Factor XIa Inhibitor Design via Local Quality and Segmentation

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Solution Overview

Problem

Current treatments for thrombosis, embolism, hypercoagulability, and fibrotic changes are inadequate, as existing inhibitors have limitations in potency, efficacy, and pharmacokinetic profiles, and there is a need for selective inhibitors of Factor XIa and plasma kallikrein to address these conditions effectively.

Innovation Solution

Development of compounds of Formula I, which are selective Factor XIa inhibitors or dual inhibitors of Factor XIa and plasma kallikrein, designed to treat various disease states by inhibiting Factor XIa or plasma kallikrein, including thrombosis, embolism, hypercoagulability, and fibrotic changes, with improved pharmacokinetic profiles and potency compared to existing compounds.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If existing inhibitors are used to treat thrombosis and embolism, then treatment is provided, but potency and efficacy are insufficient

Engineering Contradiction:
ImproveefficacyVSAvoidthrombosis
Core Design Contradiction:
ReliabilityVSObject-affected harmful factors

Solution Approach 1:

The patent employs parameter changes by modifying the chemical structure of Factor XIa inhibitors through systematic variation of molecular components (aromatic rings, linkers, terminal groups) to achieve optimal binding affinity and selectivity. This structural optimization resolves the contradiction by enhancing inhibitor potency while maintaining selectivity for Factor XIa over other coagulation factors.

Inventive Principle:
Principle #35Parameter changes

Solution Approach 2:

The patent applies local quality by designing specific functional regions within the inhibitor molecule that interact with distinct pockets of the Factor XIa active site. Different portions of the inhibitor are optimized to interact with specific residues in the substrate binding region, thereby enhancing binding affinity and selectivity without affecting other coagulation factors.

Inventive Principle:
Principle #3Local quality

2Reliability

If existing inhibitors are used, then treatment is provided, but pharmacokinetic profiles are inadequate

Engineering Contradiction:
Improvepharmacokinetic profileVSAvoidhypercoagulability
Core Design Contradiction:
ReliabilityVSObject-affected harmful factors

Solution Approach 1:

The patent optimizes pharmacokinetic parameters by modifying molecular properties such as lipophilicity, molecular weight, and hydrogen bonding capacity. These changes improve absorption, distribution, metabolism, and excretion characteristics of the inhibitors, enabling effective plasma concentration maintenance with reduced dosing frequency and enhanced safety profile.

Inventive Principle:
Principle #35Parameter changes

3Reliability

If selective inhibitors of Factor XIa and plasma kallikrein are developed, then potency and efficacy are improved, but device complexity increases

Engineering Contradiction:
ImprovepotencyVSAvoidmolecular structure complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent applies segmentation by dividing the inhibitor molecule into distinct functional modules: an aromatic ring system for hydrophobic interactions, a linker region for structural flexibility, and a terminal group for specific hydrogen bonding. This modular design enables systematic optimization of potency while maintaining synthetic accessibility and structural clarity.

Inventive Principle:
Principle #1Segmentation

Data Source

PatentEP3500556B1Pyridine-1-oxide derivatives and their use as factor xia inhibitors
Publication Date: 2023.08.02 MERCK SHARP & DOHME LLC
  • EP3500556B1 patent drawing
  • EP3500556B1 patent drawing
  • EP3500556B1 patent drawing

AI summary

The present invention provides a compound of Formula (I) and pharmaceutical compositions comprising one or more said compounds, and methods for using said compounds for treating or preventing thromboses, embolisms, hypercoagulability or fibrotic changes. The compounds are selective Factor XIa inhibitors or dual inhibitors of Factor XIa and plasma kallikrein.