Claims
- 1. A compound of the formula ##STR14## in which Z signifies oxygen or sulphur and R signifies hydrogen, lower (cyclo)alkyl optionally substituted by carboxy, lower alkoxycarbonyl, carbamoyl, lower alkylcarbamoyl, phenylcarbamoyl or hydroxyphenylcarbamoyl, lower alkenylmethyl, lower alkenylmethoxycarbonyl, formyl, lower (cyclo)alkanoyl or (cyclo)alkylsulphonyl optionally substituted by halogen, cyano, carbamoyl-lower-alkoxy, carbamoyl-lower alkylthio or carbamoyl-lower alkylamino, carbamoyl optionally substituted by lower (cyclo)alkyl, lower alkoxycarbonyl-lower aIkyl, benzyloxycarbonyl-lower alkyl or carboxy-lower alkyl or a ring structure of the formulae
- Q--X--CO-- (a1)
- Q--X--SO.sub.2 -- (a2)
- wherein Q represents a 5- or 6-membered ring optionally containing nitrogen, sulphur and/or oxygen and X represents a direct bond or one of the groups --CH.sub.2 --, --CH.sub.2 CH.sub.2 --, --CH.dbd.CH--, --NH--, --NHCH.sub.2 --, --CH.sub.2 NH--, --CH(NH.sub.2)--, --CH.sub.2 CH.sub.2 NH--, --C(.dbd.NOCH.sub.3)--, --OCH.sub.2 -- and --SCH.sub.2 --; and wherein further A signifies lower alkyl, hydroxy-lower alkyl, vinyl, cyanovinyl, lower alkoxy, optionally phenyl-substituted lower (cyclo)alkanoyloxy or (cyclo)alkylsulphonyloxy, optionally lower-(cyclo)alkyl-substituted benzoyloxy or phenylsulphonyloxy, a residue --S-Het or --S--CH.sub.2 -Het, wherein Her represents a 5- or 6-membered heterocycle containing nitrogen, sulphur and/or oxygen, or a residue --CH.sub.2 -L, wherein L represents optionally phenyl-substituted lower (cyclo)alkanoyloxy or (cyclo)alkylsulphonyloxy, optionally lower (cyclo)alkyl-substituted benzoyloxy or phenylsulphonyloxy, carbamoyloxy, lower (cyclo)alkoxycarbonyl, carboxy, azido, amino, lower (cyclo)alkanoylamino, lower (cyclo)alkylsulphonylamino, lower (cyclo)alkylamino, di-lower (cyclo)alkylamino, a 5- or 6-membered ring bonded to a nitrogen atom or a residue --S-Het or --S--CH.sub.2 -Het, wherein Het has the above significance,
- and pharmaceutically compatible, readily hydrolyzable esters and salts of these compounds.
- 2. The compound of claim 1, wherein R signifies a group of the formula ##STR15## wherein R.sup.1 signifies hydrogen, hydroxy, carbamoyl or sulphamoyl and each of m, n and p represent 0 or 1.
- 3. The compound of claim 2, wherein R represents the group ##STR16## wherein R.sup.1 has the significance given in claim 2.
- 4. The compound of claim 2, wherein R represents the group ##STR17## wherein R.sup.1 has the significance given in claim 3.
- 5. The compound of claim 2, wherein R represents the group ##STR18## wherein R.sup.1 has the significance given in claim 2.
- 6. The compound of claim 3, wherein R represents the group ##STR19## wherein R has the significance given in claim 2.
- 7. The compound of claim 3, wherein R represents the 4-hydroxyphenylcarbamoyl group.
- 8. The compound of claim 3, wherein R represents the 4-carbamoylphenylcarbamoyl group.
- 9. The compound of claim 1, wherein R represents an optionally fluoro- or cyano-substituted lower alkanoyl or lower alkylsulphonyl group.
- 10. The compound of claim 9, wherein R represents the formyl group.
- 11. The compound of claim 9, wherein R represents the acetyl group.
- 12. The compound of claim 9, wherein R represents the trifluoroacetyl group.
- 13. The compound of claim 9, wherein R represents the cyanoacetyl group.
- 14. The compound of claim 9, wherein R represents the methylsulphonyl group.
- 15. The compound of claim 1, wherein R represents one of the groups
- hydrogen,
- 2-oxo-pyrrolidin-3-ylcarbamoyl,
- thien-2-yl-methylcarbamoyl,
- 3,4-dihydroxy-benzylcarbamoyl,
- 2-oxo-tetrahydrothien-3-ylcarbamoyl,
- 4-sulphamoyl-benzylcarbamoyl,
- 3-methoxy-isoxazol-5-ylmethylcarbamoyl,
- 3-hydroxy-isoxazol-5-ylmethylcarbamoyl,
- 1,1-dioxo-tetrahydrothien-3-ylmethylcarbamoyl,
- (2-amino-thiazol-4-yl)-methoxyiminoacetyl,
- 1-methyl-1H-tetrazol-5-ylsulphanylacetyl,
- 3-carbamoyl-pyridin-1-ylioacetyl.
- 16. The compound of claim 1, wherein R represents one of the groups
- 2-t-butoxycarbonyl-ethylcarbamoyl,
- 4-hydroxy-benzylcarbamoyl,
- trifluoromethylsulphonyl,
- benzyloxycarbonylcarbamoyl,
- benzylcarbamoyl,
- cyclopropylcarbamoyl,
- 4-sulphamoyl-benzylcarbamoyl,
- 2-thiophen-2-yl-ethylcarbamoyl,
- 5-methyl-1,3,4-thiadiazol-2-yl-sulphonylacetyl,
- 5-amino-1,3,4-thiadiazol-2-yl-sulphonylacetyl,
- pyridin-4-ylsulphahylacetyl,
- phenylaminoacetyl,
- 4-hydroxy-phenylcarbamoylmethyl,
- methoxycarbonylmethyl,
- ethyl,
- carbamoylmethyl,
- pyridin-4-ylsulphanylacetyl,
- 3-carbamoyl-pyridin-1-ylioacetyl,
- carbamoylmethylsulphanylacetyl,
- (R)-benzyloxycarbonylamino-phenyl-acetyl,
- (R)-amino-phenyl-acetyl,
- carboxymethylcarbamoyl.
- 17. The compound of claim 1, wherein A represents a residue --CH.sub.2 -L.
- 18. The compound of claim 17, wherein L signifies a group of the formula
- --OCONR.sup.2 R.sup.3 (c)
- wherein R.sup.2 represents hydrogen and R.sup.3 represents hydrogen, lower (cyclo)alkyl, halo-lower alkyl, carbamoylmethyl or a residue --(CH.sub.2).sub.q Q, wherein q is 0, 1 or 2 and Q has the above significance, or R.sup.2 and R.sup.3 together with the nitrogen atom represent a saturated N-heterocycle optionally containing sulphur, oxygen or additional nitrogen.
- 19. The compound of claim 18, wherein R.sup.2 represents hydrogen and R.sup.3 represents hydrogen or one of the groups
- methyl,
- cyclopropyl,
- 2,2,2-trifluoroethyl,
- phenyl,
- p-hydroxyphenyl,
- benzyl,
- p-hydroxybenzyl,
- 4-pyridylmethyl,
- carbamoylmethyl,
- 1H-tetrazol-5-yl.
- 20. The compound of claim 18, wherein --NR.sup.2 R.sup.3 represents one of the groups
- piperazinyl,
- 4-methyl-piperazinyl,
- 4-morpholinyl,
- 4-thiomorpholinyl.
- 21. The compound of claim 19, wherein A represents the carbamoyloxymethyl group.
- 22. The compound of claim 1, wherein A represents a group of the formula ##STR20## in which each of r and s represent 0 or 1 and ##STR21## represents a 5- or 6-membered N-heterocycle optionally containing a sulphur or oxygen atom; and in which R.sup.4 signifies lower alkyl, sulphonylmethyl or a group of the formula
- --CH.sub.2 CONR.sup.5 R.sup.6 (d 1)
- and R.sup.5 signifies hydrogen and R.sup.6 signifies hydrogen, lower (cyclo)alkyl, hydroxy, carbamoylmethyl, halo-lower alkyl or a residue --(CH.sub.2).sub.q Q, wherein q is 0, 1 or 2 and Q has the above significance, or R.sup.5 and R.sup.6 together with the nitrogen atom to which they are bound represent a saturated N-heterocycle optionally containing sulphur, oxygen or additional nitrogen.
- 23. The compound of claim 22, wherein the residue ##STR22## represents a 1-R.sup.4 -substituted 1H-tetrazol-5-yl residue.
- 24. The compound of claim 23, wherein R.sup.4 represents methyl.
- 25. The compound of claim 22, wherein R.sup.4 represents group (d1) in which R.sup.5 signifies hydrogen and R.sup.6 signifies hydrogen, methyl, cyclopropyl, phenyl, p-hydroxyphenyl, benzyl, phenethyl, carbamoylmethyl or hydroxy or R.sup.5 and R.sup.6 together with the nitrogen atom to which they are bound signify piperazinyl, 4-methyl-piperazinyl, 4-morpholinyl or 4-thiomorpholinyl.
- 26. The compound of claim 24, wherein A represents the 1-methyl-1H-tetrazol-5-ylsulphanylmethyl group.
- 27. The compound of claim 24, wherein A represents the 1-carbamoylmethyl-1H-tetrazol-5-ylsulphanylmethyl group.
- 28. The compound of claim 1, wherein A represents a group of the formula ##STR23## in which each of r and s represent 0 or 1 and R.sup.7 represents methyl, amino, acetylamino or pyridinioacetylamino.
- 29. The compound of claim 28, wherein A represents the 5-amino-1,3,4-thiadiazol-2-yl-sulphanylmethyl group or the 5-amino-1,3,4-thiadiazol-2-yl-sulphanyl group.
- 30. The compound of claim 1, wherein A signifies a group of the formula
- --(CH.sub.2).sub.r --S--(CH.sub.2).sub.s --R.sup.8 (f)
- in which each of r and s represent 0 or 1 and R.sup.8 represents the pyridin-4-yl group or the group ##STR24## and R.sup.9 signifies methyl, benzyl, carboxymethyl or carbamoylmethyl.
- 31. The compound of claim 30, wherein A represents the pyridin-4-ylsulphanylmethyl group.
- 32. The compound of claim 1, wherein A represents one of the groups selected from
- 1-methyl-1H-tetrazol-5-ylsulphanyl,
- 5-methyl-1,3,4-thiadiazol-2-ylsulphanyl,
- 5-(pyridin-1-ylioacetylamino)-1,3,4-thiadiazol-2-ylsulphanyl,
- 1-methyl-pyridin-4-yliosulphanylmethyl,
- pyridin-1-yliomethyl,
- methylsulphonyloxy,
- 4-methyl-phenylsulphonyloxy,
- carboxymethyl,
- methoxycarbonylmethyl,
- methyl,
- vinyl, and
- acetoxymethyl.
- 33. The compound of claim 1, wherein A represents one of the groups selected from
- 2-carbamoyl-5-methyl[1,2,4]triazolo[1,5-a]pyrimidin-7-ylsulphanylmethyl,
- 1-(cyclopropyl-carbamoylmethyl)-1H-tetrazol-5-ylsulphanylmethyl,
- 1-(phenylethyl-carbamoylmethyl)-1H-tetrazol-5-ylsulphanylmethyl, 1-(carbamoylmethyl-carbamoylmethyl)-1H-tetrazol-5-ylsulphanylmethyl,
- 1-methylcarbamoylmethyl-1H-tetrazol-5-ylsulphanylmethyl,
- 1-(2-morpholin-4-yl-2-oxo-ethyl)-1H-tetrazol-5-ylsulphanylmethyl,
- 1-(4-hydroxyphenyl-carbamoylmethyl)-1H-tetrazol-5-ylsulphanylmethyl,
- 1-(hydroxy-carbamoylmethyl)-1H-tetrazol -5-ylsulphahylmethyl,
- 1-sulphonylmethyl-1H-tetrazol-5-ylsulphanylmethyl,
- 1-methyl-imidazol-2-ylsulphanylmethyl,
- 5-hydroxy-4-methyl-4H-[1,2,4]-triazol-3-ylsulphanylmethyl,
- 6,7-dihydro-5H-1-pyrindin-4-ylsulphanylmethyl,
- 5-methyl-1,3,4- thiadiazol-2-ylsulphahylmethyl,
- 1-methyl-1H-tetrazol-5-yl-methylsulphanylmethyl,
- 5-methylsulphanyl-1H-tetrazol-1-ylmethyl,
- 4-methyl-4-pyridiniosulphanyl,
- carbamoylmethylsulphanyl,
- 5-(1,4-dimethyl-1H-1,2,4-triazol-4-ium)-methylsulphanyl,
- pyridin-4-ylsulphanyl,
- 5-acetylamino-1,3,4-thiadiazol-2-ylsulphanylmethyl,
- 2-cyanovinyl (Z and E isomers),
- 1-carboxymethyl-pyridin-4-yliosulphanylmethyl,
- 1-carbamoylmethyl-pyridin-4-yliosulphanylmethyl,
- 1-benzyl-pyridin-4-yliosulphanylmethyl,
- 2,5-dihydro-6-hydroxy-2-methyl-5-oxo-1,2,4-triazin-3-ylsulphanylmethyl,
- piperidin-1-ylmethyl,
- 3-benzyloxycarbonylmethyl-pyridin-1-yliomethyl,
- 3-carboxymethyl-pyridin-1-yliomethyl,
- 4-pyridin-3-yl-thiazol-2-ylsulphahylmethyl,
- pyrimidin-2-ylsulphanyl,
- 1H-1,2,4-triazol-3-ylsulphanylmethyl,
- azidomethyl,
- acetylaminomethyl,
- methylsulphonylaminomethyl,
- 4-hydroxy-phenylcarbamoyloxymethyl,
- 2,2,2-trifluoroethylcarbamoyloxymethyl,
- cyclopropylcarbamoyloxymethyl,
- carbamoylmethylcarbamoyloxymethyl,
- methylcarbamoyloxymethyl,
- pyridinylcarhamoyloxymethyl,
- 4-hydroxy-benzylcarbamoyloxymethyl,
- 4-methyl-piperazin-1-ylcarbonyloxymethyl,
- 1H-tetrazol-5-yl-amino-carbonyloxymethyl, and
- methoxy.
- 34. A compound of the formula ##STR25## in which Z signifies oxygen or sulphur, A signifies lower alkyl, hydroxy-lower alkyl, vinyl, cyanovinyl, optionally phenyl-substituted lower (cyclo)alkanoyloxy or (cyclo)alkylsulphonyloxy, optionally lower-(cyclo)alkyl-substituted benzoyloxy or phenylsulphonyloxy, a residue --S-Het or --S--CH.sub.2 -Het, wherein Het represents a 5- or 6-membered heterocycle containing nitrogen, sulphur and/or oxygen, or a residue --CH.sub.2 -L, wherein L represents optionally phenyl-substituted lower (cyclo)alkanoyloxy or (cyclo)alkylsulphonyloxy, optionally lower (cyclo)alkyl-substituted benzoyloxy or phenylsulphonyloxy, carbamoyloxy, lower (cyclo)alkoxycarbonyl, carboxy, azido, amino, lower (cyclo)alkanoylamino, lower (cyclo)alkylsulphonylamino, lower (cyclo)alkylamino, di-lower (cyclo)aikylamino, a 5- or 6-membered ring bonded to a nitrogen atom or a residue --S-Het or --S--CH.sub.2 -Het, wherein Het has the above significance, R.sup.S signifies an amino protecting group or hydrogen, lower (cyclo)alkyl optionally substituted by carboxy, lower alkoxycarbonyl, carbamoyl, lower alkylcarbamoyl, phenylcarbamoyl or hydroxyphenylcarbamoyl, lower alkenylmethyl, lower alkenylmethoxycarbonyl, formyl, lower (cyclo)alkanoyl or (cyclo)alkylsulphonyl optionally substituted by halogen, cyano, carbamoyl-lower-alkoxy, carbamoyl-lower alkylthio or carbamoyl-lower alkylamino, carbamoyl optionally substituted by lower (cyclo)alkyl, lower alkoxycarbonyl-lower alkyl, benzyloxycarbonyl-lower alkyl or carboxy-lower alkyl or a ring structure of the formulae
- Q--X--CO-- (a1)
- Q--X--SO.sub.2 (a 2)
- wherein Q represents a 5- or 6-membered ring optionally containing nitrogen, sulphur and/or oxygen and X represents a direct bond or one of the groups --CH.sub.2 --, --CH.sub.2 CH.sub.2 --, --CH.dbd.CH--, --NH--, --NHCH.sub.2 --, --CH.sub.2 NH--, --CH(NH.sub.2)--, --CH.sub.2 CH.sub.2 NH--, --C(.dbd.NOCH.sub.3)--, --OCH.sub.2 - and --SCH.sub.2 -- and R.sup.S2 represents a carboxy protecting group.
- 35. The compound of claim 34, wherein Z represents oxygen or sulphur, R.sup.S2 represents allyl and R.sup.S represents allyloxycarbonyl.
- 36. A compound of the formula ##STR26## in which Z signifies oxygen or sulphur, R.sup.S1 represents an amino protecting group, R.sup.S2 represents a carboxy protecting group and t represents the number 0 or 1.
- 37. The compound of claim 36, wherein Z represents oxygen or sulphur, R.sup.S2 represents allyl and R.sup.S1 represents allyloxycarbonyl or acetyl.
- 38. A pharmaceutical composition comprising a therapeutically effective amount of a compound of the formula ##STR27## in which Z signifies oxygen or sulphur and R signifies hydrogen, lower (cyclo)alkyl optionally substituted by carboxy, lower alkoxycarbonyl, carbamoyl, lower alkylcarbamoyl, phenylcarbamoyl or hydroxyphenylcarbamoyl, lower alkenylmethyl, lower alkenylmethoxycarbonyl, formyl, lower (cyclo)alkanoyl or (cyclo)alkylsulphonyl optionally substituted by halogen, cyano, carbamoyl-lower-alkoxy, carbamoyl-lower alkylthio or carbamoyl-lower alkylamino, carbamoyl optionally substituted by lower (cyclo)alkyl, lower alkoxycarbonyl-lower alkyl, benzyloxycarbonyl-lower alkyl or carboxy-lower alkyl or a ring structure of the formulae
- Q--X--CO-- (a1)
- Q--X--SO.sub.2 -- (a2)
- wherein Q represents a 5- or 6-membered ring optionally containing nitrogen, sulphur and/or oxygen and X represents a direct bond or one of the groups --CH.sub.2 --, --CH.sub.2 CH.sub.2 --, --CH.dbd.CH--, --NH--, --NHCH.sub.2 --, --CH.sub.2 NH--, --CH(NH.sub.2)--, --CH.sub.2 CH.sub.2 NH--, --C(.dbd.NOCH.sub.3)--, --OCH.sub.2 -- and --SCH.sub.2 --; and wherein further A signifies lower alkyl, hydroxy-lower alkyl, vinyl, cyanovinyl, lower alkoxy, optionally phenyl-substituted lower (cyclo)alkanoyloxy or (cyclo)alkylsulphonyloxy, optionally lower-(cyclo)alkyl-substituted benzoyloxy or phenylsulphonyloxy, a residue --S-Het or --S--CH.sub.2 -Het, wherein Het represents a 5- or 6-membered heterocycle containing nitrogen, sulphur and/or oxygen, or a residue --CH.sub.2 -L, wherein L represents optionally phenyl-substituted lower (cyclo)alkanoyloxy or (cyclo)alkylsulphonyloxy, optionally lower (cyclo)alkyl-substituted benzoyloxy or phenylsulphonyloxy, carbamoyloxy, lower (cyclo)alkoxycarbonyl, carboxy, azido, amino, lower (cyclo)alkanoylamino, lower (cyclo)alkylsulphonylamino, lower (cyclo)alkylamino, di-lower (cyclo)alkylamino, a 5- or 6-membered ring bonded to a nitrogen atom or a residue --S-Het or --S--CH.sub.2 -Het, wherein Het has the above significance, or a pharmaceutically compatible, readily hydrolyzable ester or salt of one of these compounds, and a pharmaceutically acceptable carrier.
- 39. The pharmaceutical composition of claim 38 further comprising a .beta.-lactam antibiotic or a pharmaceutically acceptable salt thereof.
- 40. The pharmaceutical composition of claim 39 wherein the compound of formula I and the .beta.-lactam antibiotic are present in a ratio of from about 1:20 to about 1:1.
- 41. The pharmaceutical composition of claim 40 wherein the .beta.-lactam antibiotic is selected from the group consisting of penicillins, cephalosporins, penems or carbapenems, or their respective pharmaceutically acceptable salts.
- 42. The pharmaceutical composition of claim 41, wherein the .beta.-lactam antibiotic is a penicillin.
- 43. The pharmaceutical composition of claim 42, wherein the penicillin is selected from the group benzylpenicillin, piperacillin, phenoxymethylpenicillin, carbenicillin, apalcillin, methicillin, propicillin, tricarcillin, ampicillin, amoxicillin or mecillinam.
- 44. The pharmaceutical composition of claim 41, wherein the .beta.-lactam antibiotic is a cephalosporin.
- 45. The pharmaceutical composition of claim 44, wherein the cephalosporin is selected from the group ceftriaxone, ceftazidime, cefetamet, cefatamet pivoxil, cefotaxime, cefmenoxime, ceftizoxime, cefuroxime, cephaloridine, cephalotin, cefazolin, cephalexin, cefoxitin, cephacetrile, cefamandole, cephapirin, cephradine, cephaloglycine, (6R, 7R)-7-[(Z)-2-(2-amino-4-thiazolyl)-2-(methoxyimino)acetamido]-3-(azidomethyl)-8-oxo-5-thia-1-azabicyclo[4.2.0]oct-2-ene-2-carboxylic acid or (E)-2-(isobutoxycarbonyl)-2-pentenyl (6R,7R)-7-[(Z)-2-(2-amino-4-thiazolyl)-2-(methoxyimino)acetamido]-3-(azidomethyl)-8-oxo-5-thia-1-azabicyclo[4.2.0]oct-2-ene-2-carboxylate.
- 46. The pharmaceutical composition of claim 41, wherein the .beta.-lactam antibiotic is a penem.
- 47. The pharmaceutical composition of claim 46, wherein the penem is imipenem.
- 48. The pharmaceutical composition of claim 41, wherein the .beta.-lactam antibiotic is a carbapenem.
- 49. The pharmaceutical composition of claim 48, wherein the carbapenem is meropenem.
- 50. The pharmaceutical composition of claim 45 wherein the cephalosporin is ceftriaxone or one of its pharmaceutically compatible salts.
- 51. The pharmaceutical composition of claim 50 containing ceftriaxone disodium salt hemiheptahydrate.
- 52. The pharmaceutical composition of claim 38 which is in unit dosage form.
- 53. The pharmaceutical composition of claim 52 wherein the unit dosage form is selected from tablets, dragees, suppositories, hard gelatin capsules, soft gelatin capsules, solutions, suspensions, or emulsions.
- 54. The pharmaceutical composition of claim 39 which is in unit dosage form.
- 55. The pharmaceutical composition of claim 54 wherein the unit dosage form is selected from tablets, dragees, suppositories, hard gelatin capsules, soft gelatin capsules, solutions, suspensions, or emulsions.
- 56. A pharmaceutical composition comprising
- (a) a therapeutically effective mount of a compound of the formula ##STR28## in which Z signifies oxygen or sulphur and R signifies hydrogen, lower (cyclo)alkyl optionally substituted by carboxy, lower alkoxycarbonyl, carbamoyl, lower alkylcarbamoyl, phenylcarbamoyl or hydroxyphenylcarbamoyl, lower alkenylmethyl, lower alkenylmethoxycarbonyl, formyl, lower (cyclo)alkanoyl or (cyclo)alkylsulphonyl optionally substituted by halogen, cyano, carbamoyl-lower-alkoxy, carbamoyl-lower alkylthio or carbamoyl-lower alkylamino, carbamoyl optionally substituted by lower (cyclo)alkyl, lower alkoxycarbonyl-lower alkyl, benzyloxycarbonyl-lower alkyl or carboxy-lower alkyl or a ring structure of the formulae
- --Q--X--CO-- (a1)
- --Q--X--SO.sub.2 -- (a2)
- wherein Q represents a 5- or 6-membered ring optionally containing nitrogen, sulphur and/or oxygen and X represents a direct bond or one of the groups --CH.sub.2 --, --CH.sub.2 CH.sub.2 --, --CH.dbd.CH--, --NH--, --NHCH.sub.2 --, --CH.sub.2 NH--, --CH(NH.sub.2)--, --CH.sub.2 CH.sub.2 NH--, --C(.dbd.NOCH.sub.3)--, --OCH.sub.2 -- and --SCH.sub.2 --; and wherein further A signifies lower alkyl, hydroxy-lower alkyl, vinyl, cyanovinyl, lower alkoxy, optionally phenyl-substituted lower (cyclo)alkanoyloxy or (cyclo)alkylsulphonyloxy, optionally lower-(cyclo) alkyl-substituted benzoyloxy or phenylsulphonyloxy, a residue --S-Het or --S--CH.sub.2 -Het, wherein Het represents a 5- or 6-membered heterocycle containing nitrogen, sulphur and/or oxygen, or a residue --CH.sub.2 -L, wherein L represents optionally phenyl-substituted lower (cyclo)alkanoyloxy or (cyclo)alkylsulphonyloxy, optionally lower (cyclo)alkyl-substituted benzoyloxy or phenylsulphonyloxy, carbamoyloxy, lower (cyclo)alkoxycarbonyl, carboxy, azido, amino, lower (cyclo)alkanoylamino, lower (cyclo)alkylsulphonylamino, lower (cyclo)alkylamino, di-lower (cyclo)alkylamino, a 5- or 6-membered ring bonded to a nitrogen atom or a residue --S-Het or --S--CH.sub.2 -Het, wherein Het has the above significance,
- or a pharmaceutically compatible, readily hydrolyzable ester or salt of one of these compounds; and
- (b) a .beta.-lactam antibiotic or a pharmaceutically acceptable salt thereof;
- and a pharmaceutically acceptable carrier.
- 57. The pharmaceutical composition of claim 56 which is in unit dosage form.
- 58. The pharmaceutical composition of claim 57 wherein the unit dosage form is selected from tablets, dragees, suppositories, hard gelatin capsules, soft gelatin capsules, solutions, suspensions, or emulsions.
- 59. The pharmaceutical composition of claim 56 wherein the compound of formula I and the .beta.-lactam antibiotic are present in a ratio of from about 1:20 to about 1:1.
- 60. The pharmaceutical composition of claim 59 wherein the .beta.-lactam antibiotic is selected from the group consisting of penicillins, cephalosporins, penems, or carbapenems.
- 61. The pharmaceutical composition of claim 60, wherein the .beta.-lactam antibiotic is a penicillin.
- 62. The pharmaceutical composition of claim 61, wherein the penicillin is selected from the group benzylpenicillin, piperacillin, phenoxymethylpenicillin, carbenicillin, apalcillin, methicillin, propicillin, tricarcillin, ampicillin, amoxicillin or mecillinam.
- 63. The pharmaceutical composition of claim 60, wherein the .beta.-lactam antibiotic is a cephalosporin.
- 64. The pharmaceutical composition of claim 63, wherein the cephalosporin is selected from the group ceftriaxone, ceftazidime, cefetamet, cefatamet pivoxil, cefotaxime, cefmenoxime, ceftizoxime, cefuroxime, cephaloridine, cephalotin, cefazolin, cephalexin, cefoxitin, cephacetrile, cefamandole, cephapirin, cephradine, cephaloglycine, (6R, 7R)-7-[(Z)-2-(2-amino-4-thiazolyl)-2-(methoxyimino)acetamido]-3-(azidomethyl)-8-oxo-5-thia-1-azabicyclo[4.2.0]oct-2-ene-2-carboxylic acid or (E)-2-(isobutoxycarbonyl)-2-pentenyl (6R,7R)-7-[(Z)-2-(2-amino-4-thiazolyl)-2-(methoxyimino)acetamido]-3-(azidomethyl)-8-oxo-5-thia-1-azabicyclo[4.2.0]oct-2-ene-2-carboxylate.
- 65. The pharmaceutical composition of claim 60, wherein the .beta.-lactam antibiotic is a penem.
- 66. The pharmaceutical composition of claim 65, wherein the penem is imipenem.
- 67. The pharmaceutical composition of claim 60, wherein the .beta.-lactam antibiotic is a carbapenem.
- 68. The pharmaceutical composition of claim 67, wherein the carbapenem is meropenem.
- 69. A method of treating bacterial infections in a mammal in need of such treatment which comprises administering a therapeutically effective mount of a compound of the formula ##STR29## in which Z signifies oxygen or sulphur and R signifies hydrogen, lower (cyclo)alkyl optionally substituted by carboxy, lower alkoxycarbonyl, carbamoyl, lower alkylcarbamoyl, phenylcarbamoyl or hydroxyphenylcarbamoyl, lower alkenylmethyl, lower alkenylmethoxycarbonyl, formyl, lower (cyclo)alkanoyl or (cyclo)alkylsulphonyl optionally substituted by halogen, cyano, carbamoyl-lower-alkoxy, carbamoyl-lower alkylthio or carbamoyl-lower alkylamino, carbamoyl optionally substituted by lower (cyclo)alkyl, lower alkoxycarbonyl-lower alkyl, benzyloxycarbonyl-lower alkyl or carboxy-lower alkyl or a ring structure of the formulae
- Q--X--CO-- (a1)
- Q--X--SO.sub.2 -- (a2)
- wherein Q represents a 5- or 6-membered ring optionally containing nitrogen, sulphur and/or oxygen and X represents a direct bond or one of the groups --CH.sub.2 --, --CH.sub.2 CH.sub.2 --, --CH.dbd.CH--, --NH--, --NHCH.sub.2 --, --CH.sub.2 NH--,--CH(NH.sub.2)--, --CH.sub.2 CH.sub.2 NH--, --C(.dbd.NOCH.sub.3)--, --OCH.sub.2 -- and --SCH.sub.2 --; and wherein further A signifies lower alkyl, hydroxy-lower alkyl, vinyl, cyanovinyl, lower alkoxy, optionally phenyl-substituted lower (cyclo)alkanoyloxy or (cyclo)alkylsulphonyloxy, optionally lower-(cyclo)alkyl-substituted benzoyloxy or phenylsulphonyloxy, a residue --S-Het or --S--CH.sub.2 -Het, wherein Het represents a 5- or 6-membered heterocycle containing nitrogen, sulphur and/or oxygen, or a residue --CH.sub.2 -L, wherein L represents optionally phenyl-substituted lower (cyclo)alkanoyloxy or (cyclo)alkylsulphonyloxy, optionally lower (cyclo)alkyl-substituted benzoyloxy or phenylsulphonyloxy, carbamoyloxy, lower (cyclo)alkoxycarbonyl, carboxy, azido, amino, lower (cyclo)alkanoylamino, lower (cyclo)alkylsulphonylamino, lower (cyclo)alkylamino, di-lower (cyclo)alkylamino, a 5- or 6-membered ring bonded to a nitrogen atom or a residue --S-Het or --S--CH.sub.2 -Het, wherein Het has the above significance, or a pharmaceutically compatible, readily hydrolyzable ester or salt of one of these compounds; and a pharmaceutically acceptable carrier.
- 70. The method of claim 69 which further comprises administering a therapeutically effective amount of a .beta.-lactam antibiotic and their pharmaceutically acceptable salts.
- 71. The method of claim 70 wherein the compound of formula I and the .beta.-lactam antibiotic are present in a ratio of from about; 1:20 to about 1:1.
- 72. The method of claim 70 wherein the .beta.-lactam antibiotic is selected from the group consisting of penicillins, cephalosporins, penems or carbapenems, or their respective pharmaceutically acceptable salts.
- 73. A method of treating bacterial infection in a mammal in need of such treatment comprising administering
- (a) a therapeutically effective mount of a compound of the formula ##STR30## in which Z signifies oxygen or sulphur and R signifies hydrogen, lower (cyclo)alkyl optionally substituted by carboxy, lower alkoxycarbonyl, carbamoyl, lower alkylcarbamoyl, phenylcarbamoyl or hydroxyphenylcarbamoyl, lower alkenylmethyl, lower alkenylmethoxycarbonyl, formyl, lower (cyclo)alkanoyl or (cyclo)alkylsulphonyl optionally substituted by halogen, cyano, carbamoyl-lower-alkoxy, carbamoyl-lower alkylthio or carbamoyl-lower alkylamino, carbamoyl optionally substituted by lower (cyclo)alkyl, lower alkoxycarbonyl-lower alkyl, benzyloxycarbonyl-lower alkyl or carboxy-lower alkyl or a ring structure of the formulae
- Q--X--CO-- (a1)
- Q--X--SO.sub.2 -- (a2)
- wherein Q represents a 5- or 6-membered ring optionally containing nitrogen, sulphur and/or oxygen and X represents a direct bond or one of the groups --CH.sub.2 --, --CH.sub.2 CH.sub.2 --, --CH.dbd.CH--, --NH--, --NHCH.sub.2 --, --CH.sub.2 NH--, --CH(NH.sub.2)--, --CH.sub.2 CH.sub.2 NH--, --C(.dbd.NOCH.sub.3)--, --OCH.sub.2 -- and --SCH.sub.2 --; and wherein further A signifies lower alkyl, hydroxy-lower alkyl, vinyl, cyanovinyl, lower alkoxy, optionally phenyl-substituted lower (cyclo)alkanoyloxy or (cyclo)alkylsulphonyloxy, optionally lower-(cyclo)alkyl-substituted benzoyloxy or phenylsulphonyloxy, a residue --S-Het or --S--CH.sub.2 -Het, wherein Het represents a 5- or 6-membered heterocycle containing nitrogen, sulphur and/or oxygen, or a residue --CH.sub.2 -L, wherein L represents optionally phenyl-substituted lower (cyclo)alkanoyloxy or (cyclo)alkylsulphonyloxy, optionally lower (cyclo)alkyl-substituted benzoyloxy or phenylsulphonyloxy, carbamoyloxy, lower (cyclo)alkoxycarbonyl, carboxy, azido, amino, lower (cyclo)alkanoylamino, lower (cyclo)alkylsulphonylamino, lower (cyclo)alkylamino, di-lower (cyclo)alkylamino, a 5- or 6-membered ring bonded to a nitrogen atom or a residue --S-Het or --S--CH.sub.2 -Het, wherein Het has the above significance, or a pharmaceutically compatible, readily hydrolyzable ester or salt of one of these compounds: and
- (b) a .beta.-lactam antibiotic or a pharmaceutically acceptable salt thereof;
- and a pharmaceutically acceptable carrier.
- 74. The method of claim 73 wherein the compound of formula I and the .beta.-lactam antibiotic are present in a ratio of from about 1:20 to about 1:1.
- 75. The method of claim 74 wherein the .beta.-lactam antibiotic is selected from the group consisting of penicillins, cephalosporins, penems, or carbapenems.
Priority Claims (2)
Number |
Date |
Country |
Kind |
751/94 |
Mar 1994 |
CHX |
|
260/95 |
Jan 1995 |
CHX |
|
Parent Case Info
This is a divison, of application Ser. No. 08/398,411, filed Mar. 3, 1995, now U.S. Pat. No. 5,464,617.
US Referenced Citations (7)
Foreign Referenced Citations (2)
Number |
Date |
Country |
508234 |
Oct 1992 |
EPX |
9315085 |
Aug 1993 |
WOX |
Non-Patent Literature Citations (2)
Entry |
Derwent Abstract No. AN 92-341562/42. (1992). |
Chemical Abstracts, vol. 119:11702s (1993). |
Divisions (1)
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Number |
Date |
Country |
Parent |
398411 |
Mar 1995 |
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