C60 H80 F3 N11 O6 S 1140.408 (2R)-2-{(5S)-7-[(2R,3R)-3-cyclopropyl-1-methylaziridine-2-carbonyl]-2,7-diazaspiro[4.4]nonan-2-yl}-N-[(1P,7S,9S,13S,20M)-20-{5-(4-cyclopropylpiperazin-1-yl)-2-[(1R)-1-methoxyethyl]pyridin-3-yl}-17,17-dimethyl-8,14-dioxo-21-(2,2,2-trifluoroethyl)-15-oxa-4-thia-9,21,27,28-tetraazapentacyclo[17.5.2.1~2,5~.1~9,13~.0~22,26~]octacosa-1(24),2,5(28),19,22,25-hexaen-7-yl]-3-methylbutanamide (non-preferred name) N 0 Corina N 2024-10-24 9E3S N 2025-07-18 RCSB REL HETAIN A1BEA non-polymer C1 0 33.923 -21.728 35.676 1 N C1 A1BEA N 2.736 -4.187 -1.452 1 S C C2 0 32.003 -28.780 41.371 1 N C10 A1BEA N 7.864 3.039 -0.603 2 R C C3 0 31.206 -30.048 41.510 1 N C11 A1BEA N 7.888 4.529 -0.949 3 R C C4 0 31.814 -31.398 41.275 1 N C12 A1BEA N 7.233 5.497 0.039 4 N C C5 0 30.914 -32.595 41.147 1 N C13 A1BEA N 7.154 6.971 -0.364 5 N C C6 0 31.740 -32.413 42.382 1 N C14 A1BEA N 8.136 6.526 0.723 6 N C C7 0 31.060 -28.782 43.687 1 N C15 A1BEA N 9.988 3.548 -1.649 7 N C C8 0 31.913 -27.830 38.650 1 N C16 A1BEA N 4.907 2.635 -0.381 8 N C C9 0 32.258 -27.750 37.176 1 N C17 A1BEA N 3.706 1.701 -0.124 9 N C C10 0 37.554 -24.481 37.450 1 N C18 A1BEA N 3.411 -3.413 2.941 10 N C C11 0 37.987 -25.554 38.452 1 N C19 A1BEA N 3.510 -4.914 2.664 11 N C C12 0 35.549 -23.458 36.263 1 N C2 A1BEA N 3.267 -2.867 0.526 12 N C C13 0 38.107 -23.126 37.896 1 N C20 A1BEA N 4.139 -3.086 4.247 13 N C C14 0 32.390 -21.817 35.747 1 N C21 A1BEA N 3.594 -3.658 -2.603 14 N C C15 0 31.819 -22.625 34.618 1 Y C22 A1BEA N 3.383 -2.168 -2.718 15 N C C16 0 30.517 -23.144 32.901 1 Y C23 A1BEA N 2.315 -0.234 -2.415 16 N C C17 0 31.213 -24.303 32.992 1 Y C24 A1BEA N 3.376 0.269 -3.073 17 N C C18 0 29.506 -22.801 31.885 1 Y C25 A1BEA N 1.192 0.595 -1.911 18 N C C19 0 29.291 -21.466 31.561 1 Y C26 A1BEA N 0.094 -0.021 -1.325 19 N C C20 0 28.395 -21.140 30.549 1 Y C27 A1BEA N -0.961 0.763 -0.855 20 N C C21 0 27.685 -22.166 29.898 1 Y C28 A1BEA N -0.897 2.165 -0.965 21 N C C22 0 27.886 -23.506 30.218 1 Y C29 A1BEA N 0.214 2.759 -1.557 22 N C C23 0 36.020 -24.421 37.353 1 N C3 A1BEA N 4.056 -2.638 1.790 23 S C C24 0 28.798 -23.798 31.210 1 Y C30 A1BEA N 1.238 1.987 -2.023 24 N C C25 0 25.861 -22.312 28.179 1 N C31 A1BEA N -2.378 4.098 -0.301 25 N C C26 0 24.595 -22.420 29.032 1 N C32 A1BEA N -3.134 4.543 -1.554 26 N C C27 0 27.026 -20.190 29.018 1 Y C33 A1BEA N -2.851 1.644 0.030 27 N C C28 0 26.298 -19.214 28.192 1 Y C34 A1BEA N -4.171 1.805 0.677 28 N C C29 0 26.384 -19.179 26.772 1 Y C35 A1BEA N -4.262 2.190 2.015 29 N C C30 0 27.239 -20.144 25.979 1 N C36 A1BEA N -3.004 2.441 2.805 30 S C C31 0 28.113 -19.409 24.983 1 N C37 A1BEA N -3.139 1.811 4.193 31 N C C32 0 27.094 -22.189 24.775 1 N C38 A1BEA N -1.436 4.221 3.150 32 N C C33 0 24.986 -17.329 26.686 1 Y C39 A1BEA N -6.565 2.127 1.947 33 N C C34 0 33.983 -25.830 37.537 1 N C4 A1BEA N 4.594 -0.407 0.969 34 N C C35 0 24.852 -17.301 28.067 1 Y C40 A1BEA N -6.562 1.746 0.610 35 N C C36 0 23.162 -15.488 27.906 1 N C41 A1BEA N -8.916 1.765 0.818 36 N C C37 0 22.204 -14.744 28.807 1 N C42 A1BEA N -10.212 1.598 0.020 37 N C C38 0 21.977 -13.173 30.590 1 N C43 A1BEA N -11.524 0.023 -1.268 38 N C C39 0 21.409 -11.941 29.971 1 N C44 A1BEA N -11.834 -1.404 -1.725 39 N C C40 0 22.387 -11.828 31.091 1 N C45 A1BEA N -11.445 -0.339 -2.753 40 N C C41 0 23.718 -14.822 30.651 1 N C46 A1BEA N -9.109 0.015 -1.441 41 N C C42 0 24.702 -15.646 29.856 1 N C47 A1BEA N -7.813 0.182 -0.644 42 N C C43 0 25.524 -18.250 28.827 1 Y C48 A1BEA N -5.347 1.581 -0.045 43 N C C44 0 27.975 -19.895 29.984 1 Y C49 A1BEA N -2.243 0.458 -0.222 44 N C C45 0 33.737 -27.318 37.244 1 N C5 A1BEA N 4.034 1.000 1.199 45 S C C46 0 28.454 -18.539 30.407 1 N C50 A1BEA N -2.791 -0.912 0.086 46 N C C47 0 29.747 -18.018 29.746 1 N C51 A1BEA N -1.992 -1.544 1.226 47 N C C48 0 30.022 -16.618 30.309 1 N C52 A1BEA N -2.288 -0.799 2.530 48 N C C49 0 29.576 -17.929 28.227 1 N C53 A1BEA N -0.497 -1.449 0.914 49 N C C50 0 30.950 -18.906 30.043 1 N C54 A1BEA N -2.388 -3.013 1.378 50 N C C51 0 32.397 -19.390 31.845 1 N C55 A1BEA N -1.594 -5.173 0.751 51 N C C52 0 32.724 -19.005 33.263 1 N C56 A1BEA N -0.688 -6.093 -0.028 52 S C C53 0 33.051 -17.505 33.311 1 N C57 A1BEA N -0.569 -7.432 0.692 53 N C C54 0 33.544 -17.105 34.691 1 N C58 A1BEA N 0.692 -8.181 0.281 54 N C C55 0 34.708 -17.985 35.087 1 N C59 A1BEA N 1.206 -7.677 -1.069 55 N C C56 0 34.456 -27.482 35.889 1 N C6 A1BEA N 2.791 0.831 2.074 56 N C C57 0 34.379 -20.306 35.980 1 N C60 A1BEA N 2.451 -5.652 -1.647 57 N C C58 0 35.592 -26.458 35.927 1 N C7 A1BEA N 2.682 -0.694 2.307 58 N C C59 0 34.268 -28.265 38.331 1 N C8 A1BEA N 5.073 1.915 1.866 59 N C C60 0 33.219 -28.865 40.501 1 N C9 A1BEA N 7.198 2.631 0.686 60 N C F1 0 23.628 -23.086 28.403 1 N F1 A1BEA N -4.314 3.802 -1.675 61 N F F2 0 24.802 -23.068 30.182 1 N F2 A1BEA N -3.446 5.903 -1.452 62 N F F3 0 24.101 -21.222 29.357 1 N F3 A1BEA N -2.334 4.332 -2.682 63 N F N1 0 34.541 -22.656 36.614 1 N N1 A1BEA N 3.450 -3.996 -0.187 64 N N N2 0 34.325 -19.395 34.957 1 N N10 A1BEA N 1.449 -6.234 -0.960 65 S N N3 0 33.854 -19.824 33.700 1 N N11 A1BEA N 0.641 -5.476 -0.151 66 N N N4 0 35.401 -25.736 37.203 1 N N2 A1BEA N 4.064 -1.204 2.109 67 N N N5 0 33.138 -28.367 39.259 1 N N3 A1BEA N 5.867 2.417 0.718 68 N N N6 0 31.912 -29.466 42.679 1 N N4 A1BEA N 9.101 3.826 -0.511 69 N N N7 0 30.863 -22.179 33.850 1 Y N5 A1BEA N 2.356 -1.549 -2.246 70 N N N8 0 26.873 -21.584 28.942 1 Y N6 A1BEA N -2.051 2.674 -0.409 71 N N N9 0 25.725 -18.253 26.055 1 Y N7 A1BEA N -5.436 2.335 2.595 72 N N N10 0 24.154 -16.275 28.647 1 N N8 A1BEA N -7.766 1.533 -0.067 73 N N N11 0 22.922 -13.930 29.797 1 N N9 A1BEA N -10.259 0.248 -0.557 74 N N O1 0 34.259 -29.372 40.923 1 N O1 A1BEA N 7.859 2.495 1.693 75 N O O2 0 36.060 -23.451 35.142 1 N O2 A1BEA N 2.468 -2.035 0.152 76 N O O3 0 26.397 -21.038 25.259 1 N O3 A1BEA N -2.799 3.849 2.940 77 N O O4 0 31.245 -18.833 31.465 1 N O4 A1BEA N -1.489 -3.844 0.597 78 N O O5 0 33.102 -20.065 31.134 1 N O5 A1BEA N -2.412 -5.631 1.513 79 N O O6 0 34.775 -19.977 37.090 1 N O6 A1BEA N 3.119 -6.305 -2.420 80 N O S1 0 32.361 -24.231 34.254 1 Y S1 A1BEA N 4.447 -1.072 -3.477 81 N S H1 0 34.236 -21.982 34.653 1 N H1 A1BEA N 1.795 -3.638 -1.421 82 N H H2 0 31.411 -27.859 41.270 1 N H12 A1BEA N 7.776 2.330 -1.427 83 N H H3 0 30.109 -29.968 41.476 1 N H13 A1BEA N 7.812 4.806 -2.000 84 N H H4 0 32.729 -31.416 40.665 1 N H14 A1BEA N 6.405 5.089 0.619 85 N H H5 0 29.822 -32.469 41.193 1 N H16 A1BEA N 7.569 7.251 -1.332 86 N H H6 0 31.161 -33.395 40.433 1 N H15 A1BEA N 6.275 7.533 -0.048 87 N H H7 0 31.255 -32.153 43.334 1 N H18 A1BEA N 7.902 6.795 1.753 88 N H H8 0 32.594 -33.079 42.575 1 N H17 A1BEA N 9.196 6.514 0.469 89 N H H9 0 31.692 -28.395 44.500 1 N H21 A1BEA N 9.389 3.382 -2.544 90 N H H10 0 30.525 -27.948 43.209 1 N H19 A1BEA N 10.651 4.398 -1.809 91 N H H11 0 30.332 -29.497 44.098 1 N H20 A1BEA N 10.581 2.658 -1.438 92 N H H12 0 31.061 -28.505 38.819 1 N H22 A1BEA N 5.372 2.388 -1.335 93 N H H13 0 31.677 -26.834 39.053 1 N H23 A1BEA N 4.575 3.673 -0.388 94 N H H14 0 32.144 -28.726 36.681 1 N H24 A1BEA N 2.787 2.280 -0.030 95 N H H15 0 31.642 -27.001 36.657 1 N H25 A1BEA N 3.613 0.972 -0.930 96 N H H16 0 37.965 -24.728 36.460 1 N H26 A1BEA N 2.362 -3.128 3.028 97 N H H17 0 39.085 -25.582 38.508 1 N H28 A1BEA N 3.162 -5.468 3.536 98 N H H18 0 37.575 -25.317 39.444 1 N H29 A1BEA N 2.892 -5.166 1.802 99 N H H19 0 37.611 -26.535 38.124 1 N H27 A1BEA N 4.548 -5.178 2.457 100 N H H20 0 39.204 -23.181 37.962 1 N H31 A1BEA N 5.187 -3.371 4.160 101 N H H21 0 37.822 -22.355 37.165 1 N H30 A1BEA N 4.068 -2.016 4.444 102 N H H22 0 37.693 -22.868 38.882 1 N H32 A1BEA N 3.679 -3.638 5.067 103 N H H23 0 32.106 -22.288 36.700 1 N H33 A1BEA N 4.645 -3.864 -2.401 104 N H H24 0 31.973 -20.800 35.702 1 N H34 A1BEA N 3.296 -4.142 -3.533 105 N H H25 0 31.062 -25.159 32.351 1 N H35 A1BEA N 3.541 1.309 -3.312 106 N H H26 0 29.817 -20.687 32.092 1 N H36 A1BEA N 0.057 -1.097 -1.234 107 N H H27 0 27.346 -24.290 29.707 1 N H37 A1BEA N 0.265 3.834 -1.648 108 N H H28 0 35.667 -24.004 38.308 1 N H3 A1BEA N 5.079 -2.984 1.648 109 N H H29 0 28.970 -24.831 31.474 1 N H38 A1BEA N 2.095 2.457 -2.484 110 N H H30 0 25.636 -21.770 27.249 1 N H40 A1BEA N -1.458 4.675 -0.207 111 N H H31 0 26.232 -23.319 27.936 1 N H39 A1BEA N -3.001 4.262 0.577 112 N H H32 0 27.883 -20.704 26.673 1 N H41 A1BEA N -2.154 1.998 2.286 113 N H H33 0 28.721 -20.134 24.423 1 N H42 A1BEA N -3.376 0.752 4.090 114 N H H34 0 27.478 -18.846 24.283 1 N H44 A1BEA N -2.199 1.921 4.735 115 N H H35 0 28.774 -18.713 25.520 1 N H43 A1BEA N -3.936 2.310 4.743 116 N H H36 0 26.394 -22.839 24.230 1 N H45 A1BEA N -1.043 3.687 4.015 117 N H H37 0 27.902 -21.871 24.099 1 N H47 A1BEA N -0.849 3.964 2.268 118 N H H38 0 27.522 -22.742 25.624 1 N H46 A1BEA N -1.375 5.295 3.327 119 N H H39 0 24.477 -16.580 26.098 1 N H48 A1BEA N -7.505 2.258 2.461 120 N H H40 0 33.795 -25.586 38.593 1 N H4 A1BEA N 4.235 -0.810 0.022 121 N H H41 0 33.369 -25.181 36.896 1 N H5 A1BEA N 5.684 -0.391 0.987 122 N H H42 0 23.693 -14.757 27.279 1 N H49 A1BEA N -8.866 2.775 1.223 123 N H H43 0 22.583 -16.169 27.265 1 N H50 A1BEA N -8.898 1.044 1.636 124 N H H44 0 21.573 -14.085 28.192 1 N H52 A1BEA N -11.067 1.741 0.681 125 N H H45 0 21.570 -15.472 29.334 1 N H51 A1BEA N -10.243 2.337 -0.781 126 N H H46 0 21.299 -13.746 31.240 1 N H53 A1BEA N -12.362 0.641 -0.945 127 N H H47 0 21.704 -11.651 28.952 1 N H55 A1BEA N -11.099 -2.176 -1.498 128 N H H48 0 20.353 -11.680 30.135 1 N H54 A1BEA N -12.875 -1.725 -1.702 129 N H H49 0 23.404 -11.456 30.898 1 N H57 A1BEA N -12.231 0.041 -3.406 130 N H H50 0 22.052 -11.484 32.081 1 N H56 A1BEA N -10.455 -0.410 -3.201 131 N H H51 0 24.273 -14.213 31.379 1 N H58 A1BEA N -9.128 0.736 -2.259 132 N H H52 0 23.037 -15.501 31.185 1 N H59 A1BEA N -9.159 -0.995 -1.847 133 N H H53 0 25.530 -14.989 29.553 1 N H61 A1BEA N -7.782 -0.557 0.157 134 N H H54 0 25.087 -16.442 30.510 1 N H60 A1BEA N -6.958 0.038 -1.305 135 N H H55 0 25.446 -18.239 29.904 1 N H62 A1BEA N -5.313 1.286 -1.084 136 N H H56 0 27.653 -17.819 30.183 1 N H64 A1BEA N -3.837 -0.826 0.381 137 N H H57 0 28.626 -18.571 31.493 1 N H63 A1BEA N -2.716 -1.540 -0.801 138 N H H58 0 30.940 -16.215 29.858 1 N H65 A1BEA N -3.365 -0.769 2.694 139 N H H59 0 29.176 -15.955 30.073 1 N H66 A1BEA N -1.807 -1.316 3.361 140 N H H60 0 30.146 -16.680 31.400 1 N H67 A1BEA N -1.902 0.218 2.463 141 N H H61 0 30.507 -17.556 27.774 1 N H68 A1BEA N -0.218 -0.403 0.784 142 N H H62 0 29.347 -18.927 27.825 1 N H69 A1BEA N 0.074 -1.878 1.737 143 N H H63 0 28.752 -17.240 27.991 1 N H70 A1BEA N -0.282 -1.998 -0.003 144 N H H64 0 30.720 -19.945 29.766 1 N H71 A1BEA N -2.325 -3.299 2.428 145 N H H65 0 31.819 -18.556 29.466 1 N H72 A1BEA N -3.409 -3.152 1.025 146 N H H66 0 31.851 -19.200 33.903 1 N H73 A1BEA N -1.105 -6.252 -1.025 147 N H H67 0 33.833 -17.282 32.570 1 N H74 A1BEA N -0.544 -7.256 1.768 148 N H H68 0 32.144 -16.930 33.071 1 N H75 A1BEA N -1.440 -8.043 0.453 149 N H H69 0 33.869 -16.054 34.674 1 N H77 A1BEA N 1.462 -8.030 1.038 150 N H H70 0 32.729 -17.225 35.420 1 N H76 A1BEA N 0.469 -9.245 0.206 151 N H H71 0 35.565 -17.776 34.430 1 N H79 A1BEA N 2.135 -8.188 -1.322 152 N H H72 0 34.987 -17.776 36.130 1 N H78 A1BEA N 0.460 -7.867 -1.840 153 N H H73 0 34.856 -28.501 35.783 1 N H6 A1BEA N 2.920 1.352 3.023 154 N H H74 0 33.769 -27.269 35.057 1 N H7 A1BEA N 1.907 1.201 1.554 155 N H H75 0 36.570 -26.962 35.908 1 N H8 A1BEA N 2.342 -0.900 3.322 156 N H H76 0 35.520 -25.766 35.075 1 N H9 A1BEA N 2.002 -1.141 1.581 157 N H H77 0 34.523 -29.248 37.909 1 N H11 A1BEA N 4.583 2.739 2.385 158 N H H78 0 35.152 -27.839 38.829 1 N H10 A1BEA N 5.703 1.348 2.551 159 N H H79 0 34.198 -22.693 37.553 1 N H2 A1BEA N 4.055 -4.681 0.137 160 N H H80 0 34.592 -19.749 33.030 1 N H80 A1BEA N 1.062 -5.340 0.756 161 N H N 1 N sing N 2 N sing N 3 N sing N 4 N sing N 5 N sing N 6 N sing N 7 N sing N 8 N sing N 9 N sing N 10 N sing N 11 N sing N 12 N doub N 13 N sing N 14 N sing N 15 N sing N 16 N sing N 17 N sing N 18 N sing N 19 N sing N 20 N sing N 21 N sing N 22 N sing N 23 N sing N 24 N sing N 25 N doub N 26 N sing N 27 N sing Y 28 N doub Y 29 N sing Y 30 N doub Y 31 N sing N 32 N sing Y 33 N doub Y 34 N sing Y 35 N doub Y 36 N sing Y 37 N doub Y 38 N sing N 39 N sing N 40 N sing N 41 N sing N 42 N sing N 43 N sing Y 44 N sing N 45 N sing Y 46 N doub N 47 N sing N 48 N sing N 49 N sing N 50 N sing Y 51 N sing Y 52 N doub Y 53 N sing N 54 N sing N 55 N sing N 56 N sing N 57 N sing N 58 N sing N 59 N sing N 60 N sing N 61 N sing N 62 N sing Y 63 N doub Y 64 N doub N 65 N sing N 66 N sing N 67 N sing N 68 N sing N 69 N sing N 70 N sing N 71 N sing N 72 N doub N 73 N sing N 74 N sing N 75 N sing N 76 N sing N 77 N sing N 78 N sing N 79 N doub N 80 N sing N 81 N sing N 82 N sing N 83 N sing Y 84 N sing Y 85 N sing Y 86 N sing N 87 N sing N 88 N sing Y 89 N sing N 90 N sing N 91 N sing N 92 N sing N 93 N sing N 94 N sing N 95 N sing N 96 N sing N 97 N sing N 98 N sing N 99 N sing N 100 N sing N 101 N sing N 102 N sing N 103 N sing N 104 N sing N 105 N sing N 106 N sing N 107 N sing N 108 N sing N 109 N sing N 110 N sing N 111 N sing N 112 N sing N 113 N sing N 114 N sing N 115 N sing N 116 N sing N 117 N sing N 118 N sing N 119 N sing N 120 N sing N 121 N sing N 122 N sing N 123 N sing N 124 N sing N 125 N sing N 126 N sing N 127 N sing N 128 N sing N 129 N sing N 130 N sing N 131 N sing N 132 N sing N 133 N sing N 134 N sing N 135 N sing N 136 N sing N 137 N sing N 138 N sing N 139 N sing N 140 N sing N 141 N sing N 142 N sing N 143 N sing N 144 N sing N 145 N sing N 146 N sing N 147 N sing N 148 N sing N 149 N sing N 150 N sing N 151 N sing N 152 N sing N 153 N sing N 154 N sing N 155 N sing N 156 N sing N 157 N sing N 158 N sing N 159 N sing N 160 N sing N 161 N sing N 162 N sing N 163 N sing N 164 N sing N 165 N sing N 166 N sing N 167 N sing N 168 N sing N 169 N sing N 170 N sing N 171 N sing N 172 N sing RCSB RCSB CN1C(C2CC2)C1C(=O)N1CCC2(CCN(C2)C(C(C)C)C(=O)NC2Cc3nc(cs3)c3ccc4n(CC(F)(F)F)c(c5cc(cnc5C(C)OC)N5CCN(CC5)C5CC5)c(CC(C)(C)COC(=O)C5CCCN(N5)C2=O)c4c3)C1 InChI=1S/C60H80F3N11O6S/c1-35(2)50(71-19-16-59(31-71)17-20-72(32-59)56(77)53-51(68(53)6)37-10-11-37)54(75)66-45-27-48-65-46(30-81-48)38-12-15-47-41(25-38)43(28-58(4,5)34-80-57(78)44-9-8-18-74(67-44)55(45)76)52(73(47)33-60(61,62)63)42-26-40(29-64-49(42)36(3)79-7)70-23-21-69(22-24-70)39-13-14-39/h12,15,25-26,29-30,35-37,39,44-45,50-51,53,67H,8-11,13-14,16-24,27-28,31-34H2,1-7H3,(H,66,75)/t36-,44?,45?,50?,51?,53?,59+,68+/m1/s1 ILULIGPRCUMTCR-NWDRJNHGSA-N CO[C@@H](C)c1ncc(cc1c2n(CC(F)(F)F)c3ccc4cc3c2CC(C)(C)COC(=O)[C@@H]5CCC[N@](N5)C(=O)[C@H](Cc6scc4n6)NC(=O)[C@H](C(C)C)N7CC[C@]8(CCN(C8)C(=O)[C@H]9[C@@H](C%10CC%10)N9C)C7)N%11CCN(CC%11)C%12CC%12 CO[CH](C)c1ncc(cc1c2n(CC(F)(F)F)c3ccc4cc3c2CC(C)(C)COC(=O)[CH]5CCC[N](N5)C(=O)[CH](Cc6scc4n6)NC(=O)[CH](C(C)C)N7CC[C]8(CCN(C8)C(=O)[CH]9[CH](C%10CC%10)N9C)C7)N%11CCN(CC%11)C%12CC%12 C[C@@H](c1c(cc(cn1)N2CCN(CC2)C3CC3)c4c5c6cc(ccc6n4CC(F)(F)F)-c7csc(n7)C[C@@H](C(=O)N8CCC[C@H](N8)C(=O)OCC(C5)(C)C)NC(=O)[C@H](C(C)C)N9CC[C@@]1(C9)CCN(C1)C(=O)[C@H]1[C@H](N1C)C1CC1)OC CC(C)C(C(=O)NC1Cc2nc(cs2)-c3ccc4c(c3)c(c(n4CC(F)(F)F)c5cc(cnc5C(C)OC)N6CCN(CC6)C7CC7)CC(COC(=O)C8CCCN(C1=O)N8)(C)C)N9CCC1(C9)CCN(C1)C(=O)C1C(N1C)C1CC1 (2R)-2-{(5S)-7-[(2R,3R)-3-cyclopropyl-1-methylaziridine-2-carbonyl]-2,7-diazaspiro[4.4]nonan-2-yl}-N-[(1P,7S,9S,13S,20M)-20-{5-(4-cyclopropylpiperazin-1-yl)-2-[(1R)-1-methoxyethyl]pyridin-3-yl}-17,17-dimethyl-8,14-dioxo-21-(2,2,2-trifluoroethyl)-15-oxa-4-thia-9,21,27,28-tetraazapentacyclo[17.5.2.1~2,5~.1~9,13~.0~22,26~]octacosa-1(24),2,5(28),19,22,25-hexaen-7-yl]-3-methylbutanamide (non-preferred name) (2~{S})-2-[(5~{S})-2-[(2~{R},3~{R})-3-cyclopropyl-1-methyl-aziridin-2-yl]carbonyl-2,7-diazaspiro[4.4]nonan-7-yl]-~{N}-[(7~{S},13~{S})-20-[5-(4-cyclopropylpiperazin-1-yl)-2-[(1~{S})-1-methoxyethyl]pyridin-3-yl]-17,17-dimethyl-8,14-bis(oxidanylidene)-21-[2,2,2-tris(fluoranyl)ethyl]-15-oxa-4-thia-9,21,27,28-tetrazapentacyclo[17.5.2.1^{2,5}.1^{9,13}.0^{22,26}]octacosa-1(25),2,5(28),19,22(26),23-hexaen-7-yl]-3-methyl-butanamide