N-(((2R,3R,4S,6S)-6-(((2S,3R,4R,5S,8S,10S,12R,13R,14S)-11-(((2R,3S,4R,6S)-4-(dimethylamino)-3-hydroxy-6-methyltetrahydro-2H-pyran-2-yl)oxy)-2-ethyl-3,4,5,10-tetrahydroxy-3,8,10,12,14-pentamethyl-15-oxo-1-oxa-6-azacyclopentadecan-13-yl)oxy)-3-hydroxy-4-methoxy-2,4-dimethyltetrahydro-2H-pyran-3-yl)methyl)-N-propylnitrous amide