Human plasma kallikrein inhibitors
Disclosed are compounds of formula I as described herein, and pharmaceutically acceptable salts thereof. The compounds are disclosed to be inhibitors of plasma kallikrein. Also provided are pharmaceutical compositions comprising at least one compound of the invention, and methods involving use of the compounds and compositions of the invention in the treatment and prevention of diseases and conditions characterized by unwanted plasma kallikrein activity.
1. A compound, or a pharmaceutically acceptable salt thereof, selected from the group consisting of:
wherein the stereochemical configuration at any chiral center is R, S, or a mixture of R and S.
2. The compound of claim 1 , wherein the compound is
or a pharmaceutically acceptable salt thereof.
3. The compound of claim 1 , wherein the pharmaceutically acceptable salt thereof is a hydrochloride salt.
4. The compound of claim 1 , wherein the pharmaceutically acceptable salt thereof is a bis(hydrochloride) salt.
5. The compound of claim 2 , wherein the pharmaceutically acceptable salt thereof is a hydrochloride salt.
6. The compound of claim 2 , wherein the pharmaceutically acceptable salt thereof is a bis(hydrochloride) salt.
7. A method of treating a disease or condition characterized by unwanted plasma kallikrein activity, comprising administering to a subject in need thereof a therapeutically effective amount of a compound of claim 1 .
8. The method of claim 7 , wherein the disease or condition characterized by unwanted plasma kallikrein activity is selected from the group consisting of stroke, inflammation, reperfusion injury, acute myocardial infarction, deep vein thrombosis, post fibrinolytic treatment condition, angina, edema, angioedema, hereditary angioedema, sepsis, arthritis, hemorrhage, blood loss during cardiopulmonary bypass, inflammatory bowel disease, diabetes mellitus, retinopathy, diabetic retinopathy, diabetic macular edema, diabetic macular degeneration, age-related macular edema, age-related macular degeneration, proliferative retinopathy, neuropathy, hypertension, brain edema, increased albumin excretion, macroalbuminuria, and nephropathy.
9. The method of claim 7 , wherein the disease or condition characterized by unwanted plasma kallikrein activity is angioedema.
10. The method of claim 7 , wherein the disease or condition characterized by unwanted plasma kallikrein activity is hereditary angioedema.
11. A method of treating a disease or condition characterized by unwanted plasma kallikrein activity, comprising administering to a subject in need thereof a therapeutically effective amount of a compound of claim 2 .
12. The method of claim 11 , wherein the disease or condition characterized by unwanted plasma kallikrein activity is selected from the group consisting of stroke, inflammation, reperfusion injury, acute myocardial infarction, deep vein thrombosis, post fibrinolytic treatment condition, angina, edema, angioedema, hereditary angioedema, sepsis, arthritis, hemorrhage, blood loss during cardiopulmonary bypass, inflammatory bowel disease, diabetes mellitus, retinopathy, diabetic retinopathy, diabetic macular edema, diabetic macular degeneration, age-related macular edema, age-related macular degeneration, proliferative retinopathy, neuropathy, hypertension, brain edema, increased albumin excretion, macroalbuminuria, and nephropathy.
13. The method of claim 11 , wherein the disease or condition characterized by unwanted plasma kallikrein activity is angioedema.
14. The method of claim 11 , wherein the disease or condition characterized by unwanted plasma kallikrein activity is hereditary angioedema.
15. A method of treating a disease or condition characterized by unwanted plasma kallikrein activity, comprising administering to a subject in need thereof a therapeutically effective amount of a compound of claim 3 .
16. The method of claim 15 , wherein the disease or condition characterized by unwanted plasma kallikrein activity is selected from the group consisting of stroke, inflammation, reperfusion injury, acute myocardial infarction, deep vein thrombosis, post fibrinolytic treatment condition, angina, edema, angioedema, hereditary angioedema, sepsis, arthritis, hemorrhage, blood loss during cardiopulmonary bypass, inflammatory bowel disease, diabetes mellitus, retinopathy, diabetic retinopathy, diabetic macular edema, diabetic macular degeneration, age-related macular edema, age-related macular degeneration, proliferative retinopathy, neuropathy, hypertension, brain edema, increased albumin excretion, macroalbuminuria, and nephropathy.
17. The method of claim 15 , wherein the disease or condition characterized by unwanted plasma kallikrein activity is angioedema.
18. The method of claim 15 , wherein the disease or condition characterized by unwanted plasma kallikrein activity is hereditary angioedema.
19. A method of treating a disease or condition characterized by unwanted plasma kallikrein activity, comprising administering to a subject in need thereof a therapeutically effective amount of a compound of claim 4 .
20. The method of claim 19 , wherein the disease or condition characterized by unwanted plasma kallikrein activity is selected from the group consisting of stroke, inflammation, reperfusion injury, acute myocardial infarction, deep vein thrombosis, post fibrinolytic treatment condition, angina, edema, angioedema, hereditary angioedema, sepsis, arthritis, hemorrhage, blood loss during cardiopulmonary bypass, inflammatory bowel disease, diabetes mellitus, retinopathy, diabetic retinopathy, diabetic macular edema, diabetic macular degeneration, age-related macular edema, age-related macular degeneration, proliferative retinopathy, neuropathy, hypertension, brain edema, increased albumin excretion, macroalbuminuria, and nephropathy.
21. The method of claim 19 , wherein the disease or condition characterized by unwanted plasma kallikrein activity is angioedema.
22. The method of claim 19 , wherein the disease or condition characterized by unwanted plasma kallikrein activity is hereditary angioedema.