CC[C@@H]1O[C@]2(C[C@H](O)C1(C)C)OC(=O)C[C@@H]2NC(C)=O N-[(4S,5R,7S,9S)-9-ethyl-7-hydroxy-8,8-dimethyl-2-oxo-1,10-dioxaspiro[4.5]decan-4-yl]acetamide