Heavy atom effects on synthetic pyranoanthocyanin analogues.

Pyranoflavylium cations are synthetic analogues of pyranoanthocyanins, the much more color-stable compounds that are formed spontaneously from grape anthocyanins during the maturation of red wines. In the present work, our studies of the photophysical properties of pyranoanthocyanin analogues are extended to include nine pyranoflavylium cations substituted with one or two bromo and/or iodo heavy atoms. The room temperature fluorescence, 77 K fluorescence and phosphorescence, triplet formation in solution, and sensitized singlet oxygen formation, with excited state acidity suppressed by the addition of trifluoroacetic acid, are compared to those of similar pyranoflavylium cations that do not contain a heavy atom.

Assessing tolerability with the Functional Assessment of Cancer Therapy item GP5: psychometric evidence from LIBRETTO-531, a phase 3 trial of selpercatinib in medullary thyroid cancer.

Background: This psychometric analysis generated evidence to support the use of the Functional Assessment of Cancer Therapy item GP5 (GP5) as a measure of tolerability and confirms the appropriateness of categorizing "high side-effect burden" using a rating of 3 or 4 (score ranges 0-4) in patients with advanced/metastatic RET-mutant medullary thyroid cancer (MTC).

Methodology: Blinded, pooled interim data from the safety population (n=290) enrolled in the phase 3 LIBRETTO-531 trial (NCT04211337) were used. Intraclass correlation coefficients (ICC) were calculated for test-retest reliability using data from cycles 1-2 post-baseline.