Q1 · MEDICINE
Article
Author: Gagnon, Marc ; Wexler, Ruth R. ; Bouvier, Michel ; Guy, Julia ; Hua, Ji ; Rémillard, Roger ; Gordon, David A. ; Richter, Jeremy M. ; Lavallée, Jean-François ; Yang, Jing ; Dubé, Laurence ; Guay, Jocelyne ; Sum, Chi Shing ; Gupta, Anuradha ; Cvijic, Mary Ellen ; Mathur, Arvind ; Balapragalathan, T. J. ; Posy, Shana L. ; Deon, Daniel ; Li, Jianqing ; Wong, Pancras ; Guarino, Victor R. ; Lapointe, Philippe ; Marinier, Anne ; Callejo, Mario ; Vetrichelvan, Muthalagu ; Tremblay, François ; Plamondon, Serge ; Watson, Carol ; Martel, Alain ; Ruediger, Edward ; Priestley, E. Scott ; Banville, Jacques
Protease-activated receptor 4 (PAR4) is a G-protein coupled receptor that is expressed on human platelets and activated by the coagulation enzyme thrombin. PAR4 plays a key role in blood coagulation, and its importance in pathological thrombosis has been increasingly recognized in recent years. Herein, we describe the optimization of a series of imidazothiadiazole PAR4 antagonists to a first-in-class clinical candidate, BMS-986120 (43), and a backup clinical candidate, BMS-986141 (49). Both compounds demonstrated excellent antithrombotic efficacy and minimal bleeding time prolongation in monkey models relative to the clinically important antiplatelet agent clopidogrel and provide a potential opportunity to improve the standard of care in the treatment of arterial thrombosis.