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WO2011121389A1 - Process for preparation of cefepime dihydrochloride monohydrate - Google Patents

Process for preparation of cefepime dihydrochloride monohydrate Download PDF

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Publication number
WO2011121389A1
WO2011121389A1 PCT/IB2010/002300 IB2010002300W WO2011121389A1 WO 2011121389 A1 WO2011121389 A1 WO 2011121389A1 IB 2010002300 W IB2010002300 W IB 2010002300W WO 2011121389 A1 WO2011121389 A1 WO 2011121389A1
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formula
methyl
preparation
dihydrochloride monohydrate
amino
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PCT/IB2010/002300
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French (fr)
Inventor
Prabhat Kumar Sahoo
Sivakumaran Sundaravadivelan
Senthil Kumar Surulichamy
Manoj Upadhyay
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NECTAR LIFESCIENCES Ltd
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NECTAR LIFESCIENCES Ltd
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D501/00Heterocyclic compounds containing 5-thia-1-azabicyclo [4.2.0] octane ring systems, i.e. compounds containing a ring system of the formula:, e.g. cephalosporins; Such ring systems being further condensed, e.g. 2,3-condensed with an oxygen-, nitrogen- or sulfur-containing hetero ring
    • C07D501/14Compounds having a nitrogen atom directly attached in position 7
    • C07D501/16Compounds having a nitrogen atom directly attached in position 7 with a double bond between positions 2 and 3
    • C07D501/207-Acylaminocephalosporanic or substituted 7-acylaminocephalosporanic acids in which the acyl radicals are derived from carboxylic acids
    • C07D501/247-Acylaminocephalosporanic or substituted 7-acylaminocephalosporanic acids in which the acyl radicals are derived from carboxylic acids with hydrocarbon radicals, substituted by hetero atoms or hetero rings, attached in position 3
    • C07D501/38Methylene radicals, substituted by nitrogen atoms; Lactams thereof with the 2-carboxyl group; Methylene radicals substituted by nitrogen-containing hetero rings attached by the ring nitrogen atom; Quaternary compounds thereof
    • C07D501/46Methylene radicals, substituted by nitrogen atoms; Lactams thereof with the 2-carboxyl group; Methylene radicals substituted by nitrogen-containing hetero rings attached by the ring nitrogen atom; Quaternary compounds thereof with the 7-amino radical acylated by carboxylic acids containing hetero rings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/04Antibacterial agents

Definitions

  • the present invention is in the field of chemistry and more particularly it relates to the preparation of cefepime dihydrochloride monohydrate of formula (I), by reacting 7-amino-3-[( 1 -methyl- 1 -pyrrolidino)methyl]-3-cephem-carboxylate
  • Cefepime is a valuable fourth generation injectable cephalosporin with antibacterial properties, which is used in the form of a dihydrochloride hydrate.
  • Cefepime dihydrochloride monohydrate is chemically known as 7-[(Z)-2-(2-amino-4- thiazolyl)-2-(methoxyimino) acetamido]-3-[(l -methyl-l-pyrrolidinium)methyl]-3- cephem-4-carboxylate dihydrochloride monohydrate.
  • Cefepime dihydrochloride monohydrate is a cephalosporin that is active against a wide range of gram-positive and gram-negative aerobic organisms. Its chemical structure is depicted below:
  • the semi-synthetic antibiotic cefepime is a useful broad- spectrum antibiotic which was first described in U.S. Patent No. 4,406,899 wherein cefepime was synthesized by a multistep process involving protection and deprotection steps thereby making the process lengthy and laborious.
  • US Patent No 5,594,129 and US Patent No 5,594, 130 disclose the synthesis of cefepime which involves acylation of 7-amino-3-[(l-methyl-l- pyrrolidinio)methyl]-3- cephem-4-carboxylate hydrochloride with syn 2-(2-amino-4-thiazolyl)-2- methoxyiminoacetic acid that is activated by converting to chloride by reacting with chlorinating agents such as thionyl chloride or phosphorous pentachloride etc.
  • the main object of the present invention is to provide a process for the preparation of a compound of formula (I), which is very safe, simple, economical, user- friendly and commercially viable with a greater yield and higher chemical purity
  • Another objective of the present invention is to provide a process for the preparation of a compound of formula (I), which would be easy to implement on commercial scale, and to avoid excessive use of reagent(s) and organic solvent(s) and to avoid hazardous and risky solvents, and thereby making the present invention more safe and eco-friendly as well.
  • Still another objective of the present invention is to provide a process for the preparation of a compound of formula (I), wherein the solvent(s) used during the reaction can be recycled and thereby reused, which makes the process industrially more suitable.
  • the present invention provides an improved process for the preparation of cefepime dihydrochloride monohydrate of formula (I); comprising the steps of:
  • the said alcoholic solvent in step (i) is preferably selected from the group consisting of methanol, ethanol or isopropanol, optionally in combination with chlorinated hydrocarbon solvent such as methylene chloride, more preferably methanol alone.
  • the said base in step (i) is an organic base which may be preferably selected from the group consisting of triethylamine, diethylamine, pyridine, N-methylpiperidine, 1,8-diazabicycloundecene, 4,4-dimethylaminopyridine, dicyclohexylamine, diphenylamine, diisopropylamine, N- tert-butylcyclohexylamine and ⁇ , ⁇ -dibenzylethylenediamine and the like or mixture thereof, more preferably triethylamine.
  • the condensation reaction is carried out at a temperature preferably in the range of -20°C to 10°C, more preferably 0°C to 5°C.
  • the condensation reaction is completed within 3 hrs to 4 hrs.
  • reaction mass was adjusted to 0.5 with concentrated hydrochloric acid and stirred for 15 minutes. 5.0g of charcoal was added to the reaction mixture and stirred for 10 minutes. The reaction mass was filtered through carbon pad and 0.45 micron filter. Ethyl acetate was added to the filtrate and stirred for 30 minutes for complete precipitation. The precipitated mass was filtered, washed with ethyl acetate and dried to get 72g of the titled compound with chromatographic purity of 98.94%.
  • the reaction mixture was stirred at 15°C to 20°C and layers were settled, separated and the aqueous layer was charcolized.
  • the pH of the aqueous layer was adjusted to 0.5 to 0.1 with concentrated hydrochloric acid at 0°C to 5°C.
  • Acetone was added slowly to the aqueous layer at 0°C to 5°C and stirred for one hour at same temperature for complete precipitation.
  • the precipitated mass was filtered, washed with acetone and dried in hot air oven for 3 hours at 40°C to get 34.5g of the titled compound with chromatographic purity of 99.43%.
  • reaction mass was adjusted to 0.5 with concentrated hydrochloric acid and stirred for 15minutes. 5 g of charcoal was added to the reaction mixture and stirred for 10 minutes. The reaction mass was filtered through carbon pad and 0.45 micron filter. Isopropyl alcohol was added to the filtrate and stirred for 30 minutes for complete precipitation. The precipitated mass was filtered, washed with Isopropyl alcohol and suck dried to get 72g of the titled compound with chromatographic purity of 99.54%.
  • the process of the present invention is very safe, simple and yields higher purity and greater yield of a compound of formula (I).
  • the process of the present invention avoids excess usages of reagent(s) and organic solvent(s), thereby promoting green chemistry and ensuring a cleaner surrounding by putting lesser load on environment.
  • the process of the present invention uses a solvent which can be recycled and
  • the process of the present invention is a simple process, which avoids more

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  • Chemical & Material Sciences (AREA)
  • Organic Chemistry (AREA)
  • Health & Medical Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Oncology (AREA)
  • General Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Communicable Diseases (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Cephalosporin Compounds (AREA)

Abstract

A process for preparation of cefepime dihydrochloride monohydrate is provided. The process comprises condensing 7-amino-3-[(l -methyl- 1 -pyrrolidino)methyl]-3-cephem-4-carboxylate monohydrochloride dihydrate and 2-mercaptobenzothiazolyl-(Z)-2-(2-aminothiazol-4-yl)-2-methoxyiminoacetate in the presence of a base in an alcohol solvent.

Description

PROCESS FOR PREPARATION OF CEFEPIME DIHYDROCHLORIDE MONOHYDRATE
Field of the invention
The present invention is in the field of chemistry and more particularly it relates to the preparation of cefepime dihydrochloride monohydrate of formula (I), by reacting 7-amino-3-[( 1 -methyl- 1 -pyrrolidino)methyl]-3-cephem-carboxylate
monohydrochloride dihydrate of formula (II) with 2-mercaptobenzothiazolyl-(Z)-2-(2- aminothiazol-4-yl)-2- methoxyiminoacetate of formula (III) using an alcoholic solvent, optionally in combination with a chlorinated hydrocarbon solvent in a very safe, simple, economical, user-friendly and in an industrially viable manner.
Figure imgf000002_0001
Background of the invention
Cefepime is a valuable fourth generation injectable cephalosporin with antibacterial properties, which is used in the form of a dihydrochloride hydrate. Cefepime dihydrochloride monohydrate is chemically known as 7-[(Z)-2-(2-amino-4- thiazolyl)-2-(methoxyimino) acetamido]-3-[(l -methyl-l-pyrrolidinium)methyl]-3- cephem-4-carboxylate dihydrochloride monohydrate. Cefepime dihydrochloride monohydrate is a cephalosporin that is active against a wide range of gram-positive and gram-negative aerobic organisms. Its chemical structure is depicted below:
Figure imgf000003_0001
The semi-synthetic antibiotic cefepime is a useful broad- spectrum antibiotic which was first described in U.S. Patent No. 4,406,899 wherein cefepime was synthesized by a multistep process involving protection and deprotection steps thereby making the process lengthy and laborious.
US Patent No 4,754,031 describes a process in which (Z)-2-(2-aminothiazol-4- yl)-2-memoxyiminoacetic acid is activated by reacting with methanesulfonyl chloride to undergo acylation with 7-amino-3-(l -methyl- l-pyrrolidinium)methyl-3-cephem-4- carboxylate hydrochloride to obtain cefepime which is purified by column chromatography. Methods involving chromatographic purifications should not be preferably used for large-scale operations, thereby making the process commercially unviable.
US Patent No 5,594,129 and US Patent No 5,594, 130 disclose the synthesis of cefepime which involves acylation of 7-amino-3-[(l-methyl-l- pyrrolidinio)methyl]-3- cephem-4-carboxylate hydrochloride with syn 2-(2-amino-4-thiazolyl)-2- methoxyiminoacetic acid that is activated by converting to chloride by reacting with chlorinating agents such as thionyl chloride or phosphorous pentachloride etc.
In the process described in PCT application WO2004/037833 Al, 7-amino-3-[( 1 -methyl- 1 -pyrroIidinio)methyl]-3-cephem-4-carboxylate hydroiodide salt was treated with 2-mercaptoberizotluazolyl-(Z)-2-(2-aminothiazol-4-yl)-2- methoxyimino acetate in a mixture of tetrahydrofuran, water and dimethyl acetamide to prepare cefepime. Ethyl acetate and acetone are used for isolating the product. The recovery of the solvents from mixture of solvents is difficult. Therefore the process is not economical. The PCT application WO2004/092183 A2 describes the preparation of cefepime dihydrochloride monohydrate by reacting 7-amino-3-[(l -methyl- 1-pyrrolidino) methyl] -3-cephem-4-carboxylate monohydrochloride with mercaptobenzothiazole 2-(2- ammothiazol-4-yl)-2-syn-memoxyiminoacetate in a mixture of water and acetone. The resultant yield is very low and the reaction is taking longer time for completion.
In view of the above, there is a clear need to find an alternative industrially viable process for the production of cefepime dihydrochloride monohydrate. The present invention provides remarkable advantages in the industrial process for the production of cefepime dihydrochoride monohydrate of formula (I). In fact, the method of the invention helps the inventors to provide good quality cefepime dihydrochloride monohydrate as compared to the prior art methods.
Objective of the invention
The main object of the present invention is to provide a process for the preparation of a compound of formula (I), which is very safe, simple, economical, user- friendly and commercially viable with a greater yield and higher chemical purity
Another objective of the present invention is to provide a process for the preparation of a compound of formula (I), which would be easy to implement on commercial scale, and to avoid excessive use of reagent(s) and organic solvent(s) and to avoid hazardous and risky solvents, and thereby making the present invention more safe and eco-friendly as well.
Still another objective of the present invention is to provide a process for the preparation of a compound of formula (I), wherein the solvent(s) used during the reaction can be recycled and thereby reused, which makes the process industrially more suitable.
Summary of the invention
Accordingly, the present invention provides an improved process for the preparation of cefepime dihydrochloride monohydrate of formula (I); comprising the steps of:
Figure imgf000005_0001
(I)
(i) condensing 7-amino-3-[(l -methyl- 1 -pyrrol idino) methyl]-3-cephem-4- carboxylate monohydrochloride dihydrate of formula (II) and 2- mercaptobenzothiazolyl-(Z)-2- (2- aminothiazol- 4-yl)-2- methoxyiminoacetate of formula (III) in presence of a base in an alcoholic solvent, optionally in combination with a chlorinated hydrocarbon solvent; and
(ii) isolating cefepime dihydrochloride monohydrate of formula (I) in pure form. The above process is illustrated in the following synthetic scheme:
Figure imgf000005_0002
Detailed description of the invention
Accordingly in an embodiment of the present invention, the said alcoholic solvent in step (i) is preferably selected from the group consisting of methanol, ethanol or isopropanol, optionally in combination with chlorinated hydrocarbon solvent such as methylene chloride, more preferably methanol alone. In another embodiment of the present invention, the said base in step (i) is an organic base which may be preferably selected from the group consisting of triethylamine, diethylamine, pyridine, N-methylpiperidine, 1,8-diazabicycloundecene, 4,4-dimethylaminopyridine, dicyclohexylamine, diphenylamine, diisopropylamine, N- tert-butylcyclohexylamine and Ν,Ν-dibenzylethylenediamine and the like or mixture thereof, more preferably triethylamine.
The condensation reaction is carried out at a temperature preferably in the range of -20°C to 10°C, more preferably 0°C to 5°C. The condensation reaction is completed within 3 hrs to 4 hrs.
In the present invention starting material(s) for the preparation of a compound of formula (I), were prepared according to the known processes in the prior art.
The invention is further illustrated by the following examples, which should not be construed to limit the scope of the invention in anyway.
EXAMPLE- 1
Preparation of cefepime dihvdrochloride monohvdrate
50.0g of 7-amino-3 -[( 1 -methyl- 1 -pyrrolidino)methyl] -3-cephem-4-carboxylate monohydrochioride dihydrate was added into 220mL of methyl alcohol and stirred for 10 minutes. The reaction mixture was cooled to 0°C to 5°C and 20g of triethylamine was added dropwise into it. To the clear solution, 55.6g of 2-mercaptobenzothiazolyl- (Z)-2-(2-ammotrdazol-4-yl)-2-memoxyiminoacetate was added at 0°C to 5°C. The reaction was completed within 3 hrs to 4 hrs. After completion of the reaction, temperature was raised to 10°C to 25°C. The pH of reaction mass was adjusted to 0.5 with concentrated hydrochloric acid and stirred for 15 minutes. 5.0g of charcoal was added to the reaction mixture and stirred for 10 minutes. The reaction mass was filtered through carbon pad and 0.45 micron filter. Ethyl acetate was added to the filtrate and stirred for 30 minutes for complete precipitation. The precipitated mass was filtered, washed with ethyl acetate and dried to get 72g of the titled compound with chromatographic purity of 98.94%.
EXAMPLE-2
Preparation of cefepime dihydrochloride monohydrate
25.0g of 7-amino-3-[( 1 -methyl- 1 -pyrrolidino)methyl]-3-cephem-4-carboxylate monohydrochloride dihydrate was added into 125mL of methyl alcohol at 0°C to 5°C and stirred for 10 minutes. 17.08g of triethylamine was added dropwise into it. To the clear solution, 26.08g of 2-mercaptobenzothiazolyl-(Z)-2-(2-aminothiazol-4-yl)-2- methoxyiminoacetate was added at 0°C to 5°C. The reaction was completed within 3 hrs to 4 hrs. After completion of the reaction, water and n-butyl acetate were added into it. The reaction mixture was stirred at 15°C to 20°C and layers were settled, separated and the aqueous layer was charcolized. The pH of the aqueous layer was adjusted to 0.5 to 0.1 with concentrated hydrochloric acid at 0°C to 5°C. Acetone was added slowly to the aqueous layer at 0°C to 5°C and stirred for one hour at same temperature for complete precipitation. The precipitated mass was filtered, washed with acetone and dried in hot air oven for 3 hours at 40°C to get 34.5g of the titled compound with chromatographic purity of 99.43%.
EXAMPLE-3
Preparation of cefepime dihydrochloride monohydrate
1 OO.Og of 7-amino-3-[( 1 -methyl- 1 -pyrrolidino)methyl]-3-cephem-4-carboxylate monohydrochloride dihydrate was added into 400mL of methyl alcohol and stirred. The reaction mixture was cooled to 0°C to 5°C and 33.4g of triethylamine diluted with lOOmL of methanol was added dropwise to get a clear solution. To the clear solution 105g of 2-mercaptobenzotlnazolyI-(Z)-2-(2-ammothiazol-4-yl)-2-memoxyiminoacetate was added at 0°C to 5°C and stirred till the completion of the reaction. After completion of the reaction, water and methylene chloride were added into it. The reaction mixture was stirred at 0°C to 10°C and layers were settled and separated. The pH of the aqueous layer was adjusted below 0.1 with concentrated hydrochloric acid at 0°C to 5°C. The aqueous layer was charcoalized and filtered through hyflo bed. 4000mL of acetone was added slowly to the filtrate at 10°C to 15°C and stirred for one hour at 0°C to 5°C. The precipitated mass was filtered, washed with 200mL of acetone twice and dried to get 138g of the titled compound with chromatographic purity of 99.90%.
EXAMPLE-4
Preparation of cefepime dihydrochloride monohydrate lO.Og of 7-amino-3-[(l -methyl- l-pyrrolidino)methyl]-3-cephem-4-carboxylate monohydrochloride dihydrate was added into a mixture of lOOmL of methylene chloride and 15mL of methyl alcohol and stirred at 0°C to 2°C .4.0g of triethylamine was added dropwise into it. To the clear solution, 11.5g of 2-mercaptobenzothiazolyl- (Z)-2-(2-aminothiazol-4-yl)-2-methoxyiminoacetate was added and stirred at 0°C to 5°C. After completion of the reaction, 60mL of water was added into it, stirred for 30 minutes and layers were settled and separated. The aqueous layer was charcolized and filtered. The pH of filtrate was adjusted to the range of 0.5 to 0.7 with concentrated hydrochloric acid. Acetone was added to the filtrate and stirred for lhour for complete precipitation. The precipitated mass was filtered, washed with acetone and dried under vacuum to get 14g of the titled compound with chromatographic purity of 99.91 %. EXAMPLE-5
Preparation of cefepime dihydrochloride monohydrate
50. Og of 7-amino-3-[(l -methyl- l-pyrrolidino)methyl]-3-cephem-4-carboxylate monohydrochloride dihydrate was added into 220mL of methyl alcohol and stirred for 10 minutes .The reaction mixture was cooled to 0°C to 5°C and 20g of triethylamine was added dropwise into it. To the clear solution, 55.6g of 2-mercaptobenzothiazolyl- (Z)-2-(2-aminothiazol-4-yl)-2-methoxyiminoacetate was added at 0°C to 5°C. The reaction was completed within 3 hrs to 4 hrs. After completion of the reaction, temperature was raised 10°C to 25°C. The pH of reaction mass was adjusted to 0.5 with concentrated hydrochloric acid and stirred for 15minutes. 5 g of charcoal was added to the reaction mixture and stirred for 10 minutes. The reaction mass was filtered through carbon pad and 0.45 micron filter. Isopropyl alcohol was added to the filtrate and stirred for 30 minutes for complete precipitation. The precipitated mass was filtered, washed with Isopropyl alcohol and suck dried to get 72g of the titled compound with chromatographic purity of 99.54%.
Substantial Advantages and Industrial applicability
1. The process of the present invention is very safe, simple and yields higher purity and greater yield of a compound of formula (I).
2. The process of the present invention avoids excess usages of reagent(s) and organic solvent(s), thereby promoting green chemistry and ensuring a cleaner surrounding by putting lesser load on environment.
3. The process of the present invention uses a solvent which can be recycled and
reused..
This makes the process more economical and industrially and commercially viable.
4. The process of the present invention is a simple process, which avoids more
number of operations, thus resulting in shortening of reaction time and lowering of labor.

Claims

We claim:
An improved process for the preparation of cefepime dihydrochloride monohydrate of formula (I); comprising the steps of:
Figure imgf000010_0001
(i) condensing 7-amino-3-[(l -methyl- 1-pyrrolidino) methyl]-3-cephem-4- carboxylate monohydrochloride dihydrate of formula (II) and 2- mercaptobenzothiazolyl-(Z)-2-(2- aminothiazol- 4-yl)-2- methoxyiminoacetate of formula (III) in the presence of a base in an alcoholic solvent, optionally in combination with chlorinated hydrocarbon solvent; and
Figure imgf000010_0002
(ii) isolating cefepime dihydrochloride monohydrate of formula (I) in highly pure form.
(2) A process according to claim 1 , wherein the said alcoholic solvent is selected from the group consisting of methanol, ethanol or isopropanol.
(3) A process according to claim 1, wherein the said chlorinated hydrocarbon solvent is methylene chloride. (4) A process according to claim 1, wherein the said base in step (i) is an organic base which is selected from the group consisting of triethylamine, diethylamine, pyridine, N-methylpiperidine, 1 , 8-diazabicycloundecene, 4,
4- dimethylaminopyridine or mixtures thereof.
(5) A process according to claim 1, wherein the condensation reaction is carried out at a temperature preferably in the range of -20°C to 10°C, more preferably 0 C to 5°C. (6) An improved process for the preparation of cefepime dihydrochloride monohydrate of formula (I) by condensing 7-amino-3-[(l -methyl- 1-pyrrolidino) methyl] -3 -cephem-4-carboxylate monohydrochloride dihydrate of formula (II) and 2-mercaptobenzothiazolyl-(Z)-2- (2- aminothiazol- 4-yl)-2- methoxyiminoacetate of formula (III) in the presence of triethylamine in methanol.
Figure imgf000011_0001
An improved process for the preparation of cefepime dihydrochloride monohydrate of formula (I) by condensing 7-amino-3-[(l -methyl- l-pyrrolidino) methyl]-3-cephem-4-carboxylate monohydrochloride dihydrate of formula (II) and 2-mercaptobenzothiazolyl-(Z)-2- (2- aminothiazol- 4-yl)-2- methoxyiminoacetate of formula (III) in the presence of triethylamine in methanol and methylene chloride.
Figure imgf000012_0001
(I)
Figure imgf000012_0002
(III)
PCT/IB2010/002300 2010-03-29 2010-09-15 Process for preparation of cefepime dihydrochloride monohydrate Ceased WO2011121389A1 (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103665003A (en) * 2013-11-28 2014-03-26 山东鑫泉医药有限公司 Refining method of high-purity cefepime dihydrochloride monohydrate

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
HAO JUNXIANG: "Studies on the synthesis of Cefepime Dihydrochloride", CHINESE DOCTORAL DISSERTATIONS & MASTER'S THESES FULL-TEXT DATABASE (MASTER) ENGINEERING SCIENCE AND TECHNOLOGY I, 15 December 2004 (2004-12-15) *

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103665003A (en) * 2013-11-28 2014-03-26 山东鑫泉医药有限公司 Refining method of high-purity cefepime dihydrochloride monohydrate

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