Discovery of Potent and Orally Bioavailable Pyridine N-Oxide-Based Factor XIa Inhibitors through Exploiting Nonclassical Interactions.
Xu, G., Liu, Z., Wang, X., Lu, T., DesJarlais, R.L., Thieu, T., Zhang, J., Devine, Z.H., Du, F., Li, Q., Milligan, C.M., Shaffer, P., Cedervall, P.E., Spurlino, J.C., Stratton, C.F., Pietrak, B., Szewczuk, L.M., Wong, V., Steele, R.A., Bruinzeel, W., Chintala, M., Silva, J., Gaul, M.D., Macielag, M.J., Nargund, R.(2022) J Med Chem 
- PubMed: 35862732 
- DOI: 10.1021/acs.jmedchem.2c00442
- Primary Citation of Related Structures:  
7V0Z, 7V10, 7V11, 7V12, 7V13, 7V14, 7V15, 7V16, 7V17, 7V18 - PubMed Abstract: 
Activated factor XI (FXIa) inhibitors are promising novel anticoagulants with low bleeding risk compared with current anticoagulants. The discovery of potent FXIa inhibitors with good oral bioavailability has been challenging. Herein, we describe our discovery effort, utilizing nonclassical interactions to improve potency, cellular permeability, and oral bioavailability by enhancing the binding while reducing polar atoms ...