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Reversible covalent direct thrombin inhibitors.

Mohanram Sivaraja1, Nicola Pozzi2, Matthew Rienzo1

  • 1Verseon Corporation, Fremont, California, United States of America.

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|August 3, 2018
PubMed
Summary
This summary is machine-generated.

A new class of direct thrombin inhibitors (VE-DTIs) offers a novel approach to anticoagulation. Compound 1, a VE-DTI, demonstrates potent and selective thrombin inhibition with a unique reversible covalent mechanism, potentially improving efficacy and bleeding profiles.

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Area of Science:

  • Pharmacology
  • Biochemistry
  • Medicinal Chemistry

Background:

  • Traditional anticoagulants like heparin and warfarin are being superseded by novel oral anticoagulants.
  • Novel oral anticoagulants offer convenience but have contraindications and significant bleeding risks.

Purpose of the Study:

  • To characterize the mechanism of action and in vitro pharmacology of Compound 1, a novel direct thrombin inhibitor (VE-DTI).

Main Methods:

  • Kinetics, biochemical assays, and X-ray structural studies were employed.
  • In vitro pharmacology was assessed using various assays, including thrombin inhibition, substrate activity, and clotting assays.

Main Results:

  • Compound 1 acts via reversible covalent inhibition, potently and selectively inhibiting thrombin.
  • It demonstrated nanomolar potency against free and clot-bound thrombin and inhibited thrombin generation with low micromolar potency.
  • The compound showed a distinct pharmacological profile in clotting assays, with weak inhibition in PT and aPTT.

Conclusions:

  • Compound 1, a VE-DTI, exhibits a unique reversible covalent inhibition mechanism.
  • This novel mechanism offers a differentiating pharmacological profile with potential for improved anticoagulant efficacy and bleeding profiles.