Small molecule inhibitors of plasminogen activator inhibitor (PAI)-1 have been reported to date but their clinical effects still remain unknown. The present study was undertaken to investigate the structure-activity relationships (SAR) of newly synthesized 2-acylamino-3-thiophenecarboxylic acid dimers based upon a core structure of TM5001 (1) and TM5007 (2) that we have previously identified as orally effective PAI-1 inhibitors. In general, compounds possessing bulky or/and hydrophobic substituents (e.g. phenyl, isobutyl group) on the both thiophene rings showed potent PAI-1 inhibitory activities irrespective of the positions of the substitution. The monocarboxyl derivative (10) exhibited PAI-1 inhibition comparable to the corresponding dicarboxyl compound (9f).Key words plasminogen activator inhibitor-1; inhibitor; structure-activity relationship; tissue-type plasminogen activator; aminothiophenecarboxylic acid derivative Chem. Pharm. Bull. 58(5) 615-619 (2010) © 2010 Pharmaceutical Society of Japan * To whom correspondence should be addressed. e-mail: nagahisa-yamaoka@hamari.co.jp 15.5Ϯ3.6 PAI-1 activity (%) at 200 mM is shown, e) tPA is slightly inhibited in the test, f) PAI-1 activity (%) at 300 mM is shown.