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| United States Patent | 6,245,743 |
| Marlowe ,   et al. | June 12, 2001 |
Novel compounds, their salts and compositions related thereto having activity against mammalian factor Xa are disclosed. The compounds are useful in vitro or in vivo for preventing or treating coagulation disorders.
| Inventors: | Marlowe; Charles K. (Belmont, CA); Scarborough; Robert M. (Belmont, CA); Laibelman; Alan M. (San Mateo, CA); Sinha; Uma (San Francisco, CA); Zhu; Bing-Yan (Belmont, CA) |
| Assignee: | COR Therapeutics, Inc. (South San Francisco, CA) |
| Appl. No.: | 077001 |
| Filed: | May 15, 1998 |
| PCT Filed: | June 5, 1996 |
| PCT NO: | PCT/US96/09285 |
| 371 Date: | May 15, 1998 |
| 102(e) Date: | May 15, 1998 |
| PCT PUB.NO.: | WO96/40743 |
| PCT PUB. Date: | December 19, 1996 |
| Current U.S. Class: | 514/18; 514/19; 530/331 |
| Intern'l Class: | A61K 038/00; C07K 007/00; C07K 005/00 |
| Field of Search: | 514/18,19 530/331 |
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| 4316889 | Feb., 1982 | Bajusz | 424/197. |
| 4399065 | Aug., 1983 | Bajusz | 260/112. |
| 4478745 | Oct., 1984 | Bajusz | 260/112. |
| 4588587 | May., 1986 | Gasic | 424/95. |
| 4593018 | Jun., 1986 | Austen | 514/16. |
| 4797472 | Jan., 1989 | Gustaffson et al. | 530/331. |
| 5153176 | Oct., 1992 | Abe | 514/18. |
| 5371072 | Dec., 1994 | Webb | 514/18. |
| 5380713 | Jan., 1995 | Balasubramanian | 514/18. |
| 5496927 | Mar., 1996 | Kolb | 530/328. |
| 5523308 | Jun., 1996 | Costanzo | 514/317. |
| 5721214 | Feb., 1998 | Marlowe | 514/19. |
| Foreign Patent Documents | |||
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Turner, A.D. et al., "p-Amidino Esters as Irreversible Inhibitors of Factors IXa and Xa and Thrombin," Biochemistry, vol. 25:4929-4935 (1986). Waxman, L. et al., "Tick Anticoagulant Peptide (TAP) is a Novel Inhibitor of Blood Coagulation Factor Xa," Science, vol. 248:593-596 (1990). |
One-Letter Three Letter
Amino Acid Symbol Symbol
Alanine A Ala
Arginine R Arg
Asparagine N Asn
Aspartic acid D Asp
Cysteine C Cys
Glutamine Q Gln
Glutamic acid E Glu
Glycine G Gly
Histidine H His
Isoleucine I Ile
Leucine L Leu
Lysine K Lys
Methionine M Met
Phenylalanine F Phe
Proline P Pro
Serine S Ser
Threonine T Thr
Tryptophan W Trp
Tyrosine Y Tyr
Valine V Val
TABLE 1
Inhibitory Activity (IC.sub.50) mM
Prothrom-
STRUCTURE Factor Xa binase Thrombin
H-D-Arg-Gly-Arg-H 0.064 0.83 41
Boc-D-Arg-Gly-Arg-H 0.050 4.0 >100
HOOCCO-D-Arg-Gly-Arg-H 0.056 0.063 95
HOOCCH.sub.2 CO-D-Arg-Gly-Arg-H 0.098 0.50 >100
HOOC(CH.sub.2).sub.2 CO-D-Arg-Gly-Arg-H 0.224 2.0 >100
PhCH.sub.2 CH.sub.2 CO-D-Arg-Gly-Arg-H 0.200 1.7 75
PhCH.sub.2 SO.sub.2 -D-Arg-Gly-Arg-H 0.015 0.014 33
EtOCO-D-Arg-Gly-Arg-H 0.049 0.135 >100
2-NaphthoxyAc-D-Arg-Gly-Arg-H 0.550 0.687 >100
Boc-D-Cit-Gly-Arg-H 3.0 12.0 >100
Boc-D-Lys-Gly-Arg-H 10.0 68.0 >100
Boc-D-Har-Gly-Arg-H 0.100 0.173 405
Boc-D-Har((CH.sub.3).sub.4)-Gly-Arg-H 5.0 44.0 >100
Boc-D-Arg-Ala-Arg-H 0.167 0.081 5
Boc-D-Arg-D-Ala-Arg-H 0.230 0.800 >10
Boc-D-Arg-.beta.-Ala-Arg-H 11.0 14.0 >500
Boc-D-Arg-Aib-Arg-H 0.552 2.0 >500
Boc-D-Arg-Gly-Arg-CONHEtPh 0.016 0.023 4
TABLE 2
ANTITHROMBOTIC EFFECTS OF Boc-RGR-H IN RABBITS
Dose Regimen % Inhibition fold increase over baseline
(.mu.g/kg + .mu.g/kg/min) n# of Thrombosis aPTT PT
saline control 7 0.0 1.00 .+-. 0.05 1.01 .+-. 0.00
200 + 1.98 5 8.4 1.04 .+-. 0.05 1.02 .+-. 0.01
600 + 5.94 5 -6.6 1.15 .+-. 0.02 1.03 .+-. 0.01
1000 + 9.90 5 58.6 1.31 .+-. 0.04 1.06 .+-. 0.01
1500 + 14.85 5 31.4 1.61 .+-. 0.13 1.08 .+-. 0.01
TABLE 3
EFFECTS OF Boc-RGR-H ON HEMATOLOGICAL PARAMETERS
Dose Regimen RBC WBC PLT Hct
(.mu.g/kg + .mu.g/kg/min) n# .times. 10.sup.6 /.mu.L .times. 10.sup.3
/.mu.L .times. 10.sup.3 /.mu.L %
saline control 7 5.64 .+-. 0.49 4.30 .+-. 1.63 432 .+-. 129 35.2
.+-. 2.81
200 + 1.98 5 5.69 .+-. 0.14 4.45 .+-. 0.97 393 .+-. 84 36.9
.+-. 3.90
600 + 5.94 5 5.74 .+-. 0.48 3.87 .+-. 0.65 442 .+-. 81 35.3
.+-. 3.01
1000 + 9.90 5 5.71 .+-. 0.28 5.09 .+-. 1.61 375 .+-. 73 35.5
.+-. 1.01
1500 + 14.85 5 5.80 .+-. 0.50 4.82 .+-. 1.01 433 .+-. 22 36.0
.+-. 3.31
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