Lactam-containing compounds and derivatives thereof as factor Xa inhibitors

1. A compound of Formula I:

P 4 —P-M-M 4   I

or a stereoisomer or pharmaceutically acceptable salt thereof, wherein:

M is triazolyl;

P is absent, and P 4 and M 4 are attached to the 1,2 positions of ring M;

M 4 is —Z-A-B and P 4 is -G 1 -G;

G is a phenyl group

substituted with 0-2 R;

R is selected from H, C 1-4 alkyl, F, Cl, Br, I, OH, OCH 3 , OCH 2 CH 3 , OCH(CH 3 ) 2 , OCH 2 CH 2 CH 3 , CN, C(═NR 8 )NR 7 R 9 , NHC(═NR 8 )NR 7 R 9 , ONHC(═NR 8 )NR 7 R 9 , NR 8 CH(═NR 7 ), NH 2 , NH(C 1-3 alkyl), N(C 1-3 alkyl) 2 , C(═NH)NH 2 , CH 2 NH 2 , CH 2 NH(C 1-3 alkyl), CH 2 N(C 1-3 alkyl) 2 , CH 2 CH 2 NH 2 , CH 2 CH 2 NH(C 1-3 alkyl), CH 2 CH 2 N(C 1-3 alkyl) 2 , (CR 8 R 9 ) t C(O)H, (CR 8 R 9 ) t C(O)R 2c , (CR 8 R 9 ) t NR 7 R 8 , (CR 8 R 9 ) t C(O)NR 7 R 8 , (CR 8 R 9 ) t NR 7 C(O)R 7 , (CR 8 R 9 ) t OR 3 , (CR 8 R 9 ) t S(O) p NR 7 R 8 , (CR 8 R 9 ) t NR 7 S(O) p R 7 , (CR 8 R 9 ) t SR 3 , (CR 8 R 9 ) t S(O)R 3 , (CR 8 R 9 ) t S(O) 2 R 3 , and OCF 3 ;

alternatively, when 2 R groups are attached to adjacent atoms, they combine to form methylenedioxy or ethylenedioxy;

A is a pyridyl group or a phenyl group

substituted with Cl or F at the 2 position;

B is 2-oxo-1-pyridinyl;

G 1 is absent;

Z is —C(O)NH—;

R 2c , at each occurrence, is selected from CF 3 , OH, C 1-4 alkoxy, C 1-6 alkyl, —(CH 2 ) r —C 3-10 carbocycle substituted with 0-2 R 4b , and —(CH 2 ) r -5-10 membered heterocycle containing from 1-4 heteroatoms selected from the group consisting of N, O, and S(O) p , and substituted with 0-2 R 4b ;

R 3 , at each occurrence, is selected from H, CH 3 , CH 2 CH 3 , CH 2 CH 2 CH 3 , CH(CH 3 ) 2 , CH 2 CH 2 CH 2 CH 3 , CH 2 CH(CH 3 ) 2 , CH(CH 3 )CH 2 CH 3 , C(CH 3 ) 3 , benzyl, and phenyl;

R 3a , at each occurrence, is selected from H, CH 3 , CH 2 CH 3 , CH 2 CH 2 CH 3 , CH(CH 3 ) 2 , CH 2 CH 2 CH 2 CH 3 , CH 2 CH(CH 3 ) 2 , CH(CH 3 )CH 2 CH 3 , C(CH 3 ) 3 , benzyl, and phenyl;

alternatively, R 3 and R 3a , together with the nitrogen atom to which they are attached, combine to form a 5 or 6 membered saturated, partially unsaturated, or unsaturated ring consisting of: carbon atoms, the nitrogen atom to which R 3 and R 3a are attached, and 0-1 additional heteroatoms selected from the group consisting of N, O, and S(O) p ;

R 3c , at each occurrence, is selected from CH 3 , CH 2 CH 3 , CH 2 CH 2 CH 3 , CH(CH 3 ) 2 , CH 2 CH 2 CH 2 CH 3 , CH 2 CH(CH 3 ) 2 , CH(CH 3 )CH 2 CH 3 , C(CH 3 ) 3 , benzyl, and phenyl;

R 4b , at each occurrence, is selected from H, ═O, (CH 2 ) r OR 3 , (CH 2 ) r F, (CH 2 ) r Cl, (CH 2 ) r Br, (CH 2 ) r I, C 1-4 alkyl, (CH 2 ) r CN, (CH 2 ) r NO 2 , (CH 2 ) r NR 3 R 3a , (CH 2 ) r C(O)R 3 , (CH 2 ) r C(O)OR 3c , (CH 2 ) r NR 3 C(O)R 3a , (CH 2 ) r —C(O)NR 3 R 3a , (CH 2 ) r NR 3 C(O)NR 3 R 3a , (CH 2 ) r —C(═NR 3 )NR 3 R 3a , (CH 2 ) r NR 3 C(═NR 3 )NR 3 R 3a , (CH 2 ) r SO 2 NR 3 R 3a , (CH 2 ) r NR 3 SO 2 NR 3 R 3a , (CH 2 ) r NR 3 SO 2 —C 1-4 alkyl, (CH 2 ) r NR 3 SO 2 CF 3 , (CH 2 ) r NR 3 SO 2 -phenyl, (CH 2 ) r S(O) p CF 3 , (CH 2 ) r S(O) p —C 1-4 alkyl, (CH 2 ) r S(O) p -phenyl, and (CH 2 ) r (CF 2 ) r CF 3 ;

R 7 , at each occurrence, is selected from H, OH, C 1-6 alkyl, C 1-6 alkyl-C(O)—, C 1-6 alkyl-O—, (CH 2 ) n -phenyl, C 1-4 alkyl-OC(O)—, C 6-10 aryl-O—, C 6-10 aryl-OC(O)—, C 6-10 aryl-CH 2 —C(O)—, C 1-4 alkyl-C(O)O—C 1-4 alkyl-OC(O)—, C 6-10 aryl-C(O)O—C 1-4 alkyl-OC(O)—, C 1-6 alkyl-NH 2 —C(O)—, phenyl-NH 2 —C(O)—, and phenyl-C 1-4 alkyl-C(O)—;

R 8 , at each occurrence, is selected from H, C 1-6 alkyl, and (CH 2 ) n -phenyl;

alternatively, R 7 and R 8 , when attached to the same nitrogen, combine to form a 5-10 membered heterocyclic ring consisting of carbon atoms and 0-2 additional heteroatoms selected from the group consisting of N, O, and S(O) p ;

R 9 , at each occurrence, is selected from H, C 1-6 alkyl, and (CH 2 ) n -phenyl;

n, at each occurrence, is selected from 0, 1, 2, and 3;

p, at each occurrence, is selected from 0, 1, and 2;

r, at each occurrence, is selected from 0, 1, 2, 3, 4, 5, and 6; and

t, at each occurrence, is selected from 0, 1, 2, and 3.

2. A compound according to claim 1 , wherein:

R is selected from H, C 1-4 alkyl, F, Cl, OH, OCH 3 , OCH 2 CH 3 , OCH(CH 3 ) 2 , CN, C(═NH)NH 2 , C(═NH)NHOH, C(═NH)NHOCH 3 , NH 2 , NH(C 1-3 alkyl), N(C 1-3 alkyl) 2 , CH 2 NH 2 , CH 2 NH(C 1-3 alkyl), CH 2 N(C 1-3 alkyl) 2 , (CR 8 R 9 ) t NR 7 R 8 , C(O)NR 7 R 8 , CH 2 C(O)NR 7 R 8 , S(O) p NR 7 R 8 , CH 2 S(O) p NR 7 R 8 , SO 2 R 3 , and OCF 3 ;

alternatively, when 2 R groups are attached to adjacent atoms, they combine to form methylenedioxy or ethylenedioxy;

R 2c , at each occurrence, is selected from CF 3 , OH, C 1-4 alkoxy, CH 3 , CH 2 CH 3 , CH 2 CH 2 CH 3 , CH(CH 3 ) 2 , CH 2 CH 2 CH 2 CH 3 , CH 2 CH(CH 3 ) 2 , CH(CH 3 )CH 2 CH 3 , C(CH 3 ) 3 , benzyl, C 5-6 carbocycle substituted with 0-2 R 4b , and 5-6 membered heterocycle containing from 1-4 heteroatoms selected from the group consisting of N, O, and S(O) p , and substituted with 0-2 R 4b ;

R 3 , at each occurrence, is selected from H, CH 3 , CH 2 CH 3 , CH 2 CH 2 CH 3 , CH(CH 3 ) 2 , benzyl, and phenyl;

R 3a , at each occurrence, is selected from H, CH 3 , CH 2 CH 3 , CH 2 CH 2 CH 3 , CH(CH 3 ) 2 , benzyl, and phenyl;

alternatively, R 3 and R 3a , together with the nitrogen atom to which they are attached, combine to form a 5 or 6 membered saturated, partially unsaturated, or unsaturated ring consisting of: carbon atoms and the nitrogen atom to which R 3 and R 3a are attached;

R 3c , at each occurrence, is selected from CH 3 , CH 2 CH 3 , CH 2 CH 2 CH 3 , CH(CH 3 ) 2 , benzyl, and phenyl; and

R 4b , at each occurrence, is selected from H, ═O, OR 3 , CH 2 OR 3 , F, Cl, CH 3 , CH 2 CH 3 , CH 2 CH 2 CH 3 , CH(CH 3 ) 2 , CH 2 CH 2 CH 2 CH 3 , CH 2 CH(CH 3 ) 2 , CH(CH 3 )CH 2 CH 3 , C(CH 3 ) 3 , —CN, NO 2 , NR 3 R 3a , CH 2 NR 3 R 3a , C(O)R 3 , CH 2 —C(O)R 3 , C(O)OR 3c , CH 2 C(O)OR 3c , NR 3 C(O)R 3a , CH 2 NR 3 C(O)R 3a , C(O)NR 3 R 3a , CH 2 C(O)NR 3 R 3a , NR 3 C(O)NR 3 R 3a , CH 2 NR 3 C(O)NR 3 R 3a , C(═NR 3 )NR 3 R 3a , CH 2 C(═NR 3 )NR 3 R 3a , NR 3 C(═NR 3 )NR 3 R 3a , CH 2 NR 3 C(═NR 3 )NR 3 R 3a , SO 2 NR 3 R 3a , CH 2 SO 2 NR 3 R 3a , NR 3 SO 2 NR 3 R 3a , CH 2 NR 3 SO 2 NR 3 R 3a , NR 3 SO 2 —C 1-4 alkyl, CH 2 NR 3 SO 2 —C 1-4 alkyl, NR 3 SO 2 CF 3 , CH 2 NR 3 SO 2 CF 3 , NR 3 SO 2 -phenyl, CH 2 NR 3 SO 2 -phenyl, S(O) p CF 3 , CH 2 S(O) p CF 3 , S(O) p —C 1-4 alkyl, CH 2 S(O) p —C 1-4 alkyl, S(O) p -phenyl, CH 2 S(O) p -phenyl, CF 3 , and CH 2 CF 3 .

3. A pharmaceutical composition, comprising: a pharmaceutically acceptable carrier and a therapeutically effective amount of a compound of claim 1 or a pharmaceutically acceptable salt form thereof.

4. A method for treating a thromboembolic disorder, comprising: administering to a patient in need thereof a therapeutically effective amount of a compound of claim 1 or a pharmaceutically acceptable salt form thereof.

5. A method according to claim 4 , wherein the thromboembolic disorder is selected from the group consisting of arterial cardiovascular thromboembolic disorders, venous cardiovascular thromboembolic disorders, and thromboembolic disorders in the chambers of the heart.

6. A method according to claim 4 , wherein the thromboembolic disorder is selected from unstable angina, an acute coronary syndrome, first myocardial infarction, recurrent myocardial infarction, ischemic sudden death, transient ischemic attack, stroke, atherosclerosis, peripheral occlusive arterial disease, venous thrombosis, deep vein thrombosis, thrombophlebitis, arterial embolism, coronary arterial thrombosis, cerebral arterial thrombosis, cerebral embolism, kidney embolism, pulmonary embolism, and thrombosis resulting from (a) prosthetic valves or other implants, (b) indwelling catheters, (c) stents, (d) cardiopulmonary bypass, (e) hemodialysis, or (f) other procedures in which blood is exposed to an artificial surface that promotes thrombosis.

7. A compound according to claim 1 , which is represented by formula (II):

8. A compound according to claim 7 , wherein A in the formula (II) is a phenyl group, optionally substituted with F or Cl.