Q1 · MEDICINE
Article
Author: Watson, Carol ; Plamondon, Serge ; Sum, Chi Shing ; Bouvier, Michel ; Martel, Alain ; Priestley, E. Scott ; Guy, Julia ; Wexler, Ruth R. ; Ruediger, Edward ; Li, Jianqing ; Gagnon, Marc ; Lavallée, Jean-François ; Gordon, David A. ; Yang, Jing ; Guarino, Victor R. ; Deon, Daniel ; Lapointe, Philippe ; Callejo, Mario ; Dubé, Laurence ; Vetrichelvan, Muthalagu ; Posy, Shana L. ; Guay, Jocelyne ; Cvijic, Mary Ellen ; Marinier, Anne ; Balapragalathan, T. J. ; Richter, Jeremy M. ; Mathur, Arvind ; Gupta, Anuradha ; Rémillard, Roger ; Hua, Ji ; Wong, Pancras ; Banville, Jacques ; Tremblay, François
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.