1556 Journal of Medicinal Chemistry, 2007, Vol. 50, No. 7
Chan et al.
[(1R)-2-[4-(1-methyl-4-piperidinyl)-1-piperazinyl]-2-oxo-1-phenyl-
ethyl]-1H-Indole-6-carboxamide, CAS number 313489-71-3, cur-
rently in Phase II): (c) LY-517717: A Novel Prophylactic for VTE
following Major Orthopedic Surgery. Prous; 02 Jan 2006. (d) Saiah,
E.; Soares, C. Small Molecule Coagulation Cascade Inhibitors in the
Clinic. Curr. Top. Med. Chem. 2005, 5 (16), 1677-1695. DU-176b
(CAS number 912273-65-5, no structure available): (e) Daiichi
Sankyo (JP): Phase II Clinical Trial. Pharmaprojects; 03 Apr 2006.
(f) Cardiovasculars Take Centre Stage in Daiichi-Sankyo’s R&D Plan.
Scrip; 30 Mar 2006. Apixaban: (g) Apixaban Enters Phase II/III
Trials as a Preventive Therapy for Venous and Pulmonary Throm-
bosis. Prous; 16 Sep 2005. DX-9065a ([S-(R*,R*)]-7-(Aminoimi-
nomethyl)-R-[4-[[1-(1-iminoethyl)-3-pyrrolidinyl]oxy]phenyl]-2-naph-
thalenepropanoic Acid, Monohydrochloride, Pentahydrate, CAS
number 155204-81-2, currently in Phase II): (h) Kaiser, B. DX-
9065a Daiichi. Curr. Opin. InVest. Drugs 2003, 4 (9), 1105-1112.
(i) Daiichi Sankyo (JP): Phase II Clinical Trial. Pharmaprojects;
Monday, 24 Jul 2006.
mental data are available. This material is available free of charge
References
(1) Fevig, J. M.; Wexler, R. R. Anticoagulants: Thrombin and Factor
Xa Inhibitors. Annu. Rep. Med. Chem. 1999, 34, 81-100. Zhu, B.-
Y.; Scarborough, R. M. Factor Xa Inhibitors: Recent Advances In
Anticoagulant Agents. Annu. Rep. Med. Chem. 2000, 35, 83-102.
Scarborough, R. M.; Pandey, A.; Zhang, X. Small Molecule
Anticoagulant/Antithrombotic Agents. Annu. Rep. Med. Chem. 2005,
40, 85-101. Linkins, L.-A.; Weitz, J. I. New Anticoagulants. Semin.
Thromb. Hemostasis 2003, 29 (6), 619-663.
(2) Hirsh, J.; Warkentin, T. E.; Raschke, R.; Granger, C.; Ohman, E.
M.; Dalen, J. E. Heparin and Low-Molecular-Weight Heparin:
Mechanism of Action, Pharmacokinetics, Dosing Considerations,
Monitoring, Efficacy, and Safety. Chest 1998, 114 (5), 489S-510S.
(3) Hirsh, J.; Dalen, J. E.; Anderson, D. R.; Poller, L.; Bussey, H.; Ansell,
J.; Deykin, D.; Brandt, J. T. Oral Anticoagulants: Mechanism of
Action, Clinical Effectiveness, and Optimal Therapeutic Range. Chest
1998, 114 (5), 445S-469S.
(10) Watson, N. S.; Pass, M.; Patel, V. Preparation of 5-[2-(Pyridin-4-
ylamino)ethoxy]benzamides as Thrombin Inhibitors. PCT Int. Appl.
1997, p 139, WO9722589A1; Chem. Abstr. 1997, 127, 121643.
(11) (a) Ewing, W. R.; Becker, M. R.; Manetta, V. E.; Davis, R. S.; Pauls,
H. W.; Mason, H.; Choi-Sledeski, Y. M.; Green, D.; Cha, D.; Spada,
A. P.; Cheney, D. L.; Mason, J. S.; Maignan, S.; Guilloteau, J.-P.;
Brown, K.; Colussi, D.; Bentley, R.; Bostwick, J.; Kasiewski, C. J.;
Morgan, S. R.; Leadley, R. J.; Dunwiddie, C. T.; Perrone, M. H.;
Chu, V. Design and Structure-Activity Relationships of Potent and
Selective Inhibitors of Blood Coagulation Factor Xa. J. Med. Chem.
1999, 42, 3557-3571. (b) Watson, N. S.; Brown, D.; Campbell, M.;
Chan, C.; Chaudry, L.; Convery, M. A.; Fenwick, R.; Hamblin, J.
N.; Haslam, C.; Kelly, H. A.; King, N. P.; Kurtis, C. L.; Leach, A.
R.; Manchee, G.; Mason, A. M.; Mitchell, C.; Patel, C.; Patel, V.
K.; Senger, S.; Shah, G. P.; Weston, H. E.; Whitworth, C.; Young,
R. J. Design and Synthesis of Orally Active Pyrrolidin-2-one-based
Factor Xa Inhibitors. Bioorg. Med. Chem. Lett. 2006, 16, 3784-
3788.
(4) Davie, E. W.; Fujikawa, K.; Kisiel, W. The Coagulation Cascade:
Initiation, Maintenance, and Regulation. Biochemistry 1991, 30 (43),
10363-10370.
(5) (a) Connolly, A. J.; Ishihara, H.; Kahn, M. L.; Farese, R. V., Jr.;
Coughlin, S. R. Role of the Thrombin Receptor in Development and
Evidence for a Second Receptor. Nature 1996, 381 (6582), 516-
519. (b) Kaiser, B. Factor XasA Promising Target for Drug
Development. Cell. Mol. Life Sci. 2002, 59 (2), 189-192. (c)
Alexander, J. H.; Singh, K. P. Inhibition of Factor Xa: A Potential
Target for the Development of New Anticoagulants. Am. J. Cardio-
Vasc. Drugs 2005, 5 (5), 279-290. (d) Kubitza, D.; Haas, S. Novel
Factor Xa Inhibitors for Prevention and Treatment of Thromboem-
bolic Diseases. Exp. Opin. InVest. Drugs 2006, 15 (8), 843-855.
(6) (a) Decousus, H.; Rivron-Guillot, K.; Girard, G.; Moulin, N. Clinical
Efficacy and Safety of Fondaparinux in the Prevention and Treatment
of Venous and Arterial Thrombosis. Future Cardiol. 2005, 1 (6),
743-758. (b) Bauersachs, R. M. Fondaparinux: An Update on New
Study Results. Eur. J. Clin. InVestig. 2005, 35 (Suppl. 1), 27-32.
(c) Arixtra gets EU approval for VTE (venous thromboembolism)
prophylaxis in major orthopaedic surgery. Scrip; 20th Nov 2003; No.
2860, p 27. (d) Expanded U.S. approval for Arixtra in hip fracture
surgery. Scrip; 20th Jun 2003; No. 2748, p 22.
(12) MacDonald, S. J. F.; Clarke, G. D. E.; Dowle, M. D.; Harrison, L.
A.; Hodgson, S. T.; Inglis, G. G. A.; Johnson, M. R.; Shah, P.; Upton,
R. J.; Walls, S. B. A Flexible, Practical, and Stereoselective Synthesis
of Enantiomerically Pure trans-5-Oxohexahydropyrrolo[3,2-b]pyr-
roles (Pyrrolidine-trans-lactams), a New Class of Serine Protease
Inhibitors, Using Acyliminium Methodology. J. Org. Chem. 1999,
64, 5166-5175.
(7) (a) Eriksson, B. Clinical Experience with Ximelagatran in Orthopedic
Surgery. Drugs 2004, 64 (Suppl. 1), 27-35. (b) Boos, C. J.; Hinton,
A.; Lip, G. Y. H. Ximelagatran: A Clinical Perspective. Eur. J.
Intern. Med. 2005, 16 (4), 267-278. (c) Quan, M. L.; Lam, P. Y.
S.; Han, Q.; Pinto, D. J. P.; He, M. Y.; Li, R.; Ellis, C. D.; Clark, C.
G.; Teleha, C. A.; Sun, J.-H.; Alexander, R. S.; Bai, S.; Luettgen, J.
M.; Knabb, R. M.; Wong, P. C.; Wexler, R. R. Discovery of 1-(3′-
Aminobenzisoxazol-5′-yl)-3-trifluoromethyl-N-[2-fluoro-4-[(2′-dim-
ethylaminomethyl)imidazol-1-yl]phenyl]-1H-pyrazole-5-carboxya-
mide Hydrochloride (Razaxaban), a Highly Potent, Selective, and
Orally Bioavailable Factor Xa Inhibitor. J. Med. Chem. 2005, 48
(6), 1729-1744. (d) Eriksson, B. I.; Quinlan, D. J. Oral Anticoagu-
lants in Development: Focus on Thromboprophylaxis in Patients
Undergoing Orthopaedic Surgery. Drugs 2006, 66 (11), 1411-1429.
(e) (i) Study backs controversial blood-thinning drug. Reuters News;
08 Feb 2005. (ii) More bad news for Exanta as France requests more
data. Scrip; 20 Jan 2005.
(8) Dabigatran etexilate (currently in phase III): (a) Sorbera, L. A.;
Bozzo, J.; Castaner, J. Dabigatran/Dabigatran Etexilate: Prevention
of DVT Prevention of Ischemic Stroke Thrombin Inhibitor. Drugs
Future 2005, 30 (9), 877-885. (b) Stangier, J.; Eriksson, B. I.; Dahl,
O. E.; Ahnfelt, L.; Nehmiz, G.; Staehle, H.; Rathgen, K.; Svaerd, R.
Pharmacokinetic Profile of the Oral Direct Thrombin Inhibitor
Dabigatran Etexilate in Healthy Volunteers and Patients Undergoing
Total Hip Replacement. J. Clin. Pharmacol. 2005, 45 (5), 555-563.
(c) Boehringer Ingelheim launches REVOLUTION program for
dabigatran etexilate. Prous; 20th Jan 2006. MCC-977 (no structure
or CAS number available, currently in phase II): (d) MCC-977 -
Mitsubishi Pharma (JP): Phase II Clinical Trial. Pharmaprojects;
18th May 2006.
(13) (a) For 6a: Haginoya, N.; Kobayashi, S.; Komoriya, S.; Yoshino,
T.; Suzuki, M.; Shimada, T.; Watanabe, K.; Hirokawa, Y.; Furugori,
T.; Nagahara, T. Synthesis and Conformational Analysis of a Non-
Amidine Factor Xa Inhibitor That Incorporates 5-Methyl-4,5,6,7-
tetrahydrothiazolo[5,4-c]pyridine as S4 Binding Element. J. Med.
Chem. 2004, 47 (21), 5167-5182. (b) For 6c: Matier, W. L.; Comer,
W. T.; Gomoll, A. W. Synthesis and Biological Properties of 5-Aryl-
4H-1,2,4-thiadiazine 1,1-Dioxides. J. Med. Chem. 1974, 17 (5), 549-
552. (c) For 6f: Choi-Sledeski, Y. M.; Kearney, R.; Poli, G.; Pauls,
H.; Gardner, C.; Gong, Y.; Becker, M.; Davis, R.; Spada, A.; Liang,
G.; Chu, V.; Brown, K.; Collussi, D.; Leadley, R., Jr.; Rebello, S.;
Moxey, P.; Morgan, S.; Bentley, R.; Kasiewski, C.; Maignan, S.;
Guilloteau, J.-P.; Mikol, V. Discovery of an Orally Efficacious
Inhibitor of Coagulation Factor Xa which Incorporates a Neutral P1
Ligand. J. Med. Chem. 2003, 46 (5), 681-684. (d) For 6g: Ando,
T.; Saito, Y.; Yamawaki, J.; Morisaki, H.; Sawada, M.; Yukawa, Y.
6-Methyl-2-naphthalenesulfonate (menasylate). New and Useful
Leaving Group for Trifluoroacetolysis. J. Org. Chem. 1974, 39 (16),
2465-2466.
(14) For 6b, 6d, 6e, and 6j: Ewing, W. R.; Becker, M. R.; Choi-Sledeski,
Y. M.; Pauls, H. W.; McGarry, D. G.; Davis, R. S.; Spada, A.
Preparation of Heterocyclylsulfonylaminooxopyrrolidinylmethyl-
benzamidines and Related Compounds as Factor Xa Inhibitors. 1998,
p 36, U.S. Patent 5,731,315A; Chem. Abstr. 1998, 128, 243948.
(15) (a) For 6k: Chan, C.; Hamblin, J. N.; Kelly, H. A.; King, N. P.;
Mason, A. M.; Patel, V. K.; Senger, S.; Shah, G. P.; Watson, N. S.;
Weston, H. E.; Whitworth, C.; Young, R. J. Preparation of 3-Sul-
fonylaminopyrrolidine-1-acetamides as Factor Xa Inhibitors. PCT Int.
Appl. 2002, p 85, WO2002100830A; Chem. Abstr. 2002, 138, 39537.
(b) For 6l: Choi-Sledeski, Y. M.; Pauls, H. W.; Barton, J. N.; Ewing,
W. R.; Green, D. M.; Becker, M. R. Preparation of Sulfonic Acid or
Sulfonylamino N-(Heteroaralkyl)-azaheterocyclylamide Compounds
as Inhibitors of Factor Xa. PCT Int. Appl. 1998, p 116, WO9825611A;
Chem. Abstr. 1998, 129, 81744.
(9) Rivaroxaban (BAY -59 - 7939; currently in phase III): (a) Eriksson,
B. I.; Borris, L.; Dahl, O. E.; Haas, S.; Huisman, M. V.; Kakkar, A.
K.; Misselwitz, F.; Kaelebo, P. Oral, Direct Factor Xa Inhibition with
BAY-59-7939. For the Prevention of Venous Thromboembolism
after Total Hip Replacement. J. Thromb. Haemost. 2006, 4 (1), 121-
128. (b) Roehrig, S.; Straub, A.; Pohlmann, J.; Lampe, T.; Perner-
storfer, J.; Schlemmer, K.-H.; Reinemer, P.; Perzborn, E. Discovery
of the Novel Antithrombotic Agent 5-Chloro-N-({(5S)-2-oxo-3-[4-
(3-oxomorpholin-4-yl)phenyl]-1,3-oxazolidin-5-yl}methyl)thiophene-
2-carboxamide (BAY 59 - 7939): An Oral, Direct Factor Xa
Inhibitor. J. Med. Chem. 2005, 48 (19), 5900-5908. LY-517717 (N-
(16) For 6o and 6p: Komoriya, S.; Haginoya, N.; Kobayashi, S.; Nagata,
T.; Mochizuki, A.; Suzuki, M.; Yoshino, T.; Horino, H.; Nagahara,
T.; Suzuki, M.; Isobe, Y.; Furugoori, T. Design, Synthesis, and
Biological Activity of Nonbasic Compounds as Factor Xa Inhibi-
tors: SAR Study of S1 and Aryl Binding Sites. Bioorg. Med. Chem.
2005, 13 (12), 3927-3954.