Claims
- 1. A compound of formula I
- 2. The compound of claim 1 wherein
n is 1 to 4; R1 and R2 are each independently hydrogen, halogen or alkyl; R3 is selected from optionally subsituted aryl, 244where Rd and Re taken with the nitrogen to which they are attached form a 3 to 6-membered saturated ring which may be optionally substituted through available atoms with 1 to 5 groups selected from Z1, Z2, Z3, Z4, and Z5; R6 and R7 are each H; R8, R9, R10 and R10a are each hydrogen; or R10 combines with one of R8, or R9 on an adjacent carbon atom, or combines with another R10 on an adjacent carbon atom to form an optionally substituted unsaturated carbocylic ring. R4 is H or alkyl; R5 is H, alkyl, aryl, arylalkyl, heteroaryl, cycloheteroalkyl, 245any of which may be optionally substituted through available atoms with 1 to 5 groups selected from Z1, Z2, Z3, Z4, and Z5; R11 and R12 are the same or different and are independently selected from hydrogen, carboxy, aryl, cyano, nitro, heteroaryl, —P(O) (ORa)2, —S(O)2Ra, —C(O)Ra, —C(O)ORa, 246or R11 and R12 combine to form an optionally substituted saturated or unstaturated carbocyclic or heterocyclic ring; Ra is hydrogen, aryl, alkyl, heteroaryl or cycloheteroalkyl any of which may be optionally substituted through available atoms with 1 to 5 groups selected from Z1, Z2, Z3, Z4, and Z5; and Rb is hydrogen or alkyl.
- 3. A compound of claim 2 wherein
R3 is selected from
(a) optionally substituted phenyl; (b) 247where Ra is phenyl, phenylalkoxy, furyl, or thienyl any of which may be optionally substituted; and (c) 248where Rd and Re taken with the nitrogen to which they are attached form an optionally substituted saturated ring; R5 is
(a) aryl, arylalkyl, or heteroaryl any of which may be optionally substituted; (b) 249where Ra is hydrogen or alkyl, and Rb is alkyl, aminocarbonyl, alkoxycarbonyl, aminocarbonylalkyl, carboxyalkyl, or hydroxyalkyl; and (c) C(O)Ra, or C(O)ORa where Ra is alkyl, alkenyl, hydroxyalkyl, cycloalkyl, cycloheteroalkyl, aryl or heteroaryl, any of which may be optionally substituted); R11 and R12 are the same or different and are independently selected from hydrogen, nitro, carboxy, cyano, aryl, heteroaryl, —CO2Ra1, —SO2Ra1, —CONRd1Re1, and —C(O)Ra2 where
Ra2 is alkyl, aryl or heteroaryl any of which may be optionally substituted with one or more alkoxy, alkyl or halogen), and Ra1 Rd1 and Re1 are independently selected from hydrogen, alkyl, alkoxyalkyl, aryl and heteroaryl; or R11 and R12 combine to form an optionally substituted ring of formula 250where X and Y are independently selected from NRa and O.
- 4. The compound of claim 3 wherein R5 is aryl, arylalkyl, or heteroaryl any of which may be optionally substituted independently substituted with one or more groups selected from halogen, alkyl, haloalkyl, hydroxyalkyl, acyl, alkoxy, haloalkoxy, cyano, amino, aryl, oxo, —C(NH)NH2, or —C(O)NH2).
- 5. A pharmaceutical composition comprising at least one compound of claim 1.
- 6. The pharmaceutical compostion of claim 5 further comprising at least one additional therapeutic agent selected from anti-arryhthmic agents, anti-hypertensive agents, anti-platelet agents, anti-thrombotic agents, anti-thrombolytic agents, calcium channel blockers, cardiac glycosides, diruetics, mineralocorticoid receptor antagonists, phospodiesterase inhibitors, lipid lowering agents and lipid profile therapies; anti-diabetic agents, anti-depressants, anti-inflammatory agents, anti-osteoporosous agents, hormone replacement therapies, and oral contraceptives.
- 7. The pharmaceutical composition of claim 6 wherein the additional therapeutic agent is an anti-arryhthmic agent selected from sotalol, dofetilide, amiodarone, azimilide, ibutilide, diltiazem, verapamil and K+ channel openers.
- 8. The pharmaceutical composition of claim 6 wherein the additional therapeutic agent is an anti-hypertensive agent selected from ACE inhibitors, AT-1 receptor antagonists, ET receptor antagonists, dual ET/AII receptor antagonists, and vasopepsidase inhibitors.
- 9. The pharmaceutical composition of claim 8 wherein the ACE inhibitor is captopril.
- 10. The pharmaceutical composition of claim 8 wherein the AT-1 receptor antagonist is irbesartan.
- 11. The pharmaceutical composition of claim 8 wherein the vasopepsidase inhibitor is omapatrilat or gempatrilat.
- 12. The pharmaceutical composition of claim 6 wherein the additional therapeutic agent is an antiplatelet agent selected from GPIIb/IIIa blockers, P2Y12 antagonists, thromboxane receptor antagonists, and aspirin.
- 13. The pharmaceutical composition of claim 12 wherein the P2Y12 antagonist is clopidigrel.
- 14. The pharmaceutical composition of claim 12 wherein the thromboxane receptor antagonist is ifetroban.
- 15. The pharmaceutical composition of claim 6 wherein the additional therapeutic agent is an anti-thrombotic or anti-thrombolytic agent selected from thrombin inhibitors, alpha2-antiplasmin inhibitors, streptokinase, urokinase, and prourokinase.
- 16. The pharmaceutical composition of claim 6 wherein the additional therapeutic agent is an anti-diabetic agent selected from biguanides, sulfonylureas, biguanide/glyburide combinations, aP2 inhibitors, and DP4 inhibitors.
- 17. The pharmaceutical composition of claim 6 wherein the additional therapeutic agent is an anti-inflammatory agent selected from cyclooxygenase inhibitors, and aspirin.
- 18. A method of treating a Factor Xa-associated disorder comprising administering an effective amount of at least one compound of claim 1 to a patient in need thereof.
- 19. The method of claim 18 wherein the Factor Xa-associated disorder is an acute coronary syndrome selected from myocardial infarction, unstable angina and non-Q Wave MI.
- 20. The method of claim 18 wherein the Factor Xa-associated disorder is thromboembolic stroke.
- 21. The method of claim 18 wherein the Factor Xa-associated disorder is venous thrombosis.
- 22. The method of claim 18 wherein the Factor Xa-associated disorder is pulmonary embolism.
- 23. The method of claim 18 wherein the Factor Xa-associated disorder is peripheral occlusive arterial disease.
- 24. The method of claim 18 wherein the Factor Xa-associated disorder is thromboembolic consequences of surgery, interventional cardiology or immobility.
- 25. The method of claim 18 wherein the Factor Xa-associated disorder is the development of thrombosis on artificial surfaces.
- 26. The method of claim 18 wherein the Factor Xa-associated disorder is thrombotic consequences of atherosclerotic vascular disease, and/or athersclerotic plaque rupture.
- 27. The method of claim 18 wherein the Factor Xa-associated disorder is coagulopathy.
- 28. The method of claim 27 wherein the coagulopathy is disseminated intravascular coagulation.
- 29. The method of claim 18 wherein the Factor Xa-associated disorder is thromboembolic consequences of thrombophilia.
Parent Case Info
[0001] This application claims priority to provisional U.S. application Ser. No. 60/210384 filed Jun. 9, 2000, the entirety of which is incorportated herein by reference.
Provisional Applications (1)
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Number |
Date |
Country |
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60210384 |
Jun 2000 |
US |