Abstract
Further optimization of the beta-aminoester class of factor Xa (fXa) inhibitors is described culminating in the identification of 9c (FXV673), a potent and selective factor Xa inhibitor with excellent in vivo anticoagulant activity. An X-ray structure of FXV673 bound to human fXa is also presented. Based on its selectivity, potent in vivo activity and favorable pre-clinical safety profile, FXV673 was selected for further development and is currently undergoing clinical trials.
MeSH terms
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Anticoagulants / chemistry*
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Anticoagulants / pharmacology*
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Crystallography, X-Ray
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Cyclic N-Oxides / chemistry*
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Cyclic N-Oxides / pharmacology*
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Esters
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Factor Xa Inhibitors*
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Humans
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Models, Molecular
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Molecular Structure
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Pyridines / chemistry*
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Pyridines / pharmacology*
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Serine Proteinase Inhibitors / chemistry*
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Serine Proteinase Inhibitors / pharmacology*
Substances
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Anticoagulants
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Cyclic N-Oxides
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Esters
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Factor Xa Inhibitors
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Pyridines
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Serine Proteinase Inhibitors
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otamixaban