NZ199608A - Administering penicillanic acid 1,1-dioxides with beta-lactam antibiotics - Google Patents

Description

New Zealand Paient Spedficaiion for Paient Number 1 99608 I 99608 Under the provisions of Regtf* lation 23 (I) the ... , —, Specification has been ants-dated! to 19.2c£ Priority DsSe's):"^.' £.'."T7j.*?/.*£?;1 A. .. Complete Specification Filed: 0$ Ci=«s- AkIK 3l/4-3„ f"3Xm w Publication Drrts: P.O P'o: \Z58 NEW ZEALAND PATENTS ACT, 1953 Divided from No-: 1871(76 Date: 6 June 1978 COMPLETE SPECIFICATION "PSTICILLANIC ACID 1,1-DI0XIDE0 AO—B LACTAMASE . IHIIIBITBO*" He+l\od<i e-t increa?iK^ e£-Cetiive*e<i< o4 [j- (at+o-'*i a^ti bioii'ts aniij peWc I'I/AMI'C acid 1f 1-^t oxides.

~$J We, PFIZER INC ■ , a corporation organized under the laws of the State of Delaware, United States of America, of 235 East l+2nd Street, New York, State of New York, United States of America, hereby declare the invention for which £ / we pray that a patent may be granted to me^us, and the method by which it is to be performed, to be particularly described in and by the following statement:- (followed by page la) 1 99608 - la - Background of the Invention i •One of the most well-known and widely used class of antibacterial agents are the so-called g-lactam antibiotics. These compounds are characterized in that they have a nucleus consisting of a 2-azetidinone (6-lactam) ring fused to either a thiazolidine or a dihydro-l,3-thiazine ring.' When the nucleus contains a thiazolidine ring, the compounds are usua.lly referred to generically as penicillins, whereas when the nucleus contains a dihydro- thiazine ring, the compounds are referred to as cephalosporins. Typical I . . examples of penicillins which are commonly used in clinical practice are benzylpenicillin (penicillin G), phenoxymethylpenicillin (penicillin V), ampicillin and carbenicillin; typical examples of common cephalosporins are cephalothin, cephalexin and cefazolin.

However, despite the wide use and wide acceptance of the B-lactam antibiotics as valuable chemotherapeutic agents, they suffer from the major drawback that certain members are not active against certain microorganisms. It is thought that in many instances this resistance of a particular microorganism to a given B-lactam antibiotic results because the microorganism produces a (5-lactamase. The latter substances are enzymes which cleave the 0-lactam ring.of penicillins and cephalosporins to give products which are r devoid of antibacterial activity.. However, certain substances have the ability to inhibit B-lactamases, and when a ^-lactamase inhibitor is used in combination with a penicillin or cephalosporin it can increase or enhance the antibacterial effectiveness of the penicillin or cephalosporin against certain microorganisms. .It is considered that .there is an enhancement of antibacterial effectiveness when the antibacterial activity of a combination of a B-lacta-mase inhibiting substance and a f3-lactam antibiotic is significantly greater than the sum of the antibacterial activities of the individual, components. 1 99608 Thus, according to the invention of our New Zealand Patent Specification No. 187^76, there are provided certain hew chemical compounds which are .new members of the class of antibiotics known as the penicillins, and which are useful as antibacterial agents, More specifically, these new penicillin compounds are penicillanic acid 1,1-dioxide and esters thereof readily hydrolyzable in vivo.

Additionally, penicillanic acid 1,1-dioxide and its esters readily hydrolyzable in vivo are potent inhibitors of microbial B-lactamases.

\ I Still further, there are provided derivatives of penicillanic acid/ 1,1-dioxide having a carboxy protecting group, said compounds being useful as chemical1 intermediates for penicillanic acid 1,1-dioxide.

The present invention relates to a method for enhancing the effectiveness of £5-lactam antibiotics, using penicillanic acid 1,1-dioxide and certain A. J. P. & i I readily hydrolyzable esters thereof. zx(o-<n Yet further, there are provided penicillanic acid 1-oxides, and certain esters thereof, as chemical intermediates to penicillanic acid 1,1-dioxide. 1,1-Dioxides of benzylpenicillin, phenoxymethylpenicillin and certa-i esters thereof have been disclosed in United States Patents 3,197,466 and 3,536,698, and in an article by Guddal et^ al_., in Tetrahedron Letters, No. 9, 381 (1962). Harrison et_ al_., in the Journal of the Chemical Society (London), Perkin I, 1772 (1976), have disclosed a'variety of penicillin 1,1-dioxides and 1-oxides, including methyl phthalimidopenicillanate 1,1-dioxide, methyl 6,6-dibromopenicillanate 1,1-dioxide, methyl, penicillanate la-oxide, methyl penicillanate IB-oxide, 6,6-dibromopenicillanic acid la-oxide and 6,6-dibromo= penicillanic acid IB-oxide. 1 99608 Summary of the Invention . J. P. & s. The present invention uses novol compounds of the formula M... 0 0 H \ /?' —(I) -J JT '''C00R1 and the pharmaceutically-acceptable base salts thereof, wherein R^" is selected ! from the group consisting of hydrogen, ester-forming residues readily : hydrolyzable in^ vivo, and conventional penicillin carboxy protecting groups. The term "ester-forming residues readily hydrolyzable'in vivo"1'is here intended to refer to non-toxic ester residues which are rapidly cleaved in mammalian blood or tissue, to release the corresponding free acid (i.e. the compound of formula I, wherein R^" is hydrogen). Typical examples of such readily hydrolyzable ester-forming residues which can be used for R^" are alkanoyloxymethyl having from 3 to 8 carbon atoms, l-(alkanoyloxy)ethyl having ' - - * i from A to 9 carbon atoms, l-methyl-l-(alkanoyloxy)ethyl having from 5 to 10 j 1 j carbon atoms, alkoxycarbonyloxymethyl having from 3 to 6 carbon atoms, j I l-(alkoxycarbonyloxy)ethyl having from 4 to 7 carbon atoms, 1-methyl-l-(alkoxy-carbonyloxy)ethyl having from 5 to 8 carbon atoms, 3-phthalidyl, 4-crotono-lactonyl and -y-butyrolacton-4-yl.

The compounds of the formula I, wherein R"*" is hydrogen or an ester-forming residue readily hydrolyzable in vivo, are useful as antibacterial agents and for enhancing the antibacterial activity of B-lactam antibiotics. Said compounds of the formula I, wherein R^" is a penicillin carboxy protecting group, are useful as chemical intermediates to the compound of the formula I, wherein R^" is hydrogen or an ester-forming residue readily hydrolyzable in vivo'.

Typical carboxy protecting groups are benzyl and substituted benzyl, e.g. 4-nitrobenzyl.

- U - 1 99608 In addition to compounds of formula I our New Zealand Patent Specification NO. l8'jhj6 relates to' novel compounds of the formula 0 "v1 jzT_bcH3 1 C00R and H, I .,CH3 I N '% ! C00E, CH3 — (III) and the salts thereof, wherein R1 is as defined previously. Said compounds of the formulas II and III are intermediates to said 'compounds of the formula I. - Detailed description of the Invention ThrcxA^Uptvf" 5pe«intftTUxA 'J&m—n wove.1 compounds of formulas 1, II and Ill^and throughout thio opacification they are. referred to as derivatives of penicillanic acid, which is represented by the structural formula " S CU3 ■" S 3 JX CH -—(IV) N J C00H .1996 0 8 In formula IV, broken line attachment of a substituent to the bicyclic nucleus indicates that the substituent is below the plane of the bicyclic nucleus.

Such a substituent is said to be in the a-configuration. Conversely, solid line attachment of a substituent to the bicyclic nucleus indicates that the substituent is attached above the plane of the nucleus. ThiB latter configuration is referred to as the 6-configuration.

Also in this specification reference is made to certain derivatives of cephalosporanic acid, which has the formula "s 0 J N 1 J ^CH2-Q-C-CH3 (V) C00H 1 l| In formula V, the hydrogen at C-6 is below the plane of the bicyclic nucleus.

I The derived terms desacetoxycephalosporanic acid and 3-de_sacetoxymethylcephalc 6poranic acid are used to refer to the structures VI and VII, respectively.

H H ch3 0 ^ C00R C00H VI VII A-Crotonolactonyl.and if-butyrolacton-4-yl refer to structures VIII-.and IX, respectively. The wavy lines are intended to deno each of the two epimers and mixtures thereof.

II 0 IX 1 99608 When R^" is an ester-forming residue readily hydrolyzable vivo in a compound of formula I, it is a grouping which is notionally derived from an alcohol of the formula R^"-0H, such that the moiety COOR^" in such a cQmpO"T!<i y 1 of formula I represents an ester grouping. Moreover, R is of.such a nature that the grouping COOR^" is readily cleaved in in vivo to liberate a free carboxy group (C00H). That is to say, R"'" is a group of the type that when a compound of formula 1, wherein R^" is an ester-forming residue readily hydrolyzc in vivo, is exposed to mammalian blood or tissue, the compound of formula I, wherein R^~ is hydrogen, is readily produced. The groups R^" are well-known . in the penicillin art. In most instances they improve the absorption 1 1 characteristics of the penicillin compound. Additionally, R should be of such a nature that it imparts pharmaceutically-acceptable properties to a compound of formula I, and it liberates pharmaceutically-acceptable fragments when cleaved ill vivo.

As indicated above, the groups R^ are well-known and are readily identified by.those skilled in. the penicillin art. See, for example, British Patent Specification No. 150978- Typical groups for R"*" are 3-phthalidyl, 4-crotonolactonyl, y-butyrolacton-4-yl and groups of the formula R3 0 R3 0 I " 5 | „ C-O-C-R and -C-O-C-O-R R4 R' 4 X XI 3 4 wherein R and R are each selected from the group consisting of hydrogen and alkyl having from 1 to 2 carbon atoms, and R~* is alkyl having from 1 to 6 carbon atoms. However, preferred groups for R^" are alkanoyloxymethyl having from 3 to 8 carbon atoms, 1-(alkanoyloxy)ethyl having from 4 to 9 carbon atoms, 1-methy1-1-(alkanoyloxy)ethyl having from 5 to 10 carbon atoms, alkoxycarbonyloxy-methyl having from 3 to 6 carbon atoms, 1-(alkoxycarbonyloxy)ethyl having from 4 to 7 carbon atoms, 1-methyl-l-alkoxycarbonyloxy)ethyl having from 5 to 8 carbon atoms, 3-phthalidyl, 4-crotonolactonyl and Y-butyrolacton-4-yl. 1 9 96 0« The compounds of formula I, wherein R is as defined previously can be prepared by oxidation of either of the compounds of formula II or III, . wherein R^" is as defined previously. A wide variety of oxidants known in the art for the oxidation of sulfoxides to sulfones can be used for this process. However, particularly convenient reagents are metal permanganates, such the alkali metal permanganates and the alkaline earth metal permanganates, and organic peroxy acids, such as organic peroxycarboxylic acids-.- Convenient individual reagents are sodium permanganate, potassium permanganate, 3-chloroperbenzoic acid and peracetic acid. ' When a compound of the Formula II or III, wherein R^" is as defined previously, is oxidized to the corresponding compound of the formula I using i a metal permanganate, the reaction is usually carried out by treating the compound of the formula II or III with from about 0.5 to about 5 molar equivalents of the permanganate, and preferably about 1 nwplar equivalent of the permanganate, in an appropriate solvent system. An appropriate solvent system is one that does not adversely interact with either the starting materials or the product, and water is commonly used. If desired, a co-solvent which is miscible with water but will not interact with the permanganate, such as tetrahydrofuran, can be added. The reaction is normally carried-out at a temperature in the range from about -20° to about 50° C., and preferably at about 0" C. At about 0" C. the reaction is normally substantially complete within a short period, e.g. within one hour. Although the reaction can be carried out under neutral, basic or acid conditions, it is preferable to operate under substantially neutral conditions in order to avoid decomposition of the 3-lactam ring system of the compound of the formula I. Indeed, it is often advantageous to buffer the pH of the reaction medium in the vicinity of neutrality. The product is recovered by conventional techniques. Any excess permanganate is usually decomposed using sodium bisulfite, and then if the product is out of solution, it is recovered by filtration. It is -1 ~ .199608 separated from manganese dioxide by extracting it into an organic solvent and removing the solvent by evaporation. Alternatively, if the product is not out of solution at the end of the reaction, it is isolated by the usual procedure of solvent extraction. T When a compound of the formula II or III, wherein R^" is as previously defined, is oxidized to the corresponding compound of the formula I, using, an organic.peroxy acid, e.g., a peroxycarboxylic acid, the reaction is usually carried out by treating the compound of the formula II or III with from about 1 to about 4 molar equivalents, and preferably about 1.2 equivalents of the oxidant in a reaction-inert organic solvent. Typical solvents are chlorinated hydrocarbons,such as dichloromethane, chloroform and 1,2-dichloroethane;' and ethers, such as diethyl ether, tetrahydrofuran and 1,2-dimethoxyethane. The reaction is normally carried out at a temperature of from about -20° to about 50° C., and preferably at about 25°C. At about 25°C. reaction times of about 2 to about 16 hours are commonly used. The product is normally isplated by removal of the solvent by evaporation in vacuo. The product can be purified by conventional methods, well-known in the art.

When oxidizing a compound of the formula II or III to a compound of the formula I using an organic peroxy acid, it is sometimes advantageous to add a catalyst such as a manganese salt, e.g. manganic acetylacetonate.

The compound of the formula I, wherein R^" is hydrogen, can also be obtained by.removal of the protecting group R^" from a compound of the formula I, wherein R^" is a penicillin carboxy protecting group. In this context, R^" can be any carboxy protecting group conventionally used in the penicillin art to protect carboxy groups at the 3-position. The identity of the carboxy protecting group is not critical. The only requirements for the carboxy protecting group R^- are that: (I) it must be stable during " 3 ~ 1 99608 oxidation of the compound of formula II or III; and (il) it must be removable from the compound of formula I, using conditions under which the g-lactam remains substantially intact. Typical examples which can be used are the tetra-hydropyranyl group, the benzyl group, substituted benzyl groups (e.g. 4-nitro-benzyl), the benzylhydryl group, the 2,2,2-trichloroethyl group, the t-butyl group and the phenacyl group. See further: United States Patents 3,632,850 and 3,197,466; British Patent No. 1,041,985, Woodward et al., Journal of the American Chemical Society, 88, 852 (1966); Chauvette, Journal of Organic Chemistry, 36, 1259 (1971); Sheehan et al., Journal of Organic Chemistry. 29, 2006 (1964); and "Cephalosporin and Penicillins, Chemistry and Biology", edited by H. E. Flynn, Academic Press, Inc., 1972. The penicillin carboxy protecting group is removed in conventional manner, having due regard for the lability of the S-lactam ring system.

In like manner, compounds of the formula I, wherein R1 is as I previously defined, can be prepared by oxidation of a compound of the formula CH. 3 V 1 C00R' wherein R is as previously defined. This is carried out in exactly the same manner as described hereinbefore for oxidation of a compound of the formula II or III, except that twice as much oxidant is usually used.

J 9 96 0 8 Compounds of the formula I, wherein R is an ester-forming residue readily hydrolyzable in vivo, can be prepared directly from the com-« pound of formula I, wherein X is hydrogen, by esterification. The specific method chosen will depend naturally upon the precise structure of the ester- forming residue, but an appropriate method will be readily selected by one skilled in the art. In the case wherein R^" is selected from the group consisting of 3-phthalidyl, 4-crotonolac.tonyl, y-tutyrolacton-4-yl and groups 3 4 5 of the formula X.and XI, wherein R , R and R are as defined previously, they can be prepared by alkylation of the compound of formula I, wherein R^ is hydrogen, with a 3-phthalidyl halide, a 4-crotonolactonyl halide, a y-butyrolacton-4-yl halide or a compound of the formula R3 0 I " 5 Q-C-0-C-R K XII and R 0 I » 5 Q-C-0-C-0-R XIII wherein Q is halo, and R3, and R"* are as previously defined. The terms "halide" and "halo" are intended to mean derivatives of chlorine, bromine and 15 iodine. The reaction is conveniently carried out by dissolving a salt of the compound of formula I, wherein R^ is hydrogen, in a suitable, polar, organic solvent, such as N,N7dimethylf0rmand.de, and then adding about one molar equivalent of the halide. When the reaction has proceeded essentially to completion, the product is isolated by standard techniques. It is often - )0- .199608 sufficient simply to dilute the reaction medium with an excess of water, and then extract the product into a water-immiscible organic solvent and then recover same by solvent evaporation. Salts of the starting .material which are commonly used are alkali metal salts, such as sodium and potassium salt, and tertiary amine salts, such as triethy 1 amine, N_-ethylpiperidine, N_,N-dimethylaniline and N-methylmorpholine salts. The reaction is run at a temperature in the range from about 0 to 100° C., and usually at about 25°C. The length of time needed to reach completion varies according to a variety of factors, such as the concentration of the reactants and the reactivity of the reagents. Thus, when considering the halo compound, the iodide reacts faster than the bromide, which in, turn reacts faster than the chloride. In fact, it is sometimes advantageous, when utilizing a chloro compound, to I add up to one molar equivalent of an alkali metal iodide. This has the effect of speeding up the reaction. With full regard for the foregoing factors, reaction times of from about 1 to about 24 hours are commonly used.

I 199608 Penicillanic acid la-oxide, the compound of the formula II, wherein is hydrogen, can be prepared by debromination of 6,6-dibromopenicillanic acid la-oxide. The debromination can be carried out using a conventional hydrogenolysis technique. Thus, a solution of 6,6-dibromopenicillanic acid la-oxide is stirred or shaken under an atmosphere of hydrogen, or hydrogen mixed with an inert diluent such as nitrogen or argon, in the presence of a catalytic I ■ " amount of palladium-on-calcium carbonate catalyst. Convenient solvents for this debromination are lower-alkanols, such as methanol; ethers, such hs tetra-hydrofuran and dioxan; low molecular weight esters, such as ethyl acetate and butyl acetate; water; and mixtures of these solvents. However, it is usual to choose conditions under which the dibromo compound is soluble. The hydrogenolysis is usually carried out at room temperature and at a pressure from about atmospheric pressure to about 50 p.s.i. The catalyst is usually present in an amount from about 10 percent by weight based on the dibromo compound, up to an amount equal in weight to the dibromo compound, although larger amounts can be used. The reaction commonly takes about one hour, after which the compound of the formula II, wherein^R^" is hydrogen, is recovered simply by filtration followed by removal of the solvent iri vacuo. 6,6-Dibromopenicillanic acid la-oxide is prepared by oxidation of 6,6-dibromopenicillanic acid with 1 equivalent of 3-chloroperbenzoic acid in tetrahydrofuran at 0-25° C. for ca. 1 hour, according to the procedure of Harrison etal., Journal of the Chemical Society (London) Perkin I, 1772 (1976).

I 6,6-Dibromopenicillanic acid is prepared by the method of Clayton, Journal of the Chemical 5ociety (London), (C) 2123 (1969). - a- J 9 9608 Penicillanic acid IB-oxide, the compound of the formula III, wherein R* is hydrogen, can be prepared by controlled oxidation of penicillanic acid. Thus, it can be prepared by treating penicillanic acid with one molar equivalent of 3-chloroperbenzoic acid in an inert solvent at about 0° C. for about one hour. Typical solvents which can be used include chlorinated hydrocarbons, such as chloroform and dichloromethane; ethers, such as diethyl ether and tetrahydrofuran; and low molecular weight esters such as ethyl acetate and butyl acetate. . The product is recovered by conventional techniques.

Penicillanic acid is prepared as described in British patent No. 1,072,108. < /' Compounds of the formula II and III,: wherein R is an ester-forming residue readily hydrolyzable in vivo, can be prepared directly from the compound of formula II or III, wherein R^" is hydrogen, by esterification, using standard procedures. In the case wherein R''" is selected from the group consisting of 3-phthalidyl, 4-crotonolactonyl, y-butyrolacton-4-yl and groups 3 4 5 of the formula X, and XI, wherein R , R. and R are as defined previously, i they can be prepared by alkylation of the appropriate compound of the formula II or III, wherein R"'" is hydrogen, with a 3^phthalidyl halide, 4-crotonolactonyl halide, a y-butyrolacton-4-yl halide, or a compound of the formula XII or XIII. The reaction is carried out in exactly the same manner as described previously for esterification of penicillanic acid 1,1-dioxide with a 3-phthalidyl halide, a 4-crotonolactonyl halide, a y-butyrolacton-4-yl halide, or a compound of the formula XII or XIII. tl 996OS Alternatively, the compounds of the formula II, wherein R is an ester-forming residue readily hydrolyzable in vivo, can be prepared by oxidation of the appropriate ester of 6,6-dibromopenicillanic acid, followed by debromination. The esters of 6,6-dibromopenicillanic acid are prepared from 6,6-dibromopenicillanic acid by standard methods.. The oxidation is carried out, for example, by oxidation with one molar equivalent of 3-chloroperbenzoic acid, as described previously for the oxidation of 6,6-dibromopenicillanic acid to 6,6-dibromopenicillanic acid la-oxide; and the debromination is carried out as described previously for the debromination of 6,6-dibromopenicillanic acid la-oxide. ' In like manner, the compounds of the formula III, wherein R^" is an 1 ester-forming residue readily hydrolyzable in'vivo can be prepared by oxidation of the appropriate'ester of penicillanic acid. The latter compounds I are readily prepared by esterification of penicillanic acid using standard methods. The oxidation is carried out, for example, by oxidation with one molar equivalent of 3-chloroperbenzoic acid, as described previously for 1 the oxidation of penicillanic acid to penicillanic acid 18-oxide.

The compounds of the formula II, wherein R^" is a carboxy protecting group can be obtained in one of two ways. They can be obtained simply by taking penicillanic acid la-oxide and attaching a carboxy protecting group thereto. Alternatively, they can be obtained by: (a) attaching a carboxy protecting group to 6,6-dibromopenicillanic acid; (b) oxidizing the protected - m- - I .199608 6,6-dibromopenicillanic acid to a protected 6,6-dibromopenicillanic acid la-oxide using 1 molar equivalent of 3-chloroperbenzoic acid; and (c) debromina-ting the protected 6,6-dibromopenicillanic acid la-oxide by hydrogenolysis.

The compounds of the formula III, wherein R^" is a carboxy protecting group can be obtained simply by attaching a protecting group to penicillanic acid 10*-oxide. Alternatively, they can be obtained by: (a) attaching a carboxy protecting group to penicillanic acid;.and (b)oxidizing the protected penicillanic acid using 1 molar equivalent of 3-chloroperbenzoic acid as previously described.

The compounds of formulas I, II and III, wherein R^" is hydrogen, .are acidic and will form salts with basic agents. Such oaltc arc conaidered to-be within tha ocopa of thio invention-. These salts can be prepared by standard techniques, such as contacting the acidic and basic components, usually in a 1:1 molar ratio, in an aqueous, non-aqueous or partially-aqueous medium, as appropriate. They are then recovered by filtration, by precipitation with a non-solvent followed by filtration, by evaporation of the solvent, or in the case of aqueous solutions, by lyophilization, as appropriate. Basic agents which are suitably employed in salt formation belong to both the organic and inorganic types, and they include ammonia, organic amines, alkali metal hy- I droxides, carbo'nates, bicarbonates, hydrides and alkoxides, as well.as alkaline earth metal hydroxides, carbonates, hydrides and alkoxides. Representative examples of such bases are primary amines, such as ii-propylamine, n_-butylamine, aniline, cyclohexylamine, benzylamine.and octylamine; secondary amines, such as diethylamine, morpholine, pyrrolidine and piperidine; tertiary amines, such as trie thylamine, N_- ethylpiperidine, N_-methylmorpholine and l,5-diazabicyclo[4.3.0]non-5-ene; hydroxides, such as sodium hydroxide, potassium hydroxide, ammonium hydroxide and barium hydroxide; alkoxides, such' as sodium ethoxide and potassium ethoxide -IS- J 99608 hydrides, such as calcium hydride and sodium hydride; carbonates, such as potassium carbonate and sodium carbonate; bicarbonates, such as sodium. bicarbor.Ai = and potassium bicarbonate; and alkali metal salts of long-chain fatty acids, such as .sodium 2-ethylhexanoate. .

Preferred salts of the compounds of the formulas I, II and III are sodium, potassium and triethylamine salts.

As indicated hereinbefore, the compounds of formula I, wherein R^" is \ hydrogen or an ester-forming residue readily hydrolyzable in vivo, are antibacterial agents of medium potency. The iii vitro activity of the compound of the formula I, wherein R"*" is hydrogen, can be demonstrated by measuring its minimum inhibitory concentrations (MIC's) in mcg/ml against a variety of microorganisms. The procedure which is followed is the one recommended by the International Collaborative Study on Antibiotic Sensitivity Testing (Ericcson and Sherris, Acta. Pathologica et Microbiologic Scandinav, Supp. 217, Sections A and B: 1-90 [1970]), and employs brain heart infusion (BHI) agar and the inocula.replicating device. Overnight growth tubes are diluted 100 fold for use as the standard inoculum (20,000-10,000 cells in approximately 0.002 ml. are placed on the agar surface; 20 ml. of BHI agar/dish). Twelve 2 fold dilutions of the test compound are employed, with initial concentration of the test drug being 200 meg./ml. Single colonies are disregarded when reading plates after 18 hrs. at 37° C. The susceptibility (MIC) of the test organism is accepted as the lowest concentration of compound capable of producing complete inhibition of growth as judged by the naked eye. MIC values for penicillanic acid 1,1-dioxide against several microorganisms are shown in Table I.

- Vo ~ ij J 996 01 TABLE I In Vitro Antibacterial Activity of Penicillanic Acid 1,1-Dioxide Microorganism MIC (meg./ml.) Staphylococcus aureus 100 Streptococcus faecalis >200 Streptococcus pyogenes 100 Escherichia coli 50 Pseudomonas aeruginosa 200 Klebsiella pneumoniae 50 Proteus mirabilis 100 Proteus morgani 100 Salmohella typhimurium 50 Pasteurella raultocida 50 Serratia marcescens 100 I Enterobacter aerogenes 25 Enterobacter clocae 100 Citrobacter freundii 50 Providencia 100 Staphylococcus epidermis 200 Pseudomonas putida >200 Hemophilus influenzae >50 Neisseria gonorrhoeae 0.312 n- 1 99608 The compounds of the formula I, wherein R is hydrogen or an ester-forming residue-readily hydrolyzable in vivo, are active as antibacterial agents in vivo. In determining such activity, acute experimental infections t are produced in mice by the intraperitoneal inoculation of the mice with a standardized culture of the test organism suspended in 5 percent hog gastric mucin. Infection severity is standardized so that the mice receive one to times the dose of the organism (LD^^: the minimum inoculum of orgam'-; required to consistently kill 100 percent of the infected, non-treated control mice). The test compound is administered to the infected mice using a multiple dosage regimen. At the end of the test, the activity of. a compound is assessed by counting the number of survivors among the treated animals and expressing the activity of a compound as the' percentage of animals which survive. ■ The iti vitro antibacterial activity of the compound of the formula I wherein R^" is hydrogen makes it useful as an industirial antimicrobial, for example in water treatment, slime control, paint preservation and wood preservation, as well as for topical application as a disinfectant. In the case of use of this compound for topical application, it is often convenient to admix the active ingredient with a non-toxic, carrier, such as vegetable or mineral oil or' an emollient cream. Similarly, it can be dissolved or dispersed in liquid diluents or solvents such as water, alkanols, glycols or mixtures thereof. In most instances it is appropriate to employ concentration-of the active ingredient of from about 0.1 percent to about 10 percent by weight, based on total composition.

The in vivo activity of the compounds of formula I, wherein is hydrogen or an ester-forming-residue readily hydrolyzable in vivo, makes them suitable for the control of bacterial infections in mammals, including man, by both the oral and parenteral modes of administration. The compounds f ' i' will find use in the control of Infections caused by susceptible bacteria in human subjects, e.g. infections caused by strains of Neisseria gonorrhoeae. 199608 When considering therapeutic use of a compound of the formula I, or a salt thereof, in a mammal, particularly man, the compound can be administered alone, or it can be mixed with pharmaceutically acceptable carriers or diluents They can be administered orally or parenterally, i.e. intramuscularly, sub-cutaneously or intraperitoneally. The carrier or diluent is chosen on the basis of the intended mode of administration. For example, when considering the oral mode of administration, an antibacterial penam compound of this invention can be used in the form of tablets, capsules, lozenges,- troches, powderi, syrups, elixirs, aqueous solutions and suspensions, and the like, in accordance 10 with standard pharmaceutical practice. The proportional ratio of active in- I gredient to carrier will naturally depend on the chemical nature, solubility and stability of the active ingredient, as well as the dosage contemplated. However, pharmaceutical compositions containing an antibacterial agent of the formula X will likely contain from about 20%to about 95% of active ingredient. 15 In the case of Cablets for oral use, carriers which are commonly used include lactose, sodium citrate and salts of phosphoric acid. Various disintegrants such as starch, and lubricating agents, such as magnesium stearate, sodium lauryl sulfate and talc, are commonly used in tablets. For oral administration !j in capsule form, useful diluents are lactose and high molecular weight poly— 20 "ji ethylene glycols. When aqueous suspensions are required for oral use, the active ingredient is combined with emulsifying and suspending agents. If desired, certain sweetening and/or flavoring agents can be added. For parenteral administration, which includes intramuscular, intraperitoneal, sub-cucaneous and intravenous use, sterile solutions of the active ingredient 25 are usually prepared, and the pH of the solutions are suitably adjusted and buffered. For intravenous use, the total concentation of solutes should be controlled to render the preparation isotonic.

J9960 8 As*Indicated earlier, the. antibacterial agents of this invention are of use in human subjects against susceptible organisms. The prescribing physician will ultimately determine the appropriate dose for a given human subject,.and this can be expected, to vary according' to the age, weight, and response of the individual patient, as well as the nature and the severity of the patient's•symptoms. The compounds of this invention will normally be used orally at dosages in the range from about 10 to about 200 mg. per kilogran of body weight per day, and parenterally at dosages from about 10 to about 400 mg. per1 kilogram of body weight per day. These figures are illustrative I only, however, and in some cases it may be necessary to use dosagefe outside these limits. i However, as indicated hereinbefore, the compounds of the formula I, wherein R^" is hydrogen or an ester-forming residue readily hydrolyzable iii vivo are potent inhibitors of microbial B-lactamases, and they increase the antibacterial effectiveness of 3-lactam antibiotics (penicillins and cephalosporins against many microorganisms, particularly those which produce a B-lactamase. The manner in which the said compounds of the formula I increase the effective- i jj ness of a B-lactam antibiotic can be appreciated by reference to experiments ir (I which the MIC of a given antibiotic alone, and a compound of the formula I ; alone, are measured. These MIC's are then compared with the MIC values J obtained with a combination of the given antibiotic and the compound of the formula I. When the antibacterial potency of the combination is significantly greater than would have been predicted from the potencies of the individual compounds, this' is considered to constitute enhancement of activity. The MIC values of combinations are measured using the method described by Barry and Sabath in "Manual of Clinical Microbiology", edited by Lenette, Spaulding and Truant, 2nd edition, 1974, American Society for Microbiology. 1 99608 Results of experiments illustrating that penicillanic acid 1,1-* * dioxide enhances the effectiveness of aispicillin are reported in Table II.

From Table II, it can be seen that against 19 ampicillin-resistant strains of Staphylococcus aureus, the mode MIC of ampicillin, and of penicillanic acid 1,1-dioxide, is 200 meg./ml. However, the mode MIC's of ampicillin and penicillanic acid 1,1-dioxide in combination are 1.56 and 3.12 meg./ml., . respectively. Looked at another way, this means that whereas ampicillin alone has a mode MIC of 200 meg./ml. against the 19 strains of Staphylococcus aureus, its mode MIC is reduced to 1156 meg./ml. in the presence of 3.12 mcg./n of penicillanic acid 1,1-dioxide. The other entries in Table II show enhancement of the antibacterial effectiveness of ampicillin against 26 ampicillin resistant strains of Haemophilus influenzae, 1-8 ampicillin resistant strains of Klebsiella pneumoniae, and 15 strains of the anerobe Baeteroides fragilis.

\ Tables III, IV and V show enhancement of the antibacterial; potency of benzyl-penicillin (penicillin G) carbenicillin (a-carboxybenzylpenicillin) and cefazolin, respectively, against strains of S_. aureus, H_. influenzae, K. pneumoniae and Baeteroides fragilis. -9L\ TABLE II Effect of Penicillanic Acid 1,1-Dioxide (PA 1,1-Dioxide) on the , Antibacterial Activity of Ampicillin No. of Mode MC Mode MIC Mode MIC's of ampicillin Microorganism Strains of arapicillin of PA 1,1-Dioxide and PA 1,1-Dioxide in alone alone .combination ampicillin PA 1,1-Dioxide Staphylococcus aureus 19 200 200 ; 1.56 3,12- Haemophilus influenzae 26 200 >200 0.78 ■, 3.12 Klebsiella pneumoniae 18 >400 50 6.25 6.25 Baeteroides fragtils 50 50 1.56 0.78 TABLE III Effect of Penicillanic Acid 1,1-Dioxide (PA 1,1-Dioxide) on the Antibacterial Activity of Penicillin G Microorganism Wo. of strains Mode MIC of penicillin G alone Mode MIC of PA 1,1-Dioxide alone Mode MIC's of penicillin G and PA 1,1-Dioxide in combination penicillin G PA 1,1-Dioxide • Staphylococcus aureus 200 200 3.12 6.25 1 Haemophilus influenzae 50 100 .0.78 1.56 p Klebsiella pneumoniae 24 400 50 12.5 / Baeteroides fragilis 50 1.56 0.39 vO NO & o oo .TABLE IV Effect of Penicillanic Acid 1,1-Dioxide (PA 1,1-Dioxide) on the Antibacterial Activity of Carbeniclllin cr , i No. of Mode MIC Mode MIC Mode MIC's of carbenicillin Microorganism Strains of carbeni of PA 1,1-Dioxide and PA 1,1-Dioxide in clllin alone alone combination * carbenicillin PA 1,1-Dioxide Staphylococcus aureus 12.5 200. 1 6.25 6.25 Haemophilus influenzae V 6.25 100 ' 0.39 0.78 Klebsiella pneumoniae 16 >400 - 50 50 6.25 Baeteroides fragllis 50 50 3.12 0.78 \0 0s o TABLE V Effect of Penicillanic Acid 1,1-Dioxide (PA 1,1-Dioxide) on the Antibacterial Activity of Cefazolln Microorganism No. of Strains Mode MIC of Cefazolln Alone Mode MIC of PA 1,1-Dioxide Alone Mode MIC's of Cefazolln and PA 1,1-Dioxide in Combination Cefazolln PA 1.1-DIoxide Staphylococcus aureus 0.78 200 0.2 Haemophilus influenzae . 200 3.12 0.20 Klebsiella -pneumoniae 3 t. 100 50 • 6,25 Baeteroides fraRilis • 200 50 6.25 6.25 19 9608 The* compounds of the formula I, wherein R^. is hydrogen or an ester-forming residue readily hydrolyzable in vivo, enhance the antibacterial effectiveness of B-lactam antibiotics in vivo. This is, they lower the amount '* ■ of the antibiotic which is needed to protect mice-against an otherwise lethal inoculum of certain ^-lactamase producing bacteria.

The ability of the compounds of the formula I, wherein R^" is hydroger or an ester-forming residue readily hydrolyzable in vivo, to enhance the effectiveness of a 8-lactam antibiotic- against B-lactamase-producing bacteria makes them valuable for co-administration with (3-lactam antibiotics in the treatment of bacterial infections in mammals, particularly man. In the treatment of a bacterial infection, the said compound of the formula I can be comingled with the (5-lactam antibiotic, and the two agents thereby administered simultaneously. Alternatively, the said compound of the formula I can be administered as a separate agent during a course of treatment with a S-lactam ♦ antibiotic. In some instances it will be advantageous to pre-dose the subject with the compound of the formula I before initiating treatment with a 8-lactam antibiotic.

When using penicillanic acid 1,1-dioxide or an ester, thereof readily hydrolyzable in_ vivo to enhance the effectiveness of 8~lactam antibiotic, it is administered preferably in formulation with standard pharmaceutical carriers A or diluents. The methods of formulation discussed earlier for use of penicillanic acid 1,1-dioxide or an ester thereof readily hydrolyzable in vivo as a single-entity antibacterial agent can be used when co-administration with another B-lactam antibiotic is intended. A pharmaceutical composition comprising a pharmaceutically-acceptable carrier, a 8-lactam antibiotic and penicillanic acid 1,1-dioxide or a readily hydrolyzable ester thereof will normally contain from about 5 to about 80 percent of the pharmaceutically acceptable carrier by weight.

When using penicillanic acid 1,1-dioxide,'or an ester thereof readily hydrolyzable in vivo in combination with another B-*lactam antibiotic, the sulfone can be administered orally or parenterally, i.e. intramuscularly, sub-cutaneously or intraperitoneally. Although the prescribing physician will - It- i 1996 0 8 ultimately de'cide the dosage to be-used in a human subject, the ratio of the daily dosages of the penicillanic acid 1,1-dioxide or ester thereof and the B-lactam antibiotic will normally be in the range from about 1:3 to 3:1. Additionally, when using penicillanic acid 1,1-dioxide or an ester thereof readily hydrolyzable in vivo in combination with another B-lactam antibiotic, the daily oral dosage of each component will normally he in the range from aboJt 10 to about 200 mg. per kilogram of body weight and the daily parenteral dosage of each component will normally.be about 10 to about 400 mg. per kilogram of body weight. These figures are illustrative only, however, and in some cases it may be necessary to use dosages outside these limits.

Typical B-lactam antibiotics with which penicillanic acid 1,1-dioxide and its esters readily hydrolyzable in vivo can be co-administered are: 6-(2-phenylacetamido)penicillanic acid, « 6-(2-phenoxyacetamido)penicillanic acid, 6-(2-phenylpropionamido)penicillanic acid, 6-(D^2-amino-2-phenylacetamido)penicillanic acid, 6-(D^2-amino-2-[4-hydroxyphenyl]acetamido)penicillanic acid, 6-(D_-2-ami no-2-[1,4-cyclohexadienyl]acetamido)penicillanic acid, 6-(1-aminocyclohexanecarboxamido)penicillanic acid, 6-(2-carboxy-2-phenylacetamido)penicillanic acid, J 6-(2-carboxy-2-[3-thienyl]acetamido)penicillanic acid, 6-(D^2-[4-ethylpiperazin-2,3-dione-l-carboxamido]-2-phenylacetamido)penicillanic acid, 6- (D^2- [ 4-hydroxy-l, 5-naphthy ridine-3-carboxamido ] -2-phenylacetamido) -penicillanic acid, 6-(D^2-sulfo-2-phenylacetamido)penicillanic acid, 6-(D^2-sulfoamino-2-phenylacetamido)penicillanic acid, 6-(D_-2-[imidazolidin-2-one-l-carboxamido]-2-phenylacetamido)penicillanic acid, 6- (D^t 3-methylsulfonylimidazolidin-2-one-l-carboxamido ]-2-phenylacetamido )-penicillanic acid, ; '' . '■ 6- ([hexahydro-lH-azepin-l-yl]methyleneamino)penicillanic acid, - n 1 99608 acetoxymethyl 6-(2-phenylacetamido)penicillanate, acetoxymethyl 6-(D-2-amino-2-phenylacetaraido)penicillanate, acetoxymethyl 6-(D-2-amino-2-[4-hydroxyphenyl]acetamido)penicillanate, pivaloyloxymethyl 6-(2-phenylacetamido)penicillanate, * pivaloyloxymethyl 6-(D-2-amino-2-phenylacetamido)penicillanate, pivaloyloxymethyl 6-(D-2-amino-2-[4-hydroxyphenyl]acetamido)penicillanate, 1—(ethoxycarbonyloxy)ethyl 6-(2-phenylacetaraido)penicillanate, l-(ethoxycarbonyloxy)ethyl 6-(D-2-amino-2-phenylacetamido)penicillanate, 1-(ethoxycarbonyloxy)ethyl 6-(I3-2-amino-2-[A-hydroxypheny1]acetamido)-penicillanate, 3-phthalidyl 6-(2'-phenylacetamido)penicillanate, 3-phthalidyl 6-(&-2-amino-2-phenylacetamido)penicillanate, 3-phthalidyl 6-(_D-2-amino-2-[4-hydroxyphenyl]'acetamido) penicillanate, 6-(2-phenoxycarbonyl-2-phenylacetamido)penicillanic acid, 6-(2-tolyloxycarbonyl-2-phenylacetamido)penicillanic acid, 6-(2-[5-indanyloxycarbonyl]-2-phenylacetamido)penicillanic acid, 6-(2-phenoxycarbony1-2-[3-thienyl]acetamido)penicillanic acid, 6-(2-tolyloxycarbony1-2-[3-thienyl]acetamido)penicillanic acid, 6-(2-[5-indanyloxycarbonyl]-2-[3-thienyl]acetamido)penicillanic acid, 7-(2-[2-thienyl]acetamido)cephalosporanic acid, 1 A 7-(2-[l-tetrazolyl]acetamido-3-(2-[5-methyl-l,3,4-thiadiazolyl]thiomethyl)-3-desacetoxymethylcephalosporanic acid, J 7-(D-2-amino-2-phenylacetamido)desacetoxycephalosporanic acid, : I 7-a-methoxy-7-(2-[2-thienyl]acetamido)-3-carbamoyloxymethyl-3-desacetoxymethyl-cephalosporanic acid, 7-(2-cyanoacetamido)cephalosporanic acid, 7-(J>-2-hydroxy-2-phenylacetamido)-3-(5-[1-methyltetrazolyl]thiomethyl)-3-desacetoxymethylcephalosporanic acid, 7-(2-[4-pyridylthio]acetamido)cephalosporanic acid, 7-(I>-2-amino-2-[1,4-cyclohexadienyl]acetamido)cephalosporanic acid, 7-(D-2-amino-2-phenylacetamido)cephalosporanic acid, and the pharmaceutically-acceptable salts thereof. 6-(2,2-dimethy1-5-oxo-A-pheny1-1-imidazolidinyl)penicillanic acid, J 996 0; As .will be appreciated by"one skilled in the art, some of the above fi-lactam compounds are effective when administered orally or parenterally, while others are effective only when administered by the parenteral route. : When penicillanic acid 1,1-dioxide or an ester thereof readily hydrolyzable in vivo is to be used simultaneously (i.e. co-mingled) with a B—lactam antibiotic which is effective only on parenteral administration, a combination formulation suitable for parenteral use will be required. When the penicillanic acid 1,1-dioxide or ester thereof is to-be used simultaneously (co-mingled) with a B-lactam antibiotic which is effective orally or parenterally, combinations suitable for either oral or parenteral administration cop be prepared. Additionally, it is possible to administer preparations of the penicillanic acid 1,1-dioxide or ester thereof orally, while at the same time administering a further B-lactam antibiotic.parenterally; and it is also possible to administer preparations of the penicillanic acid 1,1-dioxide or ester thereof parenterally, while at the same time administering the further B-Lactam antibiotic orally.

. ' J The following examples are provided solely for the purpose of further Illustration. Infrared (IR) spectra were measured as potassium bromide discs (KBr discs) or as Nujol mulls, and diagnostic absorption bands are reported in wave numbers (cm' . Nuclear magnetic resonance spectra (NMR) were measured it 60 MHz for solutions in deuterochloroform (CDCl^), perdeutero dimethyl sul-oxide (DMSO-dg) or deuterium oxide O^O)» ant* Pea^ positions are expressed in barts per million (ppm) downfield from tetramethylsilane or sodium 2,2-aimethyl-2-silapentane-5-sulfonate. The following abbreviations for peak shapes are used: s, singlet; d, doublet; t, triplet; q, quartet; m, multiplet. - iq- J996 0 £ EXAMPLE 1 Penicillanic Acid 1,1-Dioxide To a solution of 6.51 g. (41 mmole) of potassium permanganate in 130 ml. of water and 4.95 ml. of glacial acetic acid, cooled to ca. 5° C., was added a cold (ca. 5° C.) solution of 4.58 g. (21 mmole) of the sodium salt of penicillanic acid in 50 ml. of water. The mixture was stirred at ca. I 5° C. for 20 minutes and then the cooling bath was removed. Solid sodium bisulfite was added until the color of the potassium permanganate had been 'discharged, and then the mixture was filtered. To the aqueous filtrate was added half its volume of saturated sodium chloride solution, and then I che pll was adjusted to 1.7. The acidic solution was extracted with ethyl acetate. The extracts were dried, and then evaporated vacuo, to give 3.47 g. of the title product. The aqueous mother liquor was saturated with sodium chloride, and further extracted with ethyl acetate'. The ethyl acetate j solution was dried and evaporated in vacuo, to give a further 0.28 g. of j product. The total yield was therefore 3.75 g. (78% yield). The NHR spectrum j (DMSO-d,.) of the product showed absorptions at 1.40 (s,3H), 1.50 (s,3H), ! |j 3.13 (d of d's, 1H, Jx = 16Hz, J2 =■ 2Hz), 3.63 (d of d's, 1H, J^ = 16 Hz, J2 = 4Hz), 4.22 (s, IH) and 5.03 (d of d's, 1H, - 4Hz, = 2Hz) ppm.

J 99608 EXAMPLE 2 Benzyl Penicillanate 1,1-Dioxide To a stirred solution of 6.85 g. (24 mmole) of benzyl penicillanate in 75 ml., of ethanol-free chloroform, under nitrogen, in an ice-bath, was added in two portions, several minutes apart, 4.78 g. of 85% pure 3-chloroperbenzoic acid. Stirring was continued for 30 minutes in the ice-bath, and the-n for 45 minutes without external cooling. The reaction mixture was washed with aqueous alkali (pH 8.5), followed by saturated sodium chloride, and then it was. dried and evaporated in vacuo to give 7.05 g. of residue. Examination o'f this residue showed it to be a 5.5:1 mixture of benzyl penicillanate 1-oxide and benzyl penicillanate 1,1-dioxide.

To a stirred solution of 4.85 g. of the above 5.5:1 sulfoxide-sulfone mixture in 50 ml. of ethanol-free chloroform, under nitrogen, was added 3.2 g. of 85% pure 3-chloroperbenzoic acid at room temperature. The reaction mixture was stirred for 2.5 hours, and then it was diluted with I ethyl acetate. The resultant mixture was added to water at pH 8.0, and then the layers were separated. The organic phase was washed with water at pH 8.0, followed by saturated sodium chloride, and then it was dried using sodium •sulfate. Evaporation of the solvent in vacuo afforded 3.59 g. of the title compound. The NMR spectrum of the produot (in CDCl^) showed absorptions at 1.28 (s, 3H), 1.58 (s,3H), 3.42 (m,2H), 4.37 (s,lH), 4,55 (m.lH), 5.18 (q,2H, J = 12 Hz) and 7.35 (s,5H) ppm. 7>\ ' 199608 EXAMPLE 3 Penicillanic Acid 1,1-Dioxide To a stirred solution of 8.27 g. of benzyl penicillanate 1,1-dioxidein a mixture of AO ml. of methanol and 10 ml. of ethyl acetate was slowly added 10 ml. of water, followed by 12 g. of 57. palladium-on-calcium carbonate. The mixture was shaken under an atmosphere of hydrogen, at 52 psi, for AO minutes, and then it was filtered through supercel (a diatomaceous earth). The filter cake was washed with methanol, and with aqueous methanol, and the washings were added to the filtrate. The combined i solution was evaporated in vacuo to remove the majority of the organic solvents and then the residue was partitioned between ethyl acetate and water at a pH of 2.8. The ethyl acetate layer was removed and the aqueous phase was further extracted with ethyl acetate. The combined ethyl acetate solutions: ( were washed with saturated sodium chloride solution, dried using sodium sul-15 fate and then evaporated in vacuo. The residue was slurried in a 1:2 mixture of ethyl acetate-ether, to give 2.37 g. of the title product having a melting point of 148-51° C. The ethyl acetate-ether mixture was evaporated giving a further 2.17 g. of product. - 3>a- I -199608 EXAMPLE it Pivaloyloxymethyl Penicillanate 1,1-Dioxide To 0.615 g. (2.41 mznole) of penicillanic acid 1,1-dioxide in 2 ml. of {I, N-dimethylf ormaraide was added 0.215 g. (2.50 mmole) of diiso-propylethylamine followed by 0.365 ml. of chloromethyl pivalate. The reaction mixture was stirred at room temperature for 24 hours, and then it was diluted with ethyl acetate.and water. The ethyl acetate layer was separated and washed three times with water and once, with saturated sodium chloride solution. The ethyl acetate solution was then dried using anhydrous sodium sulfate, and evaporated in vacuo to give 0.70Q g. of the title product as a solid, mp 103-4" C. The NHR spectrum of the product (in CDCl^) showed absorptions at 1.27 (s, 9H), 1.47 (s, 3ti), 1.62 (s, 3H), 3.52 (ra, 2H), 4.47 (s, 1H), 4.70 (m, 1H), 5.73 (d, 1H, J = 6.0 Hz) and 5.98 (d, 1H, J - 6.0 Hz).

EXAMPLE 5 The procedure of Example 4 is repeated, except that the pivaloyoxy-methyl chloride used therein is replaced by an equimolar amount of acetoxymethyl chloride> propionyloxymethyl chloride and hexanoyloxymethyl chloride, respectively, to give: acetoxymethyl 'penicillanate 1,1-dioxide, propionyloxymethyl penicillanate 1,1-dioxide and hexanoyloxymethyl penicil'lanate 1,1-dioxide, respectively. -2>3>~ 1 99608 EXAMPLE 6 3-Phthalidyl Penicillanate 1,1-Dioxide . To 0.783 g. (3.36 mmole) of•penicillanic acid 1,1-dioxide in 5 ml. of N,N_-dimethylformamide was added 0.47 ml. of triethylamine followed by 0.715 g. of 3-bromaphthalide. The reaction mixture was stirred for 2 hours at room temperature and then it was diluted'with ethyl acetate and water.

The pH of the aqueous phase was raised to 7.0 and the layers were separated. The ethyl acetate layer was washed successively with water and saturated sodiun^ chloride solution, and then it was dried using sodium sulfate. . The ethyl acetate solution was evaporated xn_ vacuo leaving the title product as; | a white foam. The NMR spectrum of the product (in CDCl^) showed absorptions at 1.47 (s, 6H), 3.43 (m, 1H), 4.45 (s, 1H), 4.62 (m, 1H>, 7.40 and 7.47 (2s's, 1H) and 7.73 (m, 4H) ppm When the above procedure is repeated, except that the 3-bromaphthalide is replaced by 4-bromocrotonolactone and 4-bromo-Y- ■ I butyrolactone, respectively, this affords: 4-crotonolactonyl penicillanate 1,1-dioxide .and Y-butyralacton-4-yl penicillanate, respectively. v 199608 EXAMPLE 7 * S 1-(Ethoxycarbonyloxy)ethyl Penicillanate 1,1-Dioxide A mixture of 0.654 g. of penicillanic acid 1,1-dioxide, 0.42 ml. of triethylamine, 0.412 g. of 1-chloroethyl ethyl carbonate, 01300 g. of sodium bromide and 3 ml. of N_,N-dimethylformamide was stirred at room temperature for 6 days. . It was then worked up by diluting it with ethyl acetate and water, and then the pH was adjusted to 8.5. The etjiyl acetate layer was separated, washed three times with water, washed once with saturated sodium chloride, and then it was dried using anhydrous sodium sulfate. The ethyl acetate was removed by evaporation in vacuo leaving 0.390 g. of the title / product as an oil. / .

The above product was combined with an approximately equal amount of similar material from a similar experiment. The combined product was dissolved in chloroform and 1 ml. of pyridine was added. The mixture was stirred at room temperature overnight and then the chloroform was removed by evaporation jm vacuo. The residue was partitioned between ethyl acetate and water at pH 8. The separated and dried ethyl acetate was then evaporated in vacuo to give 150 mg. of the title product (yield ca. 7%). The IR spectrum (film) of the product showed absorptions at 1805 and 1763 cm \ The NMR spectrum (CDCl^) showed absorptions at 1.43 (m, 12H), 3.47 (m, 2H), 3.9 (q, 2H, J = 7.5 Hz), 4.37/m, 1H), 4.63 (m, 1H) and 6.77 (m, 1H) ppm. - % -: 199608 EXAMPLE 8 .

The procedure of Example 7 is repeated, except that the 1-chloroethyl ethyl, carbonate is replaced by an equimolar amount of the appropriate 1-chloroalkyl alkyl carbonate, 1-(alkanoyloxy)ethyl chloride or 1-methyl-l-(alkanoyloxy)ethyl chloride, to produce the following compounds: methoxycarbonyloxymethyl penicillanate 1,1-dioxide, ethoxycarbonyloxymethyl penicillanate ..1,1-dioxide, isobutoxycarbonyloxyroethyl penicillanate 1,1-dioxide, l-(methoxycarbonyloxy)ethyl penicillanate 1,1-dioxide, 1-(butoxycarbonyloxy)ethyl penicillanate 1,1-dioxide, 1-(acetoxy)ethyl penicillanate' 1,1-dioxide, 1-(butyryloxy)ethyl penicillanate 1,1-dioxide, •l-(pivaloyloxy)ethyl penicillanate 1,1-dioxide, 1-(hexanoyloxy)ethyl penicillanate 1,1-dioxide, l-methyl-l-(acetoxy)ethyl penicillanate 1,1-dioxide and l-methyl-l-(isobutyryloxy)ethyl penicillanate 1,1-dioxide, respectively. r y°1 19960 8 '• EXAMPLE 9 The procedure of Example 4 is repeated, except that the chlororaethyl pivalate is 'replaced by an equimolar amount of benzyl bromide and 4-nitrobenzyl bromide, respectively, to produce benzyl penicillanate 1,1-dioxide and 4-nitro-benzyl penicillanate 1,1-dioxide, respectively.

EXAMPLE 10 Penicillanic Acid la-Oxide To 1.4 g. of prehydrogenated 5% palladium-on-calcium carbonate in ,50 ml. of water was added a solutioaof 1.39 g. of benzyl 6,6-dibromopenicilla- I nate let-oxide in 50 ml. of tetrahydrofuran. The mixture was shaken under an atmosphere of hydrogen at ca. 45 p.s.i. and 25° C. for 1 hour, and then it was filtered. The filtrate was evaporated iji vacuo to remove the bulk of the tetrahydrofuran, and then the aqueous phase was extracted with ether. The ether extracts were evaporated in vacuo to give 0.5 g. of material which appeared to be'largely benzyl penicillanate la-oxide.

The above benzyl penicillanate la-oxide was combined with a further 2.0 g. of benzyl 6,6-dibromopenicillanate la-oxide and dissolved in 50 ml.-of tetrahydrofuran. The solution was added to 4.0 g. of 5X palladium-on-calcium carbonate, in 50 ml. of water, and the resulting mixture was shaken under an atmosphere of hydrogen, at ca. 45 p«s.i. and 25°C. overnight. The mixture was filtered, and the filtrate was extracted with ether. The extracts were evaporated in vacuo, and the residue was purified by chromatography on silica gel, eluting with chloroform. This afforded 0.50 g. of material.

The latter material was hydrogenated at ca_. 45 p.s.i. at 25° C. in water-methanol (1:1) with 0.50 g. of 5Z palladium-on-calcium carbonate for 2 hours. At this point, an additional 0.50 g. of 5% palladium-on-calcium carbonate was added and the hydrogenation was continued at 45 p.s.i. and 25°C.

? Si : I -1 99608 overnight.' The reaction mixture was .filtered, extracted with ether and the extracts were discarded. The residual aqueous phase was adjusted to pH 1.5 and then extracted with ethyl acetate. The ethyl acetate extracts were dried (Na^SO^) and then evaporated in vacuo to give 0.14 g.. of penicillanic acid la-oxide. The NMR spectrum (CDCl^/DMSO-d^) showed absorptions.at 1.4 (s, 3H), 1.64 (s, 3H), 3.60 (m, 2H), 4.3 (s, 1H) and 4.54 (m, lH)ppm. The IR spectrum of the product (KBr disc) showed absorptions at 1795 and 1745 cm EXAMPLE 11 Penicillanic Acid la-Oxide I I To 1.0 g. of prehydrogenated 5% palladium-on-calcium carbonate in 30 ml. of water is added a solution of 1.0 g. of 6,6-dibromopenicillanic acid la-oxide. The mixture is shaken under an atmosphere of hydrogen, at ca. 45 p.s.i. and 25°C., for 1 hour. The reaction mixture is then- filtered and the filtrate is concentrated in vacuo to remove the methanol. The residual aqueous phase is diluted with an equal volume jof water, adjusted to pH 7, and washed with ether. The aqueous phase is then acidified to pH 2 with dilute hydrochloric acid and extracted with ethyl acetate. The ethyl acetate extracts are dried (Na^SO^) and evaporated in vacuo -to give penicillanic acid la-oxide. 199608 EXAMPLE" 12 Penicillanic Acid IB-Oxide . To a stirred solution of 2.65 g. (12.7 mmole) of penicillanic acid in chloroform at 0°C. was added 2.58 g. of 85% pure 3-chloroperbenzoic acid.

After 1 hour, the reaction mixture was filtered and the filtrate was evaporated in vacuo. The residue was dissolved in a small amount of chloroform. The solution was concentrated slowly until a precipitate began to appear. At this point the evaporation was stopped and the mixture was diluted with ether. The precipitate was removed by filtration, washed with ether and dried, to give ' j 0.615 g. of penicillanic acid IB-oxide, m.p. 140-3°C. The IR spectrum of the product (CHCl^ solution) showed absorptions at 1775 and 1720 cm The NMR spectrum (CDCl^/DMSO-d^) showed absorptions at 1.35 (s, 3H), 1.76 (s, 3H), 3.36 (m, 2H), A.50 (s, 1H) and 5.05 (m, lH)ppm.- 'From the NMR spectrum, the product appeared to be ca. 90% pure.

Examination of the chloroform-ether mother liquor revealed that it contained further penicillanic acid IB-oxide, and also some penicillanic acid la-oxide. - 3^ J- 9 96 0 8 EXAMPLE 13 Esterification of penicillanic acid la-oxide or penicillanic acid IB-oxide, as appropriate, with the requisite alkanoyloxy chloride, according to Example 5, provides the following compounds: acetoxymethyl penicillanate la-oxide, propionyloxymethyl penicillanate la-oxide, pivaloyoxymethyl.penicillanate la-oxide, acetoxymethyl penicillanate IB-oxide* . propionyloxymethyl penicillanate IB-oxide and pivaloyloxymethyl penicillanate IB-oxide, respectively.

EXAMPLE 14 I Reaction of penicillanic acid la-oxide or penicillanic acid IB-oxide "with 3-bromophthalide, 4-bromocrotonolactona or 4-bromo-Y-butyrolactone, as appropriate, affords the following compounds: [ 3-phthalidyl penicillanate la-oxide 4-crotonolactonyl penicillanate la-oxide, 3-phthalidyl penicillanate IB-oxide, J 4-crotonolactonyl penicillanate IB-oxide and Y-butyrolacton-4-yl penicillanate IB-oxide, respectively. t) J 9 96 0 8 EXAMPLE 15 Reaction of penicillanic acid la-oxide or penicillanic acid IB-oxide, as appropriate, with the requisite 1-chloroalkyl alkyl carbonate or l-(alkanoyl-oxy)ethyl chloride, according Co the procedure of Example 7, provides the following compounds: 1-(ethoxycarbonyloxy)ethyl penicillanate la-oxide, methoxycarbonyloxymethyl penicillanate la-oxide, ethoxycarbonyloxymethyl penicillanate la-oxide, isobucoxycarbonyloxymethyl penicillanate la-oxide, l-(methoxycarbonyloxy)ethyl penicillanate la-oxide, l-(butoxycarbonyloxy)ethyl penicillanate la-oxide, ! l-(acetoxy)ethyl penicillanate la-oxide, j 1-(butyryloxy)ethyl penicillanate la-oxide,' 1-(pivaloyloxy)ethyl penicillanate la-oxide, I j 1-(ethoxycarbonyloxy)ethyl penicillanate IB-oxide, J neChoxycarbonyloxymethyl penicillanate lfi-oxide, ethoxycarbonyloxymethyl penicillanate IB-oxide, isobutoxycarbonyloxyraethyl penicillanate IB-oxide, l-(methoxycarbonyloxy)ethyl penicillanate IB-oxide, l-(butoxycarbonyloxy)ethyl penicillante ■IB-oxide., l-(acetoxy)ethyl penicillanate IB-oxide, 1-(butyryloxy)ethyl penicillanate IB-oxide and l-(pivaloyloxy)ethyl penicillanate IB-oxide, respectively. w J 996 o 6 EXAMPLE 16 Reaction of penicillanic acid la-oxide and penicillanic acid 18-oxide with benzyl bromide, according to the procedure of Example 4, produces benzyl penicillanate la-oxide and benzyl penicillanate lS-oxide, respectively.

In like manner, reaction of penicillanic acid la-oxide and penicillanic acid 10-oxide with 4-nitrobenzyl bromide, according to the procedure of Example 4, produces 4-nitrobenzyl penicillanate la-oxide and 4-nitrobenzyl penicillanate 16-oxide, respectively.

EXAMPLE 17 I , Penicillanic Acid 1,1-Dioxide To 2.17 g. (10 mmole) of penicillanic acid la-oxide in 30. ml. of '• ' ethanol-free chloroform at ca. 0°C. is added' 1.73 g. (10 mmole) of 3-chloroperbenzoic acid. The mixture is stirred for 1 hour at ca. 0°C. and then for an additional 24 hours at 25cC. The filtered, reaction mixture is evaporated in vacuo to give penicillanic acid 1,1-dioxide. !i : - - i+v 199608 ! EXAMPLE 18 The procedure of Example 17 is repeated, except that the penicillanic acid la-oxide used therein is replaced by: penicillanic acid 18-oxide, acetoxymethyl penicillanate la-oxide, propionyloxymethyl penicillanate la-oxide, pivaloyoxyraethyl penicillanate la-oxide, acetoxymethyl penicillanate 16-oxide, propionyloxymethyl penicillanate 18-oxide, . pivaloyloxymethyl penicillanate 18-oxide, 1 3-phthalidyl penicillanate la-oxide, 3-phthalidyl penicillanate■IB-oxide, l-(ethoxycarbonyloxy)ethyl penicillanate la^oxide, methoxycarbonyloxymethyl penicillanate la-oxide, ethoxycarbonyloxymethyl penicillanate la-oxide, isobutoxycarbonyloxymethyl penicillanate la-oxide, l-.(methoxycarbonyloxy)ethyl penicillanate la-oxide, l-(butoxycarbonyloxy)ethyl penicillanate la-oxide, l-(acetoxy)ethyl penicillanate la-oxide, 1-(butyryloxy)ethyl penicillanate la-oxitie, l-(pivaloyloxy)ethyl penicillanate la-oxide, 1-(ethoxycarbonyloxy)ethyl penicillanate 18-oxide, methoxycarbonyloxymethyl penicillanate IB-oxide, ethoxycarbonyloxymethyl penicillanate IB-oxide, isobutoxycarbonyloxymethyl penicillanate 18-oxide, t l-(methoxycarbonyloxy)ethyl penicillanate IB-oxide, l-(butoxycarbonyloxy)ethyl penicillanate 18-oxide, l-(acetoxy)ethyl penicillanate IB-oxide, | . 4 9960 a 1-(butyryloxy)ethyl penicillanate IB-oxide and l-(pivaloyloxy)ethyl penicillanate IB-oxide, respectively.' This affords: penicillanic acid 1,1-dioxide, acetoxymethyl penicillanate 1,1-dioxide, propionyloxymethyl penicillanate 1,1-dioxide, pivaloyoxymethyl penicillanate 1,1-dioxide, acetoxymethyl penicillanate 1,1-dioxide, propionyloxymethyl penicillanate 1,1-dioxide, pivaloyloxymethyl penicillanate 1,1-dioxide, 3-phthalidyl penicillanate 1,1-dioxide, 3-phthalidyl penicillanate 1,1-dioxide, -1-(ethoxycarbonyloxy)ethyl penicillanate 1,1-dioxide, methoxycarbonyloxymethyl penicillanate 1,1-dioxide, ethoxycarbonyloxymethyl penicillanate 1,1-dioxide, I isobutoxycarbonyloxymethyl penicillanate 1,1-dioxide, l-(methoxycarbonyloxy)ethyl penicillanate 1,1-dioxide, l-(butoxycarbonyloxy)ethyl penicillanate 1,1-dioxide, l-(acetoxy)ethyl penicillanate 1,1-dioxide, 1-(butyryloxy)ethyl penicillanate 1,1-dioxide, l-(pivaloyloxy)ethyl penicillanate 1,1-dioxide, l-(ethoxycarbonyloxy)ethyl penicillanate 1,1-dioxide, methoxycarbonyloxymethyl penicillanate 1,1-dioxide, ethoxycarbonyloxymethyl penicillanate 1,1-dioxide, isobutoxycarbonyloxymethyl penicillanate 1,1-dioxide, i l-(methoxycarbonyloxy)ethyl penicillanate 1,1-dioxide, l-(butoxycarbonyloxy)ethyl penicillanate 1,1-dioxide, l-(acetoxy)ethyl penicillanate 1,1-dioxide, 1-(butyryloxy)ethyl penicillanate 1,1-dioxide and l-(pivaloyloxy)ethyl penicillanate 1,1-dioxide, respectively.

I J99608 EXAMPLE 19 Oxidation of benzyl penicillanate la-oxide and benzyl penicillanate IB-oxide with 3-chloroperbenzoic acid, according to the procedure of Example 17, produces, in each case, benzyl penicillanate 1,1-dioxide.

In like manner, oxidation of 4-nitrobenzyl penicillanate la-oxide and 4-nitrobenzyl penicillanate IB-oxide with 3-chloroperbenzoic acid, according to the procedure of Example 17, produces 4-nitrobenzyl penicillanate 1,1-dioxide.

EXAMPLE 20 Penicillanic Acid 1,1-Dioxide Hydrogenolysis of 4-nitrobenzyl penicillanate 1,1-dioxide, according to the procedure of Example 3, affords penicillanic acid 1,1-dioxide.

EXAMPLE 21 Sodium Penicillanate 1,1-Dioxide To a stirred solution of 32.75 g. (0.14 mole) of penicillanic acid 1,1-dioxide in 450 ml. of ethyl acetate was added a solution of 25.7 g. of sodium 2-ethylhexanoate (0.155 mole) in 200 ml. of ethyl acetate. The resulting solution was stirred for 1 hour and then an additional 10%"excess of sodium 2-ethylhexanoate in a small volume of ethyl acetate was added. Product immediately began to precipitate. Stirring was continued for 30 minutes and then the precipitate was removed by filtration. It was washed'sequentially witn ■ ' i ethyl acetate, with 1:1 ethyl acetate-ether and with ether. The solid was then dried over phosphorus pentoxide, at ca. 0.1 mm of Hg' for 16 hours at 25°C., giving 36.8 g. of the title sodium salt, contaminated, with a small amount of ethyl acetate. The ethyl acetate content was reduced by heating to 100°C. -ks- .19 96 0 8 for 3 hours under vacuum. The IR spectrum of this final product (KBr disc) sorptions at 1.48 (s, 3H), 1.G2 (s, 3H), 3.35 (d of d's, 1H, Jj=16Hz, J2=2Hz), 3.70 (d of d's, 1H, J^lSHz, J2-AHz), A.25 (s, 1H) and 5.03 (d of d's, 1H, J^=AHz, J2=2Hz)ppm.

The title sodium salt can also be prepared using acetone in place of ethyl acetate. showed absorptions at 1786 and 160S cm The NMR spectrum (D2O) showed ab- I 199608 * "EXAMPLE 22 Penicillanic Acid 1,1-Dioxide To a mixture of 7,600 ml. of water and 289 ml. of glacial acetic acid was added, portionwise, 379.5 g. of potassium permanganate. This mixture was stirred for 15 minutes, and then it was cooled to 0" C. To it was then added, with stirring, a mixture which had been prepared from 270 g. of penicillanic acid, 260 ml. of 4H sodium hydroxide and 2,400 ml. of water (pH 7.2), and which had then been cooled to 8" C. The temperature rose to 15° C. during this latter addition. The temperature of the resulting mixture was reduced to 5° C. and the stirring was continued for 30 minutes. To the reaction mixture was then added 142.1 g. of sodium bisulfite, in portions, during 10 minutes. The mixture was stirred for 10 minutes at 10° C., and then 100 g. of supercel (a diatomaceous earth) was added. After a further 5 minutes of stirring, the mixture was filtered. To the filtrate was added 4.0 liters of ethyl acetate, and then the pH of the aqueous phase was lowered to 1.55 using 6N hydrochloric acid. The ethyl acetate layer was removed and combined with several further ethyl acetate extracts. The combined organic layer was j washed with water, dried (HgSO^) and evaporated almost to dryness in vacuo. i The slurry thus obtained was stirred with 700 ml. of ether at 10" C., for 20 j minutes, and then the solid was collected by filtration. This afforded 82.6 g. (26% yield) of the title compound having a melting point of 154-155.5° C. (dec.). - kit 1 99608 EXAMPLE 23 Pivaloyloxymethyl Penicillanate 1,1-Dioxide To a solution of 1.25 g. pivaloyoxymethyl penicillanate in AO ml. of chloroform, cooled to ca. -15° C., was added 0.8 g. of 3-chloroperbenzoic acid. The mixture was stirred at ca. -15° C. for 20 minutes and then it was allowed to warm to room temperature. Analysis of the resulting solution by NMR indicated that it contained both the la- and IB-oxide.

The chloroform solution was concentrated to about 20 ml. and a further 0.8 g. of 3-chloroperbenzoic acid was added. This mixture was stirred overnight at room temperature, and then all the solvent was removed I by evaporation in vacuo. The residue was redissolved in ca_ A ml. of dichloro-methane and 0.A g. of 3-chloroperbenzoic acid was added. The mixture was stirred for 3 hours and then the solvent was removed by evaporation in vacuo. The residue was partitioned between ethyl acetate and water at pH 6.0, and sodium bisulfite was added until a test for the presence of peroxides "was negative. The pH of the aqueous phase was 'raised to 8.0 and the layers were separated. The organic layer was washed with brine, dried using anhydrous sodium sulfate and evaporated iji vacuo. The residue was dissolved, in ether ancj reprecipitated by the addition of hexane. The resulting solid was recrystal-lized from ether to give 0.357 g. of the title compound.

The NMR spectrum of the product (CDCl^) showed absorptions at 1.23 (s,9H), 1.50(s,3H), 1.67 (s,3H), 3.28 (m,2H), 4.45 (s,lH), 5.25 (m,lH) and 5.78 (m,2H)ppm.

J 99608 EXAMPLE 24 v 3-Phthalidyl Penicillanate 1,1-Dioxide To a solution of 713 rag. of 3-phthalidyl penicillanate in 3 ml. of chloroform was added 0.430 g.-of 3-chloroperbenzoic acid at ca. 10° C. The.mixture was stirred for 30 minutes and then a further 0.513 g. of 3-chloroperbenzoic acid was added. The mixture was stirred for 4 hours at room temperature, and then the solvent was removed by evaporation in vacuo. The residue was' partitioned between ethyl acetate and water at pH 6.0, and sodium bisulfite was added to decompose any remaining peracid. The pH of the aqueous phase was raised to 8.8. The layers were separated and the organic phase was evaporated in_ vacuo. This afforded the title compound as foam. The NMR spectrum (CDCl^) showed absorptions at 1.62 (m,6H), 3.3(m,2H) 4.52 (p,lH), 5.23(m,lH) and-7.63 (m,5H)ppra.

I 199608 EXAMPLE 25 2,2,2-Trichloroethyl Penicillanate 1,1-Dioxide To 100 mg. of 2,2,2-trichloroethyl penicillanate in a small'volume of chloroform was added 50 mg. of- 3-chloroperbenzoic acid and the mixture was stirred for 30 minutes. Examination of the reaction product at thin point revealed that it was mostly sulfoxide (The NMR spectrum (CDCl^) showed absorptions at 1.6 (s,3H), 1.77 (s,3H),■3.30(m,2H), 4.65 (s,lH), 4.85 (m,2H) and 5.37 (m,lH)ppm.) A further 100 mg. of 3-chloroperbenzoic acid was added and the mixture was stirred overnight. The solvent was then removed by evaporation in vacuo, and the residue was partitioned between ethyl acetate and water at pH 6.0.- Sufficient sodium bisulfite was added to decompose the i excess peracid and then the pH was raised to 8.5. The organic phase was separated, washed with brine-and dried. Evaporation in vacuo afforded 65 mg. of the title product. The NMR spectrum (CDCl^) showed absorptions at 1.53 (s,3H), 1.72(s,3H), 3.47(m,2H), 4.5(s,lH), 4.6 (m,lH) and 4.8 (m,2H)ppm. so -! J 99608 EXAMPLE 26 4-Nitrobenzyl Penicillanate 1,1-Dioxide ' A solution of 4-nitrobenzyl penicillanate in chloroform was cooled to about 13" C. and 1 equivalent of 3-chloroperbenzoic acid was added. The reaction mixture was stirred for 20 minutes. Examination of the reaction mixture at this point by nuclear magnetic resonance spectroscopy revealed that it contained 4-nitrobenzyl penicillanate 1-oxide. A further 1 equivalent of 3-chloroperbenzoic acid was added and the reaction mixture was stirred for 4 hours. At this point a further 1 equivalent of 3-chloroperbenzoic • acid was added and /the reaction mixture was stirred overnight. The solvent was removed by evaporation, and the residue was partitioned between ethyl acetate and water at pH 8.5. The ethyl acetate layer was separated, washed with water, dried and evaporated to give the crude product. The crude product was purified by chromatography on silica gel, eluting with at 1:4 mixture of ethyl acetate/chloroform.

The NMR spectrum of the product (CDCl^) showed absorptions at 1.35 (s, 3H), 1.58 (s, 3H), 3.45 (m, 2H), 4.42 (s, 1H), 4.58 (m, 1H), 5.30 (s, 2H) and 7.83 (q, 4H)ppm St -199608 EXAMPLE 27 Penicillanic Acid 1,1-Dioxide " ' To 0.54 g. of 4-nitrobenzyl penicillanate 1,1-dioxide in 30 ml. of methanol and 10 ml. of ethyl acetate was added 0.54 g. of 10% palladium-on-carbon. The mixture was then shaken under an atmosphere of hydrogen at a pressure of about 50 psig. until hydrogen uptake ceased. The reaction mixture was filtered, and the solvent removed by evaporation. The residue was partitioned between ethyl acetate and water at pH 8.5, and the water layer was removed. Fresh ethyl acetate was added and the pH was adjusted to 1.5. The ethyl.::acetate layer was removed, washed with water and, dried, and then it i was evaporated in vacuo. This afforded 0.168 g. of the title compound as a crystalline solid.

EXAMPLE 28 Penicillanic Acid 1,1-Dioxide A stirred solution of 512 mg. of 4-nitrobenzyl penicillanate 1,1-dioxide in a mixture of 5 ml. of acetonitrile and 5 ml. of water was cooled i to 0° C. and then a solution of 484 mg. of sodium dithionite in 1.4 ml. of 1.0N_sodium hydroxide was added portionwise over several minutes. The reaction mixture was stirred for an additional 5 minutes and then it was diluted with ethyl acetate and water at pH 8.5. The ethyl acetate layer was removed and evaporated in_ vacuo giving 300 mg. of starting material. Fresh ethyl acetate was added to the aqueous phase and the pH was adjusted to 1.5. The ethyl acetate was removed, dried and evaporated in_ vacuo giving 50 mg. of the title compound. 5cX .1 99608 EXAMPLE 29 ( 1-Methyl-l- (acetoxy)ethyl Periicillanate 1,1-Dioxide To 2.33 g. of penicillanic acid 1,1-dioxide in 5 ml. .of N,N_-dimethyl-formamide. was added 1.9 ml. of ethyldiisopropylamine, followedvby the dropwise addition of 1.37 g. of l-methyl-l-(acetoxy)ethyl chloride, at ca^ 20" C. The mixture was stirred at ambient temperature overnight and then" the. mixture was diluted with ethyl acetate and with water. The layers were separated and the ethyl acetate layer was washed with water"at pH 9. The ethyl acetate solution was then dried (Na^SO^) and evaporated in vacuo leaving 1.65 g. of crude product as an oil. The oil solidified on standing in the refrigerator, and it was then recrystallized from a mixture of chloroform and ether giving material having a melting point of 90-92° C.: i The NMR spectrum of the crude product (CDCl^) showed absorptions at 1.5 (s, 3H), 1.62 (s, 3H), 1.85 (s, 3H), 1.93 (s, 3H), 2.07 (s, 3H), 3.A3 (m, 2H), A.3 (s, 1H) and 4.57 (m, 1H)ppm.

EXAMPLE 30 The procedure of Example 29 is repeated, except that the 1-methyl- 1-(acetoxy)ethyl chloride is replaced by the appropriate l-methyl-l-(alkanoylox3 ethyl chloride, to produce the following compounds: l-methyl-l-(propionyloxy)ethyl penicillanate 1,1-dioxide, 1-methyl-l-(pivaloyloxy)ethyl penicillanate 1,1-dioxide and 1-methyl-l-(hexanoyloxy)ethyl penicillanic acid 1,1-dioxide, respectively. -53l " , ■ ! •1996 0 8 EXAMPLE 31 ' ' Penicillanic 'Acid '1,1-Dioxide To a stirred solution of 1.78 g- of penicillanic acid in water, at «r pH 7.5, was added 1.46 ml. of 40% peracetic acid, followed by an additional 2.94 ml. of 40% peracetic acid 30 minutes later. The reaction mixture was stirred for 3 days at room temperature and then it was diluted with ethyl acetate and water. Solid sodium bisulfite was added to decompose excess peracid, and then the pH was adjusted to 1.5. The ethyl acetate layer was removed, dried (Na^SO^) and evaporated in vacuo. The residue was a 3:2 mixture I of penicillani'c acid 1,1-dioxide and penicillanic acid 1-oxide. -5if it 99608 EXAMPLE 32 Pivaloyloxymethyl Penicillariate 1,1-Dioxide 1 A stirred solution of 595 mg. of pivaloyloxymethyl penicillanate 1-oxide in 5 ml. of ethyl acetate was cooled to ca_-15° C., and 5 mg. of manganic acetylacetonate was added. To the dark brown mixture thus obtained was added, during several minutes, 0.89 ml. of 40% peracetic acid in small amounts over several minutes. After 40 minutes the cooling bath was removed, and the mixture was stirred at ambient temperature for 3 days. The mixture was diluted with ethyl acetate and water at pH 8.5, and the ethyl acetate layer was removed, dried and evaporated in vacuo. This afforded 178 mg. of material which was shown by NMR spectroscopy to pe a mixture of pivaloyoxy-methyl penicillanate 1,1-dioxide and pivaloyloxymethyl penicillanate 1-oxide.

I The above material was redissolved in ethyl acetate and reoxidized using 0.9 ml. of peracetic acid and 5 mg. of manganic acetylacetonate, as described above, using a reaction time of 16 hours. The reaction mixtyre was worked up as described above. This afforded 186 mg. of pivaloyloxymethyl penicillanate 1,1-dioxide. - 55: - I 199608 PREPARATION A 6,6-Dibroniopenicillanic Acid la-Oxide • The title compound is prepared by oxidation of 6,6-dibromopenicillanic acid with 1 equivalent of 3-chloroperbenzoic acid in tetrahydrofuran at 0-25°C for ca. 1 hour, according to the procedure of Harrison e£ al., Journal of the Chemical Society (London) Perkin 1, 1772.(1976).

PREPARATION B . Benzyl 6.6-Dibromopenicillanate To a solution of 54 g. (0.165 mole) of 6,6-dibromopenicillanic acid } in 350 ml. of N,N-diraethylacetamide was added 22.9 ml. (0.165 mole) of triethyl-amine and the solution was stirred for 40 minutes. Benzyl bromide (19.6 ml., 0.165 mole) was added and the resulting mixture, was stirred at room temperature for 48 hours. .The precipitated triethylamine hydrobromide was filtered off, and the filtrate was added to 1,500 ml. of ice-water, adjusted to pH 2. The mixture was extracted with ether, and the extracts were washed successively with saturated sodium bicarbonate, water and brine. The dried (MgSO^) ether solution was evaporated iji vacuo to give an off-white solid, which was recrystallized from isopropanol. This afforded 70.0 g. (95X yield) of the title compound J m.p. 75-76°C. The IR spectrum (KBr disc) showed absorptions at 1795 and 1740 cm \ The NMR spectrum (CDCl^) showed absorptions at 1.53 (s, 3H), 1.58 (s, 3H), 4.50 (s, 1H), 5.13 (s, 2H), 5;72 (s, 1H) and 7.37 (s, 5H)ppm. ( 4 99608 PREPARATION C Benzyl 6,6-Dibromopenicillanate la-Oxide To a stirred solution of 13.A g. (0.03 mole) of benzyl 6,6-dibromo-penicillanate in 200 ml. of dichloromethane was added a solution of 6.12 g. (0.03 mole) of 3-chloroperbenzoic acid in 100 ml. of dichloromethane, at ca. 0°C. Stirring was continued for 1.5 hours at ca. 0°C. and then the reaction-mixture was filtered. The filtrate was washed successively with 5% sodium bicarbonate and water, and then it was dried (J^SO^) . Removal of the solvent by evaporation in vacuo gave 12.5 g. of the title product as an oil. The oil was induced to solidify by trituration under ether. Filtration then afforded 10.5 g. of benzyl 6,6-dibromopenicillanate la-oxide as a solid. The IR spectrum (CHCl^) showed absorptions at 1800 and 1750 cm The NMR spectrum of the product (CDCl^) showed'absorptions at 1j3 (s, 3H), 1.5 (s, 3H), A.5 (s, 1H) 5.18 (s, 2H), 5.2 (s, 1H) and 7.3 (s, 5H)ppm.

I PREPARATION D A-Nitrobenzyl Penicillanate Reaction of the triethylamine salt of penicillanic acid with A-nitro-benzyl bromidej according to the procedure of Preparation B, affords A-nitro-benzyl penicillanate. 1 99608 PREPARATION E 2,2,2-Trichloroethyl Penicillanate To 403 mg. of penicillanic acid in 10 ml. of dichloromethane was added 25 mg. of diisopropylcarbodiimide followed by 0.19 ml. of 2,2,2-trichloro ethanol. The mixture was stirred overnight and then the solvent was removed by evaporation iii vacuo. The crude product was purified by column chromatography using silica gel as the adsorbent and chloroform as the eluant. 199608 PREPARATION F % ■ i 3-PhthaIidyl Penicillanate To a solution of 506 mg. of penicillanic acid in 2 ml. of N,N-dimethylformamide was added 0.476-ml. of diisopropylethylamine followed by 536 mg. of 3-phthalidyl bromide. The mixture was stirred overnight and then it was diluted with ethyl acetate and water. The pH was adjusted to 3.0 and the layers were separated. The organic layer was washed with water, and then with water at pH 8.0, and then it was dried using anhydrous sodium sulfate The dried ethyl acetate solution was evaporated in vacuo giving•'713 mg. of the title ester as an oil. The NMR spectrum (CDCl^) showed absorptions at 1.62 (m,6H), 3.3 (ra,2H), 4.52 (s,lH), 5.23 (m.lH) and 7.63 (m,5H). 199608 PREPARATION G Pivaloyloxymethyl Penicillanate To 2.588 g. of 6,6-dibromopenicillanic acid in 10 ml. of N..N.- ▼ dimethylformamide was added 1.8 ml. of diisopropylethylamine, followed by 1.40 ml. of chloromethyl pivalate. The mixture was stirred overnight and then it was diluted with ethyl acetate and water. The organic layer was removed and washed successively with water at pH 3.0 and water at pH 8.0. The ethyl acetat^ solution was dried (Na^SO^) and then evaporated in vacuo to give pivaloyloxymethyl 6,6-dibromopenicillanate as an amber oil (3.1 g.) which slowly crystallized.

' The above ester was dissolved in 100 ml. of methanol, and then 3.1 g. of 10% palladium-on-carbon and 1.31 g. of potassium bicarbonate in 20 ml. of water were added. The mixture was shaken under hydrogen at atmospher: pressure until hydrogen uptake ceased. The reaction mixture was filtered and the methanol was removed by evaporation in vacuo. The residue was partitioned between water and ethyl acetate at pH8, and then the organic layer was removed. The latter was dried (^£50^) and evaporated in vacuo to give 1.25 g. of the title compound. The NMR spectrum (CDCl^) showed absorptions at 1.23 (s,9H)-, 1.5 (s,3H), 1.67 (s,3H), 3.28 (m,2H), 4.45 (s,lH), 5.25 (m.lH) and 5.78 (m,2H) ppm. - 199608 PREPARATION H 4-Nitrobenzyl Penicillanate To a stirred solution of 2.14 g. of penicillanic acid and 2.01 ml. of ethyldiisopropylamine in 10 ml. of N^N^dimethylformamide was added dropwise 2.36 g. of 4-nitrobenzyl bromide, at ca. 20°C. The mixture was stirred at ambient temperature overnight, and then it was diluted with ethyl acetate and water. The layers were separated and the ethyl acetate layer was washed with water at pH 2.5, followed by water at pH 8.5. The ethyl acetate solution was then dried (Na2S0^) arid evaporated in vacuo leaving 3.36 g. of the title / compound. j The NMR spectrum of the product (in CDCl^) showed absorptions at 1.45 (s, 3H), 1.68 (s, 3H), 3.32 (m, 2H), 4.50 (s, 1H), 5.23 (m, 1H), 5.25 (s, 2H) and 7.85 (q, 4H) ppm. 199608 - 62

Claims (6)

WHAT WE CLAIM IS:

1. A method of increasing the effectiveness of a <J-lactam antibiotic « 4 HOMWuhiAH J. P.& in.*-mammalian subject, which comprises co-administering to said subject an effective amount of a compound of the formula H °- ,° ■ V .*m3 -rvc^ °^~~N '"C00R1 ;• or a pharmaceutically-acceptable base salt thereof, wherein R is selected j ' I . from the group consisting of hydrogen and ester-forming residues readily ' hydrolyzable in vivo. 1

2. a method according to claim 1, wherein R is hydrogen, j 3. A method according to claim 1, wherein R^" is pivaloyloxymethyl.

I . — - . ! 4- A method according to claim 2 or 3, wherein said g-laptam anti- ! j . j biotic is 6-(2^phenylacetamido)penicillanic acid, 6-(2-phenoxyacetamido)- ! penicillanic acid, 6-(&-2^amino;*i2-phenylacetamido)penicillanic acid, 6-(D- 2-amino-2-I4-hydroxyphenyl]acetamido)penicillanic acid or l-Cethoxycarbonyl-, ; oxy)ethyl 6-(p-2-amino-2-phenylacetamido)penicillanate> or a pharmaceutically- acceptable salt thereof.

A. J. P. & S lt i ir-b&i '

5. A method according to claim £0, wherein said 3-lactam antibiotic is 6-(D-2-amino-2-phenylacetamido)penicillanic acid or a pharmaceutically-acceptable salt thereof.

6. A method as claimed in any one of claims 1 to U substantially as hereinbefore described. "ox*0* PAB* & sow