Moxalactam exists in two epimeric forms, R and S. The in vitro activity of these two epimers was compared with that of material available for clinical and laboratory use (R + S moxalactam). Generally, R moxalactam was twice as active as the S form. The stability of R + S moxalactam was studied at 37, 20, 4, and -20°C in buffer and serum. Only in serum at 37°C was there any appreciable loss of activity (half-life, 8 h). The stability of R and S epimers was studied separately, and the composition of the resulting equilibrium was investigated. At 37°C in serum, one-half of the excess of either R or S over the equilibrium mixture was converted into the equilibrium mixture in 1.5 h. The proportions of R to S in an equilibrium mixture in buffer were 50:50, but in serum they were 45:55. It is doubtful whether these differences in stability and activity will have any significant clinical importance.Moxalactam (LY127935, 6059S) is a broadspectrum oxa-f,-lactam (3). During a pharmacological study on this compound (6), it was observed that high-performance liquid chromatographic analysis of samples and standards yielded a double peak. Information from Lilly Research Centre Limited, Windlesham, U. K., indicated that these peaks corresponded to the two epimers of moxalactam. These epimers are known as R and S moxalactam and correspond to the D and L of prior nomenclature. This study compares two important properties of these epimers, the antimicrobial activity and stability.
MATERIALS AND METHODSThe two epimners, R (potency, 773 ig/mg) and S (potency, ">85%"; taken as 90%) moxalactam, together with an R and S mixture (potency, 10 mg of diacid material per sealed vial) available for clinical studies and stated to be a 50:50 mixture of the two epimers, were supplied by Lilly Research Centre Limited. Only a small amount of S moxalactam was available, and this limited the studies which could be performed. Neither the R nor the S material was pure as each contained some of the other epimer (T. Yoshida, personal communication).The strains studied were identified by the API (API Laboratory Products Ltd., Farnborough, England) method, and the production of /3-lactamase by certain strains was verified by the nitrocefin method (4).The minimum inhibitory concentrations of R, S, and R + S moxalactam were measured for the organisms listed in Table 1 The stability of R, S, and R + S moxalactam was studied by high-performance liquid chromatography with an Applied Chromatography pump (Luton, England) and an ultraviolet detector at 254 nm. A 10-cm Hypersil 5-,um octadecylsilane column was used. The solvent was 14% methanol-0.1% nitric acid in water at a flow rate of 2 ml/min. Serum samples were prepared by mixing with an equal volume of saturated ammonium sulfate, centrifuging and injecting 20 pl of the supernatant. Buffer samples were injected without the initial precipitation step. With this procedure, a 95% base-line separation was achieved, and the retention times of R and S moxalactam were 6 and 8 min, respectively (Fig. 1).The high-pe...