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Orally bioavailable pyridine and pyrimidine-based Factor XIa inhibitors: Discovery of the methyl N-phenyl carbamate P2 prime group
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文摘
Pyridine-based Factor XIa (FXIa) inhibitor (S)-<strong class="boldFont">2strong> was optimized by modifying the P2 prime, P1, and scaffold regions. This work resulted in the discovery of the methyl N-phenyl carbamate P2 prime group which maintained FXIa activity, reduced the number of H-bond donors, and improved the physicochemical properties compared to the amino indazole P2 prime moiety. Compound (S)<strong class="boldFont">-17strong> was identified as a potent and selective FXIa inhibitor that was orally bioavailable. Replacement of the basic cyclohexyl methyl amine P1 in (S)-<strong class="boldFont">17strong> with the neutral p-chlorophenyltetrazole P1 resulted in the discovery of (S)<strong class="boldFont">-24strong> which showed a significant improvement in oral bioavailability compared to the previously reported imidazole (S)-<strong class="boldFont">23strong>. Additional improvements in FXIa binding affinity, while maintaining oral bioavailability, was achieved by replacing the pyridine scaffold with either a regioisomeric pyridine or pyrimidine ring system.

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