3-[[4-[1-[8-tert-butyl-2-[4-[5-[8-tert-butyl-2-[4-[5-[8-tert-butyl-3-oxo-2-[3-(trifluoromethyl)phenyl]-1,4-diazaspiro[4.5]dec-1-en-4-yl]-5-[4-(1H-tetrazol-5-ylmethylcarbamoyl)phenyl]pentyl]-3-(trifluoromethoxy)phenyl]-3-oxo-1,4-diazaspiro[4.5]dec-1-en-4-yl]-5-[4-(2-carboxyethylcarbamoyl)phenyl]pentyl]-3-chlorophenyl]-3-oxo-1,4-diazaspiro[4.5]dec-1-en-4-yl]pentyl]benzoyl]amino]propanoic acid