7-Alkylidene-3-substituted-3-cephem-4-carboxylates as -lactamase inhibitors

   
   

The invention provides compounds of formula (I): ##STR1##

wherein: R1-R4 and A have any of the values defined in the specification, and their pharmaceutically acceptable salts, are useful for inhibiting -lactamase enzymes, for enhancing the activity of -lactam antibiotics, and for treating -lactam resistant bacterial infections in a mammal. The invention also provides pharmaceutical compositions, processes for preparing compounds of formula (I), wherein R1 and R2 are each independently hydrogen, (C1-C10)alkyl, (C2-C10)alkenyl, (C2-C10)alkenyl, (C3-C8)cycloalkyl, (C1-C10)alkoxy, (C1-C10)alkanoyl, (C1-C10)alkanoyloxy, (C1-C10)alkoxycarbonyl, aryl, heterocycle, halo, cyano, nitro, -COORe, -C(O)NRfRg, -OC(O)NRfRg, NRfRg, or -S(O)nRh; R3 is hydrogen, halo, aryl, heteroaryl, -S(O)nRh, or -CHCHC(O)NRmRp; R4 is hydrogen; A is thio, sulfinyl, or sulfonyl; and intermediates useful for the synthesis of compounds of formula (I).

 
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