Granted Patent B2

US 7,544,699 · App. 10/913,168 · Granted Jun 9, 2009

Abstract

Claims (335)

1. The compound of Formula (I):

Ar 2 —K  (I)

wherein

Ar 2 is 3-isoquinolinyl or a 3-tetrahydroisoquinolyl group substituted with a 7-(alkyl-phenoxy) or a 6-(alkyl-phenoxy) group and further optionally substituted 1 to 6 times, wherein the substituents are independently selected from the group consisting of:

a) -fluoro;

b) -chloro;

c) -bromo;

d) -iodo;

e) -cyano;

f) -nitro;

g) -perfluoroalkyl;

h) -T 1 -R 20 ;

i) -alkyl;

j) -aryl;

k) -heteroaryl;

l) -heterocyclyl;

m) -cycloalkyl;

n) -alkylene-aryl;

o) -alkylene-arylene-aryl;

p) -alkylene-arylene-alkyl;

q) -arylene-alkyl;

r) -arylene-aryl;

s) -arylene-heteroaryl;

t) -heteroarylene-aryl;

u) -heteroarylene-heteroaryl;

v) -heteroarylene-heterocyclyl;

w) -arylene-heterocyclyl;

x) -arylene-arylene-alkyl;

y) -T 1 -alkyl;

z) -T 1 -aryl;

aa) -T 1 -alkylene-aryl;

bb) -T 1 -alkenylene-aryl;

cc) -T 1 -alkylene-heteroaryl;

dd) -T 1 -alkenylene-heteroaryl;

ee) -T 1 -cycloalkylene-aryl;

ff) -T 1 -cycloalkylene-heteroaryl;

gg) -T 1 -heterocyclylene-aryl;

hh) -T 1 -heterocyclylene-heteroaryl;

ii) -T 1 -arylene-alkyl;

jj) -T 1 -arylene-alkenyl;

kk) -T 1 -alkylene-arylene-aryl;

ll) -T 1 -arylene-T 2 -aryl;

mm) -T 1 -arylene-arylene-aryl;

nn) -T 1 -alkylene-arylene-alkyl;

oo) -alkylene-T 1 -alkylene-aryl;

pp) -arylene-T 1 -alkyl;

qq) -arylene-T 1 -alkylene-aryl;

rr) -T 1 -alkylene-T 2 -aryl;

ss) -T 1 -alkylene-aryl;

tt) -alkylene-T 1 -heteroaryl;

uu) -alkylene-T 1 -cycloalkyl;

vv) -alkylene-T 1 -heterocyclyl;

ww) -alkylene-T-arylene-alkyl;

xx) -alkylene-T 1 -alkylene-arylene-alkyl;

yy) -alkylene-T 1 -alkyl;

zz) -alkylene-T 1 -R 20 ;

aaa) -arylene-T 1 -R 20 ,

bbb) -alkylene-cycloalkyl;

ccc) -T 1 -arylene-T 2 -alkylene-aryl;

ddd) -T 1 -arylene-aryl;

eee) -T 1 -alkylene-cycloalkyl;

fff) -T 1 -cycloalkyl;

ggg) -T 1 -heterocyclyl-T 2 -aryl;

hhh) -T 1 -alkynyl;

iii) -T 1 -alkylene-T 2 -alkyl; and

jjj) -hydrogen;

wherein

R 20 is selected from the group consisting of -hydrogen, -alkyl, -alkenyl, -alkylene-cycloalkyl, -alkynene-heterocyclyl, -aryl, -heteroaryl, -arylene-alkyl, -alkylene-aryl, -alkylene-arylene-alkyl, -alkylene-arylene-aryl, -alkylene-arylene-alkylene-aryl, -alkylene-arylene-O-arylene, and alkylene-arylene-O-alkylene-aryl;

T 1 is selected from the group consisting of —CH 2 —, —O—, —N(R 21 )—, —C(O)—, —CON(R 21 )—, —N(R 21 )C(O)—, —N(R 21 )CON(R 22 )—, —N(R 21 )C(O)O—, —OC(O)N(R 21 )—, —N(R 21 )SO 2 —, —SO 2 N(R 21 )—, —C(O)—, —S—, —S(O)—, —S(O 2 )—, —N(R 21 )SO 2 N(R 22 )—,

 wherein

R 21 , R 22 and R 23 , are independently selected from the group consisting of: -hydrogen, -alkyl, -alkenyl, -alkylene-cycloalkyl, -alkynene-heterocyclyl, -aryl, -heteroaryl, -arylene-alkyl, -alkylene-aryl, -alkylene-arylene-alkyl, -alkylene-arylene-aryl, -alkylene-arylene-alkylene-aryl, -alkylene-arylene-O-arylene, and alkylene-arylene-O-alkylene-aryl; and

T 2 is selected from the group consisting of a direct bond, —CH 2 —, —O—, —N(R 24 )—, —C(O)—, —CON(R 24 )—, —N(R 24 )C(O)—, —N(R 24 )CON(R 25 )—, —N(R 24 )C(O)O—, —OC(O)N(R 24 )—, —N(R 24 )SO 2 —, —SO 2 N(R 24 )—, —C(O)—O—, —O—C(O)—, —S—, —S(O)—, —S(O 2 )—, and —N(R 24 )SO 2 N(R 25 )—,

wherein R 24 and R 25 are independently selected from the group consisting of; -hydrogen, -alkyl, -alkenyl, -alkylene-cycloalkyl, alkynene-heterocyclyl, -aryl, -heteroaryl, -arylene-alkyl, -alkylene-aryl, and -alkylene-arylene-alkyl; and

K is selected from the group consisting of a group of the formula

 wherein

c is equal to 0, 1, or 2; wherein the values of 0, 1, and 2 are a direct bond, —CH 2 —, and —CH 2 —CH 2 —, optionally substituted 1 to 4 times with a substituent selected from the group consisting of: -alkyl, -aryl, -alkylene-aryl, -arylene -alkyl, -alkylene-arylene-alkyl, —O-alkyl, —O-aryl, and -hydroxyl;

G is —CO 2 R 1 ,

 wherein

R 1 is selected from the group consisting of: -hydrogen, -alkyl, alkoxy, alkylhydroxy, alkyl-N,N′-dialkyl-amino, alkyl-amino -acyl, -aryl, -arylene-alkyl, -alkylene-aryl, -alkylene-arylene-alkyl, and

R 3 is selected from the group consisting of: hydrogen, -alkyl, alkylene-aryl, -aryl, and -alkylene-cycloalkyl;

Z 1 is selected from the group consisting of —CH 2 —, —C(O)—, —O—, —N(H)—, —S—, —S(O)—, —S(O 2 )—, —CON(H)—, —NHC(O)—, —NHC(O)N(H)—, —NH(SO 2 )—, —S(O 2 )N(H)—, —(O)CO—, —NHS(O 2 )NH—, —OC(O)—, —N(R 6 )—, —N(C(O)R 6 )—, —N(C(O)NHR 6 )—, —N(S(O 2 )NHR 6 )—, —N(SO 2 R 6 )—, and —N(C(O)OR 6 )—;

 wherein

R 6 is selected from the group consisting of: -hydrogen, alkyl, aryl, and alkylene-aryl;

m and n are, independently, 1, 2, 3, or 4;

Ar 1 is selected from the group consisting of an fused cycloalkylaryl, fused cycloalkylheteroaryl, fused heterocyclylaryl, and fused heterocyclylheteroaryl group optionally substituted 1 to 7 times, wherein the substituents are independently selected from the group consisting of:

a) -fluoro;

b) -chloro;

c) -bromo;

d) -iodo;

e) -cyano;

f) -nitro;

g) -perfluoroalkyl;

h) -D 1 -R 14 ;

i) -alkyl;

j) -aryl;

k) -heteroaryl;

l) -heterocyclyl;

m) -cycloalkyl;

n) -alkylene-aryl;

o) -alkylene-heteroaryl;

p) -alkylene-arylene-D 1 -R 14 ;

q) -alkylene-heteroarylene-D 1 -R 14 ;

r) -alkylene-arylene-aryl;

s) -alkylene-heteroarylene-aryl;

t) -alkylene-arylene-heteroaryl;

u) -alkylene-arylene-arylene-D 1 -R 14 ;

v) -alkylene-arylene-alkyl;

w) -alkylene-heteroarylene-alkyl;

x) -D 1 -cycloalkyl;

y) -arylene-cycloalkyl;

z) -heteroarylene-alkyl;

aa) -arylene-arylene-alkyl;

bb) -D 1 -alkyl;

cc) -D 1 -aryl;

dd) -D 1 -heteroaryl;

ee) -D 1 -arylene-D 2 R 14 ;

ff) -D 1 -heteroarylene-D 2 -R 14 ;

gg) -D 1 -alkylene-heteroaryl;

hh) -D 1 -alkylene-aryl;

ii) -D 1 -alkylene-arylene-D 2 -R 14

jj) -D 1 -alkylene-heteroarylene-D 2 -R 14

kk) -D 1 -arylene-alkyl;

ll) -D 1 -heteroarylene-alkyl;

mm) -D 1 -alkylene-arylene-aryl;

nn) -D 1 -alkylene-heteroarylene-aryl;

oo) -D 1 -arylene-arylene-aryl;

pp) -D 1 -alkylene-arylene-alkyl;

qq) -D 1 -alkylene-heteroarylene-alky

ss) -alkylene-D 1 -alkylene-aryl;

tt) -alkylene-D 1 -alkylene-arylene-D 2 -R 14

uu) -arylene-D 1 -alkyl;

vv) -arylene-D 1 -cycloalkyl;

ww) -arylene-D 1 -heterocyclyl;

xx) -alkylene-D 1 -aryl;

yy) -alkylene-D 1 -heteroaryl;

zz) -alkylene-D 1 -arylene-D 2 -R 14

aaa) -alkylene-D 1 -heteroarylene-D 2 -R 14

bbb) -alkylene-D 1 -heteroaryl;

ccc) -alkylene-D 1 -cycloalkyl;

ddd) -alkylene-D 1 -heterocyclyl;

eee) -alkylene-D 1 -arylene-alkyl;

fff) -alkylene-D 1 -heteroarylene-alkyl;

ggg) -alkylene-D 1 -alkylene-arylene-alkyl;

hh) -alkylene-D 1 -alkylene-heteroarylene-alkyl;

iii) -alkylene-D 1 -alkyl;

jjj) -alkylene-D 1 -R 14 ;

kkk) -arylene-D 1 -R 14 ;

lll) -heteroarylene-D 1 -R 14 ;

mmm) -D 1 -alkynyl;

nnn) -D 1 -alkylene-cycloalkyl;

ooo) -arylene-D 1 -arylene-D 2 -R 14 and

ppp) -hydrogen;

 wherein

R 14 , is selected from the group consisting of: -hydrogen, -alkyl, -aryl, -heteroaryl, -arylene-alkyl, -heteroarylene-alkyl, -alkylene-aryl, -alkylene-heteroaryl, -alkylene-arylene-alkyl, and -alkylene-heteroaryle-alkyl;

D 1 is selected from the group consisting of —CH 2 —, -alkylene-, -alkenylene-, -alkylene-S—, —S-alkylene-, -alkylene-O—, —O-alkylene-, -alkylene-S(O) 2 —, —S(O) 2 -alkylene, —O—, —N(R 15 )—, —C(O)—, —CON(R 15 )—, —N(R 15 )C(O)—, —N(R 15 )CON(R 16 )—, —N(R 15 )C(O)O—, —OC(O)N(R 15 )—, —N(R 15 )SO 2 —, —SO 2 N(R 15 )—, —C(O)—O—, —O—C(O)—, —S—, —S(O)—, —S(O 2 )—, —N(R 15 )SO 2 N(R 16 )—,

 wherein

R 15 , R 16 , and R 17 are independently selected from the group consisting of: -hydrogen, -alkyl, -aryl, -heteroaryl, -arylene-alkyl, -heteroarylene-alkyl, -alkylene-aryl, -alkylene-heteroaryl, -alkylene-arylene-alkyl, and -alkylene-heteroarylene-alkyl; and

D 2 is selected from the group consisting of —CH 2 —, -alkylene-, -alkenylene-, -alkylene-S—, —S-alkylene-, -alkylene-O—, —O-alkylene-, -alkylene-S(O) 2 —, —S(O) 2 -alkylene, —O—, —N(R 18 )—, —C(O)—, —CON(R 18 )—, —N(R 18 )C(O)—, —N(R 18 )CON(R 19 )—, —N(R 18 )C(O)O—, —OC(O)N(R 18 )—, —N(R 18 )S 2 —, —SO 2 N(R 18 )—, —C(O)—C—, —O—C(O)—, —S—, —S(O)—, —S(O 2 )—, and —N(R 18 )SO 2 N(R 19 )—,

 wherein

R 18 and R 19 are independently selected from the group consisting of: -hydrogen, -alkyl, -aryl, -arylene-alkyl, -alkylene-aryl, and -alkylene-arylene-alkyl;

and wherein

the alkyl, aryl, heteroaryl, alkylene, and arylene groups in Ar 1 , Ar 2 , R 1 -R 26 may be optionally substituted 1 to 4 times with a substituent group selected from the group consisting of:

a) -hydrogen;

b) -fluoro;

c) -chloro;

d) -bromo;

e) -iodo;

f) -cyano;

g) -nitro;

h) -perfluoroalkyl;

i) -Q-perfluoroalkyl

j) -Q-R 27 ;

k) -Q-alkyl;

l) -Q-aryl;

m) -Q-alkylene-aryl;

n) -Q-alkylene-NR 27 R 28 ; and

o) -Q-alkyl-W—R 28 ;

wherein

Q and W are independently selected from the group consisting of: —CH 2 —, —O—, —N(R 29 )—, —C(O)—, —CON(R 29 )—, —N(R 29 )C(O)—, —N(R 29 )CON(R 30 )—, —N(R 29 )C(O)O—, —OC(O)N(R 29 )—, —N(R 29 )SO 2 —, —SO 2 N(R 29 )—, —C(O)—O—, —O—C(O)—, and —N(R 29 )SO 2 N(R 30 )—, wherein R 27 , R 28 , R 29 , and R 30 are independently selected from the group consisting of: -hydrogen, -alkyl, -aryl, -arylene-alkyl, -alkylene-aryl, and -alkylene-arylene-alkyl;

or a pharmaceutically acceptable salt, or solvate thereof.

2. The compound of Formula (I) in claim 1 or a pharmaceutically acceptable salt, or solvate thereof, wherein Ar 2 is a 3-isoquinolinyl group substituted with a 7-(alkyl-phenoxy) or a 6-(alkyl-phenoxy) group and further substituted 1 to 6 times.

3. The compound of Formula (I) in claim 1 or a pharmaceutically acceptable salt, or solvate thereof, wherein Ar 2 is a 3-isoquinolyl or a 3-tetrahydroisoquinolyl group with a 7-(alkyl-phenoxy) or a 6-(alkyl-phenoxy) group-further having 1 to 5 substituents, wherein the substituents are independently selected from the group consisting of:

a) -fluoro;

b) -chloro;

c) -bromo;

d) -iodo;

e) -cyano;

f) -nitro;

g) -perfluoroalkyl;

h) -T 1 -R 20 ;

i) -alkyl;

j) -aryl;

k) -heteroaryl;

l) -heterocyclyl;

m) -cycloalkyl;

n) -alkylene-aryl;

o) -alkylene-arylene-aryl;

p) -alkylene-arylene-alkyl;

q) -arylene-alkyl;

r) -arylene-aryl;

s) -arylene-heteroaryl;

t) -heteroarylene-aryl;

u) -heteroarylene-heteroaryl;

v) -heteroarylene-heterocyclyl;

w) -arylene-heterocyclyl;

x) -arylene-arylene-alkyl;

y) -T 1 -alkyl;

z) -T 1 -aryl;

aa) -T 1 -alkylene-aryl;

bb) -T 1 -alkenylene-aryl;

cc) -T 1 -alkylene-heteroaryl;

dd) -T 1 -alkenylene-heteroaryl;

ee) -T 1 -cycloalkylene-aryl;

ff) -T 1 -cycloalkylene-heteroaryl;

gg) -T 1 -heterocyclylene-aryl;

hh) -T 1 -heterocyclylene-heteroaryl;

ii) -T 1 -arylene-alkyl;

jj) -T 1 -arylene-alkenyl;

kk) -T 1 -alkylene-arylene-aryl;

ll) -T 1 -arylene-T 2 -aryl;

mm) -T 1 -arylene-arylene-aryl;

nn) -T 1 -alkylene-arylene-alkyl;

oo) -alkylene-T 1 -alkylene-aryl;

pp) -arylene-T 1 -alkyl;

qq) -arylene-T 1 -alkylene-aryl;

rr) -T 1 -alkylene-T 2 -aryl;

ss) -T 1 -alkylene-aryl;

tt) -alkylene-T 1 -heteroaryl;

uu) -alkylene-T 1 -cycloalkyl;

vv) -alkylene-T 1 -heterocyclyl;

ww) -alkylene-T-arylene-alkyl;

xx) -alkylene-T 1 -alkylene-arylene-alkyl;

yy) -alkylene-T 1 -alkyl;

zz) -alkylene-T 1 -R 20 ;

aaa) -arylene-T 1 -R 20 ;

bbb) -alkylene-cycloalkyl;

ccc) -T 1 -arylene-T 2 -alkylene-aryl;

ddd) -T 1 -arylene-aryl;

eee) -T 1 -alkylene-cycloalkyl;

fff) -T 1 -cycloalkyl;

ggg) -T 1 -heterocyclyl-T 2 -aryl;

hhh) -T 1 -alkynyl;

iii) -T 1 -alkylene-T 2 -alkyl; and

jjj) -hydrogen;

wherein

R 20 is selected from the group consisting of: -hydrogen, -alkyl, -alkenyl, -alkylene-cycloalkyl, -alkynene-heterocyclyl, -aryl, -heteroaryl, -arylene-alkyl, -alkylene-aryl, -alkylene-arylene-alkyl, -alkylene-arylene-aryl, -alkylene-arylene-alkylene-aryl, -alkylene-arylene-O-arylene, and alkylene-arylene-O-alkylene-aryl;

T 1 is selected from the group consisting of —CH 2 —, —O—, —N(R 21 )—, —C(O)—, —CON(R 21 )—, —N(R 21 )CON(R 22 )—, —N(R 21 )C(O)O—, —OC(O)N(R 21 )—, —N(R 21 )SO 2 —, —SO 2 N(R 21 )—, —C(O)—O—, —O—C(O)—, —S—, —S(O)—, —S(O 2 )—, —N(R 21 )SO 2 N(R 22 )—,

 wherein

R 21 , R 22 and R 23 , are independently selected from the group consisting of: -hydrogen, -alkyl, -alkenyl, -alkylene-cycloalkyl, -alkynene-heterocyclyl, -aryl, -heteroaryl, -arylene-alkyl, -alkylene-aryl, -alkylene-arylene-alkyl, -alkylene-arylene-aryl, -alkylene-arylene-alkylene-aryl, -alkylene-arylene-O-arylene, and alkylene-arylene-O-alkylene-aryl; and

T 2 is selected from the group consisting of a direct bond, —CH 2 —, —O—, —N(R 24 )—, —C(O)—, —CON(R 24 )—, —N(R 24 C(O)—, —N(R 24 )CON(R 25 )—, —N(R 24 )C(O)O—, —OC(O)N(R 24 )—, —N(R 24 )SO 2 —, —SO 2 N(R 24 )—, —C(O)—O—, —O—C(O)—, —S—, —S(O)—, —S(O 2 )—, and

wherein

R 24 and R 25 are independently selected from the group consisting of; -hydrogen, -alkyl, -alkenyl, -alkylene-cycloalkyl, alkynene-heterocyclyl, -aryl, -heteroaryl, -arylene-alkyl, -alkylene-aryl, and -alkylene-arylene-alkyl.

4. The compound of Formula (I) in claim 1 or a pharmaceutically acceptable salt, or solvate thereof, wherein Ar 2 is selected from the group consisting of: a substituted 3-isoquinolyl, and a substituted 3-tetrahydroisoquinolyl group with a 7-(alkyl-phenoxy) or a 6-(alkyl-phenoxy) group - further having 1 to 5 substituents independently selected from the group consisting of:

a) -fluoro;

b) -chloro;

c) -bromo;

d) -iodo;

e) -cyano;

f) -nitro;

g) -perfluoroalkyl;

h) -T 1 -R 20 ;

i) -alkyl;

j) -aryl;

k) -arylene-alkyl;

l) -T 1 -alkyl;

m) -T 1 -alkylene-aryl;

n) -T 1 -alkylene-arylene-aryl;

o) -T 1 -alkylene-arylene-alkyl;

p) -arylene-T 1 -alkyl;

q) -alkylene-cycloalkyl; and

r) -T 1 -arylene-alkyl;

wherein

T 1 is selected from the group consisting of —CH 2 —, —O—, —N(R 21 )—, —CON(R 21 )—, —C(O)O—R 21 , and —N(R 21 )C(O)—; wherein R 20 and R 21 are independently selected from the group consisting of: -hydrogen, -alkyl- and -aryl.

5. The compound of Formula (I) in claim 1 or a pharmaceutically acceptable salt, or solvate thereof, wherein Ar 2 is a 1-(alkylene-cycloalkyl)-7-(alkyl-phenoxy)-isoquinolyl-3-yl group.

6. The compound of Formula (I) in claim 1 or a pharmaceutically acceptable salt, or solvate thereof, wherein Ar 2 is selected from the group consisting of: 7-(4-tert-butyl-phenoxy)-2-(2-cyclopentyl-acetyl)-1,2,3,4-tetrahydro-isoquinoline, 6-(4-tert-butyl-phenoxy)-2-(2-cyclopentyl-acetyl)-1,2,3,4-tetrahydro-isoquinoline, 7-(4-tert-butyl-phenoxy)-3,4-dihydro-1H-isoquinoline-2-carboxylic acid isobutyl ester, 6-(4-tert-butyl-phenoxy)-isoquinoline, 7-(4-tert-butyl-phenoxy)-isoquinoline, and 6-(4-tert-butyl-phenoxy)-isoquinoline.

7. The compound of Formula (I) in claim 1 or a pharmaceutically acceptable salt, or solvate thereof, wherein Ar 2 is selected from the group consisting of: 7-(4-tert-butyl-phenoxy)-1-cyclopentylmethyl-isoquinoline, 7-(4-tert-butyl-phenoxy)-1-cyclohexyl-isoquinoline, 7-(4-tert-Butyl-phenoxy)-1-cycloheptyl-isoquinoline, 7-(4-tert-Butyl-phenoxy)-1-phenethyl-isoquinoline, and 6-(4-tert-butyl-phenoxy)-1-cyclopentylmethyl-isoquinoline.

8. The compound of Formula (I) in claim 1 or a pharmaceutically acceptable salt, or solvate thereof, wherein c is equal to 0 or 1.

9. The compound of Formula (I) in claim 1 or a pharmaceutically acceptable salt, or solvate thereof, wherein c is equal to 0.

10. The compound of Formula (I) in claim 1 or a pharmaceutically acceptable salt, or solvate thereof, wherein G is CO 2 R 1 , wherein R 1 is independently selected from the group consisting of: -hydrogen, -alkyl, -aryl, -arylene-alkyl, -alkylene-aryl, and -alkylene-arylene-alkyl.

11. The compound of Formula (I) in claim 1 or a pharmaceutically acceptable salt, or solvate thereof, wherein G is —CO 2 R 1 ; wherein R 1 is selected from the group consisting of: -hydrogen, -alkyl and aryl.

12. The compound of Formula (I) in claim 1 or a pharmaceutically acceptable salt, or solvate thereof, wherein G is —CO 2 H.

13. The compound of Formula (I) in claim 1 or a pharmaceutically acceptable salt, or solvate thereof, wherein G —CO 2 R 1 wherein R 1 is selected from the group consisting of -alkyl, -alkylene-aryl, and -aryl.

14. The compound of Formula (I) in claim 1 or a pharmaceutically acceptable salt, or solvate thereof, wherein K is a group of the formula:

15. The compound of Formula (I) in claim 14 or a pharmaceutically acceptable salt, or solvate thereof, wherein Ar 1 is selected from the group consisting of a fused cycloalkylaryl optionally substituted 1 to 7 times.

16. A pharmaceutical composition comprising a compound of Formula (I) as in claim 1 or a pharmaceutically acceptable salt, or solvate thereof.

17. The pharmaceutical composition of claim 16 , wherein the compound of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof is an antagonist of factor XI or factor IX/XI activity.

18. The pharmaceutical composition of claim 17 , wherein the compound of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof is a partial antagonist of both factor XI and factor XI/IX activity, wherein a partial antagonist comprises a compound that inhibits less than complete activity at a physiological dose.

19. The pharmaceutical composition of claim 18 , wherein the compound of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof inhibits up to 95% of factor XI or factor IX/XI activity.

20. The pharmaceutical composition of claim 18 , wherein the compound of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof inhibits up to 80% of factor XI or factor IX/XI activity.

21. The pharmaceutical composition of claim 17 , wherein the compound of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof antagonizes blood clotting mediated by factor XI or factor IX/XI.

22. The pharmaceutical composition of claim 17 , comprising a therapeutically effective amount of the compound of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof, wherein said therapeutically effective amount of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof preferentially inhibits the intrinsic clotting cascade as compared to the extrinsic clotting cascade.

23. The pharmaceutical composition of claim 22 , wherein said therapeutically effective amount of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof inhibits the intrinsic clotting cascade by greater than 80% and inhibits the extrinsic clotting cascade by less than 50%.

24. The pharmaceutical composition of claim 23 , wherein said therapeutically effective amount of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof comprises an amount sufficient to achieve and maintain a sustained blood level that at least partially antagonizes factor XI or factor IX/XI biological activity.

25. The pharmaceutical composition of claim 24 , wherein said sustained blood level comprises a concentration ranging from about 0.01 μM to 2 mM.

26. The pharmaceutical composition of claim 24 , wherein said sustained blood level comprises a concentration ranging from about 1 μM to 300 μM.

27. The pharmaceutical composition of claim 24 , wherein said sustained blood level comprises a concentration ranging from about 20 μM to about 100 μM.

28. The pharmaceutical composition of claim 16 , wherein the compound of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof is an antagonist of factor IX activity.

29. The pharmaceutical composition of claim 28 , wherein the compound of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof is a partial antagonist of factor IX activity, wherein a partial antagonist comprises a compound that inhibits less than complete activity at a physiological dose.

30. The pharmaceutical composition of claim 29 , wherein the compound of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof inhibits up to 95% of factor IX activity.

31. The pharmaceutical composition of claim 29 , wherein the compound of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof inhibits up to 80% of factor IX activity.

32. The pharmaceutical composition of claim 29 , wherein the compound of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof inhibits up to 50% of factor IX activity.

33. The pharmaceutical composition of claim 28 , wherein the compound of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof antagonizes blood clotting mediated by factor IX.

34. The pharmaceutical composition of claim 16 , comprising a therapeutically effective amount of the compound of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof, wherein said therapeutically effective amount comprises a sufficient amount of the compound of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof to at least partially inhibit the biological activity of factor IX in a subject.

35. The pharmaceutical composition of claim 16 , comprising a therapeutically effective amount of the compound of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof, wherein said therapeutically effective amount of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof comprises a sufficient amount of the compound of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof to at least partially inhibit the intrinsic clotting cascade in a subject.

36. The pharmaceutical composition of claim 35 , wherein said therapeutically effective amount of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof preferentially inhibits the intrinsic clotting cascade as compared to the extrinsic clotting cascade.

37. The pharmaceutical composition of claim 35 , wherein said therapeutically effective amount of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof inhibits the intrinsic clotting cascade by greater than 80% and inhibits the extrinsic clotting cascade by less than 50%.

38. The pharmaceutical composition of claim 35 , wherein said therapeutically effective amount of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof comprises a sufficient amount of the compound of Formula (I) for at least partial amelioration of at least one factor IX-mediated disease.

39. The pharmaceutical composition of claim 16 in the form of an oral dosage or parenteral dosage unit.

40. The pharmaceutical composition of claim 16 , wherein said compound of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof comprises a dose in a range from about 0.01 to 1,000 mg/kg of body weight per day.

41. The pharmaceutical composition of claim 16 , wherein said compound of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof comprises a dose in a range from about 0.1 to 100 mg/kg of body weight per day.

42. The pharmaceutical composition of claim 16 , wherein said compound of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof comprises a dose in a range from about 0.5 to 10 mg/kg of body weight per day.

43. The pharmaceutical composition of claim 38 , wherein said factor IX-mediated disease comprises stroke.

44. The pharmaceutical composition of claim 38 , wherein said factor IX-mediated disease comprises deep vein thrombosis.

45. The pharmaceutical composition of claim 44 , wherein said thrombosis is associated with surgical procedures, long periods of confinement, acquired or inherited pro-coagulant states including anti-phospholipid antibody syndrome, protein C deficiency and protein S deficiency, or acute and chronic inflammation including recurrent miscarriage or Systemic Lupus Erythmatosis (SLE).

46. The pharmaceutical composition of claim 38 , wherein said factor IX-mediated disease comprises excessive clotting associated with the treatment of kidney diseases by hemodialysis and/or venous hemofiltration.

47. The pharmaceutical composition of claim 38 , wherein said factor IX-mediated disease comprises cardiovascular disease.

48. The pharmaceutical composition of claim 47 , wherein said cardiovascular disease comprises myocardial infarction, arrhythmia, or aneurysm.

49. The pharmaceutical composition of claim 16 further comprising one or more therapeutic agents.

50. The pharmaceutical composition of claim 16 , comprising a therapeutically effective amount of the compound of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof, wherein said therapeutically effective amount comprises a sufficient amount of the compound of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof to at least partially inhibit the biological activity of factor XI or factor IX/XI in a subject.

51. The pharmaceuticai composition of claim 16 , wherein the compound of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof antagonizes blood clotting.

52. The pharmaceutical composition of claim 16 , comprising a therapeutically effective amount of the compound of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof, wherein said therapeutically effective amount of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof comprises a sufficient amount of the compound of Formula (I) or a pharmaceutically acceptable salt, or solvate thereof to at least partially inhibit blood clotting in a subject.

53. A pharmaceutical composition comprising a compound of Formula (I) as in claim 2 or a pharmaceutically acceptable salt, or solvate thereof.

54. A pharmaceutical composition comprising a compound of Formula (I) as in claim 3 or a pharmaceutically acceptable salt, or solvate thereof.

55. A pharmaceutical composition comprising a compound of Formula (I) as in claim 4 or a pharmaceutically acceptable salt, or solvate thereof.

56. A pharmaceutical composition comprising a compound of Formula (I) as in claim 5 or a pharmaceutically acceptable salt, or solvate thereof.

57. A pharmaceutical composition comprising a compound of Formula (I) as in claim 6 or a pharmaceutically acceptable salt, or solvate thereof.

58. A pharmaceutical composition comprising a compound of Formula (I) as in claim 7 or a pharmaceutically acceptable salt, or solvate thereof.

59. A pharmaceutical composition comprising a compound of Formula (I) as in claim 8 or a pharmaceutically acceptable salt, or solvate thereof.

60. A pharmaceutical composition comprising a compound of Formula (I) as in claim 9 or a pharmaceutically acceptable salt, or solvate thereof.

61. A pharmaceutical composition comprising a compound of Formula (I) as in claim 10 or a pharmaceutically acceptable salt, or solvate thereof.

62. A pharmaceutical composition comprising a compound of Formula (I) as in claim 11 or a pharmaceutically acceptable salt, or solvate thereof.

63. A pharmaceutical composition comprising a compound of Formula (I) as in claim 12 or a pharmaceutically acceptable salt, or solvate thereof.

64. A pharmaceutical composition comprising a compound of Formula (I) as in claim 13 or a pharmaceutically acceptable salt, or solvate thereof.

65. A pharmaceutical composition comprising a compound of Formula (I) as in claim 14 or a pharmaceutically acceptable salt, or solvate thereof.

66. A pharmaceutical composition comprising a compound of Formula (I) as in claim 15 or a pharmaceutically acceptable salt, or solvate thereof.

Assignments (10)