(3S,6S)-6-[2-[[(2S)-2-Benzyl-3-[(3R,4R)-4-(3-hydroxyphenyl)-3,4-dimethylpiperidin-1-yl]propanoyl]amino]acetyl]oxy-3,4,5-trihydroxyoxane-2-carboxylic acid

This compound is the acyl-beta-D-glucuronide metabolite of alvimopan, a peripherally acting mu-opioid receptor antagonist. It is a glucuronide conjugate formed via the carboxylic acid group of alvimopan, featuring a complex structure with multiple hydroxyl groups and aromatic rings.