Accumulating evidence suggests that fibrinogen, a key protein in the coagulation cascade, plays an important role in circulatory dysfunction in Alzheimer's disease (AD). Previous work has shown that the interaction between fibrinogen and Β-amyloid (AΒ), a hallmark pathological protein in AD, induces plasmin-resistant abnormal blood clots, delays fibrinolysis, increases inflammation, and aggravates cognitive function in mouse models of AD. Since AΒ oligomers have a much stronger affinity for fibrinogen than AΒ monomers, we tested whether amyloid aggregation inhibitors could block the AΒ-fibrinogen interaction and found that some Aβ aggregation inhibitors showed moderate inhibitory efficacy against this interaction. We then modified hit compound so that it not only showed a strong inhibitory efficacy towards the AΒ-fibrinogen interaction but also retained its potency towards the AΒ42 aggregation inhibition process. Furthermore, our best hit compound TDI-2760 modulated AΒ42-induced contact system activation, a pathological condition observed in some AD patients, in addition to inhibiting the AΒ-fibrinogen interaction and AΒ aggregation. Thus, TDI-2760 has the potential to lessen vascular abnormalities as well as AΒ aggregation-driven pathology in AD.