3-SUBSTITUTED CARBACEPHEMS

Abstract: A compound of formula (I) or a salt thereof, wherein R<1> is hydrogen, methoxy or formamido; R<2> is an acyl group, in particular that of an antibacterially active cephalosporin; CO2R<3> is a carboxy group or a carboxylate anion, or R<3> is a readily removable carboxy protecting group or a pharmaceutically acceptable salt-forming group or in vivo hydrolysable ester group; R<4> represents hydrogen or up to four substituents, which may be present on any of the carbon atoms in the ring system shown, selected from alkyl, alkenyl, alkynyl, alkoxy, hydroxy, halogen, amino, alkylamino, acylamino, dialkylamino, CO2R, CONR2, SO2NR2 where R is hydrogen or alkyl, aryl and heterocyclyl, which may be the same or different and wherein any R<4> alkyl substituent is optionally substituted by one or more substituents selected from the list from which R<4> is selected; Y is O, S, SO or SO2; and m is 1 or 2, a process for its preparation, use as an antibiotic and intermediates thereto.

Description: 3-SUBSTITUTED CAREIACEPHEMS This invention relates to novel β-lactam compounds, their preparation and their use, and in particular to a novel class of cephems. These compounds have antibacterial properties, and are therefore of use in the treatment of bacterial infections in humans and animals caused by a wide range of organisms. PCT/GB91/01228 (WO 92/01696) generically discloses cephems of general formula (A): (A) wherein R*, R--, R^ and R^ are various substituents, m is 1 or 2 and X is S, SO, SO2 5 O or CH 2 - We have found a particularly advantageous class of carbacephems bearing a cyclic ether or thio-ether substituent at the 3-position of the cephem nucleus, and which are not specifically disclosed in WO92/01696. The present invention provides a compound of formula (I) or a salt thereof: (I) wherein: R- is hydrogen, methoxy or formamido; R-- is an acyl group, in particular that of an antibacterially active cephalosporin; CO2R is a carboxy group or a carboxylate anion, or R3 is a readily removable carboxy protecting group or a pharmaceutically acceptable salt-forming group or in vivo hydrolysable ester group; R represents hydrogen or up to four substituents, which may be present on any of the carbon atoms in the ring system shown, selected from alkyl, alkenyl, alkynyl, alkoxy, hydroxy, halogen, amino, alkylamino, acylamino, dialkylamino, CO2R, CONR2 > SO2NR2 where R is hydrogen or alkyl, aryl and heterocyclyl, which may be the same or different and wherein any R^ alkyl substituent is optionally substituted by one or more substituents selected from the list from which R^ is selected; Y is O, S, SO or SO2; and m is 1 or 2. The bonding carbon atom of the cyclic ether or thio-ether moiety which links the ring to the cephem nucleus is generally asymmetric. The present invention includes either stereoisomer, as well as mixtures of both isomers. In compounds of formula (I) wherein R* is for arnido, the formamido group can exist in conformations wherein the hydrogen atoms of the -NH-CHO moiety are cis- or trans-; of these the cis conformation normally predominates. Preferred compounds within formula (I) are compounds of formula (Ia) or pharmaceutically acceptable salts or pharmaceutically acceptable in vivo hydrolysable esters thereof: (Ia) wherein R , R--, R4, and y are as defined with respect to formula (I) and the group CO2R is CO2R where CO2R^ is a carboxy group or a carboxylate anion. Accordingly, the present invention provides a compound of formula (Ia) or a pharmaceutically acceptable salt or in vivo hydrolysable ester thereof, for use as a therapeutic agent, and in particular an in vivo hydrolysable ester thereof for use as an orally administrable therapeutic agent. The present invention further provides a compound of formula (Ia) or a pharmaceutically acceptable salt or in vivo hydrolysable ester thereof, for use in the treatment of bacterial infections, more particularly an in vivo hydrolysable ester thereof for use in the oral treatment of bacterial infections. The present invention also includes a method of treating bacterial infections in humans and animals which comprises the administration of a therapeutically effective amount of an antibiotic compound of the formula (Ia) or a pharmaceutically acceptable in vivo hydrolysable ester thereof, in particular the oral administration of a therapeutically effective amount of an in vivo hydrolysable ester. In addition, the present invention includes the use of a compound of formula (Ia) or a pharmaceutically acceptable salt or in vivo hydrolysable ester thereof, for the manufacture of a medicament for the treatment of bacterial infections, in particular the use of an in vivo hydrolysable ester for the manufacture of a medicament for the oral treatment of bacterial infections. Those compounds of the formula (I) wherein R3 is a readily removable carboxy protecting group other than a pharmaceutically acceptable in vivo hydrolysable ester or which are in non-pharmaceutically acceptable salt form are primarily useful as intermediates in the preparation of compounds of the formula (Ia) or a pharmaceutically acceptable salt or pharmaceutically acceptable in vivo hydrolysable ester thereof. Suitable readily removable carboxy protecting groups for the group include groups forming ester derivatives of the carboxylic acid, including in vivo hydrolysable esters. The derivative is preferably one which may readily be cleaved in vivo. Also included within the scope of the invention are salts and carboxy-protected derivatives, including in vivo hydrolysable esters, of any carboxy groups that may be present as optional substituents in compounds of formula (I) or (Ia). Also included within the scope of the invention are acid addition salts of any amino group or substituted amino group that may be present as optional substituents in compounds of formula (I) or (Ia). Suitable ester-forming carboxyl-protecting groups are those which may be removed under conventional conditions. Such groups for R$ include benzyl, p-methoxybenzyl, benzoylmethyl, p-nitrobenzyl, 4-pyridylmethyl, 2,2,2-trichloroethyl, 2,2,2-tribromoethyl, l-butyl, j-amyl, allyl, diphenylmethyl, triphenylmethyl, adamantyl, 2-benzyloxyphenyl, 4-methylthiophenyl, tetrahydrofur-2-yl, tetrahydropyran-2-yl, pentachlorophenyl, acetonyl, jHoluenesulphonylethyl, methoxymethyl, 2-trimethylsilylethyl, a silyl, stannyl or phosphorus- containing group, an oxime radical of formula -N=CHR where R^ is aryl or heterocyclic, or an in vivo hydrolysable ester radical such as defined below. A carboxyl group may be regenerated from any of the above esters by usual methods appropriate to the particular R3 group, for example, acid- and base- catalysed hydrolysis, or by enzymically-catalysed hydrolysis, or by hydrogenolysis under conditions wherein the remainder of the molecule is substantially unaffected. Examples of suitable pharmaceutically acceptable in vivo hydrolysable ester groups include those which break down readily in the human body to leave the parent acid or its salt. Suitable ester groups of this type include those of part formulae (i), (ii), (iii), (iv) and (v): R — COoCH-O.CO.R (i) R / -CO, -R -N \. R (") CO CH,— OR (iii) wherein R a is hydrogen, (C\. ) alkyl, (C3.7) cycloalkyl, methyl, or phenyl, R D is (Cι_6) alkyl, (Cj-.^) alkoxy, phenyl, benzyl, (C3.7) cycloalkyl, (C3.7) cycloalkyloxy, (C g) ---ty- (C3.7) cycloalkyl, 1 -amino (C\. ) alkyl, or l-((Cι_6) alkyl)amino (Cj. ) alkyl; or R a and R D together form a 1,2-phenylene group optionally substituted by one or two methoxy groups; R c represents (C\. ) alkylene optionally substituted with a methyl or ethyl group and R^ and R e independently represent (C\. ) alkyl; Rf represents (C\. ) alkyl; RS represents hydrogen or phenyl optionally substituted by up to three groups selected from halogen, (C\. ) alkyl, or (C g) alkoxy; Q is oxygen or NH; R-- is hydrogen or (Cj.g) alkyl; R* is hydrogen, (C\. ) alkyl optionally substituted by halogen, (C2-6) alkenyl, (Cι_6) alkoxycarbonyl, aryl or heteroaryl; or R-- and R* together form (C\. ) alkylene; R represents hydrogen, (C\_(_) alkyl or {C\. ) alkoxycarbonyl; and R^ represents (Cι_g) alkyl, (Cι_g) alkoxy, { \. ) alkoxy((Cι_6))alkoxy or aryl. Examples of suitable in vivo hydrolysable ester groups include, for example, acyloxyalkyl groups such as acetoxymethyl, pivaloyloxymethyl, α-acetoxyethyl, α-pivaloyloxyethyl, l-(cyclohexylcarbonyloxy)prop-l- yl, and (l-aminoethyl)carbonyloxymethyl; alkoxycarbonyloxyalkyl groups, such as ethoxycarbonyloxymethyl, α-ethoxycarbonyloxyethyl and propoxycarbonyloxyethyl; dialkylaminoalkyl especially di-loweralkylamino alkyl groups such as dimethylaminomethyl, dimethylaminoethyl, diethylaminomethyl or diethylaminoethyl; 2-(alkoxycarbonyl)-2-alkenyl groups such as 2-(isobutoxycarbonyl)pent-2-enyl and 2-(ethoxycarbonyl)but-2-enyl; lactone groups such as phthalidyl and dimethoxyphthalidyl; and esters linked to a second β-lactam antibiotic or to a β-lactamase inhibitor. A further suitable pharmaceutically acceptable in vivo hydrolysable ester group is that of the formula: wv-srein R m is hydrogen, (Cj.g) alkyl or phenyl. A preferred in vivo hydrolysable ester group is the pivaloyloxymethyl ester. Suitable pharmaceutically acceptable salts of the carboxy group of the compound of formula (I) include metal salts, eg aluminium, alkali metal salts such as sodium or potassium, especially sodium, alkaline earth metal salts such as calcium or magnesium, and ammonium or substituted ammonium salts, for example those with lower alkylamines such as triethylamine, hydroxy-lower alkylamines such as 2-hydroxyethylamine, bis-(2-hydroxyethyl)amine or tris-(2-hydroxyethyl)- amine, cycloalkylamines such as dicyclohexylamine, or with procaine, dibenzylamine, NN-dibenzylethylene- diamine, 1-ephenamine, N-methylmorpholine, N-ethylpiperidine, N-benzyl-β-phenethylamine, dehydroabietylamine, N-N-bisdehydro-abietylamine, ethylenediamine, or bases of the pyridine type such as pyridine, coUidine or quinoline, or other amines which have been used to form salts with known penicillins and cephalosporins. Other useful salts include the lithium salt and silver salt. Salts of formula (I) may be prepared by salt exchange in conventional manner. In compounds of formula (I) or (Ia), the group Y may be an oxidised sulphur atom, i.e. a sulphoxide (SO) or sulphone (SO2) group. When Y is a sulphoxide group it will be understood that α- and β-isomers may exist; both such isomers are encompassed within the scope of the present invention. Preferably Y is O or S, in particular O. Advantageously, R- is hydrogen. Suitably, the cyclic ether or thio-ether at the 3-position of the cephalosporin nucleus is unsubstituted or substituted by up to three substituents R^, selected from (C\_ β ) alkyl, for example methyl, (Cj.g) alkoxy, for example methoxy, (C\.(_) alkoxycarbonyl for example methoxycarbonyl, (Cj.g) alkoxy (C . ) alkyl, for example methoxymethyl, and ( \. ) alkanoyloxy (C\.(,) alkyl, for example acetoxy methyl. Preferably the cyclic ether or thio-ether at the 3-position of the cephalosporin nucleus is unsubstituted. Preferably m is 1. Suitably the cyclic ether at the 3 -position of the cephalosporin nucleus is a tetrahydrofuran-2-yl group. Preferably the cyclic thio-ether is bonded to the cephalosporin nucleus at a ring carbon adjacent to the oxygen or sulphur heteroatom. Suitable acyl groups R^ include those of formulae (a) - (f): Aι(CH 2 ) p -CH-(CH 2 )m-CO | (a) x, A 2 CO (b) A 2 -X 3 -{CH 2 ) P -Cσ (d) j -C-CO- N II ( • ) OA, A 3 -C-CO- (f) A, wherein p is 0, 1 or 2; m is 0, 1 or 2; Aj is (C g) alkyl, substituted (C\. ) alkyl wherein the substituents may be as for R^ above, (C3.6) cycloalkyl, cyclohexenyl, cyclohexadienyl, an aryl (including heteroaryl) group, such as phenyl, substituted phenyl, thienyl, pyridyl, or an optionally substituted thiazolyl group, a (C\. ) akylthio group or (Cι_6) alkyloxy; X] is a hydrogen or halogen atom, a carboxylic acid, carboxylic ester, sulphonic acid, azido, tetrazolyl, hydroxy, acyloxy, amino, ureido, acylamino, heterocyclylamino, guanidino or acylureido group; A2 is an aryl group, for example a phenyl, 2,6-dimethoxyphenyl, 2-alkoxy-l-naphthyl, 3-arylisoxazolyl, or a 3-aryl-5-methylisoxazolyl group, such as 3-(2-chloro-6-fluorophenyl)-5-methylisoxazol-4-yl; a substituted alkyl group; or a substituted dithietane; X2 is a -CH2OCH2-, -CH2SCH2- or alkylene group; X3 is an oxygen or sulphur atom; A3 is an aryl or heteroaryl group such as phenyl, substituted phenyl, furyl, aminothiazolyl or aminothiadiazolyl in which the amino group is optionally protected; and A4 is hydrogen, (Cι_6)alkyl, (C3_g) cycloalkyl, (C3_g) cycloalkyl(Cι_6)alkyl, { \. ) alkoxycarbonyKCi.g) alkyl, (C2-6) alkenyl, carboxy(Ci_6)alkyl, (C2-6) alkynyl, aryl or (Cι_6)alkyl substituted by up to three aryl groups. Suitably when R-- is a group (a), Aj is (.C\. ) alkyl, (C3.6) cycloalkyl, cyclohexenyl, cyclohexadienyl, phenyl, substituted phenyl (eg substituted as for "aryl" above) such as hydroxyphenyl, thienyl or pyridyl; and X} is a hydrogen or halogen atom, or a carboxy, carboxylic ester, azido, tetrazolyl, hydroxy, acyloxy, optionally protected amino, ureido, guanidino or acylureido group. Suitably when R^ is a group of formula (d), A2 is phenyl, X3 is oxygen and p is O. Alternatively when R^ is a group of formula (e) or (f) suitable values for the group A3 include those commonly found in antibacterially active cephalosporins containing a hydroxyimino, substituted hydroxyimino or vinyl group in the side chain attached to position 7 of the cephalosporin nucleus, for example phenyl, thien-2-yl, thien-3-yl, fur-2-yl, fur-3-yl, pyrid-2-yl, pyrid-3-yl, pyrid-4-yl, 5-amino-l,2,4-thiadiazol-3-yl and 2-aminothiazol-4-yl in each of which the amino group is optionally protected. Preferred groups for A3 include phenyl, 2-aminothiazol-4-yl, fur-2-yl, thien-2-yl, 2-(2-chloroacetamido)thiazol-4-yl, 2-tritylamino-thiazol-4-yl, 5-amino-l,2,4-thiadiazol-3-yl and 4-aminopyrimid-2-yl. In compounds of formula (Ia) a preferred acyl group R-- is one of formula (e), having a group, A3 which is 2-aminothiazol-4-yl. Suitable values for the group A4 include hydrogen, methyl, ethyl, cyclopropylmethyl, triphenylmethyl (trityl), cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclooctyl, phenyl, carboxymethyl, carboxypropyl and i-butoxycarbonylmethyl. Preferred values for A4 in compounds of formula (Ia) include methyl and hydrogen. It will be appreciated that compounds of the invention wherein R^ is a group of formula (e) or (f) can exist as syn and ana (or E and Z) isomers or mixtures thereof. Both isomers are encompassed within the scope of this invention. Preferably the compounds of the invention wherein R^ is a group of formula (e) have the syn configuration (i.e. have the group OA4 syn to the amide linkage) or are enriched in that isomer. Similarly, when R^ is a group of formula (f), the group A4 is preferably cjs. to the amide linkage, i.e. when group (f) is 2-amino-thiazol-4-yl, the Z-configuration is preferred. Preferably in formula (I) and (Ia) if the 3-position substituent is a tetrahydrofuran-2-yl on: Certain compounds of the invention include an amino group which may be protected. Suitable amino protecting groups are those well known in the art which may be removed under conventional conditions without disruption of the remainder of the molecule. Examples of amino protecting groups include (Cj.g) alkanoyl; benzoyl; benzyl optionally substituted in the phenyl ring by one or two substituents selected from (C1.4) alkyl, (C1.4) alkoxy, trifluoromethyl, halogen, or nitro; (Cj_4) alkoxycarbonyl; benzyloxycarbonyl or trityl (ie triphenylmethyl) substituted as for benzyl above; allyloxycarbonyl, trichloroethoxycarbonyl or chloroacetyl. When used herein the term 'aryl' includes phenyl and naphthyl, each optionally substituted with up to five, preferably up to three, groups selected from halogen, mercapto, (C\. ) alkyl, phenyl, (C g) alkoxy, hydroxy (Cι_6)alkyl, mercapto(Cι_6)alkyl, halo(Cι_6) alkyl, hydroxy, amino, nitro, carboxy, (Cι_ 6)alkylcarbonyloxy, (Ci_6)alkoxycarbonyl, formyl, or (Cι_6)alkylcarbonyl groups. The terms 'heterocyclyl' and 'heterocyclic' as used herein include aromatic and non-aromatic, single and fused, rings suitably containing up to four hetero-atoms in each ring selected from oxygen, nitrogen and sulphur, which rings may be unsubstituted or substituted by, for example, up to three groups selected from halogen, (Cι_6)alkyl, (Cι_6)alkoxy, halo(Cι_6)alkyl, hydroxy, carboxy, carboxy salts, carboxy esters such as (Cι_6)alkoxycarbonyl, (Cι_6)alkoxycarbonyl(Cι_ g)alkyl, aryl, and oxo groups. Each heterocyclic ring suitably has from 4 to 7, preferably 5 or 6, ring atoms. The term 'heteroaryl' refers to heteroaromatic heterocyclic rings. A fused heterocyclic ring system may include carbocyclic rings and need include only one heterocyclic ring. Compounds within the invention containing a heterocyclyl group may occur in two or more tautometric forms depending on the nature of the heterocyclyl group; all such tautomeric forms are included within the scope of the invention. The term 'heteroaryl' as used herein means a heteroaromatic heterocyclic ring or ring system, suitably having 5 or 6 ring atoms in each ring. When used herein the terms 'alkyl', 'alkenyl', 'alkynyl' and 'alkoxy' include straight and branched chain groups containing from 1 to 6 carbon atoms, such as methyl, ethyl, propyl and butyl. A particular alkyl group is methyl. When used herein the term 'halogen' refers to fluorine, chlorine, bromine and iodine. Some of the compounds of this invention may be crystallised or recrystallised • from solvents such as organic solvents. In such cases solvates may be formed. This invention includes within its scope stoichiometric solvates including hydrates as well as compounds containing variable amounts of water that may be produced by processes such as lyophilisation. Since the antibiotic compounds of the invention are intended for use in pharmaceutical compositions it will readily be understood that they are each provided in substantially pure form, for example at least 60% pure, more suitably at least 75% pure and preferably at least 85%, especially at least 95% pure, particularly at least 98% pure (% are on a weight for weight basis). Impure preparations of the compounds may be used for preparing the more pure forms used in the pharmaceutical compositions; these less pure preparations of the compounds should contain at least 1%, more suitably at least 5% and preferably from 10 to 49% of a compound of the formula (I) or salt thereof. Specific compounds within this invention of formula (Ia) include the following pharmaceutically acceptable carboxylic acids, salts and in-vivo hydrolysable esters: Pivaloyloxymethyl (6Λ,7S)-7-[2-(2-aminothiazol-4-yl)-2-(Z)-methoxyimino- acetaιιύdo]-[(-^-tetrahydrofuran-2-yl]-l-carba-l-dethiaceph-3-em-4-carboxylate, Sodium (6R,7S)-7-[2-(2-aminothiazol-4-yl)-2-(Z)-methoxyiminoacetamido]- 3-[(S)-tetrahydrofuran-2-yl]-l-carba-l-dethiaceph-3-em-4-carboxylate, 4-Methoxybenzyl (6Λ,7S)-7-phenylacetamido-3-[( ? and S)-tetrahydrofuran-2- yl]-l-carb-l-dethiaceph-3-em-4-carboxylate, 4-Methoxybenzyl (6R,7S)-7-phthalimido-3-[(S)-tetrahydrofuran-2-yl]- 1 - carba- 1 -dethiaceph-3-em-4-carboxylate, Sodium (6/?,7S)-7-[2-(2-aminothiazol-4-yl)-2-(Z)-prop-2-yloxyimino- acetamido] -3-[(2S)-tetrahydrofuran-2-yl] - 1 -carba- 1 -dethiaceph-3-em-4- carboxylate, 4-Methoxybenzyl (6Λ,7S)-7-[2-(2-aminothiazol-4-yl)-2-(Z)-prop- 2-yloxyiininoacetamido]-3-[(25)-tetrahydrofuran-2-yl]-l-carba-l-dethiaceph- 3-em- 4-carboxylate, Sodium (6 ?,75)-7-[2-(2-aminothiazol-4-yl)-2-(Z)-hydroxyiminoacetamido]- 3-[(25)-tetrahydrofuran-2-yl]- 1-carba- l-dethiaceph-3-em-4- carboxylate, 4-Methoxybenzyl (6Λ,7-5)-7-[2-(2-aminothiazol-4-yl)-2-(Z)- hydroxyiniinoacetamido]-3-[(2S)-tetrahydrofuran-2-yl]-l-carba-l-dethiaceph-3-em-4- carboxylate, Soώum (6Λ,7S)-7-[2-(2-aminothiazol-4-yl)-2-(Z)-difluoromethoxyimino- acetamido]-3-[(2S)-tetrahydrofuran-2-yl]- 1-carba- l-dethiaceph-3-em-4- carboxylate, The present invention provides a process for the preparation of a compound of formula (I) or (Ia) as defined above in which -CO2R^ is a carboxy group or carboxylate anion or R^ is a pharmaceutically acceptable salt-forming group or in vivo hydrolysable ester group, wherein a compound of formula (I) as defined above in which R-3 is a carboxy protecting group has its group CO2 ^ replaced by a group Cθ2R^ which is a carboxy group or a carboxylate anion, or in which R3 is a pharmaceutically acceptable salt-forming group or in-vivo hydrolysable ester group. The present invention further provides a process for the preparation of a compound of formula (I), which process comprises treating a compound of formula (II) or a salt thereof: R1 H (II) wherein R*, CO2R^, R^, m, and Y are as hereinbefore defined, wherein any reactive groups may be protected, and wherein the amino group is optionally substituted with a group which permits acylation to take place; with an acid of formula (III) or a N- acylating derivative thereof: R 2 OH (III) wherein R-- is the acyl group as defined with respect to formula (I) and wherein any reactive groups may be protected; and thereafter, if necessary or desired, carrying out _ one or more of the following steps: i) removing any protecting groups; ii) converting the group CO2R^ into a different group CO2R^; iii) converting the group R-- into a different group R--; iv) converting the group Y into a different group Y, for example S into SO or SO 2 ; v) converting the product into a salt or ester. Acids of formula (III) may be prepared by methods known in the art, or methods analogous to such processes. Suitable processes include those described, for example, in UK Patent 2 107 307 B, UK Patent Specification No. 1,536,281, and U.K. Patent Specification No. 1,508,064. Suitable groups which permit acylation to take place and which are optionally present on the amino group of the starting material of the formula (II) include N-silyl, N-stannyl and N-phosphorus groups, for example trialkylsilyl groups such as trimethylsilyl, trialkyltin groups such as tri-n-butyltin, groups of formula -P.R^R^ wherein R^ is an alkyl, haloalkyl, aryl, aralkyl, alkoxy, haloalkyl, aryl, aralkyl, alkoxy, haioalkoxy, aryloxy, aralkyloxy or dialkylamino group, R^ is the same as R^ or is halogen or R and R^ together form a ring; suitable such phosphorus groups being -P(OC 2 H 5 ) 2 , -P(C 2 H 5 ) 2 , A group which may optionally be introduced onto the amino group in the compound of formula (II) is trimethylsilyl. Advantageously the silylation reaction may be carried out in situ, prior to the acylation reaction, with a silylating agent that does not require concomitant addition of base. Suitable silylating agents include, for example, Ν-(trimethylsilyl)-acetamide, N,0-bis-(trimethylsilyl)acetamide, N,0-bis(trimethylsilyl)- trifluoroacetamide, N-methyl-N-trimethylsilylacetamide, N-methyl-N-trimethylsilyl-trifluoroacetamide, NJV-bis(trimethylsilyl)urea, and N,O-bis(trimethylsilyl)carbamate. A preferred silylating agent is N,0-bis(trimethylsilyl)acetamide. The silylation reaction may suitably be carried out in an inert, anhydrous organic solvent such as dichloromethane at room temperature or at an elevated temperature, for example 30 - 60°C, preferably 40 - 50°C. The above process may optionally be carried out in the presence of a small quantity, for example 0.1 equivalents, of a silyl halide, for example a tri(Cι_6)alkylsilyl halide, especially trimethylsilyl chloride. A reactive N-acylating derivative of the acid (III) is employed in the above process. The choice of reactive derivative will of course be influenced by the chemical nature of the substituents of the acid. Suitable N-acylating derivatives include an acid halide, preferably the acid chloride or bromide or alternatively a symmetrical or mixed anhydride. The acylation may be effected in the presence of an acid binding agent for example, tertiary amine (such as pyridine or dimethylaniline), molecular sieves, an inorganic base (such as calcium carbonate or sodium bicarbonate) or an oxirane, which binds hydrogen halide liberated in the acylation reaction. The oxirane is preferably a (Cι_6)-l,2-alkylene oxide - such as ethylene oxide or propylene oxide. The acylation reaction using an acid halide may be carried out at a temperature in the range -50°C to +50°C, preferably -20°C to +20°c, in aqueous or non-aqueous media such as water, acetone, tetrahydrofuran, ethyl acetate, dimethylacetamide, dimethylformamide, acetonitrile, dichloromethane, 1,2-dichloroethane, or mixtures thereof. Alternatively, the reaction may be carried out in an unstable emulsion of water-immiscible solvent, especially an aliphatic ester or ketone, such as methyl isobutyl ketone or butyl acetate. The acylation with acid halide or anhydride is suitably carried out in the presence of a basic catalyst such as pyridine or 2,6-lutidine. Acid halides may be prepared by reacting the acid (III) or a salt or a reactive derivative thereof with a halogenating (eg chlorinating or brominating) agent such as phosphorus pentachloride, thionyl chloride, oxalyl chloride or phosgene. Suitable mixed anhydrides are anhydrides with, for example, carbonic acid monoesters, trimethyl acetic acid, thioacetic acid, diphenylacetic acid, benzoic acid, phosphorus acids (such as phosphoric, phosphorous, and phosphinic acids) or aromatic or aliphatic sulphonic acids (such as rj-toluenesulphonic acid or methanesulphonic acid). Alternative N-acylating derivatives of acid (III) are the acid azide, or activated esters such as esters with 2-mercaptopyridine, cyanomethanol, β-nitrophenol, 2,4-dinitrophenol, thiophenol, halophenols, including pentachlorophenol, monomethoxyphenol, N-hydroxy succinimide, N-hydroxybenzotriazole, or 8-hydroxyquinoline; or amides such as N-acylsaccharins, N-acylthiazolidin-2-thione or N-acylphthalimides; or an alkylidene iminoester prepared by reaction of the acid (HI) with an oxime. Other reactive N-acylating derivatives of the acid (III) include the reactive intermediates formed by reaction in situ with a condensing agent such as a carbodiimide, for example, N-N-diethyl-, dipropyl- or diisopropylcarbodiimide, NJV-di-cyclohexyl-carbodiimide, or N-ethyl-N-[3-(dimethylamino)propyl]- carbodiimide; a suitable carbonyl compound, for example, NJV-carbonyldiimidazole or NN-carbonyldi- triazole; an isoxazolinium salt, for example, N-ethyl-5-phenylisoxazolinium-3-sulphonate or N-t-butyl-5- methylisoxazolinium perchlorate; or an N-alkoxycarbonyl 2-alkoxy-l,2-dihydroquiηoline, such as N-ethoxycarbonyl 2-ethoxy-l,2-dihydroquinoline. Other condensing agents include Lewis acids (for example BBr3 - C Hβ); or a phosphoric acid condensing agent such as diethylphosphorylcyanide. The condensation reaction is preferably carried out in an organic reaction medium, for example, methylene chloride, dimethylformamide, acetonitrile, alcohol, benzene, dioxan or tetrahydrofuran. A further method of forming the N-acylating derivative of the acid of formula (III) is to treat the acid of formula (III) with a solution or suspension preformed by addition of a carbonyl halide, preferably oxalyl chloride, or a phosphoryl halide such as phosphorus oxychloride, to a halogenated hydrocarbon solvent, preferably dichloromethane, containing a lower acyl tertiary amide, preferably N-N-dimethylformamide. The N-acylating derivative of the acid of formula (III) so derived may then be caused to react with a compound of formula (II). The acylation reaction may conveniently be carried out at -40° to +30°C, if desired in the presence of an acid binding agent such as pyridine. A catalyst such as 4-dimethylaminopyridine may optionally also be added. A preferred solvent for the above acylation reaction is dichloromethane. The optional removal of protecting group (i), the optional conversion of Cθ2R^ (ii), the optional conversion (iii) of R-- to a different R--, CO2 ^ to a different CO^R^ and (iv), Y to a different Y, and (v) the optional formation of a salt or ester, may be carried out using methods well known in the art of cephalosporin and penicillin chemistry. For example, when the group Y is S, SO, or SO2, the group Y may be converted into a different group Y by methods of oxidation or reduction well known in the art of cephalosporin and penicillin synthesis, as described, for example, in European Patent Application Publication No. 0 114752. For example, sulphoxides (in which Y is SO) may be prepared from the corresponding sulphide (in which Y is S) by oxidation with a suitable oxidising agent, for example an organic peracid such as m-chloroperbenzoic acid. A reduction step is generally effected by processes well known in the art of β- lactam chemistry, for example using phosphorus trichloride in dimethylformamide. For example, removal of protecting groups may be carried out by any convenient method known in the art such that unwanted side reactions are minimised. When for example R3 is the protecting group p-methoxybenzyl, this group may suitably be removed by treatment of the protected compound with aluminium chloride in the presence of anisole. Separation of unwanted by-products may be carried out using standard methods. Compounds of formula (I), (Ia) and (II) may be made by further processes of this invention. For example in one further process "route A" a compound of formula (II) may be formed by cyclising a compound of formula (IV): (IV) where R-, Rr>, R^, and m are as defined in formula (I), R--- is a group R^NH or a group which can be converted into R-^NH and R x is alkyl. Suitably R^l may be a substituted or protected amino group such as phenylacetamido, from which the substituting or protecting group may be removed in a deprotection step. In the case of phenylacetamido this deprotection may be carried out using the known Delft cleavage reaction. Suitable reaction conditions for Delft cleavage include treatment with phosphorus pentachloride and N-methylmorpholine at reduced temperature. Alternatively R- 1 may be a group which may be converted into or replaced by an amino group, for example a phthalimido group, which may be replaced by an amino group by treatment with a hydrazine such as methyl hydrazine. Suitably R x may be n-butyl. Suitably the cyclisation reaction may be carried out by refluxing in an organic solvent such as toluene in the presence of benzoic acid. Compounds of formula (IV) may for example be prepared from compounds of formula (V): (V) where R , R^-, R^, R^ and m are as defined above, by for example replacement of the hydroxy group shown with a halogen, preferably chlorine, using for example a haiogenating agent such as thionyl chloride in the presence of a base such as lutidine, followed by reaction of the chloro compound with PR X 3- Compounds of formula (V) may for example be prepared from compounds of formula (VI): (VI) where R*, R^l, R4 and m are or defined above, by for example reaction with the appropriate R^-glyoxylate, for example p-methoxybenzyl glyoxylate, for example at 0°C in the presence of a base such as triethylamine. Compounds of formula (VI) may for example be prepared from compounds of formula (VII) (VII) where R-, R-^l, R^ and m are as defined above, where PG is an amino protecting group such as p-methoxyphenyl, by removal of this protecting group, eg in the case of p-methoxyphenyl using aqueous eerie ammonium nitrate. Compounds of formula (VII) may for example be prepared from compounds of formula (VIII): (VIII) where R*, R^l, R-*, m and PG are as defined above, by for example hydrogenation of the alkene using Pd/C and hydrogen. Compounds of formula (VIII) may for example be prepared from compounds of formula (IX): (IX) where R , R--- and PG are as defined above by reaction with a compound of formula (IX) where Ry is an organic group such as phenyl, Y, m and R^ are as defined above, for example by stirring together in a solvent at room temperature. Compounds of formula (X) may be prepared from known (see WO 92/01696) compounds of formula (X): (Xi) where Y, R"* are m are as defined above by reaction with a compound Ry3P where Ry is an organic group such as phenyl. Compounds of formula (IX) may for example be prepared from compounds of formula (XII): (XII) where Rl, R--- and PG are as defined above by reaction with periodic acid in a suitable solvent such as a tetrahydrofuran/water mixture. Compounds of formula (XII) may for example be prepared from compounds of formula (XIII): (XIII) where Rl and PG are as defined above, by reaction with an acid of formula R^l COOH or an acylating derivative thereof such as an acyl chloride, for example phenylacetyl chloride. Compounds of formula (XIII) may for example be prepared from the known compound L-(S)-glyceraldehyde acetonide (XVI): (XVI) which may be prepared as described in C. Hubschwerlen "Synthesis" (1986), (962), by treatment of (XVI) with p-anisidine for example in a solvent such as dichloromethane to form a compound of formula (XV): (XV) where PG is a protecting group as defined above. The compound of formula (XV) may then be cyclised to form the acetidinone (XIV): (XIV) where Ft represents phthlalimido, by reaction of the compound of formula (XV) with phthalimidoacetyl chloride. The phthalimido group Ft may be removed and replaced by an amino group in a compound of formula (XIII) by treatment of the compound (XIV) with methylhydrazine. For example in a second further process "route B", a compound of formula (II) in the form of a mixture of diastereoisomers, which may be resolved, may be for example prepared from a compound of formula (XVII): (XVII) where R^l and R^ are as defined above and Tf represents trifluoromethanesulphonyloxy, by reaction with a compound of formula (XVIII): (XVIII) where Y, R^ and m are as defined above. Compounds of formula (XVIII) may be prepared for example from known (J. Amer. Chem. Soc. (1988) 110 842) compounds of formula (XIX) (XIX) where R^, Y and m are as defined above, and R z is alkyl, by reaction with n-butyl lithium then with a copper (I) bromide dimethylsulphide complex. Compounds of formula (XVII) may for example be prepared from compounds of formula (XX): (XX) where R^I and R are as defined above, by reflux with a rhodium (II) catalyst, followed by cooling and sequential treatment with a base such as N, N- diisopropylethylamine then trifluoromethanesulphonic anhydride. Compounds of formula (XX) maay be prepared from compounds of formula (XXI): (XXI) where R^ and R3 are as defined above, by reaction of the compound (XXI) with azide, such as 4-toluenesulphonyl azide in the presence of a base such as N, N- diisopropylethylamine. Compounds of formula (XXI) may be prepared from compounds of formula (XXII): (XXII) by reaction of the compound (XXII) with an alcohol R-^OH, such as p-methoxybenzyl alcohol, for example under reflux. Compounds of formula (XXII) may for example be prepared by hydrogenation, eg using Pd/C and hydrogen, of compounds of formula (XXIII): (XXIII) where R - is as defined above and the amino group in the azetidinone ring may optionally be protected by a protecting group PG as described above, which may be removed as described above to yield the compound of formula (XXII). Compounds of formula (XXIII) may be prepared from compounds of formula (DC) described above wL reference to route A, by reaction with known (Oppi Briefs (1990), 22:1, pl09-l ll, C. Bodurow et al 2, 2-(dimethyl)-6- [(triphenylphosphoranylidene)methyl]-4H-l,3-dioxin-4-one: Compounds of formula (II), (IV), (V), (VI), (VII), (VIII), (XII), (XIII), (XX), (XXI), (XXII) and (XXIII) are novel compounds and as such form part of the invention. The present invention also provides a pharmaceutical composition which comprises a compound of formula (I) or a pharmaceutically acceptable salt or in vivo hydrolysable ester thereof and a pharmaceutically acceptable carrier. The compositions of the invention include those in a form adapted for oral, topical or parenteral use and may be used for the treatment of bacterial infection in mammals including humans. The antibiotic compounds according to the invention may be formulated for administration in any convenient way for use in human or veterinary medicine, by analogy with other antibiotics. The composition may be formulated for administration by any route, such as oral, topical or parenteral, especially oral. The compositions may be in the form of tablets, capsules, powders, granules, lozenges, creams or liquid preparations, such as oral or sterile parenteral solutions or suspensions. The topical formulations of the present invention may be presented as, for instance, ointments, creams or lotions, eye ointments and eye or ear drops, impregnated dressings and aerosols, and may contain appropriate conventional additives such as preservatives, solvents to assist drug penetration and emollients in ointments and creams. The formulations may also contain compatible conventional carriers, such as cream or ointment bases and ethanol or oleyl alcohol for lotions. Such carriers may be present as from about 1% up to about 98% of the formulation. More usually they will form up to about 80% of the formulation. Tablets and capsules for oral administration may be in unit dose presentation form, and may contain conventional excipients such as binding agents, for example syrup, acacia, gelatin, sorbitol, tragacanth, or polyvinylpyrollidone; fillers, for example lactose, sugar, maize-starch, calcium phosphate, sorbitol or glycine; tabletting lubricants, for example magnesium stearate, talc, polyethylene glycol or silica; disintegrants, for example potato starch; or acceptable wetting agents such as sodium lauryl sulphate. The tablets may be coated according to methods well known in normal pharmaceutical practice. Oral liquid preparations may be in the form of, for example, aqueous or oily suspensions, solutions, emulsions, syrups or elixirs, or may be presented as a dry product for reconstitution with water or other suitable vehicle before use. Such liquid preparations may contain conventional additives, such as suspending agents, for example sorbitol, methyl cellulose, glucose syrup, gelatin, hydroxyethyl cellulose, carboxymethyl cellulose, aluminium stearate gel or hydrogenated edible fats, emulsifying agents, for example lecithin, sorbitan monooleate, or acacia; non-aqueous vehicles (which may include edible oils), for example almond oil, oily esters such as glycerine, propylene glycol, or ethyl alcohol; preservatives, for example methyl or propyl p-hydroxybenzoate or sorbic acid, and, if desired, conventional flavouring or colouring agents. Suppositories will contain conventional suppository bases, e.g. cocoa-butter or other glyceride. For parenteral administration, fluid unit dosage forms are prepared utilizing the compound and a sterile vehicle, water being preferred. The compound, depending on the vehicle and concentration used, can be either suspended or dissolved in the vehicle. In preparing solutions the compound can be dissolved in water for injection and filter sterilised before filling into a suitable vial or ampoule and sealing. Advantageously, agents such as a local anaesthetic, preservative and buffering agents can be dissolved in the vehicle. To enhance the stability, the composition can be frozen after filling into the vial and the water removed under vacuum. The dry lyophilized powder is then sealed in the vial and an accompanying vial of water for injection may be supplied to reconstitute the liquid prior to use. Parenteral suspensions are prepared in substantially the same manner except that the compound is suspended in the vehicle instead of being dissolved and sterilization cannot be accomplished by filtration. The compound can be sterilised by exposure to ethylene oxide before suspending in the sterile vehicle. Advantageously, a surfactant or wetting agent is included in the composition to facilitate uniform distribution of the compound. The compositions may contain from 0.1% by weight, preferably from 10-60% by weight, of the active material, depending on the method of administration. Where the compositions comprise dosage units, each unit will preferably contain from 50-500 mg of the active ingredient. The dosage as employed for adult human treatment will preferably range from 100 to 3000 mg per day, for instance 1500 mg per day depending on the route and frequency of administration. Such a dosage corresponds to 1.5 to 50 mg/kg per day. Suitably the dosage is from 5 to 20 mg/kg per day. No unacceptable toxicological effects are expected when a compound of formula (Ia) or a pharmaceutically acceptable salt or in vivo hydrolysable ester thereof is administered in the above-mentioned dosage range. The compound of formula (Ia) may be the sole therapeutic agent in the compositions of the invention or a combination with other antibiotics or with a β-lactamase inhibitor may be employed. Advantageously, the compositions also comprise a compound of formula (Xπi) or a pharmaceutically acceptable salt or ester thereof: (XXIV) wherein A is hydroxyl, substituted hydroxyl, thiol, substituted thiol, amino, mono- or di-hydrocarbyl- substituted amino, or mono- or di-acylamino; an optionally substituted triazolyl group; or an optionally substituted tetrazolyl group as described in EP-A-0053 893. A further advantageous composition comprises a compound of formula (Ia) or a pharmaceutically acceptable salt or in vivo hydrolysable ester thereof together with a compound of formula (XXV) or a pharmaceutically acceptable salt or in vivo hydrolysable ester thereof: CO,H (XXV) wherein B represents hydrogen, halogen or a group of formula: in which R x and Ry are the same or different and each represents hydrogen, (Cj.g) alkoxycarbonyl or carboxy, or a pharmaceutically acceptable salt thereof. Further suitable β-lactamase inhibitors include 6-alkylidene penems of formula (XXVI): (XXVI) or a pharmaceutically acceptable salt or in vivo hydrolysable ester thereof, wherein R m and R n are the same or different and each represents hydrogen, or a (Cj_ιo) hydrocarbon or heterocyclic group optionally substituted with a functional group; and RP represents hydrogen or a group of formula R r or -SR r where R r is an optionally substituted (CJ.JO) hydrocarbon or heterocyclic group, as described in EP-A-0 041 768. Further suitable β-lactamase inhibitors include 6β-bromopenicillanic acid and pharmaceutically acceptable salts and in vivo hydrolysable esters thereof and 6β-iodopenicillanic acid and pharmaceutically acceptable salts and in vivo hydrolysable esters thereof described in, for example, EP-A-0410 768 and EP-A-0 154 132 (both Beecham Group). Such compositions of this invention which include a β-lactamase inhibitory amount of a β-lactamase inhibitor are formulated in a conventional manner using techniques and procedures per se known in the art. The antibiotic compounds of the present invention are active against a wide range of organisms including both Gram-negative organisms such as E.coli and Gram-positive organisms such as S.aureus. ' The following Examples illustrate the preparation of compounds of the invention and intermediates thereto. EXAMPLE 1 (Route A) Pivaloyloxymethyl (6R,7S)-7-[2.(2-aminothiazol-4-yl)-2-(Z)-methoxyiιnino- acetamido]-[(S)-tetrahydrofuran-2-yl]-l-carba-l-dethiaceph-3-em-4-carboxylate a) (35,45)-4-[(R)-2^-Dimethyl-1 -dioxolon-4-yl]-l-(4-methoxyphenyl)-3- phthalimidoazetidin-2-one A crude aqueous solution of L-(S)-glyceraldehyde acetonide (obtained from 0.15mol of 5,6-isopropylidene-L-gulono-l,4-lactone, C. Hubschwerlen, Synthesis, 1986, 962) was treated with a solution of p-anisidine (16.2g, 0.13mol) in dichloromethane (300ml). The reaction mixture was stirred overnight at room temperature, then the organic phase separated and the aqueous phase extracted twice with dichloromethane (100ml). The combined organic layers were dried over magnesium sulphate, filtered and reduced in volume to ~200ml. The crude imine was treated with triethylamine (26.7ml, 0.19mol) and cooled to -30°C. A solution of phthalimidoacetyl chloride (42.8g, 0.19mol) in dichloromethane (150ml) was added dropwise over 45min. After stirring for 2.5h at room temperature, the reaction mixture was filtered, and the filtrate washed successively with water (x3), 1M hydrochloric acid, saturated aqueous sodium hydrogen carbonate solution, water and brine. The organic phase was dried over magnesium sulphate, filtered and concentrated in vacuo. The residue was passed through a short column of silica eluting with dichloromethane, concentrated, and the residue purified by crystallisation from ethyl acetate hexane. The title compound as obtained as a yellow solid (23.78g, 44%); m.p. 164 - 166°C; [α] D +55.0° (c 1.00 CHC1 ); (Found: C, 65.44; H, 5.27; N, 6.75%; M + 422.1487. C23H22 2O6 requires C, 65.40; H, 5.25; N, 6.63%; M 422.1478.); v max (CH 2 C1 2 ) 1760, 1724, 1514, 1384, 1265 and 1247cm " 1 ; δ H (CDCI3) 1.27 (3H, s), 1.50 (3H, s), 3.53 (1H, dd, J 8.4, 6.5Hz), 3.75 (1H, dd, J 8.4, 6.5Hz), 3.82 (3H, s), 4.42 - 4.57 (2H,m), 5.53 (1H, d, J 5.4Hz), 6.91 (2H, d, J 9.1Hz), 7.74 (2H, d, J 9.1Hz), 7.70 - 7.84 (2H, m) and 7.89 - 7.95 (2H, m). b) (35,45)-3 Amino-4-[(R)-2 -dimethyl-13-dioxoIon-4-yl]-l-(4- methoxyphenyl)azetidin-2-one Methyl hydrazine (8.1ml, 152.3mmol) was added to a solution of (3S,4S)-4- [(Λ)-2,2-dimethyl-l,3-dioxolan-4-yl]-l-(4-methoxyphenyl)-3-phthalimidoazetidin-2- one (23.78g, 56.4mmol) in dichloromethane (230ml). The reaction mixture was heated at reflux for 6h and then stirred overnight at room temperature. The precipitated solid was filtered off through celite and the filtrate washed successively with saturated aqueous sodium hydrogen carbonate solution and brine. After drying over magnesium sulphate, the solvent was evaporated in vacuo to yield a pale yellow solid. Recrystallisation from dichloromethane/hexane yielded the title compound as a white solid (12.26g, 74%); m.p. 163-165°C; [α] D -98.5° (c 1.00 MeOH); (Found: + 292.1428. C 15 H 2 oN2O 4 requires M 292.1423); v max (CH 2 C1 2 ) 1744, 1513 and 1270cm' 1 ; δ H (CDCI3) 1.35 (3H, s), 1.43 (3H, s), 1.70 (2H, br.s, exch.), 3.79 (3H, s), 3.85 (1H, m), 4.20 (1H, m), 4.27-4.38 (3H, m), 6.86 (2H, d, J 9.0Hz) and 7.55 (2H, d, J 9.0Hz). c) (35,45)-4-[(R)-2^-Dimethyl-13-dioxolan-4-yl]-l-(4-methoxyphenyI)-3- phenylacetamidoazetidin-2-one A solution of (3S,4S)-3-amino-4-[(Λ)-2,2-dimethyl-l,3-dioxolan-4-yl]-l-(4- methoxyphenyl)azetidin-2-one (12.21g, 41.8mmol) in dichloromethane (160ml) was cooled to 0°C and treated sequentially with phenylacetyl chloride (6.1ml, 46.1mmol), then triethylamine (6.4ml, 45.9mmol). After stirring at 0°C for 15min., the mixture was warmed to room temperature and stirred for a further 30min. The reaction mixture was diluted with dichloromethane and washed twice with water, then brine. The organic layer was dried over magnesium sulphate, filtered and the solvent evaporated in vacuo to yield a solid. Trituration with diethyl ether yielded the title compound (16.16g, 94%) as a white amorphous solid; [α]o 0.0° (c = 1.00 DMF); v max (KBr) 1757, 1661 and 1510cm " 1 ; δ H (CDCI3) 1.16 (3H, s), 1.25 (3H, s), 3.62 (2H, s), 3.69-3.82 (2H, m), 3.76 (3H, s), 4.02 (1H, m), 4.36 (1H, dd, J 5.5, 4.0Hz), 5.58 (1H, dd, J 9.4, 5.5Hz), 6.56 (1H, d, J 9.4Hz), 6.83 (2H, d, J 8.9Hz) and 7.25- 7.40 (7H, m); mlz (El) 410 (5); (Cl, +ve ion, ammonia) 411 (MH+). d) (35,45)-4-Formyl-l-(4-methoxyphenyl)-3-phenylacetamidoazetidin-2-one Periodic acid (18.7g, 45.6mmol) was added to a suspension of (3S,4S)-4-[(Λ)- 2,2-dimethyl-l,3-dioxolan-4-yl]-l-(4-methoxyphenyl)-3-phenylacetamidoazetidin-2- one (15. lg, 36.8mmol) in tetrahydrofuran (210ml) and water (210ml). The reaction mixture was heated under reflux for 1.5h and then cooled in ice. The precipitated product was collected by filtration, washed with water and dried over phosphorus pentoxide to yield the title compound as a mixture of aldehyde and the corresponding hydrate (10.18g, 82%); v max (KBr) 1713, 1638, 1552 and 1514cm " 1 ; aldehyde δ Η (d<5-DMSO) 3.43 and 3.50 (2H, ABq, J 14.4Hz), 3.73 (3H, s), 4.95 (1H, dd, J 6.1, 1.2Hz), 5.19 (1H, m), 6.95 (2H, d, J 9.0Hz), 7.18-7.35 (7H, m), 9.09 (1H, d, J7.3Hz) and 9.52 (1H, d, J 1.2Hz); hydrate δ H (d 6 -DMSO) 3.50 (2H, s), 3.72 (3H, s), 4.16 (1H, t, J 5.6Hz), 5.07 (1H, q, J 5.8Hz), 5.29 (1H, dd, J 9.4, 5.6Hz), 6.28 (2H, t, J 6.7Hz, exch.), 6.9 (2H, d, J 9.1Hz), 7.19-7.35 (5H, m), 7.52 (2H, J 9.1Hz) and 8.52 (1H, d, J 9.4Hz); mlz (El) 338 (10); (Cl, +ve ion, ammonia) 339 ( H+), 356 (MNH4+). e) (5)-Tetrahydrofuran-2-yIcarbonyImethylenetriphenylphosphorane A solution of triphenylphosphine (13.6g, 51.9mmol) in toluene (50ml) was added to a solution of crude (S)-2-bromoacetyltetrahydrofuran [prepared from (S)-2- tetrahydrofuroic acid (6.0g, 51.7mmol)] in toluene (50ml) over 30min. The reaction mixture was stirred overnight and the solid collected by filtration and washed with diethyl ether. (S)-Tetrahydrofuran-2-yl)carbonylmethylenetriphenylphosphonium bromide was isolated as an off-white solid (14.5g, 62% from (S)-2-tetrahydrofuroic acid). The phosphonium salt (14.5g, 31.9mmol) was dissolved in water (250ml) and added dropwise to a solution of sodium carbonate (3.30g, 31.1mmol) in water (20ml). The reaction mixture was stirred for 3h, the product collected by filtration and washed with water. After drying over phosphorus pentoxide, the title compound was obtained as a pale yellow solid (10.35g, 87%); m.p. 169-172°C; [α] D -18.3° (c 1.00 CΗCI3); (Found: C, 77.07; H, 6.15. C24H23O2P; requires C, 76.99; H, 6.19%); max (CHCI3) 1523, 1438, 1404, 1108 and 1069cm " 1 ; δ H (CDCI3) 1.80-2.09 (3H, m), 2.21 (1H, m), 3.89 (1H, m), 4.04 (1H, m), 4.17 (1H, d, J 26.2Hz), 4.34 (1H, dd, J 7.8, 5.7Hz) and 7.41-7.70 (15H, m). f) (35,4R)-l-(4-Methoxyphenyl)-4-[3-oxo-3-[(5)-tetrahydrofuran-2- yl]propenyI]-3-phenyIacetamidoazetidin-2-one A suspension of (3S,4S)-4-formyl-l-(4-methoxyphenyl)-3-phenyl- acetamidoazetidin-2-one (10.39g, 30.7mmol) in acetonitrile (250ml) was treated with (-^-tetrahydrofuran-2-ylcarbonylmethylenetriphenylphosphorane (11.50g, 30.7mmol) and stirred at room temperature for 2 days. The bulk of the product was collected by filtration and washed with acetonitrile. The remainder of the product was purified by chromatography on silica gel eluting with ethyl acetate yielding a further 1.66g. The title compound was isolated as a white solid (total 12.12g, 91%); m.p. 159-162°C; [α] D -83.4° (c=l CHC1 ); (Found: C, 69.41; H, 6.28; N, 6.20%; M+, 434.1832. 25 H 26 N 2θ5 requires: C, 69.11; H, 6.03; N, 6.45%; M 434.ll 842); v max (CHCI3) 3414, 1751, 1682, 1631, 1513 and 1250cm " 1 ; δ H (CDCI3) 1.75-1.92 (3H, m), 2.18 (IH, m), 3.57 (2H, s), 3.76 (3H, s), 3.70-3.90 (2H, m), 4.39 (IH, m), 4.88 (IH, t, J 5.4Hz), 5.49 (IH, dd, J 8.0, 5.4Hz), 6.20 (IH, d, J 8.0Hz), 6.60 (IH, d, J 16.1Hz), 6.78-6.85 (3H, m) and 7.18-7.38 (7H, m). g) (35,4R)-l-(4-Methoxyphenyl)-4-[3-oxo-3-[(S)-tetrahydrofuran-2- yl]propyI]-3-pheny.acetamidoazetidin-2-one A solution of (3S,4i )-l-(4-methoxyphenyl)-4-[3-oxo-3-[(S)-tetrahydro-furan- 2-yl]propenyl]-3-phenylacetamidoazetidin-2-one (12.1g, 27.9mmol) in tetrahydrofuran (250ml) was hydrogenated over 10% palladium on carbon (l.Og) for 3h. After filtration through celite, the partially insoluble product was dissolved in dichloromethane and methanol (1:1) and re-filtered through celite to remove the catalyst. Concentration of the filtrate in vacuo provided the title compound as an amorphous white solid (11.5g, 95%); (Found: M + 436.1997. C25H27N2O5 requires M 436.1998); v max (KBr) 3277, 1758, 1708, 1655, 1542, 1510 and 1246cm" 1 ; δ H (CDCI3) 1.43 (IH, m), 1.78-1.95 (3H, m), 2.10-2.50 (4H, m), 3.62 (2H, s), 3.75 (3H, s), 3.91 (2H, m), 4.17 (IH, m), 4.24 (IH, m), 5.29 (IH, dd, J7.8, 5.0Hz), 6.73 (IH, d, J 7.8Hz, exch.), 6.81 (2H, d, J 9.0Hz) and 7.25-7.36 (7H, m). h) (35,4R)-4-[3-Oxo-3-[(S)-tetrahydrofuran-2-yl]propyI)]-3- phenylacetamidoazetidin-2-one A suspension of (3S,4Λ)-l-(4-methoxyphenyl)-4-[3-oxo-3-[(S)- tetrahydrof uran-2-yl]-propyl]-3-phenylacetamidoazetidin-2-one (4.66g, 10.69mmol) in tetrahydrofuran (200ml) was treated with a solution of eerie ammonium nitrate (17.3g, 31.57mmol) in water (120ml) at 0°C. After stirring for 30min. at 0°C, the reaction mixture was diluted with ethyl acetate and the aqueous phase extracted four times with a mixture of tetrahydrofuran and ethyl acetate (2: 1). The combined organic extracts were washed successively with 5% aqueous sodium hydrogen carbonate solution, 10% aqueous sodium sulphite solution (x2), 5% aqueous sodium hydrogen carbonate solution, water and then brine. After drying over magnesium sulphate, the solvent was evaporated in vacuo to yield the crude title compound (2.16g, 61%); (Found: M+ 330.1586. CιgH 2 2N2θ4 requires M 330.1586); v max (CH 2 C1 2 ) 3411, 1770, 1715, 1681 and 1512cm" 1 ; δ H (CDC1 3 ) 1.60-1.96 (5H, m), 2.17 (IH, m), 2.40-2.53 (2H, ), 3.60 (2H, s), 3.78 (IH, m), 3.90 (2H, m), 4.25 (IH, m), 5.22 (IH, dd, J 6.9, 4.9Hz), 6.39 (IH, br.s, exch.), 6.68 (IH, d, J 9.8Hz), and 7.25-7.40 (5H, m). i) 4-MethoxybenzyI (RS)-2-hydroxy-2-[(3S,4R)-4-[3-oxo-3-[(S)- tetrahydrofuran-2-yl]propyl]-3-phenylacetamidoazetidin-2-on-l-yl]acetate p-Methoxybenzyl glyoxylate (3.20g, 16.5mmol) in 1,2-dichloroethane (50ml) was heated at reflux for lh. using Dean and Stark apparatus. The solution was cooled in ice and treated successively with (3S,4Λ)-4-[3-oxo-3-[(5)-tetrahydrofuran-2- yl]propyl]-3-phenylacetamidoazetidin-2-one (4.10g, 12.4mmol) and triethylamine (170μl, 1.22mmol). After stirring at 0°C for 30min., the reaction mixture was concentrated in vacuo. The residue was purified by chromatography on silica gel eluting with 50% ethyl acetate in hexane, then ethyl acetate to yield the title compound as a yellow foam (4.53g, 70%); v max (CH2CI2) 3420, 3226, 1769, 1743, 1681, 1613 and 1516cm" 1 ; mlz (FAB, +ve ion, 3-nitrobenzyl alcohol/sodium acetate) 547 (MNa+). j) 4-Methoxybenzyl 2-[(35,4R)-4-[3-oxo-3-[(5)-tetrahydrofuran-2- yl]propyl]-3-phenylacetamidoazetidin-2-on-l-yI]-2-tri-n-butylphosphoranylidene acetate A solution of thionyl chloride (1.0ml, 13.71mmol) in THF (95ml) was added to the hydroxy compound (4.72g, 9.01mmol) and 2,6-lutidine (1.6ml, 13.74mmol) in THF (50ml) at -20°C . After stirring for lh the reaction mixture was filtered through a pad of celite, and the filtrate evaporated in vacuo. Toluene was added and re- evaporated to yield 4-methoxybenzyl (ΛS)-2-chloro-2-[(3S,4/?)-4-[3-oxo-3-[(S)- tetrahydrofuran-2-yl]propyl]-3-phenylacetamidoazetidin-2-on-l-yl]acetate as an oil. The crude chloro compound was dissolved in dioxan (30ml) and treated with tri-n- butylphosphine (4.9ml, 19.67mmol). After stirring for 30min. at room temperature, the reaction mixture was diluted with ethyl acetate and washed successively with dilute sodium hydrogen carbonate solution, water and brine. The organic solution was dried, concentrated and then chromatographed on silica gel eluting with 50, 80% ethyl acetate in hexane, then ethyl acetate to give the title compound as a foam (5.92g, 93%); Vmax (CH 2 C1 2 ) 3418, 1751, 1677, 1612, 1514 and 1465cm " 1 ; mlz (FAB, +ve ion, 3-nitrobenzyl alcohol/sodium acetate) 731 (MN + ). k) 4-Methoxybeπzyl (6R,7S)-7-Phenylacetamido-3-[(5)-tetrahydrofuran-2- yI]-l-carba-l-dethiaceph-3-em-4-carboxylate A solution of the phosphorane (5.90g, 8.33mmol) and benzoic acid (20mg) in toluene (100ml) was heated at reflux for lOh. The reaction mixture was cooled, concentrated and the residue purified by chromatography on silica gel eluting with 50, then 70% ethyl acetate in hexane yielding the title compound as a yellow foam (3.54g, 87%); [α] D -40.6° (c 1.0 CHCI3); (Found: M + 490.2096. C 2 gH3 0 N 2 O6 requires M 490.2104); v max (CHCI3) 3416, 1766, 1716, 1677, 1613, 1516 and 1394cm" 1 ; δ H (CDCI3) 1.12 (IH, m), 1.50 (IH, m), 1.83-1.96 (3H, m), 2.18-2.43 (3H, m), 3.57 and 3.65 (2H, ABq, J 16.1Hz), 3.76-3.90 (3H, m), 3.79 (3H, s), 4.92 (IH, dd, J 8.9, 6.8Hz), 5.10 and 5.19 (2H, ABq, J 11.9Hz), 5.26 (IH, m), 5.86 (IH, d, J 6.8Hz), 6.88 (2H, d, J 8.7Hz) and 7.20-7.32 (7H, m). I) 4-MethoxybenzyI (6R,7S)-7-amino-3-[(5)-tetrahydrofuran-2-yl]-l-carba- l-dethiaceph-3-em-4-carboxylate A solution of 4-methoxybenzyl (6/?,7S)-7-phenylacetamido-3-[(S)-tetra- hydrofuran-2-yl]-l-carba-l-dethiaceph-3-em-4-carboxylate (3.53g, 7.20mmol) and N- methylmorpholine (1.6ml, 14.6mmol) in dichloromethane (100ml) was treated with phosphorus pentachloride (2.25g, 10.80mmol) in dichloromethane (56ml) at -25°C. The reaction was stirred at -10±5°C for 45min., then methanol (15ml) was added, and stirring continued for 45min. at room temperature. Water (32ml) was then added, and the mixture vigorously stirred for a further lh. The dichloromethane was evaporated in vacuo, and the aqueous residue adjusted to pH7 with concentrated ammonia solution in the presence of ethyl acetate. The mixture was extracted twice with ethyl acetate, dried and concentrated in vacuo. The residue was purified by chromatography on silica gel eluting with ethyl acetate, then 5% methanol in ethyl acetate yielding the title compound as a pale yellow foam (1.53g, 57%); [α] > -114.3 (c 1.0 CHCI3); v max (CH 2 C1 2 ) 1760, 1717, 1614 and 1516cm " 1 ; δ H (CDCI3), 1.34-2.45 (10H, m, 2H exch.), 3.68-3.96 (3H, m), 3.80 (3H, s), 4.46 (IH, d, J 5.4Hz), 4.94 (IH, dd, J 8.9, 6.8Hz), 5.13 and 5.20 (2H, ABq, J 12.0Hz), 6.89 (2H, d, J 8.6Hz) and 7.36 (2H, d, J 8.6Hz); mlz (Cl, +ve ion, ammonia) 373 (MH+). m) 4-MethoxybenzyI (6R,7S)-7-[2-(2-aminothiazol-4-yl)-2-(Z)- methoxyiminoacetamido]-3-[(S)-tetrahydrofuran-2-yl]-l-carba-l-dethiaceph-3- em-4-carboxylate Methanesulphonyl chloride (350μl, 4.52mmol) was added to 2-(2-thiazol-4- yl)-2-(Z)-methoxyiminoacetic acid (909mg, 4.52mmol) and N-/V- diisopropylethylamine (788μl, 4.52mmol) in DMF (15ml) at -30°C. After stirring at -30±10°C for 30min., a solution of 4-methoxybenzyl (6Λ,7S)-7-amino-3-[(S)- tetrahydrofuran-2-yl]-l -carba- l-dethiaceph-3-em-4-carboxylate (1.52g, 4.10mmol) in DMF (6ml) was added, followed by pyridine (366μl, 4.52mmol). The reaction mixture was transferred to an ice-bath and stirring continued for a further lh. After dilution with ethyl acetate, the solution was washed successively with saturated sodium hydrogen carbonate solution, 5% aqueous citric acid, water (x2) and brine, dried and then concentrated in vacuo. The residue was purified by chromatography on silica gel eluting with ethyl acetate to give the title compound as a pale yellow foam (1.82g, 80%); [α] D +51.5 (c 1.0 CHC1 3 ); v max (CH 2 C1 2 ) 3478, 1755, 1718, - 1675, 1614, 1531 and 1516cm " 1 ; δ H (CDCI3) 1.50-1.79 (2H, m), 1.84-1.97 (2H, m), 2.08-2.50 (4H, m), 3.81 (3H, s), 3.82-3.96 (3H, m), 3.98 (3H, s), 4.96 (IH, m), 5.17 (2H, s), 5.65 (IH, dd, J 7.9, 5.0Hz), 5.93 (2H, br.s, exch.), 6.72 (IH, s), 6.89 (2H, d, J 8.6Hz), 7.34 (2H, d, J 8.6Hz) and 8.48 (IH, br.s); mlz (FAB, -i-ve ion thioglycerol) 556 (MH+). n) Sodium (6R,75)-7-[2-(2-aminothiazol-4-yl)-2-(Z)-methoxyimino- acetamido]-3-[(5)-tetrahydrofuran-2-yl]-l-carba-l-dethiaceph-3-em-4- carboxyiate Aluminium chloride (58mg, 0.44mmol) was added to anisole (2.3ml) and dry dichloromethane (1.3ml) at -20°C and stirred for 15min. The temperature of the cooling bath was then lowered to -40°C before addition of 4-methoxybenzyl (6R S)- 7-[2-(2-aminothiazol-4-yl)-2-(Z)-methoxy-iminoacetamido]-3-[(S)-tetrahydrofuran-2- yl]-l-carba-l-deώiaceph-3-em-4-carboxylate (80mg, 0.14mmol) in dichloromethane (5ml). After lOmin., the solution was treated with trisodium citrate (0.5M, 4.5ml) and then vigorously stirred for lOmin. at room temperature. The aqueous phase was separated, washed twice with dichloromethane and concentrated in vacuo. The residue was chromatographed on ΗP20SS eluting with water, 1%, then 2% THF in water. Fractions containing the product (h.p.l.c. analysis) were combined, concentrated and freeze-dried to give the title compound (42mg, 66%); v max (KBr) 1745, 1659, 1594, 1531 and 1386cm " 1 ; δ H (d 6 -DMSO) 1.42-1.56 (2H, m), 1.72- 1.90 (3H, m), 2.02-2.16 (3H, m), 3.55-3.80 (3H, m), 3.83 (3H, s), 4.95 (IH, m), 5.23 (IH, dd, J 8.6, 4.9Hz), 6.73 (IH, s), 7.22 (2H, br.s, exch.) and 9.19 (IH, d, J 8.6Hz); mlz (FAB, +ve ion, thioglycerol) 458 (Λ/H+). o) Pivaloyloxymethyl (6R,7S)-7-[2-(2-aminothiazoI-4-yI)-2-(Z)- methoxyiminoacetamido]-3-[(S)-tetrahydrofuran-2-yI]-l-carba-l-dethiaceph-3- em-4-car boxy late Pivaloyloxymethyl bromide (343mg, 1.76mmol) in N-methylpyrrolidin-2-one (4ml) was added dropwise over lh to a solution of sodium (6/?,7S)-7-[2-(2- aminothiazol-4-yl)-2-(Z)-methoxyiminoacetamido]-3-[(S)-tetrahydro-furan-2-yl]-l- carba- l-dethiaceph-3-em-4-carboxylate (200mg, 0.44mmol) in N-methylpyrrolidin-2- one (10ml) containing finely powdered potassium carbonate (121mg, 0.95mmol). After stirring for 30min., the mixture was diluted with ethyl acetate, washed twice with water and brine, dried and concentrated. The residue was purified by chromatography on silica gel eluting with 50% ethyl acetate in hexane, then ethyl acetate to give the title compound as a colourless foam (115mg, 48%); [CX]D +65.4° (c 1.0 CHC1 3 ); (Found: M+ 549.1911. C24H 31 N 5 O S requires 549.1893); v max (CH 2 C1 2 ) 3486, 1758, 1674, 1622, 1531 and 1387cm " 1 ; δ H (CDCI3) 1.23 (9H, s), 1.50-1.72 (2H, m), 1.92-2.52 (6H, m), 3.71-3.90 (3H, m), 4.00 (3H, s), 4.93 (IH, dd, J 8.8, 6.9Hz), 5.64 (IH, dd, J7.7, 5.0Hz), 5.66 and 5.82 (2H, ABq, J 5.6Hz), 6.02 (2H, br.s, exch.), 6.77 (IH, s), and 8.29 (IH, d, J 7.7Hz). EXAMPLE 2 Route 2 4-Methoxybenzyl (6R,7S)-7-phenylacetamido-3-[(R and S)-tetrahydrofuran-2- yI]-l-carb-l-dethiaceph-3-em-4-carboxylate a) (3S,4R)-4-[(2,2-Dimethyl-4H-1 -dioxin-4-on-6-yl)ethenyl]-l-(4- methoxyphenyI)-3-phenylacetamidoazetidin-2-one A suspension of (3S,4S)-4-formyl-l-(4-methoxyphenyl)-3-phenyl- acetamidoazetidin-2-one (10.18g, 30. Immol) in acetonitrile (450ml) was treated with 2,2-(dimethyl)-6-[(triphenylphosphoranylidene)methyl]-4H-l,3-dioxin-4-one (12.5g, 31. Immol) and stirred at room temperature for 3 days. The reaction mixture was concentrated in vacuo and the residue purified by flash chromatography on silica gel eluting with ethyl acetate to yield the title compound as a yellow foam (12.40g, 89%); [α] D -127.5° (c 1.0 CHCI3); v max (CH 2 C1 2 ) 3416, 1756, 1724, 1683 and 1513cm" 1 ; δ H (CDCI3) 1.72 (3H, s), 1.73 (3H, s), 3.59 (2H, s), 3.77 (3H, s), 4.88 (IH, dd, J 6.0, 5.4Hz), 5.27 (IH, s), 5.44 (IH, dd, J 7.8, 5.4Hz), 6.02 (IH, d, J 15.8Hz), 6.17 (IH, d, J7.8Hz), 6.42 (IH, dd, J 15.8, 6.1Hz), 6.83 (2H, d, J 9.0Hz) and 7.17-7.33 (7H, m); mlz (FAB, +ve ion, 3-nitrobenzyl alcohol/ sodium acetate) 485(MN + ). b) (35,4R)-4-[(2,2-Dimethyl-4H-1 -dioxin-4-on-6-yl)ethyl]-l-(4- methoxyphenyI)-3-phenylacetamidoazetidin-2-one A solution of (3S,4Λ)-4-[(2,2-dimethyl)-4H-l,3-dioxin-4-on-6-yl)ethenyl]-l- (4-methoxyphenyl)-3-phenylacetamidoazetidin-2-one (12.4g, 26.8mmol) in tetrahydrofuran (250ml) was hydrogenated over 10% palladium on carbon (1.2g) for 3h. After filtration through a pad of celite, the filtrate was concentrated to yield the title compound (12.0 g, 97%); v max (CH 2 C1 2 ) 3416, 1747, 1726, 1684 and 1514cm " !; δ H (CDCI3) 1.67 (3H, s), 1.68 (3H, s), 2.02-2.15 (4H, m), 3.63 (2H, s), 3.77 (3H, s), 4.21 (IH, m), 5.13 (IH, s), 5.35 (IH, dd, J 7.6, 5.0Hz), ' ό.77 (IH, d, J 7.6Hz), 6.81 (2H, d, J 9.0Hz), 7.19 (2H, d, J 9.0Hz) and 7.23-7.40 (5H, m); mlz (FAB, +ve ion, 3- nitrobenzyl alcohol/sodium acetate) 487 (MNaX). c) (35,4R)-4-[(2,2-Dimethyl)-4H-1 -dioxin-4-on-6-yl)ethyl]-3- phenylacetamidoazetidin-2-one A suspension of (3S,4Λ)-4-[(2,2-dimethyl-4H-l,3-dioxin-4-on-6-yl)ethyl]-l- (4-methoxyphenyl)-3-phenylacetamidoazetidin-2-one (10.58g, 22.80mmol) in tetrahydrofuran (425ml) was treated with a solution of eerie ammonium nitrate (40.0g, 73.0mmol) in water (245ml) at 0°C. After stirring for lOmin. at 0°C, the reaction mixture was diluted with ethyl acetate and the aqueous phase extracted four times with a mixture of tetrahydrofuran and ethyl acetate (2:1). The combined organic extracts were washed successively with 5% aqueous sodium hydrogen carbonate solution, 10% aqueous sodium sulphite solution (x3), 5% aqueous sodium hydrogen carbonate solution, water and then brine. After drying over magnesium sulphate, the solvent was evaporated in vacuo to yield the crude title compound (7.50g, 92%); v max (CH 2 C1 2 ) 3410, 1771, 1725, 1684, 1636 and 1512cm " 1 ; δ H (CDCI3) 1.62-1.75 (2H, m), 1.65 (6H, s), 2.12-2.21 (2H, m), 3.95 (2H, s), 3.80 (IH, m), 5.05 (IH, br.s, exch.), 5.25 (IH, m), 5.29 (IH, s), 6.78 (IH, d, J7.9Hz) and 7.21- 7.38 (5H, rή); mlz (FAB, -ve ion, thioglycerol) 357 (M-H)-. d) 4-MethoxybenzyI 3-oxo-5-[(35,4R)-3-phenylacetamidoazetidin-2-on-4- yljpentanoate A solution of 4-methoxybenzyl alcohol (1.50g, 10.87mmol) in toluene (6ml) was added to a solution of (3S,4Λ)-4-[(2,2-dimethyl-4Η-l,3-dioxin-4-on-6-yl)ethyl]- 3-phenylacetamidoazetidin-2-one (3.86g, 10.78mmol) and heated to reflux for 1.5h. The reaction mixture was concentrated in vacuo and the residue triturated with toluene to give the title compound (3.50g, 75%) as a crude product; v max (CH2CI2) 3412, 1772, 1747, 1717, 1684 and 1514cm" 1 ; δ H (CDCI3) 1.63 (2H, m), 2.39 (2H, t, /7.0Hz), " 3.37 (2H, s), 3.58 (2H, s), 3.68 (IH, m), 3.81 (3H, s), 5.09 (2H, s), 5.18 (IH, m), 6.26 (IH, br.s, exch.), 6.63 (IH, d, / 7.9Hz), 6.89 (2H, d, / 8.6Hz) and 7.21- 7.38 (7H, m); mlz (FAB, -ve ion, thioglycerol) 437 (M-H) ~ . e) 4-Methoxybenzyl 2-diaza-3-oxo-5-[(3S,4R)-3-phenyIacetamidoazetidin-2- on-4-yl]pentanoate A solution of 4-methoxybenzyl 3-oxo[(3S,4R)-3-phenylacetamidoazetidin-2- on-4-yl]pentanoate (3.50g, 8.0mmol) in acetonitrile (150ml) was treated with 4- toluenesulphonyl azide (2.21g, .11.22mmol) and N-N-diisopropylethylamine (2.1ml, 12.08mmol) at 0°C. After lOmin., the ice-bath was removed and stirring was continued at room temperature for 2h. The reaction mixture was diluted with ethyl acetate and washed with brine. After drying over magnesium sulphate, the solvent was evaporated in vacuo and the residue purified by chromatography on silica gel eluting with 50% ethyl acetate in hexane, then ethyl acetate to yield the title compound (2.94g, 79%); [α] D +33.6° (c 1.0 CHC1 ); v max (CH 2 C1 2 ) 3410, 2142, 1770, 1713, 1683 and 1515cm" 1 ; δ H (CDCI3) 1.59-1.78 (2H, m), 2.67-2.92 (2H, m), 3.57 and 3.64 (2H, ABq, / 15.6Hz), 3.78 (IH, m), 3.81 (3H, s), 5.18 (2H, s), 5.24 (IH, m), 6.37 (IH, br.s, exch.), 6.59 (IH, d, / 8.2Hz), 6.91 (2H, d, / 8.7Hz), and 7.23-7.36 (7H, m); mlz (Cl, +ve ion, ammonia) 465 (MH + ). f) 4-Methoxybenzyl (6R,7S)-7-phenylacetamido-3-(trifluoromethyI- sulphonyloxy)-l-carba-l-dethiaceph-3-em-4-carboxylate A solution of 4-methoxybenzyl 2-diazo-3-oxo-5-[(3S,4/?)-3-phenyl- acetamidoazetidin-2-on-4-yl]pentanoate (2.90g, 6.25mmol) in chloroform (75ml) was heated to reflux in the presence of a catalytic quantity of rhodium (II) acetate dimer. After heating for lh, the reaction mixture was cooled to 0°C and treated sequentially with NN-diisopropylethylamine (2.2ml, 12.5 Immol) and trifluoromethanesulphonic anhydride (1.16ml, 6.90mmol). After stirring for 30min. at 0°C, the mixture was concentrated in vacuo. The residue was purified by chromatography on silica gel eluting with 30, then 50% ethyl acetate in hexane yielding the title compound as an orange foam (1.80g, 51%); [α] D +24.1° (c 1.0 CHCI3); v max (CH 2 C1 2 ) 3416, 1783, 1734, 1685 and 1516cm" 1 ; δ H (CDCI3) 1.45 (IH, m), 1.98 (IH, m), 2.56 (2H, m), 3.60 (2H, s), 3.79 (3H, s), 3.87 (IH, m), 5.13-5.32 (3H, m), 6.06 (IH, d, / 6.3Hz), 6.86 (2H, d, / 8.7Hz) and 7.21-7.40 (7H, m); mlz (Cl, +ve ion, ammonia) 586 (MNH 4 + ). g) 4-MethoxybenzyI (6R,7S)-7-phenylacetamido-3- [(S)-tetra hy drofuran-2- yl]-l-carba-l-dethiaceph-3-em-4-carboxylate A solution of (tetrahydrofuran-2-yl)tri-n-butylstannane (J.S. Sawyer, A. Kucerovy, T.L. MacDonald and G.J. McGarvey, /. Amer. Chem. Soc, 1988, 110, 842) (1.89g, 5.24mmol) in THF (10ml) was cooled to -78°C. n-Butyl lithium (3.53ml of a 1.48M solution in hexane, 5.22mmol) was then added and the solution was stirred for 15min. at -78°C. A second flask containing copper (I) bromide.dimethylsulphide complex (538mg, 2.62mmol) suspended in a mixture of dimethyl sulphide (8ml) and THF (16ml) was then cooled to -78°C. The α- lithiotetrahydrofuran species was transferred via a cannula to the suspension of copper bromide at -78°C. The red-brown homogeneous solution was stirred for 30min. at -78°C. A third flask containing a solution of 4-methoxybenzyl (6R,1S)-1- phenylacetamido-3-(trifluoromethylsulphonyloxy)- 1 -carba- 1 -dethiaceph-3-em-4- carboxylate (900mg, 1.58mmol) in THF (12ml) was then cooled to -78°C. The cuprate species was transferred via a cannula to the solution of triflate at -78°C. The reaction mixture was stirred for 1.5h at -78°C, then quenched by the addition of saturated aqueous ammonium chloride (16ml). The resulting mixture was allowed to warm to room temperature then diluted with water and extracted twice with ethyl acetate. The combined organic phases were washed with water, brine, then dried over magnesium sulphate. After removal of the solvents in vacuo, the residue was purified by chromatography on silica gel eluting with 10, 20 and 30% ethyl acetate in dichloromethane. The title compound was obtained as a mixture of diastereoisomers (300mg, 39%); v max (CH 2 C1 2 ) 3418, 1769, 1718, 1684 and 1516cm" 1 ; δ H (CDCI3) 1.10-2.68 (8H, m), 3.61 (2H, s), 3.72-3.91 (3H, m), 3.79 (3H, s), 4.93 and 5.09 (together IH, 2m), 3.79 (3H, s), 4.93 and 5.09 (together IH, 2m), 5.13-5.28 (3H, m), 5.93 and 5.98 (together IH, 2d, / 7.9Hz), 6.87 (2H, d, / 8.6Hz) and 7.22-7.39 (7H, m); mlz (Cl, +ve ion, ammonia) 491 (MH + ). EXAMPLE 3 Route A 4-Methoxybenzyl (6R,75)-7-phthalimido-3-[(5)-tetrahydrofuran-2-yl]-l-carba-l- dethiaceph-3-em-4-carboxylate a) (3S,4S)-4-Formyl-l-(4-methoxyphenyI)-3-phthalimidoazetidin-2-one Aqueous 50% w/w periodic acid (6.3ml, 22mmol) was added to (3S,4S)-4- [(4/?)-2,2-dimethyl-l,3-dioxolan-4-yl]-l-(4-methoxyphenyl)-3-phthalimido-azetidin- 2-one (4.22g, lOmmol) in 50% aqueous THF (75ml) and heated under reflux for 2.5h. The cooled solution was extracted twice with ethyl acetate and the combined extracts washed twice with water then with brine, dried and evaporated to give a colourless solid. The solid was triturated with ether and the title compound filtered off and dried in vacuo (3.151g, 90%); [α] D -214.3° (c = 1.00 CHCI3); v max (CHCI3) 1785 (sh), 1769, 1727, 1514, 1391, 1250, and 1124cm" 1 ; δ H (CDCI3) 3.73 (3H, s), 4.77 (IH, dd, / 6.29, 2.78Hz), 5.80 (IH, d, / 5.80Hz), 6.95 and 7.39 (4H, ABq, / 8.97Hz), 7.7 - 8.0 (4H, m) and 9.90 (IH, d, / 2.73Hz); mlz (El) 350 (14), 149 (100%). b) (35,4/?)-l-(4-MethoxyphenyI)-4-[3-oxo-4-[(S)-tetrahydrofuran-2-yl]- propenyI]-3-phthaiimidoazetidin-2-one (3S,4S)-4-Formyl- 1 -(4-methoxyphenyl)-3-phthalimidoazetidin-2-one (3.309g, 9.45mmol) and (S)-tetrahydrofuran-2-ylcarbonylmethylene-phosphorane (4.193g, 1 Immol) in acetonitrile (100ml) were stirred for 48h then heated under reflux for 1.5h. The mixture was concentrated and flash chromatographed on silica gel eluting with 50 - 60% ethyl acetate in hexane to give the product contaminated with triphenylphosphine oxide. Flash chromatography on silica gel eluting with ethyl acetate gave the title compound as a foam (3.646g, 87%); [α]χ) -55.0° (c = 1.00 CHCI3); (Found: M + 446.1481. C25H22N2O6 requires M 446.1478); v max (CHCI3) 1785, 1760, 1726, 1514, 1386 and 1249cm" 1 ; δ H (CDCI3) 1.5 - 2.2 (4H, m), 3.65 - 3.85 (2H, m), 3.81 (3H, s), 4.39 (IH, dd, / 8.32, 5.93Hz), 5.03 (IH, t, / 6.09Hz), 5.70 (IH, d, / 5.63Hz), 6.63 (IH, d, / 16.18Hz), 6.85 - 7.0 (3H, m), 7.38 (2H, d, / 9.00Hz) and 7.7 - 7 9 (4H, m); mlz (FAB, +ve ion, thioglycerol) 447 (MH + ). c) (35,4R)-l-(4-MethoxyphenyI)-4-[3-oxo-4-[(S)-tetrahydrofuran-2- yl]propyl]-3-phthalimidoazetidin-2-one (3S,4Λ)-l-(4-Methoxyphenyl)-4-[3-oxo-4-[(S)-tetrahydrofuran-2-yl]- propenyl]-3-phthalimidoazetidin-2-one (3.646g) in THF (50ml) was hydrogenated in the presence of 10% palladium on carbon (200mg) until hydrogen uptake ceased, required ~2h. The catalyst was filtered off and the filtrate concentrated in vacuo then flash chromatographed on silica gel eluting with 50 - 70% ethyl acetate in hexane to give the title compound (3.036g, 83%); [ ]]~_ +48.7° (c = 1.00 CHCI3); (Found: M+ 448.1628. C25H 2 4N 2 O 6 requires M 448.1634); v max (CHCI3) 1785, 1753, 1724, 1514, 1386, 1248 and 1220cm "1 ; δ H (CDCI3) 1.7 - 2.55 (8H, m), 3.7 - 3.85 (2H, m), 3.82 (3H, m), 4.15 - 4.25 (IH, m), 4.3 - 4.45 (IH, m), 5.47 (IH, d, / 5.18Hz), 6.94 and 7.51 (4H, ABq, / 8.92Hz) and 7.7 - 8.0 (4H, m); mlz (Cl, +ve ion, ammonia) 449 (MH + ), 466 (MNH 4 + ). d) (35,4R)-4-[3-Oxo-4-[(S)-tetrahydrofuran-2-yl]propyl]-3- phthalimidoazetidin-2-one Ceric ammonium nitrate (11.141g, 20.3mmol) in water (60ml) was added dropwise to (3S,4Λ)- 1 -(4-methoxyphenyl)-4-[3-oxo-4-[(S)-tetrahydrof uran-2- yl]propyl]-3-phthalimidoazetidin-2-one (3.036g, 6.8mmol) in THF (100ml) cooled in an ice-salt bath. TLC after ~40ml of the ceric ammonium nitrate solution had been added showed no starting material so the addition was stopped, the reaction stirred 0.25h then ethyl acetate (20ml) added and the organic layer collected. The aqueous solution was extracted twice with ethyl acetate (50ml) then the combined ethyl acetate solutions washed successively with 5% sodium bicarbonate, 10% sodium sulphite twice, 5% sodium bicarbonate and brine, dried and evaporated to give the title compound as a foam (2.234g, 88%); [α] D +6.3° (c = 1.00 CHCI3); v max (CHCI3) 1794, 1769, 1727, 1512, 1389 and 1219cm" 1 ; δ H (CDCI3) 1.7 - 2.2 (6H, m), 2.4 - 2.8 (2H, m), 3.7 - 4.0 (3H, m), 4.2 - 4.3 (IH, m), 5.41 (IH, d, / 5.07Hz), 6.54 (IH, s) and 7.7 - 7 95 (4H, m>; mlz (Cl, +ve ion, ammonia) 343 (MH+), 360 (MNH 4 +). e) 4-MethoxybenzyI (R5)-2-hydroxy-2-[(35,4R)-4-[(5)-tetrahydrofuran- 2-yI]propyI]-3-phthalimidoazetidin-2-on-l-yl]acetate 4-Methoxybenzyl glyoxylate hydrate (1.647g, 8.5mmol) in 1,2-dichloroethane (40ml) was heated under a Dean and Stark trap for heavy entrainers containing 4A molecular sieves for 0.75h. The solution was allowed to cool then (3S,4/?)-4-[3-oxo- 4-[(S)-tetrahydrofuran-2-yl]propyl]-3-phthalimidoazetidin-2-one (2.234g, 6.5mmol) in dichloromethane (20ml) followed by triethylamine (90μl, 0.65mmol) were added. The reaction was stirred 0.5h then concentrated and flash chromatographed on silica gel eluting with 30 - 90% ethyl acetate in hexane to give the title compound (2.592g, 74%); [α] D +28.4° (c = 1.00 CHC1 3 ); v max (CHCI3) 3685, 3518, 1772, 1725, 1516, 1385 and 1087cm" 1 ; mlz (Cl, +ve ion, ammonia) 554 (MNH4+); (FAB, +ve ion, 3- nitrobenzyl alcohol/sodium acetate) 559 (MNa + ). f) 4-Methoxybenzyl 2-[(3S,4R)-4-[3-oxo-3-[(S)-tetrahydrofuran- 2-yI]propyl]-3-phthaIimidoazetidin-2-on-l-yI]-2-tri-n-butylphosphor- anylideneacetate A solution of thionyl chloride (530μl, 7.27mmol) in TΗF (3ml) was added to 4-methoxybenzyl (RS)-2-hydroxy-2-[(3S,4Λ)-4-[3-oxo-3-[(S)-tetrahydrofuran-2- yl]propyl]-3-phthalimidoazetidin-2-on-l-yl]acetate (2.59g, 4.84mmol) and 2,6- lutidine (850μl, 7.30mmol) in TΗF (50ml) at -20°C. After stirring for lh, the reaction mixture was filtered through a pad of celite, and the filtrate evaporated in vacuo. Toluene was added and re-evaporated to yield 4-methoxybenzyl (ΛS)-2- chloro-2-[(3S,4Λ)-4-[3-oxo-3-[(S)-tetrahydrofuran-2-yl]propyl]-3- phthalimidoazetidin-2-on- 1 -yljacetate. The crude chloro compound was dissolved in dioxan (20ml) and treated with tri-n-butylphosphine (2.65ml, 10.63mmol). After stirring for 30min. at room temperature, the reaction mixture was diluted with ethyl aceta:-"- and washed successively with hydrochloric acid (0.5M), dilute sodium hydrogen carbonate solution, water and brine. The organic solution was dried, concentrated and then chromatographed on silica gel eluting with 30, 50 and 70% ethyl acetate in hexane to give the title compound as a yellow oil (2.90g, 83%); (Found: M + 720.3553. C4θΗ53Ν 2 O P requires M 720.3540); v max (CH 2 C1 2 ) 1755, 1721, 1613, 1514 and 1387cm" 1 . g) 4-Methoxybenzyl (6R,7S)-7-Phthalimido-3-[(5)-tetrahydrofuran-2-yI]-l- carba-l-dethiaceph-3-em-4-carboxylate A solution of 4-methoxybenzyl 2-[(3S,4/?)-4-[3-oxo-3-[(S)-tetrahydrofuran-2- yl]propyl]-3-phthalimidoazetidin-2-on-l-yl]-2-tri-n-butylphosphoranylideneacetate (2.90g, 4.03mmol) and benzoic acid 920mg) in toluene (50ml) was heated to reflux for lOh. The reaction mixture was cooled, concentrated and the residue purified by chromatography on silica gel eluting with 30, then 50% ethyl acetate in hexane yielding the title compound as a colourless foam (1.77g, 88%); [α]£> -76.6° (c 1.0 CHC1 3 ); (Found: M+ 502.1734. C 2 H 2 6N2θ7 requires M 502.1740); v max (CH 2 C1 2 ) 1772, 1724, 1613, 1516 and 1386cm " 1 ; δ H (CDCI3) 1.60 (IH, m), 1.86- 1.99 (4H, m), 2.28-2.42 (3H, m), 3.80 (3H, s), 3.82-3.95 (3H, m), 5.00 (IH, dd, / 8.9, 6.9Hz), 5.17 and 5.24 (2H, ABq, / 11.9Hz), 5.59 (IH, d, / 5.1Hz), 6.88 (2H, d, / 8.7Hz), 7.39 (2H, d, / 8.7Hz), 7.75-7.80 (2H, m) and 7.84-7.89 (2H, m). Example 4 Sodium (6R,7S)-7-[2-(2-aminothiazoI-4-yI)-2-(Z)-prop-2«yIoxyimino- acetamido]- 3-[(2S)-tetrahydrofuran-2-yl]-l-carba-l-dethiaceph-3-em-4- carboxylate a) 4-Methoxybenzyl (6R,75)-7-[2-(2-aminothiazol-4-yl)-2-(Z)-prop- 2-yloxyiminoacetamido]-3-[(25)-tetrahydrofuran-2-yI]-l-carba-l-dethiaceph- 3-em-4-carboxylate 2-(2-Aminothiazol-4-yl)-2-(Z)-prop-2-yloxyiminoacetic acid (52mg, 2.27mmol) in DMF (2ml) was treated with methanesulphonyl chloride (17 μl, 2.20mmol) and N-N-diisopropylethylamine (39μl, 2.24mmol) as described in Example l(m). This was then treated successively with a solution of 4- methoxybenzyl (6Λ, 7S)-7-amino-3-[(2S)-tetrahydrofuran-2-yl]-l-carba-l- dethiaceph-3-em-4-carboxylate (70mg, 1.88mmol) in DMF (2ml) and pyridine (18μl, 2.23mmol). After work-up the product was purified by chromatography on silica gel eluting with 50, 70 and 100% ethyl acetate in hexane to yield the title compound as a colourless foam (85mg, 78%); υ max (CH 2 C-2) 3482, 1768, 1718, 1680, 1608, 1516 and 1390cm" 1 ; δ H (CDCI3) 1.26 (3H, d, / 6.2Hz), 1.29 (3H, d, / 6.2Hz), 1.42-2.55 (8H, m), 3.81 (3H, s), 3.82-3.98 (3H, m), 4.56 (IH, sept, / 6.2Hz), 4.97 (IH, dd, / 8.9, 6.8Hz), 5.18 (2H, s), 5.28 (2H, br.s, exch.), 5.43 (IH, dd, / 6.7, 4.9Hz), 6.88 (2H, d, / 8.6Hz), 6.89 (IH, s), 7.02 (IH, br.d, / 6.7Hz) and 7.35 (2H, d, / 8.6Hz); m/z (Cl, +ve ion, ammonia) 584 ( H + ). b) Sodium (6R,7S)-7-[2-(2-aminothiazol-4-yI)-2-(Z)-prop-2-yloxyimino- acetamido]-3-[(25)-tetrahydrofuran-2-yl]-l-carba-l-dethiaceph-3-em-4- carboxylate A solution of 4-methoxybenzyl (6/?,7S)-7-[2-(2-aminothiazol-4-yl)-2-(Z)- prop-2-yloxyiminoacetamido]-3-[(2S)-tetrahydrofuran-2-yl]-l-carba-l- dethiaceph-3- em-4-carboxylate (85mg, 0.15mmol) in dichloromethane (5ml) was added to a ' solution of aluminium chloride (58mg, 0.44mmol) in anisole (2.4ml) and dichloromethane (1.3ml) as described in Example 1 (n). After quenching with trisodium citrate (0.5M, 4.5ml) and subsequent work-up, the product was purified by chromatography on HP20SS eluting with water, then 1,2,4 and 5% THF in water. Fractions containing the product (h.p.Lc. analysis) were combined and freeze-dried to give the title compound (35mg, 49%); υ max (KBr) 1745, 1659, 1594, 1532 and 1385cm" 1 ; δ H (d6-DMSO) 1.18 (3H, d,76.2Hz), 1.20 (3H, d, / 6.2Hz), 1.41-1.60 (2H, m), 1.75-1.88 (3H, m), 2.01-2.14 (3H, m), 3.53-3.80 (3H, m), 4.29 (IH, sept,/ 6.2Hz), 4.92 (IH, dd, / 8.7, 6.8Hz), 5.20 (IH, dd, / 8.4, 4.9Hz), 6.70 (IH, s), 7.23 (2H, br.s, exch.) and 9.15 (IH, d, / 8.4Hz); m/z (FAB, +ve ion, thioglycerol) 486 (MH+). Example 5 Sodium (6R,7S)-7-[2-(2-aminothiazol-4-yl)-2-(Z)-hydroxyimino- acetamido]- 3-[(2S)-tetrahydrofuran-2-yI]-l-carba-l-dethiaceph-3-em-4- carboxylate a) 4-Methoxybeπzyl (6R,7S)-7-[2-(2-Tritylaminothiazol-4-yI)-2-[(Z)-2- methoxyprop-2-yIoxyimino]acetamido]-3-[(25)-tetrahydrofuran-2-yI]-l-carba-l- dethiaceph-3-em-4-carboxylate 2-Methoxypropene (93μl, 0.97mmol) was added to a suspension of (Z)-2- hydroxyimino-2-(2-tritylamino-4-thiazol)acetic acid (138mg, 0.32mmol) in dichloromethane (3ml) at 10°C. The mixture was stirred for 30 min at room temperature and then concentrated to give 2-(2-tritylaminothiazol- 4-yl)-2-[(Z)-2- methoxyprop-2-yloxyimino]acetic acid. The crude acid in DMF (2ml) was treated with methanesulphonyl chloride (25μl, 0.32mmol) and NN-diisopropylethylamine (56μl, 0.32mmol) as described in Example l(m). This was then treated successively with a solution of 4- methoxybenzyl (6/?,7S)-7-amino-3-[(2S)-tetrahydrofuran-2- yl] -1-carba- 1- dethiaceph-3-em-4-carboxylate (lOOmg, 0.27mmol) in DMF (2ml) and pyridine (26μl, 0.32mmol). After work-up the product was purifed by chormatography on silica gel eluting with 30 and then 50% ethyl acetate in hexane to yield the title compound as a colourless foam (166mg, 72%); υ max (CH2CI2) 3400, 1770, 1732, 1685, 1612, 1516 and 1374cm" 1 ; δ H (CDCI3) 1.42-2.52 (8H, m), 1.50 (3H, s), 1.53 (3H, s), 3.25 (3H, s), 3.81 (3H, s), 3.82-3.95 (3H, m), 4.96 (IH, dd, / 9.0, 6.8Hz), 5.18 (2H, s), 5.34 (IH, dd, / 6.0, 5.3Hz), 6.41 (IH, d, / 6.0Hz), 6.73 (IH, s), 6.83 (IH, s), 6.89 (2H, d, / 8.7Hz) and 7.27-7.40 (17H, m); m/z (FAB, +ve ion, thioglycerol) 878 (MΝa+), b) 4-Methoxybenzyl (6Λ,7S)-7-[2-(2-aminothiazol-4-yl)-2-(Z)- hydroxviminoacetamido]-3-[(25)-tetrahydrofuran-2-yI]-l-carba-l-dethiaceph-3- em-4-carboxylate To a solution of 4-methoxybenzyl (6Λ,7S)-7-[2-(2-tritylaminothiazol-4-yl)- 2- [(Z)-2-methoxyprop-2-yloxyimino]acetamido]-3-[(2S)-tetrahydrofuran-2- yl]-l- carba-l-dethiaceph-3-em-4-carboxylate (160mg, 0.18mmol) in dichloromethane (1.5ml) was added 80% acetic acid (4.4ml) and the mixture stirred at 40°C for 2h. < The mixture was diluted with ethyl acetate and washed successively with water (x2), saturated aqueous sodium hydrogen carbonate (x2) and water, dried and then concentrated in vacuo. The residue was triturated with diethyl ether to yield the title compound (65mg, 67%); υ max (KBr) 3418, 3326, 1774, 1716, 1657, 1523 and 1386cm" 1 ; δ H (d^-DMSO) 1.47-1.62 (2H,m), 1.74-2.08 (4H, m), 2.25-2.35 (2H, m), 3.63-3.87 (3H, m), 3.75 (3H, s), 4.68 (IH, m), 5.13 (2H, s), 5.45 (IH, dd, / 8.7, 5.1Hz), 6.67 (IH, s), 6.92 (2H, d, / 8.6Hz), 7.12 (2H, br. s, exch.), 7.36 (2H, d, / 8.6Hz), 9.10 (IH, d, / 8.7Hz) and 11.28 (IH, s, exch.); m z (Cl, +ve ion, ammonia) 542 (MH+). c) Sodium (6R,7S)-7-[2-(2-aminothiazol-4-yI)-2-(Z)-hydroxyimino- acetamido]-3-[(25)-tetrahydrofuran-2-yl]-l-carba-l-dethiaceph-3-em-4- carboxylate A solution of 4-methoxybenzyl (6R, 7S)-7-[2-(2-aminothiazol-4-yl)-2-(Z) hydroxyiminoacetamido]-3-[(2S)-tetrahydrofuran-2-yl]-l-carba-l-dethia- ceph-3-em- 4-carboxylate (65mg, 0.12mmol) in dichloromethane (10ml) was added to a solution of aluminium chloride (48mg, 0.36mmol) in anisole (2ml) and dichloromethane (1ml) as described in Example l(n). After quenching with trisodium citrate (0.5M, 3.7ml) and subsequent work-up, the product was purified by chromatography on HP20SS eluting with water, then 2% THF in water. Fractions containing the product (h.pi.c. analysis) were combined and freeze-dried to give the title compound (14mg, 26%); υ max (KBr) 1741, 1593, 1531, 1407 and 1335cm" 1 ; δ H (do- DMSO) 1.39-1.53 (2H, m), 1.71-1.90 (3H, m), 2.02-2.13 (3H, m), 3.52-3.80 (3H, m), 4.94 (IH, dd, / 7.8, 7.4Hz), 5.25 (IH, dd, / 8.1, 5.0Hz), 6.73 (IH, s), 7.18 (2H, br.s, exch.) and 11.51 (IH, br.s, exch.). Example 6 Sodium (6R,7S)-7-t2-(2-aminothiazol-4-yI)-2-(Z)-difluoromethoxyimino- acetamido]-3-[(25)-tetrahydrofuran-2-yI]-l-carba-l-dethiaceph-3-em-4- carboxylate 2-(2-Aminothiazol-4-yl)-2-(Z)-difluoromethoxyiminoacetic acid (34mg, 0.14mmol) in DMF (2ml) was treated with methanesulphonyl chloride (llμl, 0.14mmol) and N V-diisopropylethylamine (25μl, 0.14mmol) as described in Example l(m). This was then treated successively with a solution of 4- methoxybenzyl (6/?,7S)-7-amino-3-[(2S)-tetrahydrofuran-2-yl]-l-carba-l- dethiaceph-3-em-4-carboxylate (45mg, 0.12mmol) in DMF (2ml) and pyridine (12μl, 0.14mmol). After work-up the product was purified by chromatography on silica gel eluting with 30,50 and 70% ethyl acetate in hexane to yield the title compound as a colourless foam (50mg, 71%); υ max (CH 2 C1 2 ) 3400, 1754, 1718, 1685, 1613, 1532 and 1516cm" 1 ; δ H (CDC1 3 ) 1.51-2.52 (8H, m), 3.78-3.97 (3H, m), 3.81 (3H, s), 4.96 (IH, dd, / 8.6, 7.0Hz), 5.17 (2H, s), 5.63 (IH, dd, / 7.9, 4.9Hz), 5.93 (2H, br.s, exch.), 6.59 (IH, dd, / 73.9, 70.8Hz), 6.88 (2H, d, / 8.7Hz) 6.90 (IH, s), 7.33 (2H, d, / 8.7Hz) and 8.54 (IH, d, /7.9Hz); m/z (Cl, +ve ion, ammonia) 592 (MH+). b) Sodium (6R,75)-7-[2-(2-aminothiazol-4-yI)-2-(Z)-difluoromethoxy- iminoacetamido]-3-[(25)-tetrahydrofuran-2-yl]-l-carba-l-dethiaceph-3-em-4- carboxylate A solution of 4-methoxybenzyl (6Λ,7S)-7-[2-(2-aminothiazol-4-yl)-2-(Z)- difluoromethoxyiminoacetamido]-3-[(2S)-tetrahydrofuran-2-yl]-l-carba-l- dethiaceph-3-em-4-carboxylate (46mg, 0.078mmol) in dichloromethane (3ml) was added to a solution of aluminium chloride (31mg, 0.23mmol) in anisole (1.4ml) and dichloromethane (0.7ml) as described in Example l(n). After quenching with trisodium citrate (0.5M, 2.4ml) and subsequent work-up, the product was purified by chromatography on HP20SS eluting with water, then 1,2,4 and 5% THF in water. Fractions containing the product (h.p.Lc. analysis) were combined and freeze-dried to give the title compound (25mg, 65%); υ max (KBr) 1749, 1670, 1595, 1534 and 1388cm" 1 ; δ H (d 6 -DMSO) 1.40-1.52 (2H, m), 1.73-1.89 (3H, m), 2.01-2.11 (3H, m), 3.55-3.80 (3H, m), 4.92 (IH, dd, / 8.6, 6.8Hz), 5.24 (IH, dd, / 8.3, 4.9Hz), 6.99 (IH, s), 7.13 (IH, t, /71.4Hz), 7.36 (2H, br.s, exch.) and 9.52 (IH, d, / 8.3Hz); m/z (FAB, +ve ion, thioglycerol) 494 (MH+), 516 (V Νa + ).

Claims: CLAIMS 1. A compound of formula (I) or a salt thereof: (I) wherein: R 1 is hydrogen, methoxy or formamido; R-- is an acyl group, in particular that of an antibacterially active cephalosporin; CO2R is a carboxy group or a carboxylate anion, or R3 is a readily removable carboxy protecting group or a pharmaceutically acceptable salt-forming group or in vivo hydrolysable ester group; R represents hydrogen or up to four substituents, which may be present on any of the carbon atoms in the ring system shown, selected from alkyl, alkenyl, alkynyl, alkoxy, hydroxy, halogen, amino, alkylamino, acylamino, dialkylamino, CO2R, CONR2, SO2NR2 where R is hydrogen or alkyl, aryl and heterocyclyl, which may be the same or different and wherein any R^ alkyl substituent is optionally substituted by one or more substituents selected from the list from which R^ is selected; Y is O, S, SO or SO2; and m is 1 or 2. 2. A compound as claimed in claim 1 having the formula (Ia) or pharmaceutically acceptable salts or pharmaceutically acceptable in vivo hydrolysable esters thereof: (la) wherein R 1 , R^, R^, m and y are as defined with respect to formula (I) and the group CO2R is CO2 where CO2 ^ is a carboxy group or a carboxylate anion. 3. A compound as claimed in claim 1 or claim 2 wherein R 1 is hydrogen. 4. A compound as claimed in claim 1, 2 or 3 wherein the in vivo hydrolysable ester group is the pivaloyloxymethyl ester. 5. A compound as claimed in any one of claims 1 to 4 wherein Y is O or S, in particular O. 6. A compound as claimed in any one of claims 1 to 5 wherein the cyclic ether or thio-ether at the 3-position of the cephalosporin nucleus is unsubstituted or substituted by up to three substituents R^, selected from (C\_ _) alkyl, for example methyl, (C\_ β) alkoxy, for example methoxy, (Cι_6) alkoxycarbonyl for example methoxycarbonyl, (C\. ) alkoxy (Ci.g) alkyl, for example methoxymethyl, and (C\.β) alkanoyloxy (C\. ) alkyl, for example acetoxymethyl. 7. A compound as claimed in any one of claims 1 to 6 wherein m is 1. 8. A compound as claimed in any one of claims 1 to 7 wherein the cyclic ether at the 3-position of the cephalosporin nucleus is a tetrahydrofuran-2-yl group. 9. Pivaloyloxymethyl (6Λ,7S)-7-[2-(2-aminothiazol-4-yl)-2-(Z)-methoxyimino- acetarmdo]-[(S)-tetrahyάJOfuran-2-yir-l-carba-l-dethiaceph-3-em-4-carboxylate. 10. Sodium (6Λ,7S)-7-[2-(2-am othiazol-4-yl)-2-(Z)-methoxyiminoacetamido]- 3-[(-^-tetrahydrofuran-2-yl]-l-carba-l-dethiaceph-3-em-4-carboxylate, 11. 4-Methoxybenzyl (6 ?,7S)-7-phenylacetamido-3-[( ? and S)-tetrahydrofuran-2- yl]- 1 -carb- 1 -dethiaceph-3-em-4-carboxylate. 12. 4-Methoxybenzyl (6Λ,7S)-7-phthalimido-3-[(S)-tetrahydrofuran-2-yl]-l- carba- 1 -dethiaceph-3-em-4-carboxylate. 13. Sodium (6- ,7S)-7-[2-(2-aminothiazol-4-yl)-2-(Z)-prop-2-yloxyimino- acetamido]-3-[(2S)-tetrahydrofuran-2-yl]-l-carba-l-dethiaceph-3-em-4- carboxylate. 14. 4-Methoxybenzyl (6R,7S)-7-[2-(2-aminothiazol-4-yl)-2-(Z)-prop- 2-yloxyiιτinoacetaπύdo]-3-[(2S)-tetrahydrofuran-2-yl]-l-carba-l-dethiaceph- 3-em- 4-carboxylate. 15. Sodium (6i^,7S^-7-[2-(2-aminothiazol-4-yl)-2-(Z)-hydroxyinrinoacetamido]- 3-[(25)-tetrahydrofuran-2-yl]-l-carba-l-dethiaceph-3-em-4- carboxylate. 16. 4-Methoxybenzyl (6Λ,7S)-7-[2-(2-aminothiazol-4-yl)-2-(Z)- hydroxyiminoacetamido]-3-[(2S)-temιhydrofuran-2-yl]-l-carba-l-dethiaceph-3-em-4- carboxylate. 17. Sodium (6Λ,7S)-7-[2-(2-aminothiazol-4-yl)-2-(Z)-difluorometiιoxyimino- acetamido]-3-[(2S)-tetrahydrofuran-2-yl]- 1-carba- l-dethiaceph-3-em-4- carboxylate. 18. A compound of formula (I) as defined in claim 1 substantially as hereinbefore described with reference to the Examples. 19. A process for the preparation of a compound of formula (I), which process comprises treating a compound of formula (II) or a salt thereof: (II) wherein R 1 , CO2R^, ^, m, and Y are as defined in claim 1, wherein any reactive groups may be protected, and wherein the amino group is optionally substituted with a group which permits acylation to take place; with an acid of formula (IH) or a N- acylating derivative thereof: R2θH (III) wherein R^ is the acyl group as defined with respect to formula (I) and wherein any reactive groups may be protected; and thereafter, if necessary or desired, carrying out one or more of the following steps: i) removing any protecting groups; ii) converting the group CO2R^ into a different group CO2R^; iii) converting the group R^ into a different group R^; iv) converting the group Y into a different group Y, for example S into SO or SO 2 ; v) converting the product into a salt or ester. 20. . A pharmaceutical composition comprising a compound of formula (Ia) as defined in claim 2 or a pharmaceutically acceptable salt or in vivo hydrolysable ester thereof, and a pharmaceutically acceptable carrier. 21. A pharmaceutical composition as claimed in claim 17 further comprising a β-lactamase inhibitor. 22. A compound of formula (I) or a pharmaceutically acceptable salt or in vivo hydrolysable ester thereof, for use as a therapeutic agent, and in particular an in vivo hydrolysable ester thereof for use as an orally administrable therapeutic agent. 23. A compound of formula (I) or a pharmaceutically acceptable salt or in vivo hydrolysable ester thereof, for use in the treatment of bacterial infections, more particularly an in vivo hydrolysable ester thereof for use in the oral treatment of bacterial infections. 24. A method of treating bacterial infections in humans and animals which comprises the administration of a therapeutically effective amount of an antibiotic compound of the formula (I) or a pharmaceutically acceptable in vivo hydrolysable ester thereof, in particular the oral administration of a therapeutically effective amount of an in vivo hydrolysable ester. 25. The use of a compound of formula (I) or a pharmaceutically acceptable salt or in vivo hydrolysable ester thereof, for the manufacture of a medicament for the treatment of bacterial infections, in particular the use of an in vivo hydrolysable ester for the manufacture of a medicament for the oral treatment of bacterial infections.

Inventors: BURTON GEORGE, NAYLOR ANTOINETTE, BURTON, GEORGE, NAYLOR, ANTOINETTE
Applicants: BURTON GEORGE, NAYLOR ANTOINETTE, SMITHKLINE BEECHAM PLC
Application year: 1993
Main classification: C07D463
IPC codes: A61K31, A61P31, C07D463