N-((2S,3R,4S,6R)-3-hydroxy-6-methyl-2-(((2R,3S,4R,5R,8R,10R,11R,12S,13S,14R)-3,4,10-trihydroxy-13-(((2R,4R,5S,6S)-5-hydroxy-4-methoxy-4,6-dimethyltetrahydro-2H-pyran-2-yl)oxy)-3,5,6,8,10,12,14-heptamethyl-15-oxo-2-propyl-1-oxa-6-azacyclopentadecan-11-yl)oxy)tetrahydro-2H-pyran-4-yl)-N-methylnitrous amide