Patent Description:
The gene that encodes cereblon (CRBN) was first identified in the course of a study of genes related to memory and learning; the gene was assigned the name CRBN based on its supposed role in the development of cerebral tissues and because its expression in the hippocampus among other areas, is associated with memory and learning processes.

Cereblon is a <NUM>-amino acid multifunctional protein located in the cytoplasm, nucleus and peripheral membrane of the human brain and other tissues (<NPL>)). It interacts with the DNA damage-binding protein-<NUM> (DDB1), Cullin <NUM> (Cul4A and Cul4B), and regulator of Cullins <NUM> (RoC1) to form the functional E3 ubiquitin ligase complex, which is known as the CRL4CRBN E3 ubiquitin ligase complex. Cereblon's role as part of this complex includes targeting proteins for proteolysis (degradation) via a ubiquitin-proteasome pathway. See, e.g., <NPL>).

Cereblon is closely associated with the metabolism and proliferation of normal cells as well as tumor cells. On one hand, its existence ensures normal metabolic function and normal physiological function of ion channels, which are important to maintaining cell growth and proliferation. On the other hand, cereblon is also involved in the occurrence of many diseases, such as cancer. See, generally, <NPL>).

Immunomodulatory drugs ("IMiDs") are a new class of anti-cancer drugs that are derived from thalidomide, a drug which has been approved by the FDA for treatment of multiple myeloma. In addition to thalidomide itself, two thalidomide analogs, lenalidomide and pomalidomide, have been approved by the FDA (and are being marketed under the names REVLIMID® and POMALYST®, respectively) for treatment of multiple myeloma (among other diseases). As suggested by their nomenclature, one of the first known properties of IMiDs was their immunomodulatory capacity, including cytokine modulation and T cell co-stimulation (<NPL>)), resulting in interleukin-<NUM> production in T cells. Subsequently, IMiDs were shown to have pleiotropic effects on a wide range of immune cells including natural killer (NK) cell activation and B cell and monocyte inhibition (<NPL>)).

Cereblon has been identified as a common primary target for IMiDs. For example, it has been reported that members of the Ikaros family of transcription factors, Ikaros and Aiolos (encoded by the genes Ikaros family zinc finger protein <NUM> (IKZF1) and IKZF3 respectively) are recruited as protein substrates for CRL4CRBN in T cells in response to treatment with lenalidomide and pomalidomide, resulting in enhanced production of IL-<NUM> and other cytokines that regulate T cell function. See, <NPL>). It has also been reported that lenalidomide, but not pomalidomide, induces the degradation of the protein kinase, casein kinase 1α (CK1α), which exploits CK1α haploinsufficiency associated with 5q-deletion associated myelodysplastic syndrome. See, <NPL>). Structural studies have shown that these IMiDs bind in a shallow hydrophobic pocket on the surface of cereblon, and that the binding is mediated by the glutarimide ring that is common to thalidomide, lenalidomide and pomalidomide.

More recently, CRBN-binding compounds named "cereblon modulators" have been developed. For example, CC-<NUM>, a new chemical entity termed 'pleiotropic pathway modifier', binds cereblon and promotes degradation of Aiolos and Ikaros in diffuse large B-cell lymphoma (DLBCL) and T cells in vitro, in vivo, and in patients, resulting in both cell autonomous as well as immunostimulatory effects. See, <NPL>). CC-<NUM>, another new cereblon modulator, has been reported to possess anti-tumor activity which is broader than that of thalidomide, lenalidomide and pomalidomide. CC-<NUM> is mediated by cereblon-dependent ubiquitination and degradation of the translation termination factor glutathione S-transferase pi gene <NUM> (GSTP1). See, <NPL>).

The exploitation of cereblon as a mediator in disease treatment has also led to the development of hetero-bifunctional PROTACs (PROteolysis TArgeting Chimera) that recruit targeted proteins that are themselves disease mediators (e.g., bromodomain-containing protein <NUM> (BRD4)) to CRL4CRBN E3 ubiquitin ligase, leading to degradation of the targeted protein. See, e.g., <NPL>).

Further, document <CIT> discloses sulphur/oxo naphthoyl imide compounds and derivates thereof.

Document <CIT> discloses amine-linked C<NUM>-glutarimide degronimers and degrons for therapeutic applications, methods for use and compositions thereof as well as methods for their preparation.

<NPL> discloses that efficient synthesis of immunomodulatory drug analogues enables exploration of structure-degradation relationships. In particular, a one-pot synthesis without purification that provides rapid access to a multitude of immunomodulatory drug analogues is described.

Unless defined otherwise, all technical and scientific terms used herein have the same meaning as is commonly understood by one of skill in the art to which the subject matter herein belongs. As used in the specification and the appended claims, unless specified to the contrary, the following terms have the meaning indicated in order to facilitate the understanding of the present invention.

As used in the description and the appended claims, the singular forms "a", "an", and "the" include plural referents unless the context clearly dictates otherwise. Thus, for example, reference to "a composition" includes mixtures of two or more such compositions, reference to "an inhibitor" includes mixtures of two or more such inhibitors, and the like.

Unless stated otherwise, the term "about" means within <NUM>% (e.g., within <NUM>%, <NUM>% or <NUM>%) of the particular value modified by the term "about.

The transitional term "comprising," which is synonymous with "including," "containing," or "characterized by," is inclusive or open-ended and does not exclude additional, unrecited elements or method steps. By contrast, the transitional phrase "consisting of" excludes any element, step, or ingredient not specified in the claim. The transitional phrase "consisting essentially of" limits the scope of a claim to the specified materials or steps "and those that do not materially affect the basic and novel characteristic(s)" of the claimed invention.

With respect to compounds of the present invention, and to the extent the following terms are used herein to further describe them, the following definitions apply.

As used herein, the term "alkyl" refers to a saturated linear or branched-chain monovalent hydrocarbon radical. In one embodiment, the alkyl radical is a C<NUM>-C<NUM> group. In other embodiments, the alkyl radical is a C<NUM> -C<NUM>, C<NUM>-C<NUM>, C<NUM>-C<NUM>, C<NUM>-C<NUM>, C<NUM>-C<NUM>, C<NUM>-C<NUM>, C<NUM>-C<NUM>, C<NUM>-C<NUM> or C<NUM>-C<NUM> group (wherein C<NUM> alkyl refers to a bond). Examples of alkyl groups include methyl, ethyl, <NUM>-propyl, <NUM>-propyl, i-propyl, <NUM>-butyl, <NUM>-methyl-<NUM>-propyl, <NUM>-butyl, <NUM>-methyl-<NUM>-propyl, <NUM>-pentyl, n-pentyl, <NUM>-pentyl, <NUM>-pentyl, <NUM>-methyl-<NUM>-butyl, <NUM>-methyl-<NUM>-butyl, <NUM>-methyl-<NUM>-butyl, <NUM>-methyl-<NUM>-butyl, <NUM>-hexyl, <NUM>-hexyl, <NUM>-hexyl, <NUM>-methyl-<NUM>-pentyl, <NUM>-methyl-<NUM>-pentyl, <NUM>-methyl-<NUM>-pentyl, <NUM>-methyl-<NUM>-pentyl, <NUM>-methyl-<NUM>-pentyl, <NUM>,<NUM>-dimethyl-<NUM>-butyl, <NUM>,<NUM>-dimethyl-<NUM>-butyl, heptyl, octyl, nonyl, decyl, undecyl and dodecyl. In some embodiments, an alkyl group is a C<NUM>-C<NUM> alkyl group. In some embodiments, an alkyl group is a C<NUM>-C<NUM> alkyl group.

As used herein, the term "alkylene" refers to a straight or branched divalent hydrocarbon chain linking the rest of the molecule to a radical group, consisting solely of carbon and hydrogen, containing no unsaturation and having from one to <NUM> carbon atoms, for example, methylene, ethylene, propylene, n-butylene, and the like. The alkylene chain may be attached to the rest of the molecule through a single bond and to the radical group through a single bond. In some embodiments, the alkylene group contains one to <NUM> carbon atoms (C<NUM>-C<NUM> alkylene). In other embodiments, an alkylene group contains one to <NUM> carbon atoms (C<NUM>-C<NUM> alkylene). In other embodiments, an alkylene group contains one to <NUM> carbon atoms (C<NUM>-C<NUM> alkylene). In other embodiments, an alkylene contains one to three carbon atoms (C<NUM>-C<NUM> alkylene). In other embodiments, an alkylene group contains one to two carbon atoms (C<NUM>-C<NUM> alkylene). In other embodiments, an alkylene group contains one carbon atom (C<NUM> alkylene).

As used herein, the term "haloalkyl" refers to an alkyl group as defined herein that is substituted with one or more (e.g., <NUM>, <NUM>, <NUM>, or <NUM>) halo groups.

As used herein, the term "alkenyl" refers to a linear or branched-chain monovalent hydrocarbon radical with at least one carbon-carbon double bond. An alkenyl includes radicals having "cis" and "trans" orientations, or alternatively, "E" and "Z" orientations. In one example, the alkenyl radical is a C<NUM>-C<NUM> group. In other embodiments, the alkenyl radical is a C<NUM>-C<NUM>, C<NUM>-C<NUM>, C<NUM>-C<NUM>, C<NUM>-C<NUM> or C<NUM>-C<NUM> group. Examples include ethenyl or vinyl, prop-<NUM>-enyl, prop-<NUM>-enyl, <NUM>-methylprop-<NUM>-enyl, but-<NUM>-enyl, but-<NUM>-enyl, but-<NUM>-enyl, buta-<NUM>,<NUM>-dienyl, <NUM>-methylbuta-<NUM>,<NUM>-diene, hex-<NUM>-enyl, hex-<NUM>-enyl, hex-<NUM>-enyl, hex-<NUM>-enyl and hexa-<NUM>,<NUM>-dienyl.

As used herein, the term "alkynyl" refers to a linear or branched monovalent hydrocarbon radical with at least one carbon-carbon triple bond. In one example, the alkynyl radical is a C<NUM>-C<NUM> group. In other examples, the alkynyl radical is C<NUM>-C<NUM>, C<NUM>-C<NUM>, C<NUM>-C<NUM>, C<NUM>-C<NUM> or C<NUM>-C<NUM>. Examples include ethynyl prop-<NUM>-ynyl, prop-<NUM>-ynyl, but-<NUM>-ynyl, but-<NUM>-ynyl and but-<NUM>-ynyl.

As used herein, the term "aldehyde" is represented by the formula-C(O)H. The terms "C(O)" and C=O are used interchangeably herein.

The terms "alkoxyl" or "alkoxy" as used herein refer to an alkyl group, as defined above, having an oxygen radical attached thereto. Representative alkoxyl groups include methoxy, ethoxy, propyloxy, tert-butoxy and the like. An "ether" is two hydrocarbons covalently linked by an oxygen. Accordingly, the substituent of an alkyl that renders that alkyl an ether is or resembles an alkoxyl, such as can be represented by one of -O-alkyl, -O-alkenyl, and -O-alkynyl.

As used herein, the term "halogen" (or "halo" or "halide") refers to fluorine, chlorine, bromine, or iodine.

As used herein, the term "carboxylic acid" is represented by the formula-C(O)OH, and a "carboxylate" is represented by the formula-C(O)O-.

As used herein, the term "ester" is represented by the formula-OC(O)Z<NUM> or -C(O)OZ<NUM>, where Z<NUM> may be an alkyl, halogenated alkyl, alkenyl, alkynyl, aryl, heteroaryl, cycloalkyl, cycloalkenyl, heterocycloalkyl, or heterocycloalkenyl group, all as described herein.

As used herein, the term "ether" is represented by the formula Z<NUM>OZ<NUM>, where Z<NUM> and Z<NUM> can be, independently, an alkyl, halogenated alkyl, alkenyl, alkynyl, aryl, heteroaryl, cycloalkyl, cycloalkenyl, heterocycloalkyl, or heterocycloalkenyl group, all as described herein.

As used herein, the term "ketone" is represented by the formula Z<NUM>C(O)Z<NUM>, where A<NUM> and A<NUM> independently represent alkyl, halogenated alkyl, alkenyl, alkynyl, aryl, heteroaryl, cycloalkyl, cycloalkenyl, heterocycloalkyl, or heterocycloalkenyl group, all as described herein.

As used herein, the term "sulfonyl" refers to the sulfo-oxo group represented by the formula --S(O)<NUM>Z<NUM>, where Z<NUM> may be hydrogen, an alkyl, halogenated alkyl, alkenyl, alkynyl, aryl, heteroaryl, cycloalkyl, cycloalkenyl, heterocycloalkyl, or heterocycloalkenyl group, all as described herein.

As used herein, the term "sulfonylamino" (or "sulfonamide") is represented by the formula --S(O)<NUM>NH<NUM>.

As used herein, the term "thiol" is represented by the formula --SH.

As used herein, the term "cyclic group" broadly refers to any group that used alone or as part of a larger moiety, contains a saturated, partially saturated or aromatic ring system e.g., carbocyclic (cycloalkyl, cycloalkenyl), heterocyclic (heterocycloalkyl, heterocycloalkenyl), aryl and heteroaryl groups. Cyclic groups may have one or more (e.g., fused) ring systems. Thus, for example, a cyclic group can contain one or more carbocyclic, heterocyclic, aryl or heteroaryl groups.

As used herein, the term "carbocyclic" (also "carbocyclyl") refers to a group that used alone or as part of a larger moiety, contains a saturated, partially unsaturated, or aromatic ring system having <NUM> to <NUM> carbon atoms, that is alone or part of a larger moiety (e.g., an alkcarbocyclic group). The term carbocyclyl includes mono-, bi-, tri-, fused, bridged, and spiro-ring systems, and combinations thereof. In one embodiment, carbocyclyl includes <NUM> to <NUM> carbon atoms (C<NUM>-C<NUM>). In one embodiment, carbocyclyl includes <NUM> to <NUM> carbon atoms (C<NUM>-C<NUM>). In another embodiment, carbocyclyl includes C<NUM>-C<NUM>, C<NUM>-C<NUM> or C<NUM>-C<NUM>. In another embodiment, carbocyclyl, as a monocycle, includes C<NUM>-C<NUM>, C<NUM>-C<NUM> or C<NUM>-C<NUM>. In some embodiments, carbocyclyl, as a bicycle, includes C<NUM>-C<NUM>. In another embodiment, carbocyclyl, as a spiro system, includes C<NUM>-C<NUM>. Representative examples of monocyclic carbocyclyls include cyclopropyl, cyclobutyl, cyclopentyl, <NUM>-cyclopent-<NUM>-enyl, <NUM>-cyclopent-<NUM>-enyl, <NUM>-cyclopent-<NUM>-enyl, cyclohexyl, perdeuteriocyclohexyl, <NUM>-cyclohex-<NUM>-enyl, <NUM>-cyclohex-<NUM>-enyl, <NUM>-cyclohex-<NUM>-enyl, cyclohexadienyl, cycloheptyl, cyclooctyl, cyclononyl, cyclodecyl, cycloundecyl, phenyl, and cyclododecyl; bicyclic carbocyclyls having <NUM> to <NUM> ring atoms include [<NUM>,<NUM>], [<NUM>,<NUM>], [<NUM>,<NUM>], [<NUM>,<NUM>], [<NUM>,<NUM>] or [<NUM>,<NUM>] ring systems, such as for example bicyclo[<NUM>. <NUM>]heptane, bicyclo[<NUM>. <NUM>]octane, naphthalene, and bicyclo[<NUM>. <NUM>]nonane. Representative examples of spiro carbocyclyls include spiro[<NUM>]pentane, spiro[<NUM>]hexane, spiro[<NUM>]heptane, spiro[<NUM>]octane and spiro[<NUM>]decane. The term carbocyclyl includes aryl ring systems as defined herein. The term carbocycyl also includes cycloalkyl rings (e.g., saturated or partially unsaturated mono-, bi-, or spiro-carbocycles). The term carbocyclic group also includes a carbocyclic ring fused to one or more (e.g., <NUM>, <NUM> or <NUM>) different cyclic groups (e.g., aryl or heterocyclic rings), where the radical or point of attachment is on the carbocyclic ring.

Thus, the term carbocyclic also embraces carbocyclylalkyl groups which as used herein refer to a group of the formula --Rc-carbocyclyl where Rc is an alkylene chain. The term carbocyclic also embraces carbocyclylalkoxy groups which as used herein refer to a group bonded through an oxygen atom of the formula --O--Rc-carbocyclyl where Rc is an alkylene chain.

As used herein, the term "heterocyclyl" refers to a "carbocyclyl" that used alone or as part of a larger moiety, contains a saturated, partially unsaturated or aromatic ring system, wherein one or more (e.g., <NUM>, <NUM>, <NUM>, or <NUM>) carbon atoms have been replaced with a heteroatom (e.g., O, N, N(O), S, S(O), or S(O)<NUM>). The term heterocyclyl includes mono-, bi-, tri-, fused, bridged, and spiro-ring systems, and combinations thereof. In some embodiments, a heterocyclyl refers to a <NUM> to <NUM> membered heterocyclyl ring system. In some embodiments, a heterocyclyl refers to a <NUM> to <NUM> membered heterocyclyl ring system. In some embodiments, a heterocyclyl refers to a saturated ring system, such as a <NUM> to <NUM> membered saturated heterocyclyl ring system. In some embodiments, a heterocyclyl refers to a heteroaryl ring system, such as a <NUM> to <NUM> membered heteroaryl ring system. The term heterocyclyl also includes C<NUM>-C<NUM> heterocycloalkyl, which is a saturated or partially unsaturated mono-, bi-, or spiro-ring system containing <NUM>-<NUM> carbons and one or more (<NUM>, <NUM>, <NUM> or <NUM>) heteroatoms.

In some embodiments, a heterocyclyl group includes <NUM>-<NUM> ring atoms and includes monocycles, bicycles, tricycles and Spiro ring systems, wherein the ring atoms are carbon, and one to <NUM> ring atoms is a heteroatom such as nitrogen, sulfur or oxygen. In some embodiments, heterocyclyl includes <NUM>- to <NUM>-membered monocycles having one or more heteroatoms selected from nitrogen, sulfur or oxygen. In some embodiments, heterocyclyl includes <NUM>- to <NUM>-membered monocycles having one or more heteroatoms selected from nitrogen, sulfur or oxygen. In some embodiments, heterocyclyl includes <NUM>-membered monocycles. In some embodiments, heterocyclyl includes <NUM>-membered monocycles. In some embodiments, heterocyclyl includes <NUM>-<NUM> membered monocycles. In some embodiments, the heterocyclyl group includes <NUM> to <NUM> double bonds. In any of the foregoing embodiments, heterocyclyl includes <NUM>, <NUM>, <NUM> or <NUM> heteroatoms. Any nitrogen or sulfur heteroatom may optionally be oxidized (e.g., NO, SO, SO<NUM>), and any nitrogen heteroatom may optionally be quaternized (e.g., [NRa]+Cl-, [NR<NUM>]+OH-). Representative examples of heterocyclyls include oxiranyl, aziridinyl, thiiranyl, azetidinyl, oxetanyl, thietanyl, <NUM>,<NUM>-dithietanyl, <NUM>,<NUM>-dithietanyl, pyrrolidinyl, dihydro-<NUM>-pyrrolyl, dihydrofuranyl, tetrahydropyranyl, dihydrothienyl, tetrahydrothienyl, imidazolidinyl, piperidinyl, piperazinyl, morpholinyl, thiomorpholinyl, <NUM>,<NUM>-dioxo-thiomorpholinyl, dihydropyranyl, tetrahydropyranyl, hexahydrothiopyranyl, hexahydropyrimidinyl, oxazinanyl, thiazinanyl, thioxanyl, homopiperazinyl, homopiperidinyl, azepanyl, oxepanyl, thiepanyl, oxazepinyl, oxazepanyl, diazepanyl, <NUM>,<NUM>-diazepanyl, diazepinyl, thiazepinyl, thiazepanyl, tetrahydrothiopyranyl, oxazolidinyl, thiazolidinyl, isothiazolidinyl, <NUM>,<NUM>-dioxoisothiazolidinonyl, oxazolidinonyl, imidazolidinonyl, <NUM>,<NUM>,<NUM>,<NUM>-tetrahydro[<NUM>]indazolyl, tetrahydrobenzoimidazolyl, <NUM>,<NUM>,<NUM>,<NUM>-tetrahydrobenzo[d]imidazolyl, <NUM>,<NUM>-dihydroimidazol[<NUM>,<NUM>-d]pyrrolo[<NUM>,<NUM>-b]pyridinyl, thiazinyl, oxazinyl, thiadiazinyl, oxadiazinyl, dithiazinyl, dioxazinyl, oxathiazinyl, thiatriazinyl, oxatriazinyl, dithiadiazinyl, imidazolinyl, dihydropyrimidyl, tetrahydropyrimidyl, <NUM>-pyrrolinyl, <NUM>-pyrrolinyl, <NUM>-pyrrolinyl, indolinyl, thiapyranyl, <NUM>-pyranyl, <NUM>-pyranyl, dioxanyl, <NUM>,<NUM>-dioxolanyl, pyrazolinyl, pyrazolidinyl, dithianyl, dithiolanyl, pyrimidinonyl, pyrimidindionyl, pyrimidin-<NUM>,<NUM>-dionyl, piperazinonyl, piperazindionyl, pyrazolidinylimidazolinyl, <NUM>-azabicyclo[<NUM>. <NUM>]hexanyl, <NUM>,<NUM>-diazabicyclo[<NUM>. <NUM>]heptanyl, <NUM>-azabicyclo[<NUM>. <NUM>]heptanyl, <NUM>-azabicyclo[<NUM>. <NUM>]heptanyl, <NUM>-azabicyclo[<NUM>. <NUM>]heptanyl, azabicyclo[<NUM>. <NUM>]hexanyl, <NUM>-azabicyclo[<NUM>. <NUM>]octanyl, <NUM>-azabicyclo[<NUM>. <NUM>]octanyl, <NUM>-azabicyclo[<NUM>. <NUM>]octanyl, <NUM>-azabicyclo[<NUM>. <NUM>]octanyl, <NUM>-oxabicyclo[<NUM>. <NUM>]heptane, azaspiro[<NUM>]nonanyl, azaspiro[<NUM>]octanyl, azaspiro[<NUM>]decanyl, <NUM>-azaspiro[<NUM>]decan-<NUM>-only, azaspiro[<NUM>]undecanyl, tetrahydroindolyl, octahydroindolyl, tetrahydroisoindolyl, tetrahydroindazolyl, <NUM>,<NUM>-dioxohexahydrothiopyranyl. Examples of <NUM>-membered heterocyclyls containing a sulfur or oxygen atom and one to three nitrogen atoms are thiazolyl, including thiazol-<NUM>-yl and thiazol-<NUM>-yl N-oxide, thiadiazolyl, including <NUM>,<NUM>,<NUM>-thiadiazol-<NUM>-yl and <NUM>,<NUM>,<NUM>-thiadiazol-<NUM>-yl, oxazolyl, for example oxazol-<NUM>-yl, and oxadiazolyl, such as <NUM>,<NUM>,<NUM>-oxadiazol-<NUM>-yl, and <NUM>,<NUM>,<NUM>-oxadiazol-<NUM>-yl. Example <NUM>-membered ring heterocyclyls containing <NUM> to <NUM> nitrogen atoms include imidazolyl, such as imidazol-<NUM>-yl; triazolyl, such as <NUM>,<NUM>,<NUM>-triazol-<NUM>-yl; <NUM>,<NUM>,<NUM>-triazol-<NUM>-yl, <NUM>,<NUM>,<NUM>-triazol-<NUM>-yl, and tetrazolyl, such as <NUM>-tetrazol-<NUM>-yl. Representative examples of benzo-fused <NUM>-membered heterocyclyls are benzoxazol-<NUM>-yl, benzthiazol-<NUM>-yl and benzimidazol-<NUM>-yl. Example <NUM>-membered heterocyclyls contain one to three nitrogen atoms and optionally a sulfur or oxygen atom, for example pyridyl, such as pyrid-<NUM>-yl, pyrid-<NUM>-yl, and pyrid-<NUM>-yl; pyrimidyl, such as pyrimid-<NUM>-yl and pyrimid-<NUM>-yl; triazinyl, such as <NUM>,<NUM>,<NUM>-triazin-<NUM>-yl and <NUM>,<NUM>,<NUM>-triazin-<NUM>-yl; pyridazinyl, in particular pyridazin-<NUM>-yl, and pyrazinyl. The pyridine N-oxides and pyridazine N-oxides and the pyridyl, pyrimid-<NUM>-yl, pyrimid-<NUM>-yl, pyridazinyl and the <NUM>,<NUM>,<NUM>-triazin-<NUM>-yl groups, are yet other examples of heterocyclyl groups. In some embodiments, a heterocyclic group includes a heterocyclic ring fused to one or more (e.g., <NUM>, <NUM> or <NUM>) different cyclic groups (e.g., carbocyclic rings or heterocyclic rings), where the radical or point of attachment is on the heterocyclic ring, and in some embodiments wherein the point of attachment is a heteroatom contained in the heterocyclic ring.

Thus, the term heterocyclic embraces N-heterocyclyl groups which as used herein refer to a heterocyclyl group containing at least one nitrogen and where the point of attachment of the heterocyclyl group to the rest of the molecule is through a nitrogen atom in the heterocyclyl group. Representative examples of N-heterocyclyl groups include <NUM>-morpholinyl, <NUM>-piperidinyl, <NUM>-piperazinyl, <NUM>-pyrrolidinyl, pyrazolidinyl, imidazolinyl and imidazolidinyl. The term heterocyclic also embraces C-heterocyclyl groups which as used herein refer to a heterocyclyl group containing at least one heteroatom and where the point of attachment of the heterocyclyl group to the rest of the molecule is through a carbon atom in the heterocyclyl group. Representative examples of C-heterocyclyl radicals include <NUM>-morpholinyl, <NUM>- or <NUM>- or <NUM>-piperidinyl, <NUM>-piperazinyl, and <NUM>- or <NUM>-pyrrolidinyl. The term heterocyclic also embraces heterocyclylalkyl groups which as disclosed above refer to a group of the formula --Rc-heterocyclyl where Rc is an alkylene chain. The term heterocyclic also embraces heterocyclylalkoxy groups which as used herein refer to a radical bonded through an oxygen atom of the formula --O--Rc-heterocyclyl where Rc is an alkylene chain.

As used herein, the term "aryl" used alone or as part of a larger moiety (e.g., "aralkyl", wherein the terminal carbon atom on the alkyl group is the point of attachment, e.g., a benzyl group),"aralkoxy" wherein the oxygen atom is the point of attachment, or "aroxyalkyl" wherein the point of attachment is on the aryl group) refers to a group that includes monocyclic, bicyclic or tricyclic, carbon ring system, that includes fused rings, wherein at least one ring in the system is aromatic. In some embodiments, the aralkoxy group is a benzoxy group. The term "aryl" may be used interchangeably with the term "aryl ring". In one embodiment, aryl includes groups having <NUM>-<NUM> carbon atoms. In another embodiment, aryl includes groups having <NUM>-<NUM> carbon atoms. Examples of aryl groups include phenyl, naphthyl, anthracyl, biphenyl, phenanthrenyl, naphthacenyl, <NUM>,<NUM>,<NUM>,<NUM>-tetrahydronaphthalenyl, <NUM>-indenyl, <NUM>,<NUM>-dihydro-<NUM>-indenyl, and the like, which may be substituted or independently substituted by one or more substituents described herein. A particular aryl is phenyl. In some embodiments, an aryl group includes an aryl ring fused to one or more (e.g., <NUM>, <NUM> or <NUM>) different cyclic groups (e.g., carbocyclic rings or heterocyclic rings), where the radical or point of attachment is on the aryl ring.

Thus, the term aryl embraces aralkyl groups (e.g., benzyl) which as disclosed above refer to a group of the formula --Rc-aryl where Rc is an alkylene chain such as methylene or ethylene. In some embodiments, the aralkyl group is an optionally substituted benzyl group. The term aryl also embraces aralkoxy groups which as used herein refer to a group bonded through an oxygen atom of the formula --O-Rc--aryl where Rc is an alkylene chain such as methylene or ethylene.

As used herein, the term "heteroaryl" used alone or as part of a larger moiety (e.g., "heteroarylalkyl" (also "heteroaralkyl"), or "heteroarylalkoxy" (also "heteroaralkoxy"), refers to a monocyclic, bicyclic or tricyclic ring system having <NUM> to <NUM> ring atoms, wherein at least one ring is aromatic and contains at least one heteroatom. In one embodiment, heteroaryl includes <NUM>-<NUM> membered monocyclic aromatic groups where one or more ring atoms is nitrogen, sulfur or oxygen that is independently optionally substituted. In another embodiment, heteroaryl includes <NUM>-<NUM> membered monocyclic aromatic groups where one or more ring atoms is nitrogen, sulfur or oxygen. Representative examples of heteroaryl groups include thienyl, furyl, imidazolyl, pyrazolyl, thiazolyl, isothiazolyl, oxazolyl, isoxazolyl, triazolyl, thiadiazolyl, oxadiazolyl, tetrazolyl, thiatriazolyl, oxatriazolyl, pyridyl, pyrimidyl, pyrazinyl, pyridazinyl, triazinyl, tetrazinyl, tetrazolo[<NUM>,<NUM>-b]pyridazinyl, purinyl, benzoxazolyl, benzofuryl, benzothiazolyl, benzothiadiazolyl, benzotriazolyl, benzoimidazolyl, indolyl, <NUM>,<NUM>-thiazol-<NUM>-yl, <NUM>,<NUM>,<NUM>-triazol-<NUM>-yl, <NUM>,<NUM>-oxazol-<NUM>-yl, <NUM>,<NUM>,<NUM>-oxadiazol-<NUM>-yl, <NUM>,<NUM>,<NUM>-oxadiazol-<NUM>-yl, <NUM>,<NUM>,<NUM>-thiadiazol-<NUM>-yl, <NUM>-tetrazol-<NUM>-yl, <NUM>,<NUM>,<NUM>-triazol-<NUM>-yl, and pyrid-<NUM>-yl N-oxide. The term "heteroaryl" also includes groups in which a heteroaryl is fused to one or more cyclic (e.g., carbocyclyl, or heterocyclyl) rings, where the radical or point of attachment is on the heteroaryl ring. Nonlimiting examples include indolyl, isoindolyl, benzothienyl, benzofuranyl, dibenzofuranyl, indazolyl, benzimidazolyl, benzthiazolyl, quinolyl, isoquinolyl, cinnolinyl, phthalazinyl, quinazolinyl, quinoxalinyl, <NUM>-quinolizinyl, carbazolyl, acridinyl, phenazinyl, phenothiazinyl, phenoxazinyl, tetrahydroquinolinyl, tetrahydroisoquinolinyl and pyrido[<NUM>,<NUM>-b]-<NUM>,<NUM>-oxazin-<NUM>(<NUM>)-one. A heteroaryl group may be mono-, bi- or tri-cyclic. In some embodiments, a heteroaryl group includes a heteroaryl ring fused to one or more (e.g., <NUM>, <NUM> or <NUM>) different cyclic groups (e.g., carbocyclic rings or heterocyclic rings), where the radical or point of attachment is on the heteroaryl ring, and in some embodiments wherein the point of attachment is a heteroatom contained in the heterocyclic ring.

Thus, the term heteroaryl embraces N-heteroaryl groups which as used herein refer to a heteroaryl group as defined above containing at least one nitrogen and where the point of attachment of the heteroaryl group to the rest of the molecule is through a nitrogen atom in the heteroaryl group. The term heteroaryl also embraces C-heteroaryl groups which as used herein refer to a heteroaryl group as defined above and where the point of attachment of the heteroaryl group to the rest of the molecule is through a carbon atom in the heteroaryl group. The term heteroaryl also embraces heteroarylalkyl groups which as disclosed above refer to a group of the formula --Rc-heteroaryl, where Rc is an alkylene chain as defined above. The term heteroaryl also embraces heteroaralkoxy (or heteroarylalkoxy) groups which as used herein refer to a group bonded through an oxygen atom of the formula --O--Rc-heteroaryl, where Rc is an alkylene group as defined above.

Any of the groups described herein may be substituted or unsubstituted. As used herein, the term "substituted" broadly refers to all permissible substituents with the implicit proviso that such substitution is in accordance with permitted valence of the substituted atom and the substituent, and that the substitution results in a stable compound, i.e. a compound that does not spontaneously undergo transformation such as by rearrangement, cyclization, elimination, etc. Representative substituents include halogens, hydroxyl groups, and any other organic groupings containing any number of carbon atoms, e.g., <NUM>-<NUM> carbon atoms, and which may include one or more (e.g., <NUM><NUM><NUM>, or <NUM>) heteroatoms such as oxygen, sulfur, and nitrogen grouped in a linear, branched, or cyclic structural format.

Representative examples of substituents may thus include alkyl, substituted alkyl, alkoxy, substituted alkoxy, alkenyl, substituted alkenyl, alkynyl, substituted alkynyl, cyclic, substituted cyclic, carbocyclic, substituted carbocyclic, heterocyclic, substituted heterocyclic, aryl (e.g., benzyl and phenyl), substituted aryl (e.g., substituted benzyl or phenyl), heteroaryl, substituted heteroaryl, aralkyl, substituted aralkyl, halo, hydroxyl, aryloxy, substituted aryloxy, alkylthio, substituted alkylthio, arylthio, substituted arylthio, cyano, carbonyl, substituted carbonyl, carboxyl, substituted carboxyl, amino, substituted amino, amido, substituted amido, sulfonyl, substituted sulfonyl, amino acid, and peptide groups.

The term "binding" as it relates to interaction between the targeting ligand and the targeted protein, typically refers to an inter-molecular interaction that is substantially specific in that binding of the targeting ligand with other proteinaceous entities present in the cell is functionally insignificant. In some embodiments, such as in the case of bromodomain-containing proteins, binding of the targeting ligand to the protein target may be selective with respect to BRD proteins. By way of example, JQ1, which as disclosed herein as a targeting ligand, selectively binds one or more members of the bromodomain and extra-terminal (BET) family (BRD2, BRD3, BRD4, and bromodomain testis-specific protein (BRDT)).

The term "binding" as it relates to interaction between the degron and the E3 ubiquitin ligase, typically refers to an inter-molecular interaction that may or may not exhibit an affinity level that equals or exceeds that affinity between the targeting ligand and the target protein, but nonetheless wherein the affinity is sufficient to achieve recruitment of the ligase to the targeted degradation and the selective degradation of the targeted protein.

Broadly, bifunctional (or bispecific) compounds of the present invention have a structure represented by formula (I):
<CHM>.

In some embodiments, R<NUM> represents
<CHM>
and R<NUM> represents H, halo, hydroxyl, optionally substituted C1-C5 alkyl, optionally substituted C1-C5 alkoxy, optionally substituted amine, optionally substituted amide, or acyl, wherein the optional substituent is alkyl, alkoxy, alkenyl, alkynyl, carbocyclic, heterocyclic, aryl, heteroaryl, halo, hydroxyl, cyano, carbonyl, carboxyl, amino, or amido.

In some embodiments, R<NUM> represents
<CHM>
and R<NUM> represents H, halo hydroxyl, optionally substituted C1-C5 alkyl, optionally substituted C1-C5 alkoxy, optionally substituted amine, optionally substituted amide, or acyl, wherein the optional substituent is alkyl, alkoxy, alkenyl, alkynyl, carbocyclic, heterocyclic, aryl, heteroaryl, halo, hydroxyl, cyano, carbonyl, carboxyl, amino, or amido.

In some embodiments, R<NUM> and R<NUM> independently represent optionally substituted C1-C5 alkoxy, provided that one of R<NUM> and R<NUM> represents
<CHM>.

Broadly, the bifunctional compounds of the present invention may be constructed to target any aberrant (e.g., dysregulated or dysfunctional) protein. Thus, the targeting ligand may bind target proteins, including for example, the expression products of Ikaros family zinc finger protein <NUM> (IKZF1) and IKZF3, and the following proteins: casein kinase <NUM> alpha (CK1α), family with sequence similarity <NUM> member F (FAM83F), DTW domain containing <NUM> (DTWD1), zinc finger protein <NUM> homolog (ZFP91), ZFP62, ZFP36 ring finger protein like (ZFP36L2), ring finger protein <NUM> (RNF166), Ikaros family zinc finger protein <NUM> (<NUM>), IKZF4, IKZF5, Ras-related protein Rab-<NUM> (RAB28), glutathione S-transferase pi <NUM> (GSTP1), GSPT2, mitochondrial import inner membrane translocase subunit Tim10 (TIMM10), GDNF inducible zinc finger protein <NUM> (GZF1), early growth response <NUM> (EGR1), hypermethylated in cancer <NUM> (HIC1), HIC2, insulinoma-associated protein <NUM> (INSM2), odd-skipped related transcription factor <NUM> (OSR2), protein polybromo-<NUM> (PB1), PR domain zinc finger protein <NUM> (PRD15), spalt-like transcription factor <NUM> (SALL1), SALL3, SALL4, WIZ, zinc finger and BTB domain-containing protein <NUM> (ZBT17), ZBT41, ZBT49, ZBT7A, ZBT7B, ZBTB2, ZBTB39, zinc finger protein interacting with K protein <NUM> (ZIK1), zinc finger protein <NUM> (ZNF3), ZNF217, ZNF276, ZNF316, ZNF324B, ZNF335, ZNF397, ZNF407, ZNF408, ZNF462, ZNF483, SNF517, ZNF526, ZNF581, ZNF587, ZNF589, ZNF618, ZNF644, ZNF646, ZNF653, ZNF654, ZNF692, ZNF724, ZNF771, ZNF782, ZNF784, ZNF814, zinc finger and SCAN domain containing <NUM> (ZSC10), ZSC22, ZC827, and zinc finger with UFM1-specific peptidase domain (ZUFSP).

In some embodiments, the bifunctional compounds of the present invention directly target bromodomain-containing proteins BRD2, BRD3, BRD4, and BRDT, as further disclosed hereinbelow.

In some embodiments, the compound of formula (I) includes a targeting ligand that binds a bromodomain protein for degradation. Bromodomains, which are approximately <NUM> amino acids long, are found in a large number of chromatin-associated proteins including histones. They have been identified in approximately <NUM> human proteins. Interactions between bromodomains and modified histones may be an important mechanism underlying chromatin structural changes and gene regulation. Bromodomain-containing proteins have been implicated in the etiology and progression of diseases including cancer, inflammation and viral replication.

In some embodiments, the compounds of formula (I) include a targeting ligand that binds proteins that are members of the bromodomain and extra-terminal (BET) family (e.g., BRD2, BRD3, BRD4, and bromodomain testis-specific protein (BRDT)). Inventive compounds containing JQ1 (or a deuterated form of same) as the targeting ligand will target BRD4, BRD3, and BRD2 for degradation. Thus, in some embodiments, the targeting ligands of the present invention may be based on the following structure:
<CHM>.

Representative examples of targeting ligands based on JQ1 that target BRD4 may thus have the following structures:
<CHM>
<CHM>
or
<CHM>.

In some embodiments, the compounds of the present invention are represented by the following structures:
<CHM>
<CHM>
<CHM>
or a pharmaceutically acceptable salt or stereoisomer thereof.

The linker ("L") provides a covalent attachment the targeting ligand and the moiety that binds cereblon. The structure of linker may not be critical, provided it does not substantially interfere with the activity of the targeting ligand or the degron.

According to the invention, the linker has a structure represented by one of the following structures:
<CHM>
<CHM>
<CHM>
<CHM>.

In some embodiments, the compounds of the present invention are represented by the following structures:
<CHM>
<CHM>
<CHM>
<CHM>
<CHM>
<CHM>
<CHM>
<CHM>
<CHM>
<CHM>
or a pharmaceutically acceptable salt or stereoisomer thereof.

In some embodiments, the compounds of the present invention are represented by the following structures:
<CHM>
<CHM>
<CHM>
<CHM>
<CHM>
<CHM>
<CHM>
or a pharmaceutically acceptable salt or stereoisomer thereof.

Bifunctional compounds of the present invention may be in the form of a free acid or free base, or a pharmaceutically acceptable salt. As used herein, the term "pharmaceutically acceptable" in the context of a salt refers to a salt of the compound that does not abrogate the biological activity or properties of the compound, and is relatively non-toxic, i.e., the compound in salt form may be administered to a subject without causing undesirable biological effects (such as dizziness or gastric upset) or interacting in a deleterious manner with any of the other components of the composition in which it is contained. The term "pharmaceutically acceptable salt" refers to a product obtained by reaction of the compound of the present invention with a suitable acid or a base. Examples of pharmaceutically acceptable salts of the compounds of this invention include those derived from suitable inorganic bases such as Li, Na, K, Ca, Mg, Fe, Cu, Al, Zn and Mn salts. Examples of pharmaceutically acceptable, nontoxic acid addition salts are salts of an amino group formed with inorganic acids such as hydrochloride, hydrobromide, hydroiodide, nitrate, sulfate, bisulfate, phosphate, isonicotinate, acetate, lactate, salicylate, citrate, tartrate, pantothenate, bitartrate, ascorbate, succinate, maleate, gentisinate, fumarate, gluconate, glucaronate, saccharate, formate, benzoate, glutamate, methanesulfonate, ethanesulfonate, benzenesulfonate, <NUM>-methylbenzenesulfonate or p-toluenesulfonate salts and the like. Certain compounds of the invention can form pharmaceutically acceptable salts with various organic bases such as lysine, arginine, guanidine, diethanolamine or metformin.

In some embodiments, the bifunctional compound of formula (I) as defined herein is an isotopic derivative in that it has at least one desired isotopic substitution of an atom, at an amount above the natural abundance of the isotope, i.e., enriched. In one embodiment, the compound includes deuterium or multiple deuterium atoms. Substitution with heavier isotopes such as deuterium, i.e. <NUM>H, may afford certain therapeutic advantages resulting from greater metabolic stability, for example, increased in vivo half-life or reduced dosage requirements, and thus may be advantageous in some circumstances. For example, in bifunctional compounds of formula (I) that target BRD4, a JQ1 moiety may be deuterated in order to increase half-life.

Bifunctional compounds of formula (I) as defined herein may have at least one chiral center and thus may be in the form of a stereoisomer, which as used herein, embraces all isomers of individual compounds that differ only in the orientation of their atoms in space. The term stereoisomer includes mirror image isomers (enantiomers which include the (R-) or (S-) configurations of the compounds), mixtures of mirror image isomers (physical mixtures of the enantiomers, and racemates or racemic mixtures) of compounds, geometric (cis/trans or E/Z, R/S) isomers of compounds and isomers of compounds with more than one chiral center that are not mirror images of one another (diastereoisomers). The chiral centers of the compounds may undergo epimerization in vivo; thus, for these compounds, administration of the compound in its (R-) form is considered equivalent to administration of the compound in its (S-) form. Accordingly, the compounds of the present invention may be made and used in the form of individual isomers and substantially free of other isomers, or in the form of a mixture of various isomers, e.g., racemic mixtures of stereoisomers.

In addition, bifunctional compounds of formula (I) as defined herein embrace the use of N-oxides, crystalline forms (also known as polymorphs), active metabolites of the compounds having the same type of activity, tautomers, and unsolvated as well as solvated forms with pharmaceutically acceptable solvents such as water, ethanol, and the like, of the compounds. The solvated forms of the conjugates presented herein are also considered to be disclosed herein.

Another aspect of the present invention is directed to a pharmaceutical composition that includes a therapeutically effective amount of the bifunctional compound of formula (I) as defined herein or a pharmaceutically acceptable salt or stereoisomer thereof, and a pharmaceutically acceptable carrier. The term "pharmaceutically acceptable carrier," as known in the art, refers to a pharmaceutically acceptable material, composition or vehicle, suitable for administering compounds of the present invention to mammals. Suitable carriers may include, for example, liquids (both aqueous and non-aqueous alike, and combinations thereof), solids, encapsulating materials, gases, and combinations thereof (e.g., semi-solids), and gases, that function to carry or transport the compound from one organ, or portion of the body, to another organ, or portion of the body. A carrier is "acceptable" in the sense of being physiologically inert to and compatible with the other ingredients of the formulation and not injurious to the subject or patient. Depending on the type of formulation, the composition may include one or more pharmaceutically acceptable excipients.

Broadly, bifunctional compounds of formula (I) as defined herein may be formulated into a given type of composition in accordance with conventional pharmaceutical practice such as conventional mixing, dissolving, granulating, dragee-making, levigating, emulsifying, encapsulating, entrapping and compression processes (see, e.g., <NPL> and <NPL>). The type of formulation depends on the mode of administration which may include enteral (e.g., oral, buccal, sublingual and rectal), parenteral (e.g., subcutaneous (s. ), intravenous (i. ), intramuscular (i. ), and intrasternal injection, or infusion techniques, intraocular, intra-arterial, intramedullary, intrathecal, intraventricular, transdermal, interdermal, intravaginal, intraperitoneal, mucosal, nasal, intratracheal instillation, bronchial instillation, and inhalation) and topical (e.g., transdermal). In general, the most appropriate route of administration will depend upon a variety of factors including, for example, the nature of the agent (e.g., its stability in the environment of the gastrointestinal tract), and/or the condition of the subject (e.g., whether the subject is able to tolerate oral administration). For example, parenteral (e.g., intravenous) administration may also be advantageous in that the compound may be administered relatively quickly such as in the case of a single-dose treatment and/or an acute condition.

In some embodiments, the bifunctional compounds as defined herein are formulated for oral or intravenous administration (e.g., systemic intravenous injection).

Accordingly, bifunctional compounds of the present invention may be formulated into solid compositions (e.g., powders, tablets, dispersible granules, capsules, cachets, and suppositories), liquid compositions (e.g., solutions in which the compound is dissolved, suspensions in which solid particles of the compound are dispersed, emulsions, and solutions containing liposomes, micelles, or nanoparticles, syrups and elixirs); semi-solid compositions (e.g., gels, suspensions and creams); and gases (e.g., propellants for aerosol compositions). Compounds may also be formulated for rapid, intermediate or extended release.

Solid dosage forms for oral administration include capsules, tablets, pills, powders, and granules. In such solid dosage forms, the active compound is mixed with a carrier such as sodium citrate or dicalcium phosphate and an additional carrier or excipient such as a) fillers or extenders such as starches, lactose, sucrose, glucose, mannitol, and silicic acid, b) binders such as, for example, methylcellulose, microcrystalline cellulose, hydroxypropylmethylcellulose, carboxymethylcellulose, sodium carboxymethylcellulose, alginates, gelatin, polyvinylpyrrolidinone, sucrose, and acacia, c) humectants such as glycerol, d) disintegrating agents such as crosslinked polymers (e.g., crosslinked polyvinylpyrrolidone (crospovidone), crosslinked sodium carboxymethyl cellulose (croscarmellose sodium), sodium starch glycolate, agar-agar, calcium carbonate, potato or tapioca starch, alginic acid, certain silicates, and sodium carbonate, e) solution retarding agents such as paraffin, f) absorption accelerators such as quaternary ammonium compounds, g) wetting agents such as, for example, cetyl alcohol and glycerol monostearate, h) absorbents such as kaolin and bentonite clay, and i) lubricants such as talc, calcium stearate, magnesium stearate, solid polyethylene glycols, sodium lauryl sulfate, and mixtures thereof. In the case of capsules, tablets and pills, the dosage form may also include buffering agents. Solid compositions of a similar type may also be employed as fillers in soft and hard-filled gelatin capsules using such excipients as lactose or milk sugar as well as high molecular weight polyethylene glycols and the like. The solid dosage forms of tablets, dragees, capsules, pills, and granules can be prepared with coatings and shells such as enteric coatings and other coatings. They may further contain an opacifying agent.

In some embodiments, bifunctional compounds of the present invention may be formulated in a hard or soft gelatin capsule. Representative excipients that may be used include pregelatinized starch, magnesium stearate, mannitol, sodium stearyl fumarate, lactose anhydrous, microcrystalline cellulose and croscarmellose sodium. Gelatin shells may include gelatin, titanium dioxide, iron oxides and colorants.

Liquid dosage forms for oral administration include solutions, suspensions, emulsions, micro-emulsions, syrups and elixirs. In addition to the compound, the liquid dosage forms may contain an aqueous or non-aqueous carrier (depending upon the solubility of the compounds) commonly used in the art such as, for example, water or other solvents, solubilizing agents and emulsifiers such as ethyl alcohol, isopropyl alcohol, ethyl carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate, propylene glycol, <NUM>,<NUM>-butylene glycol, dimethylformamide, oils (in particular, cottonseed, groundnut, corn, germ, olive, castor, and sesame oils), glycerol, tetrahydrofurfuryl alcohol, polyethylene glycols and fatty acid esters of sorbitan, and mixtures thereof. Oral compositions may also include an excipients such as wetting agents, suspending agents, coloring, sweetening, flavoring, and perfuming agents.

Injectable preparations may include sterile aqueous solutions or oleaginous suspensions. They may be formulated according to standard techniques using suitable dispersing or wetting agents and suspending agents. The sterile injectable preparation may also be a sterile injectable solution, suspension or emulsion in a nontoxic parenterally acceptable diluent or solvent, for example, as a solution in <NUM>,<NUM>-butanediol. Among the acceptable vehicles and solvents that may be employed are water, Ringer's solution, U. and isotonic sodium chloride solution. In addition, sterile, fixed oils are conventionally employed as a solvent or suspending medium. For this purpose any bland fixed oil can be employed including synthetic mono- or diglycerides. In addition, fatty acids such as oleic acid are used in the preparation of injectables. The injectable formulations can be sterilized, for example, by filtration through a bacterial-retaining filter, or by incorporating sterilizing agents in the form of sterile solid compositions which can be dissolved or dispersed in sterile water or other sterile injectable medium prior to use. The effect of the compound may be prolonged by slowing its absorption, which may be accomplished by the use of a liquid suspension or crystalline or amorphous material with poor water solubility. Prolonged absorption of the compound from a parenterally administered formulation may also be accomplished by suspending the compound in an oily vehicle.

In certain embodiments, bifunctional compounds of formula (I) may be administered in a local rather than systemic manner, for example, via injection of the conjugate directly into an organ, often in a depot preparation or sustained release formulation. In specific embodiments, long acting formulations are administered by implantation (for example subcutaneously or intramuscularly) or by intramuscular injection. Injectable depot forms are made by forming microencapsule matrices of the compound in a biodegradable polymer, e.g., polylactide-polyglycolides, poly(orthoesters) and poly(anhydrides). The rate of release of the compound may be controlled by varying the ratio of compound to polymer and the nature of the particular polymer employed. Depot injectable formulations are also prepared by entrapping the compound in liposomes or microemulsions that are compatible with body tissues. Furthermore, in other embodiments, the compound is delivered in a targeted drug delivery system, for example, in a liposome coated with organ-specific antibody. In such embodiments, the liposomes are targeted to and taken up selectively by the organ.

The inventive bifunctional compounds may be formulated for buccal or sublingual administration, examples of which include tablets, lozenges and gels.

The bifunctional compounds may be formulated for administration by inhalation. Various forms suitable for administration by inhalation include aerosols, mists or powders. Pharmaceutical compositions may be delivered in the form of an aerosol spray presentation from pressurized packs or a nebulizer, with the use of a suitable propellant (e.g., dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane, carbon dioxide or other suitable gas). In some embodiments, the dosage unit of a pressurized aerosol may be determined by providing a valve to deliver a metered amount. In some embodiments, capsules and cartridges including gelatin, for example, for use in an inhaler or insufflator, may be formulated containing a powder mix of the compound and a suitable powder base such as lactose or starch.

Bispecifc compounds of formula (I) as defined herein may be formulated for topical administration which as used herein, refers to administration intradermally by application of the formulation to the epidermis. These types of compositions are typically in the form of ointments, pastes, creams, lotions, gels, solutions and sprays.

Representative examples of carriers useful in formulating compositions for topical application include solvents (e.g., alcohols, poly alcohols, water), creams, lotions, ointments, oils, plasters, liposomes, powders, emulsions, microemulsions, and buffered solutions (e.g., hypotonic or buffered saline). Creams, for example, may be formulated using saturated or unsaturated fatty acids such as stearic acid, palmitic acid, oleic acid, palmito-oleic acid, cetyl, or oleyl alcohols. Creams may also contain a non-ionic surfactant such as polyoxy-<NUM>-stearate.

In some embodiments, the topical formulations may also include an excipient, an example of which is a penetration enhancing agent. These agents are capable of transporting a pharmacologically active compound through the stratum corneum and into the epidermis or dermis, preferably, with little or no systemic absorption. A wide variety of compounds have been evaluated as to their effectiveness in enhancing the rate of penetration of drugs through the skin. See, for example, <NPL>), which surveys the use and testing of various skin penetration enhancers, and <NPL>). Representative examples of penetration enhancing agents include triglycerides (e.g., soybean oil), aloe compositions (e.g., aloe-vera gel), ethyl alcohol, isopropyl alcohol, octolyphenylpolyethylene glycol, oleic acid, polyethylene glycol <NUM>, propylene glycol, N-decylmethylsulfoxide, fatty acid esters (e.g., isopropyl myristate, methyl laurate, glycerol monooleate, and propylene glycol monooleate), and N-methylpyrrolidone.

Representative examples of yet other excipients that may be included in topical as well as in other types of formulations (to the extent they are compatible), include preservatives, antioxidants, moisturizers, emollients, buffering agents, solubilizing agents, skin protectants, and surfactants. Suitable preservatives include alcohols, quaternary amines, organic acids, parabens, and phenols. Suitable antioxidants include ascorbic acid and its esters, sodium bisulfite, butylated hydroxytoluene, butylated hydroxyanisole, tocopherols, and chelating agents like EDTA and citric acid. Suitable moisturizers include glycerine, sorbitol, polyethylene glycols, urea, and propylene glycol. Suitable buffering agents include citric, hydrochloric, and lactic acid buffers. Suitable solubilizing agents include quaternary ammonium chlorides, cyclodextrins, benzyl benzoate, lecithin, and polysorbates. Suitable skin protectants include vitamin E oil, allatoin, dimethicone, glycerin, petrolatum, and zinc oxide.

Transdermal formulations typically employ transdermal delivery devices and transdermal delivery patches wherein the compound is formulated in lipophilic emulsions or buffered, aqueous solutions, dissolved and/or dispersed in a polymer or an adhesive. Patches may be constructed for continuous, pulsatile, or on demand delivery of pharmaceutical agents. Transdermal delivery of the bifunctional compounds may be accomplished by means of an iontophoretic patch. Transdermal patches may provide controlled delivery of the compounds wherein the rate of absorption is slowed by using rate-controlling membranes or by trapping the compound within a polymer matrix or gel. Absorption enhancers may be used to increase absorption, examples of which include absorbable pharmaceutically acceptable solvents that assist passage through the skin.

Ophthalmic formulations include eye drops.

Formulations for rectal administration include enemas, rectal gels, rectal foams, rectal aerosols, and retention enemas, which may contain conventional suppository bases such as cocoa butter or other glycerides, as well as synthetic polymers such as polyvinylpyrrolidone, PEG, and the like. Compositions for rectal or vaginal administration may also be formulated as suppositories which can be prepared by mixing the bifunctional compound with suitable non-irritating carriers and excipients such as cocoa butter, mixtures of fatty acid glycerides, polyethylene glycol, suppository waxes, and combinations thereof, all of which are solid at ambient temperature but liquid at body temperature and therefore melt in the rectum or vaginal cavity and release the compound.

As used herein, the term, "therapeutically effective amount" refers to an amount of a bifunctional compound of formula (I) or a pharmaceutically acceptable salt or a stereoisomer thereof that is effective in producing the desired therapeutic response in a particular patient suffering from a disease or disorder mediated by aberrant protein (e.g., BRD2, BRD3, BRD4 and BRDT) activity. The term "therapeutically effective amount" thus includes the amount of a bifunctional compound of the present invention or a pharmaceutically acceptable salt or a stereoisomer thereof, that when administered, induces a positive modification in the disease or disorder to be treated, or is sufficient to prevent development or progression of the disease or disorder, or alleviate to some extent, one or more of the symptoms of the disease or disorder being treated in a subject, or which simply kills or inhibits the growth of diseased (e.g., cancer) cells, or reduces the amounts of aberrant protein in diseased cells.

The total daily dosage of the bifunctional compounds of formula (I) and usage thereof may be decided in accordance with standard medical practice, e.g., by the attending physician using sound medical judgment. The specific therapeutically effective dose for any particular patient will depend upon a variety of factors including the disease or disorder being treated and the severity thereof (e.g., its present status); the activity of the specific compound employed; the specific composition employed; the age, body weight, general health, sex and diet of the patient; the time of administration, route of administration, and rate of excretion of the specific compound employed; the duration of the treatment; drugs used in combination or coincidental with the specific compound employed; and like factors well known in the medical arts (see, for example, <NPL>).

Bifunctional compounds of formula (I) as defined herein and their pharmaceutically acceptable salts and stereoisomers may be effective over a wide dosage range. In some embodiments, the total daily dosage (e.g., for adult humans) may range from about <NUM> to about <NUM>, from <NUM> to about <NUM>, from <NUM> to about <NUM>, from about <NUM> to about <NUM>, from about <NUM> to about <NUM>, from <NUM> to about <NUM>-<NUM> per day, from about <NUM> to about <NUM> per day, and from about <NUM> to about <NUM> per day, and in yet other embodiments from about <NUM> to about <NUM> per day. By way of example, capsules may be formulated with from about <NUM> to about <NUM> of compound (e.g., <NUM>, <NUM>, <NUM>, <NUM>, <NUM>, <NUM>, <NUM>, <NUM>, <NUM>, <NUM>, <NUM>, <NUM>, <NUM>, and <NUM>). In some embodiments, individual dosages may be formulated to contain the desired dosage amount depending upon the number of times the compound is administered per day.

In some aspects, the present invention is directed to compounds or pharmaceutical compositions as defined herein for use in methods of treating a cancer characterized or mediated by aberrant protein activity (that can be targeted for degradation by cereblon when bound to the bifunctional compound, participates in the inception, manifestation of one or more symptoms or markers, severity or progression of the disease or disorder) wherein a therapeutically effective amount of a bifunctional compound of formula (I) as defined herein or a pharmaceutically acceptable salt or stereoisomer thereof is to be administered to a subject in need thereof. A "disease" is generally regarded as a state of health of an animal wherein the animal cannot maintain homeostasis, and wherein if the disease is not ameliorated then the animal's health continues to deteriorate. In contrast, a "disorder" in an animal is a state of health in which the animal is able to maintain homeostasis, but in which the animal's state of health is less favorable than it would be in the absence of the disorder. Left untreated, a disorder does not necessarily cause a further decrease in the animal's state of health. According to the invention the compounds of the application are for use in the treatment of cancer.

The term "subject" (or "patient") as used herein includes all members of the animal kingdom prone to or suffering from the indicated disease or disorder. In some embodiments, the subject is a mammal, e.g., a human or a non-human mammal. The methods are also applicable to companion animals such as dogs and cats as well as livestock such as cows, horses, sheep, goats, pigs, and other domesticated and wild animals. A subject "in need of" treatment according to the present invention may be "suffering from or suspected of suffering from" a specific disease or disorder may have been positively diagnosed or otherwise presents with a sufficient number of risk factors or a sufficient number or combination of signs or symptoms such that a medical professional could diagnose or suspect that the subject was suffering from the disease or disorder. Thus, subjects suffering from, and suspected of suffering from, a specific disease or disorder are not necessarily two distinct groups.

Bifunctional compounds of the present invention may be used to treat diseases or disorders characterized or mediated by aberrant activity of many different proteins, wherein the protein is selected from the group consisting of casein kinase <NUM> alpha (CK1α), family with sequence similarity <NUM> member F (FAM83F), DTW domain containing <NUM> (DTWD1), zinc finger protein <NUM> homolog (ZFP91), ZFP62, ZFP36 ring finger protein like (ZFP36L2), ring finger protein <NUM> (RNF166), Ikaros family zinc finger protein <NUM> (IKZF2), IKZF4, IKZF5, Ras-related protein Rab-<NUM> (RAB28), glutathione S-transferase pi <NUM> (GSTP1), GSPT2, mitochondrial import inner membrane translocase subunit Tim10 (TIMM10), GDNF inducible zinc finger protein <NUM> (GZF1), early growth response <NUM> (EGR1), hyper-methylated in cancer <NUM> (HIC1), HIC2, insulinoma-associated protein <NUM> (INSM2), odd-skipped related transcription factor <NUM> (OSR2), protein polybromo-<NUM> (PB1), PR domain zinc finger protein <NUM> (PRD15), spalt-like transcription factor <NUM> (SALL1), SALL3, SALL4, WIZ, zinc finger and BTB domain-containing protein <NUM> (ZBT17), ZBT41, ZBT49, ZBT7A, ZBT7B, ZBTB2, ZBTB39, zinc finger protein interacting with K protein <NUM> (ZIK1), zinc finger protein <NUM> (ZNF3), ZNF217, ZNF276, ZNF316, ZNF324B, ZNF335, ZNF397, ZNF407, ZNF408, ZNF462, ZNF483, SNF517, ZNF526, ZNF581, ZNF587, ZNF589, ZNF618, ZNF644, ZNF646, ZNF653, ZNF654, ZNF692, ZNF724, ZNF771, ZNF782, ZNF784, ZNF814, zinc finger and SCAN domain containing <NUM> (ZSC10), ZSC22, ZC827, and zinc finger with UFM1-specific peptidase domain (ZUFSP). In some embodiments, the disease or disorder is mediated by aberrant activity of IKZF2.

According to the invention the compounds and pharmaceutical compositions of the invention are for use in the treatment of cancer, i. are directed to treating subjects having cancer. Broadly, the compounds of the present invention may be effective in the treatment of carcinomas (solid tumors including both primary and metastatic tumors), sarcomas, melanomas, and hematological cancers (cancers affecting blood including lymphocytes, bone marrow and/or lymph nodes) including leukemia, lymphoma and multiple myeloma. Adult tumors/cancers and pediatric tumors/cancers are included. The cancers may be vascularized, or not yet substantially vascularized, or non-vascularized tumors.

Representative examples of cancers includes adenocortical carcinoma, AIDS-related cancers (e.g., Kaposi's and AIDS-related lymphoma), appendix cancer, childhood cancers (e.g., childhood cerebellar astrocytoma, childhood cerebral astrocytoma), basal cell carcinoma, skin cancer (non-melanoma), biliary cancer, extrahepatic bile duct cancer, intrahepatic bile duct cancer, bladder cancer, urinary bladder cancer, brain cancer (e.g., gliomas and glioblastomas such as brain stem glioma, cerebellar astrocytoma, cerebral astrocytoma/malignant glioma, ependymoma, medulloblastoma, supratentorial primitive neuroectodeimal tumors, visual pathway and hypothalamic glioma), breast cancer, bronchial adenomas/carcinoids, carcinoid tumor, nervous system cancer (e.g., central nervous system cancer, central nervous system lymphoma), cervical cancer, chronic myeloproliferative disorders, colorectal cancer (e.g., colon cancer, rectal cancer), lymphoid neoplasm, mycosis fungoids, Sezary Syndrome, endometrial cancer, esophageal cancer, extracranial germ cell tumor, extragonadal germ cell tumor, extrahepatic bile duct cancer, eye cancer, intraocular melanoma, retinoblastoma, gallbladder cancer, gastrointestinal cancer (e.g., stomach cancer, small intestine cancer, gastrointestinal carcinoid tumor, gastrointestinal stromal tumor (GIST)), cholangiocarcinoma, germ cell tumor, ovarian germ cell tumor, gestational trophoblastic tumor glioma, head and neck cancer, neuroendocrine tumors, Hodgkin's lymphoma, Ann Arbor stage III and stage IV childhood Non-Hodgkin's lymphoma, ROS1-positive refractory Non-Hodgkin's lymphoma, leukemia, lymphoma, multiple myeloma, hypopharyngeal cancer, intraocular melanoma, ocular cancer, islet cell tumors (endocrine pancreas), renal cancer (e.g., Wilm's Tumor, renal cell carcinoma), liver cancer, lung cancer (e.g., non-small cell lung cancer and small cell lung cancer), ALK-positive anaplastic large cell lymphoma, ALK-positive advanced malignant solid neoplasm, Waldenstrom's macroglobulinema, melanoma, intraocular (eye) melanoma, merkel cell carcinoma, mesothelioma, metastatic squamous neck cancer with occult primary, multiple endocrine neoplasia (MEN), myelodysplastic syndromes, myelodyplastic/myeloproliferative diseases, nasopharyngeal cancer, neuroblastoma, oral cancer (e.g., mouth cancer, lip cancer, oral cavity cancer, tongue cancer, oropharyngeal cancer, throat cancer, laryngeal cancer), ovarian cancer (e.g., ovarian epithelial cancer, ovarian germ cell tumor, ovarian low malignant potential tumor), pancreatic cancer, islet cell pancreatic cancer, paranasal sinus and nasal cavity cancer, parathyroid cancer, penile cancer, pharyngeal cancer, pheochromocytoma, pineoblastoma, metastatic anaplastic thyroid cancer, undifferentiated thyroid cancer, papillary thyroid cancer, pituitary tumor, plasma cell neoplasm/multiple myeloma, pleuropulmonary blastoma, prostate cancer, retinoblastoma rhabdomyosarcoma, salivary gland cancer, uterine cancer (e.g., endometrial uterine cancer, uterine sarcoma, uterine corpus cancer), squamous cell carcinoma, testicular cancer, thymoma, thymic carcinoma, thyroid cancer, juvenile xanthogranuloma, transitional cell cancer of the renal pelvis and ureter and other urinary organs, urethral cancer, gestational trophoblastic tumor, vaginal cancer, vulvar cancer, hepatoblastoma, rhabdoid tumor, and Wilms tumor.

In some embodiments, wherein the bifunctional compound of formula (I) as defined herein targets a BRD protein, the subject may have a cancer selected from the group consisting of NUT midline carcinoma, treatment-refractory acute myeloid leukemia, myelodysplastic syndrome, multiple myeloma, triple negative- and estrogen receptor- positive breast cancers, small cell and non-small cell lung cancers, castration resistant prostate cancer, pancreatic ductal adenocarcinoma, colorectal cancer, neuroblastoma and N-Myc Proto-Oncogene Protein(MYCN)-driven solid tumors.

Bifunctional compounds of formula (I) as defined herein may be administered to a patient, e.g., a cancer patient, as a monotherapy or by way of combination therapy, and as a front-line therapy or a follow-on therapy for patients who are unresponsive to front line therapy. Therapy may be "first-line", i.e., as an initial treatment in patients who have undergone no prior anti-cancer treatment regimens, either alone or in combination with other treatments; or "second-line", as a treatment in patients who have undergone a prior anti-cancer treatment regimen, either alone or in combination with other treatments; or as "third-line", "fourth-line", etc. treatments, either alone or in combination with other treatments. Therapy may also be given to patients who have had previous treatments which have been partially successful but are intolerant to the particular treatment. Therapy may also be given as an adjuvant treatment, i.e., to prevent reoccurrence of cancer in patients with no currently detectable disease or after surgical removal of a tumor. Thus, in some embodiments, the compound may be administered to a patient who has received another therapy, such as chemotherapy, radioimmunotherapy, surgical therapy, immunotherapy, radiation therapy, targeted therapy or any combination thereof.

The compounds of the invention or pharmaceutical compositions thereof may be administered to the patient in a single dose or in multiple doses (e.g., <NUM>, <NUM>, <NUM>, <NUM>, <NUM>, <NUM>, <NUM>, <NUM>, <NUM>, <NUM>, <NUM>, or more doses). For example, the frequency of administration may range from once a day up to about once every eight weeks. In some embodiments, the frequency of administration ranges from about once a day for <NUM>, <NUM>, <NUM>, <NUM>, <NUM> or <NUM> weeks, and in other embodiments entails a <NUM>-day cycle which includes daily administration for <NUM> weeks (<NUM> days).

These and other aspects of the present application will be further appreciated upon consideration of the following Examples, which are intended to illustrate certain particular embodiments of the application but are not intended to limit its scope, as defined by the claims.

Aminoglutarimide (<NUM>, <NUM> mmol) and NaOAc (<NUM>, <NUM> mmol) were added to a solution of tetrahydrophthalic anhydride (<NUM>, <NUM> mmol) in acetic acid (<NUM>) at room temperature (rt). The resulting mixture was heated at reflux for <NUM> hours (h). The solvent was removed under reduced pressure, and the crude product was purified with HPLC to yield the title compound.

<NUM>H NMR (<NUM>, DMSO-d<NUM>) δ <NUM> (s, <NUM>), <NUM> (dd, J = <NUM>, <NUM>, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> (dt, J = <NUM>, <NUM>, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> (s, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> (s, <NUM>).

LC/MS m/z calculated for [M+H]+ <NUM>, found <NUM>.

Aminoglutarimide (<NUM>, <NUM> mmol) and NaOAc (<NUM>, <NUM> mmol) were added to the solution of tetrahydrophthalic anhydride (<NUM>, <NUM> mmol) in acetic acid (<NUM>) at room temperature. The resulting mixture was heated at reflux for <NUM>. The solvent was evaporated, and the crude product was purified with HPLC to yield the title compound.

<NUM>H NMR (<NUM>, DMSO-d<NUM>) δ <NUM> (s, <NUM>), <NUM> (dd, J = <NUM>, <NUM>, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> - <NUM> (m, <NUM>).

LC/MS m/z calculated for [M+H]+ <NUM>, found for [M+H]+ <NUM>.

Aminoglutarimide (<NUM>, <NUM> mmol) and NaOAc (<NUM>, <NUM> mmol) were added to a solution of <NUM>,<NUM>-dimethylfuran-<NUM>,<NUM>-dione (<NUM>, <NUM> mmol) in acetic acid (<NUM>) at room temperature. The resulting mixture was heated at reflux for <NUM>. The solvent was evaporated, and the crude product was purified with HPLC to yield the title compound.

<NUM>H NMR (<NUM>, DMSO-d<NUM>) δ <NUM> (s, <NUM>), <NUM> (dd, J = <NUM>, <NUM>, <NUM>), <NUM> (ddd, J = <NUM>, <NUM>, <NUM>, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> (s, <NUM>), <NUM> (qd, J = <NUM>, <NUM>, <NUM>), <NUM> (s, <NUM>).

<NUM>-[Bis(dimethylamino)methylene]-<NUM>-<NUM>,<NUM>,<NUM>-triazolo[<NUM>,<NUM>-b]pyridinium-<NUM>-oxid hexafluorophosphate (HATU) (<NUM>, <NUM> mmol), <NUM>-Hydroxy-<NUM>-azabenzotriazole (HOAt) (<NUM>, <NUM> mmol) and N,N-Diisopropylethylamine (DIPEA) (<NUM>, <NUM> mmol) were added to a solution of benzoic acid (<NUM>, <NUM> mmol) and <NUM>-aminopiperidine-<NUM>,<NUM>-dione HCl salt (<NUM>, <NUM> mmol) in DCM (<NUM>) at <NUM>. The resulting mixture was stirred at room temperature for <NUM>. The solvent was evaporated, and the crude product was purified with HPLC to yield the title compound.

<NUM>H NMR (<NUM>, DMSO-d<NUM>) δ <NUM> (s, <NUM>), <NUM> (d, J = <NUM>, <NUM>), <NUM> (d, J = <NUM>, <NUM>), <NUM> (t, J = <NUM>, <NUM>), <NUM> (t, J = <NUM>, <NUM>), <NUM> (ddd, J = <NUM>, <NUM>, <NUM>, <NUM>), <NUM> (ddd, J = <NUM>, <NUM>, <NUM>, <NUM>), <NUM> (dt, J = <NUM>, <NUM>, <NUM>), <NUM> (qd, J = <NUM>, <NUM>, <NUM>), <NUM> - <NUM> (m, <NUM>).

<NUM>-aminopyrrolidine-<NUM>,<NUM>-dione (<NUM>, <NUM> mmol) and NaOAc (<NUM>, <NUM> mmol) were added to a solution of phthalic anhydride (<NUM>, <NUM> mmol) in AcOH (<NUM>). The resulting mixture was heated at <NUM> for <NUM>. The solvent was evaporated, and the crude product was purified with HPLC to yield the title compound.

<NUM>H NMR (<NUM>, CDCl<NUM>) δ <NUM> (s, <NUM>), <NUM> (dd, J = <NUM>, <NUM>, <NUM>), <NUM> (dd, J = <NUM>, <NUM>, <NUM>), <NUM> (dd, J = <NUM>, <NUM>, <NUM>), <NUM> - <NUM> (m, <NUM>).

<NUM>-aminoazepan-<NUM>-one HCl salt (<NUM>, <NUM> mmol) and phthalic anhydride (<NUM>, <NUM> mmol) were added to a solution of NaOAc (<NUM>, <NUM> mmol) in AcOH (<NUM>). The resulting mixture was heated at <NUM> for <NUM>. The solvent was evaporated, and the crude product was purified with silica flash chromatography (<NUM>-<NUM>% Hexane/EtOAc) to yield the title compound.

<NUM>H NMR (<NUM>, DMSO-d<NUM>) δ <NUM> - <NUM> (m, <NUM>), <NUM> (d, J = <NUM>, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> (q, J = <NUM>, <NUM>, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> (dd, J = <NUM>, <NUM>, <NUM>), <NUM> (q, J = <NUM>, <NUM>, <NUM>), <NUM> (q, J = <NUM>, <NUM>). LC/MS m/z calculated for [M+H]+ <NUM>, found <NUM>.

Aminoglutarimide (<NUM>, <NUM> mmol) and triethylamine (<NUM>, <NUM> mmol) were added to a solution of naphthalic anhydride (<NUM>, <NUM> mmol) in THF (<NUM>). The resulting mixture was heated at <NUM> for <NUM> days. The solvent was evaporated, and the crude product was purified with prep-HPLC to yield compound <NUM>.

<NUM>H NMR (<NUM>, DMSO-d6) δ <NUM> (s, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> (q, J = <NUM>, <NUM>), <NUM> (dd, J = <NUM>, <NUM>, <NUM>), <NUM> (ddd, J = <NUM>, <NUM>, <NUM>, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> - <NUM> (m, <NUM>).

LC/MS m/z calculated for [M+H]+ <NUM>, found <NUM>.

Amantadine (<NUM>, <NUM> mmol) and triethylamine (<NUM>, <NUM> mmol) were added to a solution of phthalic anhydride (<NUM>, <NUM> mmol) in THF (<NUM>). The resulting mixture was heated at <NUM> for three days. The solvent was evaporated, and the crude product was purified with prep-HPLC to yield the title compound.

<NUM>H NMR (<NUM>, DMSO-d6): δ <NUM> - <NUM> (m, <NUM>), <NUM> (d, J = <NUM>, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> - <NUM> (m, <NUM>).

Amantadine (<NUM>, <NUM> mmol) and triethylamine (<NUM>, <NUM> mmol) were added to a solution of phthalic anhydride (<NUM>, <NUM> mmol) in THF (<NUM>). The resulting mixture was heated at <NUM> for one day. The solvent was evaporated, and the crude product was purified with prep-HPLC to yield the title compound.

<NUM>H NMR (<NUM>, DMSO-d6): δ <NUM> - <NUM> (m, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> (s, <NUM>), <NUM> (s, <NUM>), <NUM> - <NUM> (m, <NUM>).

Aminoglutarimide (<NUM>, <NUM> mmol) and triethylamine (<NUM>, <NUM> mmol) were added to a solution of <NUM>-hydroxybenzo[de]isochromene-<NUM>,<NUM>-dione (<NUM>, <NUM> mmol) in THF (<NUM>). The resulting mixture was heated at <NUM> for <NUM>. The solvent was evaporated to afford a grey (MASS g, <NUM> mmol). The crude product was redissolved in EtOH/H<NUM>O (<NUM>/<NUM>) in a <NUM> flask. NH<NUM>Cl (<NUM>, <NUM> mmol) and iron powder (<NUM>, <NUM> mmol) were added to the solution at room temperature before heating the mixture at <NUM> for <NUM>. Additional iron powder (<NUM>, <NUM> mmol) was added to the reaction mixture. After <NUM>, the reaction was filtered and the obtained solid washed with ethyl acetate. The pooled filtrate was evaporated, and the crude product was purified with prep-HPLC to yield compound <NUM>.

<NUM>H NMR (<NUM>, DMSO-d<NUM>) δ <NUM> (d, J = <NUM>, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> (dt, J = <NUM>, <NUM>, <NUM>), <NUM> (t, J = <NUM>, <NUM>), <NUM> (dd, J = <NUM>, <NUM>, <NUM>), <NUM> (ddd, J = <NUM>, <NUM>, <NUM>, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> - <NUM> (m, <NUM>).

Aminoglutarimide (<NUM>, <NUM> mmol) and triethylamine (<NUM>, <NUM> mmol) were added to a solution of <NUM>-hydroxybenzo[de]isochromene-<NUM>,<NUM>-dione (<NUM>, <NUM> mmol) in THF (<NUM>). The resulting mixture was heated at <NUM> for <NUM>. The solvent was evaporated, and the crude product was purified with prep-HPLC to yield compound <NUM>.

<NUM>H NMR (<NUM>, DMSO-d<NUM>) δ <NUM> (s, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> (dd, J = <NUM>, <NUM>, <NUM>), <NUM> (dt, J = <NUM>, <NUM>, <NUM>), <NUM> (dd, J = <NUM>, <NUM>, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> (dd, J = <NUM>, <NUM>, <NUM>).

To a solution of <NUM> (<NUM>, <NUM> mmol) and tert-butyl <NUM>-bromopentylcarbamate (<NUM>, <NUM> mmol) in DMF (<NUM>), K<NUM>CO<NUM> (<NUM>, <NUM> mmol) was added at room temperature. The mixture was heated to <NUM> overnight. The reaction was allowed to cool to room temperature before quenching with ice water. The mixture was stirred at <NUM> for <NUM> hour. The suspension was filtered, and the precipitate was washed with ice water to yield the crude product. To a suspension of the crude product in DCM (<NUM>), TFA (<NUM>) was slowly added at room temperature. The mixture was stirred for <NUM> hour. The solvent was removed under reduced pressure to obtain the titled crude product without any purification.

To a solution of <NUM>-(<NUM>-aminopentyloxy)-<NUM>-(<NUM>,<NUM>-dioxopiperidin-<NUM>-yl)-<NUM>-benzo[de]isoquinoline-<NUM>,<NUM>(<NUM>)-dione TFA salt (<NUM>, <NUM> mmol) and (<NUM>)-<NUM>-(<NUM>-chlorophenyl)-<NUM>-(<NUM>-methoxy-<NUM>-oxoethyl)-<NUM>,<NUM>-dimethyl-<NUM>-thieno[<NUM>,<NUM>-f][<NUM>,<NUM>,<NUM>]triazolo[<NUM>,<NUM>-a][<NUM>,<NUM>]diazepine-<NUM>-carboxylic acid (<NUM>, <NUM> mmol) in DMF (<NUM>) at <NUM> was added HATU (<NUM>, <NUM> mmol) and DIEA (<NUM>, <NUM> mmol) The solution was allowed to warm up to room temperature. The mixture was stirred for <NUM> mins before removing the solvent under reduced pressure. The residue was purified with HPLC to yield compound <NUM>.

<NUM>H NMR (<NUM>, DMSO-d<NUM>) δ <NUM> (d, J = <NUM>, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> (dt, J = <NUM>, <NUM>, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> (t, J = <NUM>, <NUM>), <NUM> (d, J = <NUM>, <NUM>), <NUM> (s, <NUM>), <NUM> (qd, J = <NUM>, <NUM>, <NUM>), <NUM> (d, J = <NUM>, <NUM>), <NUM> (ddd, J = <NUM>, <NUM>, <NUM>, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> (d, J = <NUM>, <NUM>), <NUM> (s, <NUM>), <NUM> - <NUM> (<NUM>), <NUM> - <NUM> (m, <NUM>).

To a solution of <NUM>-bromo-<NUM>,<NUM>-benzo[de]isochromene-<NUM>,<NUM>-dione (<NUM>, <NUM> mmol) and <NUM>-aminopiperidine-<NUM>,<NUM>-dione hydrochloride (<NUM>, <NUM> mmol) in <NUM> THF was added Et<NUM>N (<NUM>µL, <NUM> mmol), the mixture was stirred at <NUM> overnight. After finished, the mixture was concentrated in vacuo to get the crude product int-<NUM> without any purification.

To a solution of int-<NUM> (<NUM>, <NUM> mmol) and tert-butyl (<NUM>-aminooctyl)carbamate (<NUM>, <NUM> mmol) in <NUM> DMSO was added DIEA (<NUM>µL, <NUM> mmol), the mixture was stirred at <NUM> for <NUM>, then purified by prep-HPLC (MeOH/H<NUM>O, <NUM>% TFA) to obtain int-<NUM> (<NUM>, <NUM>%).

Int-<NUM> (<NUM>, <NUM> mmol) was dissolved in <NUM> TFA/DCM (v/v = <NUM>/<NUM>) and then stirred at room temperature for <NUM>, then concentrated in vacuo to get the product int-<NUM>, which was used to next step without any purification.

To a solution of int-<NUM> (<NUM> mmol) and (S)-<NUM>-(<NUM>-(<NUM>-chlorophenyl)-<NUM>,<NUM>,<NUM>-trimethyl-<NUM>-thieno[<NUM>,<NUM>-f][<NUM>,<NUM>,<NUM>]triazolo[<NUM>,<NUM>-a][<NUM>,<NUM>]diazepin-<NUM>-yl)acetic acid (<NUM>, <NUM> mmol) in <NUM> DMSO were added HATU (<NUM>, <NUM> mmol) and DIEA (<NUM>µL, <NUM> mmol), the mixture was stirred at room temperature for <NUM> and then purified by prep-HPLC (MeOH/H<NUM>O, <NUM>% TFA) to obtain <NUM> (<NUM>, <NUM>%).

<NUM>H NMR (<NUM>, DMSO-d<NUM>) δ <NUM> (d, J = <NUM>, <NUM>), <NUM> (dd, J = <NUM>, <NUM>, <NUM>), <NUM> (dd, J = <NUM>, <NUM>, <NUM>), <NUM> (q, J = <NUM>, <NUM>, <NUM>), <NUM> (s, <NUM>), <NUM> (dt, J = <NUM>, <NUM>, <NUM>), <NUM> (d, J = <NUM>, <NUM>), <NUM> (d, J = <NUM>, <NUM>), <NUM> (t, J = <NUM>, <NUM>), <NUM> (ddd, J = <NUM>, <NUM>, <NUM>, <NUM>), <NUM> (dd, J = <NUM>, <NUM>, <NUM>), <NUM> (d, J = <NUM>, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> (s, <NUM>), <NUM> (dt, J = <NUM>, <NUM>, <NUM>), <NUM> (q, J = <NUM>, <NUM>, <NUM>), <NUM> (s, <NUM>), <NUM> (dt, J = <NUM>, <NUM>, <NUM>), <NUM> (s, <NUM>).

To a solution of <NUM> (<NUM>, <NUM> mmol) and tert-butyl (<NUM>-(<NUM>-(<NUM>-(<NUM>-bromoethoxy)ethoxy)ethoxy)ethyl)carbamate (<NUM>, <NUM> mmol) in <NUM> DMSO was added K<NUM>CO<NUM> (<NUM>, <NUM> mmol), the mixture was stirred at <NUM> overnight. The mixture was filtered, and then purified by prep-HPLC (MeOH/H<NUM>O, <NUM>% TFA) to obtain int-<NUM> (<NUM>, <NUM>%).

Int-<NUM> (<NUM>, <NUM> mmol) was dissolved in <NUM> TFA/DCM (v/v = <NUM>/<NUM>) and then stirred at room temperature for <NUM>, then concentrated in vacuo to get the product int-<NUM> (<NUM>, <NUM>%).

To a solution of int-<NUM> (<NUM>, <NUM> mmol) and (S)-<NUM>-(<NUM>-(<NUM>-chlorophenyl)-<NUM>,<NUM>,<NUM>-trimethyl-<NUM>H-thieno[<NUM>,<NUM>-f][<NUM>,<NUM>,<NUM>]triazolo[<NUM>,<NUM>-a][<NUM>,<NUM>]diazepin-<NUM>-yl)acetic acid (<NUM>, <NUM> mmol) in <NUM> DMSO were added HATU (<NUM>, <NUM> mmol) and DIEA (<NUM>µL, <NUM> mmol), the mixture was stirred at room temperature for <NUM> and then purified by prep-HPLC (MeOH/H<NUM>O, <NUM>% TFA) to obtain <NUM> (<NUM>, <NUM>%).

<NUM>H NMR (<NUM>, DMSO-d<NUM>) δ <NUM> (s, <NUM>), <NUM> (t, J= <NUM>, <NUM>), <NUM> (s, <NUM>), <NUM> (q, J = <NUM>, <NUM>), <NUM> (d, J = <NUM>, <NUM>), <NUM> (d, J = <NUM>, <NUM>), <NUM> (dt, J = <NUM>, <NUM>, <NUM>), <NUM> (d, J = <NUM>, <NUM>), <NUM> (t, J = <NUM>, <NUM>), <NUM> (q, J = <NUM>, <NUM>, <NUM>), <NUM> (q, J = <NUM>, <NUM>), <NUM> (d, J = <NUM> Hz, <NUM>), <NUM> (d, J = <NUM> Hz, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> (d, J = <NUM>, <NUM>), <NUM> (d, J = <NUM>, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> (s, <NUM>), <NUM> (s, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> (s, <NUM>).

To a solution of <NUM> (<NUM>, <NUM> mmol) and tert-butyl (<NUM>-bromohexyl)carbamate (<NUM>, <NUM> mmol) in <NUM> DMSO was added K<NUM>CO<NUM> (<NUM>, <NUM> mmol), the mixture was stirred at <NUM> overnight. The mixture was filtered, and then purified by prep-HPLC (MeOH/H<NUM>O, <NUM>% TFA) to obtain int-<NUM> (<NUM>, <NUM>%).

Int-<NUM> (<NUM>, <NUM> mmol) was dissolved in <NUM> TFA/DCM (v/v = <NUM>/<NUM>) and then stirred at <NUM> for <NUM> days, then concentrated in vacuo to get the product int-<NUM> (<NUM>, <NUM>%).

<NUM>H NMR (<NUM>, DMSO-d<NUM>) δ <NUM> (s, <NUM>), <NUM> (d, J = <NUM>, <NUM>), <NUM> (s, <NUM>), <NUM> (s, <NUM>), <NUM> (s, <NUM>), <NUM> (q, J = <NUM>, <NUM>, <NUM>), <NUM> (d, J = <NUM> Hz, <NUM>), <NUM> (d, J = <NUM> Hz, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> (dd, J = <NUM>, <NUM>, <NUM>), <NUM> (d, J = <NUM>, <NUM>), <NUM> (tt, J = <NUM>, <NUM>, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> (s, <NUM>), <NUM> (s, <NUM>), <NUM> - <NUM> (m, <NUM>), <NUM> (q, J = <NUM>, <NUM>), <NUM> (d, J = <NUM>, <NUM>), <NUM> (d, J = <NUM>, <NUM>), <NUM> (dd, J = <NUM>, <NUM>, <NUM>).

To the solution of <NUM>-bromo-<NUM>-(<NUM>,<NUM>-dioxopiperidin-<NUM>-yl)-<NUM>-benzo[de]isoquinoline-<NUM>,<NUM>(<NUM>)-dione (<NUM>, <NUM> mmol) and tert-butyl <NUM>-aminooctylcarbamate (<NUM>, <NUM> mmol) in DMSO (<NUM>), DIEA (<NUM>, <NUM> mmol) was added at room temperature. Then the reaction mixture was heated up to <NUM> for <NUM> hour. After the reaction mixture was cooled down, added DCM (<NUM>) and TFA (<NUM>) at room temperature. After <NUM> hour, the reaction mixture was purified with HPLC to yield <NUM>-(<NUM>-aminooctylamino)-<NUM>-(<NUM>,<NUM>-dioxopiperidin-<NUM>-yl)-<NUM>-benzo[de]isoquinoline-<NUM>,<NUM>(<NUM>)-dione (<NUM>, <NUM> mmol, <NUM>%) as a TFA salt.

To the solution of <NUM>-(<NUM>-aminooctylamino)-<NUM>-(<NUM>,<NUM>-dioxopiperidin-<NUM>-yl)-<NUM>-benzo[de]isoquinoline-<NUM>,<NUM>(<NUM>)-dione TFA salt (<NUM>, <NUM> mmol) and (S)-<NUM>-(<NUM>-(<NUM>-chlorophenyl)-<NUM>,<NUM>,<NUM>-trimethyl-<NUM>-thieno[<NUM>,<NUM>-f][<NUM>,<NUM>,<NUM>]triazolo[<NUM>,<NUM>-a][<NUM>,<NUM>]diazepin-<NUM>-yl)acetic acid (<NUM>, <NUM> mmol) in DMF (<NUM>), HATU (<NUM>, <NUM> mmol) and DIEA (<NUM>, <NUM> mmol) were added under ice bath, then warmed up to room temperature. After <NUM> mins, the mixture was purified with HPLC to yield <NUM>-((S)-<NUM>-(<NUM>-chlorophenyl)-<NUM>,<NUM>,<NUM>-trimethyl-<NUM>-thieno[<NUM>,<NUM>-f][<NUM>,<NUM>,<NUM>]triazolo[<NUM>,<NUM>-a][<NUM>,<NUM>]diazepin-<NUM>-yl)-N-(<NUM>-(<NUM>-(<NUM>,<NUM>-dioxopiperidin-<NUM>-yl)-<NUM>,<NUM>-dioxo-<NUM>,<NUM>-dihydro-<NUM>-benzo[de]isoquinolin-<NUM>-ylamino)octyl)acetamide (<NUM>) (<NUM>, <NUM> mmol, <NUM>%).

To the solution of <NUM> (<NUM>, <NUM> mmol) and tert-butyl <NUM>-bromopentylcarbamate (<NUM>, <NUM> mmol) in DMF (<NUM>), K<NUM>CO<NUM> (<NUM>, <NUM> mmol) was added at room temperature. Then the mixture was heated up to <NUM> overnight. After the mixture was cooled down, it was filtered and the filtrate was concentrated under vacuum. The residue was dissolved in DCM (<NUM>), then TFA (<NUM>) was added at room temperature. After <NUM> hour, the reaction was evaporated under vacuum and the residue was purified with HPLC to yield <NUM>-(<NUM>-aminopentyloxy)-<NUM>-(<NUM>,<NUM>-dioxopiperidin-<NUM>-yl)-<NUM>-benzo[de]isoquinoline-<NUM>,<NUM>(<NUM>)-dione (<NUM>, <NUM> mmol, <NUM>%) as TFA salt.

To the solution of <NUM>-(<NUM>-aminopentyloxy)-<NUM>-(<NUM>,<NUM>-dioxopiperidin-<NUM>-yl)-<NUM>-benzo[de]isoquinoline-<NUM>,<NUM>(<NUM>)-dione (<NUM>, <NUM> mmol) and (S)-<NUM>-(<NUM>-(<NUM>-chlorophenyl)-<NUM>,<NUM>,<NUM>-trimethyl-<NUM>-thieno[<NUM>,<NUM>-f][<NUM>,<NUM>,<NUM>]triazolo[<NUM>,<NUM>-a][<NUM>,<NUM>]diazepin-<NUM>-yl)acetic acid (<NUM>, <NUM> mmol) in DMF (<NUM>), HATU (<NUM>, <NUM> mmol) and DIEA (<NUM>, <NUM> mmol) were added under ice bath, then warmed up to room temperature. After <NUM> mins, the mixture was purified with HPLC to yield <NUM>-((S)-<NUM>-(<NUM>-chlorophenyl)-<NUM>,<NUM>,<NUM>-trimethyl-<NUM>-thieno[<NUM>,<NUM>-f][<NUM>,<NUM>,<NUM>]triazolo[<NUM>,<NUM>-a][<NUM>,<NUM>]diazepin-<NUM>-yl)-N-(<NUM>-(<NUM>-(<NUM>,<NUM>-dioxopiperidin-<NUM>-yl)-<NUM>,<NUM>-dioxo-<NUM>,<NUM>-dihydro-<NUM>-benzo[de]isoquinolin-<NUM>-yloxy)pentyl)acetamide (<NUM>) (<NUM>, <NUM> mmol, <NUM>%).

To the solution of <NUM> (<NUM>, <NUM> mmol) and tert-butyl <NUM>-bromopropylcarbamate (<NUM>, <NUM> mmol) in DMF (<NUM>), K<NUM>CO<NUM> (<NUM>, <NUM> mmol) was added at room temperature. Then the mixture was heated up to <NUM> overnight. After the mixture was cooled down, it was filtered and the filtrate was concentrated under vacuum. The residue was dissolved in DCM (<NUM>), then TFA (<NUM>) was added at room temperature. After <NUM> hour, the reaction was evaporated under vacuum and the residue was purified with HPLC to yield <NUM>-(<NUM>-aminopropoxy)-<NUM>-(<NUM>,<NUM>-dioxopiperidin-<NUM>-yl)-<NUM>-benzo[de]isoquinoline-<NUM>,<NUM>(<NUM>)-dione (<NUM>, <NUM> mmol, <NUM>%) as TFA salt.

To a solution of <NUM>-(<NUM>-aminopropoxy)-<NUM>-(<NUM>,<NUM>-dioxopiperidin-<NUM>-yl)-<NUM>-benzo[de]isoquinoline-<NUM>,<NUM>(<NUM>)-dione (<NUM>, <NUM> mmol) and (S)-<NUM>-(<NUM>-(<NUM>-chlorophenyl)-<NUM>,<NUM>,<NUM>-trimethyl-<NUM>-thieno[<NUM>,<NUM>-f][<NUM>,<NUM>,<NUM>]triazolo[<NUM>,<NUM>-a][<NUM>,<NUM>]diazepin-<NUM>-yl)acetic acid (<NUM>, <NUM> mmol) in DMF (<NUM>), HATU (<NUM>, <NUM> mmol) and DIEA (<NUM>, <NUM> mmol) were added under ice bath, then warmed up to room temperature. After <NUM> mins, the mixture was purified with HPLC to yield <NUM>-((S)-<NUM>-(<NUM>-chlorophenyl)-<NUM>,<NUM>,<NUM>-trimethyl-<NUM>-thieno[<NUM>,<NUM>-f][<NUM>,<NUM>,<NUM>]triazolo[<NUM>,<NUM>-a][<NUM>,<NUM>]diazepin-<NUM>-yl)-N-(<NUM>-(<NUM>-(<NUM>,<NUM>-dioxopiperidin-<NUM>-yl)-<NUM>,<NUM>-dioxo-<NUM>,<NUM>-dihydro-<NUM>-benzo[de]isoquinolin-<NUM>-yloxy)propyl)acetamide (<NUM>) (<NUM>, <NUM> mmol, <NUM>%).

To a solution of <NUM> (<NUM>, <NUM> mmol) and tert-butyl <NUM>-bromoacetate (<NUM>, <NUM> mmol) in DMF (<NUM>), K<NUM>CO<NUM> (<NUM>, <NUM> mmol) was added at room temperature. Then the mixture was heated up to <NUM> overnight. After the mixture was cooled down, it was filtered and the filtrate was concentrated under vacuum. The residue was dissolved in DCM (<NUM>), then TFA (<NUM>) was added at room temperature. After <NUM> hour, the reaction was evaporated under vacuum and the residue was purified with HPLC to yield <NUM>-(<NUM>-(<NUM>,<NUM>-dioxopiperidin-<NUM>-yl)-<NUM>,<NUM>-dioxo-<NUM>,<NUM>-dihydro-<NUM>-benzo[de]isoquinolin-<NUM>-yloxy)acetic acid (<NUM>, <NUM> mmol, <NUM>%).

LC/MS m/z calculated for [M+H]+<NUM>, found <NUM>.

To a solution of <NUM>-(<NUM>-(<NUM>,<NUM>-dioxopiperidin-<NUM>-yl)-<NUM>,<NUM>-dioxo-<NUM>,<NUM>-dihydro-<NUM>-benzo[de]isoquinolin-<NUM>-yloxy)acetic acid (<NUM>, <NUM> mmol) and tert-butyl <NUM>-aminooctylcarbamate (<NUM>, <NUM> mmol) in DMF (<NUM>), DIEA (<NUM>, <NUM> mmol) and HATU (<NUM>, <NUM> mmol) were added at room temperature. After <NUM> mins, the reaction mixture was quenched with water, extracted with EtOAc (<NUM> * <NUM>). The organic layer was concentrated under vacuum. The resulted residue was purified with flash chromatography to yield tert-butyl <NUM>-(<NUM>-(<NUM>-(<NUM>,<NUM>-dioxopiperidin-<NUM>-yl)-<NUM>,<NUM>-dioxo-<NUM>,<NUM>-dihydro-<NUM>-benzo[de]isoquinolin-<NUM>-yloxy)acetamido)octylcarbamate (<NUM>, <NUM> mmol, <NUM>%).

To a solution of tert-butyl <NUM>-(<NUM>-(<NUM>-(<NUM>,<NUM>-dioxopiperidin-<NUM>-yl)-<NUM>,<NUM>-dioxo-<NUM>,<NUM>-dihydro-<NUM>-benzo[de]isoquinolin-<NUM>-yloxy)acetamido)octylcarbamate (<NUM>, <NUM> mmol) in DCM (<NUM>), TFA (<NUM>) was added at room temperature. After <NUM> hour, the mixture was evaporated under vacuum to yield the crude product N-(<NUM>-aminooctyl)-<NUM>-(<NUM>-(<NUM>,<NUM>-dioxopiperidin-<NUM>-yl)-<NUM>,<NUM>-dioxo-<NUM>,<NUM>-dihydro-<NUM>-benzo[de]isoquinolin-<NUM>-yloxy)acetamide as a TFA salt.

To a solution of N-(<NUM>-aminooctyl)-<NUM>-(<NUM>-(<NUM>,<NUM>-dioxopiperidin-<NUM>-yl)-<NUM>,<NUM>-dioxo-<NUM>,<NUM>-dihydro-IH-benzo[de]isoquinolin-<NUM>-yloxy)acetamide TFA salt (<NUM>, <NUM> mmol) and (S)-<NUM>-(<NUM>-(<NUM>-chlorophenyl)-<NUM>,<NUM>,<NUM>-trimethyl-<NUM>-thieno[<NUM>,<NUM>-f][<NUM>,<NUM>,<NUM>]triazolo[<NUM>,<NUM>-a][<NUM>,<NUM>]diazepin-<NUM>-yl)acetic acid (<NUM>, <NUM> mmol) in DMF (<NUM>), HATU (<NUM>, <NUM> mmol) and DIEA (<NUM>, <NUM> mmol) were added under ice bath, then warmed up to room temperature. After <NUM> mins, the mixture was purified with HPLC to yield <NUM>-((S)-<NUM>-(<NUM>-chlorophenyl)-<NUM>,<NUM>,<NUM>-trimethyl-<NUM>-thieno[<NUM>,<NUM>-f][<NUM>,<NUM>,<NUM>]triazolo[<NUM>,<NUM>-a][<NUM>,<NUM>]diazepin-<NUM>-yl)-N-(<NUM>-(<NUM>-(<NUM>-(<NUM>,<NUM>-dioxopiperidin-<NUM>-yl)-<NUM>,<NUM>-dioxo-<NUM>,<NUM>-dihydro-<NUM>-benzo[de]isoquinolin-<NUM>-yloxy)acetamido)octyl)acetamide (<NUM>) (<NUM>, <NUM> mmol, <NUM>%).

IKZF1 (construct IKZF1 Δ1-<NUM>/Δ197-<NUM>/Δ256-<NUM>), BRD2BD1, BRD2BD2, BRD3BD1, BRD3BD2, BRD4BD1, and BRD4BD2 were subcloned into mammalian pcDNA5/FRT Vector (Ampicillin and Hygromycin B resistant) modified to contain MCS-eGFP-P2A-mCherry. Stable cell lines expressing eGFP-protein fusion and mCherry reporter were generated using Flip-In <NUM> system. Plasmid (<NUM>µg) and pOG44 (<NUM>µg) DNA were preincubated in <NUM>µL of Opti-MEMI (Gibco™, Life Technologies™) media containing <NUM>/ml Lipofectamine <NUM> (Invitrogen™) for <NUM> and added to Flip-In <NUM> cells containing <NUM> of DMEM media (Gibco™, Life Technologies™) per well in a <NUM>-well plate format (Falcon®, <NUM>). Cells were propagated after <NUM> and transferred into a <NUM><NUM> plate (Corning, <NUM>) in DMEM media containing <NUM>µg/ml of Hygromycin B (REF <NUM>, Invitrogen™) as a selection marker. Following <NUM>-<NUM> passage cycle FACS (FACSAria™ II, BD) was used to enrich for cells expressing eGFP and mCherry. Cells were seeded at <NUM>-<NUM>% confluency in either <NUM>, <NUM> or <NUM> well plates (<NUM>, <NUM>, <NUM> respectively, Costar®) a day before compound treatment. Titrated compounds were incubated with cells for <NUM> following trypsinisation and resuspension in DMEM media, transferred into <NUM>-well plates (<NUM>, Falcon®) and analyzed by flow cytometer (Guava® easyCyte HT, Millipore™). Signal from <NUM> cells per well was acquired in singlicate or duplicate and the eGFP and mCherry florescence monitored. Data was analyzed using FlowJo® (FlowJo®, LCC). Forward and side scatter outliers, frequently associated with cell debris, were removed leaving ><NUM>% of total cells, followed by removal of eGFP and mCherry signal outliers, leaving <NUM>-<NUM>% of total cells creating the set used for quantification. The eGFP protein abundance relative to mCherry was then quantified as a ten-fold amplified ratio for each individual cell using the formula: <NUM> × eGFP/mCherry. The median of the ratio was then calculated per set, normalized to the median of the DMSO ratio, and is denoted as relative abundance.

The results are shown in <FIG> and <FIG>. <FIG> show that compounds <NUM>, <NUM>, and <NUM>, which are non-inventive thalidomide analogs, were inactive against the target IKZF1, as compared to FDA-approved lenalidomide (DC<NUM> = <NUM>. 524e-<NUM>) (shown in <FIG>). In sharp contrast, <FIG> show that inventive bifunctional compound <NUM> was active against BRD2 (via BRD2BD2), BRD3 (via BRD3BD1 and BRD3BD2) and BRD4 (via BRD4BD1 and BRD4BD2), while inventive compound <NUM> was active against BRD3 (via BRD3BD1 and BRD3BD2) and BRD4 (via BRD4BD1) and inactive against BRD2, indicating that bromodomain selectivity can be achieved with these scaffolds. The known compound "dBET6" was used as a control.

Compounds in Atto565-Lenalidomide displacement assay were dispensed in a <NUM>-well microplate (Corning, <NUM>) using D300e Digital Dispenser (HP) normalized to <NUM>% DMSO into <NUM> Atto565-Leanlidomide, <NUM> DDB1ΔB-CRBN, <NUM> Tris pH <NUM>, <NUM> NaCl, <NUM>% Pluronic® F-<NUM> solution (Sigma). Compound titrations were incubated for <NUM> at RT. The change in fluorescence polarization was monitored using a PHERAstar® FS microplate reader (BMG Labtech) for <NUM> in <NUM> cycles. Data from three independent replicates (n=<NUM>) was used to estimate IC<NUM> values using variable slope equation in GraphPad Prism <NUM>.

The results are shown in <FIG>. Compounds <NUM>, <NUM>, and <NUM> are potent binders of CRBN with IC<NUM> comparable to FDA approved lenalidomide, while being inactive in degradation of IKZF1 [<FIG>].

Kelly cells were treated with DMSO control (biological triplicates) or <NUM> of inventive compound <NUM> or compound <NUM> for <NUM> hours (biological singlicate). Lysis buffer (<NUM> Urea, <NUM> NaCl, <NUM> <NUM>-(2hydroxyethyl)-<NUM>-piperazineethanesulfonic acid (EPPS) pH <NUM>, Protease and Phosphatase inhibitors from Roche) was added to the cell pellets and homogenized by <NUM> passes through a <NUM> gauge (<NUM> in. long) needle to achieve a cell lysate with a protein concentration between <NUM> - <NUM> mL-<NUM>. A Micro BCA™ assay (Pierce™) was used to determine the final protein concentration in the cell lysate. <NUM>µg of protein for each sample were reduced and alkylated as previously described.

Proteins were precipitated using methanol/chloroform/water (<NUM>:<NUM>:<NUM>). In brief, four volumes of methanol were added to the cell lysate, followed by one volume of chloroform, and finally three volumes of water. The mixture was vortexed and centrifuged to separate the chloroform phase from the aqueous phase. The precipitated protein was washed with three volumes of methanol, centrifuged and the resulting washed precipitated protein was allowed to air dry. Precipitated protein was resuspended in <NUM> Urea, <NUM> <NUM>-(<NUM>-hydroxyethyl)-<NUM>-piperazineethanesulfonic acid (HEPES) pH <NUM>, followed by dilution to <NUM> urea with the addition of <NUM> EPPS, pH <NUM>. Proteins were first digested with LysC (<NUM>:<NUM>; enzyme:protein) for <NUM> hours at room temperature. The LysC digestion was diluted to <NUM> Urea with <NUM> EPPS pH <NUM> followed by digestion with trypsin (<NUM>:<NUM>; enzyme:protein) for <NUM> hours at <NUM>. Tandem mass tag (TMT) reagents (Thermo Fisher Scientific) were dissolved in anhydrous acetonitrile (ACN) according to manufacturer's instructions. Anhydrous ACN was added to each peptide sample to a final concentration of <NUM>% v/v, and labeling was induced with the addition of TMT reagent to each sample at a ratio of <NUM>:<NUM> peptide: TMT label. The <NUM>-plex labeling reactions were performed for <NUM> hours at room temperature and the reaction quenched by the addition of hydroxylamine to a final concentration of <NUM>% for <NUM> minutes at room temperature. The sample channels were combined at a <NUM>:<NUM>:<NUM>:<NUM>:<NUM>:<NUM>:<NUM>:<NUM>:<NUM>:<NUM> ratio, desalted using C<NUM> solid phase extraction cartridges (Waters) and analyzed by LC-MS for channel ratio comparison. Samples were then combined using the adjusted volumes determined in the channel ratio analysis and dried down in a speed vacuum. The combined sample was then resuspended in <NUM>% formic acid, and acidified (pH <NUM>-<NUM>) before being subjected to desalting with C18 SPE (Sep-Pak®, Waters). Samples were then offline fractionated into <NUM> fractions by high pH reverse-phase HPLC (Agilent LC1260) through an aeris peptide xb-c18 column (phenomenex) with mobile phase A containing <NUM>% acetonitrile and <NUM> NH<NUM>HCO<NUM> in LC-MS grade H<NUM>O, and mobile phase B containing <NUM>% acetonitrile and <NUM> NH<NUM>HCO<NUM> in LC-MS grade H<NUM>O (both pH <NUM>). The <NUM> resulting fractions were then pooled in a non-continuous manner into <NUM> fractions and these fractions were used for subsequent mass spectrometry analysis.

Data were collected using an Orbitrap Fusion™ Lumos™ mass spectrometer (Thermo Fisher Scientific, San Jose, CA, USA) coupled with a Proxeon EASY-nLC™ <NUM> LC pump (Thermo Fisher Scientific). Peptides were separated on a <NUM> inner diameter microcapillary column packed with ~<NUM> of Accucore™ C18 resin (<NUM>, <NUM>Å, Thermo Fisher Scientific). Peptides were separated using a <NUM> gradient of <NUM>-<NUM>% acetonitrile in <NUM>% formic acid with a flow rate of <NUM> nL/min. Each analysis used an MS3-based TMT method as described previously. The data were acquired using a mass range of m/z <NUM> - <NUM>, resolution <NUM>,<NUM>, automatic gain control (AGC) target <NUM> x <NUM><NUM>, maximum injection time <NUM>, dynamic exclusion of <NUM> seconds for the peptide measurements in the Orbitrap™. Data dependent MS2 spectra were acquired in the ion trap with a normalized collision energy (NCE) set at <NUM>%, AGC target set to <NUM> x <NUM><NUM> and a maximum injection time of <NUM>. MS3 scans were acquired in the Orbitrap™ with a higher-energy collisional dissociation (HCD) collision energy set to <NUM>%, AGC target set to <NUM> x <NUM><NUM>, maximum injection time of <NUM>, resolution at <NUM>,<NUM> and with a maximum synchronous precursor selection (SPS) precursors set to <NUM>.

Proteome Discoverer™ <NUM> (Thermo Fisher Scientific) was used for. RAW file processing and controlling peptide and protein level false discovery rates, assembling proteins from peptides, and protein quantification from peptides. MS/MS spectra were searched against a Uniprot human database (September <NUM>) with both the forward and reverse sequences. Database search criteria are as follows: tryptic with two missed cleavages, a precursor mass tolerance of <NUM> ppm, fragment ion mass tolerance of <NUM> Da, static alkylation of cysteine (<NUM> Da), static TMT labelling of lysine residues and N-termini of peptides (<NUM> Da), variable phosphorylation of serine, threonine and tyrosine (<NUM> Da), deamidation of asparagine and glutamine (<NUM>) and variable oxidation of methionine (<NUM> Da). TMT reporter ion intensities were measured using a <NUM> Da window around the theoretical m/z for each reporter ion in the MS3 scan. Peptide spectral matches with poor quality MS3 spectra were excluded from quantitation (summed signal-to-noise across <NUM> channels < <NUM> and precursor isolation specificity < <NUM>), and resulting data was filtered to include only proteins that had a minimum of <NUM> unique peptides identified. Reporter ion intensities were normalised and scaled using in-house scripts in the R framework. Statistical analysis was carried out using the LIMMA package within the R framework.

The results are illustrated in <FIG>. <FIG> demonstrates compound <NUM>-mediated downregulation of bromodomain proteins BRD4. These results confirm that heterobifunctional compound <NUM> was capable of inducing selective degradation of endogenous BRD4 protein in cells. The tricyclic ring structure of the cereblon binder did not induce degradation of common IMiD-dependent off-targets.

<FIG> demonstrates compound <NUM>-mediated downregulation of bromodomain proteins BRD2, <NUM> and <NUM>. These results confirm that heterobifunctional compound <NUM> was capable of inducing degradation of endogenous bromodomain family of proteins in cells. The tricyclic ring structure of the cereblon binder did not induce degradation of common IMiD-dependent off-targets.

Claim 1:
A compound having a structure represented by formula (I):
<CHM>
wherein R<NUM> and R<NUM> independently represent H, halo, hydroxyl, optionally substituted C1-C5 alkyl, optionally substituted C1-C5 alkoxy, or optionally substituted amine, optionally substituted amide, acyl, or
<CHM>
wherein L is a linker having a structure represented by:
<CHM>
<CHM>
<CHM>
<CHM>
<CHM>
<CHM>
and TL is a targeting ligand (TL) having a structure represented by:
<CHM>
<CHM>
provided that one of R<NUM> and R<NUM> represents
<CHM>
wherein the optional substituent is alkyl, alkoxy, alkenyl, alkynyl, carbocyclic, heterocyclic, aryl, heteroaryl, halo, hydroxyl, aryloxy, alkylthio, arylthio, cyano, carbonyl, carboxyl, amino, amido, sulfonyl, or an amino acid,
or a pharmaceutically acceptable salt or stereoisomer thereof.