Claims
- 1. An antibacterial composition comprising a combination of thienamycin-type compound of the formula ##STR73## wherein X is CH.sub.2 or S; R.sup.2 is H; --S--C.sub.1 --C.sub.6 alkyl; --S--(CH.sub.2).sub.2 --NHR.sup.3 wherein R.sup.3 is H, acetyl, formimidoyl, or acetimidoyl; --S(O)--CH.dbd.CHNHCOCH.sub.3 ; or --S--CH.dbd.CHNHCOCH.sub.3 and R.sup.6 is H or ##STR74## wherein R.sup.7 is H, OH or sulfonyloxy and a dipeptidase (3.C.3.413.11) inhibitor compound of the following formula ##STR75## wherein R.sup.2 and R.sup.3 are hydrocarbon radicals in the range respectively of 3-10 and 1-15 carbon atoms; in either one of these R.sup.2 or R.sup.3 hydrocarbon chains 1-6 hydrogens may be replaced by halogens or a nonterminal methylene may be replaced by oxygen or sulfur, including oxidized forms of the latter; additionally, a terminal hydrogen in R.sup.3 can also be replaced by hydroxyl or thiol, which may be acylated or carbamoylated; or the hydrogen can be replaced by amino, which may be derivatized as in an acylamino, ureido, amidino, guanidino, or alkyl or substituted alkyl amino group, including quaternary nitrogen groupings; or, there may be replacement by acid groups such as carboxylic, phosphonic or sulfonic acid groups or esters or amides thereof, or cyano; or combinations thereof, such as a terminal amino acid grouping; and R.sup.1 is hydrogen or lower alkyl (C.sub.1-6) or dialkylaminoalkyl, or a pharmaceutically acceptable cation, the ratio of the thienamycin-type compound to the dipeptidase inhibitor being within the range of about 1:3 to about 30:1.
- 2. The composition of claim 1 in which the combination is mixed with a pharmaceutical carrier.
- 3. The composition of claim 2 in which the carrier is adapted for injection.
- 4. The composition of claim 1 in which the thienamycin-type compound is thienamycin.
- 5. The composition of claim 1 in which the thienamycin-type compound is N-formimidoylthienamycin.
- 6. The composition of claim 1 in which the thienamycin-type compound is N-acetimidoylthienamycin.
- 7. The composition of claim 1 in which R.sup.2 can be R.sup.4, wherein R.sup.4 is branched or cyclic hydrocarbon of 3-10 carbon atoms;
- --R.sup.5 R.sup.6, wherein R.sup.5 is cycloalkyl of 3-6 carbon atoms and R.sup.6 is either 1 or 2 alkyl substituents which may be joined to form another ring on the cycloalkyl group or R.sup.6 is 1 or 2 chloro substituents; or
- --R.sup.7 R.sup.8, wherein R.sup.7 is alkylene of 1-3 carbon atoms and R.sup.8 is cycloalkyl of 3-6 carbon atoms.
- 8. The composition of claim 1 in which R.sup.2 is straight, branched or cycloalkyl of 3-10 carbon atoms, providing the carbon adjacent to the carbonyl cannot be tertiary.
- 9. The composition of claim 1 in which R.sup.2 is
- --R.sup.5 R.sup.6
- wherein R.sup.5 is cycloalkyl of 3-6 carbon atoms and R.sup.6 is either 1 or 2 alkyl substituents which may be joined to form another ring on the cycloalkyl group.
- 10. The composition of claim 1 in which R.sup.2 is
- --R.sup.7 R.sup.8
- wherein R.sup.7 is an alkylene group of 1--3 carbon atoms and R.sup.8 is cycloalkyl of 3-6 carbon atoms.
- 11. The composition of claim 1 in which R.sup.2 is 2,2-dimethylcyclopropyl.
- 12. The composition of claim 1 in which R.sup.2 is 2,2-dichlorocyclopropyl.
- 13. The composition of claim 1 in which the dipeptidase inhibitor is Z-2-isovaleramido-2-butenoic acid.
- 14. The composition of claim 1 in which the dipeptidase inhibitor is Z-2-(2,2-dimethylcyclopropanecarboxamido)-2-butenoic acid.
- 15. The composition of claim 1 in which the dipeptidase inhibitor is Z-2-(2,2-dimethylcyclopropanecarboxamido)-2-pentenoic acid.
- 16. The composition of claim 1 in which the dipeptidase inhibitor is Z-2-(2,2-dimethylcyclopropanecarboxamido)-2-octenoic acid.
- 17. The composition of claim 1 in which the dipeptidase inhibitor is Z-2-(2,2-dimethylcyclopropanecarboxamido)-2-heptenoic acid.
- 18. The composition of claim 1 in which the dipeptidase inhibitor is the 2-dimethylaminoethyl ester of Z-2-(2,2-dimethylcyclopropanecarboxamido)-2-octenoic acid.
- 19. The composition of claim 1 in which the dipeptidase inhibitor is Z-2-(2,2-dimethylcyclopropanecarboxamido)-8-[1-(phosphono)ethylamino]-2-octenoic acid.
- 20. The composition of claim 1 in which the dipeptidase inhibitor is Z-2-(2,2-dimethylcyclopropanecarboxamido)-8-trimethylammonium-2-octenoic acid.
- 21. The composition of claim 1 in which the dipeptidase inhibitor is Z-2-(2,2-dichlorocyclopropanecarboxamido)-8-trimethylammonium-2-octenoic acid.
- 22. The composition of claim 1 in which the dipeptidase inhibitor is Z-2-(2,2-dimethylcyclopropanecarboxamido)-8-guanidino, or amidino, or ureido-2-octenoic acid.
- 23. The composition of claim 1 in which the dipeptidase inhibitor is 6-(L-2-amino-2-carboxyethylthio)-2-(2,2-dimethylcyclopropanecarboxamido)-2-hexenoic acid.
- 24. The composition of claim 1 in which the dipeptidase inhibitor is 7-(L-2-amino-2-carboxyethylthio)-2-(2,2-dimethylcyclopropanecarboxamido)-2-heptenoic acid.
- 25. The composition of claim 1 in which one dipeptidase inhibitor is Z-8-[(carboxymethyl) methylamino]-2-(2,2-dimethylcyclopropane carboxamido)-2-octenoic acid.
- 26. The composition of claim 1 in which the dipeptidase inhibitor is Z-8-[(2-amino-2-oxoethyl) thio]-2-(2,2-dimethylcyclopropane carboxamido)-2-oxoethyl)thio]-2-(2,2-dimethylcyclopropane carboxamido)-2-octenoic acid.
- 27. The composition of claim 1 in which the dipeptidase inhibitor is Z-8-cyano-2-(2,2-dimethylcyclopropane carboxamido)-2-octenoic acid.
- 28. The composition of claim 1 in which the dipeptidase inhibitor is Z-8-acetamido-2-(2,2-dimethylcyclopropane carboxamido)-2-octenoic acid.
- 29. An antibacterial composition comprising (A) N-formimidoylthienamycin and (B) 7-(L-2-amino-2-carboxyethylthio) 2-(2,2-dimethylcyclopropane-carboxamido) 2-heptenoic acid or its sodium, potassium, calcium or magnesium salt form, wherein the weight ratio of (A):(B) is about 1.1.
- 30. The method for treating bacterial infections which comprises administering to an animal either separately or together an antibacterially effective amount of the composition of claim 1.
- 31. The method of claim 30 in which the thienamycin-type compound is N-formimidoylthienamycin.
- 32. The method of claim 30 in which the dipeptidase inhibitor is 7-(L-2-amino-2-carboxyethylthio)-2-(2,2-dimethylcyclopropane carboxamido)-2-heptenoic acid, or its sodium, potassium, calcium or magnesium salt form.
- 33. The method for treating bacterial infections which comprises administering to an animal an antibacterially effective amount of a thienamycin-type compound of claim 1 and, either separately or together, from 3-200 mg/kg daily of a dipeptidase inhibitor compound of claim 1.
- 34. The method of claim 33 wherein the dipeptidase inhibitor compound is 7-(L-2-amino-2-carboxyethylthio)-2-(2,2-dimethylcyclopropanecarboxamido)-2-heptenoic acid.
RELATIONSHIP TO PRIOR APPLICATIONS
This application is a continuation-in-part of U.S. Ser. No. 187,929 filed Sept. 17, 1980 now abandoned which was in turn a continuation-in-part of U.S. Ser. No. 050,232, filed June 22, 1979, now abandoned, which was in turn a continuation-in-part of U.S. Ser. No. 927,213, filed July 24, 1978, now abondoned.
US Referenced Citations (13)
Foreign Referenced Citations (3)
Number |
Date |
Country |
2272684 |
Dec 1975 |
FRX |
1269400 |
Apr 1972 |
GBX |
1354571 |
May 1974 |
GBX |
Non-Patent Literature Citations (1)
Entry |
J. Org. Chem., 41, pp. 3674-3677, (1976). |
Continuation in Parts (3)
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Number |
Date |
Country |
Parent |
187929 |
Sep 1980 |
|
Parent |
50232 |
Jun 1979 |
|
Parent |
927213 |
Jul 1978 |
|