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长春花碱 | 865-21-4

中文名称
长春花碱
中文别名
长春碱;长春质碱;(+)-长春碱
英文名称
vinblastine
英文别名
methyl (1R,9R,10S,11R,12R,19R)-11-acetyloxy-12-ethyl-4-[(13S,15R,17S)-17-ethyl-17-hydroxy-13-methoxycarbonyl-1,11-diazatetracyclo[13.3.1.04,12.05,10]nonadeca-4(12),5,7,9-tetraen-13-yl]-10-hydroxy-5-methoxy-8-methyl-8,16-diazapentacyclo[10.6.1.01,9.02,7.016,19]nonadeca-2,4,6,13-tetraene-10-carboxylate
长春花碱化学式
CAS
865-21-4
化学式
C46H58N4O9
mdl
——
分子量
810.988
InChiKey
JXLYSJRDGCGARV-CFWMRBGOSA-N
BEILSTEIN
——
EINECS
——
  • 物化性质
  • 计算性质
  • ADMET
  • 安全信息
  • SDS
  • 制备方法与用途
  • 上下游信息
  • 反应信息
  • 文献信息
  • 表征谱图
  • 同类化合物
  • 相关功能分类
  • 相关结构分类

物化性质

  • 熔点:
    211-216°
  • 比旋光度:
    D23 -32° (c = 0.88 in methanol)
  • 沸点:
    755.65°C (rough estimate)
  • 密度:
    1.1325 (rough estimate)
  • 溶解度:
    可溶于氯仿、二氯甲烷、二甲基亚砜、甲醇
  • 颜色/状态:
    Solvated needles from methanol
  • 蒸汽压力:
    1.03X10-27 mm Hg at 25 °C (est)
  • 稳定性/保质期:
    SOLN MAY BE STORED IN REFRIGERATOR FOR PERIODS OF 30 DAYS WITHOUT SIGNIFICANT LOSS OF POTENCY /VINBLASTINE SULFATE/
  • 旋光度:
    Specific optical rotation: -32 deg at 23 °C/D ( c = 0.88 in methanol)
  • 分解:
    When heated to decomposition it emits toxic fumes of oxides of nitrogen.
  • 解离常数:
    pKa1 = 5.4; pKa2 = 7.4

计算性质

  • 辛醇/水分配系数(LogP):
    3.7
  • 重原子数:
    59
  • 可旋转键数:
    10
  • 环数:
    9.0
  • sp3杂化的碳原子比例:
    0.59
  • 拓扑面积:
    154
  • 氢给体数:
    3
  • 氢受体数:
    12

ADMET

代谢
肝脏。已显示长春碱的代谢是通过肝脏细胞色素P450 3A同工酶介导的。
Hepatic. Metabolism of vinblastine has been shown to be mediated by hepatic cytochrome P450 3A isoenzymes.
来源:DrugBank
代谢
长春碱据报道会被广泛代谢,主要在肝脏中,代谢为去乙酰长春碱,它在重量基础上比母体化合物更具活性。
Vinblastine is reported to be extensively metabolized, primarily in the liver, to desacetylvinblastine, which is more active than the parent compound on a weight basis.
来源:Hazardous Substances Data Bank (HSDB)
代谢
由于主要的排泄途径可能是通过胆汁系统,当存在肝脏排泄功能不足时,这种药物的毒性可能会增加。已证实长春花碱的代谢是通过肝脏细胞色素P450同工酶CYP 3A亚家族介导的。在肝功能不全的患者或同时服用这些同工酶的强效抑制剂(如红霉素)的患者中,这种代谢途径可能会受损。
Since the major route of excretion may be through the biliary system, toxicity from this drug may be increased when there is hepatic excretory insufficiency. The metabolism of vinca alkaloids has been shown to be mediated by hepatic cytochrome P450 isoenzymes in the CYP 3A subfamily. This metabolic pathway may be impaired in patients with hepatic dysfunction or who are taking concomitant potent inhibitors of these isoenzymes such as erythromycin.
来源:Hazardous Substances Data Bank (HSDB)
毒理性
  • 药物性肝损伤
化合物:长春碱
Compound:vinblastine
来源:Drug Induced Liver Injury Rank (DILIrank) Dataset
毒理性
  • 药物性肝损伤
DILI 注解:无 DILI(药物性肝损伤)担忧
DILI Annotation:No-DILI-Concern
来源:Drug Induced Liver Injury Rank (DILIrank) Dataset
毒理性
  • 药物性肝损伤
标签部分:没有匹配项
Label Section:No match
来源:Drug Induced Liver Injury Rank (DILIrank) Dataset
毒理性
  • 药物性肝损伤
参考文献:M Chen, V Vijay, Q Shi, Z Liu, H Fang, W Tong. 美国食品药品监督管理局批准的药物标签用于研究药物诱导的肝损伤,《药物发现今日》,16(15-16):697-703, 2011. PMID:21624500 DOI:10.1016/j.drudis.2011.05.007 M Chen, A Suzuki, S Thakkar, K Yu, C Hu, W Tong. DILIrank:按人类发展药物诱导肝损伤风险排名的最大参考药物清单。《药物发现今日》2016, 21(4): 648-653. PMID:26948801 DOI:10.1016/j.drudis.2016.02.015
References:M Chen, V Vijay, Q Shi, Z Liu, H Fang, W Tong. FDA-Approved Drug Labeling for the Study of Drug-Induced Liver Injury, Drug Discovery Today, 16(15-16):697-703, 2011. PMID:21624500 DOI:10.1016/j.drudis.2011.05.007 M Chen, A Suzuki, S Thakkar, K Yu, C Hu, W Tong. DILIrank: the largest reference drug list ranked by the risk for developing drug-induced liver injury in humans. Drug Discov Today 2016, 21(4): 648-653. PMID:26948801 DOI:10.1016/j.drudis.2016.02.015
来源:Drug Induced Liver Injury Rank (DILIrank) Dataset
毒理性
  • 在妊娠和哺乳期间的影响
◉ 母乳喂养期间的用药概述:大多数资料认为,在母体抗肿瘤药物治疗期间,母乳喂养是禁忌的。由于长春碱疗法的半衰期较长,可能在治疗后恢复母乳喂养是不切实际的。化疗可能会不利地影响母乳的正常微生物组和化学成分。在怀孕期间接受化疗的妇女更可能在哺乳婴儿时遇到困难。 ◉ 对哺乳婴儿的影响:截至修订日期,没有找到相关的已发表信息。 ◉ 对泌乳和母乳的影响:一名在怀孕第二季度被诊断为霍奇金淋巴瘤的妇女在第三季度接受了三轮化疗,并在产后4周恢复了化疗。在重新开始化疗后的16周内,收集了她在化疗前后15至30分钟的乳汁样本。治疗方案包括每两周一次,持续2小时静脉滴注的阿霉素40毫克、博来霉素16单位、长春碱9.6毫克和达卡巴嗪600毫克。将她的乳汁微生物群和代谢概况与8名未接受化疗的健康妇女进行了比较。患者的母乳微生物群与健康妇女明显不同,Acinetobacter sp., Xanthomonadacae 和 Stenotrophomonas sp. 增加,而 Bifidobacterium sp. 和 Eubacterium sp. 减少。在接受治疗的妇女的母乳中,许多化学成分也有显著差异,尤其是DHA和肌醇减少。 通过对在一个中心在怀孕第二或第三季度接受癌症化疗的74名妇女进行电话随访研究,以确定她们产后是否成功进行母乳喂养。只有34%的妇女能够完全母乳喂养她们的婴儿,而66%的妇女报告遇到了母乳喂养困难。这与其他22位在怀孕期间被诊断但未接受化疗的母亲91%的母乳喂养成功率形成了对比。其他具有统计学意义的相关性包括:1. 有母乳喂养困难的母亲平均接受了5.5个周期的化疗,而没有困难的母亲平均接受了3.8个周期;2. 有母乳喂养困难的母亲在怀孕期间平均提前3.4周接受了第一次化疗周期。在接受含有长春新碱方案的6名妇女中,有5人遇到了母乳喂养困难。
◉ Summary of Use during Lactation:Most sources consider breastfeeding to be contraindicated during maternal antineoplastic drug therapy. It is probably impractical to resume breastfeeding after vinblastine therapy because of the drug's long half-life. Chemotherapy may adversely affect the normal microbiome and chemical makeup of breastmilk. Women who receive chemotherapy during pregnancy are more likely to have difficulty nursing their infant. ◉ Effects in Breastfed Infants:Relevant published information was not found as of the revision date. ◉ Effects on Lactation and Breastmilk:A woman diagnosed with Hodgkin's lymphoma during the second trimester of pregnancy received 3 rounds of chemotherapy during the third trimester of pregnancy and resumed chemotherapy 4 weeks postpartum. Milk samples were collected 15 to 30 minutes before and after chemotherapy for 16 weeks after restarting. The regimen consisted of doxorubicin 40 mg, bleomycin 16 units, vinblastine 9.6 mg and dacarbazine 600 mg, all given over a 2-hour period every 2 weeks. The microbial population and metabolic profile of her milk were compared to those of 8 healthy women who were not receiving chemotherapy. The breastmilk microbial population in the patient was markedly different from that of the healthy women, with increases in Acinetobacter sp., Xanthomonadacae and Stenotrophomonas sp. and decreases in Bifidobacterium sp. and Eubacterium sp. Marked differences were also found among numerous chemical components in the breastmilk of the treated woman, most notably DHA and inositol were decreased. A telephone follow-up study was conducted on 74 women who received cancer chemotherapy at one center during the second or third trimester of pregnancy to determine if they were successful at breastfeeding postpartum. Only 34% of the women were able to exclusively breastfeed their infants, and 66% of the women reported experiencing breastfeeding difficulties. This was in comparison to a 91% breastfeeding success rate in 22 other mothers diagnosed during pregnancy, but not treated with chemotherapy. Other statistically significant correlations included: 1. mothers with breastfeeding difficulties had an average of 5.5 cycles of chemotherapy compared with 3.8 cycles among mothers who had no difficulties; and 2. mothers with breastfeeding difficulties received their first cycle of chemotherapy on average 3.4 weeks earlier in pregnancy. Of the 6 women who received a vincristine-containing regimen, 5 had breastfeeding difficulties.
来源:Drugs and Lactation Database (LactMed)
吸收、分配和排泄
  • 消除途径
主要排泄途径可能是通过胆汁系统。
The major route of excretion may be through the biliary system.
来源:DrugBank
吸收、分配和排泄
硫酸长春碱从胃肠道吸收不可预测。静脉给药后,药物会迅速从血液中清除并分布到身体组织中。硫酸长春碱很难穿过血脑屏障,在治疗浓度下不会出现在脑脊液中。
Vinblastine sulfate is unpredictably absorbed from the GI tract. Following iv administration, the drug is rapidly cleared from the blood and distributed into body tissues. Vinblastine crosses the blood brain barrier poorly and does not appear in the CSF in therapeutic concentrations.
来源:Hazardous Substances Data Bank (HSDB)
吸收、分配和排泄
中央室的体积占体重的70%,这很可能反映了药物与血液有形成分的快速组织结合。广泛的可逆组织结合发生。注射后48小时和72小时,体内储存量较低。
The volume of the central compartment is 70% of body weight, probably reflecting very rapid tissue binding to formed elements of the blood. Extensive reversible tissue binding occurs. Low body stores are present at 48 and 72 hours after injection.
来源:Hazardous Substances Data Bank (HSDB)
吸收、分配和排泄
在向人类癌症患者注射放射性同位素标记的长春碱后,发现10%的放射性活性在粪便中,14%在尿液中;其余活性未计算在内。在狗身上的类似研究表明,在9天内,30%至36%的放射性活性在胆汁中,12%至17%在尿液中。在大鼠身上的类似研究显示,注射后2小时,放射性活性的最高浓度出现在肺、肝、脾和肾中。
Following injection of tritiated vinblastine in the human cancer patient, 10% of the radioactivity was found in the feces and 14% in the urine; the remaining activity was not accounted for. Similar studies in dogs demonstrated that, over 9 days, 30% to 36% of radioactivity was found in the bile and 12% to 17% in the urine. A similar study in the rat demonstrated that the highest concentrations of radioactivity were found in the lung, liver, spleen, and kidney 2 hours after injection.
来源:Hazardous Substances Data Bank (HSDB)
吸收、分配和排泄
这种药物是否会被分泌到人乳中尚不清楚。
It is not known whether this drug is excreted in human milk.
来源:Hazardous Substances Data Bank (HSDB)

安全信息

  • 危险等级:
    6.1(a)
  • 危险品运输编号:
    UN 1544
  • 包装等级:
    II
  • 危险类别:
    6.1(a)

SDS

SDS:b59002e699c38a84fef21782afd97848
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制备方法与用途

长春碱是从长春花中提取的药物,具有抗癌作用,广泛应用于临床抗肿瘤治疗,具有很高的药用价值。

化学性质 长春碱为白色结晶体,可溶于甲醇、乙醇和DMSO等有机溶剂,来源于长春花。

用途 主要用于治疗恶性淋巴瘤。

上下游信息

  • 上游原料
    中文名称 英文名称 CAS号 化学式 分子量
  • 下游产品
    中文名称 英文名称 CAS号 化学式 分子量

反应信息

  • 作为反应物:
    描述:
    长春花碱 作用下, 以 甲醇 为溶剂, 生成 脱乙酰基长春碱酰肼
    参考文献:
    名称:
    Absence of Lysosomal Cleavage in the Cytotoxicity Mechanism of an Immunoconjugate Composed of Anti-.ALPHA.-fetoprotein Monoclonal Antibody and Vindesine Analog.
    摘要:
    使用人肿瘤克隆实验(HTCA)在体外研究了溶酶体酶抑制对由抗甲胎蛋白单克隆抗体和长春地辛类似物(VDS)组成的免疫缀合物的细胞毒活性的影响。在 HTCA 系统中添加溶酶体酶抑制剂亮肽素和氯化铵对该免疫偶联物的细胞毒性影响很小。在单独的实验中,与不含抑制剂的大鼠肝匀浆上清液一起孵育后,HPLC 未检测到释放的 VDS。这些结果表明免疫缀合物可以绕过溶酶体过程并以完整或类似形式发挥其活性。
    DOI:
    10.1248/bpb.19.480
  • 作为产物:
    描述:
    methyl (1R,9R,10S,11R,12R,19R)-11-acetyloxy-12-ethyl-10-hydroxy-4-[(5S,7S)-5-[(2S)-2-hydroxy-2-(hydroxymethyl)butyl]-7-methoxycarbonyl-2,3,4,5,6,8-hexahydro-1H-azonino[5,4-b]indol-7-yl]-5-methoxy-8-methyl-8,16-diazapentacyclo[10.6.1.01,9.02,7.016,19]nonadeca-2,4,6,13-tetraene-10-carboxylate 生成 长春花碱
    参考文献:
    名称:
    MAGNUS, PHILIP;STAMFORD, ANDREW;LADLOW, MARK, J. AMER. CHEM. SOC., 112,(1990) N2, C. 8210-8212
    摘要:
    DOI:
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文献信息

  • [EN] ACC INHIBITORS AND USES THEREOF<br/>[FR] INHIBITEURS DE L'ACC ET UTILISATIONS ASSOCIÉES
    申请人:GILEAD APOLLO LLC
    公开号:WO2017075056A1
    公开(公告)日:2017-05-04
    The present invention provides compounds I and II useful as inhibitors of Acetyl CoA Carboxylase (ACC), compositions thereof, and methods of using the same.
    本发明提供了化合物I和II,这些化合物可用作乙酰辅酶A羧化酶(ACC)的抑制剂,以及它们的组合物和使用方法。
  • [EN] COMPOUNDS AND COMPOSITIONS COMPRISING CDK INHIBITORS AND METHODS FOR THE TREATMENT OF CANCER<br/>[FR] COMPOSÉS ET COMPOSITIONS COMPRENANT DES INHIBITEURS DES CDK ET MÉTHODES DE TRAITEMENT DU CANCER
    申请人:UNIV GEORGIA STATE RES FOUND
    公开号:WO2010129858A1
    公开(公告)日:2010-11-11
    Disclosed herein are compounds suitable for use as antitumor agents, methods for treating cancer wherein the disclosed compounds are used in making a medicament for the treatment of cancer, methods for treating a tumor comprising, administering to a subject a composition comprising one or more of the disclosed cytotoxic agents, and methods for preparing the disclosed antitumor agents.
    本文披露了适用作抗肿瘤药剂的化合物,用于治疗癌症的方法,其中所披露的化合物用于制备治疗癌症的药物,治疗肿瘤的方法包括向受试者施用包含一种或多种所披露的细胞毒性药剂的组合物,以及制备所披露的抗肿瘤药剂的方法。
  • Cobalamin conjugates for anti-tumor therapy
    申请人:Weinshenker M. Ned
    公开号:US20050054607A1
    公开(公告)日:2005-03-10
    The present invention provides a cobalamin-drug conjugate suitable for the treatment of tumor related diseases. Cobalamin is indirectly covalently bound to an anti-tumor drug via a cleavable linker and one or more optional spacers. Cobalamin is covalently bound to a first spacer or the cleavable linker via the 5′-OH of the cobalamin ribose ring. The drug is bound to a second spacer of the cleavable linker via an existing or added functional group on the drug. After administration, the conjugate forms a complex with transcobalamin (any of its isoforms). The complex then binds to a receptor on a cell membrane and is taken up into the cell. Once in the cell, an intracellular enzyme cleaves the conjugate thereby releasing the drug. Depending upon the structure of the conjugate, a particular class or type of intracellular enzyme affects the cleavage. Due to the high demand for cobalamin in growing cells, tumor cells typically take up a higher percentage of the conjugate than do normal non-growing cells. The conjugate of the invention advantageously provides a reduced systemic toxicity and enhanced efficacy as compared to a corresponding free drug.
    本发明提供了一种适用于治疗肿瘤相关疾病的钴胺素-药物结合物。钴胺素通过可切割的连接剂间接共价结合到抗肿瘤药物上,还可以通过一个或多个可选的间隔物。钴胺素通过其核糖环的5'-OH与第一间隔物或可切割连接剂共价结合。药物通过其现有或添加的功能基团与可切割连接剂的第二间隔物结合。在给药后,结合物与转钴胺素(其任何同工异构体)形成复合物。然后,该复合物结合到细胞膜上的受体并被细胞摄取。一旦进入细胞,细胞内酶将切割结合物,从而释放药物。根据结合物的结构,特定类别或类型的细胞内酶影响切割。由于生长细胞对钴胺素的需求量较高,肿瘤细胞通常摄取结合物的比例高于正常非生长细胞。本发明的结合物与相应的游离药物相比,具有较低的全身毒性和增强的疗效。
  • [EN] 2-QUINOLONE DERIVED INHIBITORS OF BCL6<br/>[FR] INHIBITEURS DE BCL6 DÉRIVÉS DE 2-QUINOLONE
    申请人:CANCER RESEARCH TECH LTD
    公开号:WO2018215798A1
    公开(公告)日:2018-11-29
    The present invention relates to compounds of formula I that function as inhibitors of BCL6(B- cell lymphoma 6) activity: Formula I wherein X1, X2, X3, R1, R2, R3, R4 and R5 are each as defined herein. The present invention also relates to processes for the preparation of these compounds, to pharmaceutical compositions comprising them, and to their use in the treatment of proliferative disorders, such as cancer,as well as other diseases or conditions in which BCL6 activity is implicated.
    本发明涉及作为BCL6(B细胞淋巴瘤6)活性抑制剂的I式化合物:式中X1、X2、X3、R1、R2、R3、R4和R5分别如本文所定义。本发明还涉及制备这些化合物的方法,包括含有它们的药物组合物,以及它们在治疗增生性疾病(如癌症)以及其他BCL6活性所涉及的疾病或病况中的用途。
  • [EN] PSMA-TARGETING AMANITIN CONJUGATES<br/>[FR] CONJUGUÉS D'AMANITINE CIBLANT LE PSMA
    申请人:HEIDELBERG PHARMA RES GMBH
    公开号:WO2019057964A1
    公开(公告)日:2019-03-28
    The invention relates to a PSMA-targeting conjugate comprising (a) an amatoxin; (b) a small molecule PSMA-targeting moiety; and (c) optionally a linker linking said amatoxin and said small molecule PSMA-targeting moiety. The invention furthermore relates to a pharmaceutical composition comprising such conjugate.
    这项发明涉及一种PSMA靶向共轭物,包括(a)阿马毒素;(b)小分子PSMA靶向基团;以及(c)可选地连接所述阿马毒素和所述小分子PSMA靶向基团的连接剂。此外,该发明还涉及包含这种共轭物的药物组合物。
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同类化合物

长春西醇 长春西碱 长春花胺 长春花碱 长春罗定 长春素 长春磷汀 长春甘酯 长春瑞宾 长春氮芥 长春氟宁酒石酸盐 长春氟宁 长春曲醇酸 长春曲醇 长春新碱 长春匹定硫酸盐 脱水长春碱 脱乙酰基长春碱酰肼 硫酸长春碱 硫酸长春新碱 硫酸长春地辛 硫酸长春地辛 甲酰基-环氧长春碱 二(N-亚乙基长春地辛)二硫醚 O4-去乙酰基-3',4'-二去氢-4'-脱氧-C'-去甲长春花碱 N-去甲基长春碱 N-(O-4-去乙酰基-长春碱-23-酰基)-L-亮氨酸乙酯 N-(4-叠氮基-3-碘水杨酰)-N'-beta-氨基乙基长春地辛 4-去乙酰基长春花碱 3-(((2-((4-叠氮基-2-硝基苯基)氨基)乙基)氨基)羰基)-O4-去乙酰基-3-去(甲氧羰基)-长春花碱 3''-(beta-氯乙基)-2'',4''-二氧代-3,5''-螺恶唑烷-4-去乙酰氧基长春碱 2,5-哌嗪二酮,1,4-二甲基-3-亚甲基- (3'a,4'a)-4'-脱氧-3',4'-环氧-12'-羟基-长春花碱 12'-iodovinblastine 12'-thiomethylvinblastine 20',20'-difluoro-4'-deoxyvinblastine methyl (13S,15R)-13-[(1R,9R,10S,11R,12R,19R)-11-acetyloxy-10-[(cyclobutanecarbonylamino)methyl]-12-ethyl-10-hydroxy-5-methoxy-8-methyl-8,16-diazapentacyclo[10.6.1.01,9.02,7.016,19]nonadeca-2,4,6,13-tetraen-4-yl]-17-ethyl-1,11-diazatetracyclo[13.3.1.04,12.05,10]nonadeca-4(12),5,7,9,16-pentaene-13-carboxylate methyl (13S,15R)-13-[(1R,9R,10S,11R,12R,19R)-11-acetyloxy-10-[[(4-chlorobenzoyl)amino]methyl]-12-ethyl-10-hydroxy-5-methoxy-8-methyl-8,16-diazapentacyclo[10.6.1.01,9.02,7.016,19]nonadeca-2,4,6,13-tetraen-4-yl]-17-ethyl-1,11-diazatetracyclo[13.3.1.04,12.05,10]nonadeca-4(12),5,7,9,16-pentaene-13-carboxylate methyl (13S,15R)-13-[(1R,9R,10S,11R,12R,19R)-11-acetyloxy-12-ethyl-10-hydroxy-5-methoxy-10-[[(4-methoxybenzoyl)amino]methyl]-8-methyl-8,16-diazapentacyclo[10.6.1.01,9.02,7.016,19]nonadeca-2,4,6,13-tetraen-4-yl]-17-ethyl-1,11-diazatetracyclo[13.3.1.04,12.05,10]nonadeca-4(12),5,7,9,16-pentaene-13-carboxylate methyl (13S,15R)-13-[(1R,9R,10S,11R,12R,19R)-11-acetyloxy-10-[(3,3-dimethylbutanoylamino)methyl]-12-ethyl-10-hydroxy-5-methoxy-8-methyl-8,16-diazapentacyclo[10.6.1.01,9.02,7.016,19]nonadeca-2,4,6,13-tetraen-4-yl]-17-ethyl-1,11-diazatetracyclo[13.3.1.04,12.05,10]nonadeca-4(12),5,7,9,16-pentaene-13-carboxylate methyl (13S,15R)-13-[(1R,9R,10S,11R,12R,19R)-11-acetyloxy-12-ethyl-10-hydroxy-5-methoxy-8-methyl-10-[[(4-nitrobenzoyl)amino]methyl]-8,16-diazapentacyclo[10.6.1.01,9.02,7.016,19]nonadeca-2,4,6,13-tetraen-4-yl]-17-ethyl-1,11-diazatetracyclo[13.3.1.04,12.05,10]nonadeca-4(12),5,7,9,16-pentaene-13-carboxylate methyl (13S,15R)-13-[(1R,9R,10S,11R,12R,19R)-11-acetyloxy-12-ethyl-10-hydroxy-5-methoxy-8-methyl-10-[(3-methylbutanoylamino)methyl]-8,16-diazapentacyclo[10.6.1.01,9.02,7.016,19]nonadeca-2,4,6,13-tetraen-4-yl]-17-ethyl-1,11-diazatetracyclo[13.3.1.04,12.05,10]nonadeca-4(12),5,7,9,16-pentaene-13-carboxylate methyl (13S,15R)-13-[(1R,9R,10S,11R,12R,19R)-11-acetyloxy-12-ethyl-10-[[(4-fluorobenzoyl)amino]methyl]-10-hydroxy-5-methoxy-8-methyl-8,16-diazapentacyclo[10.6.1.01,9.02,7.016,19]nonadeca-2,4,6,13-tetraen-4-yl]-17-ethyl-1,11-diazatetracyclo[13.3.1.04,12.05,10]nonadeca-4(12),5,7,9,16-pentaene-13-carboxylate methyl (13S,15R)-13-[(1R,9R,10S,11R,12R,19R)-11-acetyloxy-10-[(butanoylamino)methyl]-12-ethyl-10-hydroxy-5-methoxy-8-methyl-8,16-diazapentacyclo[10.6.1.01,9.02,7.016,19]nonadeca-2,4,6,13-tetraen-4-yl]-17-ethyl-1,11-diazatetracyclo[13.3.1.04,12.05,10]nonadeca-4(12),5,7,9,16-pentaene-13-carboxylate methyl (13S,15R)-13-[(1R,9R,10S,11R,12R,19R)-11-acetyloxy-10-[[(3-chlorobenzoyl)amino]methyl]-12-ethyl-10-hydroxy-5-methoxy-8-methyl-8,16-diazapentacyclo[10.6.1.01,9.02,7.016,19]nonadeca-2,4,6,13-tetraen-4-yl]-17-ethyl-1,11-diazatetracyclo[13.3.1.04,12.05,10]nonadeca-4(12),5,7,9,16-pentaene-13-carboxylate methyl (13S,15R)-13-[(1R,9R,10S,11R,12R,19R)-11-acetyloxy-10-[(cyclopropanecarbonylamino)methyl]-12-ethyl-10-hydroxy-5-methoxy-8-methyl-8,16-diazapentacyclo[10.6.1.01,9.02,7.016,19]nonadeca-2,4,6,13-tetraen-4-yl]-17-ethyl-1,11-diazatetracyclo[13.3.1.04,12.05,10]nonadeca-4(12),5,7,9,16-pentaene-13-carboxylate methyl (13S,15R)-13-[(1R,9R,10S,11R,12R,19R)-11-acetyloxy-10-[[(2-chlorobenzoyl)amino]methyl]-12-ethyl-10-hydroxy-5-methoxy-8-methyl-8,16-diazapentacyclo[10.6.1.01,9.02,7.016,19]nonadeca-2,4,6,13-tetraen-4-yl]-17-ethyl-1,11-diazatetracyclo[13.3.1.04,12.05,10]nonadeca-4(12),5,7,9,16-pentaene-13-carboxylate methyl (13S,15R)-13-[(1R,9R,10S,11R,12R,19R)-11-acetyloxy-10-[(2,2-dimethylpropanoylamino)methyl]-12-ethyl-10-hydroxy-5-methoxy-8-methyl-8,16-diazapentacyclo[10.6.1.01,9.02,7.016,19]nonadeca-2,4,6,13-tetraen-4-yl]-17-ethyl-1,11-diazatetracyclo[13.3.1.04,12.05,10]nonadeca-4(12),5,7,9,16-pentaene-13-carboxylate methyl (13S,15R)-13-[(1R,9R,10S,11R,12R,19R)-11-acetyloxy-12-ethyl-10-hydroxy-5-methoxy-8-methyl-10-[(propanoylamino)methyl]-8,16-diazapentacyclo[10.6.1.01,9.02,7.016,19]nonadeca-2,4,6,13-tetraen-4-yl]-17-ethyl-1,11-diazatetracyclo[13.3.1.04,12.05,10]nonadeca-4(12),5,7,9,16-pentaene-13-carboxylate methyl (13S,15R)-13-[(1R,9R,10S,11R,12R,19R)-11-acetyloxy-12-ethyl-10-hydroxy-5-methoxy-8-methyl-10-[(pyridine-4-carbonylamino)methyl]-8,16-diazapentacyclo[10.6.1.01,9.02,7.016,19]nonadeca-2,4,6,13-tetraen-4-yl]-17-ethyl-1,11-diazatetracyclo[13.3.1.04,12.05,10]nonadeca-4(12),5,7,9,16-pentaene-13-carboxylate