Macrocyclic derivatives, preparation methods therefor and pharmaceutical compositions comprising said derivatives, and uses thereof as therapeutic agents, especially as factor XIa inhibitors and in drugs for treating and preventing thromboembolisms and other diseases. Specifically disclosed is a compound represented by formula (I), and an isomer and pharmaceutically acceptable salt thereof.
大环衍
生物、其制备方法和包含所述衍
生物的药物组合物,以及其作为治疗剂的用途,特别是作为因子 XIa
抑制剂和用于治疗和预防血栓栓塞及其他疾病的药物。具体公开了由式(I)代表的化合物及其异构体和药学上可接受的盐。