Several new analogs of the known thrombin inhibitor NAPAP were synthesized,
in which the P2 glycine residue was substituted by natural and unnatural a
mino acids. The thrombin inhibitory potency was comparable to that of NAPAP
. Several of the compounds had inhibition constants lower than 10 nM and a
very high selectivity compared to trypsin, factor X-a and plasmin. In addit
ion, analogs were prepared by alkylation of the N-alpha-atom of the 4-amidi
nophenylalanine in P1 position, which showed a more than 10-fold lower thro
mbin inhibition. Furthermore, azaglycine was introduced instead of P2 glyci
ne. For most of the inhibitors similar fast elimination rates were seen in
rats after intravenous dosing, as found previously for NAPAP. Only some com
pounds, which contained a second basic group showed a slightly decreased cu
mulative biliary clearance.