申请人:BRISTOL-MYERS SQUIBB COMPANY
公开号:US09079860B2
公开(公告)日:2015-07-14
The present invention provides a method for treating a thrombotic or an inflammatory disorder administering to a patient in need thereof a therapeutically effective amount of at least one compound of Formula (I) or Formula (V):
or a stereoisomer or pharmaceutically acceptable salt or solvate form thereof, wherein the variables A, L, Z, R3, R4, R6, R11, X1, X2, and X3 are as defined herein. The compounds of Formula (I) are useful as selective inhibitors of serine protease enzymes of the coagulation cascade and/or contact activation system; for example thrombin, factor Xa, factor XIa, factor IXa, factor VIIa and/or plasma kallikrein. In particular, it relates to compounds that are selective factor XIa inhibitors. This invention also provides compounds within the scope of Formula I and relates to pharmaceutical compositions comprising these compounds.
本发明提供了一种治疗血栓性或炎症性疾病的方法,包括向需要治疗的患者施用公式(I)或公式(V)中至少一种化合物的治疗有效剂量:或其立体异构体或药学上可接受的盐或溶剂形式,其中变量A、L、Z、R3、R4、R6、R11、X1、X2和X3的定义如本文所述。公式(I)中的化合物可用作凝血级联和/或接触激活系统中丝氨酸蛋白酶酶的选择性抑制剂,例如凝血酶、因子Xa、因子XIa、因子IXa、因子VIIa和/或血浆卡利肌酶。特别地,涉及到选择性因子XIa抑制剂的化合物。本发明还提供了公式I范围内的化合物,并涉及包含这些化合物的制药组合物。