WO1992003444A1 - Penem compounds - Google Patents

Penem compounds Download PDF

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Publication number
WO1992003444A1
WO1992003444A1 PCT/JP1991/001100 JP9101100W WO9203444A1 WO 1992003444 A1 WO1992003444 A1 WO 1992003444A1 JP 9101100 W JP9101100 W JP 9101100W WO 9203444 A1 WO9203444 A1 WO 9203444A1
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Prior art keywords
group
groups
compound
alkyl
aryl
Prior art date
Application number
PCT/JP1991/001100
Other languages
French (fr)
Inventor
Hiromitsu Iwata
Takashi Nakatsuka
Rie Tanaka
Masaji Ishiguro
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Suntory Limited
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Filing date
Publication date
Application filed by Suntory Limited filed Critical Suntory Limited
Priority to EP91914603A priority Critical patent/EP0544906B1/en
Priority to US07/971,827 priority patent/US5703068A/en
Priority to DE69131774T priority patent/DE69131774T2/en
Priority to CA002089366A priority patent/CA2089366C/en
Priority to JP51349791A priority patent/JP3148236B2/en
Priority to KR1019930700428A priority patent/KR0178957B1/en
Publication of WO1992003444A1 publication Critical patent/WO1992003444A1/en

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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D499/00Heterocyclic compounds containing 4-thia-1-azabicyclo [3.2.0] heptane ring systems, i.e. compounds containing a ring system of the formula:, e.g. penicillins, penems; Such ring systems being further condensed, e.g. 2,3-condensed with an oxygen-, nitrogen- or sulfur-containing hetero ring
    • C07D499/86Heterocyclic compounds containing 4-thia-1-azabicyclo [3.2.0] heptane ring systems, i.e. compounds containing a ring system of the formula:, e.g. penicillins, penems; Such ring systems being further condensed, e.g. 2,3-condensed with an oxygen-, nitrogen- or sulfur-containing hetero ring with only atoms other than nitrogen atoms directly attached in position 6 and a carbon atom having three bonds to hetero atoms with at the most one bond to halogen, e.g. an ester or nitrile radical, directly attached in position 2
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D499/00Heterocyclic compounds containing 4-thia-1-azabicyclo [3.2.0] heptane ring systems, i.e. compounds containing a ring system of the formula:, e.g. penicillins, penems; Such ring systems being further condensed, e.g. 2,3-condensed with an oxygen-, nitrogen- or sulfur-containing hetero ring
    • C07D499/88Compounds with a double bond between positions 2 and 3 and a carbon atom having three bonds to hetero atoms with at the most one bond to halogen, e.g. an ester or nitrile radical, directly attached in position 2
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/04Antibacterial agents

Definitions

  • the present invention relates to penem compounds, and more specifically to penem compounds which are expected to find clinical utility as promising antiiotics.
  • R 4 is a hydrogen atom or allyl group
  • A is a 5- or 6-membered heterocyclic aliphatic group containing 1 or 2 oxygen atoms in the ring thereof and their pharmacologically acceptable salts have excellent antibacterial activities against both gram-positive and gram-negative, aerobic or anaerobic bacteria and have already filed a patent application (Japanese Patent Laid-Open No. 162694/1986).
  • the bioavailability of the compounds (V) is, however, not sufficient, so that their use as oral preparations requires improvements in their oral absorption.
  • the present invention provides a penem compound of the following formula (I) :
  • R represents a group of the following formula (II) or (III):
  • R 1 is a linear or branched, C 1 -C 6 alkyl group
  • R 2 is a C 1 -C 6 alkyl group, a C 6 -C 10 aryl group or a C 6 - C 11 aralkyl group, each group being optionally substituted by one or more C 1 -C 6 alkyl groups, C 6 -C 10 aryl groups, C 7 -C 11 aralkyl groups, hydroxyl groups, C 1 -C 6 alkoxyl groups and/or halogen atoms, and n is an integer of 1 or 2 , or
  • R 3 represents a C 1 -C 6 alkyl group, a C 6 -C 10 aryl group or a C 7 -C 11 aralkyl group, each group being optionally substituted by one or more C 1 -C 6 alkyl groups, C 1 -C 10 aryl groups, C 7 -C 11 aralkyl groups, hydroxyl groups, C 1 -C 6 alkoxyl groups and/or halogen atoms.
  • the penem compound (I) of the present invention can be synthesized, for example, by reacting a
  • R 5 represents a hydrogen or alkali metal atom or an amino residuum, and R has the same meaning as defined above.
  • the target product can be obtained by stirring the compound (V') with the halogenated alkyl compound (VI) in an organic solvent.
  • R 5 in the compound (V') is a hydrogen atom
  • the compound (V') is firstly reacted with an alkali metal hydroxide, an alkali metal salt or an amine compound in an organic solvent to form a salt, and the reaction mixture is then reacted with the halogenated alkyl compound (VI) .
  • the halogenated alkyl compound represented by the formula (VI) can efficiently esterify the carboxyl group of the compound (V') with the group R to produce the target compound of the formula (I).
  • Examples of the compound (VI) include those employed for the preparation of prodrugs of the penicillin or cephalosporin type: Described more specifically, there are those containing, as the group R, an acetyloxymethyl group, a 1-(acetyloxy) ethyl group, a pivaloyloxymethyl group, a 1-(ethoxycarbonyloxy) ethyl group, a 1-(isopropyloxycarbonyloxy) ethyl group, a 1-(cyclohexyloxycarbonyloxy) group, a 3-phthalidyl group, a (5-methyl-2-oxo-1,3-dioxolen-4-yl)methyl group or the like and, as the halogen atom represented by X, a chlorine, bromine
  • alkali metal forms a salt with the compound (V').
  • alkali metal include lithium, sodium and potassium.
  • hydroxides and salts include sodium hydroxide, potassium hydroxide, sodium bicarbonate, sodium carboxylate, potassium bicarbonate and potassium carbonate.
  • exemplary amine compounds include ammonia, triethylamine, and
  • reaction solvent examples include aromatic hydrocarbons such as toluene and xylene, aliphatic hydrocarbons such as pentane and hexane, halogenated alkyls such as methylene chloride and chloroform, halogenated aryls such as chlorobenzenes, ketones such as acetone and methyl ethyl ketone, nitriles such as acetonitrile and propionitrile, amides such as dimethylformamide, sulfoxides such as dimethyl sulfoxide, ethers such as diethyl ether and tetrahydrofuran, and alcohols such as isopropanol and tbutanol. They can be used either singly or in combination.
  • the reaction may be carried out at room temperature or, when desired, under heating at a temperature below 80°C.
  • the reaction time is generally 1-48 hours although it varies depending on the halogenated alkyl compound (VI) to be used.
  • the penem compound (I) obtained as described above may be used as is but, in general, is purified, as needed, by a method such as column chromatography or recrystallization for use as a medicine.
  • the compounds according to the present invention can be formulated as antibiotics in a manner known per se in the art.
  • each penem derivative of the present invention varies depending on many factors, the typical daily dosage ranges from 50 mg to 3 g for standard adults with the administration of 100 mg to 2 g in divided portions being preferred.
  • the above dosage will be administered in the form of a dosage unit which contains an appropriate amount of the active ingredient and a suitable, physiologically-acceptable carrier or extender.
  • tablets or capsules can be used. They may contain - together with the active ingredient - an extender, e.g., lactose, glucose, sucrose, mannitol , sorbitol or cellulose, and a
  • lubricant e.g., talc, stearic acid or a stearate salt.
  • Tablets may additionally contain a binder, for example, hydroxypropyl cellulose or starch.
  • the compounds according to the present invention can be used not only for men but also for animals.
  • reaction mixture was then diluted with ethyl acetate and washed with water.
  • the organic layer was dried and then concentrated.
  • the residue was purified by passing it through a silica gel column, whereby 0.32 g of the title compound was obtained.
  • reaction mixture was then diluted with ethyl acetate (300 ml) and washed twice with water (200 ml). The organic layer was dried and concentrated. The residue was purified by passing it through a silica gel column, whereby 1.3 g of the title compound were obtained.
  • test compound (30 ⁇ mole/kg) was orally administered to SD strain rats (three male rats per group). Urine was collected over 6 hours from the administration, and the recovery rate of the corresponding compound present in the urine was determined by bioassay. The results are shown below.
  • the compounds (I) of the present invention showed the higher recovery rates in urine, namely, higher bioavailability compared with the penem compound (V).
  • the active ingredient may be, for example, Compound 8 or an equivalent amount of any one of the other compounds of the present invention.
  • the compounds (I) of the present invention exhibit excellent bioavailability so that they can be advantageously used as oral

Abstract

Antibiotic penem compounds are represented by formula (I), wherein R represents a group of formulae (II) or (III) in which R1 is a linear or branched, C1-C6 alkyl group, R2 is a particular substituted or unsubstituted alkyl, aryl or aralkyl group, n is an integer of 1 or 2, and R3 represents a specific substituted or unsubstituted alkyl, aryl or aralkyl group. Antibiotic compositions for oral administration are also described.

Description

DESCRIPTION PENEM COMPOUNDS
Technical Field
The present invention relates to penem compounds, and more specifically to penem compounds which are expected to find clinical utility as promising antiiotics.
Background Art
The present inventors previously found that a group of penem compounds represented by the following formula (IV) :
Figure imgf000003_0001
in which R4 is a hydrogen atom or allyl group, A is a 5- or 6-membered heterocyclic aliphatic group containing 1 or 2 oxygen atoms in the ring thereof and their pharmacologically acceptable salts have excellent antibacterial activities against both gram-positive and gram-negative, aerobic or anaerobic bacteria and have already filed a patent application (Japanese Patent Laid-Open No. 162694/1986).
Of these compounds, compounds represented by the following formula (V) :
Figure imgf000004_0001
have high antibacterial activities and their high safety has been confirmed by their safety test in which laboratory animals were used. Their development as medical drugs is therefore expected these days.
The bioavailability of the compounds (V) is, however, not sufficient, so that their use as oral preparations requires improvements in their oral absorption.
Disclosure of Invention
The present inventors have carried out an extensive investigation on the compounds (V) with a view toward making improvements in their bioavailability. As a result, it has been found that protection of their carboxyl group with a particular ester-forming group can significantly improve their bioavailability, leading to the completion of the present invention. Namely, the present invention provides a penem compound of the following formula (I) :
Figure imgf000005_0001
wherein R represents a group of the following formula (II) or (III):
Figure imgf000005_0002
in which R1 is a linear or branched, C 1-C6 alkyl group; R2 is a C 1-C6 alkyl group, a C6-C10 aryl group or a C6- C11 aralkyl group, each group being optionally substituted by one or more C 1-C6 alkyl groups, C6-C10 aryl groups, C7-C11 aralkyl groups, hydroxyl groups, C 1-C6 alkoxyl groups and/or halogen atoms, and n is an integer of 1 or 2 , or
in which R3 represents a C 1-C6 alkyl group, a C6-C10 aryl group or a C7-C11 aralkyl group, each group being optionally substituted by one or more C 1-C6 alkyl groups, C 1-C10 aryl groups, C 7-C11 aralkyl groups, hydroxyl groups, C 1-C6 alkoxyl groups and/or halogen atoms.
Best Mode for Carrying Out the Invention The penem compound (I) of the present invention can be synthesized, for example, by reacting a
halogenated alkyl compound (VI) to a penem compound (V) in accordance with the following formula:
Figure imgf000006_0001
wherein X represents a halogen atom, R5 represents a hydrogen or alkali metal atom or an amino residuum, and R has the same meaning as defined above.
When R5 in the compound (V) is an alkali metal atom or an amino residuum in the present invention, the target product can be obtained by stirring the compound (V') with the halogenated alkyl compound (VI) in an organic solvent.
When R5 in the compound (V') is a hydrogen atom, on the other hand, the compound (V') is firstly reacted with an alkali metal hydroxide, an alkali metal salt or an amine compound in an organic solvent to form a salt, and the reaction mixture is then reacted with the halogenated alkyl compound (VI) .
The halogenated alkyl compound represented by the formula (VI) can efficiently esterify the carboxyl group of the compound (V') with the group R to produce the target compound of the formula (I). Examples of the compound (VI) include those employed for the preparation of prodrugs of the penicillin or cephalosporin type: Described more specifically, there are those containing, as the group R, an acetyloxymethyl group, a 1-(acetyloxy) ethyl group, a pivaloyloxymethyl group, a 1-(ethoxycarbonyloxy) ethyl group, a 1-(isopropyloxycarbonyloxy) ethyl group, a 1-(cyclohexyloxycarbonyloxy) group, a 3-phthalidyl group, a (5-methyl-2-oxo-1,3-dioxolen-4-yl)methyl group or the like and, as the halogen atom represented by X, a chlorine, bromine or iodine atom. No particular limitation is imposed on the alkali metal insofar as it forms a salt with the compound (V'). Examples of the alkali metal include lithium, sodium and potassium. Examples of their hydroxides and salts include sodium hydroxide, potassium hydroxide, sodium bicarbonate, sodium carboxylate, potassium bicarbonate and potassium carbonate. Exemplary amine compounds include ammonia, triethylamine, and
diisopropyl ethyl amine.
No particular limitation is imposed on the reaction solvent. Examples of the reaction solvent include aromatic hydrocarbons such as toluene and xylene, aliphatic hydrocarbons such as pentane and hexane, halogenated alkyls such as methylene chloride and chloroform, halogenated aryls such as chlorobenzenes, ketones such as acetone and methyl ethyl ketone, nitriles such as acetonitrile and propionitrile, amides such as dimethylformamide, sulfoxides such as dimethyl sulfoxide, ethers such as diethyl ether and tetrahydrofuran, and alcohols such as isopropanol and tbutanol. They can be used either singly or in combination.
The reaction may be carried out at room temperature or, when desired, under heating at a temperature below 80°C. The reaction time is generally 1-48 hours although it varies depending on the halogenated alkyl compound (VI) to be used.
The penem compound (I) obtained as described above may be used as is but, in general, is purified, as needed, by a method such as column chromatography or recrystallization for use as a medicine.
For oral, parenteral or external administration, the compounds according to the present invention can be formulated as antibiotics in a manner known per se in the art.
Although the dosage of each penem derivative of the present invention varies depending on many factors, the typical daily dosage ranges from 50 mg to 3 g for standard adults with the administration of 100 mg to 2 g in divided portions being preferred. In general, the above dosage will be administered in the form of a dosage unit which contains an appropriate amount of the active ingredient and a suitable, physiologically-acceptable carrier or extender.
For oral administration, tablets or capsules can be used. They may contain - together with the active ingredient - an extender, e.g., lactose, glucose, sucrose, mannitol , sorbitol or cellulose, and a
lubricant, e.g., talc, stearic acid or a stearate salt. Tablets may additionally contain a binder, for example, hydroxypropyl cellulose or starch.
The compounds according to the present invention can be used not only for men but also for animals.
The present invention will hereinafter be de-scribed more specifically by the following examples.
It is however borne in mind that the present invention is not limited at all by these examples.
Example 1
1-(Cyclohexyloxycarbonyloxy) ethyl (5R, 6S)-6-[(R)- 1-hydroxyethyl]-2-(3-tetrahydrofuryl)methylpenem- 3-carboxylate (Compound 7) :
The mixture of sodium (5R,6S)-6-[(R)-1-hydroxyethyl]-2-(3-tetrahydrofuryl)methylpenem-3-carboχylate 2.5 hydrate (Compound 1, 1 g), 1-chloroethyl cyclohexylcarbonate (0.6 ml) and N,N-dimethylformamide
(6 ml) was heated at 70º C for one hour.
The reaction mixture was then diluted with ethyl acetate and washed with water. The organic layer was dried and then concentrated. The residue was purified by passing it through a silica gel column, whereby 0.32 g of the title compound was obtained.
Example 2
Acetyloxymethyl (5R, 6S) -6-[(R)-1-hydroxyethyl]- 2-(3-tetrahydrofuryl)methylpenem-3-carboxylate (Compound 2) : Sodium (5R, 6S)-6-[(R)-1-hydroxyethyl]-2-(3-tetrahydrofuryl)methylpenem-3-carboxylate 2.5 hydrate (Compound 1, 2.93 g) was dissolved in N,N-dimethylformamide (40 ml), to which acetyloxymethyl bromide (1.47 g) was added dropwise under ice-cooling and stirring, followed by stirring at room temperature for further 1.5 hours. The reaction mixture was then diluted with ethyl acetate (300 ml) and washed twice with water (200 ml). The organic layer was dried and concentrated. The residue was purified by passing it through a silica gel column, whereby 1.3 g of the title compound were obtained.
Example 3
Phthalidyl (5R, 6S)-6-[(R)-1-hydroxyethyl]- 2-(3-tetrahydrofuryl)methylpenem-3-carboxylate
(Compound 8) :
The mixture of sodium (5R,6S)-6-[(R)-1-hydroxyethyl]-2-(3-tetrahydrofuryl)methylpenem-3-carboxylate 2.5 hydrate (Compound 1, 2.93 g) , bromophthalide (2.8 9) and dimethyl sulfoxide (30 ml) was stirred at room temperature for 10 minutes. The reaction mixture was diluted with ethyl acetate, followed by washing with water. The organic layer was dried and then concentrated. The residue was purified by passing it through a silica gel column, whereby 2.3 g of the title compound were obtained.
Example 4
(5-Methyl-2-oxo-1,3-dioxolen-4-yl)methyl (5R, 6S)- 6-[(R)-1-hydroxyethyl]-2-(3-tetrahydrofuryl)- methylpenem-3-carboxylate (Compound 9) :
The mixture of sodium (5R,6S)-6-[(R)-1-hydroxyethyl]-2-(3-tetrahydrofuryl)methylpenem-3-carboxylate 2.5 hydrate (Compound 1, 4 g), 4-iodomethyl-5-methyl-2-oxo-1,3-dioxolene (7.6 g) and N,N-dimethylformamide (40 ml) was stirred at room temperature for 2.5 hours. The reaction mixture was diluted with ethyl acetate, followed by washing with water. The organic layer was dried and then concentrated. The residue was purified by passing it through a silica gel column. An oil so obtained was recrystallized from hexane, whereby 1.47 g of the title compound were obtained.
Examples 5-8
In each example, sodium (5R,6S)-6-[(R)-1-hydroxyethyl]-2-(3-tetrahydrofuryl)methylpenem-3-carboxylate 2.5 hydrate (Compound 1) was reacted with the corresponding halogenated alkyl compound (acyloxymethyl iodide), which is shown in Table 1, and N,N-dimethylformamide as in Example 3, whereby the corresponding compound (I) of the present invention, whose R group is also shown in Table 1, was obtained. The reaction time required and the yield in the reaction are also shown in Table 1.
In addition, physicochemical data of the compounds obtained in Examples 5-8 are shown in Table 2 , together with those of the compounds obtained in Examples 1-4.
Figure imgf000014_0001
Figure imgf000015_0001
Figure imgf000016_0001
Example 9
The bioavailability of certain compounds (I) of the present invention was tested relying upon their recovery rates in urine.
Each test compound (30 μmole/kg) was orally administered to SD strain rats (three male rats per group). Urine was collected over 6 hours from the administration, and the recovery rate of the corresponding compound present in the urine was determined by bioassay. The results are shown below.
Figure imgf000018_0001
As is apparent from these results, the compounds (I) of the present invention showed the higher recovery rates in urine, namely, higher bioavailability compared with the penem compound (V).
Preparation Examples
In each of the following preparation examples, the active ingredient may be, for example, Compound 8 or an equivalent amount of any one of the other compounds of the present invention.
Preparation 1
Capsules
Ingredient No. Ingredient mg/capsule
1 Invention compound 150
2 Lactose 20
3 Magnesium stearate 4
(Total) 174 mg
(Production procedures)
Ingredients 1 and 2 were combined together in a suitable mixer, to which Ingredient 3 was added, followed by further mixing. The resultant mixture was filled using a capsule filling machine. Preparation 2
Tablets
Ingredient No. Ingredient mg/tablet
1 Invention compound 150
2 Crystalline cellulose 50
3 Calcium carboxymethylcellulose 10
4 Magnesium stearate 4
(Total) 214 mg
(Production procedures)
Ingredients 1-3 were combined together in a suitable mixer, to which Ingredient 4 was added, followed by mixing for additional several minutes. The resultant mixture was compressed into a predetermined size and weight by a tablet machine.
Industrial Applicability
As has been described above, the compounds (I) of the present invention exhibit excellent bioavailability so that they can be advantageously used as oral
antibiotics.

Claims

1. A penem compound of the following formula (I):
Figure imgf000021_0001
wherein R represents a group of the following formula (II) or (III) :
Figure imgf000021_0002
in which R1 is a linear or branched, C1-C6 alkyl group; R2 is a C1-C6 alkyl group, a C6-C10 aryl group or a C7- C11 aralkyl group, each group being optionally substituted by one or more C1-C6 alkyl groups, C6-C10 aryl groups, C6-C11 aralkyl groups, hydroxyl groups, C1-C6 alkoxyl groups and/or halogen atoms, and n is an integer of 1 or 2, or
Figure imgf000021_0003
in which R3 represents a C1-C6 alkyl group, a C6-C10 aryl group or a C7-C11 aralkyl group, each group being optionally substituted by one or more C1-C6 alkyl groups, C6-C10 aryl groves, C7-C11 aralkyl groups, hydroxyl groups, C1-C6 alkoxyl groups and/or halogen atoms.
2. A compound according to claim 1, wherein R represents an acetyloxymethyl group.
3. A compound according to claim 1, wherein R represents a 1-(acetyloxy) ethyl group.
4. A compound according to claim 1, wherein R represents a pivaloyloxymethyl group.
5. A compound according to claim 1, wherein R represents a 1-(ethoxycarbonyloxy) ethyl group.
6. A compound according to claim 1, wherein R represents a 1-(isopropyloxycarbonyloxy) ethyl group.
7. A compound according to claim 1, wherein R represents a 1-(cyclohexyloxycarbonyloxy) ethyl group.
8. A compound according to claim 1, wherein R represents a 3-phthalidyl group.
9. A compound according to claim 1, wherein R represents a (5-methyl-2-oxo-1,3-dioxolen-4-yl)methyl group.
10. An antibiotic composition for oral administration, comprising an effective amount of a compound of the following formula (I) :
Figure imgf000023_0003
wherein R represents a group of the following formula (II) or (III) :
Figure imgf000023_0002
in which R1 is a linear or branched, C1-C6 alkyl group; R2 is a C1-C6 alkyl group, a C6-C10 aryl group or a C7-C11 aralkyl group, each group being optionally substituted by one or more C1-C6 alkyl groups, C6-C10 aryl groups, C7-C11 aralkyl groups, hydroxyl groups, C1-C6 alkoxyl groups and/or halogen atoms, and n is an integer of 1 or 2, or
Figure imgf000023_0001
in which R3 represents a C1-C6 alkyl group, a C6-C10 aryl group or a C7-C11 aralkyl group, each group being optionally substituted by one or more C1-C6 alkyl groups, C6-C10 aryl groups, C7-C11 aralkyl groups, hydroxyl groups, C1-C6 alkoxyl groups and/or halogen atoms, and a pharmaceutically-acceptable carrier.
PCT/JP1991/001100 1990-08-20 1991-08-16 Penem compounds WO1992003444A1 (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
EP91914603A EP0544906B1 (en) 1990-08-20 1991-08-16 Antibacterial penem esters derivatives
US07/971,827 US5703068A (en) 1990-08-20 1991-08-16 Penem compounds
DE69131774T DE69131774T2 (en) 1990-08-20 1991-08-16 ANTIBACTERIAL PENEM ESTER DERIVATIVES
CA002089366A CA2089366C (en) 1990-08-20 1991-08-16 Penem compounds
JP51349791A JP3148236B2 (en) 1990-08-20 1991-08-16 Penem compounds
KR1019930700428A KR0178957B1 (en) 1990-08-20 1991-08-16 Penem compounds

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
JP2/218543 1990-08-20
JP21854390 1990-08-20

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US (1) US5703068A (en)
EP (1) EP0544906B1 (en)
JP (1) JP3148236B2 (en)
KR (1) KR0178957B1 (en)
AT (1) ATE186537T1 (en)
AU (1) AU8333991A (en)
CA (1) CA2089366C (en)
DE (1) DE69131774T2 (en)
ES (1) ES2140393T3 (en)
IE (1) IE912909A1 (en)
IL (2) IL99244A0 (en)
WO (1) WO1992003444A1 (en)

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US5703068A (en) 1997-12-30
JP3148236B2 (en) 2001-03-19
DE69131774T2 (en) 2000-06-21
DE69131774D1 (en) 1999-12-16
KR0178957B1 (en) 1999-03-20
EP0544906A1 (en) 1993-06-09
EP0544906B1 (en) 1999-11-10
ATE186537T1 (en) 1999-11-15
IE912909A1 (en) 1992-02-26
IL99244A0 (en) 1992-07-15
AU8333991A (en) 1992-03-17
CA2089366C (en) 2001-10-16
ES2140393T3 (en) 2000-03-01
JPH06503805A (en) 1994-04-28
KR930701454A (en) 1993-06-11
IL99244A (en) 1996-11-14
CA2089366A1 (en) 1992-02-21

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