is a compound of Formula (IIIa):
  • 22. The method of any one of the preceding claims, wherein at most one of R4′ and R2 is not H.
  • 23. The method of any one of the preceding claims, wherein the optionally substituted 6,5-fused bicyclic heteroaryl contains 1-4 N atoms.
  • 24. The method of any one of the preceding claims, wherein T is a bond and ring B is phenyl or pyridyl.
  • 25. The method of any one of the preceding claims, wherein n is 1 or 2.
  • 26. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is a compound of Formula (IV):
  • 27. The method of any one of the preceding claims, wherein ring B is cyclohexyl.
  • 28. The method of any one of the preceding claims, wherein R1 is H or CH3.
  • 29. The method of any one of the preceding claims, wherein n is 1 or 2, and at least one of R7 is -Q2-OR11 in which R11 is -Q6-RS3 and Q6 is optionally substituted C2-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker.
  • 30. The method of any one of the preceding claims, wherein n is 1 or 2, and at least one of R7 is -Q2-NR10R11 in which R11 is -Q6-RS3.
  • 31. The method of any one of the preceding claims, wherein Q6 is C2-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with a hydroxyl and RS3 is 4- to 7-membered heterocycloalkyl optionally substituted with one or more -Q7-T7.
  • 32. The method of any one of the preceding claims, wherein Q6 is C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with a hydroxyl and RS3 is C3-C6 cycloalkyl optionally substituted with one or more
  • 33. The method of any one of the preceding claims, wherein each Q7 is independently a bond or a C1-C3 alkylene, C2-C3 alkenylene, or C2-C3 alkynylene linker and each T7 is independently H, halo, C1-C6 alkyl, or phenyl.
  • 34. The method of any one of the preceding claims, wherein Q2 is a bond or a C1-C4 alkylene, C2-C4 alkenylene, or C2-C4 alkynylene linker.
  • 35. The method of any one of the preceding claims, wherein at least one of R7 is
  • 36. The method of any one of the preceding claims, wherein n is 2 and the compound further comprises another R7 selected from halo and methoxy.
  • 37. The method of any one of the preceding claims, wherein ring B is selected from phenyl, pyridyl, and cyclohexyl, and the halo or methoxy is at the para-position to NR1.
  • 38. The method of any one of the preceding claims, wherein R6 is NR8R9.
  • 39. The method of any one of the preceding claims, wherein R9 is -Q3-T3, in which T3 is OR12, NR12C(O)R13, C(O)R13, C(O)NR12R13, S(O)2NR12R13, or RS2.
  • 40. The method of any one of the preceding claims, wherein Q3 is C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with a hydroxyl.
  • 41. The method of any one of the preceding claims, wherein RS2 is C3-C6 cycloalkyl, phenyl, 4- to 12-membered heterocycloalkyl, or a 5- to 10-membered heteroaryl, and RS2 is optionally substituted with one or more -Q4-T4.
  • 42. The method of any one of the preceding claims, wherein each Q4 is independently a bond or C1-C3 alkylene, C2-C3 alkenylene, or C2-C3 alkynylene linker optionally substituted with one or more of hydroxyl and halo, and each T4 is independently H, halo, C1-C6 alkyl, or phenyl; or -Q4-T4 is oxo.
  • 43. The method of any one of the preceding claims, wherein R6 or NR8R9 is selected from the group consisting of:
  • 44. The method of any one of the preceding claims, wherein B is absent and T is unsubstituted C1-C6 alkyl or T is C1-C6 alkyl substituted with at least one R7.
  • 45. The method of any one of the preceding claims, wherein B is 4- to 12-membered heterocycloalkyl and T is unsubstituted C1-C6 alkyl.
  • 46. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is a compound of Formula (V):
  • 47. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is a compound of Formula (VI):
  • 48. The method of any one of the preceding claims, wherein R6 is methyl.
  • 49. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is a compound of Formula (VII):
  • 50. The method of any one of the preceding claims, wherein both of X1 and X3 are N while X2 is CR3 and X4 is CR5.
  • 51. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is a compound of Formula (VIIIa):
  • 52. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is a compound of Formula (VIIIb):
  • 53. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is a compound of Formula (VIIIc):
  • 54. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is a compound of (IX):
  • 55. The method of any one of the preceding claims, wherein each T3 independently is OR12 or OR13.
  • 56. The method of any one of the preceding claims, wherein each Q3 independently is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with a hydroxyl.
  • 57. The method of any one of the preceding claims, wherein R15 is C1-C6 alkyl, NHR17, or 4- to 12-membered heterocycloalkyl.
  • 58. The method of any one of the preceding claims, wherein R16 is C1-C6 alkyl or 4- to 12-membered heterocycloalkyl, each optionally substituted with one or more -Q10-T10.
  • 59. The method of any one of the preceding claims, wherein each T10 independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, and 4- to 7-membered heterocycloalkyl.
  • 60. The method of any one of the preceding claims, wherein each Q10 independently is a bond or C1-C3 alkylene, C2-C3 alkenylene, or C2-C1 alkynylene linker optionally substituted with a hydroxyl.
  • 61. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is a compound of Formula (X):
  • 62. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is a compound of Formula (Xa), (Xb), (Xc), (Xd), (Xe), (Xf), or (Xg):
  • 63. The method of any one of the preceding claims, wherein at least one of X1, X2, X3 and X4 is N.
  • 64. The method of any one of the preceding claims, wherein X2 and X3 is CH, and X1 and X4 is N.
  • 65. The method of any one of the preceding claims, wherein X2 and X3 is N, X1 is CR2, and X4 is CR5.
  • 66. The method of any one of the preceding claims, wherein R6 is NR8R9 and R5 is C1-6 alkyl or R5 and R3 together with the atoms to which they are attached form phenyl or a 5- to 6-membered heteroaryl ring.
  • 67. The method of claim 1, wherein the EHMT2 inhibitor is a compound of Formula (I′):
  • 68. The method of claim 1, wherein the EHMT2 inhibitor is a compound of Formula (I″), (II″), or (III″):
  • 69. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is a compound is of Formula (I″).
  • 70. The method of any one of the preceding claims, wherein at least one of X1b, X2b, X3b and X4b is N.
  • 71. The method of any one of the preceding claims, wherein X1b and X3b are N.
  • 72. The method of any one of the preceding claims, wherein X1b and X3b are N, X2b is CR3b and X4b is CR5b.
  • 73. The method of any one of the preceding claims, wherein
  • 74. The method of any one of the preceding claims, wherein
  • 75. The method of any one of the preceding claims, wherein ring B is phenyl or 6-membered heteroaryl.
  • 76. The method of any one of the preceding claims, wherein
  • 77. The method of any one of the preceding claims, wherein ring B is phenyl or pyridyl.
  • 78. The method of any one of the preceding claims, being of Formula (Ia″), (Ib″), (Ic″), or (Id″):
  • 79. The method of any one of the preceding claims, wherein at most one of R3b and R5b is not H.
  • 80. The method of any one of the preceding claims, wherein at least one of R3b and R5b is not H.
  • 81. The method of any one of the preceding claims, wherein R3b is H or halo.
  • 82. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is a compound of Formula (Ie″), (If″), (Ig″), or (Ih″).
  • 83. The method of any one of the preceding claims, wherein at most one of R4b and R5b is not H.
  • 84. The method of any one of the preceding claims, wherein at least one of R4b and R5b is not H.
  • 85. The method of any one of the preceding claims, wherein R4b is H, C1-C6 alkyl, or halo.
  • 86. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is a compound of Formula (Ii″), (Ij″), (Ik″), or (Ih″):
  • 87. The method of any one of the preceding claims, wherein at most one of R2b and R5b is not H.
  • 88. The method of any one of the preceding claims, wherein at least one of R2b and R5b is not H.
  • 89. The method of any one of the preceding claims, wherein R2b is H, C1-C6 alkyl, or halo.
  • 90. The method of any one of the preceding claims, wherein R5b is C1-C6 alkyl.
  • 91. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is a compound is of Formula (II″).
  • 92. The method of any one of the preceding claims, wherein each of X5b, X6b and X7b is CH.
  • 93. The method of any one of the preceding claims, wherein at least one of X5b, X6b and X7b is N.
  • 94. The method of any one of the preceding claims, wherein at most one of X5b, X6b and X7b is N.
  • 95. The method of any one of the preceding claims, wherein R10b is optionally substituted 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S.
  • 96. The method of any one of the preceding claims, wherein R10b is connected to the bicyclic group of Formula (II″) via a carbon-carbon bond.
  • 97. The method of any one of the preceding claims, wherein R10b is connected to the bicyclic group of Formula (II″) via a carbon-nitrogen bond.
  • 98. The method of any one of the preceding claims, wherein the compound is of Formula (III″).
  • 99. The method of any one of the preceding claims, wherein R11b and R12b together with the carbon atom to which they are attached form a 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, wherein the 4- to 7-membered heterocycloalkyl is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, amino, mono- or di-alkylamino, or C1-C6 alkoxyl.
  • 100. The method of any one of the preceding claims, wherein R11b and R12b together with the carbon atom to which they are attached form a C4-C8 cycloalkyl which is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, amino, mono- or di-alkylamino, or C1-C6 alkoxyl.
  • 101. The method of any one of the preceding claims, wherein each of Xa and X6b is CH.
  • 102. The method of any one of the preceding claims, wherein each of Xa and X6b is N.
  • 103. The method of any one of the preceding claims, wherein one of X5b and X6b is CH and the other is CH.
  • 104. The method of any one of the preceding claims, wherein R6b is -Q1b-T1b, in which Q1b is a bond or C1-C6 alkylene linker optionally substituted with one or more of halo, and T1b is H, halo, cyano, or RS1b, in which RS1b is C3-C8 cycloalkyl, phenyl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- or 6-membered heteroaryl and RS1b is optionally substituted with one or more of halo, C1-C6 alkyl, hydroxyl, oxo, NRcbRdb, or C1-C6 alkoxyl.
  • 105. The method of any one of the preceding claims, wherein R6b is C1-C6 alkyl optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl.
  • 106. The method of any one of the preceding claims, wherein R6b is unsubstituted C1-C6 alkyl.
  • 107. The method of any one of the preceding claims, wherein R7b is -Q2b-T2b, in which Q2b is a bond or C(O)NRcb, and T2b is 5- to 10-membered heteroaryl or 4- to 12-membered heterocycloalkyl, wherein the 5- to 10-membered heteroaryl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more -Q3b-T3b.
  • 108. The method of any one of the preceding claims, wherein Q2b is a bond.
  • 109. The method of any one of the preceding claims, wherein T2b is 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, which is optionally substituted with one or more -Q3b-T3b.
  • 110. The method of any one of the preceding claims, wherein T2b is 8- to 12-membered bicyclic heterocycloalkyl that comprises a 5- or 6-membered aryl or heteroaryl ring fused with a non-aromatic ring.
  • 111. The method of any one of the preceding claims, wherein T2b is 8- to 12-membered bicyclic heterocycloalkyl that comprises a 5- or 6-membered aryl or heteroaryl ring fused with a non-aromatic ring, in which the 5- or 6-membered aryl or heteroaryl ring is connected to Q2b.
  • 112. The method of any one of the preceding claims, wherein T2b is 5- to 10-membered heteroaryl.
  • 113. The method of any one of the preceding claims, wherein T2b is selected from
  • 114. The method of any one of the preceding claims, wherein T2b is selected from
  • 115. The method of any one of the preceding claims, wherein each Q3b independently is a bond or C1-C3 alkylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T3b independently is selected from the group consisting of H, C1-C6 alkyl, C3-C8 cycloalkyl, 4- to 7-membered heterocycloalkyl, ORfb, C(O)Rfb, C(O)ORfb, NRfbRgb, C(O)NRfbRgb, and NRfbC(O)Rgb, in which the C3-C8 cycloalkyl or 4- to 7-membered heterocycloalkyl is optionally substituted with one or more halo, cyano, hydroxyl, C1-C6 alkyl or C1-C6 alkoxy.
  • 116. The method of any one of the preceding claims, wherein at least one of R8b and R9b is H.
  • 117. The method of any one of the preceding claims, wherein each of R8b and R9b is H.
  • 118. The method of any one of the preceding claims, wherein R8b is H.
  • 119. The method of any one of the preceding claims, wherein R9b is -Q4b-T4b, in which Q4b is a bond or C1-C6 alkylene linker optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T4b is H, halo, ORhb, NRhbRib, NRhbC(O)Rib, C(O)NRhbRib, C(O)Rhb, C(O)ORhb, or RS2b, in which RS2b is C3-C8 cycloalkyl or 4- to 7-membered heterocycloalkyl, and RS2b is optionally substituted with one or more -Q5b-T5b.
  • 120. The method of any one of the preceding claims, wherein each Q5b independently is a bond or C1-C3 alkylene linker.
  • 121. The method of any one of the preceding claims, wherein each T5b independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, ORjb, C(O)Rjb, C(O)ORjb, NRjbRkb, C(O)NRjbRkb, and NRjbC(O)Rkb.
  • 122. The method of any one of the preceding claims, wherein R9b is C1-C3 alkyl.
  • 123. The method of claim 1, wherein the EHMT2 inhibitor is a compound of Formula (I′″), (II′″), or (III′″):
  • 124. The method of any one of the preceding claims, wherein: X1c is N or CR2c;X2c is N or CRk;X3c is N or CR4c;X4c is N or CR5c;each of X5c, X6c and X7c is independently N or CH;X8c is NR13c or CR11cR12c;R1c is H or C1-C4 alkyl;each of R2c, R3c, R4c, and R5c, independently is selected from the group consisting of H, halo, cyano, C1-C6 alkoxyl, C6-C10 aryl, OH, NRacRbc, C(O)NRacRbc, NRacC(O)Rbc, C(O)ORac, OC(O)Rac, OC(O)NRacRbc, NRacC(O)ORbc, C3-C8 cycloalkyl, 4- to 7-membered heterocycloalkyl, 5- to 6-membered heteroaryl, C1-C6 alkyl, C2-C6 alkenyl, and C1-C6 alkynyl, wherein the C6-C10 aryl, C3-C8 cycloalkyl, 4- to 7-membered heterocycloalkyl, 5- to 6-membered heteroaryl, C1-C6 alkoxyl, C1-C6 alkyl, C2-C6 alkenyl, and C2-C6 alkynyl, are each optionally substituted with one or more of halo, ORac, or NRacRbc, in which each of Rac and Rbc independently is H or C1-C6 alkyl;R6c is -Q1c-T1c, in which Q1c is a bond, or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, oxo, or C1-C6 alkoxyl, and T1c is H, halo, cyano, or RS1c, in which RS1c is C3-C8 cycloalkyl, phenyl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- or 6-membered heteroaryl and RS1c is optionally substituted with one or more of halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, hydroxyl, oxo, —C(O)Rcc, —C(O)ORcc, —SO2Rcc, —SO2N(Rcc)2, —NRccC(O)Rdc, —C(O)NRccRdc, —NRccC(O)ORdc, —OC(O)NRccRdc, NRccRdc, or C1-C6 alkoxyl, in which each of Rcc and Rdc independently is H or C1-C6 alkyl;R7c is -Q2c-T2c, in which Q2c is a bond, C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, and T2c is H, halo, cyano, ORec, ORfc, C(O)Rfc, NRecRfc, C(O)NRecRfc, NRecC(O)Rfc, C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl, and wherein the C6-C10 aryl, 5- to 10-membered heteroaryl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more -Q3c-T3c, wherein each Q3c independently is a bond or C1-C3 alkylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T3c independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORec, ORfc, C(O)Rfc, C(O)ORfc, OC(O)Rfc, S(O)2Rfc, NRfcRgc, OC(O)NRfcRgc, NRfcC(O)ORgc, C(O)NRfcRgc, and NRfcC(O)Rgc; or -Q3c-T3c is oxo;each Rec independently is H or C1-C6 alkyl optionally substituted with one or more of halo, cyano, hydroxyl, amino, mono- or di-alkylamino, or C1-C6 alkoxyl;each of Rfc and Rgc, independently, is -Q6c-T6c, in which Q6c is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T6c is H, halo, ORm1c, NRm1cRm2c, NRm1cC(O)Rm2c, C(O)NRm1cRm2c, C(O)Rm1c, C(O)ORm1c, NRm1cC(O)ORm2c, OC(O)NRm1cRm2c, S(O)2Rm1c, S(O)2NRm1cRm2c, or RS3c, in which each of Rm1c and Rm2c independently is H or C1-C6 alkyl, and RS3c is C3-C8 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- to 10-membered heteroaryl, and RS3c is optionally substituted with one or more -Q7c-T7c, wherein each Q7c independently is a bond or C1-C3 alkylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T7c independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORn1c, C(O)Rn1c, C(O)ORn1c, OC(O)Rn1c, S(O)2Rn1c, NRn1cRn2c, OC(O)NRn1cRn2c, NRn1cC(O)ORn2c, C(O)NRn1cRn2c, and NRn1cC(O)Rn2c, each of Rn1c and Rn2c independently being H or C1-C6 alkyl; or -Q7c-T7c is oxo;R8c is H or C1-C6 alkyl;R9c is -Q4c-T4c, in which Q4c is a bond or C1-C6 alkylene, C2-C6 alkenylene, or C2-C6 alkynylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxyl, and T4c is H, halo, ORhc, NRhcRic, NRhcC(O)Ric, C(O)NRhcRic, C(O)Rhc, C(O)ORhc, NRhcC(O)ORic, OC(O)NRhcRic, S(O)2Rhc, S(O)2NRhcRic, or RS2c, in which each of Rhc and Ric independently is H or C1-C6 alkyl, and RS2c is C3-C8 cycloalkyl, C6-C10 aryl, 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, or a 5- to 10-membered heteroaryl, and RS2c is optionally substituted with one or more -Q5c-T5c, wherein each Q5c independently is a bond or C1-C3 alkylene linker each optionally substituted with one or more of halo, cyano, hydroxyl, or C1-C6 alkoxy, and each T5 independently is selected from the group consisting of H, halo, cyano, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, C6-C10 aryl, 4- to 7-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, 5- to 6-membered heteroaryl, ORjc, C(O)Rjc, C(O)ORjc, OC(O)Rjc, S(O)2Rjc, NRjcRkc, OC(O)NRjcRkc, NRjcC(O)ORkc, C(O)NRjcRkc, and NRjcC(O)Rkc, each of Rjc and Rkc independently being H or C1-C6 alkyl; or -Q5c-T5c is oxo;R10c is halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, wherein each of the C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, and 4- to 12-membered heterocycloalkyl is optionally substituted with one or more halo, cyano, hydroxyl, oxo, amino, mono- or di-alkylamino, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C6 alkoxy, C(O)NRjcRkc, or NRjcC(O)Rkc;R11c and R12c together with the carbon atom to which they are attached form a C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, wherein the C3-C12 cycloalkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of halo, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, hydroxyl, oxo, amino, mono- or di-alkylamino, or C1-C6 alkoxyl;R13c is H, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C3-C12 cycloalkyl, or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S; andeach of R14c and R15c, independently, is H, halo, cyano, C1-C6 alkyl optionally substituted with one or more of halo or cyano, C2-C6 alkenyl optionally substituted with one or more of halo or cyano, C2-C6 alkynyl optionally substituted with one or more of halo or cyano, C3-C8 cycloalkyl optionally substituted with one or more of halo or cyano, or —OR6c.
  • 125. The method of any one of the preceding claims, being of Formula (IA′″) or (IIA′″):
  • 126. The method of any one of the preceding claims, wherein: R8c is C1-C6 alkyl;R5c is C1-C6 alkyl;R11c and R12c each independently is C1-C6 alkyl, or R11c and R12c together with the carbon atom to which they are attached form C3-C12 cycloalkyl;R14c and R15c each independently is H, halogen, or C1-C6 alkoxyl; andR7c is 5- to 10-membered heteroaryl or 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, wherein the 5- to 10-membered heteroaryl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of R7cS; each R7cS independently is C1-C6 alkyl or 4- to 12-membered heterocycloalkyl, wherein the C1-C6 alkyl or 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of NR7cSaR7cSb; R7cSa and R7cSb each independently is H or C1-C6 alkyl, or R7cSa and R7cSb together with the nitrogen atom to which they are attached form C3-C6 heterocycloalkyl.
  • 127. The method of any one of the preceding claims, wherein R8c is methyl.
  • 128. The method of any one of the preceding claims, wherein R5c is i-propyl.
  • 129. The method of any one of the preceding claims, wherein R11c and R12c together with the carbon atom to which they are attached form C3-C12 cycloalkyl.
  • 130. The method of any one of the preceding claims, wherein R11c and R12c together with the carbon atom to which they are attached form cyclobutyl.
  • 131. The method of any one of the preceding claims, wherein at least one of R14c and R15c is halogen.
  • 132. The method of any one of the preceding claims, wherein at least one of R14c and R15c is F.
  • 133. The method of any one of the preceding claims, wherein at least one of R14c and R15c is Cl.
  • 134. The method of any one of the preceding claims, wherein at least one of R14c and R15c is m ethoxy.
  • 135. The method of any one of the preceding claims, wherein one of R14c and R15c is F or Cl, and the other one is methoxy.
  • 136. The method of any one of the preceding claims, wherein R7c is 5- to 10-membered heteroaryl containing 1-4 heteroatoms selected from N, O, and S, wherein the 5- to 10-membered heteroaryl is optionally substituted with one or more of R7cS.
  • 137. The method of any one of the preceding claims, wherein R7c is
  • 138. The method of any one of the preceding claims, being of Formula (IAa′″) or (IIAa′″):
  • 139. The method of any one of the preceding claims, being of Formula (IAb′″) or (IIAb′″):
  • 140. The method of any one of the preceding claims, wherein R7c is 4- to 12-membered heterocycloalkyl containing 1-4 heteroatoms selected from N, O, and S, wherein the 4- to 12-membered heterocycloalkyl is optionally substituted with one or more of R7cS.
  • 141. The method of any one of the preceding claims, wherein at least one R7cS is COOH.
  • 142. The method of any one of the preceding claims, wherein at least one R7cS is oxo.
  • 143. The method of any one of the preceding claims, wherein at least one R7cS is C1-C6 haloalkyl.
  • 144. The method of any one of the preceding claims, wherein at least one R7cS is CF3.
  • 145. The method of any one of the preceding claims, wherein at least one R7cS is C1-C6 alkyl optionally substituted with one or more of oxo or NR7cSaR7cSb.
  • 146. The method of any one of the preceding claims, wherein at least one R7cS is 4- to 12-membered heterocycloalkyl optionally substituted with one or more of oxo, C1-C6 alkyl, or NR7cSaR7cSb.
  • 147. The method of any one of the preceding claims, wherein R7c is
  • 148. The method of any one of the preceding claims, wherein EHMT2 inhibitor is selected from those in Tables 1A-1E, 2-4, 4A, and 5, and pharmaceutically acceptable salts thereof.
  • 149. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is a compound selected from Compound Nos. A75, CA51, CA70, D1R, D2, D3, D4R, D5R, D6, and D7, tautomers thereof, pharmaceutically acceptable salts thereof, and pharmaceutically acceptable salts of the tautomers.
  • 150. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is a compound selected from Compound Nos. A75, CAS 1, CA70, D1R, D2, D3, D4R, D5R, D6, and D7, and pharmaceutically acceptable salts thereof.
  • 151. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is a compound selected from Compound Nos. A75, CA51, CA70, D1R, D2, D3, D4R, D5R, D6, and D7.
  • 152. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is Compound No. A75 or a pharmaceutically acceptable salt thereof.
  • 153. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is Compound No. A75.
  • 154. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is Compound No. CAS 1 or a pharmaceutically acceptable salt thereof.
  • 155. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is Compound No. CAS 1.
  • 156. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is Compound No. CA70 or a pharmaceutically acceptable salt thereof.
  • 157. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is Compound No. CA70.
  • 158. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is Compound No. D1R or a pharmaceutically acceptable salt thereof.
  • 159. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is Compound No. D1R.
  • 160. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is Compound No. D2 or a pharmaceutically acceptable salt thereof.
  • 161. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is Compound No. D2.
  • 162. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is Compound No. D3 or a pharmaceutically acceptable salt thereof.
  • 163. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is Compound No. D3.
  • 164. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is Compound No. D4R or a pharmaceutically acceptable salt thereof.
  • 165. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is Compound No. D4R.
  • 166. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is Compound No. D5R or a pharmaceutically acceptable salt thereof.
  • 167. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is Compound No. D5R.
  • 168. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is Compound No. D6 or a pharmaceutically acceptable salt thereof.
  • 169. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is Compound No. D6.
  • 170. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is Compound No. D7 or a pharmaceutically acceptable salt thereof.
  • 171. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is Compound No. D7.
  • 172. The method of any one of the preceding claims, wherein EHMT2 inhibitor is a selective inhibitor of EHMT2.
  • 173. The method of any one of the preceding claims, wherein administration of the EHMT2 inhibitor activates or deactivates a gene associated with a blood disorder.
  • 174. The method of any one of the preceding claims, wherein the gene is located on a chromosome selected from the group consisting of 6q24, 7, 11p15.5, 14q32, 15q11q13, 15q11.2, 20q13, and 20.
  • 175. The method of any one of the preceding claims, wherein administration of the EHMT2 inhibitor inhibits dimethylation of histone 3 at lysine residue 9 (i.e., H3K9me2).
  • 176. The method of any one of the preceding claims, further comprising administering to the subject in need thereof a therapeutically effective amount of one or more additional therapeutic agent.
  • 177. The method of any one of the preceding claims, wherein the EHMT2 inhibitor and the one or more additional therapeutic agent are administered simultaneously, sequentially, or alternately.
  • 178. The method of any one of the preceding claims, comprising administering the EHMT2 inhibitor and the one or more additional therapeutic agent simultaneously.
  • 179. The method of any one of the preceding claims, comprising administering the EHMT2 inhibitor and the one or more additional therapeutic agent simultaneously.
  • 180. The method of any one of the preceding claims, comprising administering the EHMT2 inhibitor and the one or more additional therapeutic agent alternately.
  • 181. The method of any one of the preceding claims, wherein the EHMT2 inhibitor is administered prior to administering the one or more additional therapeutic agent.
  • 182. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent is administered prior to administering the EHMT2 inhibitor.
  • 183. The method of any one of the preceding claims, wherein the blood disorder is sickle-cell disease (SCD).
  • 184. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent comprises a standard-of-care agent, a therapeutic agent for a blood disorder, a histone deacetylase (HDAC) inhibitor, a DNA methyltransferase (DNMT) inhibitor or a hypomethylating agent, a BCL11A inhibitor, a KLF inhibitor, a GATA inhibitor, a c-MYB inhibitor, a PRMT1 inhibitor, a PRMT5 inhibitor, a LSD inhibitor, a P-selectin inhibitor, an immunosuppressive agent, an anti-inflammatory agent, an antihistamine, an aromatic L-amino acid decarboxylase (AADC) or DOPA decarboxylase inhibitor, an immunomodulatory drug, an interleukin-1 beta inhibitor, a cell transplant or a cell population transplant, a clinical intervention associated with preparing a subject for a transplantation procedure, a gene or a protein that induces expression of a target gene or to provide and/or express a functional copy of a gene product in a target cell (e.g., in a blood cell), or any combination thereof.
  • 185. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent comprises 6R-BH4 (sapropterin dihydrochloride), A-001 (Varespladib sodium), Abatacept, Abrisentan, Acetaminophen, Acetylcholine, Aes-103 (BAX-555, 5-hydroxymethyl-2-furfural (5-HMF)), Albuterol, Alemtuzumab, alpha-lipoic acid, acetyl-L-camitine, ambrisentan, anti-thymocyte globulin (ATG), Apixaban, Arginine (e.g., arginine butyrate, arginine hydrochloride; continuous or loading,), aspirin, atorvastatin, azacitadine, azithromycin, benzerazide, BG-45, BMD, BPX-501 (rivogenlecleucel), API903 (rimiducid), budesonide, busulfan, busulfex, butyrate, canakinumab, clotrimazole, codeine, cogmed, crizanlizumab, cyclophosphamide (CTX), cyclosporine, dalteparin, decitabine, tetrahydrouridine, deferasirox (ICL670), deferiprone, deferoxamine (DFO), defibrotide, desloratidine, desmopressin, dihydroartemisinin-piperaquine (DP), diphenhydramine, a DNMT inhibitor, docosahexaenoic acid, erythropoietin, hydroxyurea, etinostat, FBS0701, fentanyl citrate, ferriprox, fludarabine, gabapentin, GBT440, GCSF, gene therapy, GMI-1070, granulocyte colony-stimulating factor, GSK1024850A (Synflorix), graft-versus-host-disease (GVHD) prophylaxis, a HD AC inhibitor, a HDAC1/2 inhibitor, HIDA, high dose ICA-17043, HQK-1001, hydromorphone, hydroxyurea, a hypomethylating agent, ICL670, ilaris, intravenous immune globulin, IMR-687, a vaccine (e.g., inactivated influenza A (H1N1) virus vaccine), INCB059872, citrulline, magnesium sulfate, isobutyramide, ketamine, LDV/SOF, LentiGlobin BB305, levetiracetam, L-Glutamine, lidocaine, L-NMMA, losartan, low dose ICA-17043, low dose ketamine, an LSD1 inhibitor, macitentan, magnesium pidolate, a TR2/TR4 agonist, a DRED (direct repeat eryhtroid definitive) agonist, a BCL11 inhibitor, a c-MYB inhibitor, a GATA1 inhibitor, a KLF inhibitor, mefloquine, artesunate, melphalan, memantine hydrochloride, meperidine, mesna (e.g., mesnex), metformin, methadone, methotrexate, methylphenidate, methylprednisolone, prednisone, mometasone furoate, montelukast (e.g., in combination with hydroxyurea), morphine, MP4CO, MST-188 (vepoloxamer), mycophenolate mofetil (MMF), N-acetylcysteine (NAC), niacin-ER, NiCord (ex vivo expanded cell graft derived from umbilical cord stem cells), nitric oxide (e.g., by inhalation), nitroglycerin, NKTT120 (NKT Therapeutics), NO-CO (e.g., by inhalation and expiration), nubain (nalbuphine hydrochloride), NVX-508, omega-3 fatty acids, tetrahydrouridine, L-citrulline, oxypurinol, paludrine, folic acid, panobinostat, PDE9i, penicillin, pentostatin, plerixafor, poloxamer 188, pomalidomide, prasugrel, a PRMT1 inhibitor, a PRMT5 inhibitor, proguanil, propranolol, PSI697, a RAS Inhibitors, r-ATG, recombinant-methionyl human stem cell factor, riociguat, rivaroxaban, rivipansel, sangstat, sanguinate, SC411, SCD-101, SCD-Omegatex, SelG1 (crizanlizumab), sevuparin, siklos (hydroxycarbamide), sildenafil, simvastatin, sirolimus, sodium bicarbonate, sodium nitrite, SPD602 (FBS0701, SSP-004184), sulfadoxine pyrimethamine, synthetic zinc finger transcriptional activators, tacrolimus, t-butylhydroquinone, tDCS plus PES, thiotepa, thymoglobulin, ticagrelor, TLI, treosulfan, tritanrix-HepB/Hib, unfractionated heparin, Vaccination (e.g., Polio Sabin, Prevenar, Pneumo 23), vepoloxamer, vitamin D3, vorinostat, or zileuton, or any combination thereof.
  • 186. The method of any one of the preceding claims, wherein the administration of the EHMT2 inhibitor and the one or more additional therapeutic agent results in a pan-cellular induction of HbF.
  • 187. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent comprises an HbF inducing agent.
  • 188. The method of any one of the preceding claims, wherein the HbF inducing agent is not an HbF pan cellular inducing agent.
  • 189. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent comprises an HbF pan cellular inducing agent.
  • 190. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent does not comprise an HbF pan cellular inducing agent.
  • 191. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent comprises hydroxyurea.
  • 192. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent comprises a Pan-HDAC inhibitor.
  • 193. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent comprises entinostat, vorinostat, or panobinostat.
  • 194. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent comprises an HDAC inhibitor.
  • 195. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent comprises an HDAC 1/2 inhibitor.
  • 196. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent comprises Acethylon ACY-957.
  • 197. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent comprises an HDAC 3 inhibitor.
  • 198. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent comprises Acethylon BG-45.
  • 199. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent comprises a DMNT1 inhibitor.
  • 200. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent comprises Decitabine.
  • 201. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent comprises a Decarboxilase inhibitor.
  • 202. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent comprises Benzerazide.
  • 203. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent comprises an Immunomodulator.
  • 204. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent comprises Pomalidomide.
  • 205. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent comprises a FOXO-3 Inducer.
  • 206. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent comprises Metformin.
  • 207. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent comprises a Phosphodiesterase 9 Inhibitor.
  • 208. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent comprises PDE9.
  • 209. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent is hydroxyurea.
  • 210. The method of any one of the preceding claims, wherein the one or more additional therapeutic agent is L-glutamine.
  • 211. An EHMT2 inhibitor of any one of the preceding claims for preventing or treating a blood disorder.
  • 212. An EHMT2 inhibitor of any one of the preceding claims for preventing or treating a blood disorder, wherein the blood disorder is Acute lymphoblastic leukemia (ALL), Acute myeloid leukemia (AML) (e.g., acute promyelocytic leukemia, APL), Amyloidosis, Anemia, Aplastic anemia, Bone marrow failure syndromes, Chronic lymphocytic leukemia (CLL), Chronic myeloid leukemia (CML), Deep vein thrombosis (DVT), Diamond-Blackfan anemia, Dyskeratosis congenita (DKC), Eosinophilic disorder, Essential thrombocythemia, Fanconi anemia, Gaucher disease, Hemochromatosis, Hemolytic anemia, Hemophilia, Hereditary spherocytosis, Hodgkin's lymphoma, Idiopathic thrombocytopenic purpura (ITP), Inherited bone marrow failure syndromes, Iron-deficiency anemia, Langerhans cell histiocytosis, Large granular lymphocytic (LGL) leukemia, Leukemia, Leukopenia, Mastocytosis, Monoclonal gammopathy, Multiple myeloma, Myelodysplastic syndromes (MDS), Myelofibrosis, Myeloproliferative neoplasms (MPN), Non-Hodgkin's lymphoma, Paroxysmal nocturnal hemoglobinuria (PNH), Pernicious anemia (B12 deficiency), Polycythemia vera, Porphyria, Post-transplant lymphoproliferative disorder (PTLD), Pulmonary embolism (PE), Shwachman-Diamond syndrome (SDS), Sickle-cell disease (SCD), Thalassemia, Thrombocytopenia, Thrombotic thrombocytopenic purpura (TTP), Venous thromboembolism, Von Willebrand disease, or Waldenstrom's macroglobulinemia (lymphoplasmacytic lymphoma).
  • 213. An EHMT2 inhibitor of any one of the preceding claims for use in combination with one or more additional therapeutic agent for preventing or treating a blood disorder.
  • 214. An EHMT2 inhibitor of any one of the preceding claims for use in combination with one or more additional therapeutic agent for preventing or treating a blood disorder, wherein the blood disorder is Acute lymphoblastic leukemia (ALL), Acute myeloid leukemia (AML) (e.g., acute promyelocytic leukemia, APL), Amyloidosis, Anemia, Aplastic anemia, Bone marrow failure syndromes, Chronic lymphocytic leukemia (CLL), Chronic myeloid leukemia (CML), Deep vein thrombosis (DVT), Diamond-Blackfan anemia, Dyskeratosis congenita (DKC), Eosinophilic disorder, Essential thrombocythemia, Fanconi anemia, Gaucher disease, Hemochromatosis, Hemolytic anemia, Hemophilia, Hereditary spherocytosis, Hodgkin's lymphoma, Idiopathic thrombocytopenic purpura (ITP), Inherited bone marrow failure syndromes, Iron-deficiency anemia, Langerhans cell histiocytosis, Large granular lymphocytic (LGL) leukemia, Leukemia, Leukopenia, Mastocytosis, Monoclonal gammopathy, Multiple myeloma, Myelodysplastic syndromes (MDS), Myelofibrosis, Myeloproliferative neoplasms (MPN), Non-Hodgkin's lymphoma, Paroxysmal nocturnal hemoglobinuria (PNH), Pernicious anemia (B12 deficiency), Polycythemia vera, Porphyria, Post-transplant lymphoproliferative disorder (PTLD), Pulmonary embolism (PE), Shwachman-Diamond syndrome (SDS), Sickle-cell disease (SCD), Thalassemia, Thrombocytopenia, Thrombotic thrombocytopenic purpura (ITP), Venous thromboembolism, Von Willebrand disease, or Waldenstrom's macroglobulinemia (lymphoplasmacytic lymphoma).
  • 215. Use of an EHMT2 inhibitor of any one of the preceding claims in the manufacture of a medicament for preventing or treating a blood disorder.
  • 216. Use of an EHMT2 inhibitor of any one of the preceding claims in the manufacture of a medicament for preventing or treating a blood disorder, wherein the blood disorder is Acute lymphoblastic leukemia (ALL), Acute myeloid leukemia (AML) (e.g., acute promyelocytic leukemia, APL), Amyloidosis, Anemia, Aplastic anemia, Bone marrow failure syndromes, Chronic lymphocytic leukemia (CLL), Chronic myeloid leukemia (CML), Deep vein thrombosis (DVT), Diamond-Blackfan anemia, Dyskeratosis congenita (DKC), Eosinophilic disorder, Essential thrombocythemia, Fanconi anemia, Gaucher disease, Hemochromatosis, Hemolytic anemia, Hemophilia, Hereditary spherocytosis, Hodgkin's lymphoma, Idiopathic thrombocytopenic purpura (ITP), Inherited bone marrow failure syndromes, Iron-deficiency anemia, Langerhans cell histiocytosis, Large granular lymphocytic (LGL) leukemia, Leukemia, Leukopenia, Mastocytosis, Monoclonal gammopathy, Multiple myeloma, Myelodysplastic syndromes (MDS), Myelofibrosis, Myeloproliferative neoplasms (MPN), Non-Hodgkin's lymphoma, Paroxysmal nocturnal hemoglobinuria (PNH), Pernicious anemia (B12 deficiency), Polycythemia vera, Porphyria, Post-transplant lymphoproliferative disorder (PTLD), Pulmonary embolism (PE), Shwachman-Diamond syndrome (SDS), Sickle-cell disease (SCD), Thalassemia, Thrombocytopenia, Thrombotic thrombocytopenic purpura (TTP), Venous thromboembolism, Von Willebrand disease, or Waldenstrom's macroglobulinemia (lymphoplasmacytic lymphoma).
  • 217. Use of an EHMT2 inhibitor of any one of the preceding claims in the manufacture of a medicament for use in combination with one or more additional therapeutic agent for preventing or treating a blood disorder.
  • 218. Use of an EHMT2 inhibitor of any one of the preceding claims in the manufacture of a medicament for use in combination with one or more additional therapeutic agent for preventing or treating a blood disorder, wherein the blood disorder is Acute lymphoblastic leukemia (ALL), Acute myeloid leukemia (AML) (e.g., acute promyelocytic leukemia, APL), Amyloidosis, Anemia, Aplastic anemia, Bone marrow failure syndromes, Chronic lymphocytic leukemia (CLL), Chronic myeloid leukemia (CML), Deep vein thrombosis (DVT), Diamond-Blackfan anemia, Dyskeratosis congenita (DKC), Eosinophilic disorder, Essential thrombocythemia, Fanconi anemia, Gaucher disease, Hemochromatosis, Hemolytic anemia, Hemophilia, Hereditary spherocytosis, Hodgkin's lymphoma, Idiopathic thrombocytopenic purpura (ITP), Inherited bone marrow failure syndromes, Iron-deficiency anemia, Langerhans cell histiocytosis, Large granular lymphocytic (LGL) leukemia, Leukemia, Leukopenia, Mastocytosis, Monoclonal gammopathy, Multiple myeloma, Myelodysplastic syndromes (MDS), Myelofibrosis, Myeloproliferative neoplasms (MPN), Non-Hodgkin's lymphoma, Paroxysmal nocturnal hemoglobinuria (PNH), Pernicious anemia (B12 deficiency), Polycythemia vera, Porphyria, Post-transplant lymphoproliferative disorder (PTLD), Pulmonary embolism (PE), Shwachman-Diamond syndrome (SDS), Sickle-cell disease (SCD), Thalassemia, Thrombocytopenia, Thrombotic thrombocytopenic purpura (TTP), Venous thromboembolism, Von Willebrand disease, or Waldenstrom's macroglobulinemia (lymphoplasmacytic lymphoma).
RELATED APPLICATIONS

This application claims benefit of, and priority to, U.S. Application No. 62/573,876, filed on Oct. 18, 2017, and U.S. Application No. 62/574,128, filed on Oct. 18, 2017, the entire contents of each of which are incorporated herein by reference.

PCT Information
Filing Document Filing Date Country Kind
PCT/US2018/056530 10/18/2018 WO 00
Provisional Applications (2)
Number Date Country
62573876 Oct 2017 US
62574128 Oct 2017 US