Inhibitors of factor Xa and other serine proteases involved in the coagulation cascade

A pharmaceutical composition comprising a compound of formula I

• or a pharmaceutically acceptable salt thereof wherein:
• A is aryl or substituted aryl or monocyclic heteroaryl or substituted monocyclic heteroaryl;
• (C3-C7)cycloalkyl, (C3-C7)heterocycloalkyl, (C4-C7)cycloalkenyl, (C4-C7)heterocycloalkenyl, aryl, or heteroaryl, any of which may be optionally substituted;
• C is phenyl or heteroaryl, wherein phenyl or heteroaryl is optionally substituted with one or more substituents selected from halogen, hydroxy, —CO2R2, —COR2, —CONR2R2′, alkoxy, alkyl, —CN, haloalkyl, amino, alkylamino, amidino, amido, or sulfonamido;
• G is H, halo, (C1-C6)alkyl, halo(C1-C6)alkyl, hydroxy(C1-C6)alkyl, —CH2O—(C1-C6)alkyl, —CH2—CO2(C1-C6)alkyl, —CH2—CONH2, or —CH2—CONH(C1-C6)alkyl;
• W1 is —N═CR5—CH2— wherein W1 connects the nitrogen atom at position 1 to the carbon atom at position 2 to form a five membered ring;
• R1 is (C1-C6)alkoxy, (C3-C7)cycloalkyl, (C3-C7)heterocycloalkyl, (C4-C7)cycloalkenyl, (C4-C7)heterocycloalkenyl, aryl, monocyclic heteroaryl, or —NR3R4;
• R2 and R2′ are each independently H or (C1-C6)alkyl;
• and
• R3 and R4 are each independently H, (C1-C6)alkyl, aralkyl, aryl, monocyclic heteroaryl, alkoxycarbonyl, aralkoxycarbonyl, —SO2alkyl, or joined together to form a saturated or unsaturated 3 to 7 membered ring;
• R5 is —OH, alkyl, halo(C1-C6)alkyl, —NR3R4, —OR2, halo, —CN, —CH2OR2, —CH2—NR3R4, aryl, monocyclic heteroaryl, alkylaryl, —CONR3R4, —COR2, halo(C1-C6)alkyl, or —CO2R2;
• admixed with a carrier, diluent, or excipient.

A compound which is:

• 4,5-Dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-[(3-fluoro-2′-methanesulfonyl-biphenyl-4-yl)-amide];
• 4,5-Dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-{[4-(2-oxo-piperidin-1-yl)-phenyl]-amide};
• 4,5-Dihydro-pyrazole-1,5-dicarboxylic acid 1-[(5-chloro-pyridin-2-yl)-amide] 5-{[2-fluoro-4-(2-oxo-piperidin-1-yl)-phenyl]-amide};
• 4,5-Dihydro-pyrazole-1,5-dicarboxylic acid 1-[(5-chloro-pyridin-2-yl)-amide] 5-{[4-(2-oxo-piperidin-1-yl)-phenyl]-amide};
• 4,5-Dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-[(2-oxo-3,4,5,6-tetrahydro-2H-[1,3′]bipyridinyl-6′-yl)-amide];
• 4,5-Dihydro-pyrazole-1,5-dicarboxylic acid 1-[(5-chloro-pyridin-2-yl)-amide] 5-[(2-oxo-3,4,5,6-tetrahydro-2H-[1,3′]bipyridinyl-6′-yl)-amide];
• 5-Methyl-4,5-dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-[(3-fluoro-2′-sulfamoyl-biphenyl-4-yl)-amide];
• 3-Hydroxymethyl-4,5-dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-[(3-fluoro-2′-methanesulfonyl-biphenyl-4-yl)-amide];
• 4,5-Dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-[(3-fluoro-2′-sulfamoyl-biphenyl-4-yl)-amide];
• (R) 4,5-Dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-[(3-fluoro-2′-sulfamoyl-biphenyl-4-yl)-amide];
• 4,5-Dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-{[2-fluoro-4-(2-oxo-piperidin-1-yl)-phenyl]-amide };
• 4,5-Dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-[(3-fluoro-2′-methanesulfonyl-biphenyl-4-yl)-amide];
• 1-(4-Chloro-phenylcarbamoyl)-5-(3-fluoro-2′-methanesulfonyl-biphenyl-4-ylcarbamoyl)-4,5-dihydro-1H-pyrazole-3-carboxylic acid ethyl ester;
• 4,5-Dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-{[2-fluoro-4-(2-oxo-2H-pyridin-1-yl)-phenyl]-amide};
• 3-Hydroxymethyl-4,5-dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-{[2-fluoro-4-(2-oxo-2H-pyridin-1-yl)-phenyl]-amide};
• 5-Methyl-4,5-dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-{[2-fluoro-4-(2-oxo-2H-pyridin-1-yl)-phenyl]-amide};
• 3-Methoxymethyl-4,5-dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-{[2-fluoro-4-(2-oxo-2H-pyridin-1-yl)-phenyl]-amide};
• 4,5-Dihydro-pyrazole-1,5-dicarboxylic acid 1-[(5-chloro-pyridin-2-yl)-amide] 5-{[2-fluoro-4-(2-oxo-2H-pyridin-1-yl)-phenyl]-amide};
• 3-Hydroxymethyl-4,5-dihydro-pyrazole-1,5-dicarboxylic acid 1-[(5-chloro-pyridin-2-yl)-amide] 5-{[2-fluoro-4-(2-oxo-2H-pyridin-1-yl)-phenyl]-amide};
• 5-Methyl-4,5-dihydro-pyrazole-1,5-dicarboxylic acid 1-[(5-chloro-pyridin-2-yl)-amide] 5-{[2-fluoro-4-(2-oxo-2H-pyridin-1-yl)-phenyl]-amide};
• 3-Methoxymethyl-4,5-dihydro-pyrazole-1,5-dicarboxylic acid 1-[(5-chloro-pyridin-2-yl)-amide] 5-{[2-fluoro-4-(2-oxo-2H-pyridin-1-yl)-phenyl]-amide};
• or a pharmaceutically acceptable salt thereof.

A pharmaceutical composition comprising one or more compounds or a pharmaceutically acceptable salt thereof selected from the group consisting of:

• 4,5-Dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-[(3-fluoro-2′-methanesulfonyl-biphenyl-4-yl)-amide];
• 4,5-Dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-{[4-(2-oxo-piperidin-1-yl)-phenyl]-amide};
• 4,5-Dihydro-pyrazole-1,5-dicarboxylic acid 1-[(5-chloro-pyridin-2-yl)-amide] 5-{[2-fluoro-4-(2-oxo-piperidin-1-yl)-phenyl]-amide};
• 4,5-Dihydro-pyrazole-1,5-dicarboxylic acid 1-[(5-chloro-pyridin-2-yl)-amide] 5-{[4-(2-oxo-piperidin-1-yl)-phenyl]-amide};
• 4,5-Dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-[(2-oxo-3,4,5,6-tetrahydro-2H-[1,3′]bipyridinyl-6′-yl)-amide];
• 4,5-Dihydro-pyrazole-1,5-dicarboxylic acid 1-[(5-chloro-pyridin-2-yl)-amide] 5-[(2-oxo-3,4,5,6-tetrahydro-2H-[1,3′]bipyridinyl-6′-yl)-amide];
• 5-Methyl-4,5-dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-[(3-fluoro-2′-sulfamoyl-biphenyl-4-yl)-amide];
• 3-Hydroxymethyl-4,5-dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-[(3-fluoro-2′-methanesulfonyl-biphenyl-4-yl)-amide];
• 4,5-Dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-[(3-fluoro-2′-sulfamoyl-biphenyl-4-yl)-amide];
• (R) 4,5-Dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-[(3-fluoro-2′-sulfamoyl-biphenyl-4-yl)-amide];
• 4,5-Dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-{[2-fluoro-4-(2-oxo-piperidin-1-yl)-phenyl]-amide};
• 4,5-Dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-[(3-fluoro-2′-methanesulfonyl-biphenyl-4-yl)-amide];
• 1-(4-Chloro-phenylcarbamoyl)-5-(3-fluoro-2′-methanesulfonyl-biphenyl-4-ylcarbamoyl)-4,5-dihydro-1H-pyrazole-3-carboxylic acid ethyl ester;
• 4,5-Dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-{[2-fluoro-4-(2-oxo-2H-pyridin-1-yl)-phenyl]-amide};
• 3-Hydroxymethyl-4,5-dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-{[2-fluoro-4-(2-oxo-2H-pyridin-1-yl)-phenyl]-amide};
• 5-Methyl-4,5-dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-{[2-fluoro-4-(2-oxo-2H-pyridin-1-yl)-phenyl]-amide};
• 3-Methoxymethyl-4,5-dihydro-pyrazole-1,5-dicarboxylic acid 1-[(4-chloro-phenyl)-amide] 5-{[2-fluoro-4-(2-oxo-2H-pyridin-1-yl)-phenyl]-amide};
• 4,5-Dihydro-pyrazole-1,5-dicarboxylic acid 1-[(5-chloro-pyridin-2-yl)-amide] 5-{[2-fluoro-4-(2-oxo-2H-pyridin-1-yl)-phenyl]-amide};
• 3-Hydroxymethyl-4,5-dihydro-pyrazole-1,5-dicarboxylic acid 1-[(5-chloro-pyridin-2-yl)-amide] 5-{[2-fluoro-4-(2-oxo-2H-pyridin-1-yl)-phenyl]-amide};
• 5-Methyl-4,5-dihydro-pyrazole-1,5-dicarboxylic acid 1-[(5-chloro-pyridin-2-yl)-amide] 5-{[2-fluoro-4-(2-oxo-2H-pyridin-1-yl)-phenyl]-amide};
• and
• 3-Methoxymethyl-4,5-dihydro-pyrazole-1,5-dicarboxylic acid 1-[(5-chloro-pyridin-2-yl)-amide] 5-{[2-fluoro-4-(2-oxo-2H-pyridin-1-yl)-phenyl]-amide};
• and a carrier, diluent, or excipient.

A compound of formula IV:

• or a pharmaceutically acceptable salt thereof wherein
• “ - - - ” is a bond;
• Z is C—H, C-halo, C—(C1-C6)alkyl, C-halo(C1-C6)alkyl, C—(C1-C6)alkoxy, or N;
• G is H, halo, (C1-C6)alkyl;
• XII is N;
• R11 is absent;
• R10 is H, —OH, halo, alkyl, haloalkyl, —NR8R9, —OR2, —CN, —CH2OH, —CH2—NR3R4,aryl, monocyclic heteroaryl, alkylaryl, —CH═O, —CH2OR2, —COR2, —CO2R2, or —CONR3R4;
• R2 is each independently H or (C1-C6)alkyl;
• R3 and R4 are each independently H, (C1-C6)alkyl, aralkyl, aryl, monocyclic heteroaryl, alkoxycarbonyl, aralkoxycarbonyl, —S02alkyl, or are joined together to form an optionally substituted saturated or unsaturated 3 to 7 membered ring;
• R12 and R13 are each independently H, halo, (C1-C6)alkyl, or halo(C1-C6)alkyl, or (C1-C6)alkoxy;
• R14 and R15 are each independently H, halo, alkyl, or haloalkyl, or NR8R9 wherein R8 and R9 are as defined for R3 and R4;
• X and Y are each independently C or N, provided that when one of X or Y is N, R14 or R15 is absent at that position;
• and
• B is (C3-C7) cycloalkyl, (C3-C7)heterocycloalkyl, (C4-C7)cycloalkenyl, (C4-C7)heterocycloalkenyl, aryl, or heteroaryl, any of which may be optionally substituted by halo, (C1-C6)alkyl, halo(C1-C6)alkyl, oxo, —O—(C1-C6)alkyl, —CN, —NH2, —NR23R24, —SO2alkyl, or —SO2 NR23R24 wherein R23 and R24 are each independently H, (C1-C6)alkyl, aralkyl, aryl, monocyclic heteroaryl, alkoxycarbonyl, aralkoxycarbonyl, or are joined together to form an optionally substituted saturated or unsaturated 3 to 7 membered ring.