# Patent

## Title
Electromotive device including magnetic shield interacting with

## Abstract

7[D-(-)-.alpha.-amino-.alpha.-(p-hydroxyphenyl)-acetamido]-cephalosporanic acid and 7-D-(-)-2,2-dimethyl-4-(p-hydroxyphenyl)-5-oxo-1-imidazolidinyl]cephalospo ranic acid and the corresponding decephalosporanic acids and the salts thereof are new synthetic compounds of value as antibacterial agents and in the treatment of bacterial infections.

## Background
This invention relates to novel synthetic compounds of value as antibacterial agents, as nutritional supplements in animal feeds, as agents for the treatment of mastitis in cattle and as therapeutic agents in poultry and animals, including man, in the treatment of infectious diseases caused by gram-positive and gram-negative bacteria.

There exists a need to provide alternative and improved agents for the treatment of infections caused by gram-positive and gram-negative bacteria, particularly for the treatment of infections caused by resistant strains of bacteria, e.g. benzylpenicillin-resistant strains of Staphylococcus aureus (Micrococcus pyogenes var. aureus), or for the decontamination of objects bearing such organisms, e.g. hospital equipment, walls of operating rooms and the like. Of particular need are antibacterial agents which exhibit good oral absorption in animals.

The compounds of this invention are 7-[D-(-)-.alpha.-amino-.alpha.-(p-hydroxyphenyl)-acetamido]cephalosporanic acid having the formula ##STR1## 7-[D-(-)-.alpha.-amino-.alpha.-(p-hydroxylphenyl)-acetamido]-decephalospor a nic acid also named 3-methyl-7-[D-(-)-.alpha.-amino-.alpha.-(p-hydroxyphenyl)-acetamido]-3-met hyl-3-cephem-4 -carboxylic acid having the formula ##STR2## 7-[D-(-)-2,2-dimethyl-4-(p-hydroxyphenyl)-5-oxo-1-imidazolidinyl]-cephalos p oranic acid having the formula ##STR3## and 3-methyl-7-[D-(-)-2,2-dimethyl-4-(p-hydroxyphenyl)-5-oxo-1-imidazolidinyl] -decephalosporanic acid also named 7-[D-(-)-2,2-dimethyl-4-(p-hydroxyphenyl)-5-oxo-1-imidazolidinyl]-3-methyl -3-cephem- 4 -carboxylic acid having the formula ##STR4## and the nontoxic pharmaceutically acceptable salts thereof.

The nontoxic, pharmaceutically acceptable salts include, for example, (1) nontoxic pharmaceutically acceptable salts of the acidic carboxylic acid group such as the sodium, potassium, calcium, aluminum and ammonium salts and nontoxic substituted ammonium salts with amines such as tri(lower) alkylamines, procaine, dibenzylamine, N-benzyl-beta-phenethylamine, 1-ephenamine, N,N'-dibenzylethylenediamine, dehydroabietylamine, N,N'-bisdehydroabiethylethylenediamine, N-(lower) alkylpiperidines, such as N-ethylpiperidine and other amines which have been used to form salts of benzylpenicillin; and (2) non-toxic pharmaceutically acceptable acid addition salts (i.e. salts of the basic nitrogen) such as (a) the mineral acid addition salts such as the hydrochloride, hydrobromide, hydroiodide, sulfate, sulfamate, sulfonate, phosphate, etc. and (b) the organic acid addition salts such as the maleate, acetate, citrate, tartrate, oxalate, succinate, benzoate, fumarate, malate, mandelate, ascorbate, .beta.-naphthalene sulfonate p-toluenesulfonate and the like.  Also included are the easily hydrolyzed esters or amides of such acids which may be converted to the free acid form by chemical or enzymatic hydrolysis.

The compounds of Formula I and Formula II of the present invention are prepared in the form in which the .alpha.-amino group is blocked by the reaction of 7-aminocephalosporanic acid or 3-methyl-7-aminodecephalosporanic acid, described in U.S. Pat. No. 3,268,523 (preferably in the form of a neutral salt such as the sodium salt or the triethylamine salt) with a mixed anhydride e.g. mixed anhydride obtained from reaction with ethyl chlorocarbonate, of an acid having the formula ##STR5## or the formula ##STR6## or with its functional equivalent as an acylating agent for a primary amino group. Such mixed anhydrides include particularly the mixed anhydrides prepared from stronger acids such as the lower aliphatic monoesters of carbonic acid, of alkyl and aryl sulfonic acids and of more hindered acids such as diphenylacetic acid. Such equivalents include the corresponding carboxylic chlorides, bromides and then acid anhydrides. In addition, an acid azide or an active ester or thioester (e.g. with p-nitro-phenol, 2,4-dinitrophenol, thiophenol, thioacetic acid) may be used or the free acid itself may be coupled with 7-aminocephalosporanic acid after first reacting said free acid with N,N'-dimethylchloroformiminium chloride [cf. Great Britain 1,008,170 and Novak and Weichet, Experientia XXI/6, 360 (1965)] or by the use of enzymes or of an N,N'-carbonyldiimidazole or an N,N'-carbonylditriazole [cf. South African patent specification 63/2684] of a carbodiimide reagent [especially N,N'-dicyclohexylcarbodiimide, N,N'-diisopropylcarbodiimide or N-cyclohexyl-N'-(2-morpholinoethyl) carbodiimide; cf. Sheehan and Hess, J. Amer. Chem. Soc. 77, 1067,  (1955)], or of alkynylamine reagent [cf. R. Buijle and H. G. Viehe, Angew, Chem. International Editional Edition 3, 582 (1964)], or of a ketenimine reagent [cf. C. L. Stevens and M. E. Monk, J. Amer. Chem. Soc. 80, 4065 (1958)] or of an isoxazolium salt reagent [cf. R. B. Woodward, R. A. Olofson and H. Mayer, J. Amer. Chem. Soc. 83, 1010 (1961)]. Another equivalent of the acid chloride is a corresponding azolide, i.e. an amide of the corresponding acid whose amide nitrogen is a member of a quasiaromatic five-membered ring containing at least two nitrogen atoms, i.e. imidazole, pyrazole, the triazoles, benzimidazole, benzotriazole and their substituted derivatives. As an example of the general method for the preparation of an azolide, N,N'-carbonyldiimidazole is reacted with a carboxylic acid in equimolar proportions at room temperature in tetrahydrofuran, chloroform, dimethylformamide or a similar inert solvent to form the carboxylic acid imidazolide in practically quantitative yield with liberation of carbon dioxide and one mole of imidazole. Dicarboxylic acids yield diimidazolides. The by-product, imidazole, precipitates and may be separated and the imidazolide isolated, but this is not essential. The methods for carrying out these reactions to produce a cephalosporin and the methods used to isolate the cephalosporin so-produced are well-known in the art (cf. U.S. Pat. Nos. 3,079,314, 3,117,126, and 3,129,224 and British Pat. Nos. 932,644, 957,570 and 959,054).

The blocking group is then removed to form the products of the present invention, e.g. the t-butoxycarbonyl group is removed by treatment with formic acid, the carbobenzyloxy group is removed by catalytic hydrogenation the 2-hydroxy-1-naphthcarbonyl group is removed by acid hydrolysis and the trichloroethoxycarbonyl group by treatment with zinc dust in glacial acetic acid. Obviously other functionally equivalent blocking groups for an amino group can be used and such groups are considered within the scope of this invention.

The compound of Formula II of this invention can also be prepared by hydrogenation of a compound of Formula I in the presence of a catalyst e.g. hydrogenation at 50 p.s.i. for about 3 hours in the presence of 5% palladium on barium sulfate.

The compounds of Formulas III and IV of the present invention are prepared by reaction of acetone with the corresponding cephalosporin of Formula I or II. Although some reaction will occur no matter what molar proportion of reactants is used, it is preferable in order to obtain maximum yields to use a molar excess of the acetone and the latter may well be used as the reaction solvent. Water is split off during the reaction and it is thus preferable not to have a major amount of water in the reaction medium. The pH of the reaction mixture should be from about 5 to 9 and preferably on the alkaline side. The pH may be adjusted to within this range, if necessary, by the addition of an alkaline material such as, for example, sodium hydroxide, sodium carbonate, potassium hydroxide, potassium carbonate, ammonium hydroxide, ammonium carbonate, organic amines (e.g. triethylamine), etc.

The temperature during the reaction is not critical. The reaction will proceed satisfactorily at room temperature and may be hastened by heating.

Thus the present invention includes the process of preparing the compound of the formula ##STR7## wherein R is hydrogen or acetoxy which comprises mixing a cephalosporin of Formula I or II with at least an equimolar weight of acetone in the absence of substantial amount of water at a pH in the range of 5 to 9 and at a temperature in the range of -20.degree. C. to +50.degree. C.

D-(-)-2-(p-hydroxyphenyl)-glycine used as a starting material for the preparation of the compounds of this invention is prepared according to the reaction scheme exemplified below. ##STR8##

(I) dl-2-(p-methoxyphenyl)-glycine.--To a stirred solution of 19.6 g. (0.4 mole) of NaCN in 80 ml. of H.sub.2 O was added 23.6 g. (0.450 mole) of NH.sub.4 Cl and 20 ml. of conc. NH.sub.4 OH followed by 54.5 g. (0.4 mole) of anisaldehyde in 160 ml. of methanol and the temperature maintained at 37.degree. C. for two hours. The methanol was then removed in vacuo and the remaining mixture extracted with two 150 ml. portions of methyl isobutyl ketone (MIBK) and combined. The combined MIBK extracts were washed once with 30 ml. of H.sub.2 O and then 240 ml. of 6 N HCl added with good mixing and the MIBK was removed in vacuo. The resulting slurry was heated at reflux (now in solution) for two hours. One hundred ml. of H.sub.2 O was added to the hot solution and then 8 g. of decolorizing carbon added and after ten minutes at gentle reflux the carbon was filtered off and washed with 50 ml. of hot water. The combined filtrates (hot) were stirred and treated with conc. NH.sub.4 OH until pH 5-6 was obtained (pH paper). The slurry was then cooled to 5.degree. C. and after one hour the crystals were filtered off and washed with two 100 ml. portions of water. The damp cake was then slurried in 250 ml. of water and 50% NaOH added slowly until the product dissolved. Two 300 ml. ether extracts were then taken and discarded. The pH was then adjusted to 5.5 with 6 N HCl with cooling. After one hour the product was filtered off, washed with 3 .times. 100 ml. H.sub.2 O and air dried. Yield 40 g.; dec. 24.degree. C. with sublimation at 230.degree. C.

(II) dl-2-(p-methoxyphenyl)-N-(chloroacetyl)glycine.--To a stirred suspension of 36 g. (0.2 mole) of dl-2-(p-methoxyphenyl)-glycine in 500 ml. of H.sub.2 O was added 8 g. (0.2 mole) of NaOH pellets and when a clear solution was obtained the solution was cooled to 5.degree. C. and with vigorous stirring 68.2 g. (0.4 mole) of chloroacetic anhydride (warm) was added all at once. Then a solution of 16 g. (0.4 mole) of NaOH in 100 ml. of H.sub.2 O was added over a 10 to 15 minute period. More 20% NaOH was added as needed to keep the pH at about 9 for a 1.5 hour period. Next, the pH was adjusted to 2 with 40% H.sub.3 PO.sub.4. The product crystallized immediately and was filtered off, washed with water and recrystallized from ethanol-water to give 38 g. of product melting at 182.degree.-183.degree. C.

Analysis.--Calcd. for C.sub.11 H.sub.12 ClNO.sub.4 : C, 51.21; H, 4.69. Found: C, 51.49; H, 4.90.

(III) D-(-)-2-(p-methoxyphenyl)-N-(chloroacetyl) glycine and L-(+)-2-(p-methoxyphenyl)-glycine.--To 800 ml. of H.sub.2 O stirred at 37.degree. C. was added 38 g. (0.148 mole) of dl-2-(p-methoxyphenyl)-N-(chloroacetyl)-glycine and NH.sub.4 OH added dropwise until pH 7.8 was obtained. To the resulting solution was added 2 g. of Hog Kidney Acylase (Sigma Chemical Company) and stirring continued at 37.degree. C. (internal) for 21 hours. The solids containing crude L-(+)-2-(p-methoxyphenyl)-glycine were then filtered off and washed with 2 .times. 100 ml. H.sub.2 O and the pH of the combined filtrates adjusted to 4-5 with glacial acetic acid. This solution was heated on the steam bath for 30 min. with 5 g. of decolorizing carbon and then filtered. The carbon cake was washed with 50 ml. of warm water and the combined filtrates cooled and acidified to pH 2 with 40% H.sub.3 PO.sub.4. After one hour cooling at 0.degree. C. the crystalline product was filtered off and washed with cold water (3.times.) and air dried. The yield was 16 g. D-(-)-2-(p-methoxyphenyl)-N-chloroacetyl)glycine and when a second run using 5.times. the above amounts were used a yield of 83 g. (87% yield) was obtained. M.P. 170.degree.-171.degree. C.;

Analysis.--Calcd. for C.sub.11 H.sub.12 ClNO.sub.4 : C, 51.21; H, 4.69. Found: C, 51.50; H, 4.99.

When the solids containing crude L-(+)-2-(p-methoxyphenyl)-glycine are treated with hot 3 N HCl (200 ml.) and carbon followed by filtration and pH adjustment to 5.5 there is obtained 6 g. (first run) of pure L-(-)-(p-methoxyphenyl)glycine.

(IV) D-(-)-2-(p-methoxyphenyl)-glycine.--The 16 g. of D-(-)-2-(p-methoxyphenyl)-N-(chloroacetyl) glycine were refluxed 1.5 hours in 170 ml. of 2 N HCl. The resulting clear solution was filtered and cooled at 5.degree. C. and the pH adjusted to 5.5 with NH.sub.4 OH. The product was then filtered off after cooling 30 min. and washed with 3 .times. 25 ml. of cold water. The dried material D-(-)-2 -(p-methoxyphenyl)-glycine weighed 9.5 g. A second run gave 54 g. using the 83 g. of starting material from III. (first run) (second run)

Analysis.--Calcd. for C.sub.9 H.sub.11 NO.sub.3 : C, 59.67; H, 6.13; N, 7.74. Found: C, 59.38; H, 6.16; N, 8.00.

(V) D-(-)-2-(p-hydroxyphenyl)-glycine.--A mixture of 1.81 g. (0.01 mole) of D-(-)-2-(p-methoxyphenyl) glycine. ([.alpha.].sub.D.sup.25.sup..degree. C. -149.9.degree. c.=1%, 1 N HCl) and 10 ml. of 48% HBr was heated at gentle reflux for 2 hours. The resulting solution was concentrated at reduced pressure at 30.degree. C. to a wet solid. A minimum amount of water (20.degree. C.) was added to dissolve the HBr salt and with cooling NH.sub.4 OH was added to pH 5. The resulting thick gel which ppt. was warmed to 50.degree. C. and when solution was nearly obtained a different crystalline form began to ppt. Upon cooling 30 min. at 0.degree.-5.degree. C. there was obtained 990 mg. of cold water washed (3 .times. 1 ml.) and air dried material, D-(-)-2-(p-hydroxyphenyl)glycine. pt. 223.degree. C.

a second run using 20 .times. the above amounts gave 24.5 g. of material.

Analysis.--Calcd. for C.sub.8 H.sub.9 NO.sub.3 : C, 57.49; H, 5.43; N, 8.39. Found: C, 57.41; H, 5.67; N, 8.39.

The compounds of the present invention are useful in the treatment of infections caused by gram-positive bacteria, including particularly the resistant strains of bacteria and gram-negative bacteria, e.g. penicillin-resistant strains of Staphylococcus aureus (Micrococcus pyogenes var. aureus). In addition, the compounds of the present invention are orally absorbed.

In the treatment of bacterial infections in man, the compounds of this invention are administered orally or parenterally, in accordance with conventional procedures for antibiotic administration, in an amount of from about 5 to 60 mg./kg./day and preferably about 20 mg./kg./day in divided dosage, e.g., three or four times a day. They are administrated in dosage units containing, for example, 125 or 250 or 500 mg. of active ingredient with suitable physiologically acceptable carriers or excipients. The dosage units can be in the form of liquid preparations such as solutions, dispersions or emulsions or in solid form such as tablets, capsules, etc.

The following examples will serve to illustrate this invention without limiting it thereto.

To a stirred suspension of 8.35 g. (0.05 mole) of D-(-)-2-(p-hydroxyphenyl)glycine (finely ground) and 8 g. (0.2 mole) of powdered magnesium oxide in 225 ml. of 1:1 dioxane water was added 14.3 g. (0.10 mole) of t-butoxycarbonylazide (Aldrich Chemical Company Inc.) over a 30 minute period and then stirring continued for 20 hours at 45.degree.-50.degree. C. The resulting turbid solution was then poured into one liter of ice water with stirring. One 600 ml. ethyl acetate extract was taken and this was washed twice with 200 ml. portions of 5% sodium bicarbonate and these aqueous solutions combined and filtered. Next, with cooling, they were acidified to pH 3 with 40% phosphoric acid under a layer of 500 ml. of ethyl acetate. This ethyl acetate extract was separated and combined with two more 100 ml. ethyl acetate extracts and dried over sodium sulfate. The ethyl acetate solution was then filtered and concentrated under reduced pressure to an oil and 100 ml. of warm benzene added. The resulting solution was filtered and scratched. There was obtained 10.8 g. of crystalline material, D-(-)-.alpha.-(p-hydroxyphenyl)-.alpha. -(t-butoxycarbonylamino) acetic acid. Infrared and NMR analysis revealed only the NH.sub.2 group had reacted with the azide.

Analysis.--Calcd. for C.sub.13 H.sub.17 NO.sub.5 : C, 58.43; H, 6.48; N, 5.25. Found: C, 62.46; H, 6.55; N, 4.56. o]cephalosporanic acid

(a) To a stirred solution of 5.35 g. (0.02 mole) of D-(-)-.alpha.-(p-hydroxyphenyl)-.alpha.-(t-butoxycarbonylamino)-acetic acid, 2.02 g. (0.02 mole) of 2,6-lutidine and 50 ml. of tetrahydrofuran at -10.degree. C. was added all at once 2.16 g. of (0.02 mole) ethyl chloroformate. After 20 minutes an ice cold solution of 5.44 g. (0.02 mole) of 7-aminocephalosporanic acid, 5 g. of sodium bicarbonate in 50 ml. of water was added, all at once with vigorous stirring. The temperature was kept at or below 0.degree. C. for 10 minutes and between 0.degree. C. and +10.degree. C. for 90 minutes. Next, 100 ml. of water was added and the tetrahydrofuran removed in vacuo at 20.degree. C. One 200 ml. ether extract was taken and discarded. The aqueous phase was layered with 200 ml. of methyl isobutyl ketone and cooled and stirred while being acidified to pH  2. The methyl isobutyl ketone layer was washed with two 100 ml. portions of water, dried briefly over sodium sulfate filtered and treated with 7 ml. (0.2 mole) of 50 % NaEH (sodium 2-ethylhexonate in n-butanol). An oily precipate separated and slowly crystallized. After one hour, they were filtered off, washed with methyl isobutyl ketone and air dried. After further drying over phosphorus pentoxide (vacuum) there was obtained 5.24 g. dec. slowly above 100.degree. C. The infrared and NMR spectra were consistent with the structure of sodium 7-[D-(-)-.alpha.-(t-butoxycarbonylamino)-.alpha.-(p-hydroxyphenyl)-acetami do]cephalosporanate.

The free acid 7-[D-(-)-.alpha.-(t-butoxycarbonylmino)-.alpha.-(p-hydroxyphenyl)-acetamid o]cephalosporanic acid was obtained as an amporhous gum by extracting an acidic aqueous solution with ethyl acetate and concentrating under reduced pressure.

(b) (Alternate procedure).--To a stirred solution of 5.35 g. (0.02 mole) of D-(-)-.alpha.-(p-hydroxyphenyl)-.alpha.-(t-butoxycarbonylamino) acetic acid, 100 ml. of tetrahydrofuran, and 2.8 ml. (0.02 mole) of triethylamine at -40.degree. C. was added dropwise 3.64 g. (0.02 mole) of trichloroacetic acid in 25 ml. of tetrahydrofuran over a 20 minute period. Next, after an additional 15 minutes; a solution of 5.44 g. (0.02 mole) of 7-aminocephalosporanic acid 5.6 ml. (0.04 mole) of triethylamine in 300 ml. of methylene chloride precooled to -40.degree. C. was added all at once and the temperature maintained at -40.degree. C. to -30.degree. C. for 45 minutes. The mixture was then concentrated under the reduced pressure at 20.degree. C. to an oil. This was taken up in 200 ml. of 2% aqueous sodium bicarbonate and 200 ml. of ether. The ether layer was discarded and the aqueous phase layered with 200 ml. of ethyl acetate and with cooling and stirring; the mixture acidified to pH 3. The ethyl acetate layer was then separated and washed twice with water, dried briefly over sodium sulfate, filtered and evaporated to an oil under reduced pressure at 20.degree. C. Five hundred ml. of ether was then added and a small amount of insoluble material filtered off. The ether solution was then concentrated to about 200 ml. and then 200 ml. of Skellysolve B (petroleum ether) was added. The precipitate which formed was separated by filtration and consisted of the desired product, 7-[D-(-)-.alpha.-(t-butoxycarbonylamino)-.alpha.-(p-hydroxyphenyl)-acetami ndo]cephalosporanic acid. Yield=6 g. acid

7-[D-(-)-.alpha.-(t-butoxycarbonylamino)-.alpha.-(p-hydroxyphenyl)-acetamid o]cephalosporanic acid (6 g.) was dissolved in 100 ml. of 50% aqueous formic acid and stirred at 40.degree. C. for 3 hours. The solution was then treated with 1 g. of decolorizing carbon and filtered. The filtrate was concentrated to a viscous oil at 20.degree. C. under reduced pressure. The last traces of formic acid were removed by adding 300 ml. of toluene and removing same under reduced pressure at 20.degree. C. The resulting glass was triturated with 400 ml. of ethyl acetate to which 5 ml. of water had been added. A semi-crystalline solid formed which was filtered off and vacuum dried over phosphorus pentoxide. The product, 7-[D-(-)-.alpha.-amino-.alpha.-(p-hydroxyphenyl)-acetamido]cephalosporanic acid, weighed 1.8 g. and had a decomposition point of 260.degree. C. with darkening above 150.degree. C. Infrared and NMR spectra were consistent with the structure.

Analysis.--Calcd. for C.sub.18 H.sub.19 N.sub.3 O.sub.7 S: C, 51.07; H, 4.55. Found: C, 51.58; H, 5.12.

This product is found to inhibit Staphylococcus aureus Smith at concentration of 5.0 mg./ml., Streptococcus pyogenes at a concentration of 0.08 mg./ml., Staphylococcus aureus BX-1633- 2 (a strain resistant to benzylpencillin) at a concentration of 6.2 mg./ml., Escherichia coli Juhl at a concentration of 6.2 mg./ml., Salmonella enteritidia at a concentration of 6.2 mg./ml., and Diplococcus pneumoniae at a concentration of 2.5 mg./ml., to exhibit upon intramuscular injection in mice a CD.sub.50 against Staph. aureus Smith of 0.2 mg./kg. against Staph. aureus BX-1633-2 of 25-36 mg./kg., against Salmonella enteritidia of 4 mg./kg., against E. coli of 10 mg./kg., and against Diplococcus pneumoniae of 4.5 mg./kg. and to exhibit upon oral adminstration in mice a CD.sub.50 against Diplococcus pneumoniae of 7.0 mg./kg., against Staph. aureus Smith of 3.0 mg./kg., against Staph. aureus BX-1633-2 of 45-62 mg./kg., against Salmonella enteritidia of 76 mg./kg., against Klebsiella pneumoniae of 40 mg./kg. and against E. coli of 40 mg./kg.

A comparison was made of the blood levels obtained in mice upon oral administration of 7-[D-(-)-.alpha.-amino-.alpha.-(p-hydroxyphenyl)-acetamido]cephalosporanic acid with the blood levels obtained with cephaloglycine (7-[D-(-)-.alpha.-aminophenyl-acetamido]cephalosporanic acid. In the test twelve mice were dosed orally with 0.24 m. moles/kg. of each compound. The following are the average blood levels obtained: Blood levels (mg./ml.) 7-[D-(-)-.alpha.-amino-.alpha.-(p- hydroxyphenyl)-acetamido] Cephalo- Time (hours) cephalosporanic acid glycine ______________________________________ 0.5         8.7                2.7 1.0         5.8                2.0 2.0         3.6                2.1 3.5         1.8                1.6 ______________________________________

At each time the blood level obtained with 7-[D-(-)-.alpha.-amino-.alpha.-(p-hydroxyphenyl-acetamido]cephalosporanic acid is higher than that obtained with cephaloglycine. ranic acid

A solution of 2.1 g. (0.005 mole) of D-(-)-7-[.alpha.-(p-hydroxyphenyl)-.alpha.-aminoacetamido]cephalosporanic acid. 0.7 ml. (0.005 mole) of triethylamine in 50 ml. of methanol was obtained by stirring for 15 minutes at room temperature (22.degree. C.) To this was added 50 ml. of acetone and stirring continued for 5 hours. The solution was then concentrated to an oil at 20.degree. C. under reduced pressure. Twenty-five ml. of water and 50 ml. of ethyl acetate was added and the pH adjusted to 3 with 40% H.sub.3 PO.sub.4. The aqueous layer was saturated with NaCl and the mixture shaken. The ethyl acetate layer was separated and dried briefly over Na.sub.2 SO.sub.4, filtered and concentrated to dryness at 20.degree. C. under reduced pressure. The resulting solid precipitate was removed by ether trituration and filtration. After drying over P.sub.2 O.sub.5 under vacuum there was obtained 310 mg. with a decomposition point of 150.degree. -250.degree. C. (slowly). Infrared and NMR spectra were consistent with the desired structure.

Analysis.-- Calcd. for C.sub.21 N.sub.23 N.sub.3 O.sub.7 S.H.sub.2 O: C, 52.61; H, 5.26. Found: C, 52.29; H, 5.48.

This product is found to inhibit Staphylococcus aureus Smith at a concentration of 2.5 mg./ml., Streptococcus pyogenes at a concentration of 0.08 mg./ml., Staphylococcus aureus BX-1633- 2 (a strain resistant to benzylpencillin) at a concentration of 6.2 mg./ml., Escherichia coli Juhl at a concentration of 6.2 mg./ml., and Diplococcus pneumoniae at a concentration of 1.2 mg./ml., and to exhibit upon oral administration in mice a CD.sub.50 against Staph. aureus Smith of 3.0 mg./kg. and against Staph. aureus BX-1633- 2 of 70 mg./kg.

A comparison was made of the blood levels obtained in mice upon oral administration of 7-[D-(-) -2,2-dimethyl-4-(p-hydroxyphenyl)-5-oxo-1-imidazolidinyl] cephalosporanic acid with the blood levels obtained with cephaloglycine. In the test twelve mice were dosed orally with 0.24 m. mole/kg. of each compound. The following are the average blood levels obtained: Blood levels (mg./ml.) 7-[D-(-)-2,2-dimethyl- 4-(p-hydroxy-phenyl)- 5-oxo-1-imidazolidinyl] Cephalo- Time (hours) cephalosporanic acid glycine ______________________________________ 0.5         3.4                2.7 1.0         3.5                2.0 2.0         2.6                2.1 3.5         1.4                1.6 ______________________________________

At each time except 3.5 hours the blood level obtained with D-(-)-7-[2,2-dimethyl-4(p-hydroxyphenyl-5-oxo-1-imidazolidinyl)aminoacetam ido]cephalosporanic acid is higher than that obtained with cephaloglycine.

To a stirred suspension of 5.01 g. (0.03 mole) of D-(-)-2-(p-hydroxyphenyl)glycine in 100 ml. of water at 22.degree. C. (room temperature) was added 1.2 g. (0.03 mole) of sodium hydroxide pellets. A clear solution resulted. The stirred solution was cooled to 0.degree. C. and 2.4 g. (0.06 mole) of NaOH pellets were added. When they had dissolved 13.6 g. (0.08 mole) of carbobenzoxy chloride was added all at once with vigorous stirring. After 30 min. at 0.degree. C. to 5.degree. C. the pH was 7 and a few drops of 50% NaOH--H.sub.2 O was added to keep the pH at 8-9 during another 30 min. Three hundred ml. of H.sub.2 O was then added and the resulting slurry was transferred to a separatory funnel and 500 ml. of ether added. After shaking, the ether layer was discarded and the aqueous layer and solids combined with 300 ml. of ethyl acetate and the mixture acidified with shaking to pH 2 with 6 N HCl. The ethyl acetate phase was combined with two more ethyl acetate extracts and washed with two 100 ml. portions of water, two 300 ml. portions of saturated Na.sub.2 SO.sub.4 solution and filtered. Upon concentrating under reduced pressure to an oil the product crystallized. The material was recrystallized from benzene-Skellysolve "B" (pet. ether) to give 8.9 g. of material with a melting point of 101.degree. -102.degree. C. The infrared and NMR spectra were consistent with the desired structure.

Analysis.--Calcd. for C.sub.24 H.sub.21 NO.sub.7 : C, 66.21; H, 4.88; N, 3.22. Found: C, 67.93; H, 5.24; N, 3.07. acid

D-(-)-.alpha.-benzyloxycarbonylamino-.alpha.-(4-hydroxyphenyl)acetic acid (0.344 mole), is dissolved in 100 mls. of dimethylformamide. There is then added 2,6-lutidine (3.7 gms.; 0.0244 mole) and the solution is cooled to 5.degree. C. in an ice bath. Ethyl chloroformate (3.72 gms.; 0.0344 mole) is added to the cool solution over a period of five minutes. The mixture is stirred for 15 minutes and a solution of 7-aminocephalosporanic acid (0.395 mole) in 70 mls. of water and 20 mls. of 2,6-lutidine is added. The solution is stirred in the ice bath for 15 minutes, diluted with 500 mls. of water and extracted twice with ether. The ether extract is discarded. The pH of the solution is lowered to 2 by the addition of dilute H.sub.2 SO.sub.4 and the product is extracted into ether. The ether extract is washed with water and the product is extraced into dilute Na.sub.2 CO.sub.3. This extract has a pH of 7.5 and a volume of about 300 mls. It is then shaken with 7 gms. of 30% palladium on celite for 20 minutes under an atmosphere of hydrogen at a pressure of 50 p.s.i. The volume of the solution is doubled by the addition of water and the pH is lowered to 2 by the addition of dilute H.sub.2 SO.sub.4. The catalyst is then removed by filtration and the filtrate is extracted with a mixture of 150 mls. of methyl isobutyl ketone and 8 gms. of aerosol O.T. The extract is dried over anhydrous Na.sub. 2 SO.sub.4 and neutralized to pH 4.5 by the addition of triethylamine and an amorphous solid is collected by filtration and slurried with 20 mls. of water. A crystalline solid is formed which is collected and dried in vacuo over P.sub.2 O.sub.5. The product, 7-(D-(-)-.alpha.-amino-.alpha.-(p-hydroxyphenyl)-acetamido]cephalosporanic acid, is found to contain the .beta.-lactam structure as shown by infrared analysis. alosporanic acid

When in Example 2, 7-aminocephalosporanic acid is replaced by an equimolar amount of 3-methyl-7-aminodecephalosporanic acid there is obtained 3-methyl-7-[D-(-)-.alpha.-(t-butoxycarbonylamino)-.alpha.-(p-hydroxyphenyl )-acetamido]-decephalosporanic acid. Substitution in Example 3 of an equimolar amount of this compound for 7-[D-(-)-.alpha.-(t-butoxycarbonylamino)-.alpha.-(p-hydroxyphenyl)-acetami do]-cephalosporanic acid produces the product 3-methyl-7-[D-(-)-.alpha.-amino-.alpha.-(p-hydroxyphenyl)-acetamido]-decep halosporanic acid.

This product is found to inhibit Staphylococcus aureus Smith at a concentration of 0.001 percent by weight. ecephalosporanic acid

When in Example 4, 7-[D-(-)-.alpha.-amino-.alpha. -(p-hydroxyphenyl)-acetamido]-cephalosporanic acid is replaced by an equimolar amount of 3-methyl-7-[D-(-)-.alpha.-amino-.alpha.-(p-hydroxyphenyl)-acetamido]-decep halosporanic acid there is obtained the product 3-methyl-7-[D-(-)-2,2-dimethyl-4(p-hydroxyphenyl-5-oxo-1-imidazolidinyl]-d ecephalosporanic acid.

This product is found to inhibit Staphylococcus aureus Smith at a concentration of 0.001 percent by weight.

While this invention has been described and exemplified in terms of its preferred embodiment, those skilled in the art will appreciate that modifications can be made without departing from the spirit and scope of this invention.

## Claims

decephalosporanic acid, ranic acid and decephalosporanic acid and the non-toxic, pharmaceutically acceptable salts thereof..].  .[.2. The compound of claim 1 named: acid..]. .[.3. A nontoxic, pharmaceutically acceptable salt of the compound of claim 2..]. .[.4. The sodium salt of the compound of claim 2..]. .[.5. The potassium salt of the compound of claim 2..]. .[.6. The triethylamine salt of the compound of claim 2..]. 7. The compound of claim .[.1.].  .Iadd.14 .Iaddend.named: losporanic acid. 8. A nontoxic, pharmaceutically acceptable salt of the compound of claim 7. 9. The sodium salt of the compound of claim 7.

10. The potassium salt of the compound of claim 7. 11. The triethylamine salt of the compound of claim 7. .[.12. The compound of claim 1 named: ranic acid and its nontoxic, pharmaceutically acceptable salts..]. 13. The compound of claim .[.1.]. .Iadd.14 .Iaddend.named: ecephalosporanic acid and its nontoxic, pharmaceutically acceptable salts. .Iadd. 14. A compound selected from the group consisting of: c acid, ranic acid, and poranic acid, and the non-toxic, pharmaceutically acceptable salts thereof. .Iaddend..Iadd. 15. The compound of claim 14 named: ranic acid and its non-toxic, pharmaceutically acceptable salts. .Iaddend.