(3S,4aS,8aS)-N-(tert-Butyl)-2-{(2R)-2-hydroxy-2-[(10S,13S)-10-isopropyl-8,11-dioxo-2,5-dioxa-9,12-diazabicyclo[13.2.2]nonadeca-1(17),6,15,18-tetraen-13-yl]ethyl}decahydroisoquinoline-3-carboxamide AIDS-059190 AIDS059190 CO-Val-Phe-psi [CH(O)CH2]-DIQ-NH-tBu 17-member macrocylic