The present invention provides compounds of Formula (I): ##STR00001## 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.