EP3049410A1 - Dérivés de phénylalanine substitués servant de modulateurs du facteur xia - Google Patents

Dérivés de phénylalanine substitués servant de modulateurs du facteur xia

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Publication number
EP3049410A1
EP3049410A1 EP14772148.4A EP14772148A EP3049410A1 EP 3049410 A1 EP3049410 A1 EP 3049410A1 EP 14772148 A EP14772148 A EP 14772148A EP 3049410 A1 EP3049410 A1 EP 3049410A1
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EP
European Patent Office
Prior art keywords
alkyl
amino
substituted
hydrogen
group
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP14772148.4A
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German (de)
English (en)
Inventor
Ulrike RÖHN
Manuel ELLERMANN
Julia Strassburger
Astrid WENDT
Susanne Röhrig
Robert Alan WEBSTER
Martina Victoria Schmidt
Adrian Tersteegen
Kristin BEYER
Martina SCHÄFER
Anja BUCHMÜLLER
Christoph Gerdes
Michael Sperzel
Steffen SANDMANN
Stefan Heitmeier
Alexander Hillisch
Jens Ackerstaff
Carsten TERJUNG
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Bayer Pharma AG
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Bayer Pharma AG
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Priority to EP14772148.4A priority Critical patent/EP3049410A1/fr
Publication of EP3049410A1 publication Critical patent/EP3049410A1/fr
Withdrawn legal-status Critical Current

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Classifications

    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D257/00—Heterocyclic compounds containing rings having four nitrogen atoms as the only ring hetero atoms
    • C07D257/02—Heterocyclic compounds containing rings having four nitrogen atoms as the only ring hetero atoms not condensed with other rings
    • C07D257/04—Five-membered rings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00—Drugs for disorders of the blood or the extracellular fluid
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00—Drugs for disorders of the cardiovascular system
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D249/00—Heterocyclic compounds containing five-membered rings having three nitrogen atoms as the only ring hetero atoms
    • C07D249/02—Heterocyclic compounds containing five-membered rings having three nitrogen atoms as the only ring hetero atoms not condensed with other rings
    • C07D249/08—1,2,4-Triazoles; Hydrogenated 1,2,4-triazoles
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D401/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
    • C07D401/02—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
    • C07D401/12—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings linked by a chain containing hetero atoms as chain links
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D405/00—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom
    • C07D405/02—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings
    • C07D405/12—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings linked by a chain containing hetero atoms as chain links
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D413/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms
    • C07D413/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing two hetero rings
    • C07D413/12—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing two hetero rings linked by a chain containing hetero atoms as chain links

Definitions

  • the invention relates to substituted phenylalanine derivatives and processes for their preparation and their use for the preparation of medicaments for the treatment and / or prophylaxis of diseases, in particular cardiovascular diseases and / or perioperative severe blood loss.
  • Blood clotting is a protective mechanism of the organism that can rapidly and reliably "seal" defects in the blood vessel wall, thus preventing or minimizing blood loss, and hemostasis following vascular injury is essentially through the coagulation system, where an enzymatic cascade becomes more complex It involves numerous clotting factors, each of which, once activated, converts the next inactive precursor to its active form, transforming the soluble fibrinogen into the insoluble fibrin at the end of the cascade Traditionally, one differentiates between the intrinsic and the extrinsic system in blood coagulation, which culminate in a final common pathway, where factors Xa and IIa (thrombin) play key roles: Factor Xa bundles the signals of the two ger because it is produced both by Factor VIIa / Tissue Factor (extrinsic pathway) and the Tenase complex (intrinsic pathway) by reaction of Factor X. The activated serine protease Xa cleaves prothrombin to thrombin, which
  • coagulation is initiated by binding of activated factor VIIa to tissue factor (TF).
  • TF tissue factor
  • the resulting complex activates factor X, which in turn leads to thrombin generation with subsequent production of fibrin and platelet activation (via PAR-1) as hemorrhagic end-products of hemostasis.
  • PAR-1 tissue factor
  • the rate of thrombin production is small and limited by the appearance of TFPI as an inhibitor of the TF-FVIIa-FX complex.
  • a key component of the transition from initiation to amplification and propagation of coagulation is factor XIa.
  • Thrombin activated in positive feedback loops in addition to Factor V and Factor VIII and Factor XI to Factor XIa, which converts Factor IX to Factor IXa and on the thus generated Factor IXa / Factor VIIIa complex quickly larger amounts of Factor Xa produced. This triggers the production of large amounts of thrombin, which leads to strong thrombus growth and stabilizes the thrombus.
  • fibrinolysis Upon activation of plasminogen by tissue plasminogen activator (tPA), the active serine protease, plasmin, cleaves polymerized fibrin and thus degrades the thrombus. This process is called fibrinolysis - with plasmin as the key enzyme.
  • tissue plasminogen activator tPA
  • Uncontrolled activation of the coagulation system or defective inhibition of the activation processes can cause the formation of local thromboses or emboli in vessels (arteries, veins, lymphatics) or cardiac cavities. This can lead to serious thrombotic or thromboembolic disorders.
  • systemic hypercoagulability can lead to consumption coagulopathy in the context of disseminated intravascular coagulation.
  • Thromboembolic disorders are the most common cause of morbidity and mortality in most industrialized countries [Heart Disease: A Textbook of Cardiovascular Medicine, Eugene Braunwald, 5th Ed., 1997, W.B. Saunders Company, Philadelphia].
  • heparin In the therapy and prophylaxis of thromboembolic diseases, on the one hand heparin is used, which is administered parenterally or subcutaneously. Due to more favorable pharmacokinetic properties, although increasingly low molecular weight heparin is nowadays increasingly preferred; However, the known disadvantages described below can not thereby also be avoided be avoided, which consist in the therapy with heparin. Thus, heparin is orally ineffective and has only a comparatively low half-life.
  • a second class of anticoagulants are the vitamin K antagonists. These include, for example, 1,3-indandiones, but especially compounds such as warfarin, phenprocoumon, dicumarol and other coumarin derivatives, which are unsuitable for the synthesis of various products of certain vitamin K-dependent coagulation factors in the liver. Due to the mechanism of action, the effect is only very slow (latency until the onset of action 36 to 48 hours). Although the compounds can be administered orally, due to the high risk of bleeding and the narrow therapeutic index, a complex individual adjustment and observation of the patient is necessary [J. Hirsh, J. Dalen, D.R.
  • the therapeutic range is of central importance: The distance between the therapeutically effective dose for anticoagulation and the dose at which bleeding can occur should be as large as possible so that maximum therapeutic efficacy is achieved with a minimal risk profile.
  • W089 / 11852 describes inter alia substituted phenylalanine derivatives for the treatment of pancreatitis and WO 2007/070816 describes substituted thiophene derivatives as factor XIa inhibitors.
  • the invention relates to compounds of the formula
  • R is 5-membered heteroaryl, wherein heteroaryl may be substituted with one substituent selected from the group consisting of oxo, chloro, cyano, hydroxy and C 1 -C 3 -alkyl, wherein alkyl may be substituted with 1 to 3 substituents independently selected from the group consisting of hydroxy, amino, hydroxycarbonyl and methoxy, or wherein alkyl may be substituted with 1 to 7 fluorine substituents, or wherein alkyl is substituted with one substituent selected from the group consisting of hydroxy, amino, hydroxycarbonyl and methoxy and wherein alkyl is additionally substituted by 1 to 6 substituents fluorine,
  • R is hydrogen, fluorine or chlorine, and R together with the carbon atoms to which they are attached form a 5-membered heterocycle, which heterocycle may be substituted by 1 to 2 substituents independently selected from the group consisting of oxo, chlorine , Cyano, hydroxy, C 1 -C 3 -alkyl, pyrazolyl and pyridyl, wherein alkyl may be substituted with 1 to 3 substituents independently selected from the group consisting of hydroxy, amino, hydroxycarbonyl and methoxy, or wherein alkyl may be substituted with 1 to 7 substituents fluorine, or wherein alkyl is substituted with a substituent selected from the group consisting of hydroxy, amino, hydroxycarbonyl and methoxy and wherein alkyl is additionally substituted with 1 to 6 substituents fluoro,
  • R 9 represents hydrogen, fluorine or chlorine, represents hydrogen, fluorine, chlorine, methyl or methoxy, represents hydrogen, fluorine, chlorine, C 1 -C 4 -alkyl, methoxy or trifluoromethyl, represents hydrogen or fluorine, amino, cyano , hydroxymethyl, methyl, Ci-C 3 alkoxy, C 3 alkylamino, C 1 -C3- alkoxycarbonyl, -S (O) 2 NR 10 R n, -C (0) NR 12 R 13 or -NR 14 (CO) R 15 , where alkoxy is substituted by 1 to 2 substituents independently of one another selected from the group consisting of fluorine, hydroxy, amino, hydroxycarbonyl, C 1 -C 5 -alkylamino, difluoromethyl, trifluoromethyl, - (OCH 2 CH 2 ) n -OCH 3 , - (OCH 2 CH 2 ) m -OH, morpholinyl, piperid
  • R 10 is hydrogen, C 1 -C 3 -alkyl, C 3 -C 6 -cycloalkyl, benzyl or a carbon atom-bonded 4- to 8-membered heterocyclyl,
  • R 11 is hydrogen or C 1 -C 3 -alkyl, and R 11 together with the nitrogen atom to which they are attached form a 4- to 7-membered heterocycle, wherein the heterocycle may be substituted with 1 to 2 substituents independently selected from the group consisting of oxo, fluoro, hydroxy, amino, hydroxycarbonyl , C 1 -C 4 -alkyl, C 1 -C 3 -alkylamino, difluoromethyl, trifluoromethyl, 2,2,2-trifluoroeth-1-yl, C 1 -C 4 -alkoxycarbonyl, aminocarbonyl and C 1 -C 3 -alkylaminocarbonyl, for hydrogen, C3-alkyl, Ci-C3-alkoxy, C3-C6-cycloalkyl, benzyl or via a carbon atom bonded 4- to 8-membered heterocyclyl, wherein alkyl may be substituted with 1 to 2 substituents independently selected from the
  • R 13 is hydrogen or C 1 -C 3 -alkyl
  • R 12 and R 13 together with the nitrogen atom to which they are attached form a 4- to 7-membered heterocycle, wherein the heterocycle may be substituted with 1 to 2 substituents independently selected from the group consisting of oxo, fluoro, hydroxy, amino , Hydroxycarbonyl, C 1 -C 4 -alkyl, C 1 -C 3 -alkylamino, difluoromethyl, trifluoromethyl, 2,2,2-trifluoroeth-1-yl, C 1 -C 4 -alkoxycarbonyl, aminocarbonyl and C 1 -C 3 -alkylaminocarbonyl, in which alkyl in turn may be substituted with a hydroxy substituent,
  • R is hydrogen or C 1 -C 3 -alkyl
  • R is Ci-C t-alkyl, C3-C6-cycloalkyl, phenyl or a 5- to 7-membered heterocyclyl, wherein alkyl may be substituted with a substituent selected from the group consisting of Ci-C 3 alkylamino and -NH (CO) CH 2 NH (CO) CH 2 NH 2 , and their salts, their solvates and the solvates of their salts.
  • Compounds of the invention are the compounds of the formula (I) and their salts, solvates and solvates of the salts, as well as those of formula (I), hereinafter referred to as embodiment (e) and their salts, solvates and solvates of the salts, as far as the compounds of formula (I) mentioned below are not already salts, solvates and solvates of the salts.
  • the compounds according to the invention may exist in different stereoisomeric forms, ie in the form of configuration isomers or given also as conformational isomers (enantiomers and / or diastereomers, including those in atropisomers).
  • the present invention therefore includes the enantiomers and diastereomers and their respective mixtures. From such mixtures of enantiomers and / or diastereomers, the stereoisomerically uniform components can be isolated in a known manner; Preferably, chromatographic methods are used for this, in particular HPLC chromatography on achiral or chiral phase.
  • the present invention encompasses all tautomeric forms.
  • the present invention also includes all suitable isotopic variants of the compounds according to the invention.
  • An isotopic variant of a compound according to the invention is understood to mean a compound in which at least one atom within the compound according to the invention is exchanged for another atom of the same atomic number but with a different atomic mass than the atomic mass that usually or predominantly occurs in nature.
  • isotopes which can be incorporated into a compound of the invention are those of hydrogen, carbon, nitrogen, oxygen, phosphorus, sulfur, fluorine, chlorine, bromine and iodine, such as 2 H (deuterium), 3 H (tritium), 13 C, 14 C, 15 N, 17 0, 18 0, 32 P, 33 P, 33 S, 34 S, 35 S, 36 S, 18 F, 36 C1, 82 Br, 123 I, 124 I, 129 I and 131 I.
  • Certain isotopic variants of a compound of the invention may be useful, for example, for the study of the mechanism of action or drug distribution in the body; Due to the comparatively easy production and detectability, compounds labeled with 3 H or 14 C isotopes are particularly suitable for this purpose.
  • the incorporation of isotopes such as deuterium may result in certain therapeutic benefits as a result of greater metabolic stability of the compound, such as an increase in half-life in the body or a reduction in the required effective dose; Such modifications of the compounds of the invention may therefore optionally also constitute a preferred embodiment of the present invention.
  • Isotopic variants of the compounds according to the invention can be prepared by the processes known to the person skilled in the art, for example by the methods described below and the rules reproduced in the exemplary embodiments, by using appropriate isotopic modifications of the respective reagents and / or starting compounds.
  • Salts used in the context of the present invention are physiologically acceptable salts of the compounds according to the invention. But are also included salts for pharmaceutical Applications themselves are not suitable but can be used for example for the isolation or purification of the compounds of the invention.
  • Physiologically acceptable salts of the compounds of the invention include acid addition salts of mineral acids, carboxylic acids and sulfonic acids, e.g. Salts of hydrochloric acid, hydrobromic acid, sulfuric acid, phosphoric acid, methanesulfonic acid, ethanesulfonic acid, toluenesulfonic acid, benzenesulfonic acid, naphthalenedisulfonic acid, acetic acid, trifluoroacetic acid, propionic acid, lactic acid, tartaric acid, malic acid, citric acid, fumaric acid, maleic acid and benzoic acid.
  • salts of hydrochloric acid, hydrobromic acid, sulfuric acid, phosphoric acid, methanesulfonic acid, ethanesulfonic acid, toluenesulfonic acid, benzenesulfonic acid, naphthalenedisulfonic acid acetic acid, trifluoroacetic acid, propionic acid
  • Physiologically acceptable salts of the compounds according to the invention also include salts of customary bases, such as, by way of example and by way of preference, alkali metal salts (for example sodium and potassium salts), alkaline earth salts (for example calcium and magnesium salts) and ammonium salts derived from ammonia or organic amines having 1 to 16 carbon atoms, for example and preferably, ethylamine, diethylamine, triethylamine, ethyldiisopropylamine, monoethanolamine, diethanolamine, triethanolamine, dicyclohexylamine, dimethylaminoethanol, procaine, dibenzylamine, N-methylmorpholine, arginine, lysine, ethylenediamine, N-methylpiperidine and choline.
  • customary bases such as, by way of example and by way of preference, alkali metal salts (for example sodium and potassium salts), alkaline earth salts (for example calcium and magnesium salts) and am
  • Solvates in the context of the invention are those forms of the compounds according to the invention which form a complex in the solid or liquid state by coordination with solvent molecules. Hydrates are a special form of solvates that coordinate with water.
  • the present invention also includes prodrugs of the compounds of the invention.
  • prodrugs includes compounds which may themselves be biologically active or inactive, but during their residence time in the body are converted to compounds of the invention (for example metabolically or hydrolytically).
  • the enantiomers can be separated either directly after the coupling of the L-phenylalanine intermediates with the amine H 2 NR 1 or at a later intermediate of the synthesis or else the compounds according to the invention.
  • the separation of the enantiomers is directly after the coupling of the L-phenylalanine intermediates with the amine
  • treatment includes inhibiting, delaying, arresting, alleviating, attenuating, restraining, reducing, suppressing, restraining or curing a disease, a disease, a disease, an injury or a medical condition , the unfolding, the course or progression of such conditions and / or the symptoms of such conditions.
  • therapy is understood to be synonymous with the term “treatment”.
  • prevention means the avoidance or reduction of the risk, a disease, a disease, a disease, an injury or a health disorder, a development or a Progression of such conditions and / or to get, experience, suffer or have the symptoms of such conditions.
  • the treatment or the prevention of a disease, a disease, a disease, an injury or a health disorder can be partial or complete.
  • alkyl is a linear or branched alkyl radical having 1 to 4 carbon atoms, preferably 1 to 3 carbon atoms, by way of example and preferably methyl, ethyl, n-propyl, iso-propyl, 2-methyl-prop-1-yl, n-butyl and fer-butyl.
  • Alkoxy represents a linear or branched alkoxy radical having 1 to 4 carbon atoms, preferably 1 to 3 carbon atoms, by way of example and preferably methoxy, ethoxy, n-propoxy, iso-propoxy, 2-methyl-prop-l-oxy, n-butoxy and ieri-butoxy.
  • Alkylamino is an amino group having one or two independently selected identical or different linear or branched alkyl radicals, each having 1 to 3 carbon atoms, by way of example and preferably methylamino, ethylamino, n-propylamino, iso-propylamino, A ⁇ N- Dimethylamino, A ⁇ N-Diemylamino, N-ethyl-N-memylamino, N-Met yl-nn-propylamino, N-iso-propyl-Nn-propylamino and A ⁇ N-diisopropylamino.
  • C 1 -C 3 -alkylamino is, for example, a monoalkylamino radical having 1 to 3 carbon atoms or a dialkylamino radical having in each case 1 to 3 carbon atoms per alkyl radical.
  • Alkoxycarbonyl is a linear or branched alkoxy radical which is bonded via a carbonyl group having 1 to 4 carbon atoms, preferably 1 to 3 carbon atoms, by way of example and with preference for methoxycarbonyl, ethoxycarbonyl, n-propoxycarbonyl, isopropoxycarbonyl, n-butoxycarbonyl and tert-butylcarbonyl. butoxycarbonyl.
  • Alkylaminocarbonyl is an amino group having one or two independently selected identical or different straight-chain or branched alkyl substituents, each having 1 to 3 carbon atoms, and which is bonded via a carbonyl group, by way of example and preferably methylaminocarbonyl, ethylaminocarbonyl, n-propylaminocarbonyl , iso-propylaminocarbonyl, A ⁇ N-dimemylaminocarbonyl, JV, JV-diethylaminocarbonyl, N-ethyl-N-methylaminocarbonyl, N-methyl-Nn-propylaminocarbonyl, N-iso-propyl-Nn-propylaminocarbonyl and A ⁇ N-diisopropylaminocarbonyl.
  • C 1 -C 3 -alkylaminocarbonyl is, for example, a monoalkylaminocarbonyl radical having 1 to 3 carbon atoms or a dialkylaminocarbonyl radical having in each case 1 to 3 carbon atoms per alkyl substituent.
  • Cycloalkyl represents a monocyclic cycloalkyl group having 3 to 6 carbon atoms, by way of example and preferably cycloalkyl, cyclopropyl, cyclobutyl, cyclopentyl and cyclohexyl.
  • Heterocyclyl bonded via a nitrogen atom in the definition of the radical R 4 is a saturated or partially unsaturated monocyclic radical which is bonded via a nitrogen atom having 5 or 6 ring atoms, and up to 3 heteroatoms and / or hetero groups, preferably 1 or 2 heteroatoms and / or hetero groups, from the series S, O, N, SO and SO 2 , where a nitrogen atom can also form an N-oxide, by way of example and preferably pyrrolidinyl, morpholinyl, thiomorpholinyl, piperidinyl and piperazinyl, more preferably morpholinyl and piperazinyl.
  • R 10 and R 12 is a saturated or partially unsaturated monocyclic or bicyclic radical which is bonded via a carbon atom having 4 to 8 ring atoms, preferably 5 or 6 Ring atoms, and up to 3 heteroatoms and / or hetero groups, preferably 1 or 2 heteroatoms and / or hetero groups, from the series S, O, N, SO and SO 2 , wherein a nitrogen atom can also form an N-oxide, by way of example and preferably for azetidinyl, pyrrolidinyl, piperidinyl, tetrahydropyranyl, 3-azabicyclo [3.1.0] hex-6-yl, 8-azabicyclo [3.2.1] octane
  • ring atoms 4 to 7 ring atoms, preferably 5 or 6 ring atoms, and up to 3 heteroatoms and / or hetero groups, preferably 1 or 2 heteroatoms and / or hetero groups, from the series S, O, N, SO and SO 2 , wherein a nitrogen atom is also a N-oxide, for example and preferably azetidinyl, pyrrolidinyl, morpholinyl, thiomorpholinyl, piperidinyl, piperazinyl, 3-azabicyclo [3.1.0] hex-6-yl, 8-azabicyclo [3.2.1] oct-3-yl and Azepanyl, most preferably morpholinyl, piperidinyl and piperazinyl.
  • a nitrogen atom is also a N-oxide, for example and preferably azetidinyl, pyrrolidinyl, morpholinyl, thiomorpholinyl, piperidinyl,
  • 5-membered heteroaryl in the definition of the radical R 5 is an aromatic monocyclic radical having 5 ring atoms and up to 4 heteroatoms and / or hetero groups from the series S, O, N, SO and SO 2 , where a nitrogen atom is also an N- May be exemplified and preferably for thienyl, furyl, pyrrolyl, thiazolyl, oxazolyl, isoxazolyl, oxadiazolyl, pyrazolyl, imidazolyl, triazolyl and tetrazolyl, more preferably triazolyl and tetrazolyl, most preferably tetrazolyl.
  • 5-membered heterocycle in the definition of the radicals R 7 and R 8 is a saturated, partially unsaturated or aromatic monocyclic radical having 5 ring atoms and up to 2 heteroatoms and / or hetero groups from the series S, O, N, SO and SO 2, wherein a nitrogen atom may also form an N-oxide.
  • This 5-membered heterocycle together with the phenyl ring to which it is attached is by way of example and preferably 2,3-dihydro-1-benzothiophene-5-yl, 1,3-dihydro-2-benzothiophene-5-yl, 2 , 3-dihydro-1-benzofuran-5-yl, 1,3-dihydro-2-benzofuran-5-yl, indolin-5-yl, isoindolin-5-yl, 2,3-dihydro-1 / i-indazole -5-yl, 2,3-dihydro-l / i-benzimidazol-5-yl, l, 3-dihydro-2, l-benzoxazol-5-yl, 2,3-dihydro-l, 3-benzoxazole-5 - yl, l, 3-dihydro-2, l-benzothiazol-5-yl, 2,3-dihydro-l, 3-benzothi
  • 5- to 7-membered heterocyclyl in the definition of the radical R 15 is a saturated or partially unsaturated monocyclic or bicyclic radical having 5 to 7 ring atoms, preferably 5 or 6 ring atoms, and up to 3 heteroatoms and / or hetero groups, preferably 1 or 2 heteroatoms and / or hetero groups, from the series S, O, N, SO and SO 2 , where a nitrogen atom can also form an N-oxide, by way of example and preferably pyrrolidinyl, morpholinyl, thiomorpholinyl, piperidinyl, piperazinyl, tetrahydropyranyl, 3 Azabicyclo [3.1.0] hex-6-yl, 8-azabicyclo [3.2.1] oct-3-yl and azepanyl, more preferably piperidinyl and tetrahydropyranyl.
  • R is 5-membered heteroaryl, wherein heteroaryl may be substituted with one substituent selected from the group consisting of oxo, chloro and C 1 -C 3 -alkyl, wherein alkyl may be substituted with 1 to 2 substituents independently selected from the group from hydroxycarbonyl and methoxy, or wherein alkyl may be substituted with 1 to 7 substituents fluorine, or wherein alkyl is substituted with a substituent hydroxycarbonyl and wherein alkyl is additionally substituted with 1 to 6 substituents fluoro,
  • R is hydrogen or fluorine
  • R 7 and R 8 together with the carbon atoms to which they are attached form a 5-membered heterocycle, it being possible for the heterocycle to be substituted by 1 to 2 substituents independently of one another selected from the group consisting of oxo, chlorine, hydroxy, C 1 -C 4 3 alkyl, pyrazolyl and pyridyl, wherein alkyl may be substituted with 1 to 2 substituents independently selected from the group consisting of hydroxycarbonyl and methoxy, or wherein alkyl may be substituted with 1 to 7 substituents fluorine, or wherein alkyl is substituted with a substituent hydroxycarbonyl and wherein alkyl is additionally substituted with 1 to 6 substituents fluoro,
  • R 9 is hydrogen or fluorine, is hydrogen, fluorine, methyl or methoxy, is hydrogen, fluorine, chlorine, methyl, methoxy or trifluoromethyl, is hydrogen, amino, hydroxymethyl, -S (O) 2 NR 10 R n , -C (O) NR 12 R 13 or -NR 14 (CO) R 15 , wherein
  • R 10 is hydrogen, methyl, ethyl, C 3 -C 6 -cycloalkyl or 4 to 8-membered heterocyclyl bonded via a carbon atom,
  • R 11 is hydrogen, methyl or ethyl, or
  • R 10 and R 11 together with the nitrogen atom to which they are attached form a 4- to 7-membered heterocycle, wherein the heterocycle may be substituted with 1 to 2 substituents independently selected from the group consisting of Ci-C / t-alkyl .
  • R 12 is hydrogen, C 1 -C 3 -alkyl, C 3 -C 6 -cycloalkyl or 4 to 8-membered heterocyclyl bonded via a carbon atom, in which heterocyclyl may be substituted by 1 to 2 substituents independently of one another selected from the group consisting of Ci-C / t-alkyl,
  • R 13 is hydrogen, methyl, ethyl, n-propyl or iso-propyl, or R 12 and R 13 together with the nitrogen atom to which they are attached form a 4- to 7-membered heterocycle, wherein the heterocycle may be substituted with 1 to 2 substituents independently selected from the group consisting of Ci-C / t-alkyl , R 14 is hydrogen, methyl or ethyl,
  • R 15 is C 1 -C 4 -alkyl or a 5- to 7-membered heterocyclyl, in which alkyl may be substituted by a substituent selected from the group consisting of C 1 -C 3 -alkylamino and -NH (CO) CH 2 NH ( CO) CH 2 NH 2 , and their salts, their solvates and the solvates of their salts.
  • a substituent selected from the group consisting of C 1 -C 3 -alkylamino and -NH (CO) CH 2 NH ( CO) CH 2 NH 2 , and their salts, their solvates and the solvates of their salts.
  • R 1 is a group of the formula
  • R 5 is 5-membered heteroaryl
  • R is hydrogen
  • R 2 is hydrogen
  • R 3a is hydrogen
  • R 3b is hydrogen, amino, hydroxymethyl, -S (O) 2 NR 10 R n , -C (O) NR 12 R 13 or -NR 14 (CO) R 15 , wherein R 10 and R 11 together with the nitrogen atom to which they are attached form a 4- to 7-membered heterocycle,
  • R 12 represents methyl, ethyl or a 4- to 8-membered heterocyclyl bonded via a carbon atom
  • R 13 is hydrogen, methyl or ethyl, or
  • R 12 and R 13 together with the nitrogen atom to which they are attached form a 4- to 7-membered heterocycle
  • R 14 is hydrogen
  • R 15 is GC t-alkyl or a 5- to 7-membered heterocyclyl, wherein alkyl may be substituted with a substituent selected from the group consisting of Ci-Cj-alkylamino and -NH (CO) CH 2 NH (CO) CH 2 NH2, and their salts, their solvates and the solvates of their salts.
  • R 1 is a group of the formula
  • R 3 is 5-membered heteroaryl
  • R 6 is hydrogen
  • R 2 is hydrogen
  • R 3a is hydrogen
  • R 3b is hydrogen, amino, hydroxymethyl or -C (O) NR 12 R 13 , wherein
  • R 12 represents methyl, ethyl or a 4- to 8-membered heterocyclyl bonded via a carbon atom
  • R 13 is hydrogen, methyl or ethyl, or
  • R 12 and R 13 together with the nitrogen atom to which they are attached form a 4- to 7-membered heterocycle, and their salts, their solvates and the solvates of their salts.
  • R 1 is a group of the formula
  • R 5 is tetrazolyl
  • R 6 is hydrogen, R 2 is hydrogen, R 3a is hydrogen, R 3b is hydrogen,
  • R 4 is amino, hydroxymethyl or -C (O) NR 12 R 13 , in which
  • R 12 is piperidinyl bound to methyl, ethyl or via a carbon atom
  • R 13 is hydrogen, methyl or ethyl, or R 12 and R 13 together with the nitrogen atom to which they are attached are a morpholinyl,
  • R 1 is a group of the formula
  • R 5 is tetrazolyl
  • R 6 is hydrogen
  • R 4 represents amino, cyano, hydroxymethyl, Ci-C3-alkoxy, Ci-C3-alkylamino, C1 -C3- alkoxycarbonyl, -S (O) 2 NR 10 R n are preferably , -C (O) NR 12 R 13 or -NR 14 (CO) R 15 , wherein alkoxy is substituted with 1 to 2 substituents independently selected from the group consisting of fluoro, hydroxy, amino, hydroxycarbonyl, Ci-Cs-alkylamino, difluoromethyl, trifluoromethyl, - (OCH 2 CH 2 ) n -OCH 3 , - (OCH 2 CH 2 ) m -OH, morpholinyl, piperidinyl and pyrrolidinyl, wherein n is a number from 1 to 6, wherein m is a number from 1 to 6, and wherein
  • R 10 is hydrogen, C 1 -C 3 -alkyl, C 3 -C 6 -cycloalkyl, benzyl or a carbon atom-bonded 4- to 8-membered heterocyclyl,
  • R 11 is hydrogen or C 1 -C 3 -alkyl
  • R 10 and R 11 together with the nitrogen atom to which they are attached form a 4- to 7-membered heterocycle, wherein the heterocycle may be substituted with 1 to 2 substituents independently selected from the group consisting of oxo, fluoro, hydroxy, amino , Hydroxycarbonyl, Ci-Gt-alkyl, Ci-C3-alkylamino, difluoromethyl, trifluoromethyl, 2,2,2-trifluoroeth-1-yl, Ci-C t -alkoxycarbonyl, aminocarbonyl and Ci-C3-alkylaminocarbonyl,
  • R 12 is hydrogen, GC 3 alkyl, C 1 -C 3 alkoxy, C 3 -C 6 cycloalkyl, benzyl or a carbon atom bonded 4- to 8-membered heterocyclyl, wherein alkyl may be substituted with 1 to 2
  • Substituents independently of one another are selected from the group consisting of fluorine, hydroxyl, amino, hydroxycarbonyl, C 1 -C 3 -alkylamino, difluoromethyl, trifluoromethyl, - (OCH 2 CH 2 ) n -OCH 3 , - (OCH 2 CH 2 ) m -OH , Morpholinyl, piperidinyl and pyrrolidinyl, wherein n is a number from 1 to 6, wherein m is a number from 1 to 6, and wherein cycloalkyl may be substituted with 1 to 2 substituents independently selected from the group consisting of oxo, fluoro, hydroxy
  • Substituents fluorine, and wherein heterocyclyl may be substituted with 1 to 2 substituents independently selected from the group consisting of oxo, fluoro, hydroxy, amino, hydroxycarbonyl, Ci-Gt-alkyl, Ci-C3-alkylamino, Ci-C t-alkoxycarbonyl .
  • Aminocarbonyl and C 1 -C 3 -alkylaminocarbonyl wherein alkyl and alkylamino in turn may be substituted with 1 to 5 fluorine substituents, and wherein heterocyclyl may additionally be substituted with 1 to 4 substituents independently selected from the group consisting of fluorine and
  • R 13 is hydrogen or C 1 -C 8 -alkyl
  • R 12 and R 13 together with the nitrogen atom to which they are attached form a 4- to 7-membered heterocycle, wherein the heterocycle may be substituted with 1 to 2 substituents independently selected from the group consisting of oxo, fluoro, hydroxy, amino , Hydroxycarbonyl, C 1 -C 4 -alkyl, C 1 -C 3 -alkylamino, difluoromethyl, trifluoromethyl, 2,2,2-trifluoroeth-1-yl, C 1 -C 4 -alkoxycarbonyl, aminocarbonyl and C 1 -C 3 -alkylaminocarbonyl, in which Alkyl in turn may be substituted with a hydroxy substituent,
  • R 14 is hydrogen or C 1 -C 3 -alkyl
  • R 15 is C 1 -C 4 -alkyl, C 3 -C 6 -cycloalkyl, phenyl or a 5- to 7-membered heterocyclyl, wherein alkyl may be substituted by a substituent selected from the group consisting of C 1 -C 3 -alkylamino and -NH (CO) CH 2 NH (CO) CH 2 NH 2 .
  • Preference is also given to compounds of the formula (I) in which
  • R 4 is amino, hydroxymethyl or -C (O) NR 12 R 13 , wherein
  • R 12 is piperidinyl bound to methyl, ethyl or via a carbon atom
  • R 13 is hydrogen, methyl or ethyl, or
  • R 12 and R 13 together with the nitrogen atom to which they are attached form a morpholinyl, piperidinyl or piperazinyl.
  • the invention further provides a process for the preparation of the compounds of the formula (I), or their salts, their solvates or the solvates of their salts, where the compounds of the formula
  • R 1 , R 2 , R 3 , R 3b and R 4 have the meaning given above, are reacted with an acid.
  • the reaction is generally carried out in inert solvents, preferably in a temperature range from room temperature to 60 ° C at atmospheric pressure.
  • Inert solvents are, for example, halogenated hydrocarbons such as dichloromethane, trichloromethane, carbon tetrachloride or 1,2-dichloroethane, or ethers such as tetrahydrofuran or dioxane, dioxane is preferred.
  • Acids are for example trifluoroacetic acid or hydrogen chloride in dioxane, preferred is hydrogen chloride in dioxane.
  • R 1 and R 2 have the abovementioned meaning, and X 1 is bromine or iodine, with compounds of the formula
  • R 3a , R 3b and R 4 have the abovementioned meaning
  • Q 1 is -B (OH) 2 , a boronic acid ester, preferably boronic acid pinacol ester, or is reacted under Suzuki coupling conditions, or
  • R 1 and R 2 have the meaning given above, and Q 2 is -B (OH) 2 , a boronic acid ester, preferably boronic acid pinacol ester, or
  • R 3 , R 3b and R 4 have the abovementioned meaning
  • X 2 is bromine or iodine
  • R 2 , R 3 , R 3b and R 4 have the abovementioned meaning
  • R 1 has the meaning given above, be reacted in the presence of a dehydrating reagent.
  • reaction according to process [A] is generally carried out in inert solvents, in the presence of a catalyst, optionally in the presence of an additional reagent, optionally in a microwave, preferably in a temperature range from room temperature to 150 ° C at atmospheric pressure to 3 bar.
  • catalysts are conventional palladium catalysts for Suzuki reaction conditions, preferably catalysts such as e.g. Dichlorobis (triphenylphosphine) palladium, tetrakistriphenylphosphinepalladium (O), palladium (II) acetate / triscyclohexylphosphine, tris (dibenzylideneacetone) dipalladium, bis (diphenylphosphineferrocenyl) palladium (II) chloride, 1,3-bis (2,6-bis) diisopropylphenyl) imidazol-2-ylidene (1,4-naphthoquinone) palladium dimer, allyl (chloro) - (1,3-dimesityl-l, 3-dihydro-2H-imidazol-2-ylidene) palladium, palladium (II) acetate / Dicyclohexyl- (2 ', 4
  • Additional reagents are for example potassium acetate, cesium, potassium or sodium carbonate, potassium tert-butoxide, cesium fluoride or potassium phosphate, which may be present in aqueous solution, preference is given to additional reagents such as potassium acetate or a mixture of potassium acetate and sodium carbonate.
  • Inert solvents are, for example, ethers, such as dioxane, tetrahydrofuran or 1,2-dimethoxyethane, hydrocarbons, such as benzene, xylene or toluene, or carboxamides, such as dimethylformamide or dimethylacetamide, alkylsulfoxides, such as dimethylsulfoxide, or N-methylpyrrolidone or acetonitrile, or mixtures of the solvents with alcohols, such as methanol or ethanol and / or water, preferred is toluene, dimethylformamide or dimethyl sulfoxide.
  • ethers such as dioxane, tetrahydrofuran or 1,2-dimethoxyethane
  • hydrocarbons such as benzene, xylene or toluene
  • carboxamides such as dimethylformamide or dimethylacetamide
  • alkylsulfoxides such as dimethylsulfoxide, or N-
  • the compounds of the formula (IV) are known, can be synthesized by known processes from the corresponding starting compounds or can be prepared analogously to the processes described in the Examples section.
  • the reaction according to method [B] is carried out as described for method [A].
  • the compounds of the formula (VI) are known, can be synthesized by known processes from the corresponding starting compounds or can be prepared analogously to the processes described in the Examples section.
  • the reaction according to process [C] is generally carried out in inert solvents, if appropriate in the presence of a base, preferably in a temperature range from 0 ° C to reflux of the solvent at atmospheric pressure.
  • Suitable dehydrating reagents for this purpose are, for example, carbodiimides, such as e.g. ⁇ , ⁇ '-diethyl, A ⁇ A ⁇ '- dipropyl, A ⁇ A ⁇ ' - diisopropyl-, A ⁇ W-dicyclohexylcarbodiimide, N - ⁇ - Dimefhylamino- isopropy ⁇ -N'-ethylcarbodiimide hydrochloride (EDC) (optionally in the presence of pentafluorophenol (PFP)), N-cyclohexylcarbodiimide-N'-propyloxymethyl-polystyrene (PS-carbodiimide) or carbonyl compounds such as carbonyldiimidazole, or 1,2-oxazolium compounds such as 2-ethyl-5-phenyl-1, 2-oxazolium-3-sulphate or 2-tert.-butyl-5
  • bases are alkali metal carbonates, such as, for example, sodium or potassium carbonate, or hydrogen carbonate, or organic bases such as trialkylamines, for example triethylamine, N-methylmorpholine, N-methylpiperidine, 4-dimethylaminopyridine or diisopropylethylamine, preference is given to diisopropylethylamine.
  • alkali metal carbonates such as, for example, sodium or potassium carbonate
  • organic bases such as trialkylamines, for example triethylamine, N-methylmorpholine, N-methylpiperidine, 4-dimethylaminopyridine or diisopropylethylamine, preference is given to diisopropylethylamine.
  • Inert solvents are, for example, halogenated hydrocarbons such as dichloromethane or trichloromethane, hydrocarbons such as benzene, or other solvents such as nitromethane, tetrahydrofuran, dioxane, dimethylformamide, dimethylsulfoxide, acetonitrile or pyridine, or mixtures of the solvents, preferably tetrahydrofuran or dimethylformamide or a mixture of dimethylformamide and pyridine.
  • halogenated hydrocarbons such as dichloromethane or trichloromethane
  • hydrocarbons such as benzene
  • other solvents such as nitromethane, tetrahydrofuran, dioxane, dimethylformamide, dimethylsulfoxide, acetonitrile or pyridine, or mixtures of the solvents, preferably tetrahydrofuran or dimethylformamide or a mixture of dimethylformamide and pyridine.
  • the compounds of the formula (VIII) are known, can be synthesized by known processes from the corresponding starting compounds or can be prepared analogously to the processes described in the Examples section.
  • R 2 has the abovementioned meaning, and X 1 is bromine or iodine, are reacted with compounds of formula (VIII) in the presence of a dehydrating reagent.
  • the compounds of the formula (IX) are known, can be synthesized by known processes from the corresponding starting compounds or can be prepared analogously to the processes described in the Examples section.
  • the compounds of formula (V) are known or may be prepared by reacting compounds of formula (4) with 4,4,4 ', 4', 5,5,5 ', 5'-octamethyl-2,2'-bi -l, 3,2-dioxaborolane.
  • the reaction is generally carried out in inert solvents, in the presence of a catalyst, optionally in the presence of an additional reagent, optionally in a microwave, preferably in a temperature range from room temperature to 150 ° C at atmospheric pressure to 3 bar.
  • Hydroylation in an acidic medium gives the corresponding boronic acids.
  • Working up with potassium hydrogen difluoride solution (KHF 2 solution) gives the corresponding trifluoroborates.
  • Catalysts are, for example, conventional palladium catalysts for the borylation of aryl halides, preferably catalysts such as e.g. Dichlorobis (triphenylphosphine) palladium, tetrakistriphenylphosphinepalladium (O), palladium (II) acetate / triscyclohexylphosphine, tris (dibenzylideneacetone) dipalladium, bis (diphenylphosphineferrocenyl) palladium (II) chloride, 1,3-bis (2,6-bis) diisopropylphenyl) imidazol-2-ylidene (1,4-naphthoquinone) palladium dimer, allyl (chloro) - (1,3-dimesityl-l, 3-dihydro-2H-imidazol-2-ylidene) palladium, palladium (II) acetate
  • Additional reagents are for example potassium acetate, cesium, potassium or sodium carbonate, potassium or sodium tert-butoxide, cesium fluoride, potassium phosphate or potassium phenoxide, preferably potassium acetate.
  • Inert solvents are, for example, ethers, such as dioxane, tetrahydrofuran or 1,2-dimethoxyethane, hydrocarbons, such as benzene, xylene or toluene, or carboxamides, such as dimethylformamide or dimethylacetamide, alkylsulfoxides, such as dimethylsulfoxide, or N-methylpyrrolidone or acetonitrile; preference is given to dioxane, dimethylformamide or dimethylsulfoxide.
  • ethers such as dioxane, tetrahydrofuran or 1,2-dimethoxyethane
  • hydrocarbons such as benzene, xylene or toluene
  • carboxamides such as dimethylformamide or dimethylacetamide
  • alkylsulfoxides such as dimethylsulfoxide, or N-methylpyrrolidone or acetonitrile
  • the compounds of the formula (VII) are known or can be prepared by reacting compounds of the formula (IX) with compounds of the formula (IV) under Suzuki coupling conditions.
  • the compounds of the invention show an unpredictable, valuable pharmacological activity spectrum and a good pharmacokinetic behavior. These are compounds which influence the proteolytic activity of the serine proteases FXIa and kallikrein and optionally plasmin.
  • the compounds of the present invention inhibit the enzymatic cleavage of substrates which play an essential role in the activation of the blood coagulation cascade and the aggregation of platelets. If the compounds according to the invention inhibit plasmin activity, inhibition of fibrinolysis occurs.
  • the present invention further provides for the use of the compounds according to the invention for the treatment and / or prophylaxis of diseases, in particular cardiovascular diseases, preferably thrombotic or thromboembolic diseases and / or thrombotic or thromboembolic complications.
  • diseases in particular cardiovascular diseases, preferably thrombotic or thromboembolic diseases and / or thrombotic or thromboembolic complications.
  • thromboembolic disorders include in particular diseases such as acute coronary syndrome (ACS), heart attack with ST segment elevation (STEMI) and without ST segment elevation (non-STEMI), stable angina pectoris, unstable Angina pectoris, reocclusions and restenoses after coronary interventions such as angioplasty, stent or aortocoronary bypass, peripheral arterial occlusive diseases, pulmonary embolism, venous thrombosis, especially in deep leg veins and renal veins, transient ischemic attacks and thrombotic and thromboembolic stroke.
  • ACS acute coronary syndrome
  • STEMI heart attack with ST segment elevation
  • non-STEMI non-STEMI
  • stable angina pectoris unstable Angina pectoris
  • reocclusions reocclusions and restenoses after coronary interventions
  • peripheral arterial occlusive diseases such as angioplasty, stent or aortocoronary bypass
  • peripheral arterial occlusive diseases such as angioplasty,
  • the compounds of the invention are therefore also useful in the prevention and treatment of cardiogenic thromboembolism, such as brain ischemia, stroke and systemic thromboembolism and ischaemia, in patients with acute, intermittent or persistent cardiac arrhythmias, such as atrial fibrillation, and those undergoing cardioversion , in patients with valvular heart disease or with artificial heart valves.
  • cardiogenic thromboembolism such as brain ischemia, stroke and systemic thromboembolism and ischaemia
  • cardiac arrhythmias such as atrial fibrillation
  • the compounds according to the invention are suitable for the treatment and prevention of disseminated intravascular coagulation (DIC), which occur, inter alia, in the context of sepsis, but also as a result of operations, tumor diseases, burns or other injuries and can lead to severe organ damage through microthromboses.
  • DIC disseminated intravascular coagulation
  • Thromboembolic complications also occur in microangiopathic hemolytic anemias, extracorpo
  • the compounds according to the invention also have an influence on wound healing, for the prophylaxis and / or treatment of atherosclerotic vascular diseases and inflammatory diseases such as rheumatic diseases of the locomotor system, coronary heart diseases, cardiac insufficiency, hypertension, inflammatory diseases such as asthma, inflammatory lung diseases, Glomerulonephritis and inflammatory bowel diseases, such as Crohn's disease or ulcerative colitis, or acute renal failure into consideration, moreover, also for the prophylaxis and / or treatment of dementia diseases such.
  • atherosclerotic vascular diseases and inflammatory diseases such as rheumatic diseases of the locomotor system, coronary heart diseases, cardiac insufficiency, hypertension, inflammatory diseases such as asthma, inflammatory lung diseases, Glomerulonephritis and inflammatory bowel diseases, such as Crohn's disease or ulcerative colitis, or acute renal failure into consideration, moreover, also for the prophylaxis and / or treatment of dementia diseases such.
  • the compounds of the present invention can inhibit tumor growth and metastasis, microangiopathies, age-related macular degeneration, diabetic retinopathy, diabetic nephropathy and other microvascular diseases, and for the prevention and treatment of thromboembolic complications such as venous thromboembolism. in tumor patients, especially those undergoing major surgery or chemo- or radiotherapy.
  • pulmonary hypertension covers certain forms of pulmonary hypertension as defined, for example, by the World Health Organization (WHO), such as pulmonary arterial hypertension, pulmonary hypertension in diseases of the left heart, pulmonary hypertension in pulmonary disease and / or hypoxia and pulmonary hypertension due to chronic thromboembolism (CTEPH).
  • WHO World Health Organization
  • CTEPH chronic thromboembolism
  • Pulmonary arterial hypertension includes idiopathic pulmonary arterial hypertension (IPAH, formerly referred to as primary pulmonary hypertension), familial pulmonary arterial hypertension (FPAH), and Associated pulmonary arterial hypertension (AP AH) associated with collagenosis, congenital systemic pulmonary shunt veins, portal hypertension, HIV infections, use of certain drugs and medications, other diseases (thyroid disease, glycogen storage disorders, Gaucher disease, here medical telangiectasia, hemoglobinopathies, myeloproliferative disorders, splenectomy), with diseases with significant venous / capillary involvement such as pulmonary veno-occlusive disease and pulmonary capillary hemangiomatosis, as well as persistent pulmonary hypertension of newborns.
  • Pulmonary hypertension in left heart disease includes left atrial or ventricular disease and mitral or aortic valve failure.
  • Pulmonary hypertension in lung disease and / or hypoxia includes chronic obstructive pulmonary disease, interstitial lung disease, sleep apnea syndrome, alveolar hypoventilation, chronic altitude sickness, and plant-related malformations.
  • Pulmonary hypertension due to chronic thromboembolism includes thromboembolic occlusion of proximal pulmonary arteries, thromboembolic occlusion of distal pulmonary arteries, and non-thrombotic pulmonary embolisms (tumor, parasites, foreign bodies).
  • Another object of the present invention is the use of the compounds of the invention for the preparation of medicaments for the treatment and / or prophylaxis of pulmonary hypertension in sarcoidosis, histiocytosis X and Lymphangiomatosis.
  • the substances according to the invention are also suitable for the treatment of pulmonary and hepatic fibroses.
  • the compounds according to the invention also come for the treatment and / or prophylaxis of disseminated intravascular coagulation in the context of infectious disease and / or systemic inflammatory syndrome (SIRS), septic organ dysfunction, septic organ failure and multi-organ failure, acute respiratory distress syndrome (ARDS), acute lung Injury (ALI), septic shock and / or septic organ failure.
  • SIRS systemic inflammatory syndrome
  • septic organ dysfunction septic organ dysfunction
  • septic organ failure and multi-organ failure multi-organ failure
  • ARDS acute respiratory distress syndrome
  • ALI acute lung Injury
  • septic shock and / or septic organ failure septic shock and / or septic organ failure.
  • DIC Dispersed Intravascular Coagulation
  • Consumption Coagulopathy hereinafter referred to as "DIC”
  • endothelial damage can result in increased vascular permeability and leakage of fluid and proteins into the extravasal space.
  • organ failure e.g., renal failure, liver failure, respiratory failure, CNS deficits and cardiovascular failure
  • multiple organ failure may occur.
  • DIC DIC
  • the surface of damaged endothelial cells, foreign body surfaces or extravasated extravascular tissue causes massive activation of the coagulation system.
  • coagulation occurs in small vessels of various organs with hypoxia and subsequent organ dysfunction. This can be prevented by the compounds of the invention.
  • coagulation factors e.g., Factor X, prothrombin, and fibrinogen
  • platelets are consumed, which lowers the blood's ability to coagulate and cause severe bleeding.
  • the compounds according to the invention are also suitable for the prophylaxis and / or treatment of hyperfibrinolysis.
  • Prophylaxis and / or treatment can reduce or eliminate severe perioperative blood loss. Strong bleeding occurs in severe surgery, such as. Coronary artery bypass graft surgery, transplantation or hysterectomy, as well as trauma, haemorrhagic shock, or postpartum hemorrhage.
  • perioperative use of extracorporeal circulation systems or filter systems such as, for example, heart lung machine, hemofiltration, hemodialysis, extracorporeal membrane oxygenation or ventricular support system, such as artificial heart, may occur.
  • This also requires anticoagulation, to which the compounds of the invention can also be used.
  • the compounds according to the invention are also suitable for anticoagulation during the renal replacement procedure, for example in continuous veno-venous hemofiltration or intermittent hemodialysis.
  • the compounds according to the invention can also be used for the prevention of coagulation ex vivo, e.g. for the preservation of blood and plasma products, for the cleaning / pretreatment of catheters and other medical devices and equipment, for the coating of artificial surfaces of in vivo or ex vivo used medical devices and devices or for biological samples which might contain Factor XIa.
  • Another object of the present invention is the use of the compounds of the invention for the treatment and / or prophylaxis of diseases, in particular the aforementioned diseases.
  • Another object of the present invention is the use of the compounds of the invention for the manufacture of a medicament for the treatment and / or prophylaxis of diseases, in particular the aforementioned diseases.
  • Another object of the present invention is a method for the treatment and / or prophylaxis of diseases, in particular the aforementioned diseases, using a therapeutically effective amount of a compound of the invention.
  • Another object of the present invention are the compounds of the invention for use in a method for the treatment and / or prophylaxis of diseases, in particular the aforementioned diseases, using a therapeutically effective amount of a compound of the invention.
  • Another object of the present invention are pharmaceutical compositions containing a compound of the invention and one or more other active ingredients.
  • Another object of the present invention is a method for preventing blood coagulation in vitro, especially in blood or biological samples that might contain factor XIa, which is characterized in that an anticoagulatory effective amount of the compound of the invention is added.
  • compositions containing a compound of the invention and one or more other active ingredients are pharmaceutical compositions containing a compound of the invention and one or more other active ingredients, in particular for the treatment and / or prophylaxis of the aforementioned diseases.
  • suitable combination active ingredients may be mentioned by way of example and preferably: Lipid-lowering agents, in particular HMG-CoA (3-hydroxy-3-methylglutaryl-coenzyme A) reductase inhibitors such as lovastatin (Mevacor), simvastatin (Zocor), pravastatin (pravachol), fluvastatin (Lescol) and atorvastatin (Lipitor);
  • Coronary / vasodilators particularly ACE (angiotensin converting enzyme) inhibitors such as captopril, lisinopril, enalapril, ramipril, cilazapril, benazepril, fosinopril, quinapril and perindopril, or AII (angiotensin II) receptor antagonists such as embusartan , Losartan, valsartan, irbesartan, candesartan, eprosartan and temisarta, or beta-adrenoceptor antagonists such as carvedilol, alprenolol, bisoprolol, acebutolol, atenolol, betaxolol, carteolol, metoprolol, nadolol, penbutolol, pindolol, propranolol and timolol, or alpha- 1-adren
  • Plasminogen activators thrombolytics / fibrinolytics
  • thrombolysis / fibrinolysis-enhancing compounds such as inhibitors of plasminogen activator inhibitor (PAI inhibitors) or inhibitors of thrombin-activated fibrinolysis inhibitor (TAFI inhibitors) such as tissue plasminogen activator (t-PA), streptokinase, reteplase and urokinase; anticoagulant substances (anticoagulants) such as heparin (UFH), low molecular weight heparin (LMWH) such as tinzaparin, certoparin, parnaparin, nadroparin, ardeparin, enoxaparin, reviparin, dalteparin, danaparoid, semuloparin (AVE 5026), adomiparin (Ml 18) and EP-42675 / ORG42675; direct thrombin inhibitors (DTI) such as Pradaxa (Dabiga
  • Antiplatelet agents such as, for example, aspirin, ticlopidine (ticlid), clopidogrel (plavix), prasugrel, ticagrelor, cangrelor, elinogrel,
  • Fibrinogen receptor antagonists such as abciximab, eptifibatide, tirofiban, lamifiban, lefradafiban and fradafiban;
  • Vasopressors such as norepinephrine, dopamine and vasopressin;
  • Inotropic therapy such as dobutamine
  • Corticosteroids such as hydrocortisone and fludrocortisone
  • Recombinant human activated protein C such as Xigris
  • blood products such as red blood cell concentrates, platelet concentrates,
  • Combinations within the meaning of the invention not only pharmaceutical forms containing all components (so-called. Fixed combinations) and combination packs containing the components separated from each other, understood, but also simultaneously or temporally staggered applied components, if they are for prophylaxis and It is also possible to combine two or more active substances, ie two or more combinations.
  • the compounds according to the invention can act systemically and / or locally.
  • they can be applied in a suitable manner, such as, for example, orally, parenterally, pulmonarily, nasally, sublingually, lingually, buccally, rectally, dermally, transdermally, conjunctivally, otically or as an implant or stent.
  • the compounds according to the invention can be administered in suitable administration forms.
  • Parenteral administration can be accomplished by bypassing a resorption step (e.g., intravenously, intraarterially, intracardially, intraspinal, or intralumbar) or by resorting to absorption (e.g., intramuscularly, subcutaneously, intracutaneously, percutaneously, or intraperitoneally).
  • a resorption step e.g., intravenously, intraarterially, intracardially, intraspinal, or intralumbar
  • absorption e.g., intramuscularly, subcutaneously, intracutaneously, percutaneously, or intraperitoneally.
  • parenteral administration are suitable as application forms u.a. Injection and infusion preparations in the form of solutions, suspensions, emulsions, lyophilisates or sterile powders.
  • inhalation medicines including powder inhalers, nebulizers
  • nasal drops solutions, sprays
  • lingual, sublingual or buccal tablets films / wafers or capsules
  • suppositories ear or ophthalmic preparations
  • vaginal capsules aqueous suspensions (lotions, shake mixtures)
  • lipophilic suspensions ointments
  • creams transdermal therapeutic systems (such as patches)
  • milk Pastes, foams, scattering powders, implants or stents.
  • the compounds according to the invention can be converted into the stated administration forms. This can be done in a conventional manner by mixing with inert, non-toxic, pharmaceutically suitable excipients.
  • excipients include excipients (for example microcrystalline cellulose, lactose, mannitol), solvents (for example liquid polyethylene glycols), emulsifiers and dispersants or wetting agents (for example sodium dodecyl sulfate, polyoxysorbitol oleate), binders (for example polyvinylpyrrolidone), synthetic and natural polymers (For example, albumin), stabilizers (eg, antioxidants such as ascorbic acid), dyes (eg, inorganic pigments such as iron oxides) and flavor and / or odoriferous.
  • excipients for example microcrystalline cellulose, lactose, mannitol
  • solvents for example liquid polyethylene glycols
  • emulsifiers and dispersants or wetting agents for example sodium dodecyl sulfate, polyoxysorbitol oleate
  • binders for example polyvinylpyrrolidone
  • synthetic and natural polymers for example,
  • compositions containing at least one compound of the invention preferably together with one or more inert non-toxic, pharmaceutically suitable excipient, as well as their use for the purposes mentioned above.
  • Method 1 Instrument: Waters ACQUITY SQD UPLC System; Column: Waters Acquity UPLC HSS T3 1.8 ⁇ 50mm x 1mm; Eluent A: 1 l of water + 0.25 ml of 99% formic acid, eluent B: 1 l of acetonitrile + 0.25 ml of 99% formic acid; Gradient: 0.0 min 90% A -> 1.2 min 5% A -> 2.0 min 5% A; Oven: 50 ° C; Flow: 0.40 ml / min; UV detection: 210 - 400 nm.
  • Method 2 Instrument: Micromass Quattro Premier with Waters UPLC Acquity; Column: Thermo Hypersil GOLD 1.9 ⁇ 50 mm x 1 mm; Eluent A: 1 l of water + 0.5 ml of 50% formic acid, eluent B: 1 l of acetonitrile + 0.5 ml of 50% formic acid; Gradient: 0.0 min 97% A -> 0.5 min 97% A -> 3.2 min 5% A -> 4.0 min 5% A Oven: 50 ° C; Flow: 0.3 ml / min; UV detection: 210 nm.
  • Method 3 Instrument: Waters ACQUITY SQD UPLC System; Column: Waters Acquity UPLC HSS T3 1.8 ⁇ 30 mm x 2 mm; Eluent A: 1 l of water + 0.25 ml of 99% formic acid, eluent B: 1 l of acetonitrile + 0.25 ml of 99% formic acid; Gradient: 0.0 min 90% A-> 1.2 min 5% A -> 2.0 min 5% A Furnace: 50 ° C; Flow: 0.60 ml / min; UV detection: 208-400 nm.
  • Method 4 Instrument: Waters Acquity UPLC-MS SQD 3001; Column: Acquity UPLC BEH C18 1.7 ⁇ 50 mm x 2.1 mm; Eluent A: water + 0.1% formic acid, eluent B: acetonitrile; Gradient: 0-1.6 min 1-99% B, 1.6-2.0 min 99% B; Flow: 0.8 ml / min; Temperature: 60 ° C; Injection: 2 ⁇ ; DAD scan: 210-400 nm; ELSD.
  • Method 5 Instrument: Waters Acquity UPLC-MS SQD 3001; Column: Acquity UPLC BEH Cl 8 1.7 ⁇ 50 mm x 2.1 mm; Eluent A: water + 0.2% ammonia, eluent B: acetonitrile; Gradient: 0-1.6 min 1-99% B, 1.6-2.0 min 99% B; Flow: 0.8 ml / min; Temperature: 60 ° C; Injection: 2 ⁇ ; DAD scan: 210-400 nm; ELSD.
  • Method 6 System: Labomatic HD-3000 HPLC gradient pump, Labomatic Labocol Vario-2000 fraction collector; Column: Chromatorex C-18 125 mm ⁇ 30 mm, eluent A: 0.1% formic acid in water, eluent B: acetonitrile, gradient: A 95% / B 5% -> A 55% / B 45%; Flow: 150 ml / min; UV detection: 254 nm.
  • Method 7 System: Labomatic HD-3000 HPLC gradient pump, Labomatic Labocol Vario-2000 fraction collector; Column: Chromatorex C-18 125 mm ⁇ 30 mm, eluent A: 0.1% formic acid in water, eluent B: acetonitrile; Gradient: A 90% / B 10% -> A 50% / B 50%; Flow: 150 ml / min; UV detection: 254 nm.
  • Method 8 System: Labomatic HD-3000 HPLC gradient pump, Labomatic Labocol Vario-2000 fraction collector; Column: Chromatorex C-18 125 mm ⁇ 30 mm, eluent A: 0.1% formic acid in water, eluent B: acetonitrile; Gradient: A 85% / B 15% -> A 45% / B 55%; Flow: 150 ml / min; UV detection: 254 nm.
  • Method 9 System: Labomatic HD-3000 HPLC gradient pump, Labomatic Labocol Vario-2000 fraction collector; Column: Chromatorex C-18 125 mm ⁇ 30 mm, eluent A: 0.1% formic acid in water, eluent B: acetonitrile; Gradient: A 80% / B 20% -> A 40% / B 60%; Flow: 150 ml / min; UV detection: 254 nm.
  • Method 10 Instrument: Waters autopurification system SQD; Column: Waters XBrigde C18 5 ⁇ 100 mm x 30 mm; Eluent A: water + 0.1% formic acid (99%), eluent B: acetonitrile; Gradient: 0-8.0 min 1-100% B, 8.0-10.0 min 100% B; Flow 50.0 ml / min; Temperature: RT; Injection: 2500 ⁇ ; DAD scan: 210-400 nm.
  • Method 11 Instrument: Waters autopurification system SQD; Column: Waters XBrigde C18 5 ⁇ 100 mm x 30 mm; Eluent A: water + 0.2% ammonia (32%), eluent B: acetonitrile; Gradient: 0-8.0 min 1-100% B, 8.0-10.0 min 100% B; Flow 50.0 ml / min; Temperature: RT; Injection: 2500 ⁇ ; DAD scan: 210-400 nm.
  • Method 12 Instrument MS: Waters (Micromass) QM; Instrument HPLC: Agilent 1100 series; Column: Agient ZORBAX Extend-C18 3.0mm x 50mm 3.5-micron; Eluent A: 1 l of water + 0.01 mol of ammonium carbonate, eluent B: 1 l of acetonitrile; Gradient: 0.0 min 98% A-> 0.2 min 98% A -> 3.0 min 5% A ⁇ 4.5 min 5% A; Oven: 40 ° C; Flow: 1.75 ml / min; UV detection: 210 nm.
  • Method 13 Instrument: Waters ACQUITY SQD UPLC System; Column: Waters Acquity UPLC HSS T3 1.8 ⁇ 50 mm x 1 mm; Eluent A: 1 l of water + 0.25 ml of 99% formic acid, eluent B: 1 l of acetonitrile + 0.25 ml of 99% formic acid; Gradient: 0.0 min 95% A -> 6.0 min 5% A -> 7.5 min 5% A; Oven: 50 ° C; Flow: 0.35 ml / min; UV detection: 210 - 400 nm.
  • Method 14 Instrument MS: Waters (Micromass) Quattro Micro; Instrument HPLC: Agilent 1100 series; Column: YMC-Triart C18 3 ⁇ 50 mm x 3 mm; Eluent A: 1 l of water + 0.01 mol of ammonium carbonate, eluent B: 1 l of acetonitrile; Gradient: 0.0 min 100% A-> 2.75 min 5% A-> 4.5 min 5% A; Oven: 40 ° C; Flow: 1.25 ml / min; UV detection: 210 nm.
  • Method 15 (HPLC): Column: Reprosil C18; 10 ⁇ ; 125 mm x 30 mm; Eluent A: water + 0.01% trifluoroacetic acid, eluent B: methanol; Gradient: 0.0-5.0 min 20% B -> 6.50 min 40% B -> 17.00 min 100% B -> 19.5-23.0 min 40% B; Flow: 50 ml / min.
  • Microwave The microwave reactor used was a Biotage TM initiator.
  • the compounds of the invention may be in salt form, for example as trifluoroacetate, formate or ammonium salt, if the Compounds according to the invention contain a sufficiently basic or acidic functionality.
  • a salt can be converted into the corresponding free base or acid by various methods known to those skilled in the art.
  • Weaker salts can be converted to the corresponding chlorides by addition of some hydrochloride.
  • the starting compounds and examples contain an L-phenylalanine derivative as the central building block, the corresponding stereocenter is described as (S) -configuration. Unless otherwise stated, it was not examined whether in individual cases a partial epimerization of the stereocenter occurred in the coupling of the L-phenylalanine intermediate with the amine H2N-R 1 . Thus, a mixture of the compounds of (S) -enantiomer and (R) -enantiomer according to the invention may be present. The main component is the respectively depicted (S) -enantiomer. starting compounds
  • the suspension was added dropwise with a 2,4,6-tripropyl-l, 3,5,2,4,6-trioxatriphosphinane-2,4,6-trioxide solution (50% in dimethylformamide, 766 ml, 1312 mmol) and then stirred for 3 h at RT.
  • the reaction mixture was stirred into water and extracted three times with ethyl acetate.
  • the organic phase was washed with aqueous saturated sodium bicarbonate solution, aqueous saturated ammonium chloride solution, and aqueous saturated sodium chloride solution. It was dried over sodium sulfate and the solvent removed. 420 g (97% of theory) of the title compound were obtained.
  • the suspension was at 0 ° C dropwise with a 2,4,6-tripropyl-l, 3,5,2,4,6-trioxatriphosphinane-2,4,6-trioxide solution (50% in DMF, 16.9 g, 27 mmol) and then stirred for 16 h at RT.
  • the reaction mixture was stirred into ethyl acetate (13,000 ml) and extracted three times with water (1570 ml each). The organic phase was dried with sodium sulfate and the solvent removed.
  • the crude product was stirred with acetonitrile and filtered with suction. 11.4 g (78% of theory) of the title compound were obtained.
  • Example 9A ieri-butyl-4 - ( ⁇ 4 '- [(2S) -2- ⁇ [(ira_A-4- ⁇ [(feri-butoxycarbonyl) amino] methyl ⁇ cyclohexyl) carbonyl] amino ⁇ -3- oxo-3- ⁇ [4- (2-i-tetrazol-5-yl) -phenyl] -amino ⁇ -propyl] -biphenyl-2-yl ⁇ -carbonyl (l) piperazine-1-carboxy-lat
  • Example IIA ieri-butyl - [(ira ".y-4- ⁇ [(2S) -3- [2 '- (methylcarbamoyl) biphenyl-4-yl] -l-oxo-l- ⁇ [4- (2 / i-tetrazol-5-yl) phenyl] amino ⁇ propan-2-yl] carbamoyl 1 ⁇ cyclohexyl) methyl] carbamate
  • Example 12A ieri-butyl - [(ira-.y-4- ⁇ [(2S) -3- (2'-aminobiphenyl-4-yl) -l-oxo-1- ⁇ [4- (2-i-tetrazole -5-yl) phenyl] amino ⁇ propan-2-yl] carbamoyl 1 ⁇ cyclohexyl) methyl] carbamate
  • Example 13A N- (ieri-butoxycarbonyl) glycylglycyl-N- ⁇ 4 '- [(2S) -2- ⁇ [(trans-4- ⁇ [(ieri-butoxycarbonyl) amino] -methy 1 ⁇ cyclohexyl) carbonyl 1] amino ⁇ -3-oxo-3 - ⁇ [4- (2-i-tetrazol-5-yl) -phenyl] -amino ⁇ -propy 1] -biphenyl-2-yl ⁇ -glycinamide
  • Example 15A ieri-butyl - [( ⁇ - ⁇ -4- ⁇ [(2S) -l-oxo-3- ⁇ 2 '- [(tetrahydro-2-i-pyran-4-ylcarbonyl) amino] biphenyl-4- yl ⁇ - 1- ⁇ [4- (2-i-tetrazol-5-yl) phenyl] amino ⁇ propan-2-yl] carbamoyl ⁇ cyclohexyl) methyl] carbamate
  • Example 18A The butyl-[(1 ⁇ -i-4- ⁇ [(2S) -3- [2 '- (hydroxymethyl) -biphenyl-4-yl] -l-oxo-l- ⁇ [4- (2 / i -tetrazolyl) phenyl] amino ⁇ propan-2-yl] carbamoyl 1 ⁇ cyclohexyl) methyl] carbamate
  • reaction solution was filtered through a Millipore syringe filter and purified by preparative HPLC (mobile phase: acetonitrile / water with 0.1% trifluoroacetic acid (gradient)). 38.6 mg (30% of theory) of the title compound were obtained.
  • reaction solution was filtered through a Millipore syringe filter and purified by preparative HPLC (mobile phase: acetonitrile / water with 0.1% trifluoroacetic acid (gradient)). 59 mg (51% of theory) of the title compound were obtained.
  • reaction mixture was concentrated, the residue was taken up in methanol and separated twice by preparative HPLC (mobile phase: gradient of acetonitrile / water with 0.1% trifluoroacetic acid).
  • product-containing fractions were combined, mixed with 0.2 ml of 4M hydrogen chloride in 1,4-dioxane and the mixture was concentrated on a rotary evaporator.
  • the residue was dried under high vacuum. 10 mg (11% of theory, 87% purity) of the title compound were obtained.
  • Example 10 ira «A-4- (Aminomethyl) -N - [(2S) -3- (2 '- ⁇ [(dimethylamino) acetyl] amino ⁇ biphenyl-4-yl) -l-oxo-l- ⁇ [4 - (2 / i-tetrazol-5-yl) phenyl 1] amino ⁇ propan-2-yl] cyclohexanecarboxamide hydrochloride
  • Example 14 iraws-4- (aminomethyl) -N- [(2S) -3- [2 '- (hydroxymethyl) biphenyl-4-yl] -1-oxo-1 - ⁇ [4- (2-tetrazole-5 - yl) phenyl] amino ⁇ propan-2-yl] cyclohexanecarboxamide Hy dro chloride
  • a biochemical test system is used in which the reaction of a peptide factor Xla substrate is used to determine the enzymatic activity of human factor XIa.
  • Factor XIa from the peptic factor XIa substrate cleaves the C-terminal aminomethylcoumarin (AMC) whose fluorescence is measured. The determinations are carried out in microtiter plates.
  • Test substances are dissolved in dimethyl sulfoxide and serially diluted in dimethylsulfoxide (3000 ⁇ to 0.0078 ⁇ , resulting final concentrations in the test: 50 ⁇ to 0.00013 ⁇ ). 1 ⁇ each of the diluted substance solutions are placed in the wells of white microtiter plates from Greiner (384 wells). Subsequently, 20 ⁇ assay buffer (50 mmol / l Tris buffer pH 7.4, 100 mmol / l sodium chloride, 5 mmol / l calcium chloride, 0.1% bovine serum albumin) and 20 ⁇ factor XIa from Kordia (0.45 nM in assay buffer) are added successively.
  • assay buffer 50 mmol / l Tris buffer pH 7.4, 100 mmol / l sodium chloride, 5 mmol / l calcium chloride, 0.1% bovine serum albumin
  • 20 ⁇ factor XIa from Kordia (0.45 nM in assay buffer
  • test substances are tested for their inhibition of other human serine proteases, such as factor Xa, trypsin and plasmin.
  • factor Xa 1.3 nmol / l of Kordia
  • trypsin 83 mU / ml of Sigma
  • plasmin 0.1 ug / ml of Kordia
  • these enzymes are dissolved (50 mmol / l Tris buffer [C , C, C-tris (hydroxymethyl) -aminomethane], 100 mmol / l sodium chloride, 0.1% BSA [bovine serum albumin], 5 mmol / l calcium chloride, pH 7.4) and for 15 min with test substance in various concentrations in dimethyl sulfoxide and with dimethyl sulfoxide incubated without test substance.
  • the enzymatic reaction is then started by addition of the appropriate substrates (5 ⁇ / ⁇ Boc-Ile-Glu-Gly-Arg-AMC from Bachem for factor Xa and trypsin, 50 ⁇ / ⁇ MeOSuc-Ala-Phe-Lys-AMC from Bachem for plasmin). After an incubation period of 30 min at 22 ° C, the fluorescence is measured (excitation: 360 nm, emission: 460 nm). The measured emissions of the test mixtures with test substance are compared with the control preparations without test substance (excluding dimethyl sulfoxide instead of test substance in dimethyl sulfoxide) and IC 50 values are calculated from the concentration-effect relationships. a.3) thrombin generation assay (thrombogram)
  • Thrombogram thrombin generation assay according to Hemker
  • Octaplas® from Octapharma
  • the activity of thrombin in clotting plasma is determined by measuring the fluorescent cleavage products of substrate 1-1140 (Z-Gly-Gly-Arg-AMC, Bachem). The reactions are carried out in the presence of varying concentrations of test substance or the corresponding solvent.
  • Thrombinoscope To start the reaction reagents from the company Thrombinoscope are used (30 pM or 0.1 pM recombinant tissue factor, 24 ⁇ M phospholipids in HEPES).
  • a Thrombin Calibrator from the company Thrombinoscope is used, whose amidolytic activity is required for calculating the thrombin activity in a sample with an unknown amount of thrombin.
  • the test is carried out according to the manufacturer (Thrombionsocpe BV): 4 ⁇ of the test substance or the solvent, 76 ⁇ plasma and 20 ⁇ PPP reagent or thrombin calibrator are incubated for 5 min at 37 ° C. After addition of 20 ⁇ M 2.5 mM thrombin substrate in 20 mM Hepes, 60 mg / ml BSA, 102 mM calcium chloride, the thrombin generation is measured every 20 seconds for 120 min. The measurement is carried out with a fluorometer (Fluoroskan Ascent) from Thermo Electron, which is equipped with a 390/460 nM filter pair and a dispenser.
  • a fluorometer Fluoroskan Ascent
  • the thrombogram is calculated and graphically displayed and the following parameters are calculated: lag time, time to peak, peak, ETP (endogenous thrombin potential) and start tail a.4) Determination of the anticoagulant effect
  • the Anticoagulant effect of the test substances is determined in vitro in human and animal plasma (eg mouse, rat, rabbit, porcine and canine plasma) using a 0.11 molar sodium citrate solution as a template in a mixing ratio Sodium citrate / blood is taken 1/9, the blood is mixed well immediately after collection and centrifuged for 15 minutes at approximately 4000 g The supernatant is pipetted off
  • the prothrombin time (PT, synonyms: thromboplastin time, Quick test) is in the presence of varying concentrations on test substance or the corresponding solvent with a commercially available test kit (Neoplastin® from Boehringer Mannheim or Hemolianc e® RecombiPlastin from Instrumentation Laboratory).
  • test compounds are incubated for 3 minutes at 37 ° C with the plasma. Subsequently, coagulation is triggered by the addition of thromboplastin and the time of coagulation is determined. The concentration of test substance is determined which causes a doubling of the prothrombin time.
  • the activated partial thromboplastin time is determined in the presence of varying concentrations of test substance or the corresponding solvent using a commercially available test kit (CK Perst from the company Diagnostica Stago).
  • the test compounds are incubated for 3 minutes at 37 ° C with the plasma and the PTT reagent (cephalin, kaolin). Subsequently, coagulation is triggered by addition of a 25 mM aqueous calcium chloride solution and the time of coagulation is determined. It will be the Concentration of test substance determined, which cause a 1.5-fold extension of aPTT. Effect data from this test are listed in Table B below:
  • Tissue factor (TF) (1 pM) and tissue plasminogen activator (tPA) (40 nM) are pipetted together with 12.5 mM aqueous calcium chloride solution and substance in plasma. After clot formation, the subsequent clot lysis is determined photometrically over a period of 30 minutes.
  • TF tissue factor
  • tPA tissue plasminogen activator
  • the antithrombotic activity of FXIa inhibitors is tested in an arterial thrombosis model.
  • the thrombus formation is triggered by chemical damage to a portion of the carotid artery in the rabbit.
  • the ear bleeding time is determined.
  • Male rabbits (Crl: KBL (NZW) BR, Charles River) under a diet of 2.2-2.5 kg body weight are administered by intramuscular administration of xylazine and ketamine (Rompun, Bayer, 5 mg kg and Ketavet, Pharmacia & Upjohn GmbH, 40 mg kg body weight) anesthetized.
  • Anesthesia is further assisted by intravenous administration of the same preparations (bolus: continuous infusion) via the right ear vein.
  • the vascular damage is produced by wrapping a piece of filter paper (10 mm x 10 mm) on a Parafilm® (25 mm x 12 mm) strip around the carotid artery without affecting the blood flow.
  • the filter paper containing 100 ⁇ ⁇ of a 13% solution of iron (II) chloride (Sigma) in water. After 5 minutes, the filter paper is removed and the vessel rinsed twice with aqueous 0.9% sodium chloride solution. 30 minutes after the injury, the carotid artery is dissected out in the area of the damage and any thrombotic material is removed and weighed.
  • test substances are either administered intravenously via the femoral vein anesthetized or orally by gavage to the awake animals each 5 min or 2 h before damage.
  • the ear bleeding time is determined 2 minutes after the injury to the carotid artery.
  • the left ear is shaved and a defined section of 3 mm in length (blade Art.No. 10-150-10, Martin, Tuttlingen, Germany) is set parallel to the longitudinal axis of the ear. Care is taken not to injure any visible vessel. Any escaping blood is collected at 15-second intervals with accurately weighed pieces of filter paper without touching the wound directly.
  • the bleeding time is calculated as the time from placement of the incision to the time when no more blood is detectable on the filter paper.
  • the leaked blood volume is calculated after weighing the pieces of filter paper.
  • the determination of the antifibrinolytic action in vivo is carried out in hyper-fibrinolytic rats. Following anesthesia and catheterization of the animals, hyper-fibinolysis is initiated by infusion of tissue plasminogen activator (tPA) (8 mg kg h). 10 minutes after the beginning of the tPA infusion, the substances are administered as an iv bolus. After another 15 minutes, the tPA infusion is terminated and a tail transsection performed. The subaquale bleeding (37 ° C tempered physiological sodium chloride solution) is observed over 30 minutes and determines the bleeding time.
  • tPA tissue plasminogen activator
  • the substances according to the invention can, for example, be converted into pharmaceutical preparations as follows:
  • composition
  • Example 1 100 mg of the compound of Example 1, 50 mg of lactose (monohydrate), 50 mg of corn starch, 10 mg of polyvinylpyrrolidone (PVP) and 2 mg of magnesium stearate.
  • lactose monohydrate
  • corn starch 50 mg of corn starch
  • PVP polyvinylpyrrolidone
  • composition Composition:
  • a single dose of 100 mg of the compound of the invention corresponds to 10 ml of oral suspension. production:
  • the rhodigel is suspended in ethanol, the compound of Example 1 is added to the suspension. While stirring, the addition of water. Until the swelling of the Rhodigels swirling is about 6 h stirred.
  • the compound of the invention is suspended in the mixture of polyethylene glycol and polysorbate with stirring. The stirring is continued until complete dissolution of the compound according to the invention.
  • i.v. solution The compound of the invention is dissolved in a concentration below the saturation solubility in a physiologically acceptable solvent (e.g., isotonic sodium chloride solution, glucose solution 5% and / or polyethylene glycol 400 / water 30% m / m). The solution is sterile filtered and filled into sterile and pyrogen-free injection containers.
  • a physiologically acceptable solvent e.g., isotonic sodium chloride solution, glucose solution 5% and / or polyethylene glycol 400 / water 30% m / m.

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Abstract

L'invention concerne des dérivés de phénylalanine substitués et des procédés pour leur préparation, ainsi que leur utilisation pour la préparation de médicaments pour le traitement et/ou la prophylaxie de maladies, notamment de maladies cardiovasculaires et/ou de fortes pertes sanguines péri-opératoires.
EP14772148.4A 2013-09-26 2014-09-24 Dérivés de phénylalanine substitués servant de modulateurs du facteur xia Withdrawn EP3049410A1 (fr)

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US9738655B2 (en) 2013-03-25 2017-08-22 Bristol-Myers Squibb Company Tetrahydroisoquinolines containing substituted azoles as factor XIa inhibitors
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CN110845498B (zh) 2014-01-31 2023-02-17 百时美施贵宝公司 作为因子xia抑制剂的具有杂环p2′基团的大环化合物
WO2016036893A1 (fr) 2014-09-04 2016-03-10 Bristol-Myers Squibb Company Diamides macrocycliques qui sont des inhibiteurs de fxia
US9453018B2 (en) 2014-10-01 2016-09-27 Bristol-Myers Squibb Company Pyrimidinones as factor XIa inhibitors
WO2017074833A1 (fr) 2015-10-29 2017-05-04 Merck Sharp & Dohme Corp. Dérivé spirocarbamate macrocyclique comme inhibiteurs du facteur xia, compositions pharmaceutiquement acceptables et leur utilisation
TW201808908A (zh) 2016-08-22 2018-03-16 美商默沙東藥廠 因子XIa抑制劑

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US8466295B2 (en) * 2005-12-14 2013-06-18 Bristol-Myers Squibb Company Thiophene derivatives as factor XIa inhibitors

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