申请人:BRISTOL-MYERS SQUIBB COMPANY
公开号:US10112936B2
公开(公告)日:2018-10-30
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疾病或炎症性疾病的方法,给有需要的患者施用治疗有效量的至少一种式(I)或式(V)化合物:
或其立体异构体或药学上可接受的盐或溶液形式,其中变量 A、L、Z、R3、R4、R6、R11、X1、X2 和 X3 如本文所定义。式(I)化合物可作为凝血级联和/或接触活化系统中丝氨酸蛋白酶的选择性抑制剂,例如凝血酶、Xa因子、XIa因子、IXa因子、VIIa因子和/或血浆allikrein。本发明尤其涉及选择性因子 XIa 抑制剂的化合物。本发明还提供了式 I 范围内的化合物,并涉及包含这些化合物的药物组合物。