The present invention provides compounds of Formula (I): ##STR00001## or
a stereoisomer, tautomer, pharmaceutically acceptable salt or solvate
form thereof, wherein the variables A, L.sub.1, M and R.sup.11 are as
defined herein. The compounds of Formula (I) are 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 or dual inhibitors of
fXIa and plasma kallikrein. This invention also relates to pharmaceutical
compositions comprising these compounds and methods of treating
thromboembolic and/or inflammatory disorders using the same.