Clarithromycin EP Impurity K 

Chemical Name: (1S,2R,5R,6S,7S,8R,9R,11Z)-2-Ethyl-6-hydroxy-9-methoxy-1,5,7,9,11,13-hexamethyl-8-[[3,4,6-trideoxy-3-(dimethylamino)-β-D-xylo-hexopyranosyl]oxy]-3,15-dioxabicyclo[10.2.1]pentadeca-11,13-dien-4-one ;

Smile: C[C@@](OC)(C/C(C)=C1O[C@@]2(C)C=C\1C)[C@@H]([C@H]([C@@H]([C@H](C(O[C@]2([H])CC)=O)C)O)C)O[C@@](O[C@H](C)C[C@@H]3N(C)C)([H])[C@@H]3O