The present invention provides compounds of Formula (I): or a
stereoisomer or pharmaceutically acceptable salt or solvate form thereof,
wherein the variables A, L, Z, X.sup.1, X.sup.2, X.sup.3, X.sup.4, and
X.sup.5 are as defined herein. The compounds of Formula (I) are useful as
selective inhibitors of serine protease enzymes of the coagulation
cascade and/or contact activation system; for example thrombin, factor
Xa, factor XIa, factor IXa, factor VIIa and/or plasma kallikrein. In
particular, it relates to compounds that are selective factor XIa
inhibitors. This invention also relates to pharmaceutical compositions
comprising these compounds and methods of treating thromboembolic and/or
inflammatory disorders using the same.