Synonyms: 5H-Azeto[1,2-a]indolo[3''',2''':4'',5'']azocino[1'',2'':4',5']pyrazino[1',2':1,5]pyrrolo[2,3-b]indole-10,20(6H,10aH)-dione,11,11a,17,18-tetrahydro-11a-hydroxy-18-(hydroxymethyl)-6,6,17,17-tetramethyl-,[10aR-(10aa,11aa,18b,18aS*)]-; (+)-Okaramine E; Okaramine E