WO1999028308A1 - Antibiotics and process for preparation - Google Patents

Antibiotics and process for preparation Download PDF

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Publication number
WO1999028308A1
WO1999028308A1 PCT/US1997/022012 US9722012W WO9928308A1 WO 1999028308 A1 WO1999028308 A1 WO 1999028308A1 US 9722012 W US9722012 W US 9722012W WO 9928308 A1 WO9928308 A1 WO 9928308A1
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Prior art keywords
reaction product
penicillin
antibiotic
cephalosporin
group
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PCT/US1997/022012
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French (fr)
Inventor
William L. Truett
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Truett William L
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Priority to PCT/US1997/022012 priority Critical patent/WO1999028308A1/en
Priority to EP97951517A priority patent/EP0970065A4/en
Publication of WO1999028308A1 publication Critical patent/WO1999028308A1/en

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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D215/00Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems
    • C07D215/02Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen atoms or carbon atoms directly attached to the ring nitrogen atom
    • C07D215/16Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen atoms or carbon atoms directly attached to the ring nitrogen atom with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
    • C07D215/48Carbon atoms having three bonds to hetero atoms with at the most one bond to halogen
    • C07D215/54Carbon atoms having three bonds to hetero atoms with at the most one bond to halogen attached in position 3
    • C07D215/56Carbon atoms having three bonds to hetero atoms with at the most one bond to halogen attached in position 3 with oxygen atoms in position 4
    • 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
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D501/00Heterocyclic compounds containing 5-thia-1-azabicyclo [4.2.0] octane ring systems, i.e. compounds containing a ring system of the formula:, e.g. cephalosporins; Such ring systems being further condensed, e.g. 2,3-condensed with an oxygen-, nitrogen- or sulfur-containing hetero ring
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07HSUGARS; DERIVATIVES THEREOF; NUCLEOSIDES; NUCLEOTIDES; NUCLEIC ACIDS
    • C07H17/00Compounds containing heterocyclic radicals directly attached to hetero atoms of saccharide radicals
    • C07H17/04Heterocyclic radicals containing only oxygen as ring hetero atoms
    • C07H17/08Hetero rings containing eight or more ring members, e.g. erythromycins

Definitions

  • This invention is concerned with the preparation of a wide variety of antibiotics of new and novel structure and antimicrobial activity.
  • the compounds thus prepared are products from the linking of diverse antibiotic moieties via difiinctional organic compounds such as diisocyanates, dianhydrides, diacidchlorides, diepoxides and carbodumides, said antibiotics being drawn from the classes of compounds sulfonamides, penicillins and related, cephalosporins and related, quinolones, chloramphenicol, erythromycins, metronidazole, tetracyclines and aminoglycocides.
  • antimicrobial agents are classified as noted above, and there are many classes in addition to the above-noted ones.
  • This invention is concerned with simple methods of preparing a large number of new and novel structures possessing a wide range of antibiotic activity via linking together two antibiotic moieties.
  • A has the structure drawn from the following classes of antibiotics:
  • aminoglycosides and B drawn from the same classes.
  • L is drawn from a group of difunctional linking reagents.
  • R is a variety of substituents.
  • the sulfonamides listed below are of particular interest:
  • R 3 and R ⁇ are a variety of substituents.
  • the cephalosporins listed below are of particular interest.
  • R 5 is a variety of substituents and the quinoline neucleus contains fluoro atom substitution.
  • the quinolones listed below are of particular interest.
  • the linking reagents are drawn from the type listed below.
  • Y can be aliphatic, alicyciic, aromatic and heterocyclic groups. The particular formulas for each type are listed below.
  • the five linking reagents are: diisocyanates, dianhydrides, diacidchlorides, diepoxides and carbodumides.
  • antibiotics that can be linked are sulfonamides, trimethoprim, penicillins and related structures, cephalosporins and related structures, chloramphenicol, erythromycin, metronidazole, quinolones, tetracyclines and aminoglycosides.
  • Diisocyanates can react with all acid groups, all hydroxyl groups and all primary and secondary amino groups.
  • any antibiotic moiety, A containing a carboxylic acid, hydroxyl or amine function
  • a A can be linked to any other antibiotic moiety B containing a carboxylic acid, hydroxyl or amine function.
  • the diisocyanate can be used to link with an antibiotic moiety containing a single reactive group, as A and B above, or with an antibiotic moiety containing two functional groups as D, carboxylic acid and amine.
  • the diisocyanate can be used to link any two antibiotics containing at least one carboxylic acid, alcohol or amino functional group, and will also effect linkage when each antibiotic moiety contains a plurality of groups.
  • Dianhydrides can be employed to link a wide variety of antibiotic moieties containing hydroxy or primary or secondary amines. The reagent will also link antibiotic molecules where each antibiotic moiety contains a plurality of hydroxy, primary and secondary amine functional groups.
  • Diacidchlorides can be employed to link a wide variety of antibiotic moieties containing hydroxyl and primary or secondary amine functional groups, and also where each moiety contains a plurality of said functions.
  • Diepoxides can be utilized to link a very wide variety of antibiotic moieties where each contains carboxylic acid, alcohol, and primary or secondary amine functional groups, or a plurality of such groups.
  • Carbodumides can be utilized to link a wide variety of antibiotic moieties where each moiety contains at least one of the following functional groups: carboxylic acid, alcohol, and primary or secondary amine. This reagent differs from the four previously discussed since the reagent bonds the two antibiotic moieties via the removal of the elements of water from the functional groups.
  • Moieties containing carboxylic acid groups can be linked with moieties containing carboxylic acid groups to form anhydrides.
  • Moieties containing carboxylic acid groups can be linked to moieties containing alcohols or primary or secondary amines to form esters or amides.
  • Moieties containing hydroxyl groups can be linked to moieties containing hydroxyl or primary or secondary amine groups to form ethers or substituted amines. Where pluralities of the carboxylic acid, hydroxyl or amine functional groups are contained in one or both antibiotic moieties, linkage will occur but the products may be complex and require chromatographic separation.
  • the present invention describes methods for making a number of linked antibiotic molecules.
  • the linked antibiotics are to be utilized in treating various infections in man and animals, without undue adverse side effects such as toxicity, inflammation and allergies.
  • to-be linked compounds There are several groups of these to-be linked compounds which can be enumerated: sulfonamides, penicillins, cephalosporins, quinolones, chloramphenicol, erythryomycin, metronidazole, tetracyclines and aminoglycosides. With each case, the antibiotics to be linked will be taken two at a time from the above groups, thus:
  • Aminoglycosides A streptomycin
  • linking agents that will be used to link the antibiotic moities are drawn from several classes of organic molecules:
  • linking of two antibiotic moieties depends upon the presence of the following groups: carboxyl, amino and hydroxyl and requires a minimum total of two such groups, but with a further plurality may also be utilized.
  • the possible combinations of the three reactive groups are five.
  • the amide product is easily separated from the by-product dicyclo- hexylurea by crystallization or liquid chromatography techniques.
  • the linking rules are as follows:
  • Diisocyanates can react with all acid carboxyl groups, all hydroxyl groups and all primary and secondary amino groups.
  • any antibiotic moiety containing a carboxylic acid group, a hydroxyl group or an amine group can be linked to any other antibiotic moiety also containing a carboxylic acid group, hydroxyl or amine function.
  • a single antibiotic moiety contains a plurality of groups, as a carboxyl group and a hydroxyl group, or a carboxyl group and an amino group
  • this moiety can be linked by reaction with a diisocyanate to a second antibiotic moiety containing a plurality of groups, as a carboxyl group and a hydroxyl group, or a carboxyl group and an amino group.
  • the diisocyanate reagent can be used to link any two antibiotic moieties each containing at least one carboxylic acid, alcohol or amino functional group, and can also be used when each antibiotic contains a plurality of said groups.
  • Dianhydrides can be utilized to link a wide variety of antibiotic moitieties in which each moiety contains at least one hydroxyl or primary or secondary amine group.
  • the dianhydride reagent can also be utilized to link antibiotic moities in which each moiety contains a multiplicity of hydroxyl or amino groups. In cases involving the linking of antibiotic moities containing a multiplicity of groups, a mix of products will be realized but can be separated easily via chromatographic techniques.
  • Diacidchlorides as a linking agent are covered by rules identical to those for dianhydrides.
  • Diacidchlorides can be used to link a wide variety of antibiotic moieties in which each moiety contains at least one hydroxyl or amino group.
  • the aciddichloride reagent can also be used to link antibiotic moieties where each moiety contains a multiplicity of hydroxyl or and amino groups. In cases involving a multiplicity of groups, a mixture of products will be realized which can be separated easily via chromatographic techniques.
  • Diepoxides as linking agents can be used to link antibiotic moities where each moiety contains a carboxyl, hydroxyl, or amino group, or where each moiety contains a plurality of said groups.
  • Diepoxides possessing a plurality of such groups react with the epoxy linking agents a complex mix of products will be formed which can be separated via chromatographic techniques.
  • Carbodumides as linking agents can be utilized to link a very large number of antibiotic types. Antibiotic moieties in which each moiety contains a single carboxyl group yield anhydrides. Antibiotic moities in which one moiety contains a carboxyl group only will react with a moiety containing a single hydroxyl group to form a single ester. Antibiotic moieties containing a plurality of carboxyl and hydroxyl groups will form a complex mixture of esters when reacted with carbodumides. Antibiotic moieties containing a single carboxyl group will react with antibiotic moieties containing a single amino group to form a single product containing an amide group.
  • antibiotic moieties containing a multiplicity of carboxyl, hydroxyl and amino groups are linked via carbodumides, a mixture of esters and amides will be formed.
  • antibiotic moieties containing singular hydroxyl groups or a multiplicity of hydroxyl groups are linked, the products will be singular or multicomponent ethers.
  • the linking of antibiotic moieties containing singular or multiple hydroxyl and amino groups leads to the formation of a single substituted amine, or a multiplicity of amines. All of the mixtures generated by the above said reactions can be separated via chromatographic techniques.
  • Evaluation apply to streaked plate of several cultures ⁇ E. coli, Strep. Group A, P. aruginosa Equipment 250 ml round bottom 3-neck flask equipped with glascol mantle for heating, thermometer, reflux condenser and teflon stirring bar energized by magnetic stirring.
  • reaction time may be as short as 1 hour.
  • IR monitor is via carbodiimide band at 4.50 ⁇ .
  • the dry pyridine solvent 50 ml., is placed in the 250 ml round bottom flask and 1.72 g. (0.01 mole) of p-aminobenzenesulfonamide and 1.68 g. (0.01 mole) of hexyldiisocyanate is added, the temperature raised to 40°C by means of the variac controlling the heating of the glascol mantle. The heating and stirring are continued for 4 hours, and at the end of each hour a small sample is withdrawn from the flask by means of a pippette and examined by means of IR sectroscopy.
  • the IR spectrocopy scan is determined from 2.5 microns to 15.0 microns, and the concentration of diisocyanate is determined from the intensity of the absorption band at 4.45 microns, a band due to the -NCO group.
  • a steady drop in the concentration of the -NCO group indicates progress of the reaction.
  • the concentration of the isocyanate group has dropped by 80 per cent.
  • the reaction is forced to conclusion by raising the temperature to 50°C for two hours, at the end of which time the -NCO group is not detectable by IR spectroscopy.
  • the reaction is terminated by the addition of 50 ml of water and the precipitated reaction product dried in a vacuum oven at 25°C for 2 hours to yield 3.0 g., 8.8 per cent.
  • the product was evaluated for biological activity via applying a 1 per cent solution in pyridine to TLC (thin layer chromatography) plates.
  • the developing solvent used was a 10-90 mixture of acetone and methanol, and the progress was monitored by a UV light.
  • the spots on the chromatogram were evaluated via mechanical removal and the absorbent was separated from the product fraction by dissolving in pyridine, and the pyridine solution was dried onto filter paper. Tabs of the filter paper were applied to ager culture plates streaked with standard bacterial cultures of S. aureus, E. coli and P aureginosa. Standard antibiotics, as p-aminosulfonamide and penicillins were used for comparison. All products showed modest inhibition zones in the vicinity of the filter paper tabs containing the product fractions.

Abstract

A group of reagents, as diisocyanates, dianhydrides, diacidchlorides, diepoxides, carbodiimides and the like are utilized to link a wide variety of antibiotic moieties, reacted two at a time with said reagents, the said antibiotic moieties containing groups reactive with the linking reagents as carboxylic acid, alcohol, primary amine, and secondary amine functional groups, said functional groups being present as singularities or as multiplicities, products being readily purified using chromatographic techniques, and said products of above reactions being valuable for the treatment of microbial infections of man and animals.

Description

ANTIBIOTICS AND PROCESS FOR PREPARATION
FIELD OF THE INVENTION
This invention is concerned with the preparation of a wide variety of antibiotics of new and novel structure and antimicrobial activity. The compounds thus prepared are products from the linking of diverse antibiotic moieties via difiinctional organic compounds such as diisocyanates, dianhydrides, diacidchlorides, diepoxides and carbodumides, said antibiotics being drawn from the classes of compounds sulfonamides, penicillins and related, cephalosporins and related, quinolones, chloramphenicol, erythromycins, metronidazole, tetracyclines and aminoglycocides.
BACKGROUND OF THE INVENTION
The medical literature regarding antimicrobial agents is vast and describes a number of antimicrobials including naturally occurring compounds as well as synthetic or semisynthetic compounds produced in the organic laboratory. These antimicrobial agents are classified as noted above, and there are many classes in addition to the above-noted ones.
It has been realized that the linking of two antibiotic moieties functioning in different fashions, as for example inhibiting cell-wall synthesis or protein synthesis or DNA synthesis, can be of value. Two antibiotic moieties can also be linked in which one is known to attack Gram positive bacteria and another to attack Gram negative bacteria, and this new entity is of value. Usually the synthesis of linked antibiotics requires an extended set of organic laboratory procedures in which prior to the linkage of diverse types, such as quinolones and lactams, certain groups in the molecule must be blocked, the blocked entity then linked to a second antibiotic, which may also require blocking of some functional groups, and also the blocking groups require removal. It has been found surprisingly that a number of difunctional reagents can effect an efficient linkage of very diverse antibiotic structures. Further, the progress of the reaction can easily be followed via IR spectroscopy techniques, and the isolation of meaningful quantities achieved in facile fashion via liquid chromatography techniques.
SUMMARY OF THE IN ENTION
This invention is concerned with simple methods of preparing a large number of new and novel structures possessing a wide range of antibiotic activity via linking together two antibiotic moieties.
A - L - B
wherein A has the structure drawn from the following classes of antibiotics:
1. sulfonamides and related
2. penicillins and related
3. cephalosporins and related
4. quinolones
5. chloramphenicol
6. erythromycin
7. metronidazole
8. tetracyclines
9. aminoglycosides and B, drawn from the same classes.
The classes may be further characterized by the following general formulas and particular examples. L is drawn from a group of difunctional linking reagents. 1. Sulfonamides and Related
Figure imgf000006_0001
where R is a variety of substituents. The sulfonamides listed below are of particular interest:
A. p-aminobenzenesulfonamide
B. sulfamethoxyazole
C. acetylsulfoxazole
D. sulfamethoxypyridazine
E. sulfadiazine
2. Penicillins and Related
Figure imgf000006_0002
n where R is a variety of substituents. The penicillins listed below are of particulai : interest.
A. benzyl penicillin
B. procaine penicillin G
C. phenoxymethyl penicillin
D. ampicillin
E. amoxycillin F. methicillin
G. oxacillin
H. cloxacillin
I. dicloxacillin
J. flucloxacillin
K. nafcillin
L. carbenicillin
M. ticaricillin
N. talampicillin
0. becampicillin
P. pivampicillin
Q. penamcarboxyli ic acid
R. hydroxyethyl penem
S. imipenem
T. amdinocilin
3. CephalosDorins and Related:
Figure imgf000007_0001
where R3 and R^ are a variety of substituents. The cephalosporins listed below are of particular interest.
A. cephalosporin C
B. cephalothin
C. cephaloridine D. cephradine
E. cephazolin
F. cephalexin
G. cefadroxil H. cefaclor
I. cephamandole J. cefuroxine K. cefotaxime L. ceftizoxime M. ceftazidime N. cefoperazone O. cephamycin C P. cefoxitin Q. moxalactam
4. Quinolones
Figure imgf000008_0001
where R5 is a variety of substituents and the quinoline neucleus contains fluoro atom substitution. The quinolones listed below are of particular interest.
A. nalidixic acid
B. norfloxacin C. enoxacin
D. ciprofloxacin
E. ofloxacin
5. Chloramphenicol
Figure imgf000009_0001
6. Ervthromvcin
Figure imgf000009_0002
7. Metronidazole
Figure imgf000009_0003
8. Tetracvclines
Figure imgf000009_0004
where the general formula given above is substituted to yield the particular compounds listed below.
A. tetracycline
B. oxytetracycline
C. chlortetracycline
D. rolitetracycline
E. methacycline
F. doxycycline
G. demeclocycline H. sancycline
I. lymecycline J. clomocycline K. minocycline
9. Aminoglvcosides
Figure imgf000010_0001
Streptomycin (R - CH,NH)
The general formula above is variously substituted to give the particular isomers listed below. A. streptomycin
B. tobramycin C kanamycin
D. amikacin
E. gentamicin Cl
F. nitilimicin
G. neomycin
H. paromomycin I. spectinomycin
The linking reagents are drawn from the type listed below. Diisocyanates NCO - Y - NCO
Diianhydrides
Figure imgf000011_0001
Diacidchlorides O O
I I I I
Cl - C - Y - C - Cl
✓°\ /°\
Diepoxides CH2 - CH - Y - CH - CH2
Carbodumides Y - N = C = N - Y In the above general formulas Y can be aliphatic, alicyciic, aromatic and heterocyclic groups. The particular formulas for each type are listed below. Diisocyanates:
1 ,6-hexamethylenediisocyanate
2,4-tolyldiisocyanate
2,6-tolyldiisocyanate
4,4'-methylene bis phenylisocyanate
4,4-isopropylidene bis phenylisocyanate
1 ,4-phenyldiisothiocyanate
1 ,4-phenyldiisocyanate
Dianhydrides pyromellitic dianhydride bis maleic dianhydride
3,3,4,4'-benzophenonetetracarboxylic dianhydride 1,2,6,7- hexanetetracarboxylic dianhydride 1,2,4,5- naphthalenetetracarboxylic dianhydride
Diacidchlorides terphthaloyl chloride isophthaloyl chloride phthaloyl chloride adipolyl chloride glutaryl chloride Diepoxides 1,3-butane diepoxide 1,5-cyclooctatetraene diepoxide vinylcyclohexene diepoxide 1,4-divinylbenzene diepoxide
Carbodumides dicyclohexylcarbodiimide ditolylcarbodiimide
Rules Based on Linking Agents
Surprisingly only a few rules must be obeyed to take advantage of five different linking reagents applicable to linking two antibiotic molecules. The five linking reagents are: diisocyanates, dianhydrides, diacidchlorides, diepoxides and carbodumides.
The types of antibiotics that can be linked are sulfonamides, trimethoprim, penicillins and related structures, cephalosporins and related structures, chloramphenicol, erythromycin, metronidazole, quinolones, tetracyclines and aminoglycosides.
The linking rules are as follows: 1. Diisocyanates can react with all acid groups, all hydroxyl groups and all primary and secondary amino groups. Thus any antibiotic moiety, A, containing a carboxylic acid, hydroxyl or amine function
COOH OH NH
/ X 7 i A A can be linked to any other antibiotic moiety B containing a carboxylic acid, hydroxyl or amine function.
COOH OH NH
/ / /
B B B
When a single antibiotic moiety contains more than a single functional group, as C,
Figure imgf000014_0001
the diisocyanate can be used to link with an antibiotic moiety containing a single reactive group, as A and B above, or with an antibiotic moiety containing two functional groups as D, carboxylic acid and amine.
COOH D
NH
When a diisocyanate is used to link antibiotic moieties containing a plurality of groups, a mixture of products will be realized, but with chromatographic techniques the mixtures are easily separated.
Summarizing, the diisocyanate can be used to link any two antibiotics containing at least one carboxylic acid, alcohol or amino functional group, and will also effect linkage when each antibiotic moiety contains a plurality of groups. 2. Dianhydrides can be employed to link a wide variety of antibiotic moieties containing hydroxy or primary or secondary amines. The reagent will also link antibiotic molecules where each antibiotic moiety contains a plurality of hydroxy, primary and secondary amine functional groups.
3. Diacidchlorides can be employed to link a wide variety of antibiotic moieties containing hydroxyl and primary or secondary amine functional groups, and also where each moiety contains a plurality of said functions.
4. Diepoxides can be utilized to link a very wide variety of antibiotic moieties where each contains carboxylic acid, alcohol, and primary or secondary amine functional groups, or a plurality of such groups.
5. Carbodumides can be utilized to link a wide variety of antibiotic moieties where each moiety contains at least one of the following functional groups: carboxylic acid, alcohol, and primary or secondary amine. This reagent differs from the four previously discussed since the reagent bonds the two antibiotic moieties via the removal of the elements of water from the functional groups. Moieties containing carboxylic acid groups can be linked with moieties containing carboxylic acid groups to form anhydrides. Moieties containing carboxylic acid groups can be linked to moieties containing alcohols or primary or secondary amines to form esters or amides. Moieties containing hydroxyl groups can be linked to moieties containing hydroxyl or primary or secondary amine groups to form ethers or substituted amines. Where pluralities of the carboxylic acid, hydroxyl or amine functional groups are contained in one or both antibiotic moieties, linkage will occur but the products may be complex and require chromatographic separation.
DESCRIPTION OF THE INVENTION
Section 1
The present invention describes methods for making a number of linked antibiotic molecules. The linked antibiotics are to be utilized in treating various infections in man and animals, without undue adverse side effects such as toxicity, inflammation and allergies.
There are several groups of these to-be linked compounds which can be enumerated: sulfonamides, penicillins, cephalosporins, quinolones, chloramphenicol, erythryomycin, metronidazole, tetracyclines and aminoglycosides. With each case, the antibiotics to be linked will be taken two at a time from the above groups, thus:
sulfonamide + sulfonamide sulfonamide + penicillin sulfonamide + cephalosporin sulfonamide + quinolone sulfonamide + chloramphenicol sulfonamide + erythromycin sulfonamide + metronidazole sulfonamide + tetracycline sulfonamide + aminoglycoside
penicillin + penicillin penicillin + cephalosporin penicillin + quinolones penicillin + chloramphenicol penicillin + erythromycin penicillin + metronidazole penicillin + tetracyclines penicillin + aminoglycosides
cephalosporin + cephalosporin cephalosporin + quinolone cephalosporin + chloramphenicol cephalosporin + erythromycin cephalosporin + metronidazole cephalosporin + tetracyclines cephalosporin + aminoglycoside
quinolone + quinolone quinolone + chloramphenicol quinolone + erythromycin quinolone + metronidazole quinolone + tetracyclines quinolone + aminoglycoside
chloramphenicol + chloramphenicol chloramphenicol + erythromycin chloramphenicol + metronidazole chloramphenicol + tetacyclines chloramphenicol + aminoglycoside erythromycin + erythromycin erythromycin + metronidazole erythromycin + tetracyclines erythromycin + aminoglycoside
metronidazole + metronidazole metronidazole + tetracyclines metronidazole + aminoglycoside
tetracyclines + tetracyclines tetracyclines + aminoglycosides
aminoglycoside + aminoglycoside
Within each of the above groups of antibiotics the members of each to be linked are defined as:
1. Sulfonamides:
A. p-aminobenzenesulfonamide
Figure imgf000019_0001
B. sulfamethoxyazole
Figure imgf000019_0002
C. acetylsulfoxazole
Figure imgf000020_0001
D. sulfamethoxypyridazine
Figure imgf000020_0002
E. sulfadiazine
Figure imgf000020_0003
F. trimethoprim
Figure imgf000020_0004
2. Penicillins:
A. benzyl penicillin
Figure imgf000020_0005
B. procaine penicillin G
Figure imgf000021_0001
C. phenoxymethyl penicillin
Figure imgf000021_0002
D. ampicillin
Figure imgf000021_0003
E. amoxycillin
Figure imgf000021_0004
F. methicillin
Figure imgf000021_0005
G. oxacillin
Figure imgf000022_0001
H. cloxacillin
Figure imgf000022_0002
I. dicloxacillin
Figure imgf000022_0003
J. flucloxacillin
Figure imgf000022_0004
K. nafcillin
Figure imgf000022_0005
L. carbenicillin
Figure imgf000023_0001
M. ticaricillin
Figure imgf000023_0002
N. talampicillin
Figure imgf000023_0003
O. becampiciUin
0 H3C QCHJCHJ
Figure imgf000023_0004
P. pivampicillin
Figure imgf000023_0005
Q. penemcarboxylic acid
Figure imgf000024_0001
Coatf
R. hydroxyethyl penem
Figure imgf000024_0002
S. imipenem
Figure imgf000024_0003
T. amdinocilin
Figure imgf000024_0004
3. Cephalosporins:
A. cephalosporin C
Figure imgf000024_0005
B. cephalothin
Figure imgf000025_0001
C. cephaloridine
Figure imgf000025_0002
D. cephradine
Figure imgf000025_0003
E. cephazolin
Figure imgf000025_0004
F. cephalexin
Figure imgf000025_0005
G. cefadroxil
Figure imgf000026_0001
H. cefaclor
Figure imgf000026_0002
I. cephamandole
Figure imgf000026_0003
J. cefiiroxine
Figure imgf000026_0004
K. cefotaxime
Figure imgf000026_0005
L. ceftizoxime
Figure imgf000027_0001
M. ceftazidime
Figure imgf000027_0002
N. cefoperazone
Figure imgf000027_0003
O. cephamycin C
Figure imgf000027_0004
P. cefoxitin
Figure imgf000027_0005
Q. moxalactam
Figure imgf000028_0001
4. Quinolones:
A. nalidixic acid
Figure imgf000028_0002
B. norfloxacin
Figure imgf000028_0003
C. enoxacin
Figure imgf000028_0004
D. ciprofloxacin
Figure imgf000028_0005
E. ofloxacin
N
Figure imgf000029_0001
5. Chloramphenicol:
Figure imgf000029_0002
6. Erythromycin:
A. erythromycin
Figure imgf000029_0003
7. Metronidazole:
Figure imgf000029_0004
8. Tetracyclines:
Figure imgf000029_0005
B. oxytefracyciine
Figure imgf000030_0001
C. chlortetracycline
Figure imgf000030_0002
D. rolitefracyciine
Figure imgf000030_0003
E. methacycline
Figure imgf000030_0004
F. doxycycline
Figure imgf000031_0001
G. demeclocycline
Figure imgf000031_0002
H. sancycline
Figure imgf000031_0003
I. lymecycline
Figure imgf000031_0004
ccoW. J. clomocycline
Figure imgf000032_0001
K. minocycline
Figure imgf000032_0002
9. Aminoglycosides: A streptomycin
Figure imgf000032_0003
B. tobramycin
Figure imgf000032_0004
C. kanamycin
Figure imgf000033_0001
D. amikacin
Figure imgf000033_0002
E. gentamicin Cl
Figure imgf000033_0003
F. nitilimicin
Figure imgf000033_0004
G. neomycin
Figure imgf000034_0001
H. paromomycin
Figure imgf000034_0002
I. spectinomycin
Figure imgf000034_0003
The linking agents that will be used to link the antibiotic moities are drawn from several classes of organic molecules:
I. Diisocyanates and related structures
II. Dianhydrides
III. Diacidchlorides
IV. Diepoxides V. Dicyclohexylcarbodiimide and related structures The class I linking agents are drawn from the group consisting of the following structures:
I. Diisocyanates and related structures: A. hexamethylene diisocyanate
OCN(CH2)6NCO
B. 2,4-tolyldiisocyanate
Figure imgf000035_0001
C. 2,6-tolyldiisocyanate
Figure imgf000035_0002
D. 4,4 -methylene-bis-phenylisocyanate
Figure imgf000035_0003
E. 4,4'-isopropylidene-bis-phenylisocyanate
Figure imgf000035_0004
F. 1,4-phenyldϋsothiocyanate
Figure imgf000036_0001
G. 1,4-phenyldissocyanate
L fi/J' NC Q
anhydrides:
A. pyromellitic dianhydride
Figure imgf000036_0002
B. bismaleic dianhydride
C. ic anhydride
o
Figure imgf000036_0003
D. 1,2,6,7-hexane-tetracarboxylic anhydride
Figure imgf000037_0001
Figure imgf000037_0002
E. 1,2,5,6-naphthalene tetracarboxylic anhydride
Figure imgf000037_0003
III. Diacidchlorides:
A terphthalolyl dichloride
Figure imgf000037_0004
B. isophthaloyl dichloride
Figure imgf000037_0005
C. pthaloyl dichloride
Figure imgf000037_0006
D. adipo
Figure imgf000038_0001
E. glutaryl chloride
Figure imgf000038_0002
IV. Diepoxides and related structures: A. 1,3-butadiene diepoxide
2 _ o / ^o /
B. cyclooctatetraene diepoxide, 1.5
Figure imgf000038_0003
C. vinyl cyclohexene
Figure imgf000038_0004
D. divinylbenzene epoxide
Figure imgf000039_0001
V. Carbodumides and related structures: A. Dicyclohexylcarbodiimide
Figure imgf000039_0002
B. Ditolylcarbodiimide
Figure imgf000039_0003
DESCRIPTION OF THE INVENTION Section 2
Methods of Linking Antibiotic Moieties:
The structure of the two antibiotic moieties being linked will determine the nature of the particular linking agent to be employed. Thus when sulfonamides listed above are to be coupeled the basic sulfonamide structure below shows that the group which will be linking the two sulfonamide
Figure imgf000040_0001
structures is the aromatic amino group. Consideration of the entire group of sulfonamides listed above will show that the only reactive group is the aromatic amino group. Of the five linking reagents listed above, four may be employed: diisocyanates, dianhydrides, diacidchlorides, and diepoxides.
The structures which result from coupling sulfonamides with sulfonamides are shown below.
Y- NCO + li*-® -5 *
Figure imgf000040_0002
Figure imgf000040_0003
When identical sulfonamides are linked only a single product will result, but obviously when two nonidentical sulfonamides species are linked, three products will result as shown below.
K NH* + acN - y~ NCO +- ftW Λltt R '
Figure imgf000041_0002
Figure imgf000041_0001
R H fαW l? '
Figure imgf000041_0003
R H HSO- A)r- H
Figure imgf000041_0004
Altt (?
R'H NSi-<g>- NH- £klH - V - NH -f- NH-^ so. NΛ*'
Since, in the experimental section below, equimolar quantities are used in all reactions the mixed products will predominate where the two reacting moieties have diverse structures. The modern methods of liquid chromatography render the separation of such simple mixtures, as above, to be quite simple, thus adequate material can be separated for microbial evaluation tests. Commercial quantities can be separated via preparative scale HPLC (high performance liquid chromatography).
The linking of two antibiotic moieties by utilizing dianhydrides follows a course identical to that described for diisocyanate linking agents, i.e., when a single type moiety is employed, a single product will result, but when two dissimilar moieties are employed, three products will result. As noted with diisocyanates, separation and evaluation of these products is not difficult.
Figure imgf000042_0001
The linking of two antibiotic moieties utilizing diacid chlorides will pursue a course analagous to the reactions of diisocyanates. When a single antibiotic entity reacts with a diacid chloride a single entity results, but when two different entities react, three products are formed.
Figure imgf000042_0002
Figure imgf000042_0003
Symbolically, the three products can be seen as:
H O O H
I ll II I
A-N-C-Y-C-N-A H O O H
I II II I A-N-C-Y-C-N-B
H O O H
I II II I
B-N-C-Y-C-N-B
The reaction of two antibiotic moieties with a diepoxide follows a course similar to the diisocyanate reaction with a single moiety resulting in a single product and two moieties resulting in three products, as shown below.
H ϊ Cfc- CH -V- H -CH* + HaN- -WiNH-a.
K».NWE
Figure imgf000043_0001
It will be noted that in the ring opening reaction the attack occurs on carbon #1 in the epoxy group predominantly.
BNH
Figure imgf000043_0002
A-NH - CH9 - CH - Y - CH - CH - A 1 I i l
OH OH A-NH-CH9 -CH-Y-CH9-CH-B
I I
OH OH
B -NH - CH9 - CH - Y - CH - CH - B
OH OH
The above comments with respect to product mix apply to all antibiotic linking reactions occurring with the linking agents diisocyanates, dianhydrides, diacid chlorides, and diepoxides.
The use of the dicarbodumides with antibiotic moieties follows a different pattern. The situation when linking antibiotic moieties via carbodumides is the result of removing the elements of water from two moieties.
Thus the linking of two antibiotic moieties depends upon the presence of the following groups: carboxyl, amino and hydroxyl and requires a minimum total of two such groups, but with a further plurality may also be utilized. The possible combinations of the three reactive groups are five.
O β // // 1. Y-COOH + Y-COOH-^Y-C-O-C-Y
2. Y-COOH + YOH Y-C-O-Y
P /H 3. Y - COOH + YNH2 ) Y- -N-Y
4. Y-OH-YOH ) Y-O-Y 5. Y-OH + YNH2 > Y-N-Y
1
H
The linking of two antibiotic moieties via the groups above produces the following products:
0 O // //
1. anhydride Y-C-O-C-Y
2. ester Y-C A-O-Y
3. amide Y-C A-NH-Y
4. ether Y-O-Y
5. amine Y-NH-Y
When two antibiotics are linked each containing a single reactive group, as one COOH and one NH2, only a single product will result; see the example below of the reaction of dicyclohexylcarbodiimide with p-aminobenzene- sulfonamide with benzylpenicillin.
Figure imgf000045_0001
>
Figure imgf000045_0002
The amide product is easily separated from the by-product dicyclo- hexylurea by crystallization or liquid chromatography techniques.
When more than two active groups are present on a single moiety as penicillin type, carbenicillin, two products will result when linked with p- aminobenzenesulfonamide via dicyclohexylcarbodiimide, as shown below.
Figure imgf000046_0001
Nrf,
Figure imgf000046_0003
Figure imgf000046_0002
+
Figure imgf000046_0004
Rules are developed in the "Rules" section below to account for all products with all linking reagents linking the many antibiotic moieties.
Linking Rules
The linking rules developed below are based on the interactions of the five linking agents with a large number of eight classes of antibiotics. DESCRIPTION OF THE INVENTION
Section 3
The rules for linking the antibiotic moities are developed by considering all of the above data just concluded for linking all of the individual members of the said eight groups of antibiotics.
The linking rules are as follows:
1. Diisocyanates can react with all acid carboxyl groups, all hydroxyl groups and all primary and secondary amino groups. Thus any antibiotic moiety containing a carboxylic acid group, a hydroxyl group or an amine group, can be linked to any other antibiotic moiety also containing a carboxylic acid group, hydroxyl or amine function.
When a single antibiotic moiety contains a plurality of groups, as a carboxyl group and a hydroxyl group, or a carboxyl group and an amino group, this moiety can be linked by reaction with a diisocyanate to a second antibiotic moiety containing a plurality of groups, as a carboxyl group and a hydroxyl group, or a carboxyl group and an amino group.
When a diisocyanate is utilized to link antibiotic moieties containing a plurality of carboxyl acid, alcohol and amino groups, a mixture of products will be realized, but with chromatographic techniques the mixtures are easily separated.
Summarizing: the diisocyanate reagent can be used to link any two antibiotic moieties each containing at least one carboxylic acid, alcohol or amino functional group, and can also be used when each antibiotic contains a plurality of said groups. 2. Dianhydrides can be utilized to link a wide variety of antibiotic moitieties in which each moiety contains at least one hydroxyl or primary or secondary amine group. The dianhydride reagent can also be utilized to link antibiotic moities in which each moiety contains a multiplicity of hydroxyl or amino groups. In cases involving the linking of antibiotic moities containing a multiplicity of groups, a mix of products will be realized but can be separated easily via chromatographic techniques.
3 Diacidchlorides as a linking agent are covered by rules identical to those for dianhydrides. Diacidchlorides can be used to link a wide variety of antibiotic moieties in which each moiety contains at least one hydroxyl or amino group. The aciddichloride reagent can also be used to link antibiotic moieties where each moiety contains a multiplicity of hydroxyl or and amino groups. In cases involving a multiplicity of groups, a mixture of products will be realized which can be separated easily via chromatographic techniques.
4. Diepoxides as linking agents can be used to link antibiotic moities where each moiety contains a carboxyl, hydroxyl, or amino group, or where each moiety contains a plurality of said groups. When antibiotics possessing a plurality of such groups react with the epoxy linking agents a complex mix of products will be formed which can be separated via chromatographic techniques.
5. Carbodumides as linking agents can be utilized to link a very large number of antibiotic types. Antibiotic moieties in which each moiety contains a single carboxyl group yield anhydrides. Antibiotic moities in which one moiety contains a carboxyl group only will react with a moiety containing a single hydroxyl group to form a single ester. Antibiotic moieties containing a plurality of carboxyl and hydroxyl groups will form a complex mixture of esters when reacted with carbodumides. Antibiotic moieties containing a single carboxyl group will react with antibiotic moieties containing a single amino group to form a single product containing an amide group. When antibiotic moieties containing a multiplicity of carboxyl, hydroxyl and amino groups are linked via carbodumides, a mixture of esters and amides will be formed. When antibiotic moieties containing singular hydroxyl groups or a multiplicity of hydroxyl groups are linked, the products will be singular or multicomponent ethers. The linking of antibiotic moieties containing singular or multiple hydroxyl and amino groups leads to the formation of a single substituted amine, or a multiplicity of amines. All of the mixtures generated by the above said reactions can be separated via chromatographic techniques.
DESCRIPTION OF THE INVENTION
Section 4
Experimental Procedures
General Comments - The procedures outlined and discussed below describe the experimental procedures necessary to carry out the linking procedures with the many antibiotic moieties previously described in this application.
Procedures for each linking reagent.
Coupling reactions using: 1. Diisocyanates:
Solvents pyridine 50 ml anhydrous
DMAC 50 ml anhydrous
DMF 50 ml anhydrous
N-methylpyrrolidone 50 ml anhydrous
Temperature 0 to 50°C
Time 5-10 hours Quantities 0.01 mole each antibiotic moiety, 0.005 mole of linking reagent
Monitor via IR spectroscopy for -NCO group, 4.45 μ Work-up add water to ppt. product achieve separation of products via chromatography; TLC, column or HPLC.
Evaluation apply to streaked plate of several cultures~E. coli, Strep. Group A, P. aruginosa Equipment 250 ml round bottom 3-neck flask equipped with glascol mantle for heating, thermometer, reflux condenser and teflon stirring bar energized by magnetic stirring.
Coupling reactions using:
2. Dianhydrides Solvents Same as "1". Temperature Same as \ Time Same as "1".
Quantities Same as "1". Monitor IR via 5.50 and 5.80 anhydride band Work up See l . Evaluation See l.
Coupling reactions utilizing:
3. Diacid chlorides*
All same as 1, but IR monitor via 5.80 acid chloride band in IR
*Prior to the addition of water to terminate the reaction g. (0.25 ml) of sodium bicarbonate is added in small portions to neutralize all hydrochloric acid.
Coupling reactions utilizing:
4. Diepoxides
All same as in 1, but reaction time may be extended to 24 hours to complete reaction. IR monitor via epoxide band at 9.5 μ. Coupling reactions utilizing: 5. Carbodiimide
All same as 1, but reaction time may be as short as 1 hour. IR monitor is via carbodiimide band at 4.50μ.
Example procedure
1. The reaction p-aminobenzene sulfonamide with sulfapyridine.
The dry pyridine solvent, 50 ml., is placed in the 250 ml round bottom flask and 1.72 g. (0.01 mole) of p-aminobenzenesulfonamide and 1.68 g. (0.01 mole) of hexyldiisocyanate is added, the temperature raised to 40°C by means of the variac controlling the heating of the glascol mantle. The heating and stirring are continued for 4 hours, and at the end of each hour a small sample is withdrawn from the flask by means of a pippette and examined by means of IR sectroscopy. The IR spectrocopy scan is determined from 2.5 microns to 15.0 microns, and the concentration of diisocyanate is determined from the intensity of the absorption band at 4.45 microns, a band due to the -NCO group. A steady drop in the concentration of the -NCO group indicates progress of the reaction. At the end of 4 hours at 40°C the concentration of the isocyanate group has dropped by 80 per cent. The reaction is forced to conclusion by raising the temperature to 50°C for two hours, at the end of which time the -NCO group is not detectable by IR spectroscopy.
The reaction is terminated by the addition of 50 ml of water and the precipitated reaction product dried in a vacuum oven at 25°C for 2 hours to yield 3.0 g., 8.8 per cent. The product was evaluated for biological activity via applying a 1 per cent solution in pyridine to TLC (thin layer chromatography) plates. The developing solvent used was a 10-90 mixture of acetone and methanol, and the progress was monitored by a UV light. The spots on the chromatogram were evaluated via mechanical removal and the absorbent was separated from the product fraction by dissolving in pyridine, and the pyridine solution was dried onto filter paper. Tabs of the filter paper were applied to ager culture plates streaked with standard bacterial cultures of S. aureus, E. coli and P aureginosa. Standard antibiotics, as p-aminosulfonamide and penicillins were used for comparison. All products showed modest inhibition zones in the vicinity of the filter paper tabs containing the product fractions.
Larger quantities of products are obtainable for animal testing most simply via prep scale liquid chromatography.

Claims

What is claimed is:
An acid anhydride of the formula
Figure imgf000054_0001
in which Rj is .
Figure imgf000054_0002
O
II
<^>-0-CH2-C // \N - CH - C -
I o
Figure imgf000054_0003
Figure imgf000054_0004
Figure imgf000055_0001
Figure imgf000055_0002
R2 and R^ are:
O O
II /I
- CH90 - C - CH3, - NH - C - (CH2j 3 -CH - COOH; CH2 OCOCH3, NH -
Figure imgf000056_0001
Figure imgf000056_0002
Figure imgf000056_0003
o
Figure imgf000056_0004
WH
O
-CH3, NH - C - CH -^ - ° H MH .
O
Figure imgf000056_0005
\
CH CH2OCOCH3, NH -
Figure imgf000057_0001
Figure imgf000057_0002
Figure imgf000057_0003
Figure imgf000057_0004
2. A process for preparing the compounds of Claim 1 by reacting a penicillin compound with a cephalosporin compound in the presence of dicyclohexylcarbodiimide in pyridine solution, and isolating the reaction product by means of liquid chromatography and identifying the reaction product by means of IR spectroscopy.
3. A compound of the general formula
Figure imgf000058_0001
where Z is (CH2)n wherein n is 2-20 methylene units and Rj is one of the following groups of antibiotics a) A beta-lactam of the general formula
Figure imgf000058_0002
wherein Y is a side chain containing a pendant amino group;
b) A beta-lactam of the general formula, termed cephalosporin type,
Figure imgf000058_0003
Coo >-J wherein the molecule contains a six-member sulfur-containing ring, R is H, methyl or carboxyl, and R is a complex side chain always carrying a pendant amine group;
c) A quinolone antibacterial of the general formula wherein
Figure imgf000059_0001
R5 is a carbon or a nitrogen atom and the piperazinyl side-chain carries one free secondary amino group;
d) shown containing
Figure imgf000059_0002
a reactive hydroxyl in the 2" position in the diisoamine portion of the erythromycin molecule; all said antibiotics being linked to chloramphenicol;
4. A process for the preparation of the compounds of Claim 3 by reacting 2,2-dichloro-N-[2-hydroxyl-l-hydroxymethyl-2-(4-nitroρhenyl)ethyl] acetamide with a penicillin, a cephalosporin, a quinolone and an erythyromycin in the presence of a diacid chloride of the structure
O O,
Cl - C - (CH2)n - C - Cl wherein n is greater than 2 in pyridine solution and isolating the reaction product by means of liquid chromatography and identifying the reaction product by means of IR spectroscopy.
Figure imgf000060_0001
wherein Z is (CH2)n wherein n is 2-20 and Ri is one of the following groups of antibiotics a) A beta-lactam of the penicillin type where Y is a side chain containing a pendant amino group a) r
I
Figure imgf000060_0002
7 ϋ Co ol'
Figure imgf000061_0001
b) A beta-lactam of the cephalosporin type wherein the molecule contains a 6-membered ring containing sulful, R2 is a methyl, hydrogen or carboxyl group and R3 is a complex side chain carrying one pendant primary amino group,
c) A quinolone antibacterial of the general formula
Figure imgf000061_0002
wherein R5 is a carbon or nitrogen atom and the piperazinyl side- chain carries one free secondary amino group.
6. A process for the preparation of the compounds of Claim 5 by reactioning erythyromvcin with a penicillin, a cephalosporin, and a quinolone in the presence of a diacid chloride, of the structure
Figure imgf000061_0003
wherein n is greater than 2, in pyridine solution and isolating the reaction product by means of liquid chromatography and identifying the reaction product by means of IR spectroscopy.
7. An acid anhydride of the formula
Figure imgf000062_0001
0
in which Rj is equivalent to Rj in Claim 1, and R4 , R5, R^, are respectively
Ethyl, - H, - C = ; Ethyl, H, N = ;
cyclopropyl, H, = C -;
Figure imgf000062_0002
8. A process for the preparation of the compounds of Claim 7 by reacting a penicillin with quinolones in the presence of dicyclohexylcarbodiimide in pyridine solution and isolating the reaction product by means of liquid chromatography and identifying the reaction product by means of IR spectroscopy.
9. A pharmaceutical compound having the following formula
°Z.
Figure imgf000063_0001
where "n" is an integer of 2-12; and where "Z" is selected from the group consi
Figure imgf000063_0002
b)
Figure imgf000063_0003
Figure imgf000064_0001
Figure imgf000064_0002
and
r o /-)
Figure imgf000064_0003
(5
all antibiotic a - e being linked to 2-methyl-5-nitroimidazole-l-ethanol.
10. A process for the preparation of the compounds of Claim 7 by reaction of 2-methyl-5-nitroimidazole-l-ethanol with a penicillin, a cephalosporin, a tetracycline, chloramphenicol, and a quinolone in the presence of a diacid chloride,
O O
Cl - C l - (CH2)n - fc* - Cl wherein n is greater than 2 in pyridine solution and isolating the reaction product by means of liquid chromatography and identifying the reaction product by means of IR spectroscopy.
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US7091196B2 (en) 2002-09-26 2006-08-15 Rib-X Pharmaceuticals, Inc. Bifunctional heterocyclic compounds and methods of making and using same
US7335753B2 (en) 2002-09-26 2008-02-26 Rib-X Pharmaceuticals, Inc. Bifunctional heterocyclic compounds and methods of making and using same
US8202843B2 (en) 2004-02-27 2012-06-19 Rib-X Pharmaceuticals, Inc. Macrocyclic compounds and methods of making and using the same
US8841263B2 (en) 2004-02-27 2014-09-23 Melinta Therapeutics, Inc. Macrocyclic compounds and methods of making and using the same
US10028963B2 (en) 2011-09-09 2018-07-24 Merck Sharp & Dohme Corp. Methods for treating intrapulmonary infections
US9724353B2 (en) 2011-09-09 2017-08-08 Merck Sharp & Dohme Corp. Methods for treating intrapulmonary infections
US8968753B2 (en) 2013-03-15 2015-03-03 Calixa Therapeutics, Inc. Ceftolozane-tazobactam pharmaceutical compositions
US9044485B2 (en) 2013-03-15 2015-06-02 Calixa Therapeutics, Inc. Ceftolozane antibiotic compositions
US9320740B2 (en) 2013-03-15 2016-04-26 Merck Sharp & Dohme Corp. Ceftolozane-tazobactam pharmaceutical compositions
US9872906B2 (en) 2013-03-15 2018-01-23 Merck Sharp & Dohme Corp. Ceftolozane antibiotic compositions
US10420841B2 (en) 2013-03-15 2019-09-24 Merck, Sharp & Dohme Corp. Ceftolozane antibiotic compositions
US11278622B2 (en) 2013-03-15 2022-03-22 Merck Sharp & Dohme Corp. Ceftolozane antibiotic compositions
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