Macrocyclic spirocarbamate derivatives as factor XIa inhibitors, pharmaceutically acceptable compositions and their use
申请人:MERCK SHARP & DOHME CORP.
公开号:US10344039B2
公开(公告)日:2019-07-09
The present invention provides a compound of Formula (I) and stereoisomers thereof, and pharmaceutically acceptable salts of said compounds and said stereoisomers, and pharmaceutical compositions thereof, and methods for using said compounds and compositions for treating or preventing thromboses, embolisms, hypercoagulability or fibrotic changes. The compounds are selective Factor XIa inhibitors or dual inhibitors of Factor XIa and plasma kallikrein.
本发明提供了一种式(I)化合物及其立体异构体,以及所述化合物和所述立体异构体的药学上可接受的盐及其药物组合物,以及使用所述化合物和组合物治疗或预防血栓形成、栓塞、高凝状态或纤维化变化的方法。这些化合物是选择性因子 XIa 抑制剂或因子 XIa 和血浆钙激酶的双重抑制剂。