MXPA97009908A - Cetoheterociclic compounds, use of the same and compositions that contain them - Google Patents
Cetoheterociclic compounds, use of the same and compositions that contain themInfo
- Publication number
- MXPA97009908A MXPA97009908A MXPA/A/1997/009908A MX9709908A MXPA97009908A MX PA97009908 A MXPA97009908 A MX PA97009908A MX 9709908 A MX9709908 A MX 9709908A MX PA97009908 A MXPA97009908 A MX PA97009908A
- Authority
- MX
- Mexico
- Prior art keywords
- gly
- bns02
- oxazole
- thiazole
- arg
- Prior art date
Links
- 150000001875 compounds Chemical class 0.000 title claims abstract description 87
- 239000000203 mixture Substances 0.000 title claims abstract description 33
- 150000003839 salts Chemical class 0.000 claims abstract description 21
- 206010053567 Coagulopathies Diseases 0.000 claims abstract description 6
- 208000015294 blood coagulation disease Diseases 0.000 claims abstract description 6
- 125000004432 carbon atom Chemical group C* 0.000 claims description 107
- 125000000217 alkyl group Chemical group 0.000 claims description 63
- -1 carboxy, cyano, phenyl Chemical group 0.000 claims description 44
- 108090000190 Thrombin Proteins 0.000 claims description 39
- 229960004072 thrombin Drugs 0.000 claims description 39
- 238000000034 method Methods 0.000 claims description 37
- 108010074860 Factor Xa Proteins 0.000 claims description 34
- 125000003118 aryl group Chemical group 0.000 claims description 33
- 208000007536 Thrombosis Diseases 0.000 claims description 24
- 125000003710 aryl alkyl group Chemical group 0.000 claims description 23
- 229910052799 carbon Inorganic materials 0.000 claims description 22
- 230000015271 coagulation Effects 0.000 claims description 20
- 238000005345 coagulation Methods 0.000 claims description 20
- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 claims description 20
- 125000004122 cyclic group Chemical group 0.000 claims description 15
- 229940002612 prodrug Drugs 0.000 claims description 15
- 239000000651 prodrug Substances 0.000 claims description 15
- 230000001732 thrombotic effect Effects 0.000 claims description 14
- 241000124008 Mammalia Species 0.000 claims description 13
- 125000004391 aryl sulfonyl group Chemical group 0.000 claims description 12
- 125000003386 piperidinyl group Chemical group 0.000 claims description 12
- 125000000719 pyrrolidinyl group Chemical group 0.000 claims description 12
- RAHZWNYVWXNFOC-UHFFFAOYSA-N Sulphur dioxide Chemical compound O=S=O RAHZWNYVWXNFOC-UHFFFAOYSA-N 0.000 claims description 9
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 claims description 9
- 125000004433 nitrogen atom Chemical group N* 0.000 claims description 9
- 229910052736 halogen Inorganic materials 0.000 claims description 8
- 150000002367 halogens Chemical class 0.000 claims description 8
- 206010047249 Venous thrombosis Diseases 0.000 claims description 7
- 230000004087 circulation Effects 0.000 claims description 7
- 125000000753 cycloalkyl group Chemical group 0.000 claims description 7
- 125000001072 heteroaryl group Chemical group 0.000 claims description 7
- 230000002401 inhibitory effect Effects 0.000 claims description 7
- 125000000449 nitro group Chemical group [O-][N+](*)=O 0.000 claims description 7
- 229910052757 nitrogen Inorganic materials 0.000 claims description 7
- 125000003545 alkoxy group Chemical group 0.000 claims description 6
- 125000004453 alkoxycarbonyl group Chemical group 0.000 claims description 6
- 125000003277 amino group Chemical group 0.000 claims description 6
- 125000006615 aromatic heterocyclic group Chemical group 0.000 claims description 6
- 125000005018 aryl alkenyl group Chemical group 0.000 claims description 6
- 125000000113 cyclohexyl group Chemical group [H]C1([H])C([H])([H])C([H])([H])C([H])(*)C([H])([H])C1([H])[H] 0.000 claims description 6
- 125000001511 cyclopentyl group Chemical group [H]C1([H])C([H])([H])C([H])([H])C([H])(*)C1([H])[H] 0.000 claims description 6
- 125000000816 ethylene group Chemical group [H]C([H])([*:1])C([H])([H])[*:2] 0.000 claims description 6
- 125000004356 hydroxy functional group Chemical group O* 0.000 claims description 6
- 125000001624 naphthyl group Chemical group 0.000 claims description 6
- 229910052717 sulfur Inorganic materials 0.000 claims description 6
- 208000011580 syndromic disease Diseases 0.000 claims description 6
- 125000004442 acylamino group Chemical group 0.000 claims description 5
- 125000004423 acyloxy group Chemical group 0.000 claims description 5
- 125000005100 aryl amino carbonyl group Chemical group 0.000 claims description 5
- 125000005161 aryl oxy carbonyl group Chemical group 0.000 claims description 5
- 125000003917 carbamoyl group Chemical group [H]N([H])C(*)=O 0.000 claims description 5
- 125000001995 cyclobutyl group Chemical group [H]C1([H])C([H])([H])C([H])(*)C1([H])[H] 0.000 claims description 5
- 125000001559 cyclopropyl group Chemical group [H]C1([H])C([H])([H])C1([H])* 0.000 claims description 5
- 125000002768 hydroxyalkyl group Chemical group 0.000 claims description 5
- 230000001404 mediated effect Effects 0.000 claims description 5
- 125000004076 pyridyl group Chemical group 0.000 claims description 5
- 238000002560 therapeutic procedure Methods 0.000 claims description 5
- 125000002023 trifluoromethyl group Chemical group FC(F)(F)* 0.000 claims description 5
- 206010002388 Angina unstable Diseases 0.000 claims description 4
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical compound [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 claims description 4
- 208000007814 Unstable Angina Diseases 0.000 claims description 4
- 125000005253 heteroarylacyl group Chemical group 0.000 claims description 4
- 125000005143 heteroarylsulfonyl group Chemical group 0.000 claims description 4
- 150000004677 hydrates Chemical class 0.000 claims description 4
- 201000004332 intermediate coronary syndrome Diseases 0.000 claims description 4
- 208000010125 myocardial infarction Diseases 0.000 claims description 4
- 239000012453 solvate Substances 0.000 claims description 4
- 208000010378 Pulmonary Embolism Diseases 0.000 claims description 3
- 230000000747 cardiac effect Effects 0.000 claims description 3
- 239000007943 implant Substances 0.000 claims description 3
- 206010002383 Angina Pectoris Diseases 0.000 claims description 2
- 206010051055 Deep vein thrombosis Diseases 0.000 claims description 2
- 206010062506 Heparin-induced thrombocytopenia Diseases 0.000 claims description 2
- 208000032109 Transient ischaemic attack Diseases 0.000 claims description 2
- 125000005125 aryl alkyl amino carbonyl group Chemical group 0.000 claims description 2
- 239000003937 drug carrier Substances 0.000 claims description 2
- 230000003073 embolic effect Effects 0.000 claims description 2
- 210000003709 heart valve Anatomy 0.000 claims description 2
- 238000010577 post-coronary angioplasty Methods 0.000 claims description 2
- JUJWROOIHBZHMG-UHFFFAOYSA-N pyridine Substances C1=CC=NC=C1 JUJWROOIHBZHMG-UHFFFAOYSA-N 0.000 claims description 2
- 125000000020 sulfo group Chemical group O=S(=O)([*])O[H] 0.000 claims description 2
- 201000010875 transient cerebral ischemia Diseases 0.000 claims description 2
- 125000004457 alkyl amino carbonyl group Chemical group 0.000 claims 2
- 150000001721 carbon Chemical group 0.000 claims 2
- 208000004476 Acute Coronary Syndrome Diseases 0.000 claims 1
- 208000001778 Coronary Occlusion Diseases 0.000 claims 1
- 206010011086 Coronary artery occlusion Diseases 0.000 claims 1
- 125000002102 aryl alkyloxo group Chemical group 0.000 claims 1
- 239000008194 pharmaceutical composition Substances 0.000 claims 1
- 206010043554 thrombocytopenia Diseases 0.000 claims 1
- 230000000694 effects Effects 0.000 abstract description 26
- 238000001727 in vivo Methods 0.000 abstract description 7
- 238000000338 in vitro Methods 0.000 abstract description 6
- 230000009852 coagulant defect Effects 0.000 abstract description 2
- XEKOWRVHYACXOJ-UHFFFAOYSA-N Ethyl acetate Chemical compound CCOC(C)=O XEKOWRVHYACXOJ-UHFFFAOYSA-N 0.000 description 32
- 239000003112 inhibitor Substances 0.000 description 26
- 108090000765 processed proteins & peptides Proteins 0.000 description 26
- 239000000243 solution Substances 0.000 description 25
- 239000003146 anticoagulant agent Substances 0.000 description 21
- 125000001570 methylene group Chemical group [H]C([H])([*:1])[*:2] 0.000 description 21
- 229940024606 amino acid Drugs 0.000 description 19
- 230000015572 biosynthetic process Effects 0.000 description 19
- 238000002360 preparation method Methods 0.000 description 18
- COLNVLDHVKWLRT-QMMMGPOBSA-N L-phenylalanine Chemical compound OC(=O)[C@@H](N)CC1=CC=CC=C1 COLNVLDHVKWLRT-QMMMGPOBSA-N 0.000 description 17
- 239000002253 acid Substances 0.000 description 17
- 235000001014 amino acid Nutrition 0.000 description 17
- 150000001413 amino acids Chemical group 0.000 description 17
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 15
- 235000019439 ethyl acetate Nutrition 0.000 description 15
- YMWUJEATGCHHMB-UHFFFAOYSA-N Dichloromethane Chemical compound ClCCl YMWUJEATGCHHMB-UHFFFAOYSA-N 0.000 description 13
- 102000004196 processed proteins & peptides Human genes 0.000 description 13
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 12
- 238000004458 analytical method Methods 0.000 description 12
- 239000002904 solvent Substances 0.000 description 12
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 12
- DHMQDGOQFOQNFH-UHFFFAOYSA-N Glycine Chemical compound NCC(O)=O DHMQDGOQFOQNFH-UHFFFAOYSA-N 0.000 description 11
- 229940127219 anticoagulant drug Drugs 0.000 description 11
- 230000023555 blood coagulation Effects 0.000 description 11
- 238000006243 chemical reaction Methods 0.000 description 11
- 239000003814 drug Substances 0.000 description 11
- ZMANZCXQSJIPKH-UHFFFAOYSA-N Triethylamine Chemical compound CCN(CC)CC ZMANZCXQSJIPKH-UHFFFAOYSA-N 0.000 description 10
- 210000001772 blood platelet Anatomy 0.000 description 10
- 230000005764 inhibitory process Effects 0.000 description 10
- 230000003389 potentiating effect Effects 0.000 description 10
- 108090000623 proteins and genes Proteins 0.000 description 10
- 125000001424 substituent group Chemical group 0.000 description 10
- 102000004190 Enzymes Human genes 0.000 description 9
- 108090000790 Enzymes Proteins 0.000 description 9
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 9
- 210000004369 blood Anatomy 0.000 description 9
- 239000008280 blood Substances 0.000 description 9
- 229940088598 enzyme Drugs 0.000 description 9
- 239000012044 organic layer Substances 0.000 description 9
- 229940039716 prothrombin Drugs 0.000 description 9
- DTQVDTLACAAQTR-UHFFFAOYSA-N trifluoroacetic acid Substances OC(=O)C(F)(F)F DTQVDTLACAAQTR-UHFFFAOYSA-N 0.000 description 9
- 241000283973 Oryctolagus cuniculus Species 0.000 description 8
- 108010094028 Prothrombin Proteins 0.000 description 8
- 102100027378 Prothrombin Human genes 0.000 description 8
- WYURNTSHIVDZCO-UHFFFAOYSA-N Tetrahydrofuran Chemical compound C1CCOC1 WYURNTSHIVDZCO-UHFFFAOYSA-N 0.000 description 8
- 230000007935 neutral effect Effects 0.000 description 8
- 230000002265 prevention Effects 0.000 description 8
- 230000001225 therapeutic effect Effects 0.000 description 8
- 239000004475 Arginine Substances 0.000 description 7
- 229940123583 Factor Xa inhibitor Drugs 0.000 description 7
- 230000002785 anti-thrombosis Effects 0.000 description 7
- ODKSFYDXXFIFQN-UHFFFAOYSA-N arginine Natural products OC(=O)C(N)CCCNC(N)=N ODKSFYDXXFIFQN-UHFFFAOYSA-N 0.000 description 7
- 235000009697 arginine Nutrition 0.000 description 7
- 229960003121 arginine Drugs 0.000 description 7
- 238000009472 formulation Methods 0.000 description 7
- VLKZOEOYAKHREP-UHFFFAOYSA-N n-Hexane Chemical compound CCCCCC VLKZOEOYAKHREP-UHFFFAOYSA-N 0.000 description 7
- 235000018102 proteins Nutrition 0.000 description 7
- 102000004169 proteins and genes Human genes 0.000 description 7
- 238000000746 purification Methods 0.000 description 7
- 239000000758 substrate Substances 0.000 description 7
- 102000009123 Fibrin Human genes 0.000 description 6
- 108010073385 Fibrin Proteins 0.000 description 6
- BWGVNKXGVNDBDI-UHFFFAOYSA-N Fibrin monomer Chemical compound CNC(=O)CNC(=O)CN BWGVNKXGVNDBDI-UHFFFAOYSA-N 0.000 description 6
- ODKSFYDXXFIFQN-BYPYZUCNSA-N L-arginine Chemical compound OC(=O)[C@@H](N)CCCN=C(N)N ODKSFYDXXFIFQN-BYPYZUCNSA-N 0.000 description 6
- CSNNHWWHGAXBCP-UHFFFAOYSA-L Magnesium sulfate Chemical compound [Mg+2].[O-][S+2]([O-])([O-])[O-] CSNNHWWHGAXBCP-UHFFFAOYSA-L 0.000 description 6
- 108010000499 Thromboplastin Proteins 0.000 description 6
- 102000002262 Thromboplastin Human genes 0.000 description 6
- 102100030951 Tissue factor pathway inhibitor Human genes 0.000 description 6
- 125000000539 amino acid group Chemical group 0.000 description 6
- 239000002585 base Substances 0.000 description 6
- 229940079593 drug Drugs 0.000 description 6
- 229950003499 fibrin Drugs 0.000 description 6
- 108010013555 lipoprotein-associated coagulation inhibitor Proteins 0.000 description 6
- 239000000843 powder Substances 0.000 description 6
- 239000000047 product Substances 0.000 description 6
- 239000011780 sodium chloride Substances 0.000 description 6
- 238000012360 testing method Methods 0.000 description 6
- JGFZNNIVVJXRND-UHFFFAOYSA-N N,N-Diisopropylethylamine (DIPEA) Chemical compound CCN(C(C)C)C(C)C JGFZNNIVVJXRND-UHFFFAOYSA-N 0.000 description 5
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 5
- 229940122388 Thrombin inhibitor Drugs 0.000 description 5
- 239000007864 aqueous solution Substances 0.000 description 5
- 210000004027 cell Anatomy 0.000 description 5
- 201000010099 disease Diseases 0.000 description 5
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 5
- 238000002330 electrospray ionisation mass spectrometry Methods 0.000 description 5
- WXEHBUMAEPOYKP-UHFFFAOYSA-N methylsulfanylethane Chemical compound CCSC WXEHBUMAEPOYKP-UHFFFAOYSA-N 0.000 description 5
- 229920000642 polymer Polymers 0.000 description 5
- 108010014806 prothrombinase complex Proteins 0.000 description 5
- WBIIPXYJAMICNU-AWEZNQCLSA-N (2s)-5-[amino-[(4-methylphenyl)sulfonylamino]methylidene]azaniumyl-2-[(2-methylpropan-2-yl)oxycarbonylamino]pentanoate Chemical compound CC1=CC=C(S(=O)(=O)NC(N)=NCCC[C@H](NC(=O)OC(C)(C)C)C(O)=O)C=C1 WBIIPXYJAMICNU-AWEZNQCLSA-N 0.000 description 4
- HZAXFHJVJLSVMW-UHFFFAOYSA-N 2-Aminoethan-1-ol Chemical compound NCCO HZAXFHJVJLSVMW-UHFFFAOYSA-N 0.000 description 4
- QTBSBXVTEAMEQO-UHFFFAOYSA-N Acetic acid Chemical compound CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 description 4
- 206010011224 Cough Diseases 0.000 description 4
- 108010049003 Fibrinogen Proteins 0.000 description 4
- 102000008946 Fibrinogen Human genes 0.000 description 4
- WHUUTDBJXJRKMK-UHFFFAOYSA-N Glutamic acid Natural products OC(=O)C(N)CCC(O)=O WHUUTDBJXJRKMK-UHFFFAOYSA-N 0.000 description 4
- 239000004471 Glycine Substances 0.000 description 4
- 206010061218 Inflammation Diseases 0.000 description 4
- WHUUTDBJXJRKMK-VKHMYHEASA-N L-glutamic acid Chemical compound OC(=O)[C@@H](N)CCC(O)=O WHUUTDBJXJRKMK-VKHMYHEASA-N 0.000 description 4
- 150000001299 aldehydes Chemical class 0.000 description 4
- 230000004075 alteration Effects 0.000 description 4
- 150000001412 amines Chemical group 0.000 description 4
- 125000001797 benzyl group Chemical group [H]C1=C([H])C([H])=C(C([H])=C1[H])C([H])([H])* 0.000 description 4
- RYYVLZVUVIJVGH-UHFFFAOYSA-N caffeine Chemical compound CN1C(=O)N(C)C(=O)C2=C1N=CN2C RYYVLZVUVIJVGH-UHFFFAOYSA-N 0.000 description 4
- 125000003178 carboxy group Chemical group [H]OC(*)=O 0.000 description 4
- 239000003795 chemical substances by application Substances 0.000 description 4
- 229940012952 fibrinogen Drugs 0.000 description 4
- 230000002489 hematologic effect Effects 0.000 description 4
- 230000023597 hemostasis Effects 0.000 description 4
- 230000004054 inflammatory process Effects 0.000 description 4
- 238000002347 injection Methods 0.000 description 4
- 239000007924 injection Substances 0.000 description 4
- 239000000463 material Substances 0.000 description 4
- 231100000252 nontoxic Toxicity 0.000 description 4
- 230000003000 nontoxic effect Effects 0.000 description 4
- 229920001184 polypeptide Polymers 0.000 description 4
- 229920006395 saturated elastomer Polymers 0.000 description 4
- 239000000741 silica gel Substances 0.000 description 4
- 229910002027 silica gel Inorganic materials 0.000 description 4
- 238000003786 synthesis reaction Methods 0.000 description 4
- 229940124597 therapeutic agent Drugs 0.000 description 4
- 239000003868 thrombin inhibitor Substances 0.000 description 4
- 108010065972 tick anticoagulant peptide Proteins 0.000 description 4
- JOXIMZWYDAKGHI-UHFFFAOYSA-N toluene-4-sulfonic acid Chemical compound CC1=CC=C(S(O)(=O)=O)C=C1 JOXIMZWYDAKGHI-UHFFFAOYSA-N 0.000 description 4
- 210000005166 vasculature Anatomy 0.000 description 4
- 239000003981 vehicle Substances 0.000 description 4
- VJZRBVVLWLEXBB-VROPFNGYSA-N (2s)-n-[(2s)-5-(diaminomethylideneamino)-1-(4-nitroanilino)-1-oxopentan-2-yl]-1-[2-[(4-methylphenyl)sulfonylamino]acetyl]pyrrolidine-2-carboxamide;hydrochloride Chemical compound Cl.C1=CC(C)=CC=C1S(=O)(=O)NCC(=O)N1[C@H](C(=O)N[C@@H](CCCN=C(N)N)C(=O)NC=2C=CC(=CC=2)[N+]([O-])=O)CCC1 VJZRBVVLWLEXBB-VROPFNGYSA-N 0.000 description 3
- 241000283690 Bos taurus Species 0.000 description 3
- OYPRJOBELJOOCE-UHFFFAOYSA-N Calcium Chemical compound [Ca] OYPRJOBELJOOCE-UHFFFAOYSA-N 0.000 description 3
- 108010014173 Factor X Proteins 0.000 description 3
- QNAYBMKLOCPYGJ-UWTATZPHSA-N L-Alanine Natural products C[C@@H](N)C(O)=O QNAYBMKLOCPYGJ-UWTATZPHSA-N 0.000 description 3
- XUJNEKJLAYXESH-REOHCLBHSA-N L-Cysteine Chemical compound SC[C@H](N)C(O)=O XUJNEKJLAYXESH-REOHCLBHSA-N 0.000 description 3
- ONIBWKKTOPOVIA-BYPYZUCNSA-N L-Proline Chemical compound OC(=O)[C@@H]1CCCN1 ONIBWKKTOPOVIA-BYPYZUCNSA-N 0.000 description 3
- QNAYBMKLOCPYGJ-REOHCLBHSA-N L-alanine Chemical compound C[C@H](N)C(O)=O QNAYBMKLOCPYGJ-REOHCLBHSA-N 0.000 description 3
- DCXYFEDJOCDNAF-REOHCLBHSA-N L-asparagine Chemical compound OC(=O)[C@@H](N)CC(N)=O DCXYFEDJOCDNAF-REOHCLBHSA-N 0.000 description 3
- CKLJMWTZIZZHCS-REOHCLBHSA-N L-aspartic acid Chemical compound OC(=O)[C@@H](N)CC(O)=O CKLJMWTZIZZHCS-REOHCLBHSA-N 0.000 description 3
- AYFVYJQAPQTCCC-GBXIJSLDSA-N L-threonine Chemical compound C[C@@H](O)[C@H](N)C(O)=O AYFVYJQAPQTCCC-GBXIJSLDSA-N 0.000 description 3
- FYYHWMGAXLPEAU-UHFFFAOYSA-N Magnesium Chemical compound [Mg] FYYHWMGAXLPEAU-UHFFFAOYSA-N 0.000 description 3
- NQTADLQHYWFPDB-UHFFFAOYSA-N N-Hydroxysuccinimide Chemical compound ON1C(=O)CCC1=O NQTADLQHYWFPDB-UHFFFAOYSA-N 0.000 description 3
- MUBZPKHOEPUJKR-UHFFFAOYSA-N Oxalic acid Chemical compound OC(=O)C(O)=O MUBZPKHOEPUJKR-UHFFFAOYSA-N 0.000 description 3
- 102000035195 Peptidases Human genes 0.000 description 3
- 108091005804 Peptidases Proteins 0.000 description 3
- OFOBLEOULBTSOW-UHFFFAOYSA-N Propanedioic acid Natural products OC(=O)CC(O)=O OFOBLEOULBTSOW-UHFFFAOYSA-N 0.000 description 3
- 239000004365 Protease Substances 0.000 description 3
- 101800004937 Protein C Proteins 0.000 description 3
- 102000017975 Protein C Human genes 0.000 description 3
- 101800001700 Saposin-D Proteins 0.000 description 3
- MTCFGRXMJLQNBG-UHFFFAOYSA-N Serine Natural products OCC(N)C(O)=O MTCFGRXMJLQNBG-UHFFFAOYSA-N 0.000 description 3
- 102000012479 Serine Proteases Human genes 0.000 description 3
- 108010022999 Serine Proteases Proteins 0.000 description 3
- UIIMBOGNXHQVGW-UHFFFAOYSA-M Sodium bicarbonate Chemical compound [Na+].OC([O-])=O UIIMBOGNXHQVGW-UHFFFAOYSA-M 0.000 description 3
- 108090000631 Trypsin Proteins 0.000 description 3
- 102000004142 Trypsin Human genes 0.000 description 3
- 108090000435 Urokinase-type plasminogen activator Proteins 0.000 description 3
- 102000003990 Urokinase-type plasminogen activator Human genes 0.000 description 3
- 150000007513 acids Chemical class 0.000 description 3
- 230000001154 acute effect Effects 0.000 description 3
- 229960003767 alanine Drugs 0.000 description 3
- 230000000890 antigenic effect Effects 0.000 description 3
- 239000012736 aqueous medium Substances 0.000 description 3
- 235000003704 aspartic acid Nutrition 0.000 description 3
- OQFSQFPPLPISGP-UHFFFAOYSA-N beta-carboxyaspartic acid Natural products OC(=O)C(N)C(C(O)=O)C(O)=O OQFSQFPPLPISGP-UHFFFAOYSA-N 0.000 description 3
- 230000027455 binding Effects 0.000 description 3
- 230000000903 blocking effect Effects 0.000 description 3
- 239000011575 calcium Substances 0.000 description 3
- 229910052791 calcium Inorganic materials 0.000 description 3
- 201000011510 cancer Diseases 0.000 description 3
- 239000002775 capsule Substances 0.000 description 3
- 230000008859 change Effects 0.000 description 3
- 238000012512 characterization method Methods 0.000 description 3
- 239000003153 chemical reaction reagent Substances 0.000 description 3
- 108010018472 chromozym TH Proteins 0.000 description 3
- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 description 3
- 230000035602 clotting Effects 0.000 description 3
- 238000004440 column chromatography Methods 0.000 description 3
- 210000004351 coronary vessel Anatomy 0.000 description 3
- 238000004992 fast atom bombardment mass spectroscopy Methods 0.000 description 3
- 239000012458 free base Substances 0.000 description 3
- 230000006870 function Effects 0.000 description 3
- 235000013922 glutamic acid Nutrition 0.000 description 3
- 239000004220 glutamic acid Substances 0.000 description 3
- 150000002500 ions Chemical class 0.000 description 3
- 239000007788 liquid Substances 0.000 description 3
- 239000011777 magnesium Substances 0.000 description 3
- 229910052749 magnesium Inorganic materials 0.000 description 3
- 229910052943 magnesium sulfate Inorganic materials 0.000 description 3
- 235000019341 magnesium sulphate Nutrition 0.000 description 3
- 239000012528 membrane Substances 0.000 description 3
- 150000007522 mineralic acids Chemical class 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 239000003921 oil Substances 0.000 description 3
- 150000007524 organic acids Chemical class 0.000 description 3
- 239000000137 peptide hydrolase inhibitor Substances 0.000 description 3
- 239000000546 pharmaceutical excipient Substances 0.000 description 3
- 239000002243 precursor Substances 0.000 description 3
- 229960002429 proline Drugs 0.000 description 3
- 229960000856 protein c Drugs 0.000 description 3
- 235000004400 serine Nutrition 0.000 description 3
- 239000007787 solid Substances 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 239000000725 suspension Substances 0.000 description 3
- 230000002537 thrombolytic effect Effects 0.000 description 3
- 239000012588 trypsin Substances 0.000 description 3
- 229960005356 urokinase Drugs 0.000 description 3
- 210000003462 vein Anatomy 0.000 description 3
- PGOHTUIFYSHAQG-LJSDBVFPSA-N (2S)-6-amino-2-[[(2S)-5-amino-2-[[(2S)-2-[[(2S)-2-[[(2S)-2-[[(2S)-4-amino-2-[[(2S)-2-[[(2S)-2-[[(2S)-2-[[(2S)-2-[[(2S)-5-amino-2-[[(2S)-5-amino-2-[[(2S)-2-[[(2S)-2-[[(2S)-2-[[(2S,3R)-2-[[(2S)-5-amino-2-[[(2S)-2-[[(2S)-2-[[(2S,3R)-2-[[(2S)-2-[[(2S)-2-[[(2S)-2-[[(2S)-2-[[(2S)-5-amino-2-[[(2S)-1-[(2S,3R)-2-[[(2S)-2-[[(2S)-2-[[(2R)-2-[[(2S)-2-[[(2S)-2-[[2-[[(2S)-2-[[(2S)-2-[[(2S)-2-[[(2S)-1-[(2S)-2-[[(2S)-2-[[(2S)-2-[[(2S)-2-amino-4-methylsulfanylbutanoyl]amino]-3-(1H-indol-3-yl)propanoyl]amino]-5-carbamimidamidopentanoyl]amino]propanoyl]pyrrolidine-2-carbonyl]amino]-3-methylbutanoyl]amino]-4-methylpentanoyl]amino]-4-methylpentanoyl]amino]acetyl]amino]-3-hydroxypropanoyl]amino]-4-methylpentanoyl]amino]-3-sulfanylpropanoyl]amino]-4-methylsulfanylbutanoyl]amino]-5-carbamimidamidopentanoyl]amino]-3-hydroxybutanoyl]pyrrolidine-2-carbonyl]amino]-5-oxopentanoyl]amino]-3-hydroxypropanoyl]amino]-3-hydroxypropanoyl]amino]-3-(1H-imidazol-5-yl)propanoyl]amino]-4-methylpentanoyl]amino]-3-hydroxybutanoyl]amino]-3-(1H-indol-3-yl)propanoyl]amino]-5-carbamimidamidopentanoyl]amino]-5-oxopentanoyl]amino]-3-hydroxybutanoyl]amino]-3-hydroxypropanoyl]amino]-3-carboxypropanoyl]amino]-3-hydroxypropanoyl]amino]-5-oxopentanoyl]amino]-5-oxopentanoyl]amino]-3-phenylpropanoyl]amino]-5-carbamimidamidopentanoyl]amino]-3-methylbutanoyl]amino]-4-methylpentanoyl]amino]-4-oxobutanoyl]amino]-5-carbamimidamidopentanoyl]amino]-3-(1H-indol-3-yl)propanoyl]amino]-4-carboxybutanoyl]amino]-5-oxopentanoyl]amino]hexanoic acid Chemical compound CSCC[C@H](N)C(=O)N[C@@H](Cc1c[nH]c2ccccc12)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](C)C(=O)N1CCC[C@H]1C(=O)N[C@@H](C(C)C)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CC(C)C)C(=O)NCC(=O)N[C@@H](CO)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CS)C(=O)N[C@@H](CCSC)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H]([C@@H](C)O)C(=O)N1CCC[C@H]1C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](CO)C(=O)N[C@@H](CO)C(=O)N[C@@H](Cc1cnc[nH]1)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H]([C@@H](C)O)C(=O)N[C@@H](Cc1c[nH]c2ccccc12)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H]([C@@H](C)O)C(=O)N[C@@H](CO)C(=O)N[C@@H](CC(O)=O)C(=O)N[C@@H](CO)C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](Cc1ccccc1)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](C(C)C)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](Cc1c[nH]c2ccccc12)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](CCCCN)C(O)=O PGOHTUIFYSHAQG-LJSDBVFPSA-N 0.000 description 2
- 125000004042 4-aminobutyl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])C([H])([H])N([H])[H] 0.000 description 2
- KDCGOANMDULRCW-UHFFFAOYSA-N 7H-purine Chemical compound N1=CNC2=NC=NC2=C1 KDCGOANMDULRCW-UHFFFAOYSA-N 0.000 description 2
- QGZKDVFQNNGYKY-UHFFFAOYSA-O Ammonium Chemical compound [NH4+] QGZKDVFQNNGYKY-UHFFFAOYSA-O 0.000 description 2
- CIWBSHSKHKDKBQ-JLAZNSOCSA-N Ascorbic acid Chemical compound OC[C@H](O)[C@H]1OC(=O)C(O)=C1O CIWBSHSKHKDKBQ-JLAZNSOCSA-N 0.000 description 2
- DCXYFEDJOCDNAF-UHFFFAOYSA-N Asparagine Natural products OC(=O)C(N)CC(N)=O DCXYFEDJOCDNAF-UHFFFAOYSA-N 0.000 description 2
- IJGRMHOSHXDMSA-UHFFFAOYSA-N Atomic nitrogen Chemical compound N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 description 2
- RYGMFSIKBFXOCR-UHFFFAOYSA-N Copper Chemical compound [Cu] RYGMFSIKBFXOCR-UHFFFAOYSA-N 0.000 description 2
- 229920002261 Corn starch Polymers 0.000 description 2
- 229920000742 Cotton Polymers 0.000 description 2
- ONIBWKKTOPOVIA-SCSAIBSYSA-N D-Proline Chemical compound OC(=O)[C@H]1CCCN1 ONIBWKKTOPOVIA-SCSAIBSYSA-N 0.000 description 2
- QNAYBMKLOCPYGJ-UHFFFAOYSA-N D-alpha-Ala Natural products CC([NH3+])C([O-])=O QNAYBMKLOCPYGJ-UHFFFAOYSA-N 0.000 description 2
- ODKSFYDXXFIFQN-SCSAIBSYSA-N D-arginine Chemical compound OC(=O)[C@H](N)CCCNC(N)=N ODKSFYDXXFIFQN-SCSAIBSYSA-N 0.000 description 2
- XBPCUCUWBYBCDP-UHFFFAOYSA-N Dicyclohexylamine Chemical compound C1CCCCC1NC1CCCCC1 XBPCUCUWBYBCDP-UHFFFAOYSA-N 0.000 description 2
- 108010016626 Dipeptides Proteins 0.000 description 2
- 102100029727 Enteropeptidase Human genes 0.000 description 2
- 108010013369 Enteropeptidase Proteins 0.000 description 2
- 108010062466 Enzyme Precursors Proteins 0.000 description 2
- 102000010911 Enzyme Precursors Human genes 0.000 description 2
- 108010074105 Factor Va Proteins 0.000 description 2
- VZCYOOQTPOCHFL-OWOJBTEDSA-N Fumaric acid Chemical compound OC(=O)\C=C\C(O)=O VZCYOOQTPOCHFL-OWOJBTEDSA-N 0.000 description 2
- 108010010803 Gelatin Proteins 0.000 description 2
- AEMRFAOFKBGASW-UHFFFAOYSA-N Glycolic acid Chemical compound OCC(O)=O AEMRFAOFKBGASW-UHFFFAOYSA-N 0.000 description 2
- 102000003886 Glycoproteins Human genes 0.000 description 2
- 108090000288 Glycoproteins Proteins 0.000 description 2
- 241000237654 Haementeria ghilianii Species 0.000 description 2
- 241000237664 Haementeria officinalis Species 0.000 description 2
- 208000032843 Hemorrhage Diseases 0.000 description 2
- LPHGQDQBBGAPDZ-UHFFFAOYSA-N Isocaffeine Natural products CN1C(=O)N(C)C(=O)C2=C1N(C)C=N2 LPHGQDQBBGAPDZ-UHFFFAOYSA-N 0.000 description 2
- ODKSFYDXXFIFQN-BYPYZUCNSA-P L-argininium(2+) Chemical compound NC(=[NH2+])NCCC[C@H]([NH3+])C(O)=O ODKSFYDXXFIFQN-BYPYZUCNSA-P 0.000 description 2
- ROHFNLRQFUQHCH-YFKPBYRVSA-N L-leucine Chemical compound CC(C)C[C@H](N)C(O)=O ROHFNLRQFUQHCH-YFKPBYRVSA-N 0.000 description 2
- QIVBCDIJIAJPQS-VIFPVBQESA-N L-tryptophane Chemical compound C1=CC=C2C(C[C@H](N)C(O)=O)=CNC2=C1 QIVBCDIJIAJPQS-VIFPVBQESA-N 0.000 description 2
- KZSNJWFQEVHDMF-BYPYZUCNSA-N L-valine Chemical compound CC(C)[C@H](N)C(O)=O KZSNJWFQEVHDMF-BYPYZUCNSA-N 0.000 description 2
- ROHFNLRQFUQHCH-UHFFFAOYSA-N Leucine Natural products CC(C)CC(N)C(O)=O ROHFNLRQFUQHCH-UHFFFAOYSA-N 0.000 description 2
- AFVFQIVMOAPDHO-UHFFFAOYSA-N Methanesulfonic acid Chemical compound CS(O)(=O)=O AFVFQIVMOAPDHO-UHFFFAOYSA-N 0.000 description 2
- 206010028980 Neoplasm Diseases 0.000 description 2
- ISWSIDIOOBJBQZ-UHFFFAOYSA-N Phenol Chemical compound OC1=CC=CC=C1 ISWSIDIOOBJBQZ-UHFFFAOYSA-N 0.000 description 2
- GLUUGHFHXGJENI-UHFFFAOYSA-N Piperazine Chemical compound C1CNCCN1 GLUUGHFHXGJENI-UHFFFAOYSA-N 0.000 description 2
- NQRYJNQNLNOLGT-UHFFFAOYSA-N Piperidine Chemical compound C1CCNCC1 NQRYJNQNLNOLGT-UHFFFAOYSA-N 0.000 description 2
- 108010001014 Plasminogen Activators Proteins 0.000 description 2
- 102000001938 Plasminogen Activators Human genes 0.000 description 2
- 229920000954 Polyglycolide Polymers 0.000 description 2
- ZLMJMSJWJFRBEC-UHFFFAOYSA-N Potassium Chemical compound [K] ZLMJMSJWJFRBEC-UHFFFAOYSA-N 0.000 description 2
- ONIBWKKTOPOVIA-UHFFFAOYSA-N Proline Natural products OC(=O)C1CCCN1 ONIBWKKTOPOVIA-UHFFFAOYSA-N 0.000 description 2
- 229940124158 Protease/peptidase inhibitor Drugs 0.000 description 2
- KAESVJOAVNADME-UHFFFAOYSA-N Pyrrole Chemical compound C=1C=CNC=1 KAESVJOAVNADME-UHFFFAOYSA-N 0.000 description 2
- LCTONWCANYUPML-UHFFFAOYSA-N Pyruvic acid Chemical compound CC(=O)C(O)=O LCTONWCANYUPML-UHFFFAOYSA-N 0.000 description 2
- 229940124639 Selective inhibitor Drugs 0.000 description 2
- VMHLLURERBWHNL-UHFFFAOYSA-M Sodium acetate Chemical compound [Na+].CC([O-])=O VMHLLURERBWHNL-UHFFFAOYSA-M 0.000 description 2
- QAOWNCQODCNURD-UHFFFAOYSA-N Sulfuric acid Chemical compound OS(O)(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-N 0.000 description 2
- AYFVYJQAPQTCCC-UHFFFAOYSA-N Threonine Natural products CC(O)C(N)C(O)=O AYFVYJQAPQTCCC-UHFFFAOYSA-N 0.000 description 2
- 239000004473 Threonine Substances 0.000 description 2
- QIVBCDIJIAJPQS-UHFFFAOYSA-N Tryptophan Natural products C1=CC=C2C(CC(N)C(O)=O)=CNC2=C1 QIVBCDIJIAJPQS-UHFFFAOYSA-N 0.000 description 2
- KZSNJWFQEVHDMF-UHFFFAOYSA-N Valine Natural products CC(C)C(N)C(O)=O KZSNJWFQEVHDMF-UHFFFAOYSA-N 0.000 description 2
- 229930003448 Vitamin K Natural products 0.000 description 2
- 230000003187 abdominal effect Effects 0.000 description 2
- 230000002159 abnormal effect Effects 0.000 description 2
- 230000004913 activation Effects 0.000 description 2
- 235000004279 alanine Nutrition 0.000 description 2
- 125000001931 aliphatic group Chemical group 0.000 description 2
- 125000004448 alkyl carbonyl group Chemical group 0.000 description 2
- 230000003321 amplification Effects 0.000 description 2
- 238000002399 angioplasty Methods 0.000 description 2
- 239000003963 antioxidant agent Substances 0.000 description 2
- 235000006708 antioxidants Nutrition 0.000 description 2
- 229960004676 antithrombotic agent Drugs 0.000 description 2
- 125000005251 aryl acyl group Chemical group 0.000 description 2
- 235000009582 asparagine Nutrition 0.000 description 2
- 229960001230 asparagine Drugs 0.000 description 2
- WPYMKLBDIGXBTP-UHFFFAOYSA-N benzoic acid Chemical compound OC(=O)C1=CC=CC=C1 WPYMKLBDIGXBTP-UHFFFAOYSA-N 0.000 description 2
- 125000001584 benzyloxycarbonyl group Chemical group C(=O)(OCC1=CC=CC=C1)* 0.000 description 2
- UCMIRNVEIXFBKS-UHFFFAOYSA-N beta-alanine Chemical compound NCCC(O)=O UCMIRNVEIXFBKS-UHFFFAOYSA-N 0.000 description 2
- 230000004071 biological effect Effects 0.000 description 2
- 239000012472 biological sample Substances 0.000 description 2
- 230000036983 biotransformation Effects 0.000 description 2
- 208000034158 bleeding Diseases 0.000 description 2
- 230000000740 bleeding effect Effects 0.000 description 2
- 230000017531 blood circulation Effects 0.000 description 2
- 229960001948 caffeine Drugs 0.000 description 2
- VJEONQKOZGKCAK-UHFFFAOYSA-N caffeine Natural products CN1C(=O)N(C)C(=O)C2=C1C=CN2C VJEONQKOZGKCAK-UHFFFAOYSA-N 0.000 description 2
- 239000000969 carrier Substances 0.000 description 2
- 230000003197 catalytic effect Effects 0.000 description 2
- 229960001231 choline Drugs 0.000 description 2
- OEYIOHPDSNJKLS-UHFFFAOYSA-N choline Chemical compound C[N+](C)(C)CCO OEYIOHPDSNJKLS-UHFFFAOYSA-N 0.000 description 2
- 238000007796 conventional method Methods 0.000 description 2
- 239000008120 corn starch Substances 0.000 description 2
- 235000018417 cysteine Nutrition 0.000 description 2
- XUJNEKJLAYXESH-UHFFFAOYSA-N cysteine Natural products SCC(N)C(O)=O XUJNEKJLAYXESH-UHFFFAOYSA-N 0.000 description 2
- 230000003111 delayed effect Effects 0.000 description 2
- 239000000032 diagnostic agent Substances 0.000 description 2
- 229940039227 diagnostic agent Drugs 0.000 description 2
- HPNMFZURTQLUMO-UHFFFAOYSA-N diethylamine Chemical compound CCNCC HPNMFZURTQLUMO-UHFFFAOYSA-N 0.000 description 2
- XBDQKXXYIPTUBI-UHFFFAOYSA-N dimethylselenoniopropionate Natural products CCC(O)=O XBDQKXXYIPTUBI-UHFFFAOYSA-N 0.000 description 2
- ZUOUZKKEUPVFJK-UHFFFAOYSA-N diphenyl Chemical compound C1=CC=CC=C1C1=CC=CC=C1 ZUOUZKKEUPVFJK-UHFFFAOYSA-N 0.000 description 2
- 239000006196 drop Substances 0.000 description 2
- 239000012636 effector Substances 0.000 description 2
- 230000002255 enzymatic effect Effects 0.000 description 2
- 150000002148 esters Chemical class 0.000 description 2
- 229940012426 factor x Drugs 0.000 description 2
- 239000003527 fibrinolytic agent Substances 0.000 description 2
- 238000001914 filtration Methods 0.000 description 2
- 238000003818 flash chromatography Methods 0.000 description 2
- 239000008273 gelatin Substances 0.000 description 2
- 229920000159 gelatin Polymers 0.000 description 2
- 235000019322 gelatine Nutrition 0.000 description 2
- 235000011852 gelatine desserts Nutrition 0.000 description 2
- ZDXPYRJPNDTMRX-UHFFFAOYSA-N glutamine Natural products OC(=O)C(N)CCC(N)=O ZDXPYRJPNDTMRX-UHFFFAOYSA-N 0.000 description 2
- KWIUHFFTVRNATP-UHFFFAOYSA-N glycine betaine Chemical compound C[N+](C)(C)CC([O-])=O KWIUHFFTVRNATP-UHFFFAOYSA-N 0.000 description 2
- 229940093915 gynecological organic acid Drugs 0.000 description 2
- 229960002897 heparin Drugs 0.000 description 2
- 229920000669 heparin Polymers 0.000 description 2
- 229910052739 hydrogen Inorganic materials 0.000 description 2
- 238000001802 infusion Methods 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 238000005342 ion exchange Methods 0.000 description 2
- IQZZFVDIZRWADY-UHFFFAOYSA-N isocoumarin Chemical compound C1=CC=C2C(=O)OC=CC2=C1 IQZZFVDIZRWADY-UHFFFAOYSA-N 0.000 description 2
- 238000002955 isolation Methods 0.000 description 2
- 230000000670 limiting effect Effects 0.000 description 2
- HQKMJHAJHXVSDF-UHFFFAOYSA-L magnesium stearate Chemical compound [Mg+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O HQKMJHAJHXVSDF-UHFFFAOYSA-L 0.000 description 2
- 238000005259 measurement Methods 0.000 description 2
- 230000014508 negative regulation of coagulation Effects 0.000 description 2
- 238000003199 nucleic acid amplification method Methods 0.000 description 2
- 235000005985 organic acids Nutrition 0.000 description 2
- 150000007530 organic bases Chemical class 0.000 description 2
- 229910052760 oxygen Inorganic materials 0.000 description 2
- COLNVLDHVKWLRT-UHFFFAOYSA-N phenylalanine Natural products OC(=O)C(N)CC1=CC=CC=C1 COLNVLDHVKWLRT-UHFFFAOYSA-N 0.000 description 2
- SHUZOJHMOBOZST-UHFFFAOYSA-N phylloquinone Natural products CC(C)CCCCC(C)CCC(C)CCCC(=CCC1=C(C)C(=O)c2ccccc2C1=O)C SHUZOJHMOBOZST-UHFFFAOYSA-N 0.000 description 2
- 229940127126 plasminogen activator Drugs 0.000 description 2
- 229920000747 poly(lactic acid) Polymers 0.000 description 2
- 239000004633 polyglycolic acid Substances 0.000 description 2
- 239000004626 polylactic acid Substances 0.000 description 2
- 239000011591 potassium Substances 0.000 description 2
- 229910052700 potassium Inorganic materials 0.000 description 2
- 238000011533 pre-incubation Methods 0.000 description 2
- 125000002924 primary amino group Chemical group [H]N([H])* 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 239000011541 reaction mixture Substances 0.000 description 2
- 208000037803 restenosis Diseases 0.000 description 2
- 238000004007 reversed phase HPLC Methods 0.000 description 2
- YGSDEFSMJLZEOE-UHFFFAOYSA-N salicylic acid Chemical compound OC(=O)C1=CC=CC=C1O YGSDEFSMJLZEOE-UHFFFAOYSA-N 0.000 description 2
- 210000003296 saliva Anatomy 0.000 description 2
- 229910000030 sodium bicarbonate Inorganic materials 0.000 description 2
- 239000003381 stabilizer Substances 0.000 description 2
- 239000007858 starting material Substances 0.000 description 2
- 238000006467 substitution reaction Methods 0.000 description 2
- 239000000829 suppository Substances 0.000 description 2
- 230000002459 sustained effect Effects 0.000 description 2
- 239000003826 tablet Substances 0.000 description 2
- YAPQBXQYLJRXSA-UHFFFAOYSA-N theobromine Chemical compound CN1C(=O)NC(=O)C2=C1N=CN2C YAPQBXQYLJRXSA-UHFFFAOYSA-N 0.000 description 2
- 229960000103 thrombolytic agent Drugs 0.000 description 2
- 210000001519 tissue Anatomy 0.000 description 2
- VZCYOOQTPOCHFL-UHFFFAOYSA-N trans-butenedioic acid Natural products OC(=O)C=CC(O)=O VZCYOOQTPOCHFL-UHFFFAOYSA-N 0.000 description 2
- 230000008733 trauma Effects 0.000 description 2
- GETQZCLCWQTVFV-UHFFFAOYSA-N trimethylamine Chemical compound CN(C)C GETQZCLCWQTVFV-UHFFFAOYSA-N 0.000 description 2
- 239000004474 valine Substances 0.000 description 2
- 235000019168 vitamin K Nutrition 0.000 description 2
- 239000011712 vitamin K Substances 0.000 description 2
- 150000003721 vitamin K derivatives Chemical class 0.000 description 2
- 229940046010 vitamin k Drugs 0.000 description 2
- QBYIENPQHBMVBV-HFEGYEGKSA-N (2R)-2-hydroxy-2-phenylacetic acid Chemical compound O[C@@H](C(O)=O)c1ccccc1.O[C@@H](C(O)=O)c1ccccc1 QBYIENPQHBMVBV-HFEGYEGKSA-N 0.000 description 1
- MTCFGRXMJLQNBG-REOHCLBHSA-N (2S)-2-Amino-3-hydroxypropansäure Chemical compound OC[C@H](N)C(O)=O MTCFGRXMJLQNBG-REOHCLBHSA-N 0.000 description 1
- DDLYNVBJVVOUGB-QMMMGPOBSA-N (2s)-2-amino-3-(3-aminophenyl)propanoic acid Chemical compound OC(=O)[C@@H](N)CC1=CC=CC(N)=C1 DDLYNVBJVVOUGB-QMMMGPOBSA-N 0.000 description 1
- NIOKQPJRXDRREF-QMMMGPOBSA-N (2s)-2-amino-3-(3-carbamimidoylphenyl)propanoic acid Chemical compound OC(=O)[C@@H](N)CC1=CC=CC(C(N)=N)=C1 NIOKQPJRXDRREF-QMMMGPOBSA-N 0.000 description 1
- XPRCPVGCTGELMN-QMMMGPOBSA-N (2s)-2-amino-3-(4-carbamimidoylphenyl)propanoic acid Chemical compound OC(=O)[C@@H](N)CC1=CC=C(C(N)=N)C=C1 XPRCPVGCTGELMN-QMMMGPOBSA-N 0.000 description 1
- ZIHWPYSIZIGNDJ-QMMMGPOBSA-N (2s)-2-amino-3-[3-(diaminomethylideneamino)phenyl]propanoic acid Chemical compound OC(=O)[C@@H](N)CC1=CC=CC(NC(N)=N)=C1 ZIHWPYSIZIGNDJ-QMMMGPOBSA-N 0.000 description 1
- GNVNKFUEUXUWDV-VIFPVBQESA-N (2s)-2-amino-3-[4-(aminomethyl)phenyl]propanoic acid Chemical compound NCC1=CC=C(C[C@H](N)C(O)=O)C=C1 GNVNKFUEUXUWDV-VIFPVBQESA-N 0.000 description 1
- FYMNTAQFDTZISY-QMMMGPOBSA-N (2s)-2-amino-3-[4-(diaminomethylideneamino)phenyl]propanoic acid Chemical compound OC(=O)[C@@H](N)CC1=CC=C(N=C(N)N)C=C1 FYMNTAQFDTZISY-QMMMGPOBSA-N 0.000 description 1
- CRYXXTXWUCPIMU-WNQIDUERSA-N (2s)-2-aminobutanediamide;phenol Chemical compound OC1=CC=CC=C1.NC(=O)[C@@H](N)CC(N)=O CRYXXTXWUCPIMU-WNQIDUERSA-N 0.000 description 1
- WBYWAXJHAXSJNI-VOTSOKGWSA-M .beta-Phenylacrylic acid Natural products [O-]C(=O)\C=C\C1=CC=CC=C1 WBYWAXJHAXSJNI-VOTSOKGWSA-M 0.000 description 1
- TZCPCKNHXULUIY-RGULYWFUSA-N 1,2-distearoyl-sn-glycero-3-phosphoserine Chemical compound CCCCCCCCCCCCCCCCCC(=O)OC[C@H](COP(O)(=O)OC[C@H](N)C(O)=O)OC(=O)CCCCCCCCCCCCCCCCC TZCPCKNHXULUIY-RGULYWFUSA-N 0.000 description 1
- RYHBNJHYFVUHQT-UHFFFAOYSA-N 1,4-Dioxane Chemical compound C1COCCO1 RYHBNJHYFVUHQT-UHFFFAOYSA-N 0.000 description 1
- SNQBKCVWLYISGN-UHFFFAOYSA-N 2-[(4-aminocyclohexyl)amino]acetic acid Chemical compound NC1CCC(NCC(O)=O)CC1 SNQBKCVWLYISGN-UHFFFAOYSA-N 0.000 description 1
- PPURAROFNJWTEO-UHFFFAOYSA-N 2-[[amino(butylamino)methylidene]amino]acetic acid Chemical compound CCCCNC(=N)NCC(O)=O PPURAROFNJWTEO-UHFFFAOYSA-N 0.000 description 1
- ASRVEEPYXSBQFY-UHFFFAOYSA-N 2-amino-2-[4-(aminomethyl)phenyl]acetic acid Chemical compound NCC1=CC=C(C(N)C(O)=O)C=C1 ASRVEEPYXSBQFY-UHFFFAOYSA-N 0.000 description 1
- MSWZFWKMSRAUBD-IVMDWMLBSA-N 2-amino-2-deoxy-D-glucopyranose Chemical compound N[C@H]1C(O)O[C@H](CO)[C@@H](O)[C@@H]1O MSWZFWKMSRAUBD-IVMDWMLBSA-N 0.000 description 1
- BFSVOASYOCHEOV-UHFFFAOYSA-N 2-diethylaminoethanol Chemical compound CCN(CC)CCO BFSVOASYOCHEOV-UHFFFAOYSA-N 0.000 description 1
- 229940013085 2-diethylaminoethanol Drugs 0.000 description 1
- 125000000094 2-phenylethyl group Chemical group [H]C1=C([H])C([H])=C(C([H])=C1[H])C([H])([H])C([H])([H])* 0.000 description 1
- GOLORTLGFDVFDW-UHFFFAOYSA-N 3-(1h-benzimidazol-2-yl)-7-(diethylamino)chromen-2-one Chemical compound C1=CC=C2NC(C3=CC4=CC=C(C=C4OC3=O)N(CC)CC)=NC2=C1 GOLORTLGFDVFDW-UHFFFAOYSA-N 0.000 description 1
- BMYNFMYTOJXKLE-UHFFFAOYSA-N 3-azaniumyl-2-hydroxypropanoate Chemical compound NCC(O)C(O)=O BMYNFMYTOJXKLE-UHFFFAOYSA-N 0.000 description 1
- LLJRXVHJOJRCSM-UHFFFAOYSA-N 3-pyridin-4-yl-1H-indole Chemical group C=1NC2=CC=CC=C2C=1C1=CC=NC=C1 LLJRXVHJOJRCSM-UHFFFAOYSA-N 0.000 description 1
- 125000003349 3-pyridyl group Chemical group N1=C([H])C([*])=C([H])C([H])=C1[H] 0.000 description 1
- CMUHFUGDYMFHEI-QMMMGPOBSA-N 4-amino-L-phenylalanine Chemical compound OC(=O)[C@@H](N)CC1=CC=C(N)C=C1 CMUHFUGDYMFHEI-QMMMGPOBSA-N 0.000 description 1
- TYMLOMAKGOJONV-UHFFFAOYSA-N 4-nitroaniline Chemical compound NC1=CC=C([N+]([O-])=O)C=C1 TYMLOMAKGOJONV-UHFFFAOYSA-N 0.000 description 1
- HBAQYPYDRFILMT-UHFFFAOYSA-N 8-[3-(1-cyclopropylpyrazol-4-yl)-1H-pyrazolo[4,3-d]pyrimidin-5-yl]-3-methyl-3,8-diazabicyclo[3.2.1]octan-2-one Chemical class C1(CC1)N1N=CC(=C1)C1=NNC2=C1N=C(N=C2)N1C2C(N(CC1CC2)C)=O HBAQYPYDRFILMT-UHFFFAOYSA-N 0.000 description 1
- QTBSBXVTEAMEQO-UHFFFAOYSA-M Acetate Chemical compound CC([O-])=O QTBSBXVTEAMEQO-UHFFFAOYSA-M 0.000 description 1
- GUBGYTABKSRVRQ-XLOQQCSPSA-N Alpha-Lactose Chemical compound O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@H]1O[C@@H]1[C@@H](CO)O[C@H](O)[C@H](O)[C@H]1O GUBGYTABKSRVRQ-XLOQQCSPSA-N 0.000 description 1
- 241001147657 Ancylostoma Species 0.000 description 1
- 241001465677 Ancylostomatoidea Species 0.000 description 1
- 101710163968 Antistasin Proteins 0.000 description 1
- 101710081722 Antitrypsin Proteins 0.000 description 1
- QYLJIYOGHRGUIH-CIUDSAMLSA-N Arg-Ile Chemical compound CC[C@H](C)[C@@H](C(O)=O)NC(=O)[C@@H](N)CCCNC(N)=N QYLJIYOGHRGUIH-CIUDSAMLSA-N 0.000 description 1
- XNSKSTRGQIPTSE-ACZMJKKPSA-N Arg-Thr Chemical compound C[C@@H]([C@@H](C(=O)O)NC(=O)[C@H](CCCN=C(N)N)N)O XNSKSTRGQIPTSE-ACZMJKKPSA-N 0.000 description 1
- 208000037260 Atherosclerotic Plaque Diseases 0.000 description 1
- 241000894006 Bacteria Species 0.000 description 1
- 239000005711 Benzoic acid Substances 0.000 description 1
- 102000015081 Blood Coagulation Factors Human genes 0.000 description 1
- 108010039209 Blood Coagulation Factors Proteins 0.000 description 1
- 102000004506 Blood Proteins Human genes 0.000 description 1
- 108010017384 Blood Proteins Proteins 0.000 description 1
- 108091003079 Bovine Serum Albumin Proteins 0.000 description 1
- BHPQYMZQTOCNFJ-UHFFFAOYSA-N Calcium cation Chemical compound [Ca+2] BHPQYMZQTOCNFJ-UHFFFAOYSA-N 0.000 description 1
- 241000282472 Canis lupus familiaris Species 0.000 description 1
- KXDHJXZQYSOELW-UHFFFAOYSA-M Carbamate Chemical compound NC([O-])=O KXDHJXZQYSOELW-UHFFFAOYSA-M 0.000 description 1
- 241001331167 Caulolatilus affinis Species 0.000 description 1
- WBYWAXJHAXSJNI-SREVYHEPSA-N Cinnamic acid Chemical compound OC(=O)\C=C/C1=CC=CC=C1 WBYWAXJHAXSJNI-SREVYHEPSA-N 0.000 description 1
- KRKNYBCHXYNGOX-UHFFFAOYSA-K Citrate Chemical compound [O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O KRKNYBCHXYNGOX-UHFFFAOYSA-K 0.000 description 1
- 102100022641 Coagulation factor IX Human genes 0.000 description 1
- 102100023804 Coagulation factor VII Human genes 0.000 description 1
- 101710200938 Coagulation factor X inhibitor Proteins 0.000 description 1
- 208000032170 Congenital Abnormalities Diseases 0.000 description 1
- FBPFZTCFMRRESA-FSIIMWSLSA-N D-Glucitol Natural products OC[C@H](O)[C@H](O)[C@@H](O)[C@H](O)CO FBPFZTCFMRRESA-FSIIMWSLSA-N 0.000 description 1
- FBPFZTCFMRRESA-KVTDHHQDSA-N D-Mannitol Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KVTDHHQDSA-N 0.000 description 1
- 229930028154 D-arginine Natural products 0.000 description 1
- FBPFZTCFMRRESA-JGWLITMVSA-N D-glucitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-JGWLITMVSA-N 0.000 description 1
- KDXKERNSBIXSRK-RXMQYKEDSA-N D-lysine Chemical compound NCCCC[C@@H](N)C(O)=O KDXKERNSBIXSRK-RXMQYKEDSA-N 0.000 description 1
- WQZGKKKJIJFFOK-QTVWNMPRSA-N D-mannopyranose Chemical compound OC[C@H]1OC(O)[C@@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-QTVWNMPRSA-N 0.000 description 1
- 229930182820 D-proline Natural products 0.000 description 1
- 241001505404 Deinagkistrodon acutus Species 0.000 description 1
- 229920001353 Dextrin Polymers 0.000 description 1
- 239000004375 Dextrin Substances 0.000 description 1
- FEWJPZIEWOKRBE-JCYAYHJZSA-N Dextrotartaric acid Chemical compound OC(=O)[C@H](O)[C@@H](O)C(O)=O FEWJPZIEWOKRBE-JCYAYHJZSA-N 0.000 description 1
- RTZKZFJDLAIYFH-UHFFFAOYSA-N Diethyl ether Chemical compound CCOCC RTZKZFJDLAIYFH-UHFFFAOYSA-N 0.000 description 1
- KCXVZYZYPLLWCC-UHFFFAOYSA-N EDTA Chemical compound OC(=O)CN(CC(O)=O)CCN(CC(O)=O)CC(O)=O KCXVZYZYPLLWCC-UHFFFAOYSA-N 0.000 description 1
- 101710194146 Ecotin Proteins 0.000 description 1
- LVGKNOAMLMIIKO-UHFFFAOYSA-N Elaidinsaeure-aethylester Natural products CCCCCCCCC=CCCCCCCCC(=O)OCC LVGKNOAMLMIIKO-UHFFFAOYSA-N 0.000 description 1
- 208000005189 Embolism Diseases 0.000 description 1
- 241000283086 Equidae Species 0.000 description 1
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 1
- PIICEJLVQHRZGT-UHFFFAOYSA-N Ethylenediamine Chemical compound NCCN PIICEJLVQHRZGT-UHFFFAOYSA-N 0.000 description 1
- 206010015548 Euthanasia Diseases 0.000 description 1
- 108010037362 Extracellular Matrix Proteins Proteins 0.000 description 1
- 102000010834 Extracellular Matrix Proteins Human genes 0.000 description 1
- 108010076282 Factor IX Proteins 0.000 description 1
- 108010048049 Factor IXa Proteins 0.000 description 1
- 108010023321 Factor VII Proteins 0.000 description 1
- 108010074864 Factor XI Proteins 0.000 description 1
- 108010080865 Factor XII Proteins 0.000 description 1
- 102000000429 Factor XII Human genes 0.000 description 1
- 241000282326 Felis catus Species 0.000 description 1
- 108010088842 Fibrinolysin Proteins 0.000 description 1
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 1
- ZWZWYGMENQVNFU-UHFFFAOYSA-N Glycerophosphorylserin Natural products OC(=O)C(N)COP(O)(=O)OCC(O)CO ZWZWYGMENQVNFU-UHFFFAOYSA-N 0.000 description 1
- 229920000084 Gum arabic Polymers 0.000 description 1
- 229910004373 HOAc Inorganic materials 0.000 description 1
- 241000237655 Haementeria Species 0.000 description 1
- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical compound OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 description 1
- 101150084658 INA gene Proteins 0.000 description 1
- 102000008394 Immunoglobulin Fragments Human genes 0.000 description 1
- 108010021625 Immunoglobulin Fragments Proteins 0.000 description 1
- 108060005987 Kallikrein Proteins 0.000 description 1
- 102000001399 Kallikrein Human genes 0.000 description 1
- YQEZLKZALYSWHR-UHFFFAOYSA-N Ketamine Chemical compound C=1C=CC=C(Cl)C=1C1(NC)CCCCC1=O YQEZLKZALYSWHR-UHFFFAOYSA-N 0.000 description 1
- QUOGESRFPZDMMT-UHFFFAOYSA-N L-Homoarginine Natural products OC(=O)C(N)CCCCNC(N)=N QUOGESRFPZDMMT-UHFFFAOYSA-N 0.000 description 1
- AHLPHDHHMVZTML-BYPYZUCNSA-N L-Ornithine Chemical compound NCCC[C@H](N)C(O)=O AHLPHDHHMVZTML-BYPYZUCNSA-N 0.000 description 1
- 229930064664 L-arginine Natural products 0.000 description 1
- 235000014852 L-arginine Nutrition 0.000 description 1
- RHGKLRLOHDJJDR-BYPYZUCNSA-N L-citrulline Chemical compound NC(=O)NCCC[C@H]([NH3+])C([O-])=O RHGKLRLOHDJJDR-BYPYZUCNSA-N 0.000 description 1
- HNDVDQJCIGZPNO-YFKPBYRVSA-N L-histidine Chemical compound OC(=O)[C@@H](N)CC1=CN=CN1 HNDVDQJCIGZPNO-YFKPBYRVSA-N 0.000 description 1
- QUOGESRFPZDMMT-YFKPBYRVSA-N L-homoarginine Chemical compound OC(=O)[C@@H](N)CCCCNC(N)=N QUOGESRFPZDMMT-YFKPBYRVSA-N 0.000 description 1
- FFEARJCKVFRZRR-BYPYZUCNSA-N L-methionine Chemical compound CSCC[C@H](N)C(O)=O FFEARJCKVFRZRR-BYPYZUCNSA-N 0.000 description 1
- 229930182821 L-proline Natural products 0.000 description 1
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Natural products OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 description 1
- WHXSMMKQMYFTQS-UHFFFAOYSA-N Lithium Chemical compound [Li] WHXSMMKQMYFTQS-UHFFFAOYSA-N 0.000 description 1
- 229930195725 Mannitol Natural products 0.000 description 1
- 102000018697 Membrane Proteins Human genes 0.000 description 1
- 108010052285 Membrane Proteins Proteins 0.000 description 1
- SOWBFZRMHSNYGE-UHFFFAOYSA-N Monoamide-Oxalic acid Natural products NC(=O)C(O)=O SOWBFZRMHSNYGE-UHFFFAOYSA-N 0.000 description 1
- 208000010718 Multiple Organ Failure Diseases 0.000 description 1
- HTLZVHNRZJPSMI-UHFFFAOYSA-N N-ethylpiperidine Chemical compound CCN1CCCCC1 HTLZVHNRZJPSMI-UHFFFAOYSA-N 0.000 description 1
- MBBZMMPHUWSWHV-BDVNFPICSA-N N-methylglucamine Chemical compound CNC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO MBBZMMPHUWSWHV-BDVNFPICSA-N 0.000 description 1
- RHGKLRLOHDJJDR-UHFFFAOYSA-N Ndelta-carbamoyl-DL-ornithine Natural products OC(=O)C(N)CCCNC(N)=O RHGKLRLOHDJJDR-UHFFFAOYSA-N 0.000 description 1
- GRYLNZFGIOXLOG-UHFFFAOYSA-N Nitric acid Chemical compound O[N+]([O-])=O GRYLNZFGIOXLOG-UHFFFAOYSA-N 0.000 description 1
- FUVJDWFLSZRIQX-UHFFFAOYSA-N Oduline Natural products CN1CCC2=CCC3OC(O)c4cc5OCOc5cc4C3C12 FUVJDWFLSZRIQX-UHFFFAOYSA-N 0.000 description 1
- 108010038807 Oligopeptides Proteins 0.000 description 1
- 102000015636 Oligopeptides Human genes 0.000 description 1
- AHLPHDHHMVZTML-UHFFFAOYSA-N Orn-delta-NH2 Natural products NCCCC(N)C(O)=O AHLPHDHHMVZTML-UHFFFAOYSA-N 0.000 description 1
- UTJLXEIPEHZYQJ-UHFFFAOYSA-N Ornithine Natural products OC(=O)C(C)CCCN UTJLXEIPEHZYQJ-UHFFFAOYSA-N 0.000 description 1
- 229910019142 PO4 Inorganic materials 0.000 description 1
- 208000037273 Pathologic Processes Diseases 0.000 description 1
- 229920003171 Poly (ethylene oxide) Polymers 0.000 description 1
- 239000002202 Polyethylene glycol Substances 0.000 description 1
- 229920000331 Polyhydroxybutyrate Polymers 0.000 description 1
- 108010039918 Polylysine Proteins 0.000 description 1
- 229940096437 Protein S Drugs 0.000 description 1
- 102000029301 Protein S Human genes 0.000 description 1
- 108010066124 Protein S Proteins 0.000 description 1
- IWYDHOAUDWTVEP-UHFFFAOYSA-N R-2-phenyl-2-hydroxyacetic acid Natural products OC(=O)C(O)C1=CC=CC=C1 IWYDHOAUDWTVEP-UHFFFAOYSA-N 0.000 description 1
- 206010038563 Reocclusion Diseases 0.000 description 1
- 206010040070 Septic Shock Diseases 0.000 description 1
- 108010071390 Serum Albumin Proteins 0.000 description 1
- 102000007562 Serum Albumin Human genes 0.000 description 1
- 229910004298 SiO 2 Inorganic materials 0.000 description 1
- 108010023197 Streptokinase Proteins 0.000 description 1
- KDYFGRWQOYBRFD-UHFFFAOYSA-N Succinic acid Natural products OC(=O)CCC(O)=O KDYFGRWQOYBRFD-UHFFFAOYSA-N 0.000 description 1
- 229930006000 Sucrose Natural products 0.000 description 1
- CZMRCDWAGMRECN-UGDNZRGBSA-N Sucrose Chemical compound O[C@H]1[C@H](O)[C@@H](CO)O[C@@]1(CO)O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 CZMRCDWAGMRECN-UGDNZRGBSA-N 0.000 description 1
- 241000282887 Suidae Species 0.000 description 1
- NINIDFKCEFEMDL-UHFFFAOYSA-N Sulfur Chemical compound [S] NINIDFKCEFEMDL-UHFFFAOYSA-N 0.000 description 1
- FEWJPZIEWOKRBE-UHFFFAOYSA-N Tartaric acid Natural products [H+].[H+].[O-]C(=O)C(O)C(O)C([O-])=O FEWJPZIEWOKRBE-UHFFFAOYSA-N 0.000 description 1
- FZWLAAWBMGSTSO-UHFFFAOYSA-N Thiazole Chemical compound C1=CSC=N1 FZWLAAWBMGSTSO-UHFFFAOYSA-N 0.000 description 1
- 201000007023 Thrombotic Thrombocytopenic Purpura Diseases 0.000 description 1
- 208000024248 Vascular System injury Diseases 0.000 description 1
- 208000012339 Vascular injury Diseases 0.000 description 1
- 206010047139 Vasoconstriction Diseases 0.000 description 1
- 208000036142 Viral infection Diseases 0.000 description 1
- HCHKCACWOHOZIP-UHFFFAOYSA-N Zinc Chemical compound [Zn] HCHKCACWOHOZIP-UHFFFAOYSA-N 0.000 description 1
- SRXKIZXIRHMPFW-UHFFFAOYSA-N [4-[6-[amino(azaniumylidene)methyl]naphthalen-2-yl]oxycarbonylphenyl]-(diaminomethylidene)azanium;methanesulfonate Chemical compound CS([O-])(=O)=O.CS([O-])(=O)=O.C1=CC(N=C([NH3+])N)=CC=C1C(=O)OC1=CC=C(C=C(C=C2)C([NH3+])=N)C2=C1 SRXKIZXIRHMPFW-UHFFFAOYSA-N 0.000 description 1
- 230000007488 abnormal function Effects 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 239000000205 acacia gum Substances 0.000 description 1
- 235000010489 acacia gum Nutrition 0.000 description 1
- 108010063628 acarboxyprothrombin Proteins 0.000 description 1
- 230000001133 acceleration Effects 0.000 description 1
- 230000035508 accumulation Effects 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- NOSIYYJFMPDDSA-UHFFFAOYSA-N acepromazine Chemical compound C1=C(C(C)=O)C=C2N(CCCN(C)C)C3=CC=CC=C3SC2=C1 NOSIYYJFMPDDSA-UHFFFAOYSA-N 0.000 description 1
- 229960005054 acepromazine Drugs 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000003213 activating effect Effects 0.000 description 1
- 239000004480 active ingredient Substances 0.000 description 1
- 206010000891 acute myocardial infarction Diseases 0.000 description 1
- 230000010933 acylation Effects 0.000 description 1
- 238000005917 acylation reaction Methods 0.000 description 1
- 239000002671 adjuvant Substances 0.000 description 1
- 239000000443 aerosol Substances 0.000 description 1
- 239000000783 alginic acid Substances 0.000 description 1
- 235000010443 alginic acid Nutrition 0.000 description 1
- 229920000615 alginic acid Polymers 0.000 description 1
- 229960001126 alginic acid Drugs 0.000 description 1
- 150000004781 alginic acids Chemical class 0.000 description 1
- 125000003342 alkenyl group Chemical group 0.000 description 1
- 125000003282 alkyl amino group Chemical group 0.000 description 1
- 125000005037 alkyl phenyl group Chemical group 0.000 description 1
- 229910052782 aluminium Inorganic materials 0.000 description 1
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 1
- 230000009435 amidation Effects 0.000 description 1
- 238000007112 amidation reaction Methods 0.000 description 1
- 150000001408 amides Chemical class 0.000 description 1
- 150000003862 amino acid derivatives Chemical class 0.000 description 1
- 239000003708 ampul Substances 0.000 description 1
- 239000012491 analyte Substances 0.000 description 1
- 230000003466 anti-cipated effect Effects 0.000 description 1
- 230000002429 anti-coagulating effect Effects 0.000 description 1
- 230000002001 anti-metastasis Effects 0.000 description 1
- 230000001475 anti-trypsic effect Effects 0.000 description 1
- 229940127090 anticoagulant agent Drugs 0.000 description 1
- 230000010100 anticoagulation Effects 0.000 description 1
- 229940030225 antihemorrhagics Drugs 0.000 description 1
- 239000004019 antithrombin Substances 0.000 description 1
- 239000003443 antiviral agent Substances 0.000 description 1
- 210000005249 arterial vasculature Anatomy 0.000 description 1
- 210000001367 artery Anatomy 0.000 description 1
- 229960005070 ascorbic acid Drugs 0.000 description 1
- 235000010323 ascorbic acid Nutrition 0.000 description 1
- 239000011668 ascorbic acid Substances 0.000 description 1
- 230000003143 atherosclerotic effect Effects 0.000 description 1
- 125000004429 atom Chemical group 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 230000001746 atrial effect Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- ZYGHJZDHTFUPRJ-UHFFFAOYSA-N benzo-alpha-pyrone Natural products C1=CC=C2OC(=O)C=CC2=C1 ZYGHJZDHTFUPRJ-UHFFFAOYSA-N 0.000 description 1
- 235000010233 benzoic acid Nutrition 0.000 description 1
- MSWZFWKMSRAUBD-UHFFFAOYSA-N beta-D-galactosamine Natural products NC1C(O)OC(CO)C(O)C1O MSWZFWKMSRAUBD-UHFFFAOYSA-N 0.000 description 1
- WQZGKKKJIJFFOK-VFUOTHLCSA-N beta-D-glucose Chemical compound OC[C@H]1O[C@@H](O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-VFUOTHLCSA-N 0.000 description 1
- 229940000635 beta-alanine Drugs 0.000 description 1
- 229960003237 betaine Drugs 0.000 description 1
- 125000005841 biaryl group Chemical group 0.000 description 1
- 125000002619 bicyclic group Chemical group 0.000 description 1
- 239000011230 binding agent Substances 0.000 description 1
- 229920002988 biodegradable polymer Polymers 0.000 description 1
- 239000004621 biodegradable polymer Substances 0.000 description 1
- 230000033228 biological regulation Effects 0.000 description 1
- 239000004305 biphenyl Substances 0.000 description 1
- 235000010290 biphenyl Nutrition 0.000 description 1
- 229920001400 block copolymer Polymers 0.000 description 1
- 239000010836 blood and blood product Substances 0.000 description 1
- 239000003114 blood coagulation factor Substances 0.000 description 1
- 229940125691 blood product Drugs 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 210000001124 body fluid Anatomy 0.000 description 1
- 239000010839 body fluid Substances 0.000 description 1
- ZADPBFCGQRWHPN-UHFFFAOYSA-N boronic acid Chemical compound OBO ZADPBFCGQRWHPN-UHFFFAOYSA-N 0.000 description 1
- 229940098773 bovine serum albumin Drugs 0.000 description 1
- 229910052794 bromium Inorganic materials 0.000 description 1
- KDYFGRWQOYBRFD-NUQCWPJISA-N butanedioic acid Chemical compound O[14C](=O)CC[14C](O)=O KDYFGRWQOYBRFD-NUQCWPJISA-N 0.000 description 1
- 229910001424 calcium ion Inorganic materials 0.000 description 1
- 125000003739 carbamimidoyl group Chemical group C(N)(=N)* 0.000 description 1
- 150000001720 carbohydrates Chemical class 0.000 description 1
- 235000014633 carbohydrates Nutrition 0.000 description 1
- 230000002612 cardiopulmonary effect Effects 0.000 description 1
- 210000000748 cardiovascular system Anatomy 0.000 description 1
- 230000004663 cell proliferation Effects 0.000 description 1
- 239000001913 cellulose Substances 0.000 description 1
- 229920002678 cellulose Polymers 0.000 description 1
- 239000007795 chemical reaction product Substances 0.000 description 1
- 230000003399 chemotactic effect Effects 0.000 description 1
- 229910052801 chlorine Inorganic materials 0.000 description 1
- 238000004587 chromatography analysis Methods 0.000 description 1
- 235000013985 cinnamic acid Nutrition 0.000 description 1
- 229930016911 cinnamic acid Natural products 0.000 description 1
- 235000015165 citric acid Nutrition 0.000 description 1
- 229960002173 citrulline Drugs 0.000 description 1
- 235000013477 citrulline Nutrition 0.000 description 1
- 238000003776 cleavage reaction Methods 0.000 description 1
- 230000000112 colonic effect Effects 0.000 description 1
- 229940125507 complex inhibitor Drugs 0.000 description 1
- 239000002131 composite material Substances 0.000 description 1
- 229940124301 concurrent medication Drugs 0.000 description 1
- 239000000470 constituent Substances 0.000 description 1
- 238000013270 controlled release Methods 0.000 description 1
- 229920001577 copolymer Polymers 0.000 description 1
- 229910052802 copper Inorganic materials 0.000 description 1
- 239000010949 copper Substances 0.000 description 1
- 230000027326 copulation Effects 0.000 description 1
- 238000007887 coronary angioplasty Methods 0.000 description 1
- 235000001671 coumarin Nutrition 0.000 description 1
- 150000004775 coumarins Chemical class 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 238000002425 crystallisation Methods 0.000 description 1
- 125000004093 cyano group Chemical group *C#N 0.000 description 1
- PAFZNILMFXTMIY-UHFFFAOYSA-N cyclohexylamine Chemical class NC1CCCCC1 PAFZNILMFXTMIY-UHFFFAOYSA-N 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000008021 deposition Effects 0.000 description 1
- 239000007933 dermal patch Substances 0.000 description 1
- 235000019425 dextrin Nutrition 0.000 description 1
- XYWDPYKBIRQXQS-UHFFFAOYSA-N di-isopropyl sulphide Natural products CC(C)SC(C)C XYWDPYKBIRQXQS-UHFFFAOYSA-N 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000000502 dialysis Methods 0.000 description 1
- 235000005911 diet Nutrition 0.000 description 1
- 230000037213 diet Effects 0.000 description 1
- 239000003085 diluting agent Substances 0.000 description 1
- 238000010790 dilution Methods 0.000 description 1
- 239000012895 dilution Substances 0.000 description 1
- ZZVUWRFHKOJYTH-UHFFFAOYSA-N diphenhydramine Chemical group C=1C=CC=CC=1C(OCCN(C)C)C1=CC=CC=C1 ZZVUWRFHKOJYTH-UHFFFAOYSA-N 0.000 description 1
- 229940042399 direct acting antivirals protease inhibitors Drugs 0.000 description 1
- 150000002016 disaccharides Chemical class 0.000 description 1
- 238000002224 dissection Methods 0.000 description 1
- 238000004090 dissolution Methods 0.000 description 1
- 238000004821 distillation Methods 0.000 description 1
- 239000000975 dye Substances 0.000 description 1
- 230000004064 dysfunction Effects 0.000 description 1
- 229920001971 elastomer Polymers 0.000 description 1
- 230000008030 elimination Effects 0.000 description 1
- 238000003379 elimination reaction Methods 0.000 description 1
- 210000002889 endothelial cell Anatomy 0.000 description 1
- 230000007515 enzymatic degradation Effects 0.000 description 1
- 239000002532 enzyme inhibitor Substances 0.000 description 1
- CCIVGXIOQKPBKL-UHFFFAOYSA-M ethanesulfonate Chemical compound CCS([O-])(=O)=O CCIVGXIOQKPBKL-UHFFFAOYSA-M 0.000 description 1
- LVGKNOAMLMIIKO-QXMHVHEDSA-N ethyl oleate Chemical compound CCCCCCCC\C=C/CCCCCCCC(=O)OCC LVGKNOAMLMIIKO-QXMHVHEDSA-N 0.000 description 1
- 229940093471 ethyl oleate Drugs 0.000 description 1
- 229940012017 ethylenediamine Drugs 0.000 description 1
- 238000001704 evaporation Methods 0.000 description 1
- 230000008020 evaporation Effects 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 210000002744 extracellular matrix Anatomy 0.000 description 1
- 239000000284 extract Substances 0.000 description 1
- 210000003414 extremity Anatomy 0.000 description 1
- 230000006624 extrinsic pathway Effects 0.000 description 1
- 229960004222 factor ix Drugs 0.000 description 1
- 229940012413 factor vii Drugs 0.000 description 1
- 239000010685 fatty oil Substances 0.000 description 1
- 210000003191 femoral vein Anatomy 0.000 description 1
- 230000020764 fibrinolysis Effects 0.000 description 1
- 239000000706 filtrate Substances 0.000 description 1
- 239000012467 final product Substances 0.000 description 1
- 239000000796 flavoring agent Substances 0.000 description 1
- 229910052731 fluorine Inorganic materials 0.000 description 1
- 235000013355 food flavoring agent Nutrition 0.000 description 1
- 235000003599 food sweetener Nutrition 0.000 description 1
- 238000004108 freeze drying Methods 0.000 description 1
- 239000001530 fumaric acid Substances 0.000 description 1
- 235000011087 fumaric acid Nutrition 0.000 description 1
- 125000000524 functional group Chemical group 0.000 description 1
- 229940083124 ganglion-blocking antiadrenergic secondary and tertiary amines Drugs 0.000 description 1
- 230000002068 genetic effect Effects 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 229960002442 glucosamine Drugs 0.000 description 1
- 239000008103 glucose Substances 0.000 description 1
- 239000003102 growth factor Substances 0.000 description 1
- 239000000122 growth hormone Substances 0.000 description 1
- 230000000025 haemostatic effect Effects 0.000 description 1
- 125000001475 halogen functional group Chemical group 0.000 description 1
- 230000002439 hemostatic effect Effects 0.000 description 1
- 125000004446 heteroarylalkyl group Chemical group 0.000 description 1
- 125000005842 heteroatom Chemical group 0.000 description 1
- 238000004128 high performance liquid chromatography Methods 0.000 description 1
- HNDVDQJCIGZPNO-UHFFFAOYSA-N histidine Natural products OC(=O)C(N)CC1=CN=CN1 HNDVDQJCIGZPNO-UHFFFAOYSA-N 0.000 description 1
- 229960002885 histidine Drugs 0.000 description 1
- 230000003054 hormonal effect Effects 0.000 description 1
- 229940088597 hormone Drugs 0.000 description 1
- 239000000017 hydrogel Substances 0.000 description 1
- 230000007062 hydrolysis Effects 0.000 description 1
- 238000006460 hydrolysis reaction Methods 0.000 description 1
- USZLCYNVCCDPLQ-UHFFFAOYSA-N hydron;n-methoxymethanamine;chloride Chemical compound Cl.CNOC USZLCYNVCCDPLQ-UHFFFAOYSA-N 0.000 description 1
- 229920001477 hydrophilic polymer Polymers 0.000 description 1
- 230000002209 hydrophobic effect Effects 0.000 description 1
- RAXXELZNTBOGNW-UHFFFAOYSA-N imidazole Substances C1=CNC=N1 RAXXELZNTBOGNW-UHFFFAOYSA-N 0.000 description 1
- 239000000411 inducer Substances 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000036512 infertility Effects 0.000 description 1
- 230000000977 initiatory effect Effects 0.000 description 1
- 239000007972 injectable composition Substances 0.000 description 1
- 150000007529 inorganic bases Chemical class 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 239000000543 intermediate Substances 0.000 description 1
- 238000007918 intramuscular administration Methods 0.000 description 1
- 239000007927 intramuscular injection Substances 0.000 description 1
- 238000010255 intramuscular injection Methods 0.000 description 1
- 238000007912 intraperitoneal administration Methods 0.000 description 1
- 238000001990 intravenous administration Methods 0.000 description 1
- 238000010253 intravenous injection Methods 0.000 description 1
- 229940029329 intrinsic factor Drugs 0.000 description 1
- 230000006623 intrinsic pathway Effects 0.000 description 1
- 229910052740 iodine Inorganic materials 0.000 description 1
- 229910052742 iron Inorganic materials 0.000 description 1
- 230000002427 irreversible effect Effects 0.000 description 1
- JJWLVOIRVHMVIS-UHFFFAOYSA-N isopropylamine Chemical compound CC(C)N JJWLVOIRVHMVIS-UHFFFAOYSA-N 0.000 description 1
- 229960003299 ketamine Drugs 0.000 description 1
- 239000008101 lactose Substances 0.000 description 1
- 210000000265 leukocyte Anatomy 0.000 description 1
- 239000003446 ligand Substances 0.000 description 1
- 125000005647 linker group Chemical group 0.000 description 1
- 150000002632 lipids Chemical class 0.000 description 1
- 239000002502 liposome Substances 0.000 description 1
- 239000007791 liquid phase Substances 0.000 description 1
- 229910052744 lithium Inorganic materials 0.000 description 1
- DLEDOFVPSDKWEF-UHFFFAOYSA-N lithium butane Chemical compound [Li+].CCC[CH2-] DLEDOFVPSDKWEF-UHFFFAOYSA-N 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 229940127215 low-molecular weight heparin Drugs 0.000 description 1
- 210000003141 lower extremity Anatomy 0.000 description 1
- 239000000314 lubricant Substances 0.000 description 1
- 210000004072 lung Anatomy 0.000 description 1
- 235000019359 magnesium stearate Nutrition 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- VZCYOOQTPOCHFL-UPHRSURJSA-N maleic acid Chemical compound OC(=O)\C=C/C(O)=O VZCYOOQTPOCHFL-UPHRSURJSA-N 0.000 description 1
- 239000011976 maleic acid Substances 0.000 description 1
- 230000036210 malignancy Effects 0.000 description 1
- 229960002510 mandelic acid Drugs 0.000 description 1
- WPBNNNQJVZRUHP-UHFFFAOYSA-L manganese(2+);methyl n-[[2-(methoxycarbonylcarbamothioylamino)phenyl]carbamothioyl]carbamate;n-[2-(sulfidocarbothioylamino)ethyl]carbamodithioate Chemical compound [Mn+2].[S-]C(=S)NCCNC([S-])=S.COC(=O)NC(=S)NC1=CC=CC=C1NC(=S)NC(=O)OC WPBNNNQJVZRUHP-UHFFFAOYSA-L 0.000 description 1
- 239000000594 mannitol Substances 0.000 description 1
- 235000010355 mannitol Nutrition 0.000 description 1
- 239000011159 matrix material Substances 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 239000002609 medium Substances 0.000 description 1
- 229940098779 methanesulfonic acid Drugs 0.000 description 1
- 229930182817 methionine Natural products 0.000 description 1
- WBYWAXJHAXSJNI-UHFFFAOYSA-N methyl p-hydroxycinnamate Natural products OC(=O)C=CC1=CC=CC=C1 WBYWAXJHAXSJNI-UHFFFAOYSA-N 0.000 description 1
- 238000002156 mixing Methods 0.000 description 1
- 125000002950 monocyclic group Chemical group 0.000 description 1
- 210000001616 monocyte Anatomy 0.000 description 1
- 150000002772 monosaccharides Chemical class 0.000 description 1
- 210000004165 myocardium Anatomy 0.000 description 1
- MZRVEZGGRBJDDB-UHFFFAOYSA-N n-Butyllithium Substances [Li]CCCC MZRVEZGGRBJDDB-UHFFFAOYSA-N 0.000 description 1
- 229950009865 nafamostat Drugs 0.000 description 1
- 125000004998 naphthylethyl group Chemical group C1(=CC=CC2=CC=CC=C12)CC* 0.000 description 1
- 229910017604 nitric acid Inorganic materials 0.000 description 1
- 239000002736 nonionic surfactant Substances 0.000 description 1
- 239000002674 ointment Substances 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 229960003104 ornithine Drugs 0.000 description 1
- 230000001350 orogenic effect Effects 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 229940019331 other antithrombotic agent in atc Drugs 0.000 description 1
- 235000006408 oxalic acid Nutrition 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 238000006213 oxygenation reaction Methods 0.000 description 1
- 229910052763 palladium Inorganic materials 0.000 description 1
- 125000001312 palmitoyl group Chemical group O=C([*])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 description 1
- FJKROLUGYXJWQN-UHFFFAOYSA-N papa-hydroxy-benzoic acid Natural products OC(=O)C1=CC=C(O)C=C1 FJKROLUGYXJWQN-UHFFFAOYSA-N 0.000 description 1
- 230000036961 partial effect Effects 0.000 description 1
- 230000008506 pathogenesis Effects 0.000 description 1
- 230000009054 pathological process Effects 0.000 description 1
- 239000008188 pellet Substances 0.000 description 1
- 125000001792 phenanthrenyl group Chemical group C1(=CC=CC=2C3=CC=CC=C3C=CC12)* 0.000 description 1
- UYWQUFXKFGHYNT-UHFFFAOYSA-N phenylmethyl ester of formic acid Natural products O=COCC1=CC=CC=C1 UYWQUFXKFGHYNT-UHFFFAOYSA-N 0.000 description 1
- NBIIXXVUZAFLBC-UHFFFAOYSA-K phosphate Chemical compound [O-]P([O-])([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-K 0.000 description 1
- 239000010452 phosphate Substances 0.000 description 1
- WTJKGGKOPKCXLL-RRHRGVEJSA-N phosphatidylcholine Chemical compound CCCCCCCCCCCCCCCC(=O)OC[C@H](COP([O-])(=O)OCC[N+](C)(C)C)OC(=O)CCCCCCCC=CCCCCCCCC WTJKGGKOPKCXLL-RRHRGVEJSA-N 0.000 description 1
- 150000003904 phospholipids Chemical class 0.000 description 1
- 230000004962 physiological condition Effects 0.000 description 1
- 230000001766 physiological effect Effects 0.000 description 1
- 125000004483 piperidin-3-yl group Chemical group N1CC(CCC1)* 0.000 description 1
- 125000004482 piperidin-4-yl group Chemical group N1CCC(CC1)* 0.000 description 1
- 238000002616 plasmapheresis Methods 0.000 description 1
- 229940012957 plasmin Drugs 0.000 description 1
- 230000009805 platelet accumulation Effects 0.000 description 1
- 229920001983 poloxamer Polymers 0.000 description 1
- 229920000724 poly(L-arginine) polymer Polymers 0.000 description 1
- 239000005015 poly(hydroxybutyrate) Substances 0.000 description 1
- 229920000768 polyamine Polymers 0.000 description 1
- 108010011110 polyarginine Proteins 0.000 description 1
- 229920001610 polycaprolactone Polymers 0.000 description 1
- 229920002721 polycyanoacrylate Polymers 0.000 description 1
- 229920001223 polyethylene glycol Polymers 0.000 description 1
- 229920000656 polylysine Polymers 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 229920000136 polysorbate Polymers 0.000 description 1
- 239000001267 polyvinylpyrrolidone Substances 0.000 description 1
- 229920000036 polyvinylpyrrolidone Polymers 0.000 description 1
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 description 1
- 230000035935 pregnancy Effects 0.000 description 1
- 239000003755 preservative agent Substances 0.000 description 1
- 230000002335 preservative effect Effects 0.000 description 1
- 150000003141 primary amines Chemical class 0.000 description 1
- MFDFERRIHVXMIY-UHFFFAOYSA-N procaine Chemical compound CCN(CC)CCOC(=O)C1=CC=C(N)C=C1 MFDFERRIHVXMIY-UHFFFAOYSA-N 0.000 description 1
- 229960004919 procaine Drugs 0.000 description 1
- 230000009696 proliferative response Effects 0.000 description 1
- 125000001325 propanoyl group Chemical group O=C([*])C([H])([H])C([H])([H])[H] 0.000 description 1
- 235000019260 propionic acid Nutrition 0.000 description 1
- 125000006239 protecting group Chemical group 0.000 description 1
- 230000001681 protective effect Effects 0.000 description 1
- 235000004252 protein component Nutrition 0.000 description 1
- 230000002797 proteolythic effect Effects 0.000 description 1
- 230000006337 proteolytic cleavage Effects 0.000 description 1
- HNJBEVLQSNELDL-UHFFFAOYSA-N pyrrolidin-2-one Chemical compound O=C1CCCN1 HNJBEVLQSNELDL-UHFFFAOYSA-N 0.000 description 1
- 229940107700 pyruvic acid Drugs 0.000 description 1
- IUVKMZGDUIUOCP-BTNSXGMBSA-N quinbolone Chemical compound O([C@H]1CC[C@H]2[C@H]3[C@@H]([C@]4(C=CC(=O)C=C4CC3)C)CC[C@@]21C)C1=CCCC1 IUVKMZGDUIUOCP-BTNSXGMBSA-N 0.000 description 1
- 239000000376 reactant Substances 0.000 description 1
- 230000002829 reductive effect Effects 0.000 description 1
- 230000009076 regulation of hemostasis Effects 0.000 description 1
- 239000011347 resin Substances 0.000 description 1
- 229920005989 resin Polymers 0.000 description 1
- 230000002441 reversible effect Effects 0.000 description 1
- 229960004889 salicylic acid Drugs 0.000 description 1
- 210000003079 salivary gland Anatomy 0.000 description 1
- 239000000523 sample Substances 0.000 description 1
- 108010073863 saruplase Proteins 0.000 description 1
- 230000007017 scission Effects 0.000 description 1
- 125000000467 secondary amino group Chemical group [H]N([*:1])[*:2] 0.000 description 1
- 230000036303 septic shock Effects 0.000 description 1
- UQDJGEHQDNVPGU-UHFFFAOYSA-N serine phosphoethanolamine Chemical compound [NH3+]CCOP([O-])(=O)OCC([NH3+])C([O-])=O UQDJGEHQDNVPGU-UHFFFAOYSA-N 0.000 description 1
- 230000035939 shock Effects 0.000 description 1
- 229920000260 silastic Polymers 0.000 description 1
- 210000000329 smooth muscle myocyte Anatomy 0.000 description 1
- 239000001632 sodium acetate Substances 0.000 description 1
- 235000017281 sodium acetate Nutrition 0.000 description 1
- 239000008279 sol Substances 0.000 description 1
- 239000007790 solid phase Substances 0.000 description 1
- 238000000638 solvent extraction Methods 0.000 description 1
- 239000000600 sorbitol Substances 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
- 239000008174 sterile solution Substances 0.000 description 1
- 229960005202 streptokinase Drugs 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 239000005720 sucrose Substances 0.000 description 1
- 150000005846 sugar alcohols Chemical class 0.000 description 1
- 125000005420 sulfonamido group Chemical group S(=O)(=O)(N*)* 0.000 description 1
- 239000011593 sulfur Substances 0.000 description 1
- 238000013268 sustained release Methods 0.000 description 1
- 239000012730 sustained-release form Substances 0.000 description 1
- 239000003765 sweetening agent Substances 0.000 description 1
- 239000012622 synthetic inhibitor Substances 0.000 description 1
- 235000002906 tartaric acid Nutrition 0.000 description 1
- 239000011975 tartaric acid Substances 0.000 description 1
- 125000005931 tert-butyloxycarbonyl group Chemical group [H]C([H])([H])C(OC(*)=O)(C([H])([H])[H])C([H])([H])[H] 0.000 description 1
- 125000001935 tetracenyl group Chemical group C1(=CC=CC2=CC3=CC4=CC=CC=C4C=C3C=C12)* 0.000 description 1
- YLQBMQCUIZJEEH-UHFFFAOYSA-N tetrahydrofuran Natural products C=1C=COC=1 YLQBMQCUIZJEEH-UHFFFAOYSA-N 0.000 description 1
- 229960004559 theobromine Drugs 0.000 description 1
- 125000005309 thioalkoxy group Chemical group 0.000 description 1
- 125000003396 thiol group Chemical class [H]S* 0.000 description 1
- 230000002885 thrombogenetic effect Effects 0.000 description 1
- 230000036964 tight binding Effects 0.000 description 1
- 239000012049 topical pharmaceutical composition Substances 0.000 description 1
- 238000012546 transfer Methods 0.000 description 1
- YFTHZRPMJXBUME-UHFFFAOYSA-N tripropylamine Chemical compound CCCN(CCC)CCC YFTHZRPMJXBUME-UHFFFAOYSA-N 0.000 description 1
- 125000002221 trityl group Chemical group [H]C1=C([H])C([H])=C([H])C([H])=C1C([*])(C1=C(C(=C(C(=C1[H])[H])[H])[H])[H])C1=C([H])C([H])=C([H])C([H])=C1[H] 0.000 description 1
- 229960001322 trypsin Drugs 0.000 description 1
- 239000002753 trypsin inhibitor Substances 0.000 description 1
- 230000001810 trypsinlike Effects 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
- 230000025033 vasoconstriction Effects 0.000 description 1
- 229920002554 vinyl polymer Polymers 0.000 description 1
- 230000009385 viral infection Effects 0.000 description 1
- PJVWKTKQMONHTI-UHFFFAOYSA-N warfarin Chemical compound OC=1C2=CC=CC=C2OC(=O)C=1C(CC(=O)C)C1=CC=CC=C1 PJVWKTKQMONHTI-UHFFFAOYSA-N 0.000 description 1
- 229960005080 warfarin Drugs 0.000 description 1
- BPICBUSOMSTKRF-UHFFFAOYSA-N xylazine Chemical compound CC1=CC=CC(C)=C1NC1=NCCCS1 BPICBUSOMSTKRF-UHFFFAOYSA-N 0.000 description 1
- 229960001600 xylazine Drugs 0.000 description 1
- 239000011701 zinc Substances 0.000 description 1
- 229910052725 zinc Inorganic materials 0.000 description 1
Abstract
Novel compounds, their salts and compositions related thereto which have activity against mammalian factor Xade are described, the compounds are useful in vitro or in vivo to prevent or treat coagulation disorders.
Description
CETOHETEROCICLIC INHIBITORS OF THE FACTOR Xa
FIELD OF THE INVENTION
This invention relates to novel compounds that contain ketoheterocyclics, which are potent and highly selective inhibitors of isolated factor Xa or, when assembled in the insane-prothrombin complex. In another aspect, the present invention relates to novel peptides and peptide mimetic analogs, their pharmaceutically acceptable salts and their pharmaceutically acceptable compositions which are useful as potent and specific inhibitors of blood coagulation in mammals. In still another aspect, the invention relates to methods for using these inhibitors as therapeutic agents for disease states in mammals, characterized by alterations in coagulation.
BACKGROUND OF THE INVENTION
Hemostasis, the control of bleeding, occurs by surgical means or by the physiological properties of vasoconstriction and coagulation. This invention is particularly related to the coagulation of blood and the ways in which it helps maintain the integrity of the circulation in mammals after damage, inflammation, disease, congenital defects, dysfunction or other alterations. Under normalized hemostatic circumstances, the body maintains an acute balance of clot formation and the elimination of clots (fibrinolysis). The blood coagulation cascade involves the conversion of a variety of inactive enzymes (zymogens) to activating enzymes that ultimately convert the fibrinogen of the soluble plasma protein to an inelatable matrix of strongly interlaced fibrin. Davie, E.J. and coauthored, "The Coagulation Cascade: Initiation, Maintenance and Regulation", Biochemistry, 30: 10363-10370 (1991). These zymogens of plasma glycoprotein include factor XII, factor XI, factor IX, factor X, factor VII, and prothrombin. Blood coagulation follows the intrinsic pathway, where all protein components are present in the blood, or the extrinsic pathway, where the tissue factor of the membrane protein plays a critical role. Clot formation occurs when fibrinogen is divided by thrombin to form fibrin. Loe blood clots are composed of activated platelets and fibrin. Lae blood platelets that adhere to damaged blood vessels are activated and incorporated into the clot and, thus, play an important role in the initial formation and stabilization of haemostatic "plugs". In certain diseases of the cardiovascular system, deviations from normal hemostasis alter the balance of clot formation and clot dissolution to the formation of a life-threatening thrombus, when thrombi occlude blood flow in coronary vessels (heart attacks) to the myocardium) or in the veins of the legs and lungs (venous thrombosis). Although platelets and blood coagulation are both involved in thrombus formation, certain components of the coagulation cascade are primarily responsible for the amplification or acceleration of processes involving platelet accumulation and fibrin deposition. Thrombin is a key enzyme in the coagulation cascade, as well as in hemostasis. Thrombin plays a central role in thromboeia by its ability to catalyze the conversion of fibrinogen to fibrin and by its potent activation activity of platelets. Under normal circumstances, thrombin also plays an anticoagulant role in the ostaeia graciae to its ability to convert protein C to activated protein C (aPC) in a form that depends on the thrombus odulin. However, in the atherosclerotic arteries, these thrombin activities can initiate the formation of a thrombus, which is a major factor in the pathogenesis of vaso-occlusive conditions, such as myocardial infarction., unstable angina, non-orogenic attack and reocclusion of coronary arteries after angioplasty or thrombolytic therapy. Thrombin is also a potent inducer in smooth muscle cell proliferation and, therefore, may be implicated in a variety of proliferative responses, such as retenection after angioplasty and graft-induced embolism. Additionally, thrombin is chemotactic for leukocytes and, therefore, may play a role in inflammation (Hoover, R.J. and coauthors, Cell, 14: 423 (1978)).; Etingin, C.R. and coauthors, Cell, 61, 657 (1990). These observations indicate that the inhibition of thrombin formation or the inhibition of thrombin itself may be effective in preventing or treating thrombosis, limiting restenosis and controlling inflammation. Direct or indirect inhibition of thrombin activity has been the focus of a variety of recent anticoagulant strategies, as summarized by Cleason, G. "Synthetic Peptide and Peptidomimetice and Subst rates and Inhibitors of Thrombin and Other Proteases in the Blood Coagulation System ", Blood Coag. Fibrinol. 5, 411-436 (1994).
Several classes of anticoagulants currently used in clinical practice directly or indirectly affect thrombin (ie, heparins, low molecular weight heparins, heparin-like compounds, and coumarins). The formation of thrombin is the result of the proteolytic cleavage of its prothrombin precursor in the Arg-Thr ligature at positions 271-272, and the Arg-Ile ligature in positions 320-321. This activation is catalyzed by the prothrombinase complex, which is assembled on the membrane surface of platelets, monocytes and endothelial cells. The complex is made up of factor Xa (a serine protease), the factor Va (a cofactor), ionee calcium and the acid phospholipid surface. Factor Xa is the activated form of its precursor, factor X, which is secreted by the liver as a precursor of 58 kd, and has been converted to the active form, factor Xa, in the blood coagulation trajectory both extrinsic and intrinsic Factor X is a member of the family of blood coagulation glycoproteins, which depend on the binding of the calcium ion, which contain gamma-carboxyglutamyl (Gla), and which depend on vitamin K, which also includes factors VII. and IX, prothrombin, protein C and protein S (Furie B. and co-authors, Cell, 53, 505 (1988)). The activity of factor Xa to effect the conversion of prothrombin to thrombin depends on its inculcation in the prothrombinase complex. The prothrombinase complex converts the zyrogen prothrombin to an active precoagulant thrombin. Therefore, it should be understood that factor Xa catalyzes the penultimate step in the blood coagulation cascade, ie, the formation of serine protease-thrombin. In turn, thrombin then acts to divide the soluble fibrinogen in the plasma to form the insoluble fibrin. The location of the prothrombinase complex at the convergence of intrinsic and extrinsic coagulation trajectories, and the significant amplification resulting from the generation of thrombin (several hundred thousand times faster to effect the conversion of prothrombin to thrombin than factor Xa in soluble form), mediated by the complex in a limited number of target catalytic units, present at sites of vascular injury, suggests that inhibition of thrombin generation is a convenient method for blocking uncontrolled precoagulant activity. It has also been suggested that compounds that selectively inhibit factor Xa may be useful as an in vitro diagnostic agent or for therapeutic administration in certain thrombotic disorders; see, for example, WO 94/13693. Unlike thrombin, which acts on a variety of protein substrates, as well as in a specific receptor, factor Xa seems to have a single physiological substrate, namely prothrombin. Plasma contains an endogenous inhibitor of both factor Vlla factor factor (TF) complex and factor Xa complex, called tissue factor pathway inhibitor (TFPI). TFPI is a protease inhibitor of the Kunitz type, with three Kunitz tandem domains. TFPI inhibits the FT / fVIIa complex in a two-step mechanism that includes the initial interaction of the second Kunitz domain of TFPI with the active site of factor Xa, thereby inhibiting the proteolytic activity of factor Xa. The second step comprises the inhibition of the FT / fVIIa complex by the formation of a quaternary complex, FT / fVIIa / TPFI / fXa, as described in Girard, T.J. and co-authors "Functional Significance of the Kunitz-type Inhibitory Domains of Lipoprotein-associated Coagulation Inhibitor" Nature, 336. 516-520 (1989). It has been reported that polypeptides derived from hematophagous organisms are highly potent inhibitors and factor Xa specific. U.S. Patent 4,588,587 discloses anticoagulant activity in the saliva of the Mexican leech, Haementeria officinalis. He was demoed by Nutt E. and coautoree, "The Amino Acid Sequence of Antistasin, a Potent Inhibitor of Factor Xa Reveáis to Repeated Internal Structure", J. Biol. Chem., 263, 10162-1C167 (1988) that a major component of this saliva was the factor inhibitor polypeptide Xa, antistaein (ATS). Another potent and highly specific factor Xa inhibitor, termed the tick anticoagulant peptide (TAP), has been isolated from the total body extract of the soft tick Omithidoroe moubata. according to Waxman, L. and co-authors, "Tick Anticoagulant Peptide (TAP) is a Novel Inhibitor of Blood Coagulation Factor Xa", Science, 248. 593-596 (1990). Other polypeptide types of factor Xa inhibitors have been reported, including the following: Condra, C. and co-authors, "Iolation and Structural Characterization of a Potent Inhibitor of Coagulation Factor Xa from the Leech Haementeria ghilianii" .. Tromb. Haemost. , 6__ 437-441 (1989); Blankenehip, D.T. and co-authors, "Amino Acido
Sequence of Haementeria ghillianii ", Biochem Biophys. Res.
Commun. 166. 1384-1389 (1990), Brankamp, R.G. and coauthors, "Ghilantene: Anticoagulants, Antimetastatic Protein from the South American Leech Haementeria ghilianii". J. Lab. Clin. Med. 115. 89-97 (1990); Jacobs, J.W. and co-authors, "Isolation and Characterization of a Coagulation Factor Xa Inhibitor from Black Fiy Salivary Glands", Thromb. Haemost., 64. 235-238 (1990); Rigbi, M. and co-inventors, "Bovine Factor Xa Inhibiting Factor and Pharmaceutical Compositione Containing the Same", European patent application 352,903; Cox, A.C. "Coagulation Factor X Inhibitor From the Hundred-pace Snake Deinagkistrodon acutus. Veno", Toxicon, 31, 1445-1457 (1993); Cappello, M. and coauthors, "Ancylostoma Factor Xa Inhibitor: Partial Purification and its Identification as a Major Hookworm-derived Anticoagulant In Vitro", J. Infect. Dls., 167. 1474-1477 (1993); Seymour, J.L. and co-author, "Ecotin is a Potent Anticoagulant and Reversible Tight-binding Inhibitor of Factor Xa", Biochemistry, 33, 3949-3958 (1994). Factor Xa inhibitor compounds that are not inhibitors of the long polypeptide type have been reported, inter alia, by: Tlawell, R.R. and coauthors, "Strategiee for Anticoagulation With Synthetic Protease Inhibitors, Xa Inhibitors Versus Thrombin Inhibitors", Thromb. Res. 19, 339-349 (1980); Turner, A.D. and co-authors, "p Amidino Esters as irreversible Inhibitors of Factor IXa and Xa and Thrombin," Biochemistry, 25, 4929-4935 (1986); Hitomi, Y. and coauthors, "Inhibitory Effect of New Synthetic Protease Inhibitor (FUT-175) on the Coagulation Syetem", Haemoetaeie, 15, 164-168 (1985); Sturzebecher, J. and coautoree, "Synthetic Inhibitors of Bovine Factor Xa and Thrombin, Comparieon of Their Anticoagulant Efficiency", Thromb Res., 54, 245-252 (1989); Kam, C, M, and coauthors, "Mecanis Based Isocoumarin Inhibitor for Trypein and Blood Coagulation Serine Proteases; New Anticoagulants", Biochemistry 27, 2547-2557 (1988); Hauptmann, J. and coautoree, "Comparison of the Anticoagulant and Antithrombotic Effects of Synthetic Thrombin and Factor Xa Inhibitor", Thromb, Haemoet. 63, 220-223 (1990); Miyadera, A. and co-inventors, Japanese patent application JP 6327488;
Nagahara, T. and coautoree, "Dibaeic (Amidinoaryl) Propanoyl Acid Derivativee and Novel Blood Coagulation Factor Xa Inhibitors",
J. Med. Chem. 37, 1200-1207 (1994); Vlasuk, G.P. and co-inventors, "Inhibitore of Thromboeis", W0 93/15756; and Brunck, T.K. and co-inventors, "Novel Inhibitor of Factor Xa", W0 94/13693. Varioe enzyme inhibitors of the trypsin-like enzyme
(such as trypsin, enterokinase, thrombin, calilcrein, plas ina, urokinase, plasminogen activators and the like) have been the subject of patent descriptions. For example, Austen and co-inventors, in U.S. Patent No. 4,593,018, disclose oligopeptide aldehydes that are specific inhibitors of enterokinase; Abe. And co-inventors, in U.S. Patent No. 5,153,176 discloses tripeptide aldehydes having inhibitory activity against multiple serine proteases, such as plasmin, thrombin, trypsin, kallikrein, factor Xa, urokinase, etc .; Brunck and co-inventors, in European Patent Publication WO 93/14779, disclose substituted tripeptide aldehydes which are specific inhibitors of trypsin; U.S. Patent No. 4,316,889, U.S. Patent No. 4,399,065, U.S. Patent No. 4,478,745, which decribe thrombin inhibitors which are arginine aldehydes; Balasubramanian and co-inventors, in U.S. Pat. No. 5,380,713, describes aldehyde dipeptide and tripeptide which are useful for antitrypsin and antithrombin activity; Webb and co-inventors, in U.S. Patent No. 5,371,072, disclose tripeptide derivatives of alfacetoamide as inhibitors of thrombin and thrombin; Gesellchen and co-inventors, in European Patent Publications 0479489A2 and 0643073 A, describe tripeptide thrombin inhibitors; Veber and coinventoree, in the European patent publication W0 94/25051, deduce 4-cyclohexylamine derivatives that selectively inhibit thrombin with respect to other tripeline-like enzymes; Tapparelli and coauthors, J. Biol. Chem. 268. 4734-4741 (1993) describe eelective boronic acid peptide derivatives as thrombin inhibitors. Alternatively, agents that inhibit the carboxylase enzyme, which depends on vitamin K, talee like coumarin, have been used to treat coagulation disorders. There is a need for effective therapeutic agents for the regulation of hemostasis and for the prevention and treatment of thrombus formation and other pathological processes in the vasculature, induced by thrombin, such as restenosis and inflammation.
BRIEF DESCRIPTION OF THE INVENTION
The present invention relates to novel peptides and peptide analogues mimetic, pharmaceutically acceptable isomers, saltse, hydrate, eolvatoe and prodrug derivatives; and to those pharmaceutically acceptable compounds which have particular biological properties and which are useful as potent inhibitors and specific for the coagulation of blood in mammals. In another aspect, the invention relates to aspects for using these inhibitors as diagnostic reagents or as therapeutic agents for disease states in mammals, which have alterations in coagulation, for example, in the treatment or prevention of any acute syndrome of the coronary or cerebrovascular, thrombotic mediated, any thrombotic syndrome occurring in the venous system, any coagulopathy and any thrombotic complications associated with circulation or extracorporeal instrumentation, and for the inhibition of coagulation in biological samples. In certain embodiments, this invention relates to novel compounds containing arginine and an arginine mimetic, which are potently and eumably selective inhibitors of isolated factor Xa when assembled in the prothrombin complex. Eetoe compueetoe show selectivity towards factor Xa, unlike other proteins in the coagulation cascade (for example, thrombin, etc.) or the ribrinolytic cascade, and are useful as diagnostic reagents and as antithrombotic agents. In the preferred modality, the present invention provides compueetoe of the formula:
where: = 0, 1, 2, 3, 4; n = 0, 1. 2, 3, 4; p = 0, 1, 2, 3, 4; q = 0, 1, 2, 3, 4; Y = NH, S, 0, CH2, CH-OH, CH2CH2, C = 0; A = piperidinyl, pyrrolidinyl, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, phenyl, heteroaryl of 3 to 6 carbon atoms, or is absent; R? = H or alkyl of 1 to 3 carbon atoms; J = 0 or H2; R2 = H or alkyl of 1 to 3 carbon atoms; D - N, CH, NCH2, NCH2 CH2, CHCH2; R3 = H or alkyl of 1 to 3 carbon atom; E = 0 or H2; R * = H 0 CH 3; M = NH, N_CH3, 0, S, SO, SO2 or CH2 or absent eetá; 0 = piperidinyl, pyrrolidinyl, cycloalkyl of 3 to 8 carbon atoms, phenyl, substituted phenyl, naphthyl, pyridyl, or is absent; G = N, CH or H; Rs - H or alkyl of 1 to 3 carbon atoms, or is absent if
G is H; Rs = H or CH3; U = is selected from the group consisting of
where N = 0-4; 7 and Re are independently selected from a group consisting of H, alkyl of 1 to 10 carbon atoms, aryl, arylalkyl, halogen, nitro, an amino group of the formula -NR 9 R 10, an acylamino group of the formula -NHCORi 1, hydroxy, an acyloxy group of the formula -OCOR12, alkyloxy of 1 to 4 carbon atoms, alkyl of 1 to 4 carbon atoms, trifluoromethyl, carboxy, cyano, phenyl, an aromatic heterocyclic group, alkyloxycarbonyl of 1 to 4 carbon atoms , an aminocarbonyl group of the formula CONR13R14, eulfo, sulfonamido of the formula SO2NR15R16 and hydroxyalkyl of 1 to 6 carbon atoms; wherein R9, Rio, R11, R12, R13, RIA, RIS, Rie are the same or different and are equal to H, alkyl of 1 to 6 carbon atoms, arylalkyl of 1 to 3 carbon atoms or aryl; and if M is absent:
K = C or N;
W = H, arylacil, heteroarylacyl, aryl-C1-3-sulfonyl, arylsulfonyl, arylsulfonyl, substituted, aryl-alkenyl, C1-4-sulphonyl, alkyl-C-e-sulfonyl, heteroaryl-C1-3-alkylsulfonyl, heteroarylsulfonyl , aryloxycarbonyl, Ci-β -carbonyl alkyloxy, aryl-C?-3-carbonyl alkyloxy, arylaminocarbonyl, Ci-β-aminocarbonyl alkyl, C 1-3 arylalkyl-aminocarbonyl, HOOC-C 0-3 alkylcarbonyl, or absent if G ee H; X = H, alkyl of 1 to 3 carbon atoms, NR'R ", NHC (NR'R") = NH, NH-C (NHR ') = NR ", NH-C (R') = NR", SC (R 'R ") = NH, SC (NHR') = NR", C (NR'R ") = NH, C (NHR ') = NR" or CR' = NR "; where R ', R "are the same or different and are H, alkyl of 1 to 6 carbon atoms, arylalkyl of the 3 carbon atom, aryl, or where R'R" forms a cyclic ring containing (CH2) p, where p = 2-5, as long as, when X is H or alkyl of 1 to 3 carbon atoms, then A must contain at least one N atom.; Z = H, alkyl of 1 to 3 carbon atoms, NR'R ", NHC (NR'R") = NH, NH-C (NHR ') = NR ", NH-C (R') = NR"; SC (NR'R ") = NH, SC (NHR ') = NR", C (NR'R ") = NH, C (NHR') = NR" or CR '= NR "; where R', R "are the same or different and are H, alkyl of 1 to 6 carbon atoms, arylalkyl of 1 to 3 carbon atoms, aryl; or where R'R "forms a cyclic ring containing (CH2) p, where p = 2-5, as long as, when Z is H or alkyl of 1 to 3 carbon atoms, then 0 must contain at least minus one N atom;
and all isomers, their salts, their hydrates, their solvates and their prodrug pharmaically acceptable derivatives. In certain aspects of this invention, compounds are provided that are useful as diagnostic reagents. In another aspect, the present invention includes pharmaical compositions that comprise a pharmaically effective amount of the compounds of this invention and a pharmaically acceptable carrier. In yet another aspect, the present invention includes methods comprising the use of the above compounds and the above pharmaical compositions to prevent or treat disease states characterized by alterations in the blood coagulation process in mammals; or to prevent coagulation in stored blood products and in stored blood samples. Optionally, the methods of this invention comprise administering the pharmaical composition in combination with an additional therapeutic agent, such as an antithrombotic agent and / or a thrombolytic agent and / or an anticoagulant. Preferred proteins also include their pharmaically acceptable isomers, hydrates, sol atoe, eals and prodrug derivatives.
DETAILED DESCRIPTION OF THE INVENTION
DEFINITIONS According to the present invention and as used herein, the following terms are defined with the following meanings, unless explicitly stated otherwise: The term "alkenyl" refers to an unsaturated, straight chain aliphatic radical. or branched chain, trivalent. The term "alkyl" refers to saturated aliphatic groups, which include straight chain, branched chain and cyclic groups, having the specified number of carbon atoms or, if the number is not specified, having up to 12 carbon atoms . The term "cycloalkyl" when used herein, refers to a monocyclic, bicyclic or tricyclic aliphatic ring, having from 3 to 14 carbon atoms, and preferably from 3 to 7 carbon atoms. The term "aryl" refers to an unsubstituted or substituted aromatic ring, substituted with one, doe or three substituents selected from lower alkoxy, lower alkyl, lower alkylamino, hydroxy, halogen, cyano, hydroxyl, mercapto, nitro, thioalkoxy, carboxyaldehyde , carboxyl, carboalkoxy and carboxyamide; including, but not limited to: carbocyclic aryl, heterocyclic aryl and biaryl groups and the like; All of which may be optionally substituted. Preferred aryl groups include: phenyl, halogenophenyl, lower alkyl-phenyl, naphthyl, biphenyl, phenanthrenyl, naphthacenyl and aromatic heterocyclic. The term "heteroaryl," as used in the preamble, refers to any aryl group containing 1 to 4 heteroatoms, selected from the group that connects nitrogen, oxygen and sulfur. The term "arylalkyl" refers to one, two or tree aryl groups having the number of carbon atoms designated, attached to an alkyl group having the number of carbon atoms denoted. Suitable arylalkyl groups include, but are not limited to: benzyl, picolyl, naphthyl ethyl, phenethyl, benzhydryl, trityl and the like, all of which may optionally be substituted. The term "halo" or "halogen", when used herein, refers to substituents Cl, Br, F or I. The term "methylene" refers to -CH2-. The term "pharmaically acceptable saltse" includes the salts of the compounds derived from the combination of a compound and an organic or inorganic acid. These compounds are useful in both the free base form and the salt form. In practice, the use of the salt form counts for the use of the base form; both acid addition and base addition salts are within the scope of the present invention. "Pharmaically acceptable acid addition salt" refers to those salts which retain the biological effectiveness and properties of the free bases and which are not biologically undesirable or otherwise, formed with inorganic acids such as hydrochloric acid, hydrobromic acid, acid sulfuric acid, nitric acid, foephoric acid and the like; and with organic acids, such as acetic acid, propionic acid, glycolic acid, pyruvic acid, oxalic acid, maleic acid, malonic acid, succinic acid, fumaric acid, tartaric acid, citric acid, benzoic acid, cinnamic acid, mandelic acid, acid methanesulfonic acid, ethanesulfonic acid, p-toluenesulfonic acid, salicylic acid and similaree. The "pharmaceutically acceptable bae addition salts" include lae derived from inorganic lae baeee, such as the salts of eodium, potassium, lithium, ammonium, calcium, magnesium, iron, zinc, copper, manganese, aluminum and similar. The ammonium, potassium, eodium, calcium and magnesium saltse are particularly preferred. Lae ealee derived from pharmaceutically acceptable non-toxic organic bacteria include the salts of primary, secondary and tertiary amines, amine substituted amines which include the naturally occurring substituted amines, cyclic amine and alkaline ion exchange lae, talen as resin. ieopropylamine, trimethylamine, diethylamine, triethylamine, tripropylamine, ethanolamine, 2-diethylaminoethanol, trimethamine, dicyclohexylamine, lieine, arginine, histidine, caffeine, procaine, hydraraine, choline, betaine, ethylenediamine, glucosamine, methylglucamine, theobromine, purine, piperazine, piperidine , N-ethylpiperidine, polyamine and the like. The non-toxic organic bases, particularly preferred, are: isopropylamine, diethylamine, ethanolamine, trimethamine, dicyclohexylamine, choline and caffeine. "Biological property" for the purposes herein, means an effector or antigenic activity or activity in vivo, which is effected directly or indirectly by a compound of this invention. The effector functions include the binding to the receptor or ligand, any enzymatic activity or any enzyme-regulating activity, any carrier-binding activity, any hormonal activity, any activity to promote or inhibit the transfer of cells to an extracellular matrix or to a molecule of cell surface or any structural paper. Antigenic functions include the possession of an epitope or an antigenic site that is capable of reacting with the antibodies that confront it. The nomenclature used to describe the peptide compounds of the invention follows conventional practice, where it is assumed that the N-terminal amino group is on the left and the carboxy group on the right of each amino acid residue in the peptide. In the formulas representing selected specific embodiments of the present invention, the amino and carboxy termini groups, although often not specifically shown, will be understood to be in the form they would assume at physiological pH values, unless specified. otherwise. Thus, N-terminal H + 2 and 0-C-terminal at physiological pH are understood to be present, although not necessarily specified or shown, either in specific examples or in generic formulas. The free functional groups, in the side chains of the amino acid residues, can also be modified by amidation, acylation or other substitution, which, for example, can change the solubility of the compounds without affecting their activity. In the peptides herein defined, each residue encoded by gene, when appropriate, is repreened by a single-letter designation, which corresponds to the trivial name of the amino acid, according to the following conventional list: Amino Acid Symbol Symbol of an eola letter three letters Alanine A Wing Arginine R Arg Asparagine N Asn Aspartic Acid D Asp Cysteine C Cys Glutamine 0 Gln Glutamic Acid Glu Glycine G Gly Hietidine H Ieoleucine I He Leucine L Leu L Kine L Methy M Methelin M Phenylalanine F Phe Proline P Pro Serine S Be Threonine T Thr Tryptophan W Trp Tyrine And Tyr Valine V Val Additionally, the following abbreviations are given in this application: "Ala" refers to L-alanine. "D-Ala" refers to D-alanine. "Arg" refers to L-arginine. "D-Arg" refers to D-arginine. "Bn" refers to benzyl. "t-Boc" refers to te r-butoxy carboni lo. "BOP" refers to benzotriazol-1-yloxy-tris- (dimethylamine) phosphonium hexafluorophosphate. "Cbz" refers to benzyloxycarbonyl. "DCM" refers to dichloromethane. "DIEA" refers to di-isopropylethylamine. "DMF" refers to N, N-dimethyl ormamide. "EDC" refers to ethyl-3- (3-dimethylamino) -propylcarbodiimide hydrochloride. "EtOAc" refers to ethyl acetate. "Gly" refers to glycine. "HOSu" refers to N-hydroxysuccinimide. "D-Lye" refers to D-lysine. "MeOH" refers to methanol. "MeSEt" refers to methylethyl sulfide. "NaOAc" refers to sodium acetate. "Ph" refers to phenyl. "D-Pro" refers to D-proline. "Pro" refers to L-proline. "TEA" refers to triethylamine. "TFA" refers to trifluoroacetic acid. "THF" refers to tetrahydrofuran. "Cough" refers to p-toluene sulfonic acid. The non-genetically encoded amino acids are abbreviated as described above or have the genes commonly accepted in the field. In the compounds of this invention, the carbon atoms bonded to four non-identical substituents are asymmetric. Consequently, the compounds can exist as diastereoisomers, enantiomers or mixtures thereof.
The syntheses described herein may employ racemates, enantiomer or diastereomers as starting materials or as intermediates. The diaetereomeric oroductoe which are the result of said synthesis can be separated by chromatographic methods or by crystallization methods, or by other methods known in the art. In the same way, mixtures of enantiomeric products can be separated using the same techniques or by other methods known in the field. Each of the asymmetric carbon atoms, when present in the compositions of this invention, may be in one of configurable (R or S) or both and be within the scope of the present invention. In certain preferred specific embodiments of the compounds shown in the present invention, the L-form of any amino acid residue, having an optical omer, which is to be referred to, unless the D-form is expressly indicated. As described above, the final product, in some cases, may contain a small amount of the products that have D or L residue; However, these products do not affect their therapeutic or diagnostic application. The compounds of the present invention are peptides or compounds containing amino acid subunit which are partially defined in terms of amino acid residues of the designated classes. The amino acid residues can generally be grouped into four main eubclases, as follows: Acidoe: the residue has a negative charge due to the loss of the H ion at physiological pH, and the residue is attracted by aqueous solution.
Bacic: the residue has a positive charge due to the association with the H ion at physiological pH, and the residue is attracted by the aqueous solution. Neutral / non-polar: the residuals are not loaded at physiological pH and the residue is repelled by the aqueous solution, so that they look for internal poeicionee in the conformation of a peptide in which it is contained when the peptide is in aqueous medium, these residues are designated herein "hydrophobic". Neutral / polar: the residues are not charged to the physiological pH, but the residue is attracted by the aqueous solution so that they look for the external positions in the conformation of a peptide in which they are contained, when the peptide is in an aqueous medium. Of course, it will be understood that, in a molecular collection of molecules, individual molecules, some molecule will be charged and some will not, and there will be an attraction or rejection of an aqueous medium, to a greater or lesser degree. To adjust the definition of "loaded" a significant percentage (at least about 25%) of the individual molecules are charged to the phiological pH. The degree of attraction or rejection required for the classification as polar or non-polar is arbitrary and, consequently, the amino acids contemplated specifically by the invention have been classified in one or the other sense. Most amino acids that are not specifically named can be classified on the basis of their known behavior. The amino acid residues may additionally be cyclized or non-cyclic and aromatic or non-aromatic, classifications that are explained by the member with respect to the constituent group of the side chain of the residues, and whether the chain is small or large. The residue is considered small if it contains a total of four carbon atoms or less, including the carboxyl carbon. The small residues, of course, are always non-aromatic for the amino acids of the proteins that occur in nature. For the amino acids of the proteins that occur in nature, the classification is carried out according to the following scheme: Acids: aspartic acid and glutamic acid; Basic / non-cyclic: arginine, lieine; Basic / cyclic: hietidine; Neut / small: glycine, serine, cysteine, alanine; Neutral / polaree / grandee / non-aromatic: threonine, asparagine glutamine; Neut ros / pola res / grandes / aromáticoe: tiroeina; Neutroe / no polarea / grandee / no aromatic: valine, ieoleucine, leucine, methionine; Neutral / non-polar / large / aromatieos: phenylalanine and tryptophan. The secondary amino acid proline, encoded by genes, even though it is technically within the group of neutral / non-polare / grandee / cyclic and non-aromatic, is a special case because of its known effect on the secondary conformation of the peptide chains and, therefore, it is not included in this defined group. Certain amino acids that are commonly found, which are not encoded by the genetic code, include, for example: beta-alanine (b-Ala) or other omega-amino acids, such as 2,3-diamino propionic (2,3-Dap) 2, 4-diaminobutyl rich (2,4-Dab), 4-aminobutyl rich (g-Abu) and so on; alpha-aminoieobutyral acid (Aib), earcosine (Sar), ornithine (Orn), citrulline (Cit), homoarginine (Har) homoliein (homoLye), n-butylamidinoglycine (Bag), 4-guanidinophenylalanine (4-Gpa), 3 -guanidinophenylalanine (3-Gpa), 4-amidinophenylalanine (4-Apa), 3-amidinophenylalanine (3-Apa), 4-aminocyclohexylglycine (4-Acg), 4-aminophenylalanine (4-NH2-Phe), 3-aminophenylalanine ( 3-NH2-Phe), 3- (3-pyridyl) Ala (3-Py-Ala), 3- (3-piperidinyl) -Ala (3-Pip-Ala), 3- (3-Me-3-pyridyl) ) -Ala (3-Me-3-Py-Ala), 3- (4-pyridyl) -Ala (4-Py-Ala), 3- (4-piperidinyl) -Ala (4-Pip-Ala), 3 (3-amidino-3-piperidinyl) Ala (3-amidino-3-Pip-Ala), 3- (4-amidino-4-piperidinyl) Ala (4-amidino-4-Pip-Ala), 4-aminomethylphenylalanine ( 4H2NCH2-Phe), and 4-aminomethylphenylglycine (4H2NCH2-Phg). These also fall within particular categories. Based on the above definitions: Sar, b-Ala, g-Abu and Aib are neut ros / pequee; Orn, Har, homoLye, Bag, 2,3-Dap, 2,4-Dab, 4-Gpa, 3-Gpa, 4-Apa, 3-Apa, 4-Acg, 4-NH2-Phe, 3-NH2- Phe, they are basic: Cit is neutral / polar / large / non-aromatic; and the various omega-amino acids are classified according to their size as neutral / non-polaroid / small (b-Ala, ie, 3-aminopropionic, 4-aminobutyl) or grandee (all others). The substitutions of amino acids for those indicated in the structure / formula provided can be included in compueetoe peptides within the scope of the invention, and can be classified within that general scheme according to their structure. In all of the peptides of the invention, one or more amide bonds (-C0-NH) can be optionally replaced by another ligation that is isoetherea, such as -CH2NH-, -CH2S-, -CH2CH2, -CH = CH- (cis and trans), -COCH2-, -CH (0H) CH2- and -CH2SO-. This replacement can be effected by methods known in the art. The following references describe the preparation of peptide analogs that include eeae alternative linker portions: Spatola, A.F. Vega Data (March 1983), volume 1, expedition 3, "Peptide Backbone Modifications" (general summary); Spatola, A.F. in "Chemietry and Biochemistry of Amino Acids, Peptides and Proteine", B. Weinetein, editors, Marcel Dekker, New York, page 267 (1983) (general summary); Morley, J.S. Trends Pharm Sci (1980). pages 463-468 (general summary); Hudson, D. and coauthors, Int J Pept Prot Res (1979) 14: 177-185 (-CH2NH-, -CH2CH2-); Spatola, A.F. and co-authors, Life ', < .! U986) ¿ü: 11-4 '? - 12A i¡t-CI-2 ^) i -ann. M.M. J. (; hern r. C Beijing Ti an ° (i 98?) -H 7-3 l 4 i - GH = CH-, is y + r-.n =]; ?? l? N.- | u ? s +, RG and co-authors J ried Chom 'J 990) J3: i ".92 ~ 1398 f" 0CH2 -'; Jen mgs-Uhite, C. and ro u + o? is 1 .- + raho r I * .. tt (19B?) -: 2 13 (-COCH2); Szell-e, t. and coi ventores, European application EP 45665; CR: 9 _: 39405 (19821 (-rH (OH) OH2 -); Hollad y, HU Te + ra he ett > I9..3J J - '• * 01 - • - •' + IH 'í ( OH'CH2- i; V llruby,. '.3. Life C, C1 (1982) 31: IHQ-l'-jg í' H2"L <
PREFERRED MODALITIES In the preterm modalities, the present and in tion provides compounds of the formula:
where: m = 0, 1, 2, 3, 4; n = 0, 1, 2, 3, 4; p = 0, 1, 2, 3, 4; q = 0, 1, 2, 3, 4; Y = NH, S, 0, CH2, CH-OH, CH2CH2, C = 0; A = piperidinyl, pyrrolidinyl, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, phenyl, heteroaryl of 3 to 6 carbon atoms, or is absent; R? = H or alkyl of 1 to 3 carbon atoms; J = 0 or H2; R2 = H or alkyl of 1 to 3 carbon atoms; D = N, CH, NCH2. NCH2CH2, CHCH2; R3 = H or alkyl of 1 to 3 carbon atoms; E = O 0 H2; RA = H or CH3; M = NH, N_CH3, 0, S, SO, SO2 or CH2 or absent eetá; 0 = piperidinyl, pyrrolidinyl, cycloalkyl of 3 to 8 carbon atoms, phenyl, substituted phenyl, naphthyl, pyridyl, or is absent; G = N, CH or H; R5 = H or alkyl of 1 to 3 carbon atoms, or is absent if
G is H; Ré = H or CH 3; U = is selected from the group you were connected to
where N = 0-4; R? and R <e> is independently selected from a group that connects H, alkyl of 1 to 10 carbon atoms, aryl, arylalkyl, halogen, nitro, an amino group of the formula -NR9 0, an acylamino group of the formula -NHCOR11, hydroxy , an acyloxy group of the formula -OCOR12, alkyloxy of 1 to 4 carbon atoms, alkyl of 1 to 4 carbon atoms, rifluoromethyl, carboxy, cyano, phenyl, an aromatic heterocyclic group, as defined below, alkyloxycarbonyl of 1 to 4 carbon atoms, an aminocarbonyl group of the formula CONR13R1-;, sulfo, eulfonamido of the formula SO2NR15R16 and hydroxyalkyl of 1 to 6 carbon atoms; wherein R9, Rio, R11, R12, RA, Rie, Rie are the same or different and are equal to H, alkyl of 1 to 6 carbon atoms, arylalkyl of 1 to 3 carbon atoms or aryl; and if M is absent:
With;
W = H, arylacyl, heteroarylacyl, aryl-C1-3-alkylsulfonyl, arylsulfonyl, substituted arylsulfonyl, aryl-alkenyl, C1-4-sulphonyl, Ci-s-alkylsulfonyl, heteroaryl-C3-alkylsulfonyl, heteroarylenesulfonyl, aryloxycarbonyl, C1-6alkyloxycarbonyl, aryl-C1-3alkyloxycarbonyl, arylaminocarbonyl, Ci-e-aminocarbonylkylaryl, C1-3alkylamino-aminocarbonyl, HOOC-Co-3-carbonyl-alkyl, or eetá aueente ei G es H; X = H, alkyl of 1 to 3 carbon atoms, NR'R ", NHC (NR'R") = NH, NH-C (NHR ') = NR ", NH-C (R') = NR", SC (NR 'R ") = NH, SC (NHR') = NR", C (NR'R ") = NH, C (NHR ') = NR" or CR' = NR "; where R ', R "are equal or different and are H, alkyl of 1 to 6 carbon atoms, arylalkyl of 1 to 3 carbon atoms, aryl, or where R'R" forms a cyclic ring containing (CH2) p, wherein = 2-5, as long as, when X is H or alkyl of 1 to 3 carbon atoms, then A must contain at least one N atom; Z = H, alkyl of 1 to 3 carbon atoms, NR ' R ", NHC (NR'R") = NH, NH-C (NHR ') = NR ", NH-C (R') = NR"; SC (NR'R ") = NH, SC (NHR ') = NR ", C (NR'R") = NH, C (NHR ') = NR "or CR' = NR"; wherein R ', R "are the same or different and are H, alkyl of 1 to 6 carbon atoms, arylalkyl of 1 to 3 carbon atoms, aryl, or where R'R" forms a cyclic ring containing (CH2) ) p, where p = 2-5, as long as, when Z is H or alkyl of 1 to 3 carbon atoms, then 0 must contain at least one N atom;
and its isomers, its saltse, its hydrates, its solvates and its prodrug pharmaceutically acceptable derivatives. Some preferred compounds of the present invention include those of the formula
where: m = 0, 1, 2, 3, 4; n = 0, 1, 2, 3, 4;
p = O, 1, 2, 3, 4; q = O, 1, 2, 3, 4; Y = NH, S, O, CH2, CH-OH, CH2CH2, C = 0; A = piperidinyl, pyrrolidinyl, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, phenyl, heteroaryl of 3 to 6 carbon atoms, or aether; M = NH, N-CH3, 0, S, SO, SO2 or CH2 or absent eetá; Q = piperidinyl, pyrrolidinyl, cycloalkyl of 3 to 8 carbon atoms, phenyl, substituted phenyl, naphthyl, pyridyl, or is absent; U = is selected from the group that connects
where N = 0-4; R7 and Re are independently selected from a group that connects H, alkyl of 1 to 10 carbon atoms, aryl, arylalkyl, halogen, nitro, an amino group of the formula -NR9R10, an acylamino group of the formula -NHCORn, hydroxy , an acyloxy group of the formula -OCOR12, alkyloxy of 1 to 4 carbon atoms, alkyl of 1 to 4 carbon atoms, trifluoromethyl, carboxy, cyano, phenyl, an aromatic heterocyclic group, as defined below, alkyloxycarbonyl of 1 to 4 carbon atoms, an aminocarbonyl group of the formula CONR13R14, sulfo, sulfonamido of the formula SO2NR15R16 and hydroxyalkyl of 1 to 6 carbon atoms; wherein R9, Rio, R11, R12, A, R15, R1 are the same or different and are equal to H, alkyl of 1 to 6 carbon atoms, arylalkyl of 1 to 3 carbon atoms or aryl; and if M is absent:
K = C or N; W = H, arylacyl, heteroarylacyl, aryl-C1-3-sulfonyl, arylsulfonyl, substituted arylsulfonyl, aryl-alkenyl of C? - «-sulfonyl, Ci-β-sulfonyl alkyl, heteroaryl-C3-sulphonyl-alkyl, heteroarylsulfonyl, aryloxycarbonyl, Ci-β -carbonyl alkyloxy, aryl-C?-3-carbonyl alkyloxy, arylaminocarbonyl, Ci-β-aminocarbonyl alkyl, Cι 3 -aminocarbonyl arylalkyl, HOOC-C alqu 3 alkyl- carbonyl, or absent if G ee H; X = H, alkyl of 1 to 3 carbon atoms, NR'R ",
NHC (NR'R ") = NH, NH-C (NHR ') = NR", NH-C (R') = NR ", SC (NR'R") = NH, SC (NHR ') = NR " , C (NR'R ") = NH, C (NHR ') = NR" or CR' = NR "; wherein R ', R "is equal or different and is H, alkyl of 1 to 6 carbon atoms, arylalkyl of 1 to 3 carbon atoms, aryl, or where R'R" forms a cyclic ring containing (CH2) ) p, where p = 2-5, as long as, when X is H or alkyl of 1 to 3 carbon atoms, then A must contain at least one N atom; Z = H, alkyl of 1 to 3 carbon atoms, NR'R ", NH-C (NR'R") = NH, NH-C (NHR ') = NR ", NH-C (R') = NR "; SC (NR 'R ") -NH, SC (NHR') = NR", C (NR'R ") = NH, C (NHR ') = NR" or CR' = NR "; wherein R ', R "are equal or different and are H, alkyl of 1 to 6 carbon atoms, arylalkyl of 1 to 3 carbon atoms, aryl; or where R'R "forms a cyclic ring containing (CH2) p, where p = 2-5, as long as when Z ee H or alkyl of 1 to 3 carbon atoms, then Q must contain at least minus one atom of N, and its isomers, salts, hydrate, sueeolvatoe and its pharmaceutically acceptable prodrug derivatives A preferred Y component is S, 0, CH2, CH2CH2 A preferred e-analyte is piperidinyl, pyrrolidinyl, cyclopentyl, cyclohexyl , phenyl, heteroaryl of 3 to 6 carbon atoms, or absent eetá A preferred substituent D is N, CH, NCH2 A preferred substituent M is NH, 0, S, CH2, or is absent A preferred Q substituent is piperidinyl , pyrrolidinyl, cycloalkyl of 3 to 8 carbon atoms, phenyl, substituted phenyl, or is absent A preferred substituent U is selected from:
where n = 0-2; R7 and Re are independently selected from a group consisting of H, alkyl of 1 to 10 carbon atoms, aryl, arylalkyl, halogen, nitro, trifluoromethyl, carboxy or cyano; and the M is absent:
A preferred component K is ee C or N. A preferred component W is aryl-C1-3-alkylsulfonyl, arylsulfonyl, arylsulfonyl, substituted, aryl-alkenyl, C1-4-sulphonyl, Ci-β-sulfonyl alkyl, heteroarylalkyl, C1 -3-sulfonyl, heteroarylsulfonyl, Ci-β -carbonyl alkyloxy, C1-3 alkylaryloxycarbonyl. A preferred substituent X is NR'R ", NH-C (NR'R") = NH, NH-C (NHR ') = NR ", NH-C (R') = NR", SC (NR'R " ) = NH, SC (NHR ') = NR ", C (NR'R") = NH, C (NHR') = NR ", where R ', R" are the same or different and are H, alkyl of 1 to 6 carbon atoms A preferred substituent Z is NH-C (NR'R ") = NH, NH-C (NHR ') = NR", NH-C (R') = NR ", SC (NR 'R ") = NH, SC (NHR ') = NR", C (NR'R ") = NH, C (NHR') = NR"; where R ', R "are the same or different and are H, alkyl of 1 to 6 carbon atoms The preferred compound, as a whole, can be selected from any combination of the formulas presented in this application, with one or more of preferred groupings of substituents at a particular location Some preferred embodiments of the invention are shown in the following Table 1.
TABLE 1 Inhibitory activity (CIso) uM
STRUCTURE Factor Xa Prothrombinase Thrombin
HD-Arg-Gly-Arg-thiazole 0.011 0.010 41 BnS? 2- (D) -Arg-Gly-Arg-thiazole 0.00065 0.00045 Other preferred compounds of the present invention are shown, but are not limited to the following list of compuets , which have the general structure: W - (basic amino acid) - (neutral / small amino acid) - (Arg or basic amino acid) - heterocycle. PhCH5CH2-S? 2- (D) -Arg-Gly-Arg-thia2: ol C6HnCH2CH2-S02- (D) -Arg-Gly-Arg-thiazole Me2C-C6H4S02- (D) -Arg-Gly-Arg-thiazole C ? oH7S? 2- (D) -Arg-Gly-Arg-thiazole Mß3SiCH2CH2CH2S02- (D) -Arg-Gly-Arg-thiazole BnS? 2- (D) -4-Apa-Gly-Arg-thiazole BnS? 2 - (D) -4-Gpa-Gly-Arg-thiazole BnS02 - (D) -Acg-Gly-Arg-thiazole BnS? 2 - () -homo-Lys-Glyrg-thiazole BnS? 2- (D) - Arg-Sar-Arg-thiazole BnS02- (D) -Arg-Pro-Arg-thiazole BnS02- (D) -Arg-Gly-4-Acg-thiazole BnS02- (D) - rg-Gly- (3-NH2Phe) -thiazole BnS02- (D) -Arg-Gly- (4-NH2Phe) -thiazole BnS02- (D) -Arg-Gly-Gpa-thiazole Boc-D- (2,3-Dap) -Gly-Arg-thiazole
Boc-D- (2,4-Dab) -Gly-Arg-thiazole g-Abu-Gly-Arg-t-aiazole Boc-D-Orn-Gly-Arg-thiazole Boc-D-homoLye -Gly-Arg-t-azole Boc-Bag-Gly-Arg-thiazole Boc-D-4-Gpa-Gly-Arg-thiazole Boc-D-3-Gpa-Gly-Arg-thiazole Boc-D-4-Apa-Gly-Arg-t-iazole Boc -D-3-Apa-Gly-Arg-iazole Boc-D-4-Acg-Gly-Arg-thiazole Boc-D- (4-NH2Phe) -Gly-Arg-thiazole Boc-D- (3-NH2Phe) - Gly-Arg-thiazole BnS02-D- (2,3-Dap) -Gly-Arg-thiazole BnS? 2-D- (2,4-Dab) -Gly-Arg-thiazole BnS02-D-0rn-Gly-Arg -thiazole BnS02-Bag-Gly-Arg-thiazole BnS02-D-3-Gpa-Gly-Arg-thiazole BnS? 2 -D-3-Gpa-Gly-A rg-thiazole BnS02-D-0rn-Gly-Arg- thiazole BnSO? -Bag-Gly-Arg-thiazole BnS? 2-D-3-Gpa-Gly-Arg-thiazole BnS? 2 -D-3-Gpa-Gly-A rg-thiazole BnS? 2-D- (4-NH2Phe) -Gly-Arg-thiazole BnS? 2-D- (3-NH2Phe) -Gly-rg-thiazole BnS? 2 -D- (2,3-Dap) -Gly-Arg-benzothiazole BnS? 2 -D- (2 , 4-Dab) -Gly-Arg-benzothiazole
BnS02-D-0rn-Gly-Arg-benzothiazole BnS? 2-Bag-Gly-Arg-benzothiazole BnS? 2-D-4-Gpa-Gly-Arg-benzothiazole BnS? 2 -D-3-Gpa-Gly-Arg -benzothiazole BnS? 2 -D-4-Apa-Gly-A rg-benzothiazole
BnS? 2 -D-3-Apa-Gly-A rg-benzothiazole BnS? 2-D-4-Acg-Gly-A rg-benzothiazole BnS02-D- (4-NH2Phe) -Gly-A rg-benzothiazole BnS? 2-D- (3-NH2Phe) -Gly-A rg-benzothiazole BnS02-D-Arg-Gly- (2,4-Dab) -benzothiazole BnS02-D-Arg-Gly- (homoLys) -benzothiazole BnS02-D- Arg-Gly- (4-Gpa) -benzothiazole BnS02-D-Arg-Gly- (3-Gpa) -benzothiazole BnS02-D-Arg-Gly- (4-Apa) -benzothiazole BnS? 2 -DA rg-Gl and - (3-Apa) -benzothiazole
BnS? 2-D-Arg-Gly- (4-NH2Phe) -benzothiazole BnS02 -D-A rg-Gl y- (3-NH Phe) -benzothiazole Me3SiCH2CH2CH2S02- (D) -A rg-Gly-rg -benzothiazole
BnS02- (D) -homo-Lys -Gly-rg-benzothiazole BnS02 - (D) -homo-Lye -Gly -Arg -benzoxazole PhCH2CH2S02- (D) -Arg-Gly-Arg-benzothiazole
BnS? 2 - (D) -A rg-Sar-rg-benzothiazole BnS? 2 - (D) -A rg-Pro-A rg-benzothiazole BnS? 2- (D) -Arg-Gly-Acg-benzothiazole BnS? 2- (D) -A rg-Gly-Arg -benzo ti azole PhCH2CH2S? 2- (D) -Arg-Gly-4-Acg-benzothiazole
BnS02 - (D) -Arg-Glyrg-oxazole Boc-D- (2,3-Dap) -Gly-rg-oxazole Boc-D- (2,4-Dab) -Gly-rg-oxazole g-Abu -Gly-Arg-oxazole Boc-D-Orn-Gly-Arg-oxazole Boc-D-homoLye-Gly-Arg-oxazole Boc-Bag-Gly-Arg-oxazole Boc-D-4-Gpa-Gly-Arg-oxazole Boc-D-3-Gpa-Gly-A rg-oxazole Boc-D-4-Apa-Gly-A rg-oxazole Boc-D-3-Apa-Gly-A rg-oxazole Boc-D-4-Acg- Gly-A rg-oxazole Boc-D- (4-NH2 Phe) -Gly-A rg-oxazole Boc-D- (3-NH2 Phe) -Gly-A rg-oxazole BnS02-D- (2,3-Dap ) -Gly-Arg-oxazole BnSO? -D- (2, -Dab) -Gly-A rg-oxazole BnSO? -D-Orn-Glyrg-oxazole BnS02-Bag-Gly-A rg-oxazole BnS02 -D-3-Gpa-Gly-A rg-oxazole BnS02 -D-3-Apa-Gly-A rg-oxazole BnS02 - D- (4-NH2 Phe) -Gly-Arg-oxazole
BnS? 2 -D- (3-NH2 Phe) -Gly-A rg-oxazole BnS02-D- (2,3-Dap) -Gly-rg-oxazole BnS02-D- (2,4-Dab) -Gly- rg-oxazole BnS02 -D-0 rn-Gly-A rg-oxazole BnS02-Bag-Gly-A rg-oxazole BnS? 2 -D-4 -Gpa-Gly-A rg-oxazole BnS02 -D-3-Gpa - Gly-A rg-oxazole BnS02-D-4-Apa-Gly-A rg-oxazole BnS02-D-3-Apa-Gly-A rg-oxazole BnSO? -D- -Acg-Gly-A rg-oxazole BnS? 2-D- (4-NH2 Phe) -Gly-A rg-oxazole BnS? 2-D- (3-NH2 Phe) -Gly-rg-oxazole BnSO ? D-A rg-Gly- (2,4-Dab) -oxazole BnS02 D-A rg-Gly- (ho oLys) -oxazole BnS02D-Arg-Gly- (4-Gpa) -oxazole BnSO? D-A rg-Gly- (3-Gpa) -oxazole BnS02 D-A rg-Gly- (4-Apa) -oxazole BnSO? D-A rg-Gly- (3-Apa) -oxazole BnS? 2 D-A rg-Gly- (4-NH2Phe) -oxazole BnS? 2D-Arg-Gly- (3-NH2Phe) -oxazole
BnS? 2 -D- (2, 3-Dap) -Gly-A rg-benzoxazole BnS? 2-D- (2,4-Dab) -Gly-rg-benzoxazole BnS? 2 -D-Orn-Glyrg -benzoxazole BnS02-Bag-Gly-rg-benzoxazole BnS02 -D-4 -Gpa -Gly-A rg-benzoxazole BnS? 2 -D-3-Gpa-Gly-Arg-benzoxazole BnS02 -D-4-Apa-Gly- A rg-benzoxazole BnS02-D-3-Apa-Gly-A rg-benzoxazole BnS? 2-D-4-Acg-Gly-A rg-benzoxazole BnS02-D- (4-NH2 Phe) -Gly-rg-benzoxazole BnS02 -D- (3-NH Phe) -Gly-A rg-benzoxazole BnSO? D-A rg-Gly- (2,4-Dab) -benzoxazole BnS02 D-A rg-Gly- (homoLye) -benzoxazole BnSO? D-A rg-Gly- (4 -Gpa) -benzoxazole BnSO? DA rg-Gly- (3-Gpa) -benzoxazole BnS? 2 DA rg -Gl and- (4 -Apa) -benzoxazole BnS02 DA rg-Gly- (3 -Apa) -benzoxazole BnS02 DA rg-Gly- (4 - NH2 Phe) -benzoxazole BnS02 DA rg-Gly- (3-NH2 Phe) -benzoxazole ß3 SICH2 CH2 CH2 SO2 - (D) -A rg-Gly-A rg-Benzoxazole BnS02 -D-homo-Lye -Gly-A rg -benzoxazole BnS02-D-homo-Lys-Gly-A rg-benzoxazole PhCH2CH2S? 2- (D) -A rg-Gly-A rg-Benzoxazole BnS? 2 - (D) -A rg-Sa rA rg-benzoxazole BnS 2- (D) -Arg-Gly-Acg-benzoxazole BnS02- (D) -A rg-Gly-A rg-benzoxazole PhCH2 CH2 SO2 - (D) -A rg-Gly-4-Acg-Benzoxazole BnS02- ( D) -Arg-Glyrg-benzoxazole BnS02- (D) -Arg-Gly-Acg-benzoxazole PhCH2 CH2 SO2 - () -A rg-Gly-4-A rg-benzoxazole PhCH2CH2S? 2- (D) - Arg-Gly-4-Acg-benzoxazole Mß3SiCH2CH2CH2S02- (D) -A rg-Gly-A rg-benzoxazole
BnSO? - (D) -A rg-Gly-A rg-oxazoline Boc -D- (2, 3 -Dap) -Gly -A rg-oxazole i na Boc-D- (2,4-Dab) -Gly -Arg -oxazol i na g-Abu-Gly-A rg-oxazole i na Boc-D-Orn-Gly-A rg-oxazoline Boc-D-homoLye -Gly-A rg-oxazole ina Boc-Bag-Gly-A rg- Oxazole I Boc-D-4-Gpa-Gly-A rg-oxazoline Boc-D-3-Gpa-Gly-A rg-oxazoline Boc-D-4-Apa-Gly-A rg-oxazoline Boc-D-3 -Apa-Gly-A rg-oxazole ina Boc-D-4-Acg-Gly-A rg-oxazole i na Boc-D- (4-NH2 Phe) -Gly-A rg-oxazole i na Boc-D- ( 3-NH2 Phe) -Gly-A rg-oxazole i na BnSO? -D- (2, 3-Dap) -Gly-A rg-oxazole ina BnS02-D- (2,4-Dab) -Gly-A rg-oxazoline BnS02-D-0rn-Gly-A rg-oxazoline BnS02- Bag-Gly-A rg-oxazoline BnS02-D-3-Gpa-Gly -A rg-oxazole na BnS02 -D-3-Apa-Gly-A rg-oxazoline BnS02-D- (4-NH2 Phe) -Gly -A rg-oxazoline BnS02-D- (3-NH2 Phe) -Gly-A rg-oxazole na BnS02-D- (2,3-Dap) -Gly-Arg-oxazoline BnS? 2-D- (2, 4-Dab) -Gly-rg-oxazol i na BnSO? -D-Orn-Gly-A rg-oxazoline BnS? 2 -Bag-Gly-Arg-oxazoline BnS? 2 -D-4-Gpa-Glyrg-oxazoline BnSO? -D-3-Gpa-Glyrg-oxazoline BnS? 2 -D-4-Apa-Gly-rg-oxazoline BnSO? -D-3-Apa-Glyrg-oxazoline BnS? 2 -D-4-Acg-Gly-Arg-oxazoline BnS02-D- (4-NH2Phe) -Gly-rg-oxazoline BnSO? -D- (3-NH2 Phe) -Gly-rg-oxazoline BnS02 -A rg-Gly- (2,4-Dab) -oxazol i na BnS? 2 DA rg-Gly- (omoLys) -oxazoline BnS02 DA rg- Gly- (4 -Gpa) -oxazole i na BnS? 2 DA rg-Gl y- (3-Gpa) -oxazoline BnSO? DA rg -Gl and - (4 -Apa) -oxazol i na BnS? 2 DA rg-Gly- (3-Apa) -oxazol i na BnS02 DA rg-Gly- (4-NH2 Phe) -oxazol ina BnS02D-Arg -Gly- (3-NH2Phe) -oxazoline BnS02- (D) -A rg-Gly-A rg-imidazole BnS02- (D) -A rg-Gly-A rg-pyridine BnS02- (D) -A rg-Gly -A rg-2- (l-methyl tet razol) BnS02- (D) -A rg-Gly-A rg-2- (4-methyl tet razol) MeS02- (D) -Arg-Gly-Arg-thiazole BnS02 - (D) - (4-H2NCH2 -Phe) -Gly-A rg-thiazole BnS02 - (D) - (4-H2 CH2 -Phg) -Gly- rg- iazole BnS02 - (D) - (3-Py- Ala)) -Gly-rg-thiazole BnS02 - (D) - (3-Me-3-Py-A la) -Gly-rg-thiazole BnS02 - (D) - (3-Pipla)) -Gly- rg-thiazole BnS02 - (D) - (4-Pip-Ala)) -Gly-A rg-thiazole BnS02 - (D) - (3-amidino-3-Pip-Ala)) -Gly-rg-thiazole. This invention also comprises prodrug derivatives of the compounds contained herein. The term "prodrug" refers to a pharmacologically inactive derivative of an original drug molecule, which requires biotransformation, whether eepontaneous or enzymatic, within the body to release the active drug. Prodrugs are variations or derivatives of the compounds of this invention which have metabolically dividing group and which, by means of eololysis under physiological conditions, or by enzymatic degradation, are transformed to the compounds of the invention which are pharmaceutically active in vivo. The prodrug compounds of this invention can be referred to as single, double, triple, etc., depending on the number of biotransformation steps required to release the active drug within the organism, and which indicate the number of functionalities present in a precursor type form. Pro-drug forms often offer advantages of solubility, tissue compatibility or delayed release in the mammalian organism (see Bundgard H. Dßsign of
Prodrugs. pages 7 to 9, 21 to 24. Elsevier Amsterdam 1985 and P Silverman, R.B. The Organic Chemistry of Drug Deeper and Drug Action. pages 352 to 401, Academic Preee, San Diego, California, 1992). The prodrugs commonly known in the art include well-known acid derivatives by those who practice this technique, such as, for example, the esters prepared by reaction of the original acids with a suitable alcohol, or the amides prepared by reaction of the original acidic compound with a Amine, or group Baeicoe reacted to form an acylated base derivative. In addition, the prodrug derivatives of this invention can be combined with other preparations contemplated herein, to increase bioavailability.
PREPARATION OF THE COMPOUNDS
The compounds of the present invention can be synthesized either by solid phase or liquid phase methods described in and referenced in ordinary textbooks, or by a combination of both methods. These methods are well known in the art. See Bodansky, M. in "The Principies of Peptide Synthesie," Hafner,., Rees, C.W., Trost, B.M., Lehn, J.M., Schleyer, P. v. R, Zahradnik, R., Editors, Springer-Verlag. Berlin, 1984. The starting materials are reactants obtainable commercially and the reactions are carried out in common laboratory glass artifacts, and in common reaction vessels and reaction conditions, including temperature and pressure. ambientalee normalee, a menoe that is indicated in another way. The ketoheterocyclic compounds of the present invention can be prepared by methods described by Dondoni, A and coautoree, Syntheeie, 1162-1176 (1993); Edwards, P.D. and coauthors, J. Amer. Chem. Soc. 114, 1854-1863 (1992); Tsuteumi, S. and coautoree, J. Med. Chem. 37, 3492-3502 (1994) (; and Ed arde, PD and coautoree, J. Med. Chem. 38, 76-85 (1995). Any of these methods are obtainable in the trade from sellers of chemical substances such as Aldrich, Sigma, Nova Biochemicale, Bachem Bioeciencee, and eimilaree, or they can be easily synthesized by known procedures. of the amino acid derivatives used in these methods are protected by blocking groups to prevent cross reaction during the coupling procedure Examples of suitable blocking groups and their use are described in "Peptides: Analysis, Synthesis, Biology", Academic Press, Volume 3 (Gross E. and Meienhofer, J. Editores, 1981) and volume 9 (1987), the description of which is incorporated herein by reference, and three diagrams of exemplary entities are immediately indicated below, and the specific synthesis are described in the examples. The reaction products are isolated and purified by conventional method, typically by solvent extraction, in a compatible solvent. The products can be further purified by column chromatography or other suitable methods.
SCHEME 1
H ° BnS? 8-.0) -Arg. { To? Ki.? . T] HF BnS02- (D) -Arg (Cough) -Gly-OH ^ L S- * Copulation \ NH MN NM-TOI
SCHEME 2
P = protective group; R = protected amino acid with protective or substituted group or protected or substituted dipeptide unit.
THE COMPOSITIONS AND FORMULATIONS
The compounds of this invention can be isolated as the free acid or the base or can be converted to salts of various inorganic and organic acids and organic and inorganic bases. Said salee is within the scope of this invention. Non-toxic and physiologically compatible lae eals are particularly useful, although other suitable salts may be used in the isolation and purification procedures. Many methods are useful for the preparation of the ealees described above and are known to those skilled in the art. For example, the reaction of the free acid or free base form of a compound of the above-mentioned ester with one or more molar equivalents of the desired acid or base in a solvent or a mixture of solvents, wherein the eal, or in an solvent such as water, after the solvent has been removed by evaporation, distillation or by freeze drying. Alternatively, the free acid or free form of the product can be passed over an ion exchange reactor to form the desired salt or a salt form of the product can be converted to another, using the same general procedure. Typically, diagnostic applications of the compounds of this invention will use formulations such as a solution or a suspension. In the management of thrombotic disorders, the compounds of this invention can be used in compositions such as tablets, capsules or elixirs for oral administration, suppositories, sterile solutions or suspensionee for injectable or similar administration, or they can be incorporated into formed articles. It can be administered to subjects in need of treatment (typically mammals), using the compounds of this invention, which provide maximum efficacy. The doeie and method of administration will vary from one subject to another and will depend on such factors as the type of mammal that is being treated, sex, diet, concurrent medication, general clinical condition, the particular protocols used, the specific use for which said compounds are used and of another fact, which will be recognized by technicians in the medical arts. The formulations of the compounds of this invention are prepared for storage or for administration, by mixing the compound having a desired degree of purity with carriers, excipients, stabilizers, physiologically acceptable, and can be provided in sustained release or delayed release formulations. . Acceptable carriers or diluents for therapeutic use are well known in the pharmaceutical field and are described, for example, in Remington's Pharmaceutical Sciences, Mack Publishing Co. (A.R. Gennaro editor, 1985). These materials are non-toxic to recipients at the doses and concentrations used, and include regulators such as phosphate, citrate, acetate and other organic acid salts.; antioxidants such as ascorbic acid, low molecular weight peptides (approximately menoe of ten residues), such as polyarginine; proteins, such as serum albumin, gelatin or immunoglobulinae; hydrophilic polymers such as polyvinyl pyrrolidinone; amino acids such as glycine, glutamic acid, aspartic acid or arginine; monosaccharides, disaccharides and other carbohydrates, including celluloea or its derivatives, glucose, mannose or dextrin; agent quelatadoree talee as EDTA; sugar alcohol, tap like mannitol or sorbitol; counter ions, tap as eodium and / or non-ionic surfactants such as Tween, Pluronics or polyethylene glycol. The dose formulations of the compounds of this invention that are to be used for therapeutic administration must be sterile. Sterility is easily achieved by filtration through sterile membranes, such as 0.2 micron membrane, or by other conventional methods. The formulations will typically be stored in lyophilized form or as an aqueous solution. Typically the pH of the preparations of this invention will be between 3 and 11, better still, from 5 to 9 and most preferably from 7 to 8. Although the preferred route of administration is by injection, such as intravenous injection (bolus and / or infusion) another method of administration can also be anticipated, for example, by subcutaneous, intramuscular, colonic, rectal, nasal or intraperitoneal administration, using a variety of talee administration forms such as suppositories, implant pellets or small cylinders, aerosols, formulations for administration oral and topical formulations, such as ointments, drops and skin patches. The compounds of this invention are conveniently incorporated into shaped articles such as implants, which may employ inert materials, such as polymeric or biodegradable or silicone eintéticoe; for example, Silastic, rubber oil or other polymer is commercially obtainable. It is also possible to administer the components of this invention in the form of seven ae of lipoeomic euminote, talee as veeiclee unilaminaree pequee, veeiclee unilaminaree large and veeiclee multilaminaree. Lae lipoeomae can be formed from a variety of lipid, such as coleeterol, ethethylamine or foefatidilcolinae. It is also possible to introduce the compounds of this invention through the use of antibodies, antibody fragments, growth factors, hormones or other target portions, to which the molecules of the compound are coupled. The compounds of this invention can also be coupled with suitable polymers as drug carriers that are chosen as the destination. Said polymers may include: polyvinylpyrrolidone, pyran copolymer, polyhydroxy-propyl ethacrylate ida phenol, polyhydroxyethyl aspartamide phenol or polyethylene oxide polylysine and substituted with palmitoyl residues. Additionally, the factor Xa inhibitors of this invention can be coupled to a class of biodegradable polymers useful for obtaining controlled release of a drug, for example, polylactic acid, polyglycolic acid, polylactic acid and polyglycolic acid copolymers, poly-epsilon caprolactone , polyhydroxybutyrate acid, polyoleoteree, polyacetalee, polydi-hydropyrans, polycyanoacrylates and interlaced or amphipathic block copolymers, formed from hydrogels. The semi-permeable polymers and polymer matrixes can also be formed into shaped articles, such as valve, extensions, tubes, prostheses and the like. The liquid, therapeutic compound formulations are generally placed in a container having a sterile access port, for example, a bag or ampoule of intravenous solution having a pierceable plug for a needle for hypodermic injection. Therapeutically effective doses can be determined either by an in vitro method or in vivo. For each particular compound of the present invention, individual determinations can be made to determine the optimum dose required. The therapeutically effective dose scale will naturally be influenced by the administration route, the therapeutic objectives and the patient's condition. For injection by hypodermic needle it can be assumed that the dose will be delivered to body fluids. For the other routes of administration, the absorption efficiency must be determined individually for each inhibitor by methods well known in pharmacology. Consequently, it may be necessary for the therapist to titrate the dose and modify the route of administration as required to obtain the optimal therapeutic effect. The determination of effective dose, that is to say, the levels of doeis necessary to obtain the revised results, will be within the scope of the one who is an expert in the matter. Typically, the application of the compound is started at lower dose levels, increasing the level of doeis haeta to obtain the desired effect. The typical dose could vary from about 0.001 mg / kg to about 1000 mg / kg, preferably from 0.01 mg / kg to 100 mg / kg, better still, from 0.10 mg / kg to 20 mg / kg. The compounds of this invention may be advantageously administered several times a day, and another regimen of doe may also be administered. Typically, ee makes up from about 0.5 to 500 mg of a composition or mixture of compound of this invention, such as the free acid or free base form, or as a pharmaceutically acceptable salt, with a carrier, carrier, excipient, agglutinates , preservative, stabilizer, dye, flavoring, etc., physiologically acceptable, as required by accepted pharmaceutical practice. The amount of active ingredient in such compositions is such that an adequate dosage is obtained in the indicated scale. Typical adjuvants that can be incorporated into tablets, capsules and the like are: a binder, such as acacia gum, corn starch or gelatin, and excipients such as cellulose microc rietalin, a disintegrating agent such as corn starch or alginic acid , a lubricant such as magnesium stearate, a sweetening agent such as sucrose or lactose or a flavoring agent. When a capsule shape, in addition to the above materials, can also contain a liquid carrier, such as water, saline or fatty oil. Other types of material may be used as a revelation or as a modification of the physical form of the dosie unisad. The injectable compositions for injection may be formulated in accordance with conventional pharmaceutical practice. For example, dilution or euepeneion of an active composition in a vehicle such as an oil or in a synthetic fatty vehicle, such as ethyl oleate, or in a liposome may be convenient. It is possible to incorporate regulators, coneve rvado ree, antioxidants and eimilaree, in accordance with accepted pharmaceutical practice. In practicing the method of this invention, the compounds of this invention can be used alone or in combination, or in combination with other therapeutic or diagnostic agents. In certain preferred embodiments, the compounds of this invention may be co-administered together with other compounds typically prescribed for these conditions, in accordance with generally accepted medical practice, for example, anticoagulant agents, thrombolytic agents and other antithrombotic agents, including antiviral agents. accumulation of platelets, tissue plasminogen activators, urokinase, prourokinase, streptokinase, heparin, aepirin or warfarin. The components of this invention can be used in vivo, usually in mammals such as primatee, talee as humanoe, svejae, horses, cattle, pigs, dogs, cats, ratae and ratonee or in vitro. The preferred compounds of the present invention are characterized by their ability to inhibit thrombus formation, with acceptable effects on classical measures of coagulation, platelet and platelet function parameters, and acceptable levels of bleeding complications., associated with its use. Conditions characterized by undesirable thrombosis would include those involving the arterial and venous vasculature. With regard to the arterial vasculature conorania, the abnormal formation of thrombi characterizes the rupture of an established atherosclerotic plaque, which is the main cause of acute myocardial infarction and unstable angina, as well as the characterization of occlusal coronary thrombus formation it is the result of either thrombolytic therapy or percutaneous transluminal coronary angioplasty (PTCA). With respect to the venous vasculature, abnormal function of the thrombus characterizes the condition observed in patients who underwent major surgery in the lower extremities or in the abdominal area, who frequently suffer from thrombus formation in the venous vasculature, which results in resulting in reduced blood flow to the affected limb, and a predisposition to pulmonary embolism. Abnormal thrombus formation further characterizes disseminated intravascular coagulopathy, which commonly occurs within the amboe system and during evacuation during aseptic shock, certain viral infections and cancer, and is a condition in which there is a rapid consumption of coagulation factor and coagulation. sietemic that gives rise to the formation of thrombi that threaten life, which occur throughout the microvasculature, which leads to the wide failure of the organ. The components of the present invention, selected and implemented as described herein, are believed to be useful in preventing or treating a condition characterized by indelible thrombosis, such as in: (a) the treatment or prevention of any acute coronary artery syndrome, thrombotic-mediated, which includes myocardial infarction, unstable angina, refractory angina, thrombocyte rheo-occlusion that occurs after thrombolytic therapy or postcoronary angioplasty; (b) the treatment or prevention of any thrombotic-mediated cerebrovaecular syndrome, which includes both embolic and thrombotic attack and transient ischemic attacks; (c) the treatment or prevention of any thrombotic syndrome that occurs in the venous system, including deep vein thrombosis or pulmonary embolism that occurs either spontaneously or in the setting of malignant tumor, surgery or trauma; (d) the treatment or prevention of any coagulopathy including dielechematic intravascular coagulation (which includes the establishment of septic shock or other infection, surgery, pregnancy, trauma or malignancy, whether or not associated with multiple organ failures); thrombotic thrombocytopenic purpura, thromboangilitis obliterans or thrombotic diseases associated with heparin-induced thrombocytopenia; (e) treatment prevention of thrombotic complications with extracorporeal circulation (eg, renal dialysis, cardiopulmonary bypass or other oxygenation procedure, plasmapheresis); (f) the treatment or prevention of thrombotic complications associated with inetrumentation (eg, cardiac catheterization or other intravaecular catheterization, intra-aortic balloon pump, coronary branching, or cardiac valve); and (g) those that are involved with the adjustment of proenetic and disposable. Anticoagulant therapy is also useful to prevent the coagulation of stored whole blood and to prevent the coagulation of other biological samples for testing or storage. Thus, compounds of this invention may be added or contacted with any medium that contains or is suspected of containing factor Xa, and where it is desired to inhibit blood coagulation, for example, when puts the mammal's blood in contact with materialee talee such as grafts, extensions, orthopedic vascular prostheses; extensions, valve and cardiac prostheses, eietemae of extracorporeal circulation and eimilaree. Without further description, it is believed that whoever is skilled in the art, using the foregoing description and illustrative examples below, can form and use the compotetoe of the present invention and implement the methods claimed. Therefore, the following working examples indicate specifically preferred modalities of the invention, but should not be construed as limiting in any way, for the remainder of the description.
EXAMPLE 1 PREPARATION OF Boc-Arg (Cough) -N (Me) QMe
To a suspension of 2 g, 4.7 mmol, of Bos-Arg (Tos) -OH in 20 ml of DMF, at 0 ° C, was added 1 g, 10.3 mmol, of MeNHOMe-HCl, 2 ml of DIEZ and 2.5 g, 5.6 mmoles of BOP. The solution was stirred at 0ßC for 10 hours. The DMF was evaporated in vacuo. The oily residue was dissolved in 200 ml of EtOAc and 20 ml of water. The organic layer was washed with saturated NaHC03, with 20 ml of water, with 10 ml of 1 M HCl and with 2 x 20 ml of saturated NaCl. The organic layer was dried magnesium eulfate, filtered and evaporated to give an euepeneion. The euspension was filtered, washed with 10 ml of ethyl acetate and dried to give 1.5 g, 70% yield, of Boc-Arg (Tos) -N (Me) OMe. FAB-MS (M + H) + = 472.
EXAMPLE 2 PREPARATION OF Boc-Apg (T? S) -TIAZOL
p
NH HN ^ NH-Tos
To a solution of 2.5 g, 29.9 mmol, of thiazole in 25 ml of THF, at -78 ° C, 1.6 moles, 19 ml of n-BuLi in hexane, was added dropwise. The mixture was stirred for 30 minutes. Then a solution of 1.7 g, 3.6 mmol, of Boc-Arg (Tos) -N (Me) 0Me in 50 ml of THF, was added to the lithiumiazole mixture at -78 ° C. The solution was stirred for 2 hours. 1M (30 ml) of HCl was added to the reaction mixture and warmed to room temperature. The mixture was extracted with 100 ml EtOAc. The organic layer was washed with 30 ml of saturated NaCl, dried over magnesium sulfate, filtered and evaporated. The crude oily residue was purified by flash column chromatography on silica gel (50% EtOAc in CH 2 Cl 2) to give 1.5 g, 84% yield, of Boc-Arg (Tos) -thiazole, as a white powder. DC1-MS (M + H) + = 496.
EXAMPLE 3 PREPARATION OF B? C- (D) -Arg (CbZ2) OSu
To a solution of 1 g, 1.8 mmole, of Boc- (D) -Arg (CbZ2) 0H in 10 ml of CH2CI2, 466 mg, 4.06 mmole of HOSu, 1 ml of DIEA and 846 mg, 4.4 mmoles were added. EDC. The solution was stirred for 48 hours. The solvent was evaporated and the residue was dissolved in 50 ml of EtOAc and 10 ml of water. The organic layer was washed with 10 ml of NaHC03 cured, 10 ml of water, 10 ml of 1 M HCl and 3 x 10 ml of saturated NaCl. The organic layer was dried over magnesium sulfate, filtered and evaporated. The oily residue was used directly in Example 4 without further purification, or was purified by flash column chromatography on silica gel (50% EtOAc in hexane) to give 1 g, 85% yield of Boc- (D) -Arg (CbZ2) 0Su.
EXAMPLE 4 PREPARATION OF B? C- (D ') - r 3 (CbZ2) -Glv-OH
To a solution of 1 g, 1.6 mmol, of Boc- (D) -Arg (CbZ2) 0Su in 10 ml of dioxane, was added a solution of 300 mg, 4 mmolee, of Gly and 400 mg, 4.76 mmole, of NaHCO 3 in 10 ml of water. The solution was stirred for 24 hours. The solvents were evaporated and the residue was dissolved in a mixture of 20 ml of EtOAc and 6 ml of 1 N HCl. The separated organic layer was washed with 10 ml of saturated NaCl, dried over MgSO-4, filtered and evaporated to give a solid residue, which was used directly without further purification. ES-MS (M + H) + = 600.
EXAMPLE 5 PREPARATION OF H-Arg (T? S) -TIAZOL
To a solution of 300 mg, 0.6 mmole, of Boc-Arg (Toe) -thiazole in 10 ml of CH2Cl2 at 0 ° C, ee added 10 ml of
TFA The solution was stirred at O'C for 2 hours. The solvent and excess TFA were evaporated to an oily residue, which was used directly without further purification in Example 6.
EXAMPLE 6 PREPARATION OF Boc- (D) -Arg (CbZ2) -Gly-A rg (Cough) -TIAZOL
To a solution of 300 mg, 0.6 mmol, of Boc- Arg (Tos) -thiazole in 10 ml of CH 2 Cl 2 at 0 ° C, 10 ml of TFA was added. The solution was stirred at O'C for 2 hours. The solvent and excess TFA were evaporated to an oily residue, which was redissolved in 10 ml of CH2Cl2. The solution was cooled to O'C, treated with 2 ml of DIEA, 400 mg, 0.67 mmoles,
Boc- (D) -Arg (CbZ2) -Gly and 350 mg, 0.79 mmoles, of BOP. The solution was stirred at O'C for 2 hours. The solvent was evaporated and the residue was dissolved in 50 ml of EtOAc. The organic solution was washed with 10 ml of saturated NaHC 3, with 10 ml of water, with 10 ml of 1 N HCl and 10 ml of saturated NaCl. The organic layer was dried over magnesium sulfate, filtered and evaporated. The oily residue was pored by rapid column over SiO 2 (EtOAc) for 474 mg, 81% yield of Boc- (D) -Arg (CbZ 2) -Gly-A rg (Toe) - thiazole, like a powder. ES-MS (M + H) + = 977.
EXAMPLE 7 PREPARATION OF H- (D) -Arg-GlV-Arg-TIAZOL
A 100-mg portion of Boc- (D) -Arg (CbZ2) -Gly-Arg (Toe) -thiazole, 1 ml of anieol and 4 drops of MeSEt was placed in a HF separating vessel, and cooled under N2. liquid. 10 ml of HF was then condemned in the reaction mixture and stirred at O'C for 1.25 hours. The HF was removed under vacuum to give a gum-like residue, which was titrated with 20 ml of 50% Et2? -hexane and the organic wash was removed by filtration. The gummy residue was dissolved in 30 ml of 30% aqueous HOAc and filtered through the anterior cone funnel. The filtrate was lyophilized to a powder which was purified by RP-HPLC to give 28 mg (60% yield) of (D) -Arg-Gly-Arg-thiazole. FAB-MS (M + H) + = 455.2.
EXAMPLE 8 PREPARATION OF B? C- (D) -Arq (T? S) -Glv-OBn
To a suspension of 1 g, 2.34 mmol, of Boc- (D) -Arg (Toe) -0H in 10 ml of CH2Cl2, 1 ml of DIEA was added to O'C.
To the clear solution was added 0.52 g, 2.50 mmoles, of Gly-OBn-HCl and 1.2 g, 2.8 mmolee, of BOP. The solution was stirred for 4 hours at O'C. The solvent was evaporated and the residue was dissolved in a mixture of 100 ml of EtOAc and 20 ml of water. The organic layer was washed with 10 ml of saturated NaHCO 3, 10 ml of water, 10 ml of 1 N HCl and 3 x 10 ml of saturated NaCl. It was dried over MgSO *, filtered and evaporated. The solid residue was purified by column chromatography on silica gel
(EtOAc) to give 1.12 g of the title compound, as a powder. ES-MS (M + H) + = 576.3.
EXAMPLE 9 PREPARATION OF H- D) -ArgCTos) -Glv-OBn
A 1 g portion, 1.74 mmol, of Boc- (D) -Arg (Tos) -Gly-OBn was dissolved in 10 mL of CH2Cl2, cooled to O'C, and treated with 10 mL of TFA. The solution was stirred at O'C for 3 hours. The solvent and excess TFA were evaporated to give the title compound as an oil that was used directly in Example 10.
EXAMPLE 10 PREPARATION OF BnS02- (D) -Arg (Tos) -Glv-0Bn
The oily residue of the compound of Example 9 was dissolved in 5 ml of DMF, cooled to O'C and neutralized with 1 ml of TEA. To the solution was added 397 mg, 2.0 mmol, of BnSO? Cl and the solution was stirred at O'C for 3 hours and at 25'C for 3 hours. The DMF was removed and the residue was dissolved in 100 ml EtOAc and 20 ml water. The organic layer was separated, washed with 10 ml of saturated NaHC 3, 10 ml of water, 10 ml of 1 N HCl and 3 x 10 ml of saturated NaCl, dried over MgSO 4, filtered and evaporated. The solid residue was purified by column chromatography on silica gel (EtOAc) to give 328 mg, yield 30%, of the title compound, as a powder. ES-MS (M + H) + 630.5.
EXAMPLE 11 PREPARATION OF BnSIa - (D) -ArqfTos) -Glv-OH
300 mg, 0.47 mmolee, of the compound of Example 10 was dissolved in 10 ml of MeOH and then 50 mg of 10% Pd / C was added. The reaction was hydrogenated under normal preionion overnight, filtered through Celite, rinsed with 3 x 10 ml of MeOH and concentrated in vacuo to give 242 mg, 84%, of the desired compound, which was left in further purification. . ES-MS (M + H) + 540.0
EXAMPLE 12 PREPARATION OF BnSOs - (D) -ArgCTos) -Gly-ArgCTos) -TIAZQL
A 100 mg portion of the compound of Example 11 was coupled with 0.19 mmole of H-Arg (Toe) -thiazole (prepared following the procedure of Example 5), as prescribed in the procedure of Example 6. Purification by RP- HPLC gave 110 mg, 63% yield, of the title compound. FAB-MS (M + H) + 917.8.
EXAMPLE 13 PREPARATION OF BnSOa-fD) - rq-Glv-Arq-TI ZOL
The compound of Example 13 was partitioned with HF according to the procedure described in Example 7, purified by reverse phase HPLC to give 35 mg of the title compound (47% yield) as a powder. ES- MS (M + H) + = 609.6.
EXAMPLE 14
Evasion of the compounds of this invention is guided by in vitro protease activity analyzes
(see below) and in vivo studies to evaluate the antithrombotic efficacy and the effects on haemostasis and haematological parameters (see example 15, below).
The compounds of the present invention are dissolved in a regulator to give solutions containing concentrations such that the analytical concentrations vary from 0 haeta 100 μmolee. In the analysis for thrombin, prothrombinase and factor Xa, ee adds a chromogenic eynthetic substratum to a solution containing the test compound and the enzyme of interest, and determines the reeidual catalytic activity of that enzyme, spectrophotometrically. The CIso of a compote is determined from the change of subetrato. The CI is the concentration of the test compound that gives 50% inhibition of substrate change. The components of the present invention, conveniently, have a magnitude less than 500 nanometers in factor Xa analysis, preferably less than 200 nanometers, and, better still, the components have an approximate ratio of 100 nanometers or less in the analysis of the factor Xa. The compounds of the present invention conveniently have a CI of less than 4.0 μmoles in the prothrombinase analysis, preferably less than 200 nM and, the most preferred components, have an IC50 of about 10 nanomolar or less in the prothrombinase analysis. Conveniently, the compositions of the present invention have a CI of more than 100.0 μmole in the thrombin analysis, preferably more than 10.0 μmole, and the most preferred compounds have a CIso of more than 100.0 μmol in the thrombin analysis.
AMIDOLITICAL ANALYSIS TO DETERMINE PROTEASE INHIBITION ACTIVITY
Analysis of factor Xa and thrombin was carried out at room temperature in 0.02 mole of regulator Trie-HCl, pH 7.5, which contained 0.15 mole of NaCl. The rates of hydrolysis of the para-nitroanilide S-2765 eubover (Chromogenix) for factor Xa and the substrate Chromozym TH (Boehringer Mannheim) for thrombin, after preincubation of the enzyme with the inhibitor, after 5 minutes at the Ambient temperature was determined using a 96-well plate reader Softmax (Molecular Devices) monitored at 405 nm to measure the appearance of p-nitroaniline depending on time. The inhibition of prothrombinase analysis was carried out in a free platelet system, with modifications to the method described by Sinha, U. and coautoree, Tromb. Res., 75. 427-436 (1994). Specifically, the activity of the prothrombinase complex was determined by measuring the time course of thrombin generation, using the p-nitroanilide substrate Chromozym TH. The analysis consists in the preincubation (during 5 minutes) of the selected compounds that are going to be tested as inhibitors with the complex formed from factor Xa (0.5 nanomoles), factor Va (2 nanomoles), phosphatidyl serine: phosphatidyl choline ( 25:75, 20 μmolee) in 20 mmolee of regulator Trie-HCl, pH 7.5, which contained 0.15 moles of NaCl, 5 mmoles of CaCl 2 and 0.1% of bovine serum albumin. Aliquots of the complex-inhibitor mixture were added to 1 nanomol of prothrombin and 0.1 mmol of Chromozym TH. The cleavage velocity of the substrate at 405 nm was monitored for two minutes. Eight different inhibitor concentrations were analyzed, in duplicate. A normal thrombin generation curve was used, by an equivalent amount of untreated complex, for the determination of percent inhibition.
EXAMPLE 15
A series of studies were conducted in rabbits to evaluate the antithrombotic efficacy and the effects on haemostaeia and hematological parameters of the compound (D) -A rg-Gly-Arg-thiazole.
ANTITHROMBOTIC EFFICACY IN A VENOUS THROMBOSIS MODEL IN
RABBIT
The model of deep vein thromboeia in rabbit was used, which was described by Hollenbach, S. and coauthors, Thro bv, Haemost. 71, 357-362 (1994), to determine the antithrombotic activity in vivo of the test compounds. Rabbits were anesthetized with intramuscular injections of mixtures of Ketamine, Xylazine and Acepromazine. A standard protocol consisted in the inertia of a thrombogenic cotton thread and a copper wire apparatus in the abdominal vena cava of the affected rabbit. A non-occluding thrombus was allowed to develop in the central venous circulation, and the inhibition of thrombus growth was used as a measure of the antithrombotic activity of the compounds studied. Control or saline control agents were administered through a catheter in the marginal atrial vein. A femoral vein catheter was used to sample the blood before and during the infusion of the test compound in the sustained form. The onset of thrombus formation begins immediately after the advancement of the cotton strand apparatus into the central venous circulation. The test patterns were administered from the moment = 30 minutes and the moment = 150 minutes, when the experiment was terminated. The euthanasia was performed on the rabbits and the thrombus was extirpated by surgical dissection and characterized by weight and histology. Blood samples were analyzed for changes in atheological and coagulation parameters.
EFFECTS OF CD) -Arg-Glv-Arg-TIAZQL IN THE MODEL OF VENOUS THROMBOSIS IN CONEJO
The administration of (D) -Arg-Gly-Arg-thiazole in the model of venous thrombosis in rabbits demonstrated the antithrombotic efficacy at the highest dose evaluated. There was no significant effect of the composite on the prolongation of aPTT and PT with the maximum doeis (100 μg / kg + 2.57 μg / kg / min) (see table 2). (D) -Arg-Gly-Arg-thiazole had no effect on the haematological parameters, compared to saline controls (see Table 3).
TABLE 2 ANTITROMBOTIC EFFECTS OF (D) -A g-Gly-Arq-TI ZOL IN RABBITS
Baseline% of inhiVecee that ee i ridel regimen bición of c rementa with res of dosie thromboeie pecto a (μg / kg + μg / kg / min) ntt aPTT PT
control saline 0.0 0.96 ± 0.01 l.OO ±
0. 00 50 + 1.28 -7.84 1.00 ± 0.03 l.OO ±
0. 00 75 + 1.93 42.95 1.02 ± 0.03 1. OO ±
0. 00 100 + 2.57 117.72 1.08 ± 0.02 0.83 ±
0. 00 All measurements are an average of all samples after administration to sustained vehicle state or (D) -Arg-Gly-Arg-thiazole. The values are expressed as the mean ± DN (standard deviation).
TABLE 3 EFFECTS OF (D) -Arg-GlV-Arg-TIAZOL ON HEMATOLOGICAL PARAMETERS
Dosie RBC WBC PLT Het scheme
(μg / kg + x 106 μl x IOS μl x 103 μl% μg / kg / min) n #
salt of 7 5.96 + 0.66 3.38 + 0.83 338 ± 77 35.2 + 2.81 control 50 + 1.28 6 5.66 ± 0.25 3.70 ± 0.50 349 ± 75 36.913.90
75 + 1.93 5 5.7410.42 4.2310.99 413164 35.313.01
100 + 2.57 6 6.0810.42 4.1519.52 439161 35.511.01
All measurements are an average of the samples after administration to the vehicle or (D) -Arg-Gly-Arg-thiazole. The values are the average l DN.
Claims (4)
1. - A compound, which is rotated because it is represented by the formula: where: m = 0, 1, 2, 3, 4, n = 0, 1, 2, 3, 4, p = 0, 1, 2, 3, 4; q = 0, 1, 2, 3, 4; Y = NH, S, 0, CH2, CH-OH, CH2CH2, C = 0; A = piperidinyl, pyrrolidinyl, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, phenyl, heteroaryl of 3 to 6 carbon atoms, or is absent; Ri = H or alkyl of 1 to 3 carbon atoms; J r o o H2; R2 = H or alkyl of 1 to 3 carbon atoms; D = N, CH, NCH2, NCH2CH2, CHCH2; R3 = H or alkyl of 1 to 3 carbon atoms; E: 0 or H2; R4: H or CH3; M = NH, N-CH3, 0, S, SO, SO2 or CH2 or absent eetá; Q = piperidinyl, pyrrolidinyl, cycloalkyl of 3 to 8 carbon atoms, phenyl, substituted phenyl, naphthyl, pyridyl, or ethereal; G = N, CH or H; Rs = H or alkyl of 1 to 3 carbon atoms, or absent if G ee H; Re-H or CH3; U = is selected from the group that connects where N = 0-4; R7 and Re are independently selected from a group that connects H, alkyl of 10 carbon atoms, aryl, arylalkyl, halogen, nitro, an amino group of the formula -NR9R10, an acylamino group of the formula -NHCORn, hydroxy, an acyloxy group of the formula -OCOR 2, alkyloxy of 1 to 4 carbon atoms, alkyl of 1 to 4 carbon atom, trifluoromethyl, carboxy, cyano, phenyl, an aromatic heterocyclic group as defined hereinafter; C 1-4 alkyloxycarbonyl, an aminocarbonyl group of the formula CONR13R1-V, sulfo, eulphonamido of the formula SO? NRisRiß and hydroxyalkyl of 1 to 6 carbon atoms; wherein R9, Rio, R11, R12, R13, R14, Ris, Rie are the same or different and are equal to H, alkyl of 1 to 6 carbon atoms, arylalkyl of 1 to 3 carbon atoms or aryl; and if M is absent: K = C or N; W = H, arylacil, heteroacylacyl, arylalkyl of C 1-3 -sulfonyl, arylsulfonyl, substituted arylsulfonyl, aryl-alkenyl of C? -, -sulfonyl, Ci-β-sulphonyl alkyl, heteroaryl-C 1-3 alkyl- sulfonyl, heteroarylenesulfonyl, aryloxycarbonyl, C 1-6 alkyloxycarbonyl, arylalkyloxy of C? -3-carbonyl, arylaminocarbonyl, C 1-6 alkyl-aminocarbonyl, arylalkyl of C 1-3 -aminocarbonyl, HOOC-alkyl of Co-3-carbonyl , or absent if G ee H; X = H, alkyl of 1 to 3 carbon atoms, NR'R ", NHC (NR'R") = NH, NH-C (NHR ') = NR ", NH-C (R') = NR", SC (NR 'R ") = NH, SC (NHR') = NR", C (NR'R ") = NH, C (NHR ') = NR" or CR' = NR "; where R ', R "is equal or different and is H, alkyl of 1 to 6 carbon atoms, arylakyl of 1 to 3 carbon atoms, aryl or wherein R'R" forms a cyclic ring containing (CH2) P, where p = 2-5, provided that when X is H or alkyl of 1 to 3 carbon atoms, A must contain at least one N atom; Z = H, alkyl of 1 to 3 carbon atoms, NR'R ", NHC (NR'R") = NH, NH-C (NHR ') = NR ", NH-C (R') = NR"; SC (NR'R ") = NH, SC (NHR ') = NR ", C (NR'R") = NH, C (NHR ') = NR "or CR' = NR"; wherein R ', R "are the same or different and are H, alkyl of 1 to 6 carbon atoms, arylalkyl of 1 to 3 carbon atoms, aryl, or where R'R" forms a cyclic ring containing (CH2) ) P, where p = 2-5, provided that, when Z is H or alkyl of 1 to 3 carbon atoms, Q must contain at least one N atom; and all of its isomers, its salts, its hydrate, its solvates and its pharmaceutically acceptable prodrug derivatives.
2. The compound according to claim 1, characterized in that it has the formula: where: m = 0, 1, 2, 3, 4; n = 0, 1, 2, 3, 4; p = 0, 1, 2, 3, 4; q = 0, 1, 2, 3, 4; Y = NH, S, 0, CH2, CH-OH, CH2CH2, C = 0; TO = piperidinyl, pyrrolidinyl, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, phenyl, heteroaryl of 3 to 6 carbon atoms, or absent; M = NH, N-CH3, 0, S, SO, SO2 or CH2 or is auent; Q = piperidinyl, pyrrolidinyl, cycloalkyl of 3 to 8 carbon atoms, phenyl, substituted phenyl, naphthyl, pyridyl, or is absent; U = ee selects from the group that connects where N = 0-4; R? and Re eected independently of a H-linked group, alkyl of 10 carbon atoms, aryl, arylalkyl, halogen, nitro, an amino group of the formula -NR 9 R 10, an acylamino group of the formula -NHCORn, hydroxy, a acyloxy group of the formula -OCOR12, alkyloxy of the 4 carbon atoms, alkyl of 1 to 4 carbon atom, trifluoromethyl, carboxy, cyano, phenyl, an aromatic heterocyclic group, as defined below, C1-4 alkyloxy -carbonyl, an aminocarbonyl group of the formula CONR13R14, sulfo, sulfonamido of the formula SO2NR15R16 and hydroxyalkyl of 1 to 6 carbon atoms; wherein R9, Rio, R11, R12, R13, IA, Rie, R6 are the same or different and are H, alkyl of 1 to 6 carbon atoms, arylalkyl of 1 to 3 carbon atoms or aryl; and if M is absent: K *? K - C or N; W-H, arylacil, heteroarylacyl, C3-sulphonyl arylalkyl, arylsulfonyl, arylsulfonyl, substituted, aryl-alkenyl, C- * -sulfonyl, alkyl-Ca-8-sulfonyl, heteroaryl-C1-3-alkylsulphonyl, heteroarylsulfonyl , aryloxycarbonyl, Ci-β-carbonyl alkyloxy, C 1 -3-carbonyl arylalkyloxy, arylaminocarbonyl, C 1-6 alkyl-aminocarbonyl, C 1-3 arylalkyl-aminocarbonyl, HOOC-Co-3-carbonyl alkyl, or is present in the G ee H; X = H, alkyl of 1 to 3 carbon atoms, NR'R ", NHC (NR'R") = NH, NH-C (NHR ') = NR ", NH-C (R') = NR", SC (NR 'R ") = NH, SC (NHR') = NR", C (NR'R ") = NH, C (NHR ') = NR" or CR' = NR "; where R ', R "Eon equal or different and H, alkyl of 1 to 6 carbon atoms, arylalkyl of 1 to 3 carbon atoms, aryl, or wherein R'R" forms a cyclic ring containing (CH2) P, wherein = 2-5, provided that, when X is H or alkyl of 1 to 3 carbon atoms, then A must contain at least one N atom; Z = H, alkyl of 1 to 3 carbon atoms, NR 'R', NH-C (NR'R ") = NH, NH-C (NHR ') = NR", NH-C (R') = NR "; SC (NR 'R") = NH, SC ( NHR ') = NR ", C (NR'R") = NH, C (NHR') = NR "or CR '= NR"; wherein R ', R "are equal or different and are H, alkyl of 1 to 6 carbon atoms, arylakyl of 1 to 3 carbon atoms, aryl, or where R'R" forms a cyclic ring containing (CH2) ) P, where p = 2-5, provided that, when Z is H or alkyl of 1 to 3 carbon atoms, then 0 must contain at least one N atom; and everything was eroded, its salts, its hydrates, its solvate and its prodrug, pharmaceutically acceptable derivatives.
3. The compound in accordance with the claim 1, further characterized in that it has an IC50 for menoe factor Xa of about 200 nM.
4. The compound according to claim 1, characterized in that it has a Clso for the menoe protro binaea of about 2.0 μM. 5.- The compoteto in accordance with the claim 1, characterized in that it has a Clus for thrombin of more than about 1.0 μM. 6. A compound characterized in that it is selected from a group that connects: HDA rg-Gly-A rg-thiazole BnS? 2- (D) -A rg-Gly-A rg-thiazole PhCH2CH2-S? 2- (D ) -A-Rg-Gly-A rg-thiazole C6HnCH2CH2-S02- (D) -A rg-Gly-A rg-thiazole Me2C-Cß HA S? 2- (D) -A rg-Gly-A rg-thiazole Ci or H7S02- (D) -A rg-Gly-A rg-thiazole Mß3SiCH2CH2CH2S02- (D) -A rg-Gly-A rg-thiazole BnS02 - (D) -4-Apa -Gly-A rg-thiazole BnS? 2 - (D) -4-Gpa-Gly-Arg-thiazole BnS? 2- (D) -Acg-Gly-A rg-thiazole BnS02 - () - homo -Lys-Gl and -A rg-thiazole BnS02 - (D ) -Arg-Sar-A rg-thiazole BnS02 - (D) -Arg-Pro-A rg-thiazole BnS02- (D) -Arg-Gly-4-Acg-thiazole BnS? 2- (D) -Arg-Gly - (3-NH2Phe) -thiazole BnS02- (D) -Arg-Gly- (4-NH2Phe) -thiazole BnS02 - (D) -Arg-Gly-Gpa-thiazole Boc-D- (2,3-Dap) -Gly-A rg-thiazole Boc D- (2,4-Dab) -Gly-A rg-thiazole g-Abu-Gly-Arg-thiazole Boc-D-Orn-Gly-A rg-thiazole Boc-D-homoLys-Gly-A rg-thiazole Boc -Bag-Gly-A rg-thiazole Boc-D-4 -Gpa -Gly -A rg-thiazole Boc-D-3-Gpa-Gly-Arg-thiazole Boc-D-4 -Apa -Gly-A rg-thiazole Boc-D-3-Apa-Gly-A rg-thiazole Boc-D-4-Acg-Gly-A rg-thiazole Boc-D- (4-NH2Phe) -Gly-A rg-thiazole Boc-D- (3 -NH2 Phe) -Gly-A rg-thiazole BnS? 2-D- (2,3-Dap) -Gly-A rg-thiazole BnS02-D- (2, 4-Dab) -Gly-A rg-thiazole BnS02-D-0rn-Gly-A rg-thiazole BnS? 2-Bag-Gly-A rg-thiazole BnS02-D-3-Gpa-Gly-A rg-thiazole BnS02-D- (4-NH2Phe) -Gly-A rg-thiazole BnS02-D- (3-NH2 Phe) -Gly-rg-thiazole BnS02 -D- (2, 3 -Dap) -Gly-rg-benzothiazole BnS02 -D- (2,4-Dab) -Gly -A rg-benzothiazole BnS02 -D-Orn-Glyrg-benzothiazole BnS02 -Bag-Gly-Arg-benzothiazole BnSO? -D-4-Gpa -Gly-rg-benzothiazole BnS02 -D-3 -Gpa -Gly-rg-benzothiazole BnS02 -D-4 -Apa-Gl and -A rg-benzothiazole BnSO? -D-3-Apa -Gly-A rg-benzothiazole BnS02-D-4-Acg-Gly-Arg-benzothiazole BnS02 -D- (4-NH2 Phe) -Gly-rg-benzothiazole BnS02-D- (3-NH2Phe ) -Gly-Arg-benzothiazole BnSO? -D-A rg-Gly- (2, 4 -Dab) -benzothiazole BnSO? -D-Arg-Gly- (homoLys) -benzothiazole BnS? 2 -D-Arg-Gly- (4-Gpa) -benzothiazole BnS? 2 -D-A rg-Gly- (3-Gpa) -benzothiazole BnSO? -D-A rg-Gly- (4-Apa) -benzothiazole BnSO? -DA rg-Gly- (3-Apa) -benzothiazole BnS? 2 -DA rg-Gly- (4-NH2 Phe) -benzothiazole BnS02-D-Arg-Gly- (3-NH2Phe) -benzothiazole Mß3 S1CH2 CH2 CH2 SO2 - (D) -A rg-Gly-A g-benzothiazole BnS? 2- (D) -homo-Lys-Gly-A rg-benzothiazole BnS? 2- (D) -homo-Lys-Gly-A rg-benzoxazole PhCH2CH2S? 2- (D) -A rg-Gly-A rg-benzothiazole BnS? 2- (D) -Arg-Sar-Arg-benzothiazole BnS02- (D) -A rg-Pro -A rg-benzothiazole BnS0 - ( D) -Arg-Gly-Acg-benzothiazole BnS02- (D) -A rg-Gly-A rg-benzothiazole PhCH2CH2S02- (D) -Arg-Gly-4-Acg-benzothiazole BnS02- (D) -A rg-Gly-A rg-oxazole Boc-D- (2,3-Dap) -Gly-Arg-oxazole Boc-D- (2, 4-Dab) -Gly-A rg-oxazole g-Abu-Gly-A rg-oxazole Boc-D-Orn-Gl and -A rg-oxazole Boc-D-homoLye-Gly-A rg-oxazole Boc-Bag-Gly-A rg-oxazole Boc-D-4 -Gpa-Gl and -A rg-oxazole Boc-D-3-Gpa-Gly-A rg-oxazole Boc-D-4-Apa-Gly-A rg-oxazole Boc-D-3-Apa-Gly-A rg -oxazole Boc-D-4-Acg-Gly-Arg-oxazole Boc-D- (4-NH2 Phe) -Gly-A rg-oxazole Boc-D- (3-NH2 Phe) -Gly-A rg-oxazole BnS02 -D- (2, 3-Dap) -Gly-A rg-oxazole BnS02-D- (2, 4-Dab) -Gly-A rg-oxazole BnS02-D-0rn-Gly-A rg-oxazole BnS? 2 -Bag-Gly-A rg-oxazole BnS? 2 -D-3-Gpa-Gly-A rg-oxazole BnS? 2 -D-3-Apa-Gly-A rg-oxazole BnS02-D- (4-NH2 Phe ) -Gly-A rg-oxazole BnS02-D- (3-NH2Phe) -Gly-Arg-oxazole BnS02-D- (2,3-Dap) -Gly-A rg-oxazole BnS? 2-D- (2, 4-Dab) -Gly-rg-oxazole BnS? 2 -D-Orn-Gly-A rg-oxazole BnS02 -Bag-Gly-rg-oxazole BnS? 2 -D-4-Gpa-Glyrg-oxazole BnS? 2-D-3-Gpa-Gly-Arg-oxazole BnS02-D-4-Apa-Gly-A rg-oxazole BnS? 2-D-3-Apa-Gly-Arg-oxazole BnS? 2 -D-4- Acg-Glyrg-oxazole BnS? 2 -D- (4-NH2Phe) -Gly-Arg-oxa zol BnS02-D- (3-NH2 Phe) -Gly-A rg-oxazole BnSO? D-A rg-Gly- (2, 4-Dab) -oxazole BnSO? DA rg-Gly- (homoLye) -oxazole BnS02 DA rg-Gly- (4-Gpa) -oxazole BnS? 2 DA rg-Gly- (3-Gpa) -oxazole BnS02D-Arg-Gly- (4-Apa) - oxazole BnSO? DA rg-Gly- (3-Apa) -oxazole BnS02 DA rg-Gly- (4-NH2 Phe) -oxazole BnS? 2 DA rg-Gly- (3-NH2 Phe) -oxazole BnS? 2-D- (2 , 3-Dap) -Gly-A rg-benzoxazole BnS? 2 -D- (2, 4-Dab) -Gly-A rg-benzoxazole BnS02 -D-Orn-Gly-A rg-benzoxazole BnSO? -Bag-Gly-A rg-benzoxazole BnS? 2 -D-4-Gpa-Gly-A rg-benzoxazole BnS? 2 -D-3-Gpa-Gly-A rg-benzoxazole BnS02 -D-4 -Apa-Gly -A rg-benzoxazole BnS02 -D-3-Apa-Gly-A rg-benzoxazole BnS02 -D-4-Acg-Gly-A rg-benzoxazole BnS02-D- (4-NH2 Phe) -Gly-A rg-benzoxazole BnS02-D- ( 3-NH2 Phe) -Gly-A rg-benzoxazole BnSO? DA rg-Gly- (2, 4-Dab) -benzoxazole BnS02 DA rg-Gly- (homoLye) -benzoxazole BnS02 -A rg-Gly- (4 -Gpa) -benzoxazole BnS02 DA rg-Gly - (3-Gpa) -benzoxazole BnS02 -A rg-Gly- (4 -Apa) -benzoxazole BnS02 -A rg-Gly- (3-Apa) -benzoxazole BnS02 DA rg-Gly- (4-NH2Phe) -benzoxazole BnSO? DA rg-Gly- (3-NH2Phe) -benzoxazole Mß3SiCH2CH2CH2S? 2- (D) -A rg-Gly-A rg-Benzoxazole BnS02-D-homo-Lye-Gly-A rg-benzoxazole PhCH2CH2S? 2 - (D ) -A-Rg-Gly-A rg-Benzoxazole BnS02 - (D) -A rg -Sa rA-benzoxazole BnS? 2- (D) -Arg-Gly-Acg-benzoxazole BnS02- (D) -A rg-Gly -A rg-benzoxazole PhCH2CH2S? 2- (D) -Arg-Gly-4-Acg-Benzoxazole BnS02- (D) -A rg-Gly-A rg-benzoxazole BnS02- (D) -Arg-Gly-Acg-benzoxazole PhCH2CH2S? 2- (D) -A rg-Gly-4 -A rg-benzoxazole PhCH2CH2S? 2- (D) -Arg-Gly-4-Acg-benzoxazole ß3SiCH2CH2CH2S02- (D -Arg-Gly-A rg-benzoxazole BnSO? - (D) -A rg-Gly-A rg-oxazole i na Boc-D- (2,3-Dap) -Gly-A rg-oxazole i na Boc-D- (2, 4-Dab) - Gly-A rg-oxazoline g-Abu-Glyrg-oxazole i na Boc -DO rn -Gly- rg-oxazole i na Boc-D-homoLye -Gly- rg-oxazole i na Boc -Bag-Gly-A rg -oxazol i na Boc-D-4-Gpa-Gly-A rg-oxazoline Boc-D-3-Gpa-Gly-A rg-oxazole i na Boc-D-4-Apa-Gly-A rg-oxazol i na Boc-D-3-Apa-Gly -A rg-oxazole i na Boc-D-4-Acg-Gly-A rg-oxazole i na Boc -D- (4 -NH2 Phe) -Gly -A rg-oxazole na Boc-D- (3-NH2 Phe) -Gly-A rg-oxazole i na BnSO? -D- (2, 3-Dap) -Gly-A rg-oxazoline BnSO? -D- (2, 4-Dab) -Gly-A rg-oxazole i na BnSO? -D-O rn-Gly-A rg-oxazol i na BnSO? -Bag-Gly-A rg-oxazoline BnS02 -D-3-Gpa-Gly-A rg-oxazoline BnS02 -D-3-Apa-Gly-A rg-oxazoline BnS02 -D- (4-NH2 Phe) -Gly- Arg-oxazoline BnS? 2 -D- (3-NH2 Phe) -Gly-A rg-oxazoline BnS? 2 -D- (2,3-Dap) -Gly-A rg-oxazole BnS02-D- (2, 4-Dab) -Gly-A rg-oxazole i na BnS02 -D-0rn-Gly-A rg-oxazoline BnS? 2 -Bag-Gly-A rg-oxazole i na BnS? 2 - D-4-Gpa-Gly-A rg-oxazoline BnS? 2 -D-3-Gpa-Gly-A rg-oxazole BnS? 2 -D-4-Apa-Gly-A rg-oxazole ina BnS02-D-3-Apa-Gly-A rg-oxazoline BnS02 -D-4-Acg-Gly-A rg-oxazoline BnS02-D- ( 4-NH2Phe) -Gly-A rg-oxazoline BnS02-D- (3-NH2 Phe) -Gly-A rg-oxazole ina BnSO? DA rg-Gly- (2, 4-Dab) -oxazol i na BnS02 DA rg-Gly- (homoLye) -oxazol i na BnS02 DA rg-Gly- (4 -Gpa) -oxazol i na BnS02 DA rg-Gly- (3-Gpa) -oxazol i na BnS? 2D-Arg-Gly- (4-Apa) -oxazoline BnS? 2 DA rg-Gly- (3-Apa) -oxazole i na BnS? 2 DA rg-Gly- (4-NH2 Phe) -oxazol i na BnSO? D-A rg-Gly- (3-NH 2 Phe) -oxazol i na BnS02 ~ (D) -A rg-Gly-Arg -i midazole BnSO? - (D) -A rg-Gly-A rg-pyridine BnS02- (D) -Arg-Gly-Arg-2- (l-methyltetrazole) BnS02- (D) -A rg-Gly-A rg-2- ( 4-methyl tet razol) MeS02- (D) -Arg-Gly-A rg-thiazole BnS02- (D) - (4-H2NCH2-Phe) -Gly-A rg-thiazole BnS02- (D) - (4-H2NCH2 -Phg) -Gly-A rg-thiazole BnS02- (D) - (3-Py-Ala)) - Gly-Arg-thiazole BnS02- (D) - (3-Me-3-Py-Ala) -Gly- A rg-thiazole BnS02- (D) - (3-Pip-Ala)) -Gly-A rg-thiazole BnS02- (D) - (4-Pip-Ala)) - Gly-A rg-thiazole BnS? 2 - (D) - (3-amidino-3-Pip-Ala)) -Gly-A rg-thiazole. 7. The compound in accordance with the claim 6, further characterized because it is selected from the group that connects: HDA rg-Gly-A rg-thiazole BnS02 - (D) - rg-Gly-A rg-thiazole MeS02- (D) -A rg-Gly-A rg- thiazole BnS02 - (D) -Arg-Gly-Arg-benzoxazole BnS? 2- (D) - (3-Pip-Ala) -Gly-A rg-thiazole BnS02- (D) - (4-Pip-Ala) - Gly-A rg-thiazole BnS02- (D) - (3-amidino-3-Pip-Ala) -Gly-A rg-thiazole. 8. A pharmaceutical composition for preventing or treating a condition in a mammal, which is characterized by undesirable thromboeia, characterized in said composition because it comprises a pharmaceutically acceptable carrier and a therapeutically effective amount of a compound of claim 1, 2 or 6. A method for preventing or treating a condition in a mammal that is characterized by undesirable thrombosis, characterized in that said method comprises comprising administering to the mammal a therapeutically effective amount of a compound of claim 1, 2 or 6. 10. The method of compliance with the claim 9, further characterized in that the condition is selected from the group consisting of: acute coronary syndrome, myocardial infarction, unstable angina, refractory angina, coronary occlusion thrombus occurring after post-tropositic therapy or post-coronary angioplasty; a thrombotic-mediated cerebrovascular syndrome, embolic attack, thrombotic attack, transient ischemic attack, venous thrombosis, deep vein thrombosis, pulmonary embolus, coagulopathy, disseminated intravaecular coagulation, thrombotic purple thrombocytopenia, thromboangilitis obliterans, thrombotic diseases with heparin-induced thrombocytopenia, thrombotic complications associated with extracorporeal circulation, thrombotic complications associated with inetrumentation, such as cardiac catheterization or other intravascular catheterization, intra-aortic balloon pump, coronary implant or cardiac valve, and conditions that require the fitting of prosthetic devices. 11. A method for inhibiting the coagulation of biological mueetrae, characterized in that it comprises the administration of a compound of claim 1, 2 or 6.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US08486010 | 1995-06-07 | ||
| US08/486,010 US6069130A (en) | 1995-06-07 | 1995-06-07 | Ketoheterocyclic inhibitors of factor Xa |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| MX9709908A MX9709908A (en) | 1998-07-31 |
| MXPA97009908A true MXPA97009908A (en) | 1998-11-09 |
Family
ID=
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US6197748B1 (en) | Ketoheterocyclic inhibitors of factor Xa | |
| US5721214A (en) | Inhibitors of factor Xa | |
| AU743735B2 (en) | Selective factor Xa inhibitors | |
| CA2300478A1 (en) | Selective factor xa inhibitors | |
| JP2001515842A (en) | Selective factor Xa inhibitor | |
| US6262047B1 (en) | Selective factor Xa inhibitors | |
| US5919765A (en) | Inhibitors of factor XA | |
| US6022861A (en) | Ketoheterocyclic inhibitors of factor Xa | |
| EP0994893B1 (en) | Selective factor xa inhibitors containing a fused azepinone structure | |
| US6245743B1 (en) | Inhibitors of factor Xa | |
| AU741099B2 (en) | Selective factor Xa inhibitors | |
| US6211154B1 (en) | Ketoheterocyclic inhibitors of factor Xa | |
| US6333321B1 (en) | Selective factor Xa inhibitors | |
| US6369080B2 (en) | Selective factor Xa inhibitors | |
| MXPA97009908A (en) | Cetoheterociclic compounds, use of the same and compositions that contain them | |
| WO1998016524A1 (en) | HETEROCYCLIC DERIVATIVES AS FACTOR Xa INHIBITORS | |
| US6218382B1 (en) | Selective factor Xa inhibitors | |
| US6046169A (en) | Inhibitors of factor XA | |
| AU746471B2 (en) | Selective factor Xa inhibitors containing a fused azepinone structure | |
| AU744626B2 (en) | Selective factor Xa inhibitors | |
| EP0939758A1 (en) | HETEROCYCLIC DERIVATIVES AS FACTOR Xa INHIBITORS | |
| MXPA00001443A (en) | SELECTIVE FACTOR Xa INHIBITORS | |
| AU8700598A (en) | Selective factor xa inhibitors |