申请人:Hoffmann-La Roche Inc.
公开号:US05698577A1
公开(公告)日:1997-12-16
There are described pharmaceutical compositions comprising (a) compounds of the formula ##STR1## in which R signifies lower alkoxycarbonyl, lower alkoxy-carbonylamino, the acyl residue of an .alpha.- or .beta.-amino acid or a residue of the general formula Q--X--Y-- (a) wherein Q signifies a 3- to 6-membered ring which optionally contains nitrogen, sulphur and/or oxygen and which is optionally bonded with a fused ring, X signifies a direct bond or a linear "spacer" with up to 6 atoms consisting of carbon, nitrogen, oxygen and/or sulphur, of which up to 2 atoms can be nitrogen atoms and 1 atom can be oxygen or sulphur, and Y represents one of the groups --CO--, --CS--, --CONH-- and (where X contains neither sulphur nor carbonyl as a terminal component) --SO.sub.2 --; and in which R.sup.1 signifies hydrogen, halogen, carbamoyloxy, lower alkanoyloxy or a group of the formula --S--Het, wherein Het represents a 5- or 6-membered heteroaromatic group containing nitrogen, sulphur and/or oxygen, and R.sup.2 represents the sulpho group --SO.sub.3 H and in which R.sup.3 represents hydrogen or R.sup.1 and R.sup.3 together represent a group of the formula .dbd.CH--R.sup.a (c) wherein R.sup.a signifies one of the groups --COR.sup.b (c.sup.1) --CH.sub.2 --OCOR.sup.c (c.sup.2) --CH.sub.2 --NR.sup.d R.sup.e (c.sup.3) --CH.sub.2 --S--Het (c.sup.4) in which R.sup.b represents lower alkoxy or amino, R.sup.c represents lower alkyl, phenyl or amino, R.sup.d and R.sup.e each independently represent hydrogen or lower alkyl or R.sup.d and R.sup.e together with the N atom to which they are attached represent a 5- or 6-membered N-heterocycle which optionally contains a further nitrogen, oxygen or sulphur atom and Het represents a 5- or 6-membered heteroaromatic group containing nitrogen, sulphur and/or oxygen; and (b) a therapeutically effective amount of a .beta.-lactam antibiotics or their pharmaceutically compatible salts; and a pharmaceutically compatible carrier and pharmaceutically compatible salts of these compounds. The combination is useful in the control or prevention of illnesses caused by .beta.-lactamase forming pathogens.
描述了一种制药组合物,包括(a)式中的化合物##STR1##其中R表示低烷氧羰基,低烷氧羰基氨基,α或β-氨基酸的酰基残基或Q-X-Y-(a)的一般式残基,其中Q表示一个3-6环的环,该环可以选择性地包含氮,硫和/或氧,并且可以与融合环连接,X表示直接键或具有最多6个由碳,氮,氧和/或硫组成的线性“间隔物”,其中最多有2个原子可以是氮原子,1个原子可以是氧或硫,Y表示--CO--,--CS--,--CONH--和(当X不含硫或羰基作为末端组分时)--SO.sub.2--的一种基团; R.sup.1表示氢,卤素,氨基甲酰氧,低烷酰氧或式--S--Het的基团,其中Het表示一个含有氮,硫和/或氧的5-或6-环杂芳基团,R.sup.2表示磺酰基--SO.sub.3H,R.sup.3表示氢或R.sup.1和R.sup.3共同表示式.dbd.CH--R.sup.a(c)的基团,其中R.sup.a表示以下基团之一--COR.sup.b(c.sup.1)--CH.sub.2--OCOR.sup.c(c.sup.2)--CH.sub.2--NR.sup.dR.sup.e(c.sup.3)--CH.sub.2--S--Het(c.sup.4),其中R.sup.b表示低烷氧基或氨基,R.sup.c表示低烷基,苯基或氨基,R.sup.d和R.sup.e各自独立地表示氢或低烷基,或R.sup.d和R.sup.e与它们连接的N原子一起表示5-或6-环N-杂环,该杂环可以选择性地包含进一步的氮,氧或硫原子,Het表示一个含有氮,硫和/或氧的5-或6-环杂芳基团;(b)β-内酰胺类抗生素或其药学兼容盐的治疗有效量;以及药学兼容载体和这些化合物的药学兼容盐。该组合物在控制或预防由β-内酰胺酶形成的病原体引起的疾病方面很有用。