Claims
- 1. A pharmaceutical composition for controlling illnesses caused by .beta.-lactamase-forming pathogens comprising:
- (a) a therapeutically effective amount of a compound having the formula ##STR23## in which R signifies lower alkoxycarbonyl, lower alkoxy-carbonylamino, the carboxylic acyl residue of an .alpha.- or .beta.-amino acid, the amino group of said .alpha.- or .beta.-amino acid being optionally substituted by lower alkyl, phenyl, lower alkanoyl, benzoyl, benzyloxycarbonyl, t-butoxycarbonyl, (4-ethyl-2,3-dioxo-1-piperazinyl)carbonyl or (4-hydroxy-6-methyl-3-pyridyl)carbonyl, or a residue of the formula
- Q--X--Y-- (a)
- wherein Q signifies a 3- to 6-membered ring which optionally contains 1-4 nitrogen atoms, and/or 1-2 sulphur or oxygen atoms and which is optionally substituted by hydroxy, halogen, lower alkyl, lower alkoxy, amino, lower alkanoyloxy, sulphonyloxy, dimethylamino or chloroacetylamino and which is optionally fused to a phenyl ring or a 5- or 6-membered heterocycle ring containing 1-3 nitrogen atoms or 1 oxygen atom, X signifies a direct bond or represents one of --O--, --S--, --NH--, --NH--NH--, --CH.sub.2 --, --CO--, --CH.sub.2 O--, --CH.sub.2 CH.sub.2 --, --CH.dbd.CH--, --CH.sub.2 NH--, --S--CH.sub.2 --, --SO.sub.2 CH.sub.2 --, --O--CH.sub.2 --, --S--CH.sub.2 CH.sub.2 --, --CH.sub.2 CH.sub.2 --NH--, --CH.sub.2 -O--NH--CO--CH.sub.2 CH.sub.2 --, --CHOH--, --CH(COOH)--, --CH(OSO.sub.3 H)--, --CH(OCONH.sub.2)--, and --CH�CH(CH.sub.3).sub.2 !--, and Y represents one of the groups --CO--, --CS--, --CONH-- and --SO.sub.2 --, except that when Y is --SO.sub.2 --, X represents one of --O--, --NH--, --NH--NH--, --CH.sub.2 --, --CH.sub.2 O--, --CH.sub.2 CH.sub.2 --, --CH.dbd.CH--, --CH.sub.2 NH--, --O--CH.sub.2 --, --CH.sub.2 CH.sub.2 --NH--, --CHOH--, and --CH�CH(CH.sub.3).sub.2 !--;
- and in which R.sup.1 and R.sup.2 together signify a group of the formula ##STR24## wherein A represents hydrogen or a residue which is usable in the 3-position of cephalosporin antibiotics, and in which R.sup.3 represents hydrogen,
- or their pharmaceutically compatible salts; and
- (b) a therapeutically effective amount of a .beta.-lactam antibiotic or their pharmaceutically compatible salts;
- and a pharmaceutically acceptable carrier.
- 2. The pharmaceutical composition in accordance with claim 1 wherein the .beta.-lactam antibiotic is selected from the group consisting of a penicillin or a cephalosporin or their respective pharmaceutically compatible salts.
- 3. The pharmaceutical composition in accordance with claim 2 wherein said penicillin is selected from the group consisting of benzylpenicillin, piperacillin, phenoxymethylpenicillin, carbenicillin, methicillin, propicillin, tricarcillin, ampicillin, amoxicillin, or mecillinam, or their pharmaceutically compatible salts.
- 4. The pharmaceutical composition in accordance with claim 2 wherein said cephalosporin is selected from the group consisting of ceftriaxone ceftazidime, cefetamet, cefatamet pivoxil, cefotaxime, cefmenoxime, ceftazadime, 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 or their pharmaceutically compatible salts.
- 5. The pharmaceutical composition in accordance with claim 4 wherein said cephalosporin is ceftriaxone or one of its pharmaceutically compatible salts.
- 6. The pharmaceutical composition of claim 2 wherein the ratio of the compound of formula I to .beta.-lactam antibiotic is from about 1:20 to about 1:1.
- 7. The pharmaceutical composition in accordance with claim 5 wherein the compound of (a) is (1aS,3aR,6bR)-1,1a,3a, 6b-tetrahydro-5-methoxy-1-oxo-2,6a-diazacyclobuta �cd !indene-2,6 (3H, 4H)-dicarboxylic acid 2-6-butyl monoester or its pharmaceutically compatible salts.
- 8. A method of inhibiting .beta.-lactamase in mammals in need of such therapy which comprises administering
- (a) a therapeutically effective amount of a compound having the formula ##STR25## in which R signifies lower alkoxycarbonyl, lower alkoxy-carbonylamino, the carboxylic acyl residue of an .alpha.- or .beta.-amino acid, the amino group of said .alpha.- or .beta.-amino acid being optionally substituted by lower alkyl, phenyl, lower alkanoyl, benzoyl, benzyloxycarbonyl, t-butoxycarbonyl, (4-ethyl-2,3-dioxo-1-piperazinyl)carbonyl or (4-hydroxy-6-methyl-3-pyridyl)carbonyl, or a residue of the formula
- Q--X--Y-- (a)
- wherein Q signifies a 3- to 6-membered ring which optionally contains 1-4 nitrogen atoms, and/or 1-2 sulphur or oxygen atoms and which is optionally substituted by hydroxy, halogen, lower alkyl, lower alkoxy, amino, lower alkanoyloxy, sulphonyloxy, dimethylamino, or chloroacetylamino, and which is optionally fused to a phenyl ring or a 5- or 6-membered heterocycle ring containing 1-3 nitrogen atoms or 1 oxygen atom, X signifies a direct bond or represents one of --O--, --S--, --NH--, --NH--NH--, --CH.sub.2 --, --CO--, --CH.sub.2 O--, --CH.sub.2 CH.sub.2 --, --CH.dbd.CH--, --CH.sub.2 NH--, --S--CH.sub.2 --, --SO.sub.2 CH.sub.2 --, --O--CH.sub.2 --, --S--CH.sub.2 CH.sub.2 --, --CH.sub.2 CH.sub.2 --NH--, --CH.sub.2 --O--NH--CO--CH.sub.2 CH.sub.2 --, --CHOH--, --CH(COOH)--, --CH(OSO.sub.3 H)--, --CH(OCONH.sub.2)--, and --CH�CH(CH.sub.3).sub.2 !--, and Y represents one of the groups --CO--, --CS--, --CONH-- and --SO.sub.2 --, except that when Y is --SO.sub.2 --, X represents one of --O--, --NH--, --NH--NH--, --CH.sub.2 --, --CH.sub.2 O--, --CH.sub.2 CH.sub.2 --, --CH.dbd.CH--, --CH.sub.2 NH--, --O--CH.sub.2 --, --CH.sub.2 CH.sub.2 --NH--, --CHOH--, and --CH�CH(CH.sub.3).sub.2 !--; R.sup.1 and R.sup.2 together signify a group of the formula ##STR26## wherein A represents hydrogen or a residue which is usable in the 3-position of cephalosporin antibiotics, and in which R.sup.3 represents hydrogen,
- or their pharmaceutically compatible salts; and
- (b) a therapeutically effective amount of a .beta.-lactam antibiotic or their pharmaceutically compatible salts;
- and a pharmaceutically acceptable carrier.
- 9. The method of claim 8 wherein the .beta.-lactam antibiotic is selected from the group consisting of a penicillin or a cephalosporin or their respective pharmaceutically compatible salts.
- 10. The method of claim 9 wherein said penicillin is selected from the group consisting of benzylpenicillin, piperacillin, phenoxymethylpenicillin, carbenicillin, methicillin, propicillin, tricarcillin, ampicillin, amoxicillin, or mecillinam, or their pharmaceutically compatible salts.
- 11. The method of claim 10 wherein said cephalosporin is selected from the group consisting of 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 or their pharmaceutically compatible salts.
- 12. The method of claim 11 wherein said cephalosporin is ceftriaxone or one of its pharmaceutically compatible salts.
- 13. The method of claim 12 wherein the compound of (a) is (1aS,3aR,6R)-1,1a,3a,6b-tetrahydro-5-methoxy-1-oxo-2,6a-diazacyclobuta�cd!indene-2,6(3H,3H)-dicarboxylic acid 2-6-butyl monoester or its pharmaceutically compatible salts.
- 14. The method of claim 8 wherein the ratio of the compound of formula I to .beta.-lactam antibiotic is form about 1:20 to about 1:1.
Priority Claims (2)
Number |
Date |
Country |
Kind |
1083/91 |
Apr 1991 |
CHX |
|
429/92 |
Feb 1992 |
CHX |
|
CROSS-REFERENCE TO RELATED APPLICATION
This is a division of application Ser. No. 08/163,611, filed Dec. 6, 1993, now abandoned which is a continuation of application Ser. No. 07/959,197, filed Oct. 9, 1992, now abandoned, which is a continuation-in-part of application Ser. No. 07/862,878, filed Apr. 3, 1992, now abandoned.
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4000154 |
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Dec 1976 |
|
4093807 |
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Jun 1978 |
|
5464617 |
Bohringet |
Nov 1995 |
|
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076 758 |
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EPX |
088 488 |
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EPX |
232 017 |
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EPX |
2202-891 |
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JPX |
Non-Patent Literature Citations (8)
Entry |
Kametani, Tetsuji, et al., Heterocycles, 20(120:2355-2358 (1983). |
Derwent Abstract No. 90-287151/38 of Japanese KOKAI 2202-891. |
Hackh's Chemical Dictionary, Fourth Edition, p. 36 (1969). |
Kametani, Tetsuji, et al., Chemical Abstracts, vol. 100, No. 19, Abstract No. 156408h (May 7, 1994). |
The Van Nostrand Chemist's Dictionary, p. 28 and p. 311 (1953). |
Stryer, L., Biochemistry, 2nd. Ed., Freeman and Co., p. 13 (1975). |
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Divisions (1)
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Number |
Date |
Country |
Parent |
163611 |
Dec 1993 |
|
Continuations (1)
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Number |
Date |
Country |
Parent |
959197 |
Oct 1992 |
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Continuation in Parts (1)
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Number |
Date |
Country |
Parent |
862878 |
Apr 1992 |
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