DK157302B - ESTERS OF CLAVULANIC ACID USED AS INTERMEDIATES IN THE PRODUCTION OF CLAVULANIC ACID OR PHARMACEUTICAL TOLERABLE SALTS THEREOF - Google Patents

ESTERS OF CLAVULANIC ACID USED AS INTERMEDIATES IN THE PRODUCTION OF CLAVULANIC ACID OR PHARMACEUTICAL TOLERABLE SALTS THEREOF Download PDF

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DK157302B
DK157302B DK286980AA DK286980A DK157302B DK 157302 B DK157302 B DK 157302B DK 286980A A DK286980A A DK 286980AA DK 286980 A DK286980 A DK 286980A DK 157302 B DK157302 B DK 157302B
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clavulanic acid
esters
clavulanate
general formula
hydrogen
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DK286980AA
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DK286980A (en
DK157302C (en
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Martin Cole
Thomas Trefor Howarth
Christopher Reading
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Beecham Group Ltd
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Description

DK 157302 BDK 157302 B

Den foreliggende opfindelse angâr hidtil ukendte estere af clavulansyre til anvendelse som mellemprodukter ved fremstilling af clavulansyre eller farmaceutisk tolerable salte deraf, hvilke estere er ejendonunelige ved, at de har den almene formel I 5The present invention relates to novel esters of clavulanic acid for use as intermediates in the preparation of clavulanic acid or pharmaceutically tolerable salts thereof, which esters are peculiar in that they have the general formula I

. CH-OH. CH-OH

n^Wn ^ W

COORCOOR

hvor R betegner en carbonhydridgruppe med hojst 16 .carbonatomer, som eventuelt er substitueret med halogen, C^.g-alkoxy eller hydroxy, eller R betegner en gruppe med formlen 10 I 5wherein R represents a hydrocarbon group having a maximum of 16 carbon atoms optionally substituted by halogen, C 1-6 alkoxy or hydroxy, or R represents a group of formula 10 I

- CH - O - CO - A- CH - O - CO - A

yLX,.yLX ,.

hvor betegner hydrogen eller methyl, betegner methyl, tert.but-yl eller phenyl, og A^ betegner hydrogen eller methoxy, eller R betegner en carbonhydridgruppe med 1-9 carbonatomer, som er sub-15 stitueret med eventuelt til salte omdannede basiske grupper med den almene formel NR^R^, hvor R^ betegner hydrogen eller C^.g-alkyl, R^ betegner hydrogen eller C^_g-alkyl eller er knyttet til R^, sâledes at NR^R^ er en pyrrolidin-, piperidin- eller morpholinring.represents hydrogen or methyl, methyl, tert-butyl or phenyl, and A 2 represents hydrogen or methoxy, or R represents a hydrocarbon group of 1-9 carbon atoms substituted with optionally converted salts with salts. the general formula NR ^R ^ wherein R ^ represents hydrogen or C ^g alkyl alkyl, R ^ represents hydrogen or C ^gg alkyl or is attached to R ^ such that NR NRR R is a pyrrolidine, piperidine - or morpholine ring.

Stereokemien ved carbonatomerne 5 og 2 i clavulansyren er den samme, 20 som findes hos naturligt forekommende penicilliner og cephalospo-riner, sâledes at clavulansyre kan illustreres med strukturformlenThe stereochemistry at the carbon atoms 5 and 2 of the clavulanic acid is the same as that found in naturally occurring penicillins and cephalosporins, so that clavulanic acid can be illustrated by the structural formula

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22

CH OHCH OH

Γ /"Ν' \Γ / "Ν '\

CO OHCO OH

Sâledes er et mere fyldestgorende kemisk navn for clavulansyre Z-(2R,5R)-3-(/3-hydroxyethyliden)-7-oxo-4-oxa-l-azabicyclo[3,2,0]heptan-5 2-carboxylsyre.Thus, a more satisfactory chemical name for clavulanic acid is Z- (2R, 5R) -3- (3-hydroxyethylidene) -7-oxo-4-oxa-1-azabicyclo [3,2,0] heptane-5-2-carboxylic acid .

Clavulansyres virkning som /?-lactamase-inhibitor illustreres ved, at vis se stammer af Klebsiella aerogenes A, hvis vækst ikke inhiberes ved tilstedeværelse af 125 /ig/ml ampicillin, amoxycillin, carbeni-cillin eller benzylpenicillin eller ved tilstedeværelse af 10 /ig/ml 10 clavulansyre, inhiberes ved tilstedeværelse af mindre end 12,5 /ig/ml af de ovenfor anferte penicilliner, nâr der ogsâ forekommer 5 /ig/ml clavulansyre. Lignende resultater er iagttaget for kombinationer indeholdende forskellige estere af clavulansyre. Fx inhiberes stammer af Klebsiella aerogenes A, hvis vækst ikke inhiberes af 125 /ig/ml 15 ampicillin eller af 10 /ig/ml clavulansyre-methylester, af mindre end 12,5 /ig/ml ampicillin i nærværelse af 5 /ig/ml clavulansyre-methylester. Det har ogsâ vist sig, at stammer af Staphylococcus aureus Russell, hvis vækst ikke inhiberes ved tilstedeværelse af 100 /ig/ml ampicillin eller af 5 /ig/ml clavulansyre, inhiberes ved tilste-20 deværelse af mindre end 10 /ig/ml ampicillin i nærværelse af 1 /ig/ml clavulansyre. Ved forsag pâ hunmus har det vist sig, at blod- og vævsniveauer af clavulansyre pâ betydelig mere end 5 /ig/ml let kan nâs ved subcutan administration af 100 mg/kg af natriumsaltet af clavulansyre, og at værdifulde niveauer af clavulansyre kan nâs efter 25 oral administration af 100 mg/kg af natriumsaltet af clavulansyre.The effect of clavulanic acid as a β-lactamase inhibitor is illustrated by showing strains of Klebsiella aerogenes A whose growth is not inhibited in the presence of 125 µg / ml ampicillin, amoxycillin, carbenicillin or benzylpenicillin or in the presence of 10 µg / ml. 10 ml of clavulanic acid is inhibited in the presence of less than 12.5 µg / ml of the penicillins listed above when 5 µg / ml of clavulanic acid is present. Similar results have been observed for combinations containing different esters of clavulanic acid. For example, strains of Klebsiella aerogenes A whose growth is not inhibited by 125 µg / ml ampicillin or 10 µg / ml clavulanic acid methyl ester are inhibited by less than 12.5 µg / ml ampicillin in the presence of 5 µg / ml clavulanic acid methyl ester. It has also been found that strains of Staphylococcus aureus Russell, whose growth is not inhibited in the presence of 100 µg / ml ampicillin or 5 µg / ml clavulanic acid, are inhibited by the presence of less than 10 µg / ml ampicillin in the presence of 1 µg / ml clavulanic acid. In female mice, it has been found that blood and tissue levels of clavulanic acid at significantly greater than 5 µg / ml can be easily reached by subcutaneous administration of 100 mg / kg of the sodium salt of clavulanic acid, and that valuable levels of clavulanic acid can be reached after Oral administration of 100 mg / kg of the sodium salt of clavulanic acid.

Clavulansyre og salte deraf synes at være noget nyttigere syner-gistiske midler end esteme i sig selv.Clavulanic acid and its salts appear to be somewhat more useful synergistic agents than the ester itself.

Særlig velegnede farmaceutisk tolerable salte af clavulansyre er fx natrium- , kalium-, calcium-, magnésium- , aluminium- , ammonium- og 30 substituerede ammoniumsalte sâsom trimethylammonium- , benzathin-,Particularly suitable pharmaceutically tolerable salts of clavulanic acid are, for example, sodium, potassium, calcium, magnesium, aluminum, ammonium and substituted ammonium salts such as trimethylammonium, benzathine,

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3 procain- og lignende salte, soin sædvanligvis dannes med penicilliner eller cephalosporiner.3 procaine and similar salts, soin usually formed with penicillins or cephalosporins.

Salte af clavulansyre synes at være mere stabile end selve syren.Salts of clavulanic acid appear to be more stable than the acid itself.

Særlig velegnede salte af clavulansyre er natrium- og kaliumsaltene,Particularly suitable salts of clavulanic acid are the sodium and potassium salts,

5 som har de nedenstâende formler III og IV5 having the following formulas III and IV

. CH90H . CH/IH. CH90H. CH / H

/ 2 -_/ 2 \ \/ 2 -_ / 2 \ \

COONa COOKCOONa COOK

III IVIII IV

krystallinske former af sâdanne salte kan indeholde hydratvand.crystalline forms of such salts may contain hydrate water.

10 De i nærværende beskrivelse omhandlede estere er rent teoretîsk afledt af en alkohol med den almene formel ROH, hvor R har den ovenfor anfarte betydning. Egnede grupper R er fx alkyl, alkenyl, alkynyl, aryl, arylalkyl eller andre lignende grupper, som, om ansket, kan være substituerede som angivet ovenfor. Gruppeme R 15 omfatter ikke mere end 16 carbonatomer, især ikke mere end 12 carbonatomer og navnlig ikke mere end 8 carbonatomer.The esters referred to in this specification are theoretically derived from an alcohol of the general formula ROH, where R has the meaning set forth above. Suitable groups R are, for example, alkyl, alkenyl, alkynyl, aryl, arylalkyl or other similar groups which, if desired, may be substituted as indicated above. The groups R 15 do not include more than 16 carbon atoms, in particular not more than 12 carbon atoms and, in particular, not more than 8 carbon atoms.

Gruppen R er fortrinsvis, rent teoretîsk, afledt af en alkohol ROH, som er farmaceutisk tolerabel.The group R is preferably, purely theoretical, derived from an alcohol ROH which is pharmaceutically tolerable.

Egnede estere af clavulansyre er sâdanne, som rent teoretîsk er 20 afledt af alkoholer sâsom methanol, éthanol, propanol, butanol, 2,2,2-trichlorethanol, 2,2,2-trifluorethanol, benzylalkohol, phénol og 2-dimethylaminoethanol.Suitable esters of clavulanic acid are those which are theoretically derived from alcohols such as methanol, ethanol, propanol, butanol, 2,2,2-trichloroethanol, 2,2,2-trifluoroethanol, benzyl alcohol, phenol and 2-dimethylaminoethanol.

Egnede substituenter, som kan omfattes af gruppen R, er fx halo-genatomer, og alkoxy-, hydroxy-, alkylamino- og dialkylaminogrupper 25 som defineret ovenfor. Sâledes kan R fx være methyl, ethyl, n-propyl, isopropyl, ligekædet eller forgrenet butyl, pentyl, heptyl, octyl,Suitable substituents which may be included in the group R are, for example, halogen atoms and alkoxy, hydroxy, alkylamino and dialkylamino groups 25 as defined above. Thus, for example, R may be methyl, ethyl, n-propyl, isopropyl, straight or branched butyl, pentyl, heptyl, octyl,

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4 nonyl, decyl, undecyl, dodecyl, vinyl, allyl, butenyl, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclohexenyl, cyclohexadienyl, methylcyclopentyl, methylcyclohexyl, benzyl, benzhydryl, phenylethyl, naphthylmethy1, phenyl, naphthyl, propynyl, 5 tolyl, 2-chlorethyl, 2,2,2-trichlorethyl, 2,2,2-trifluorethyl, 2-methoxyethyl, 2-dimethylaminoethyl, 2-diethylaminoethyl, 2-plperidinoethyl, 2-morp_holinoethyll 3-dimethylaminopropyl, p-chlorbenzyl, p-methoxÿbenzyl, p-brombenzyl, m-chlorbenzyl, 6-methoxynaphthyl-2-methyl, p-chlorphenyl eller p-methoxyphenyl.4 nonyl, decyl, undecyl, dodecyl, vinyl, allyl, butenyl, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclohexenyl, cyclohexadienyl, methylcyclopentyl, methylcyclohexyl, benzyl, benzhydryl, phenylethyl, phenylethyl, phenylethyl, phenylethyl, phenylethyl 2-chloroethyl, 2,2,2-trichloroethyl, 2,2,2-trifluoroethyl, 2-methoxyethyl, 2-dimethylaminoethyl, 2-diethylaminoethyl, 2-piperidinoethyl, 2-morpholholinoethyl 3-dimethylaminopropyl, p-chlorobenzyl, p-methoxobenzyl , p-bromobenzyl, m-chlorobenzyl, 6-methoxynaphthyl-2-methyl, p-chlorophenyl or p-methoxyphenyl.

10 Særlig velegnede estere med formlen I er sàdanne, som har de almene formler VII og VIIIParticularly suitable esters of formula I are those having general formulas VII and VIII

nu CH0OHnow CHOOH

—r\/2 /2 0 \ f 5 ° X ^ /A6 " y-Uv ο—R \ / 2/2 0 \ f 5 ° X ^ / A6 "y-Uv ο

VIIIVIII

hvor A^, og A^ har den ovenfor anforte betydning.where A ^ and A ^ have the meaning given above.

15 Særlig gode estere af clavulansyre til anvendelse som mellemprodukter er sâdarme, som har den almene formel IXParticularly good esters of clavulanic acid for use as intermediates are intestines having the general formula IX

CH0OHCH0OH

nVnV

XCOORXXCOORX

hvor R·*- betegner en carbonhydridgruppe med 1-9 carbonatomer, som 20 eventuelt er substitueret med halogen, C^_g-alkoxy, hydroxy eller eventuelt til salte omdannede basiske grupper med den almene formel NR%^, hvor betegner hydrogen eller C^_g-alkyl, og R^ betegner hydrogen eller C^.g-alkyl eller er knyttet til R^, sâledes at NR^R^ er en pyrrolidin-, piperidin- eller morpholinring.represents a hydrocarbon group of 1-9 carbon atoms optionally substituted with halogen, C1-6 alkoxy, hydroxy or optionally salted basic groups of the general formula NR% ^ where hydrogen or C1 represents hydrogen or C 1-6 alkyl or is attached to R 2, such that NR 1 R 2 is a pyrrolidine, piperidine or morpholine ring.

55

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Egnede grupper rA er alkyl og aralkyl, soin eventuelt er substitueret med halogen, methoxy, hydroxy eller til sait omdannede NR^R^-grupper, hvor R^ betegner methyl eller ethyl, og R^ betegner methyl eller ethyl.Suitable groups rA are alkyl and aralkyl, soin is optionally substituted with halogen, methoxy, hydroxy, or NR1 R3 groups which are converted, where R4 represents methyl or ethyl and R4 is methyl or ethyl.

5 Særlig velegnede alkylgrupper R·*· er ligekædede grupper med hojst 6 carbonatomer, som eventuelt er substitueret med en methoxy-, hydroxy eller til et sait omdannet NR^R^-gruppe eller med et chlor-, brom-eller iodatom eller med en CCI3- eller CF3-gruppe.Particularly suitable alkyl groups R · are straight-chain groups having a maximum of 6 carbon atoms optionally substituted with a methoxy, hydroxy or a NR NRR ^ group converted or with a chloro, bromo or iodo atom or with a CCI3 or CF3 group.

Clavulansyreestere med formlen I kan omdannes til clavulansyre eller 10 farmaceutisk tolerable salte deraf med forskellige former for hydrolyse.Clavulanic acid esters of formula I can be converted to clavulanic acid or 10 pharmaceutically tolerable salts thereof with various forms of hydrolysis.

En yderligere gruppe af særlig velegnede estere ifolge opfindelsen er sâdanne værdifulde mellemprodukter, som let omdannes til clavulansyre eller et sait deraf ved kemiskeeller biologiske teknikker, som fra 15 penicillin- eller cephalosporinteknikken vides at være tilstrækkelig milde til ikke at nedbryde reaktive syre-labile y9-lactamringe.A further group of particularly suitable esters according to the invention are such valuable intermediates which are readily converted to clavulanic acid or a site thereof by chemical or biological techniques which, from the penicillin or cephalosporin technique, are known to be sufficiently mild to not degrade reactive acid labile γ9. lactam rings.

En velegnet gruppe estere til anvendelse som mellemprodukter ved fremstilling af clavulansyre eller farmaceutisk tolerable salte deraf er en sâdan, som har den almene formel XA suitable group of esters for use as intermediates in the preparation of clavulanic acid or pharmaceutically tolerable salts thereof is one which has the general formula X

2020

^H20H^ H20H

0S~^< \ 70S ~ ^ <\ 7

fcO-O-CH-AFCO-O-CH-A

i8 hvor èJ betegner et hydrogenatom eller en eventuelt med chlor, brom eller methoxy substitueret phenylgruppe, og betegner en eventuelt med chlor, brom eller methoxy substitueret phenylgruppe.i8 where ellerJ represents a hydrogen atom or an optionally chloro, bromo or methoxy substituted phenyl group and represents an optionally chloro, bromo or methoxy substituted phenyl group.

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6 Særlig hensigtsmæssigt er èJ et hydrogenatom eller phenyl, tolyl, chlorphenyl eller methoxyphenyl, og er phenyl, tolyl, chlorphenyl eller methoxyphenyl.Particularly conveniently, one is a hydrogen atom or phenyl, tolyl, chlorophenyl or methoxyphenyl, and is phenyl, tolyl, chlorophenyl or methoxyphenyl.

èJ er fortrinsvis et hydrogenatom, og er fortrinsvis en phenyl-5 gruppe.is preferably a hydrogen atom and is preferably a phenyl group.

Esteme med formlen X kan spaltes ved hydrogenolyse, hvorved der fâs clavulansyre eller et sait deraf.The ester of formula X can be cleaved by hydrogenolysis to give clavulanic acid or a site thereof.

Sâdanne reaktioner finder normalt sted i nærværelse af en overgangs-metalkatalysator under anvendelse af lave eller middelhoje hydro-10 gentryk. Reaktionen kan udfores ved hoj temperatur, stuetemperatur eller lav temperatur,. fx ved 0-100°C. Særlig velegnede reaktions-betingelser til sâdanne hydrogeneringer er at anvende hydrogentryk lidt over atmosfæretryk og en omtrentlig stuetemperatur (12-20°C).Such reactions usually take place in the presence of a transition metal catalyst using low or medium hydrogen pressure. The reaction can be carried out at high temperature, room temperature or low temperature. for example at 0-100 ° C. Particularly suitable reaction conditions for such hydrogenations are to use hydrogen pressure slightly above atmospheric pressure and an approximate room temperature (12-20 ° C).

Reaktionen kan udfores i sædvanlige oplosningsmidler sâsom lavere 15 alkanoler, fx éthanol·. Det har vist sig, at en særlig velegnet katalysator er palladium pâ kul.The reaction can be carried out in conventional solvents such as lower alkanols, eg ethanol ·. It has been found that a particularly suitable catalyst is palladium on coal.

Hvis hydrogeneringen udfores i nærværelse af en base, fâs et sait af clavulansyre, fx fâs natrium- eller kaliumsaltet, hvis reaktionen udfores i nærværelse af natrium- eller kaliunihydrogencarbonat.If the hydrogenation is carried out in the presence of a base, a site of clavulanic acid is obtained, for example, the sodium or potassium salt is obtained if the reaction is carried out in the presence of sodium or potassium hydrogen carbonate.

20 Clavulansyren eller saltet deraf, som fâs ved sâdanne reaktioner, er sædvanligvis af god renhed.The clavulanic acid or salt thereof obtained by such reactions is usually of good purity.

Særlig hensigtsmæssige estere er benzylclavulanat, p-chlorbenzyl-clavulanat, p-methoxybenzylclavulanat, p-brombenzylclavulanat og m-chlorbenzylclavulanat.Particularly suitable esters are benzyl clavulanate, p-chlorobenzyl clavulanate, p-methoxybenzylclavulanate, p-bromobenzylclavulanate and m-chlorobenzylclavulanate.

25 Som tidligere anfort har clavulansyre og salte deraf værdifulde terapeutiske egenskaber. Der kan derfor fremstilles et farmaceutisk præparat, som indeholder clavulansyre eller et sait deraf sammen med et farmaceutisk tolerabelt bærestof.As previously claimed, clavulanic acid and its salts have valuable therapeutic properties. Therefore, a pharmaceutical composition containing clavulanic acid or a site thereof can be prepared together with a pharmaceutically tolerable carrier.

Sâdanne præparater foreligger i en form, som er egnet til oral, to-Such preparations are in a form suitable for oral, two-

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7 pisk eller parentéral anvendelse, og de kan anvendes til behandlingen af infektioner hos pattedyr, herunder mennesker.7 whip or parental use, and they can be used to treat infections in mammals, including humans.

Egnede præparatformer er fx tabletter, kapsler, cremer, sirupper, suspensioner, opl0sninger, rekonstituerbare pulvere og stérile for-5 mer, som er egnet til injektion eller infusion. Sàdanne præparater kan indeholde sædvanlige farmaceutisk tolérable materialer sàsom fortyndingsstoffer, bindemidler, farvestoffer, smagsstoffer, konser-veringsmidler og desintegranter i overensstemmelse med sædvanlig farmaceutisk praksis pâ den mâde, som er kendt af fagmanden til 10 formulering af antibiotika.Suitable formulations are, for example, tablets, capsules, creams, syrups, suspensions, solutions, reconstitutable powders and sterile formulations suitable for injection or infusion. Such compositions may contain conventional pharmaceutically tolerable materials such as diluents, binders, dyes, flavors, preservatives and disintegrants in accordance with conventional pharmaceutical practice in the manner known to those skilled in the art of formulating antibiotics.

Injicerbare eller infunderbare præparater af clavulansyre eller salte deraf er særlig velegnede, da hoje vævsniveauer af forbindelsen af clavulansyre kan optræde efter administration ved injektion eller infusion. Et foretrukket præparat indeholder clavulansyre eller et 15 sait deraf i steril form.Injectable or infusible preparations of clavulanic acid or salts thereof are particularly suitable, as high tissue levels of the compound of clavulanic acid may occur after administration by injection or infusion. A preferred composition contains clavulanic acid or a site thereof in sterile form.

Under visse betingelser kan effektiviteten af orale præparater af clavulansyre og salte deraf forbedres, hvis sâdanne præparater indeholder et pufferstof eller et enterisk overtræksmiddel, sâledes at de omhandlede forbindelser ikke har forlænget kontakt med stærkt sur 20 mavesaft. Sâdanne pufrede eller enterisk overtrukne præparater kan fremstilles i overensstemmelse med sædvanlig farmaceutisk praksis.Under certain conditions, the effectiveness of oral preparations of clavulanic acid and its salts can be improved if such preparations contain a buffering agent or an enteric coating agent so that the compounds of the present invention do not prolong contact with highly acidic gastric juice. Such buffered or enteric coated preparations may be prepared in accordance with conventional pharmaceutical practice.

Clavulansyren eller salte deraf kan forekomme i præparatet som eneste terapeutiske middel eller kan forekomme sammen med andre terapeutiske midler sâsom et /3-lactam-antibiotikum. Egnede β-lactara-antibiotika 25 til anvendelse i sâdanne synergistiske præparater omfatter ikke kun sâdanne, som vides at være stærkt modtagelige for /9-lactamaser, men ogsâ sâdanne, som vides at hâve god grad af modstandsdygtighed i sig selv over for β-lactamaser. Sâdanne egnede β-lactam-antibiotika til anvendelse i disse præparater omfatter benzylpenicillin, phenoxy-30 methylpenicillin, carbenicillin, methicillin, propicillin, ampicil-lin, amoxycillin, epicillin, ticarcillin, cyclacillin, 6-aminope-nicillansyre, 7-aminocephalosporansyre, 7-aminodesacetoxycephalo-sporansyre, cephaloridin, cephalothin, cefazolin, cephalexin, cefo-xitin, cephacetril, cephamandol, cephapirin, cephradin, cephaloglycinThe clavulanic acid or salts thereof may be present in the composition as the sole therapeutic agent or may be present with other therapeutic agents such as a β-lactam antibiotic. Suitable β-lactara antibiotics for use in such synergistic preparations include not only those known to be highly susceptible to β-lactamases but also those known to have a good degree of resistance in themselves to β-lactamases. . Such suitable β-lactam antibiotics for use in these preparations include benzylpenicillin, phenoxymethylpenicillin, carbenicillin, methicillin, propicillin, ampicillin, amoxycillin, epicillin, ticarcillin, cyclacillin, 6-aminopicillinic acid, 7 aminodesacetoxycephalo-sporanoic acid, cephaloridine, cephalothin, cefazoline, cephalexin, cephoxitin, cephacetril, cephamandol, cephapirin, cephradine, cephaloglycine

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s og andre velkendte penicilliner og cephalosporiner eller "pro-drugs" dertil, fx hetacillin, metampicillin, acetoxymethyl-, pivaloyloxy-methyl- eller phthalidylesterne af benzylpenicîllin, ampicillin, amoxycillin eller cephaloglycin eller phenyl-, tolyl- eller indanyl-5 α-estere af carbenicillin eller ticarcillin.s and other well-known penicillins and cephalosporins or "pro-drugs" therefor, e.g., hetacillin, metampicillin, acetoxymethyl, pivaloyloxy-methyl or phthalidyl esters of benzylpenicillin, ampicillin, amoxycillin or cephaloglycine or phenyl, tolyl or of carbenicillin or ticarcillin.

Det er klart, at hvis den i præparatet værende penicillin eller ce-phalosporin Ikke er egnet til oral administration, skal præparatet tilpasses parentéral administration.Obviously, if the penicillin or cephalosporin present in the preparation is not suitable for oral administration, the preparation should be adapted for parenteral administration.

Nâr clavulansyren eller et sait deraf forekommer i et farmaceutisk 10 præparat sammen med et /8-lactam-antibiotikum, kan forholdet mellem clavulansyren eller et sait deraf og /S-lactam-antibiotiket være fx 20:1-1:12, især 10:1-1:10 og navnlig 3:1-1:3.When the clavulanic acid or a site thereof is present in a pharmaceutical composition together with an / 8-lactam antibiotic, the ratio of the clavulanic acid or a site thereof to the / S-lactam antibiotic may be, for example, 20: 1-1: 12, especially 10: 1-1: 10 and especially 3: 1-1: 3.

Den totale mængde antibakterielle midler i en hvilken som helst en-hedsdosisform vil normalt være mellem 50 og 1500 mg og vil sædvan-15 ligvis være mellem 100 og 1000 mg.The total amount of antibacterial agents in any unit dosage form will usually be between 50 and 1500 mg and will usually be between 100 and 1000 mg.

De nævnte præparater kan anvendes til behandling af infektioner i bl.a. luftvejene, urinvejene og blede væv bos mennesker.The said compositions can be used to treat infections in, inter alia, the respiratory tract, urinary tract and bleed tissues bos people.

Præparateme kan ogsâ anvendes til behandling af infektioner hos husdyr, fx til behandling a£ mastitis hos kvæg.The compositions may also be used for the treatment of infections in domestic animals, for example in the treatment of mastitis in cattle.

20 Penicillinen eller cephalosporinen i de nævnte synergistiske præparater vil normalt forekomme i op til eller næsten den mængde, som sædvanligvis anvendes, nar den pâgældende penicillin eller cepha-losporin er det eneste terapeutiske middel, som anvendes til behandling af infektionen.The penicillin or cephalosporin in said synergistic preparations will usually be present in up to or almost the amount usually used when the penicillin or cephalosporin in question is the only therapeutic agent used to treat the infection.

25 Særlig foretrukne præparater indeholder 150-1000 mg amoxycillin, ampicillin eller et "pro-drug" dertil og 50-500 mg clavulansyre eller et sait deraf, især 200-500 mg amoxycillin, ampicillin, eller et "prodrug" dertil og 50-250 mg clavulansyre eller et sait deraf.Particularly preferred compositions contain 150-1000 mg of amoxycillin, ampicillin or a pro-drug thereto and 50-500 mg of clavulanic acid or a site thereof, especially 200-500 mg of amoxycillin, ampicillin, or a "prodrug" thereof and 50-250 mg of clavulanic acid or a site thereof.

De stoffer, som forekommer i sâdanne præparater kan, om nodvendigt, 30 hydratiseres. Vægten af de i sâdanne præparater tilstedeværende an-The substances present in such preparations may, if necessary, be hydrated. The weight of the substances present in such preparations

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9 tibiotika udtrykkes pâ basis af det antibiotikum, som teoretisk er tilgængeligt 1 kompositionen, og ikke pâ basis af vægten af "pro-drug".9 tibiotics are expressed on the basis of the antibiotic available theoretically in the composition and not on the weight of "pro-drug".

Estere af clavulansyre kan fremstilles ved, at clavulansyre eller et 5 sait deraf omdannes til en ester af clavulansyre pâ sædvanlig mâde.Esters of clavulanic acid may be prepared by converting clavulanic acid or a site thereof to an ester of clavulanic acid in the usual manner.

Fremstilling af clavulansyre eller et sait deraf, som kan anvendes ved fremstilling af esterne ifelge opfindelsen, er beskrevet i dansk patent nr, 141.254.Preparation of clavulanic acid or a site thereof which can be used in the preparation of the esters according to the invention is described in Danish Patent No. 141,254.

Den urene form af clavulansyre eller et sait deraf, som anvendes som 10 udgangsmateriale til fremstilling af estere I, kan være i form af et fast stof eller en oplosning, som sædvanligvis ogsâ vil indeholde betydelige mængder organiske eller uorganiske urenheder.The impure form of clavulanic acid or a site thereof used as starting material for the preparation of esters I may be in the form of a solid or a solution which will usually also contain considerable amounts of organic or inorganic impurities.

Clavulansyren eller et sait deraf kan omdannes til en ester ved es-terificeringsreaktioner, som nedenfor beskrives. Den foretrukne me-15 tode til fremstilling af den onskede ester af clavulansyre er om- sætning af et sait af clavulansyre med et esterificeringsmiddel, fx et reaktivt halogenid eller en sulfonatester. Sâdanne reaktioner udfores hyppigt i et organisk oplosningsmiddel med hej dielektri-citetskonstant, fx dimethylformamid, dimethylformamid/acetone, di-20 methylsulfoxid, N-methylacetamid eller hexamethylphosphoramid.The clavulanic acid or a site thereof can be converted to an ester by esterification reactions described below. The preferred method for preparing the desired ester of clavulanic acid is reacting a site of clavulanic acid with an esterifying agent, for example a reactive halide or a sulfonate ester. Such reactions are frequently carried out in an organic solvent of high dielectric constant, for example, dimethylformamide, dimethylformamide / acetone, dimethylsulfoxide, N-methylacetamide or hexamethylphosphoramide.

Om onsket kan saltet af clavulansyre oploses i oplosningsmidler pâ sædvanlig mâde, eller det kan bindes til et polymerbærestof. Egnede bærestoffer til anvendelse ved denne fremgangsmâde er stærke base-anionbytterharpikser, især sâdanne, som har en makroretikulær natur, 25 som tillader anvendelsen af ikke-vandige oplosningsmiddelsystemer.If desired, the salt of clavulanic acid may be dissolved in solvents in the usual manner or it may be bound to a polymeric carrier. Suitable carriers for use in this process are strong base anion exchange resins, especially those which have a macroreticular nature which permit the use of non-aqueous solvent systems.

Det har vist sig, at "Amberlyst A26" er anvendelig til dette formâl. Clavulansyresaltet kan adsorberes pâ harpiksen fra kulturfiltratet, og harpiksen kan derefter suspenderes i dimethylformamid indeholdende natriumiodid, eller det kan elueres som en sojle med en oplosning af 30 natriumiodid i dimethylformamid eller i en blanding af dimethylformamid og acetone.It has been found that "Amberlyst A26" is applicable for this purpose. The clavulanic acid salt can be adsorbed on the resin from the culture filtrate and the resin can then be suspended in dimethylformamide containing sodium iodide, or it may be eluted as a column with a solution of sodium iodide in dimethylformamide or in a mixture of dimethylformamide and acetone.

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10 Nâr den urene ester er dannet, renses den normalt chromatografisk.When the crude ester is formed, it is normally purified chromatographically.

Ved sâdaime fremgangsmâder oploses esteren normale i et organisk oplesningsmiddel sâsom ethylacetat, methylenchlorid, chloroform eller cyclohexan. Den faste fase, som anvendes ved den chromatografiske 5 procès, er normalt et inert materiale sâsom silicagel eller chroma-tografisk lignende materialer.In such processes, the ester is normally dissolved in an organic solvent such as ethyl acetate, methylene chloride, chloroform or cyclohexane. The solid phase used in the chromatographic process is usually an inert material such as silica gel or chromatographically similar materials.

De fraktioner, som fbrlader sojlen, kan undersoges for tilstedevæ-relse af clavulansyre ved at gore brug af dens synergistiske egen-skaber. Aktive fraktioner sammenhældes normalt, og det organiske 10 oplosningsmiddel afdampes under reduceret tryk.The fractions leaving the column can be examined for the presence of clavulanic acid by making use of its synergistic properties. Active fractions are normally coalesced and the organic solvent is evaporated under reduced pressure.

Den ester, som fâs ved denne fremgangsmâde, er sædvanligvis af ac-ceptabel renhed, men materialet kan, om onsket, genchromatograferes.The ester obtained by this process is usually of acceptable purity, but the material can, if desired, be re-chromatographed.

Egnede metoder til esterdannelse omfatterSuitable methods of ester formation include

a) omsætning af et sait af clavulansyre med en forbindelse med den 15 almene formel Q - R, hvor Q betegner en let udskiftelig gruppe, og Ra) reacting a site of clavulanic acid with a compound of the general formula Q - R, wherein Q represents an easily interchangeable group, and R

har den ovenfor anforte betydning; b) omsætning af clavulansyre med diazoalkan, og c) omsætning af clavulansyre med en alkohol ROH i nærværelse af et kondensationsfremmende middel sâsom carbodiimid.has the meaning given above; b) reaction of clavulanic acid with diazoalkane; and c) reaction of clavulanic acid with an alcohol ROH in the presence of a condensation promoting agent such as carbodiimide.

20 Egnede salte af clavulansyre, som kan omsættes med forbindelser R-Q, er fx alkalimetalsalte sâsom natrium- eller kaliumsalte eller andre sædvanlige salte, fx solvsaltet.Suitable salts of clavulanic acid which can be reacted with compounds R-Q are, for example, alkali metal salts such as sodium or potassium salts or other usual salts, for example the solvate salt.

Egnede grupper Q omfatter sâdanne atomer eller grupper, som vides at være udskiftelige med carboxylatanioner, og omfatter chlor-, brom- og 25 iodatomer, sulfonsyreestere sâsom OSO2CH3- eller OSO2C6H4CH3-grupper, aktive estergrupper sâsom 0C0H- eller OCOCF3-grupper og andre sædvanlige grupper, som kan udskiftes med nucleofile grupper.Suitable groups Q include such atoms or groups known to be interchangeable with carboxylate anions and include chlorine, bromine and iodine atoms, sulfonic acid esters such as OSO2CH3 or OSO2C6H4CH3 groups, active ester groups such as OCOH or OCOCF3 groups, and other usual which can be replaced by nucleophilic groups.

Den ovenfor anforte reaktion udfores normalt i et organisk oplos-ningsmiddel med relativt hoj dielektricitetskonstant sâsom dimethyl-30 formamid, acetone, dioxan eller tetrahydrofuran og ved ikke-ekstreme temperaturer, fx mellem -5 og +100°C, sædvanligvis mellem +5 og +30°C, fx ved stuetemperatur.The above reaction is usually carried out in an organic solvent having a relatively high dielectric constant such as dimethylformamide, acetone, dioxane or tetrahydrofuran and at non-extreme temperatures, for example between -5 and + 100 ° C, usually between +5 and + 30 ° C, for example at room temperature.

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Omsætningen af clavulansyre med en diazoforbindelse er en mild fremgangsmâde til fremstilling af alkyl- eller aralkylestere eller lignende estere. Diazoteringsreaktionen kan udfores under sædvanlige reaktionsbetingelser, fx ved ikke-ekstreme temperaturer og i et 5 sædvanligt oplesningsmiddel. Sâdanne reaktioner udfores normalt ved en temperatur mellem -5 og +100°C, især mellem +5 og +30°C, fx ved stuetemperatur. Egnede oplesningsmidler til denne reaktion omfatter lavere alkanoler sâsom methanol og éthanol og oplosningsmidler sâsom tetrahydrofuran eller dioxan. Ethanol har vist sig at være et særligt 10 anvendeligt oplesningsmiddel ved denne omsætning.The reaction of clavulanic acid with a diazo compound is a mild process for the preparation of alkyl or aralkyl esters or similar esters. The diazotation reaction can be carried out under usual reaction conditions, for example at non-extreme temperatures and in a usual solvent. Such reactions are usually carried out at a temperature between -5 and + 100 ° C, especially between +5 and + 30 ° C, for example at room temperature. Suitable solvents for this reaction include lower alkanols such as methanol and ethanol and solvents such as tetrahydrofuran or dioxane. Ethanol has been found to be a particularly useful solvent in this reaction.

Omsætningen mellem clavulansyre og en alkohol i nærværelse af et kondensationsfremmende middel finder normalt sted i et inert organisk oplosningsmiddel med relativt hej dielektricitetskonstant, fx ace-tonitril. Reaktionen udfores sædvanligvis ved stuetemperatur eller 15 sænket temperatur, fx ved en temperatur mellem -10 og +22°C, især mellem -5 og +18°C, fx i starten ved 0°C og derefter under gradvis opvarmning til ca. 15°C. Det anvendte kondensationsfremmende middel er normalt et middel, som fjerner vand fra reaktionsblandingen. Egnede midler er fx carbodiimider, carbodiimidazoler eller ækvivalente 20 reagenser. Dicyclohexylcarbodiimid har vist sig at være et særlig velegnet kondensationsfremmende middel til anvendelse ved denne fremgangsmâde. For at undertrykke clavulansyrens indre kondensation udfores denne omsætning normalt i nærværelse af et betydeligt over-skud af alkoholen.The reaction between clavulanic acid and an alcohol in the presence of a condensation promoter usually takes place in an inert organic solvent having a relatively high dielectric constant, for example acetonitrile. The reaction is usually carried out at room temperature or lowered temperature, for example at a temperature between -10 and + 22 ° C, especially between -5 and + 18 ° C, for example initially at 0 ° C and then gradually heating to approx. 15 ° C. The condensation promoting agent used is usually an agent which removes water from the reaction mixture. Suitable agents are, for example, carbodiimides, carbodiimidazoles or equivalent reagents. Dicyclohexylcarbodiimide has been found to be a particularly suitable condensation enhancer for use in this process. In order to suppress the internal condensation of the clavulanic acid, this reaction is usually carried out in the presence of a significant excess of the alcohol.

25 Estere af clavulansyre og deres anvendelse som mellemprodukter be- lyses nærmere ved nedenstâende eksempler 1-11, fremstilling af nogle estere belyses nærmere ved eksempel 12-18, og nogle ved anvendelse af estere med formlen I som mellemprodukt fremstillede syrers og saltes antibakterielle/synergistiske virkning beskrives i eksempel 19-21.The esters of clavulanic acid and their use as intermediates are elucidated by Examples 1-11 below, preparation of some esters is further elucidated by Examples 12-18, and some by the use of esters of Formula I as intermediate-produced acids and salts antibacterial / synergistic effect is described in Examples 19-21.

30 Metoder til pâvisning af antibakteriel og synergistisk virkning er beskrevet i dansk patentskrift nr. 141.254.30 Methods for demonstrating antibacterial and synergistic effect are described in Danish patent specification 141,254.

Fremstilling af clavulansyre-natriumsait.Preparation of Clavulanic Acid Sodium Sait.

Eksempel 1.Example 1.

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ÎHOH . yCü0OEÎHOH. yCü0OE

rfy=/2 - r-rw 2rfy = / 2 - r-rw 2

<T N 0^~NV<T N 0 ^ ~ NV

\ ° \ COOCH«CcHc COONa 2 6 5 5 281 mg i det væsentlige rent benzylclavulanat i 25 ml éthanol indeholdende 82 mg natriumhydrogencarbonat hydrogeneres over 90 mg 10%'s palladium/kul i 25 minutter ved stuetemperatur og under atmosfæretryk. Katalysatoren frafiltreres og vaskes med vand og éthanol, og de samlede filtrater inddampes under reduceret tryk ved 10 stuetemperatur. Det som remanens vundne halvfaste stof tritureres med acetone, filtreras og vaskes med ether, hvorved der fâs 135 mg natr iumclavulanat.282 mg of substantially pure benzyl clavulanate in 25 ml of ethanol containing 82 mg of sodium bicarbonate is hydrogenated over 90 mg of 10% palladium / carbon for 25 minutes at room temperature and under atmospheric pressure. The catalyst is filtered off and washed with water and ethanol and the combined filtrates are evaporated under reduced pressure at room temperature. The semi-solid obtained as the residue is triturated with acetone, filtered and washed with ether to give 135 mg of sodium clavulanate.

Eksempel 2.Example 2.

Hydrolyse af clavulansyre-méthyléster til dannelse af clavulansyre.Hydrolysis of clavulanic acid methyl esters to form clavulanic acid.

15 2,17 mg clavulansyreester oploses i 0,1 ml methanol og behandles med 0,208 ml 0,G482N natriumhydroxidoplosning. Efter 1 time ved stuetemperatur indeholder reaktionsblandingen adskillige produkter. Tyndtlagschromatografisk analyse viser, at en af de overvejende kom-ponenter har en Rf-værdi, som er identisk ved værdien for natri-20 traisaltet af clavulansyre; farvereaktioner og biologisk undersagelse er i overensstemmelse med dette stof, som er natriumsaltet af clavulansyre.Dissolve 2.17 mg of clavulanic acid ester in 0.1 ml of methanol and treat with 0.208 ml of O, G482N sodium hydroxide solution. After 1 hour at room temperature, the reaction mixture contains several products. Thin layer chromatographic analysis shows that one of the predominant components has an Rf value which is identical to the value for the sodium salt of clavulanic acid; color reactions and biological examination are consistent with this substance, which is the sodium salt of clavulanic acid.

Langsom omdannelse af esteren til clavulansyre ses, nâr 1 mg/ml af forbindelsen inkuberes ved 37°C i 0,05M phosphatpuffer ved pH-værdi 13Slow conversion of the ester to clavulanic acid is seen when 1 mg / ml of the compound is incubated at 37 ° C in 0.05M phosphate buffer at pH 13

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7. Reaktionen felges af papirchromatografi (bioautografisk System).7. The reaction is precipitated by paper chromatography (Bioautographic System).

Under anvendelse af butanol/ethanol/vandsystemet til at folge reaktionen over en période pâ 2 timer, aftager methylesterzonen ved en Rf-værdi pâ 0,79 i storrelse, medens zonen for clavulansyre ved Rf-5 værdi 0,12 stiger.Using the butanol / ethanol / water system to monitor the reaction over a period of 2 hours, the methyl ester zone at a Rf value of 0.79 decreases in size, while the zone of clavulanic acid at Rf-5 value increases 0.12.

Eksempel 3.Example 3

Fremstilling af clavulansyre.Preparation of clavulanic acid.

100 mg benzylclavulanat i 5 ml éthanol hydrogeneres over 30 mg 10%'s palladium/kul i 45 minutter ved stuetemperatur og atmosfæretryk. Ka-10 talysatoren frafiltreres og vaskes med éthanol, og de samlede fil- trater inddampes i vakuum, hvorved der fâs 58 mg clavulansyre i form af en ustabil, viskos olie.100 mg of benzylclavulanate in 5 ml of ethanol is hydrogenated over 30 mg of 10% palladium / coal for 45 minutes at room temperature and atmospheric pressure. The catalyst is filtered off and washed with ethanol and the combined filtrates are evaporated in vacuo to give 58 mg of clavulanic acid in the form of an unstable viscous oil.

NMR-spektrum (C5D5N): 3,05 (d, 1, J = 18 Hz), 3,60 (dd, 1, - 18NMR Spectrum (C 5 D 5 N): 3.05 (d, 1, J = 18 Hz), 3.60 (dd, 1, - 18

Hz, J2 = 2,5 Hz), 4,75 (d, 2, J = 7,5 Hz), 5,58 (t, 1, J - 7,5 Hz), 15 5,66 (S, 1), 6,0 8 (d, 1, J - 2,5 Hz).Hz, J 2 = 2.5 Hz), 4.75 (d, 2, J = 7.5 Hz), 5.58 (t, 1, J - 7.5 Hz), 5.66 (S, 1 ), 6.0 δ (d, 1, J - 2.5 Hz).

Eksempel 4.Example 4

Fremstilling af natriumclavulanat.Preparation of sodium clavulanate.

840 mg benzylclavulanat i 30 ml éthanol og 5 ml vand hydrogeneres over 267 mg 10%'s palladium/kul og 244 mg natriumhydrogencarbonat i 20 25 minutter ved stuetemperatur og atmosfæretryk. Katalysatoren frafiltreres og vaskes med vand og éthanol, og de samlede filtrater inddampes i vakuum. Produktet omkrystalliseres af en vand-acetone-blanding i form af 565 mikronâle. Ved omkrystallisation af vand-acetone fâs nâle, som efter terring over P2®5 *· vakuum i 24 timer 25 viser nedenstâende analyse: C 41,01, 40,86; H 3,77, 3,64; N 5,68, 5,51.840 mg of benzylclavulanate in 30 ml of ethanol and 5 ml of water are hydrogenated over 267 mg of 10% palladium / carbon and 244 mg of sodium bicarbonate for 20 minutes at room temperature and atmospheric pressure. The catalyst is filtered off and washed with water and ethanol and the combined filtrates are evaporated in vacuo. The product is recrystallized from a 565 micron needle water-acetone mixture. Upon recrystallization of water-acetone, needles are obtained, which after curing over P2®5 * vacuum for 24 hours 25 show the following analysis: C 41.01, 40.86; H, 3.77, 3.64; N, 5.68, 5.51.

IR-spektrum (KBr-skive): 1785, 1700 og 1620 cnT^-.IR spectrum (KBr disk): 1785, 1700 and 1620 cm

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14 NMR-spektrum (D20>: 3,06, (d, 1, J — 18,5 Hz), 3,57 (dd, 1, J - 18,5 Hz, J2 « 2,5 Hz), 4,15 (d, 2, J = 8 Hz), 5,3 (HOD), 4,9 (m), 5,71 (d, 1, J = 2,5 Hz).14 NMR spectrum (D 2 O>: 3.06, (d, 1, J - 18.5 Hz), 3.57 (dd, 1, J - 18.5 Hz, J 2 15 (d, 2, J = 8 Hz), 5.3 (HOD), 4.9 (m), 5.71 (d, 1, J = 2.5 Hz).

Eksempel 5.Example 5

5 Fremstilling af lithiumsalt af clavulansyre.5 Preparation of lithium salt of clavulanic acid.

En opl0sning af 0,84 g benzylclavulanat i 30 ml éthanol blandes med en oplasning af lithiumhydrogencarbonat (fremstillet som nedenfor beskrevet) i 5 ml vand. Denne oplasning hydrogeneres over 0,27 g 10%'s palladium/kul i 25 minutter ved stuetemperatur (~20°C), hvor-10 efter der ifelge tyndtlagschromatografi (Si02-ethylacetat:KMn04- spray) ikke kan pâvises udgangsmateriale. Katalysatoren frafiltreres og vaskes med 5 ml vand og 5 ml éthanol, og de samlede filtrater inddamoes trader- reduceret. tryk. Den krystallinske remanens tritureres med 25 ml acetone, og det faste stof frafiltreres, vaskes med 10 ml 15 acetone og terres over P2Û5, hvorved der fis 0,41 g produkt.A solution of 0.84 g of benzyl clavulanate in 30 ml of ethanol is mixed with a solution of lithium hydrogen carbonate (prepared as described below) in 5 ml of water. This solution is hydrogenated over 0.27 g of 10% palladium / carbon for 25 minutes at room temperature (~ 20 ° C), after which no starting material can be detected after thin layer chromatography (SiO 2 ethyl acetate: KMnO 4 spray). The catalyst is filtered off and washed with 5 ml of water and 5 ml of ethanol and the combined filtrates are evaporated in a trader-reduced manner. pressure. The crystalline residue is triturated with 25 ml of acetone and the solid is filtered off, washed with 10 ml of acetone and terres over P2Û5 to give 0.41 g of product.

Produktet optages i 3 ml vand, og der tilsættes langsomt acetone, indtil krystallisation begynder. Efter afkeling i 20 minutter til 2 - 3°C kan der ved filtrering fâs et krystaludbytte, som vaskes med. en lille mængde acetone og terres i vakuum (80 mg). Filtratet 20 fortyndes med et lige sâ stort rumfang acetone og afkeles igen, hvorved der fâs yderligere 80 mg udbytte.The product is taken up in 3 ml of water and slowly acetone is added until crystallization begins. After cooling for 20 minutes to 2 - 3 ° C, a crystal yield can be obtained which is washed with crystal. a small amount of acetone and terres in vacuo (80 mg). The filtrate 20 is diluted with an equal volume of acetone and cooled again to give an additional 80 mg of yield.

Analyse: ferste udbytte = 84,3% rent lithiumclavulanat andet udbytte = 85,1% rent lithiumclavulanat.Analysis: first yield = 84.3% pure lithium clavulanate second yield = 85.1% pure lithium clavulanate.

(Lithiumhydrogencarbonatoplesningen fremstilles ved at suspendere 25 14 g lithiumcarbonat i 480 ml vand ved 5 - 10eC og lede en konstant strem af carbondioxidgas gennem suspensionen i 8 timer, hvorefter der er darmet en klar oplasning. Oplasningens volumen fyldes op til 500,0 ml med vand, der er mættet med C02. Denne oplesning indeholder der-efter 5,15 vægt/volumenprocent LiHCOj).(The lithium hydrogen carbonate solution is prepared by suspending 25 g of lithium carbonate in 480 ml of water at 5-10 ° C and passing a constant stream of carbon dioxide gas through the suspension for 8 hours, after which a clear solution is added. The volume of the solution is filled up to 500.0 ml with water which is then saturated with 5.15% w / v LiHCO 3).

Fremstilling af kaliumsalt af clavulansyre.Preparation of potassium salt of clavulanic acid.

Eksempel 6.Example 6

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En oplosning af 2,89 g benzylclavulanat (med god renhed) i 100 ml éthanol og 17 ml vand hydrogeneres ved stuetemperatur og atmos-5 færetryk over 0,92 g 10%'s palladiseret kul (Engelhard 4505) 1 nærværelse af 1,0 g fint formalet kaliumhydrogencarbonat. Efter 30 minutters forlob viser tyndtlagschromatografi kun spor af tilba-geværende benzylester.A solution of 2.89 g of benzyl clavulanate (with good purity) in 100 ml of ethanol and 17 ml of water is hydrogenated at room temperature and atmospheric pressure over 0.92 g of 10% palladized coal (Engelhard 4505) in the presence of 1.0 g of finely ground potassium hydrogen carbonate. After 30 minutes, thin layer chromatography shows only traces of residual benzyl ester.

Katalysatoren fjernes ved filtrering og vaskes med 10 ml vand og 10 10 ml éthanol. De samlede filtrater og vaskevæsker (som er neutrale, ~ pH-værdi 7) inddampes under reduceret tryk ved stuetemperatur, hvorved der fâs en lysegul sirup. Denne oploses i 17 ml vand og fortyndes med 450 ml acetone. Den uklare blanding filtreres gennem kiselgur, og filtratet fortyndes til 1,0 liter med acetone. Forbin-15 delsen krystalliserer, og efter 30 minutter ved stuetemperatur iso-leres den ved filtrering, vaskes med 50 ml acetone og terres i va-kuum, hvorved der fâs 0,75 g af det enskede kaliumclavulanat i form af et farvelost krystallinsk fast stof, som er 98,5% rent kaliumclavulanat -anhydrat (indeholdende ca. 0,2 - 0,3% vand).The catalyst is removed by filtration and washed with 10 ml of water and 10 ml of ethanol. The combined filtrates and washings (neutral, pH 7) are evaporated under reduced pressure at room temperature to give a pale yellow syrup. This is dissolved in 17 ml of water and diluted with 450 ml of acetone. The cloudy mixture is filtered through diatomaceous earth and the filtrate is diluted to 1.0 liter with acetone. The compound crystallizes and after 30 minutes at room temperature it is isolated by filtration, washed with 50 ml of acetone and terresh in vacuum to give 0.75 g of the individual potassium clavulanate as a colorless crystalline solid which is 98.5% pure potassium clavulanate anhydrate (containing about 0.2 - 0.3% water).

20 Eksempel 7.Example 7.

Trimethylammoniumclavulanat.Trimethylammoniumclavulanat.

En trimethylammoniumhydrogencarbonatoplosning fremstilles ved at oplese 5 g trimethylamin i 50 ml iskoldt vand og lede CO2 gennem oplosningen i en hurtig strem, indtil pH-værdien i oplesningen er ca.A trimethylammonium hydrogen carbonate solution is prepared by dissolving 5 g of trimethylamine in 50 ml of ice-cold water and passing CO2 through the solution in a rapid stream until the pH of the solution is approx.

25 8,5. Denne oplesning analyseres ved titrering med 1,0M saltsyre under anvendelse af sereened methylorange som indikator og viser sig at være 0,4M.8.5. This solution is analyzed by titration with 1.0M hydrochloric acid using sereened methyl orange as indicator and turns out to be 0.4M.

Til en oplesning af 2,89 g benzylclavulanat i 100 ml éthanol sættes 0,9 g 10%'s palladiseret kul og 25 ml 0,4M trimethylammonium-30 hydrogencarbonat. Blandingen hydrogeneres i 30 minutter ved stue-To a solution of 2.89 g of benzyl clavulanate in 100 ml of ethanol is added 0.9 g of 10% palladized carbon and 25 ml of 0.4 M trimethylammonium hydrogen carbonate. The mixture is hydrogenated for 30 minutes at room temperature.

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16 temperatur og atmosfæretryk; tyndtlagschromatografi viser, at der ikke er udgangsmateriale tilbage. Katalysatoren fjernes ved filtre-ring og vaskes med 30 ml éthanol og 10 ml vand. Filtratet inddampes i vakuum, hvorved der fâs en brun olie. Olîen tritureres med 50 ml 5 acetone, hvorefter den krystalliserer. Krystallerne isoleres ved filtrering, vaskes med 10 ml acetone og 10 ml ether og terres i vakuum, hvorved der fâs 0,84 g lysebrunt trimethylammoniumclavulanat.16 temperature and atmospheric pressure; thin layer chromatography shows that no starting material is left. The catalyst is removed by filtration and washed with 30 ml of ethanol and 10 ml of water. The filtrate is evaporated in vacuo to give a brown oil. The oil is triturated with 50 ml of 5 acetone and then crystallized. The crystals are isolated by filtration, washed with 10 ml of acetone and 10 ml of ether, and triturated in vacuo to give 0.84 g of light brown trimethylammonium clavulanate.

Analyse (ved hejtryksvæskechromatografi) viser 68,7% som fri syre; 89,1% som trimethylammoniumclavulanat.Analysis (by high-pressure liquid chromatography) shows 68.7% as free acid; 89.1% as trimethylammonium clavulanate.

10 IR-Spektrum (KBr): υ = 3320 (bred, med skarp snids), 1775, 1690 og 1590 - 1620 cm-1 (bred).IR Spectrum (KBr): υ = 3320 (wide, with sharp cut), 1775, 1690 and 1590 - 1620 cm -1 (wide).

Intet deoxy synligt i NMR-Spektret.No deoxy visible in the NMR spectrum.

Eksempel 8.Example 8.

Fremstilling af aluminiumclavulanat.- 15 En oplesning af 2,89 g benzylclavulanat og 0,68 g aluminiumiso- propoxid i 150 ml tort, gendestilleret tetrahydrofuran hydrogeneres over 0,86 g 10%'s palladiseret kul i 40 minutter (tyndtlagschromatografi viser intet ureageret benzylclavulanat efter dette tidsrum). Katalysatoren frafiltreres og vaskes med 20 ml tetra-20 hydrofuran, og filtratet inddampes til terhed i vakuum. Den faste remanens tritureres med 100 ml acetone, og det resulterende faste stof frafiltreres og terres i exsiccator over phosphorpentoxid. Aluminiumsaltet fâs pâ denne mâde i form af 0,3 g hvidt fast stof.Preparation of Aluminum Clavulanate. A solution of 2.89 g of benzyl clavulanate and 0.68 g of aluminum isopropoxide in 150 ml of tort, restored distilled tetrahydrofuran is hydrogenated over 0.86 g of 10% palladized charcoal for 40 minutes (thin layer chromatography shows no unreacted benzyl chloride after this time). The catalyst is filtered off and washed with 20 ml of tetrahydrofuran and the filtrate is evaporated to dryness in vacuo. The solid residue is triturated with 100 ml of acetone, and the resulting solid is filtered off and triturated in desiccator over phosphorus pentoxide. In this way, the aluminum salt is obtained in the form of 0.3 g white solid.

Analyse ved hejtryksvæskechromatografi viser 48% clavulanat; 25 aluminiumindholdet ifelge EDTA-titrering er 5,76%; Karl Fischer-bestemmelse viser 5,4% H2O.Analysis by hay pressure liquid chromatography shows 48% clavulanate; The aluminum content of EDTA titration is 5.76%; Karl Fischer determination shows 5.4% H2O.

IR-Spektrum (KBr): umax = 1790, 1695 og 1615 cm"·1-.IR Spectrum (KBr): umax = 1790, 1695 and 1615 cm

Eksempel 9.Example 9

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Magnes iumclavulanat.Magnesum clavulanate.

En oplesning af 4,34 g benzylclavulanat og 1,61 g magnesiumacetat-tetrahydrat i 100 ml éthanol hydrogeneres over 1,45 g 10%'s pal-5 ladiseret kul, indtil der ikke yderligere optages hydrogen (ca. 20 minutter). Pâ dette tidspunkt viser tyndtlagschromatografi intet ikke-omsat benzylclavulanat. Katalysatoren fjernes ved filtrering og vaskes med 30 ml éthanol og 10 ml vand. Filtratet inddampes i vakuum, hvorved der fâs 5,2 g lysegul gummi indeholdende noget oplosnings-10 middel. Denne tritureres med 50 ml acetone, og det resulterende faste stof frafiltreres, vaskes med 5 ml acetone og lufttarres, hvorved der fâs 2,4 g farvelest fast stof. Hejtryksvæskechromato-graf i-undersoge1se viser 75% rent magnesiumsalt.A solution of 4.34 g of benzyl clavulanate and 1.61 g of magnesium acetate tetrahydrate in 100 ml of ethanol is hydrogenated over 1.45 g of 10% palladium charcoal until no further hydrogen is absorbed (about 20 minutes). At this time, thin layer chromatography shows no unreacted benzyl clavulanate. The catalyst is removed by filtration and washed with 30 ml of ethanol and 10 ml of water. The filtrate is evaporated in vacuo to give 5.2 g of pale yellow gum containing some solvent. This is triturated with 50 ml of acetone and the resulting solid is filtered off, washed with 5 ml of acetone and aerated to give 2.4 g of colorless solid. High Pressure Liquid Chromatograph i-sub-sample shows 75% pure magnesium salt.

Eksempel 10.Example 10.

15 Fremstilling af ammoniumclavulanat.Preparation of Ammonium Clavulanate.

4,34 g benzylclavulanat i 50 ml éthanol behandles med 1,155 g ammoniumacetat (1 ækvivalent) i 50 ml éthanol og hydrogeneres over 1,4 g 10%'s palladium/kul i 10 minutter. Katalysatoren frafiltreres, og oplosningsmidlet fjernes i vakuum, hvorved der fâs et halvfast 20 stof. Remanensen oplases i 5 ml vand og behandles med 75 ml acetone.4.34 g of benzylclavulanate in 50 ml of ethanol are treated with 1.115 g of ammonium acetate (1 equivalent) in 50 ml of ethanol and hydrogenated over 1.4 g of 10% palladium / carbon for 10 minutes. The catalyst is filtered off and the solvent removed in vacuo to give a semi-solid. The residue is dissolved in 5 ml of water and treated with 75 ml of acetone.

Den overstàende væske dekanteres fra den oprindeligt dannede olie og ÿ stilles til side, hvorved der fâs 0,348 g nâle. Hojtryksvæskechroma-tografi-undersogelse viser, at ammoniumclavulanatindholdet er 97,4%.The remaining liquid is decanted from the initially formed oil and set aside to give 0.348 g of needles. High-pressure liquid chromatography examination shows that the ammonium clavulanate content is 97.4%.

Karl Fischer-analyse viser 0,44% vand.Karl Fischer analysis shows 0.44% water.

25 IR-Spektrum (KBr): rmax = 1785, 1700 og 1595 .cm-^.IR Spectrum (KBr): rmax = 1785, 1700 and 1595 cm-1.

Fremstilling af krystallinsk kaliumclavulanat.Preparation of crystalline potassium clavulanate.

Eksempel 11.Example 11.

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En opiosning af 2,89 g benzylclavulanat i 100 ml éthanol indeholdende 1,0 g kaliumhydrogencarbonat hydrogeneres over 0,93 g 10%'s palla-5 dïum/kul i 25 minutter ved stuetemperatur og atmosfæretryk. Pâ dette tidspunkt viser tyndtlagschromatografi intet ikke-reduceret benzylclavulanat. Katalysatoren fjernes ved filtrering og vaskes med 10 ml éthanol og derefter med 150 ml vand. Filtratet inddampes til et halvfast stof under reduceret tryk pâ rotationsfordamper. Til denne 10 remanens sættes 800 ml acetone. Efter omroring fâs krystaller. Det krystallinske produkt frafiltreres, vaskes med 20 ml ether og terres i vakuum, hvorved der fâs 1,75 g krystallinsk kaliumclavulanat.A solution of 2.89 g of benzyl clavulanate in 100 ml of ethanol containing 1.0 g of potassium hydrogen carbonate is hydrogenated over 0.93 g of 10% palladium / coal for 25 minutes at room temperature and atmospheric pressure. At this time, thin layer chromatography shows no unreduced benzyl clavulanate. The catalyst is removed by filtration and washed with 10 ml of ethanol and then with 150 ml of water. The filtrate is evaporated to a semi-solid under reduced pressure on the rotary evaporator. To this residue is added 800 ml of acetone. After stirring, crystals are obtained. The crystalline product is filtered off, washed with ether (20 ml) and dried in vacuo to give 1.75 g of crystalline potassium clavulanate.

Analyse (ved hejtryksvæskechromatografi): 89,1 vægt/vægtprocent i form af kaliumclavulanat.Analysis (by high-pressure liquid chromatography): 89.1 w / w in the form of potassium clavulanate.

15 NMR- og IR-Spektrer: I det væsentlige de samme som for tidligere fremstillet rent krystallinsk kaliumclavulanat). (NMR-Spektret viser forekomst af <3% deoxy, <0,5% acetone).NMR and IR Spectra: Essentially the same as previously prepared pure crystalline potassium clavulanate). (The NMR spectrum shows the presence of <3% deoxy, <0.5% acetone).

Eksempel 12.Example 12.

Fremstilling af en ester af clavulansyre (methylester).Preparation of an ester of clavulanic acid (methyl ester).

2020

^ ,CH OH . CH20H^, CH OH. CH20H

_/ ΕΗ8Χ , Γ~^ /~BS/ \ 0 v COONa ' cooch3 19,8 mg af natriumsaltet af clavulansyre opleses i 0,5 ml tert dimethylformarnid og behandles med 0,25 ml methyliodid. Efter henstand ved stuetemperatur i 1 1/2 time under vandfrie betingelser fjernes19.8 mg of the sodium salt of clavulanic acid are dissolved in 0.5 ml of tert dimethylformarnide and treated with 0.25 ml of methyl iodide. After standing at room temperature for 1 1/2 hours under anhydrous conditions, remove

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19 oplosningsmidlerne i vakuum. Remanensen renses ved P.L.C. pâ silicagel (Kieselgel 60F254, markedsfort af E.Merck, Darmstadt,19 of the solvents in vacuo. The residue is purified by P.L.C. on silica gel (Kieselgel 60F254, marketed by E.Merck, Darmstadt,

Vesttyskland) og eluering med ethylacetat, hvorved der fâs clavu-lansyre-methylester i form af en farvelos olie (Rf-vardi 0,38; rod 5 farve med triphenyltetrazoliumchloridspray), og olien har neden-stâende egenskaber:West Germany) and elution with ethyl acetate to give clavulanic acid methyl ester in the form of a colorless oil (Rf value 0.38; root 5 color with triphenyltetrazolium chloride spray) and the oil having the following properties:

Analyse:Analysis:

Beregnet for CgH^NOg: C 50,70 H 5,20 N 6,57 Fundet: C 50,49 H 5,43 N 6,29.Calculated for C CHH NO NOOg: C, 50.70; H, 5.20; N, 6.57 Found: C, 50.49; H, 5.43; N, 6.29.

10 UV-spektrum (methanol: Amax: ingen absorption >215 nm; IR-spektrum: umax (film): 3300 - 3600 (bredt), 1800, 1750, 1695 cm'-*-.UV spectrum (methanol: Amax: no absorption> 215 nm; IR spectrum: umax (film): 3300 - 3600 (wide), 1800, 1750, 1695 cm -1 - * -.

Tilnærmet forste ordens NMR-spektrum (CDCI3): 2,49 (bred S, 1, udskiftet med D2O), 3,05 (d, 1, J = 17,5 Hz), 3,54 (dd, 1, J = 17,5 Hz,, J2 = 2,5 Hz), 3,84 15 (S,3) 4,24 (d, 2, J = 7 Hz), 4,93 (dt, 1, J = 7 Hz, J2 = 1,5 Hz), 5,07 (d, 1, J » 1,5 Hz), 5,72 (d, 1, J = 2,5 Hz).Approximate first-order NMR spectrum (CDCl3): 2.49 (broad S, 1, replaced by D 2 O), 3.05 (d, 1, J = 17.5 Hz), 3.54 (dd, 1, J = 17.5 Hz, J 2 = 2.5 Hz), 3.84 (S, 3) 4.24 (d, 2, J = 7 Hz), 4.93 (dt, 1, J = 7 Hz, J2 = 1.5 Hz), 5.07 (d, 1, J »1.5 Hz), 5.72 (d, 1, J = 2.5 Hz).

Molekylvægt (massespektrum): 213,0635.Molecular Weight (Mass Spectrum): 213.0635.

Beregnet for C9H1JNO5: 213,0637.Calcd for C9H1JNO5: 213.0637.

20 Tyndtlagschromatografi pâ methylesteren viser en enkelt zone i hver af de nedenstàende oplosningsmiddelsystemer: butanol/ethanol/vand i volumen/volumen-forholdet 4:1:5, topfase Rf-vardi 0,75; isoprop-anol/vand i volumen/volumen-forholdet 7:3, Rf-vardi 0,95; ethyl-acetat/ethylalkohol i volumen/volumen-forholdet 8:2, Rf-vardi 0,87.Thin layer chromatography on the methyl ester shows a single zone in each of the following solvent systems: butanol / ethanol / water in volume / volume ratio 4: 1: 5, peak phase Rf value 0.75; isoprop-anol / water in volume / volume ratio 7: 3, Rf value 0.95; ethyl acetate / ethyl alcohol in volume / volume ratio 8: 2, Rf value 0.87.

25 Disse zoner bestemmes ved bioautografi under anvendelse afThese zones are determined by bioautography using

Klebsiella aerogenes med tilsat benzylpenicillin (synergismesystem).Klebsiella aerogenes with added benzylpenicillin (synergism system).

Fremstilling af en ester af clavulansyre (benzylester).Preparation of an ester of clavulanic acid (benzyl ester).

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Eksempel 13.Example 13

CH-OHCH-OH

z ch2oh I-Κ°Υ^Βz ch2oh I-Κ ° Υ ^ Β

J—n—L * ___IJ — n — L * ___I

<f COONa / TOOCH0-Ph 5 Ur ent 3 - (/5-hydroxyethyl idin) - 7 - oxo - 4 - oxa -1 - azab icyc lo [ 3,2,0 ] hep tan-2-carboxylsyre-natriumsalt (antages at være ca. 55 mg rent stof) i 0,64 ml tort dimethylformamid behandles med 0,18 ml benzylbromid. Oplos-ningen holdes ved stuetemperatur (ca. 17 - 18°C) i 3 timer under vandfrie betingelser. Reaktionsblandingen fraktioneres pà silicagel 10 og elueres med ethylacetat, hvorved der fâs 63 mg af en i det væ-sentlige ren form af benzylesteren af 3-(/î-hydroxyethylxdin)-7-oxo- 4-oxa-l-azabicyclo[3,2,0]heptan-2-carboxylsyre i form af en farvelos olie.<f COONa / TOOCHO-Ph 5 Urent 3 - (5-hydroxyethylidine) - 7-oxo-4-oxa-1-azabicyclo [3.2.0] hep tan-2-carboxylic acid sodium salt (assumed to be about 55 mg of pure substance) in 0.64 ml of tort dimethylformamide treated with 0.18 ml of benzyl bromide. The solution is kept at room temperature (about 17 - 18 ° C) for 3 hours under anhydrous conditions. The reaction mixture is fractionated on silica gel 10 and eluted with ethyl acetate to give 63 mg of a substantially pure form of the benzyl ester of 3 - (β-hydroxyethylxdine) -7-oxo-4-oxa-1-azabicyclo [3, 2,0] heptane-2-carboxylic acid in the form of a colorless oil.

IR-spektrum (film): 1800, 1745 og 1695 cm"^·; 15 NMR-spektrum (CDCI3): 2,25 (s, 1, udskiftelig med D2O), 3,05 (d, 1, J = 17 Hz), 3,51 (dd, 1, J - 17 Hz, J2 = 2,5 Hz), 4,24 (d, 2, J = 7,5 Hz), 4,92 (dt, 1, J = 7,5 Hz, J2 - 1,5 Hz), 5,15 (d, 1, J = 1,5 Hz), 5,24 (s, 2), 5,71 (d, 1, J = 2,5 Hz), 7,45 S (s, 5).IR spectrum (film): 1800, 1745 and 1695 cm cm "; NMR spectrum (CDCl3): 2.25 (s, 1, interchangeable with D₂O), 3.05 (d, 1, J = 17 Hz ), 3.51 (dd, 1, J - 17 Hz, J 2 = 2.5 Hz), 4.24 (d, 2, J = 7.5 Hz), 4.92 (dt, 1, J = 7 , 5 Hz, J 2 - 1.5 Hz), 5.15 (d, 1, J = 1.5 Hz), 5.24 (s, 2), 5.71 (d, 1, J = 2.5 Hz), 7.45 S (s, 5).

Eksempel 14.Example 14.

20 Fremstilling af benzylesteren af clavulansyre ud fra râekstrakter af kulturfiltratet fra Streptomyces clavuligerus.Preparation of the benzyl ester of clavulanic acid from crude extracts of the culture filtrate of Streptomyces clavuligerus.

1. Dyrkning af Streptomyces clavuligerus.1. Cultivation of Streptomyces clavuligerus.

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2121

En "Yeatex"/glucose-stam-agarskrâkultur anvendes til at pode en "yeatex"/glucose-agarskrâkultur i en Roux-flaske ved fremstilling af en mycelium/sporesuspension i sterilt vand. Roux-flaskens's skrâ-kultur inkuberes ved 26°C i 10 dage. Til denne skrâkultur sættes 100 5 ml sterilt vand, og en myceliesuspension fremstilles. Denne anvendes til at pode 50 liter dampsteriliseret kimmedium œed nedenstâende sammensætning i ledningsvand: "Oxoid" maltekstrakt 1 vægt/volumenprocent "Oxoid" bakteriologisk pepton 1 vægt/volumenprocent 10 Glycerol 1 vægt/volumenprocent 10% "Pluronic L81" antiskum- middel i sojabonneolie 0,05 vægt/volumenprocent.A "Yeatex" / glucose strain agar culture is used to seed a "yeatex" / glucose agar culture in a Roux bottle by preparing a mycelium / spore suspension in sterile water. The slant culture of the Roux flask is incubated at 26 ° C for 10 days. To this slant culture is added 100 ml of sterile water and a mycelial suspension is prepared. This is used to graft 50 liters of steam sterilized germ medium into the following composition in tap water: "Oxoid" malt extract 1% w / v "Oxoid" bacteriological peptone 1% w / v 10 Glycerol 1% w / v 10% "Pluronic L81" antifoam in soybean oil 0 , 05% w / v.

"Pluronic" markedsfores af Jacobs and Van den Berg UK Ltd., 231 The Vale, London, W3, og indeholder en polypropylen-polyethylen blok-15 polymer, og soj abonneolie markedsfores af British Oil and Cake Mills Ltd., Stoneferry Road, Hull, Storbritannien).Pluronic is marketed by Jacobs and Van den Berg UK Ltd., 231 The Vale, London, W3, and contains a polypropylene-polyethylene block-polymer, and soybean oil is marketed by British Oil and Cake Mills Ltd., Stoneferry Road, Hull , United Kingdom).

Mediet er i en 90 liters rustfri stâlfermenteringsbeholder med prelplader og omrores af en 12,5 cm vingeskîverotor ved 240 omdrejninger/minut. Der ledes steril luft ind med en hastighed pâ 50 20 liter/minut, og tanken inkuberes ved 26°C.The medium is in a 90 liter stainless steel fermentation vessel with baffle plates and stirred by a 12.5 cm blade disk rotor at 240 rpm. Sterile air is introduced at a rate of 50 to 20 liters / minute and the tank is incubated at 26 ° C.

Efter 72 timers forlob anvendes kimfermentet til at pode 150 liter af samme medium under anvendelse af en 5 volumen/volumenprocents tilsætning ved en steril overforsel. Dette pxoduktionstrinsmedium er i en 30 liters rustfri stâlfermenteringsbeholder, helt forsynet med 25 prelplader, og omrort af en 21,6 cm's vingeskîverotor med 210 omdrejninger/minut. Steril luft indblæses i en mængde pâ 150 liter/ minut. Fermenteringen bibeholdes ved 26°C. Der tilsættes, nâr det er nodvendigt, antiskummiddel i 10 ml's portioner (10% "Pluronic L81" i sojabonneolie). Med regelmæssige mellemrum udtages prover til 30 bestemmelse af ^-lactamase-irihibering. Det fermenterende stof hostes mellem 4. og 5. dag pâ det optimale niveau for β-lactamase-inhiberende virkning, og resultaterne er anfort i tabel II.After 72 hours, the germination is used to seed 150 liters of the same medium using a 5% v / v addition by sterile transfer. This pxoduction step medium is in a 30 liter stainless steel fermentation vessel, fully provided with 25 baffles, and agitated by a 21.6 cm blade disk rotor at 210 rpm. Sterile air is blown in at a rate of 150 liters / minute. The fermentation is maintained at 26 ° C. Whenever necessary, anti-foaming agent is added in 10 ml portions (10% "Pluronic L81" in soybean oil). At regular intervals, samples are taken to determine β-lactamase inhibition. The fermenter is hosted between day 4 and day 5 at the optimal level of β-lactamase inhibitory activity, and the results are presented in Table II.

Tabel II.Table II.

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β-Lactamase-inhiberende virkning i prover af kulturfiltrat udtaget fra en 300-liters fermenteringsbeholder med Streptomyces clavuligerus.β-Lactamase inhibitory effect in culture filtrate samples taken from a 300-liter fermentation vessel with Streptomyces clavuligerus.

5 Fermenteringstid % irihibering ved ^-lactamase-inhiberings (dage) forsog i en endelig fortynding pâ 1/2500 1,0 12 1.5 20 10 2,0 31 2.5 36 3.0 50 3.5 54 4.0 51 15 4,5 56 5.0 55.Fermentation time% iribration by β-lactamase inhibition (days) attempted at a final dilution of 1/2500 1.0 12 1.5 20 10 2.0 31 2.5 36 3.0 50 3.5 54 4.0 51 15 4.5 56 5.0 55.

2) 20 liter kulturfiltrat freinstillet som beskrevet ovenfor inddampes 20 under vakuum til 5 liter under anvendelse af en "opstigende film"- inddamper. Koncentratet frysetorres under anvendelse af en "Edwards E.F.6" skalfryseterrer fremstillet af Edwards High Vacuum Ltd. 300 g af det sâledes fremstillede faste stof indeholder 3 g natrium-clavulansyre som bestemt ved enzymirihiberingsforsoget. Det faste stof 25 suspenderes i 900 ml tort dimethylformamid, og der tilsættes 150 ml benzylbromid. Blandingen omrores i 2 timer ved stuetemperatur og fortyndes derefter med 1 liter ethylacetat. Reaktionsblandingen filtreres, og filtratet inddampes til mindst muligt rumfang. Den olieagtige remanens ekstraheres med yderligere 1 liter ethylacetat, 30 og ekstrakten filtreres. Filtratet koncentreres igen, og den re-sulterende olieagtige remanens hældes pâ en 7,62 cm x 35,56 cm silicagelsojle ("Biogel Biosil A" 100 mesh) i cyclohexan. Sojlen elueres med cyclohexan til fjernelse af benzylbromid, og oplos-ningsmidlet ændres derefter til ethylacetat, og der opsamles 35 fraktioner pâ 20 ml. Fraktionerne undersoges for tilstedeværelse af benzylesteren af clavulansyre ved at sætte dem pletvis pâ glasbârne2) 20 liters of culture filtrate freely set as described above are evaporated 20 in vacuo to 5 liters using an "ascending film" evaporator. The concentrate is freeze-dried using an "Edwards E.F.6" shell freezer manufactured by Edwards High Vacuum Ltd. 300 g of the solid thus prepared contains 3 g of sodium clavulanic acid as determined by the enzyme inhibition test. The solid is suspended in 900 ml of tort dimethylformamide and 150 ml of benzyl bromide is added. The mixture is stirred for 2 hours at room temperature and then diluted with 1 liter of ethyl acetate. The reaction mixture is filtered and the filtrate is evaporated to the minimum volume. The oily residue is extracted with an additional 1 liter of ethyl acetate, and the extract is filtered. The filtrate is concentrated again and the resulting oily residue is poured onto a 7.62 cm x 35.56 cm silica gel column ("Biogel Biosil A" 100 mesh) in cyclohexane. The column is eluted with cyclohexane to remove benzyl bromide and the solvent is then changed to ethyl acetate and 35 fractions are collected in 20 ml. The fractions were examined for the presence of the benzyl ester of clavulanic acid by staining them on the glass bars

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23 silicageltyndtlagschromatografiplader (Merck precoated silicagel 60 F 254) og pàsprojtning af 2,3,5-triphenyltetrazoliumchlorid (TTC) sprayreagens. Fraktioner, som viser intense rade pletter med dette reagens, undersoges yderligere ved tyndtlagschromatografi pâ si-5 licagelplader under anvendelse af chlorof orm-ethylacetat i forholdet 8:2 som oplosningsmiddel og ved at sprejte de fremkaldte plader med TTC-spray. Benzylesteren af clavulansyre lober med en Rf-værdi pâ 0,31 ved 22°C. Fraktioner indeholdende denne ester sammenhældes og koncentreres til 15 ml, og denne oplosning chromatograferes yder-10 ligere pâ en 3,81 cm x 40,64 cm silicagelsojle (Merck silicagel H, type 60) med chloroform/ethylacetat 8:2 som oplosningsmiddel. Der opsamles fraktioner pâ 15 ml, og de undersoges for benzylester pâ den ovenfor beskrevne mâde. De fraktioner, som indeholder esteren, koncentreres til 8 ml og renses endelig ved sojlechromatografi pâ en 15 2,54 cm x 40,64 cm silicagelsojle (Merck silicagel H, type 60) med ethylacetat/cyclohexan i forholdet 8:2 som oplosningsmiddel. Udvalgte fraktioner sammenhældes og inddampes under vakuum, hvorved der fâs 160 mg af den rene benzylester i form af en olie.23 silica gel thin layer chromatography plates (Merck precoated silica gel 60 F 254) and spraying of 2,3,5-triphenyltetrazolium chloride (TTC) spray reagent. Fractions showing intense red spots with this reagent were further investigated by thin layer chromatography on silica gel plates using 8: 2 chloroform ethyl acetate as solvent and by spraying the developed plates with TTC spray. The benzyl ester of clavulanic acid runs with an Rf of 0.31 at 22 ° C. Fractions containing this ester are combined and concentrated to 15 ml, and this solution is further chromatographed on a 3.81 cm x 40.64 cm silica gel column (Merck silica gel H, type 60) with chloroform / ethyl acetate 8: 2 as solvent. Fractions of 15 ml are collected and examined for benzyl ester in the manner described above. The fractions containing the ester are concentrated to 8 ml and finally purified by column chromatography on a 2.54 cm x 40.64 cm silica gel column (Merck silica gel H, type 60) with 8: 2 ethyl acetate / cyclohexane as solvent. Selected fractions were combined and evaporated in vacuo to give 160 mg of the pure benzyl ester in the form of an oil.

Eksempel 15.Example 15

20 Fremstilling af clavulansyre-benzylester..Preparation of Clavulanic Acid Benzyl Ester ..

150 liter kulturfiltrat med pH-værdi 7,0 indeholder 16,2 g clavulansyre (natriumsalt) ifelge enzyminhiberingsforsog. Dette filtrat omrares med 5 kg "Amberlyst A.26"-anionbytterharpiks i Cl'-form (Rohm & Hass Company, Philadelphia, U.S.A) il time ved stuetemperatur.150 liters of culture filtrate with pH 7.0 contains 16.2 g of clavulanic acid (sodium salt) according to enzyme inhibition experiments. This filtrate is stirred with 5 kg of "Amberlyst A.26" anion exchange resin in Cl 'form (Rohm & Hass Company, Philadelphia, U.S.A.) for 1 hour at room temperature.

25 Harpiksen filtreres derefter, og filtratet underseges igen, hvorved det ses, at 6,4 g clavulansyre er fjerneït. Harpiksen vaskes med 20 liter deioniseret vand efterfulgt af 20 liter acetone og 10 liter dimethylformamid. Efter genfiltrering suspenderes harpiksen i 2,3 liter dimethylformamid/0,2M natriumiodid.. Til dette sættes 200 ml 30 benzylbromid, og suspensionen omrores grundigt. Efter henstand ved stuetemperatur i 16 timer tilsættes 2 liter ethylacetat, hvorefter harpiksen filtreres, og yderligere ethylacetatvaskevæsker fra harpiksen sammenhældes med filtratet. Ekstrakten inddampes til et lille rumfang og chromatograferes pâ en 7,62 cm x 45,72 cm sili-The resin is then filtered and the filtrate re-examined to show that 6.4 g of clavulanic acid is removed. The resin is washed with 20 liters of deionized water followed by 20 liters of acetone and 10 liters of dimethylformamide. After re-filtration, the resin is suspended in 2.3 liters of dimethylformamide / 0.2M sodium iodide. To this is added 200 ml of benzyl bromide and the suspension is thoroughly stirred. After standing at room temperature for 16 hours, 2 liters of ethyl acetate are added, after which the resin is filtered and additional ethyl acetate wash liquids from the resin are combined with the filtrate. The extract is evaporated to a small volume and chromatographed on a 7.62 cm x 45.72 cm silica gel.

DK 157302 BDK 157302 B

24 cagelsojle (Merck silicagel H type 60) med ethylacetat/ cyclohexan i forholdet 8:2 som oplesningsmiddel. Fraktioner indeholdende benz-ylclavulanat udvælges ved pletprover pâ silicageltyndtlagschro-matografiplader og pâsprcj tning med TTC-reagens som beskrevet i 5 eksempel 24. De udvalgte fraktioner inddampes til 20 ml og chro- matograferes derefter pâ en 3,81 cm x 45,72 cm silicagelsojle (Merck silicagel H type 60) med chloroform/ethylacetat i forholdet 8:2 som oplosningsmiddel. Udvalgte fraktioner sammehhældes og inddampes, hvorved der fâs 440 mg af en farveles olie, som ifolge NMR-spek-10 troskopi er 90% benzylclavulanat.24 silica gel column (Merck silica gel H type 60) with 8: 2 ethyl acetate / cyclohexane as solvent. Fractions containing benzyl ylcavulanate are selected by spot samples on silica gel thin layer chromatography plates and sprayed with TTC reagent as described in Example 24. The selected fractions are evaporated to 20 ml and then chromatographed on a 3.81 cm x 45.72 cm silica gel column. (Merck silica gel H type 60) with chloroform / ethyl acetate in the ratio of 8: 2 as solvent. Selected fractions are then poured and evaporated to give 440 mg of a goodbye's oil, which according to NMR spectroscopy is 90% benzyl clavulanate.

Eksempel 16.Example 16.

Fremstilling af methylclavulanat.Preparation of methyl clavulanate.

130 mg clavulansyre i 10 ml éthanol behandles med en overskydende mængde diazomethan i ether. Efter 2 minutter ved stuetemperatur vises 15 reaktionen ved hjælp af tyndtlagschromatografi at være fuldstændig. Oplosningen inddampes i vakuum, og remanensen renses ved chroma-tografi pâ silicagel og elueres med ethylacetat. Fraktioneme indeholdende methylclavulanat sammenhældes og inddampes, hvorved der fâs 104 mg af en klar olie.130 mg of clavulanic acid in 10 ml of ethanol are treated with an excess amount of diazomethane in ether. After 2 minutes at room temperature, the reaction by thin layer chromatography is shown to be complete. The solution is evaporated in vacuo and the residue is purified by chromatography on silica gel and eluted with ethyl acetate. The fractions containing methyl clavulanate are combined and evaporated to give 104 mg of a clear oil.

20 Eksempel 17.Example 17.

Fremstilling af methylclavulanat.Preparation of methyl clavulanate.

200 mg clavulansyre i 5 ml acetonitril afkeles og omreres ved 0°C.Cool 200 mg of clavulanic acid in 5 ml of acetonitrile and stir at 0 ° C.

0,5 ml methanol og derefter 206 mg dicyclohexylcarbodiimid tilsættes, og reaktionsblandingen omrores ved stuetemperatur natten over.0.5 ml of methanol and then 206 mg of dicyclohexylcarbodiimide are added and the reaction mixture is stirred at room temperature overnight.

25 Suspensionen filtreres, og filtratet inddampes i vakuum, hvorved der fâs rât methylclavulanat. Râproduktet renses ved chromatografi pâ silicagel bg elueres med ethylacetat, hvorved der fâs 140 mg af en klar olie.The suspension is filtered and the filtrate is evaporated in vacuo to give crude methyl clavulanate. The crude product is purified by chromatography on silica gel eluting with ethyl acetate to give 140 mg of a clear oil.

Eksempel 18.Example 18.

Fremstilling af phenylclavulanat.Preparation of phenylclavulanate.

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DK 157302 BDK 157302 B

100 mg clavulansyre i 5 ml acetonitril afkeles og omrores ved 0°C.100 mg of clavulanic acid in 5 ml of acetonitrile are cooled and stirred at 0 ° C.

Til oplesningen sættes 0,94 g phénol og 100 mg dicyclohexylcar-5 bodiimid, og reaktionsblandingen omrores ved stuetemperatur natten over. Suspensionen filtreres, og filtratet inddampes. Remanensen fraktioneres pâ silicagel og elueres med ethylacetat-hexan i forhol-det 1:1, hvorved der fâs 70 mg phenylclavulanat.To the solution is added 0.94 g of phenol and 100 mg of dicyclohexylcarbodiimide and the reaction mixture is stirred at room temperature overnight. The suspension is filtered and the filtrate is evaporated. The residue is fractionated on silica gel and eluted with ethyl acetate-hexane in the 1: 1 ratio to give 70 mg of phenylclavulanate.

IR-spektrum (film): 1800, 1770 og 1690 cm" 10 NMR-spektrum (CDC13): 2,18 (bred s, 1), 3,06 (dd, 1, J = 17 Hz, J2 = 0,9 Hz), 3,54 (dd, 1, Ji = 17 Hz, J2 = 2,6 Hz), 4,29 ( d, 2, J = 7,5 Hz), 5,1 (dt, 1, = 7,5 Hz, J2 = 1,5 Hz), 5,29 (d, 1, J - 1,5 Hz), 5,76 (dd, 1, = 2,6 Hz, J2 = 0,9 Hz), 7,35 δ (m, 5).IR spectrum (film): 1800, 1770 and 1690 cm -1 NMR spectrum (CDCl3): 2.18 (broad s, 1), 3.06 (dd, 1, J = 17 Hz, J 2 = 0.9 Hz), 3.54 (dd, 1, J 1 = 17 Hz, J 2 = 2.6 Hz), 4.29 (d, 2, J = 7.5 Hz), 5.1 (dt, 1, = 7 , 5 Hz, J 2 = 1.5 Hz), 5.29 (d, 1, J - 1.5 Hz), 5.76 (dd, 1, = 2.6 Hz, J 2 = 0.9 Hz), 7.35 δ (m, 5).

Molvægt (massespektrometri) = 275,0777, îhvilket svarer til Cj.4Hj.3NO5 15 (beregnet 275,0794).Molecular weight (mass spectrometry) = 275.0777, which corresponds to Cj.4H₂.3NO5 (calculated 275.0794).

Eksempel 19.Example 19.

Antibakterielt spektrum for clavulansyre-natriumsalt.Antibacterial spectrum of clavulanic acid sodium salt.

Den antibakterielle virkning af clavulansyre-natriumsalt mod en række bakterier bestemmes under anvendelse af mikrotitermetoden. Serie-20 fortyndinger af clavulansyre-natriumsaltet i "Oxoid"-sensitivi-tetsforsogsvæske i en mikrotiter plastbakke podes med en dyrk-ningskultur, der har stâet natten over, af hver organisme, sàledes at den endelige fortynding af inokulet er <0,5 x 10"^. Kulturerne inku-beres natten over, og punkterne med bakterievækst bestemmes næste 25 morgen ved at observere kulturens uklarhed. Resultaterne, udtrykt som tilnærmelsesvise MIC-værdier (minimum ihhiberingskoncentration /ig/ml) er anfert i nedenstâende tabel I, som viser, at forbindelsen har bredspektret antibakteriel virkning.The antibacterial action of clavulanic acid sodium salt against a variety of bacteria is determined using the microtiter method. Series 20 dilutions of the clavulanic acid sodium salt in "Oxoid" sensitivity test liquid in a microtiter plastic tray are seeded with an overnight culture culture of each organism such that the final inoculum dilution is <0.5 x The cultures are incubated overnight and the points of bacterial growth are determined the next 25 morning by observing the turbidity of the culture. The results, expressed as approximate MIC values (minimum inhibition concentration / µg / ml) are given in Table I below, which shows , that the compound has broad spectrum antibacterial effect.

Tabel I.Table I.

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DK 157302 BDK 157302 B

Antibakterielt spektrum for clavulansyre-natriumsalt.Antibacterial spectrum of clavulanic acid sodium salt.

Bakteriestammer Minimum irihiberings- koncentration /ig/ml 5 _Bacterial strains Minimum inhibitory concentration / µg / ml 5

Staphylococcus aureus (Oxford H) 7,5Staphylococcus aureus (Oxford H) 7.5

Staphylococcus aureus (Russell) 7,5Staphylococcus aureus (Russell) 7.5

Bacillus subtilis 62Bacillus subtilis 62

Streptococcus faecalis >500 10 Streptococcus pyogenes CN 10 125Streptococcus faecalis> 500 10 Streptococcus pyogenes CN 10 125

Escherichia coli NCTG 10418 31Escherichia coli NCTG 10418 31

Klebsiella aerogenes 31 - 62Klebsiella aerogenes 31 - 62

Klebsiella oxytocum 62Klebsiella oxytocum 62

Enterobacter aerogenes T 624 31 15 Enterobacter cloacae 62Enterobacter aerogenes T 624 31 15 Enterobacter cloacae 62

Acinetobacter anitratus 125Acinetobacter anitratus 125

Providentia stuartii 125Providentia stuartii 125

Serratia marcescens 125Serratia marcescens 125

Proteus mirabilis C977 62 20 Proteus vulgaris W090 31Proteus mirabilis C977 62 20 Proteus vulgaris W090 31

Salmonella typhimurium 31Salmonella typhimurium 31

Shigella sonnei 62Shigella sonnei 62

Pseudomonas aeruginosa A 500 25 Eksempel 20.Pseudomonas aeruginosa A 500 Example 20.

Eksempler pâ β-lactamase-inhibering med clavulansyre-natriumsalt.Examples of β-lactamase inhibition with clavulanic acid sodium salt.

Clavulansyre inhiberer progressivt og irreversibelt /J-lactamasen hos Escherichia coli. Den tidligere i "Beskrivelse 1" beskrevne metode viser, at de andre, i tabel II viste j9-lactamaser, ogsâ inhiberes af 30 clavulansyre.Clavulanic acid progressively and irreversibly inhibits the β-lactamase of Escherichia coli. The method described previously in "Description 1" shows that the other β-lactamases shown in Table II are also inhibited by 30 clavulanic acid.

Inhibering af /3-lactamaser med clavulansyre.Inhibition of β-lactamases by clavulanic acid.

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DK 157302 BDK 157302 B

Tabel II.Table II.

Kilde til /î-lactamase Tilnærmelsesvis Iejg- -værdi i forhold 5 til Escherichia coli JT 4 - 1Source of / î-lactamase Approximately Iejg value in relation to Escherichia coli JT 4 - 1

Staphylococcus aureus (Russell) 1,0Staphylococcus aureus (Russell) 1.0

Escherichia coli JT4 1,0 10 Escherichia coli Bll 2,0Escherichia coli JT4 1.0 10 Escherichia coli Bll 2.0

Klebsiella aerogenes A 0,6Klebsiella aerogenes A 0.6

Pseudomonas aeruginosa 1822 (R faktor) 5,0Pseudomonas aeruginosa 1822 (R factor) 5.0

Pseudomonas dalgleish 0,1 15 Med penicillin G som substrat er Igg-værdien for clavulansyre- natriumsaltet imod ^-lactamasen for Staphylococcus aureus (Russell) ca. 0,06 pg/ml.Pseudomonas dalgleish 0.1 With penicillin G as a substrate, the Igg value of the clavulanic acid sodium salt against the β-lactamase of Staphylococcus aureus (Russell) is approx. 0.06 pg / ml.

Eksempel 21.Example 21.

Antibakteriel synergisme mellem ampicillin og clavulansyre-20 natriumsalt.Antibacterial synergism between ampicillin and clavulanic acid sodium salt.

Den minimale inhiberingskoncentration (MIC-værdi) for ampicillin, clavulansyre-natriumsalt og ampicillin 1 tilstedeværelse af 1 /zg/ml clavulansyre-natriumsalt bestemmes for en række β-lactamase-produ-cerende bakterier. Organismerne podes i "Oxoid" sentivitetstests-25 dyrkningsvæske anbragt i smâ skakter i en plastbakke og indeholdende forskellige koncentrationsgradienter af ampicillin, clavulansyre-natriumsalt eller ampicillin plus 1 pg/ml clavulansyre-natriumsalt (mikrotitermetode). Den endelige fortynding af inokulet i dyrk-The minimum inhibitory concentration (MIC value) of ampicillin, clavulanic acid sodium salt and ampicillin 1 presence of 1 / zg / ml clavulanic acid sodium salt is determined for a variety of β-lactamase-producing bacteria. The organisms are inoculated into "Oxoid" sensitivity test culture broth placed in small trays in a plastic tray and containing various concentration gradients of ampicillin, clavulanic acid sodium salt or ampicillin plus 1 µg / ml clavulanic acid sodium salt (microtiter method). The final dilution of the inoculum in culture medium

OISLAND

ningsvæsken, dyrket natten over, er 0,5 x 10. Bakken inkuberes vedThe overnight liquid is 0.5 x 10. The tray is incubated at

DK 157302 BDK 157302 B

28 37 °C natten over, og næste morgen bestemmes endepunkteme for bakterievæksten. MIG-værdierne i /ig/ml er anfert i tabel V, hvoraf det fremgâr, at synergisten ved den lave koncentration pâ 1 jtg/ml pâ afgorende mâde forbedrer den antibakterielle virkning af ampicillin 5 mod visse grampositive og gramnegative bakterier. Mekanismen i denne synergisme antages at bestâ i inhibering af ampicillin-nedbrydende β-lactamase-enzymer, men eksistensen af andre mekanismer kan ikke ude-lukkes.28 37 ° C overnight, and the next morning the bacterial growth endpoints are determined. The MIG values in µg / ml are given in Table V, which shows that, at the low concentration of 1 µg / ml, the synergist enhances the antibacterial effect of ampicillin 5 against certain gram-positive and gram-negative bacteria. The mechanism of this synergism is believed to consist in inhibition of ampicillin-degrading β-lactamase enzymes, but the existence of other mechanisms cannot be ruled out.

Der fâs lignende resultater som dem, som vises i tabel III, nâr 10 ampicillin erstattes med amoxycillin eller med phthalidylesteren af ampicillin.Similar results are obtained as those shown in Table III when 10 ampicillin is replaced by amoxycillin or with the phthalidyl ester of ampicillin.

Tabel III.Table III.

Antibakteriel synergisme mellem ampicillin og clavulansyre-natriumsalt 15 Bakteriestamme Minimal inhiberingskoncentration /tg/mlAntibacterial synergism between ampicillin and clavulanic acid sodium salt Bacterial strain Minimum inhibitory concentration / tg / ml

Clavulansyre- Ampicillin Ampicillin i natriumsalt tilstedeværelse af 1 /zg/ml 20 clavulansyre- natriumsaltClavulanic Acid Ampicillin Ampicillin in Sodium Salt Presence of 1 / zg / ml 20 Clavulanic Acid Sodium Salt

Escherichia coli NCTC 10481 31 1,8 <0,4 25 Escherichia coli B 11 62 >500 125Escherichia coli NCTC 10481 31 1.8 <0.4 25 Escherichia coli B 11 62> 500 125

Klebsiella aerogenes A 31 125 <0,4Klebsiella aerogenes A 31 125 <0.4

Klebsiella sp 62 31 125 <0,4Klebsiella sp 62 31 125 <0.4

Enterobacter cloacae 62 250 62Enterobacter cloacae 62 250 62

Serratia marcescens 125 >500 62 30 Staphylococcus aureus (Russell) 15 500 <0,4Serratia marcescens 125> 500 62 30 Staphylococcus aureus (Russell) 15 500 <0.4

Staphylococcus aureus 62 250 7,5 (en methicillinresistent stamme) 35 Antibakteriel synergisme mellem cephaloridin og clavulansyre-natriumsalt.Staphylococcus aureus 62 250 7.5 (a methicillin resistant strain) 35 Antibacterial synergism between cephaloridine and clavulanic acid sodium salt.

DK 157302 BDK 157302 B

2929

Den minimale inhiberingskoncentration af cephaloridin, clavulansyre-natriumsalt og cephaloridin i nærværelse af 5 μg/ml clavulansyre-natriumsalt bestemmes pâ den ovenfor beskrevne mâde. Resultaterne er anfart i tabel IV og viser, at der kan opnâs synergisme mellem 5 clavulansyre-natriumsalt og cephaloridin, især for den /9-lactamase-producerende stamme af Staphylococcus aureus (Russell).The minimum inhibitory concentration of cephaloridine, clavulanic acid sodium salt and cephaloridine in the presence of 5 μg / ml clavulanic acid sodium salt is determined in the manner described above. The results are listed in Table IV and show that synergism can be achieved between 5 clavulanic acid sodium salt and cephaloridine, especially for the / 9-lactamase-producing strain of Staphylococcus aureus (Russell).

Tabel IV.Table IV.

Antibakteriel synergisme mellem cephaloridin og clavulansyre-natriumsalt.Antibacterial synergism between cephaloridine and clavulanic acid sodium salt.

10 Bakteriestamme Minimal inhiberingskoncentration μg/ml10 Bacterial strain Minimum inhibition concentration µg / ml

Clavulansyre- Cephaloridin Cephaloridin i natriumsalt nærværelse af 5Clavulanic acid Cephaloridine Cephaloridine in sodium salt in the presence of 5

Mg/ml 15 clavulansyre- natriumsaltMg / ml clavulanic acid sodium salt

Proteus mirabilis 889 >500* 62 7,5 20 Staphylococcus aureus (Russell) 15 3,1 <0,03+Proteus mirabilis 889> 500 * 62 7.5 20 Staphylococcus aureus (Russell) 15 3.1 <0.03+

Staphylococcus aureus (en methicillinresi- 62 15 3,7 stent stamme) 25 _ * "Tailing point" + Samme værdi opnâet, nâr synergisten tilsættes med 1 ^g/ml i stedet for 5 ^g/ml.Staphylococcus aureus (a methicillin resistance 62 15 3.7 stent strain) 25 * "Tailing point" + Same value obtained when the synergist is added at 1 µg / ml instead of 5 µg / ml.

Antibakteriel synergisme mellem clavulansyre-natriumsalt og 30 forskellige penicilliner.Antibacterial synergism between clavulanic acid sodium salt and 30 different penicillins.

De i tabel V viste resultater er opnâet med den ovenfor beskrevne metode.The results shown in Table V are obtained by the method described above.

Claims (5)

15 PATENTKRAV15 PATENT REQUIREMENTS 1. Estere af clavulansyre til anvendelse som mellemprodukter ved fremstilling af clavulansyre eller farmaceutisk tolerable salte deraf, kendetegnet ved, at de har den almene formel I 20 CH20H /λ COOR hvor R betegner en carbonhydridgruppe med hejst 16 carbonatomer, som eventuelt er substitueret med halogen, G^.g-alkoxy eller hydroxy, eller R betegner en gruppe med formlen DK 157302 B A4 ! 5 - CH - O - CO - A {"XX hvor betegner hydrogen eller methyl,, betegner methyl, tert.butyl eller phenyl, og A® betegner hydrogen eller methoxy, eller 5 R betegner en carbonhydridgruppe med 1-9 carbonatomer, som er substitueret med eventuelt tll salte omdannede basiske grupper med den almene formel NR^rX hvor R^ betegner hydrogen eller C^.g-alkyl, R^ betegner hydrogen eller C^.g-alkyl eller er knyttet til R^, sâledes at NR^R^ er en pyrrolidin-, piperidin- eller morpholinring.1. Esters of clavulanic acid for use as intermediates in the preparation of clavulanic acid or pharmaceutically tolerable salts thereof, characterized in that they have the general formula I 20 CH , G1-6 alkoxy or hydroxy, or R represents a group of formula DK 157302 B A4! 5 - CH - O - CO - A {"XX where hydrogen or methyl, represents methyl, tert-butyl or phenyl, and A® represents hydrogen or methoxy, or 5 R represents a hydrocarbon group of 1-9 carbon atoms which is substituted with optionally saline converted basic groups of the general formula NR ^ rX wherein R ^ represents hydrogen or C1-6 alkyl, R ^ represents hydrogen or C1-6 alkyl or is attached to R ^, such that NR ^ R 1 is a pyrrolidine, piperidine or morpholine ring. 2. Estere ifolge krav 1, kendetegnet ved, at de har den almene formel IX CH-OH l / ix 0 ncoor hvor R^- betegner en carbonhydridgruppe med 1-9 carbonatomer, som 15 eventuelt er substitueret med halogen, C^_g-alkoxy, hydroxy eller eventuelt til salte omdannede basiske grupper med den almene formel NR^rX hvor R^ betegner hydrogen eller C^.g-alkyl, og R^ betegner hydrogen eller C^.g-alkyl eller er knyttet til R^ sâledes, at NR^R^ er en pyrrolidin-, piperidin- eller morpholinring. 1Esters according to claim 1, characterized in that they have the general formula IX CH-OH l / ix 0 ncoor wherein R 1 - represents a hydrocarbon group of 1-9 carbon atoms optionally substituted with halogen, C alkoxy, hydroxy, or optionally converted to salts, basic groups of the general formula NR 1 -RX wherein R 1 represents hydrogen or C 1-6 alkyl and R 2 represents hydrogen or C 1-6 alkyl or is attached to R 2, is a pyrrolidine, piperidine or morpholine ring. 1 3. Estere ifolge krav 1, kendetegnet ved, at de har den almene formel X DK 157302 B -CH„OH fQ-" CO-O-CH-A À8 hvor iJ betegner et hydrogenatom eller en eventuelt med chlor, brom eller methoxy substitueret phenylgruppe, og betegner en eventuelt 5 med chlor, brom eller methoxy substitueret phenylgruppe.Esters according to claim 1, characterized in that they have the general formula X where 157 represents a hydrogen atom or optionally substituted with chlorine, bromine or methoxy. phenyl group, and optionally represents a phenyl group optionally chloro, bromo or methoxy. 4. Ester ifolge krav 3, kendetegnet ved, at den er benzylclavulanat.Ester according to claim 3, characterized in that it is benzyl clavulanate. 5. Ester ifolge krav 3, kendetegnet ved, at den er p-chlorbenzylclavulanat, p-10 methoxybenzylclavulanat, p-brombenzylclavulanat eller m-chlorbenz-ylclavulanat.Ester according to claim 3, characterized in that it is p-chlorobenzylclavulanate, p-10 methoxybenzylclavulanate, p-bromobenzylclavulanate or m-chlorobenzylclavulanate.
DK286980A 1974-04-20 1980-07-02 ESTERS OF CLAVULANIC ACID USED AS INTERMEDIATES IN THE PRODUCTION OF CLAVULANIC ACID OR PHARMACEUTICAL TOLERABLE SALTS THEREOF DK157302C (en)

Applications Claiming Priority (10)

Application Number Priority Date Filing Date Title
GB17410/74A GB1508977A (en) 1974-04-20 1974-04-20 Beta-lactam antibiotic from streptomyces clavuligerus
GB1741074 1974-04-20
GB2771574 1974-06-21
GB2771574 1974-06-21
GB4365174 1974-10-09
GB4365174 1974-10-09
GB5352574 1974-12-11
GB5352574 1974-12-11
DK167275AA DK141254B (en) 1974-04-20 1975-04-18 Process for preparing clavulanic acid or a salt or ester thereof.
DK167275 1975-04-18

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DK286980A DK286980A (en) 1980-07-02
DK157302B true DK157302B (en) 1989-12-04
DK157302C DK157302C (en) 1990-05-07

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DK287178A DK287178A (en) 1974-04-20 1978-06-26 PROCEDURE FOR PREPARING AN ANTIBIOTIC
DK287378A DK150489C (en) 1974-04-20 1978-06-26 PROCEDURE FOR PREPARING A CLAVULANIC ACID SAL
DK287278A DK150488C (en) 1974-04-20 1978-06-26 PROCEDURE FOR INSULATING A CLAVULANIC ACID SAL
DK286980A DK157302C (en) 1974-04-20 1980-07-02 ESTERS OF CLAVULANIC ACID USED AS INTERMEDIATES IN THE PRODUCTION OF CLAVULANIC ACID OR PHARMACEUTICAL TOLERABLE SALTS THEREOF

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DK287278A DK150488C (en) 1974-04-20 1978-06-26 PROCEDURE FOR INSULATING A CLAVULANIC ACID SAL

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