Selective Factor XI Activation Inhibitors for Thrombosis Control

Resolve Bottlenecks,
Find Innovative Solutions
Generate Solutions

Solution Overview

Problem

Existing treatments for thrombosis and related conditions, such as thromboembolic disorders, are inadequate in inhibiting Factor XI activation, which is a critical step in the blood coagulation process, leading to potentially life-threatening conditions like heart attacks and strokes.

Innovation Solution

Development of selective Factor XI activation inhibitors, represented by compounds of Formula I, which can be administered alone or in combination with other therapeutics to inhibit Factor XI activation and reduce blood clot formation.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If existing treatments are used for thrombosis, then current therapy options are available, but Factor XI activation is not adequately inhibited

Engineering Contradiction:
Improveinhibition of Factor XI activationVSAvoidthrombosis risk
Core Design Contradiction:
ReliabilityVSObject-affected harmful factors

Solution Approach 1:

The patent modifies the molecular structure of Factor XI inhibitors by changing chemical parameters (substituents at positions R1-R6 in Formula I) to achieve optimal inhibition of Factor XI activation while maintaining safety profile. This structural parameter optimization enables adequate inhibition of the critical coagulation step without excessive bleeding risk.

Inventive Principle:
Principle #35Parameter changes

Solution Approach 2:

The patent replaces existing mechanical or non-specific inhibition approaches with a specific molecular mechanism targeting the activation site of Factor XI. The compounds of Formula I specifically bind to and inhibit the proteolytic activity of Factor XIa, providing precise control over the coagulation cascade at the critical Factor XI activation step.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

2Object-affected harmful factors

If Factor XI activation is strongly inhibited, then thrombosis risk is reduced, but bleeding risk may increase

Engineering Contradiction:
Improvethrombosis riskVSAvoidbleeding risk
Core Design Contradiction:
Object-affected harmful factorsVSObject-generated harmful factors

Solution Approach 1:

The patent optimizes the balance between thrombosis inhibition and bleeding risk by carefully selecting and modifying chemical parameters of the inhibitor compounds. The substituents at positions R1-R6 are designed to achieve sufficient Factor XI activation inhibition while maintaining an acceptable safety profile, thus resolving the contradiction between efficacy and safety.

Inventive Principle:
Principle #35Parameter changes

Solution Approach 2:

The patent employs partial inhibition of Factor XI activation rather than complete inhibition. The compounds provide sufficient inhibition to prevent thrombosis while allowing enough residual activity to maintain hemostasis, avoiding excessive bleeding risk. This partial action approach resolves the contradiction by achieving therapeutic effect without overwhelming side effects.

Inventive Principle:
Principle #16Partial or excessive action

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The compounds effectively inhibit Factor XI activation, reducing the risk of thrombosis and associated conditions, offering improved pharmacokinetic profiles and efficacy compared to existing treatments.

Implementation Method 1

Factor XI undergoes proteolysis to afford its activated form, factor XIa, which functions as a plasma serine protease involved in the regulation of blood coagulation

Methodology Applied
Scientific EffectEnzyme inhibition: Enzyme

Implementation Method 2

thrombosis is the formation or presence of a blood clot inside a blood vessel or cavity of the heart

Methodology Applied
Scientific EffectCoagulation inhibition: Coagulation

Data Source

PatentEP4149917B1Factor xi activation inhibitors
Publication Date: 2025.07.30 MERCK SHARP & DOHME LLC
  • EP4149917B1 patent drawing
  • EP4149917B1 patent drawing
  • EP4149917B1 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 XI activation inhibitors.