Exploration of 4,4-Disubstituted Pyrrolidine-1,2-Dicarboxamides as Potent, Orally Active Factor Xa Inhibitors with Extended Duration of Action.
Van Huis, C.A., Casimiro-Garcia, A., Bigge, C.F., Cody, W.L., Dudley, D.A., Filipski, K.J., Heemstra, R.J., Kohrt, J.T., Leadley, R.J.J., Narasimhan, L.S., Mcclanahan, T., Mochalkin, I., Pamment, M., Peterson, J.T., Sahasrabudhe, V., Schaum, R.P., Edmunds, J.J.(2009) Bioorg Med Chem 17: 2501
- PubMed: 19231206 
- DOI: https://doi.org/10.1016/j.bmc.2009.01.063
- Primary Citation of Related Structures:  
2W3I, 2W3K - PubMed Abstract: 
Aiming to improve upon previously disclosed Factor Xa inhibitors, a series of 4,4-disubstituted pyrrolidine-1,2-dicarboxamides were explored with the intent of increasing the projected human half-life versus 5 (projected human t(1/2)=6 h). A stereospecific route to compounds containing a 4-aryl-4-hydroxypyrrolidine scaffold was developed, resulting in several compounds that demonstrated an increase in the half-life as well as an increase in the in vitro potency compared to 5. Reported herein is the discovery of 26, containing a (2R,4S)-4-hydroxy-4-(2,4-difluorophenyl)-pyrrolidine scaffold, which is a selective, orally bioavailable, efficacious Factor Xa inhibitor that appears suitable for a once-daily dosing (projected human t(1/2)=23 h).
Organizational Affiliation: 
Michigan Laboratories, Ann Arbor Campus, Pfizer Global Research and Development, 2800 Plymouth Road, Ann Arbor, MI 48105, USA.