Pharmacokinetics of asundexian with combined CYP3A and P-gp inhibitors and an inducer: Target in vitro and in vivo studies.

AIMS: Asundexian is an oral, direct and reversible inhibitor of activated factor XI (FXIa) in development for the treatment of thromboembolic events. This article summarizes results from preclinical and clinical studies, including identification of enzymes involved in asundexian pharmacokinetics, and evaluation of potential target drug-drug interactions. METHODS: In vitro studies investigated the substrate characteristics of asundexian towards several cytochrome P450 (CYP) isoforms, hydrolytic enzymes and drug transporters. Inhibition of the amide hydrolysis of asundexian was investigated in vitro for several relevant drugs. Phase 1 studies in healthy male participants investigated the pharmacokinetics (PK) of asundexian upon co-administration of combined inhibitors or an inducer of P-gp and CYP3A4 (itraconazole, verapamil or carbamazepine, respectively, or the moderate CYP3A4 inhibitor fluconazole). The pharmacodynamic (PD) markers are activated partial thromboplastin time and FXIa inhibition. RESULTS: Asundexian was predominantly metabolized via carboxylesterase 1 and, to a lesser extent, via CYP3A4 and is a substrate of P-gp. The asundexian area under the plasma concentration-time curve (AUC) increased by 103% and 75.6% upon combined inhibition of P-gp and strong or moderate inhibition of CYP3A4, respectively, but was unaffected by moderate CYP3A4 inhibition. Combined P-gp and CYP3A4 induction by carbamazepine decreased asundexian AUC by 44.4%. PD is concentration-dependent, thus no differences in maximum responses and recovery commensurate with PK effect(s) were observed. Adverse events were mild and asundexian was well tolerated. CONCLUSIONS: The presented studies confirmed that CYP3A4 and P-gp contribute to asundexian metabolism and excretion. Observed effects were in line with data from a previous mass balance study.

Codon-specific translation reprogramming promotes resistance to targeted therapy.

Reprogramming of mRNA translation has a key role in cancer development and drug resistance 1 . However, the molecular mechanisms that are involved in this process remain poorly understood. Wobble tRNA modifications are required for specific codon decoding during translation2,3. Here we show, in humans, that the enzymes that catalyse modifications of wobble uridine 34 (U34) tRNA (U34 enzymes) are key players of the protein synthesis rewiring that is induced by the transformation driven by the BRAF V600E oncogene and by resistance to targeted therapy in melanoma. We show that BRAF V600E -expressing melanoma cells are dependent on U34 enzymes for survival, and that concurrent inhibition of MAPK signalling and ELP3 or CTU1 and/or CTU2 synergizes to kill melanoma cells. Activation of the PI3K signalling pathway, one of the most common mechanisms of acquired resistance to MAPK therapeutic agents, markedly increases the expression of U34 enzymes. Mechanistically, U34 enzymes promote glycolysis in melanoma cells through the direct, codon-dependent, regulation of the translation of HIF1A mRNA and the maintenance of high levels of HIF1α protein. Therefore, the acquired resistance to anti-BRAF therapy is associated with high levels of U34 enzymes and HIF1α. Together, these results demonstrate that U34 enzymes promote the survival and resistance to therapy of melanoma cells by regulating specific mRNA translation.

Expansion of Zirconium Oxide Clusters by 3d/4f Ions.

Two series of charge-neutral coordination clusters featuring quasi-isostructural metal oxide cores, isolated as [Zr6Fe2Ln2O8(ib)14(bda)2(NO3)2]·xMeCN (Ln = La (1), Ce (2), Pr (3), and Nd (4); ib- = isobutyrate; H2bda = N-butyldiethanolamine) and [Zr6Fe2Ln2O8(ib)14(mda)2(NO3)2]·xMeCN (Ln = La (5), Ce (6), Pr (7), and Nd (8); H2mda = N-methyldiethanolamine), were obtained via one-pot reactions of [Fe3O(ib)6(H2O)3]NO3 as a critical precursor, Ln(NO3)3·6H2O (Ln = La, Ce, Pr, and Nd), the respective aminoalcohol, and [Zr6O4(OH)4(ib)12(H2O)]·3Hib in an acetonitrile solution. The coordination clusters in 1-8 feature {Zr6O8} cores that are structurally expanded by two 4f (Ln3+) and two 3d (Fe3+) metal ions, each individually coordinated to one of the eight oxide centers of {Zr6O8}, producing a metal skeleton where the 3d/4f positions cap four of the triangular faces of the central Zr6 octahedron. The coordination clusters differ in the chosen aminoalcohol coligands, N-butyldiethanolamine or N-methyldiethanolamine, which lead to a different isobutyrate coordination pattern in the two series, while the {Fe2Ln2Zr6O8} core structure remains virtually unaffected. All eight coordination clusters are obtained in moderate to good yields of 29-66% after only several days. Complexes 1-8 are stable against air and moisture; they are also surprisingly thermally stable up to 280 °C in air and in nitrogen atmosphere, and they represent the first reported examples of 3d/4f-functionalized zirconium oxide clusters.

{P2V3W15}-Polyoxometalates Functionalized with Phthalocyaninato Y and Yb Moieties.

A tris(alkoxo)pyridine-augmented Wells-Dawson polyoxometalate (nBu4N)6[WD-Py] (WD = P2V3W15O59(OCH2)3C, Py = C5H4N) was functionalized with phthalocyaninato metal moieties (MPc where M = Y or Yb and Pc = C32H16N8) to afford (nBu4N)4[HWD-Py(MPc)] compounds. High-resolution mass spectrometry was used to detect and identify the hybrid assembly. The magnetism studies reveal substantial differences between M = Yb (monomeric, single-ion paramagnetism) and M = Y (containing dimers, radical character). The results of electronic paramagnetic resonance spectroscopy, SQUID magnetometry, and magnetochemical calculations indicate the presence of intramolecular charge transfer from the MPc moiety to the polyoxometalate and of intermolecular charge transfer from the MPc moiety of one molecule to the polyoxometalate unit of another molecule. These compounds with identified VIV ions represent unique examples of transition-metal/lanthanide complex-POM hybrid compounds with nonphotoinduced charge transfer between electron donor and acceptor centers.

Synthesis, Structure, and Surface Adsorption Characteristics of a Polynuclear MnII,IV-YbIII Complex.

The controlled adsorption of polynuclear coordination compounds with specific structural and electronic characteristics on surfaces is crucial for the prospective implementation of molecule-surface interfaces into practical electronic devices. From this perspective, a neutral 3d,4f-coordination cluster [MnII3MnIVYb3O3(OH)(L·SMe)3(OOCMe)9]·2MeCN·3EtOH (1·2MeCN·3EtOH), where L·SMe- is a Schiff base, has been synthesized and fully characterized and its adsorption on two different solid substrates, gold and graphite, has been studied. The mixed-valence compound with a bilayered metal core structure and the structurally exposed thioether groups exhibits a substantially different surface bonding to metallic gold and semimetallic graphite substrates. While on graphite the adsorption takes place only on distinguished attraction points with a locally increased number of potential bonding sites such as terrace edges and other surface defects, on gold the molecules were found to adsorb rather weakly on randomly distributed adsorption sites of the surface terraces. This entirely different behavior provides important information for the development of advanced surface materials that may enable well-distributed ordered molecular assemblies.

Element-Selective Molecular Charge Transport Characteristics of Binuclear Copper(II)-Lanthanide(III) Complexes.

A series of isostructural dinuclear 3d-4f complexes, isolated as [CuLn(L·SMe)2(OOCMe)2(NO3)]· xMeOH (Ln = Gd 1, Tb 2, Dy 3, and Y 4; x = 0.75-1) and comprising one acetate and two thioether-Schiff base (L·SMe-) bridging ligands based on 4-(methylthio)aniline and 2-hydroxy-3-methoxybenzaldehyde (HL·SMe = C15H15NO2S), was synthesized and fully characterized. The magnetic properties of the charge-neutral {CuLn} complexes are dominated by ferromagnetic CuII-LnIII exchange interactions. Large-area electron transport studies reveal that the average conductivity of robust, self-assembled {CuLn} monolayers on a gold substrate is significantly lower than that of common alkanethiolates. Theoretical calculations of transmission spectra of individual complexes 1 and 4 embedded between two metallic electrodes show that the molecular current-voltage ( I- V) characteristics are strongly influenced by electron transport through the Cu centers and thus fully independent of the lanthanide ion, in excellent agreement with the experimental I- V data for 1-4. The ß-polarized transmission indicated by calculations of 1 and 4 points out their potential as spin filters. In addition, the reactivity of the title compound 1 with CuII in a square-pyramidal coordination environment toward methanolate and azide was examined, resulting in the formation of a linear trinuclear complex, [Cu2Na(L·SMe)4]NO3·3MeOH (5), characterized by antiferromagnetic exchange interactions between the two copper ions.

Probing Frontier Orbital Energies of {Co9(P2W15)3} Polyoxometalate Clusters at Molecule-Metal and Molecule-Water Interfaces.

Functionalization of polyoxotungstates with organoarsonate coligands enabling surface decoration was explored for the triangular cluster architectures of the composition [CoII9(H2O)6(OH)3(p-RC6H4AsVO3)2(α-PV2WVI15O56)3]25- ({Co9(P2W15)3}, R = H or NH2), isolated as Na25[Co9(OH)3(H2O)6(C6H5AsO3)2(P2W15O56)3]·86H2O (Na-1; triclinic, P1̅, a = 25.8088(3) Å, b = 25.8336(3) Å, c = 27.1598(3) Å, α = 78.1282(11)°, ß = 61.7276(14)°, γ = 60.6220(14)°, V = 13888.9(3) Å3, Z = 2) and Na25[Co9(OH)3(H2O)6(H2NC6H4AsO3)2(P2W15O56)3]·86H2O (Na-2; triclinic, P1̅, a = 14.2262(2) Å, b = 24.8597(4) Å, c = 37.9388(4) Å, α = 81.9672(10)°, ß = 87.8161(10)°, γ = 76.5409(12)°, V = 12920.6(3) Å3, Z = 2). The axially oriented para-aminophenyl groups in 2 facilitate the formation of self-assembled monolayers on gold surfaces and thus provide a viable molecular platform for charge transport studies of magnetically functionalized polyoxometalates. The title systems were isolated and characterized in the solid state, in aqueous solutions, and on metal surfaces. Using conducting tip atomic force microscopy, the energies of {Co9(P2W15)3} frontier molecular orbitals in the surface-bound state were found to directly correlate with cyclic voltammetry data in aqueous solution.

No Influence of Asundexian on Cardiac Repolarization.

Inhibition of activated factor XI reduces thrombogenesis while maintaining physiological hemostasis, with the expectation of reduced bleeding risk compared with standard of care in the clinical setting. Asundexian (BAY 2433334), an activated factor XI inhibitor, is in clinical development for the prevention of thromboembolic events. The effect of asundexian and its plasma metabolite M10 on cardiac repolarization and potential interactions with the hNav1.5 sodium, hCav1.2 calcium, and human ether-à-go-go-related gene (hERG) potassium channels was investigated in vitro. Additionally, asundexian effects on cardiac parameters and electrocardiogram were examined in telemetered beagle dogs. A randomized, placebo-controlled, 4-way crossover, thorough QT study in healthy adults evaluated the influence of 50 and 150 mg of asundexian on the corrected QT interval, including 400 mg of moxifloxacin as positive control. Across all studies, asundexian and M10 were not associated with any effects on cardiac repolarization. The largest in vitro effects of asundexian (approximately 20% inhibition) were seen for hCav1.2 and hERG. Throughout the thorough QT study, the upper limits of the one-sided 95% confidence interval of placebo-corrected mean changes from baseline in Fridericia corrected QT for 50 and 150 mg of asundexian were below Δ = 10 milliseconds. Asundexian demonstrated favorable safety and tolerability profiles.

Synthesis and structures of cobalt-expanded zirconium- and cerium-oxo clusters as precursors for mixed-metal oxide thin films.

Transforming current complementary metal-oxide-semiconductor (CMOS) technology to fabricate memory chips and microprocessors into environmentally friendlier electronics requires the development of new approaches to resource- and energy-efficient electron transport and switching materials. Metal and multi-metal oxide layers play a key role in high-end technical applications. However, these layers are commonly produced through high-energy and high-temperature procedures. Herein, we demonstrate our first attempts to obtain stimuli-responsive mixed-metal oxide thin films from solution-processed molecular precursors under milder conditions. The molecular compounds of interest were prepared by one-pot reactions of a CoII carboxylate complex, triethylamine (Et3N), N-butyldiethanolamine (H2bda), and a hexanuclear complex [Ce6O4(OH)4(piv)12] (Hpiv = pivalic acid) or [Zr6O4(OH)4(ib)12(H2O)]·3Hib (Hib = isobutyric acid) in acetonitrile solution. The resulting charge-neutral, heterometallic coordination compounds display a ligand-supported pentanuclear {CeIV3CoIII2} core (in 1) and a dodecanuclear {ZrIV6CoII6} core (in 2), exhibiting thermal stability up to ca. 100 °C in air. Compound 2 was deposited and analyzed on Au(111) and SiO2/Si(100) surfaces to explore its potential as a single-molecule precursor for the preparation of atomically precise, complex mixed-metal oxide thin films. The adsorption characteristics of it demonstrate the ability to form stable agglomerates on the investigated surfaces.

Zigzag polymer chains in catena-poly[[[triaqua(isobutyrato-κO)magnesium(II)]-µ-isobutyrato-κ(2)O:O'] monohydrate].

The structure of the title compound, {[Mg(C4H7O2)2(H2O)3]·H2O}n, features one-dimensional ···(µ2-ib)Mg(µ2-ib)Mg··· zigzag chains (ib is isobutyrate) parallel to the c axis. The octahedral Mg environment is completed by three fac-oriented terminal water ligands, as well as one further monodentate end-on coordinated ib ligand. In the crystal structure, the hydrophobic ib groups are all oriented within one half of the coordination perimeter of each chain, whereas the water ligands, together with hydrogen-bonded noncoordinated solvent water molecules, define the other half. Along the a axis, neighbouring strands are oriented so that both the hydrophilic and hydrophobic sides are adjacent to each other. This results in an extensive hydrogen-bonding network within the hydrophilic areas, also involving an additional solvent water molecule per formula unit. There are van der Waals contacts between the aliphatic isopropyl groups of the hydrophobic areas.

Increasing the redox switching capacity of Lindqvist-type hexavanadates by organogold post-functionalisation.

The covalent attachment of organogold(I) moieties to the Lindqvist-type polyoxovanadate results in a measurable charge re-distribution across the formed Au-{V6}-Au linkages. Scanning probe microscopy studies of these hybrid compounds on the Au(111) surface demonstrate the increase in the number of switching states with stepwise increase in molecular conductance, compared with unfunctionalised hexavanadates.

Patient-reported ability to walk 4 m and to wash: New clinical endpoints and predictors of survival in patients with pre-terminal cancer.

BACKGROUND: Maintaining the ability to perform self-care is a critical goal in patients with cancer. We assessed whether the patient-reported ability to walk 4 m and wash oneself predict survival in patients with pre-terminal cancer. METHODS: We performed a prospective observational study on 169 consecutive hospitalized patients with cancer (52% female, 64 ± 12 years) and an estimated 1-12 months prognosis at an academic, inpatient palliative care unit. Patients answered functional questions for 'today', 'last week', and 'last month', performed patient-reported outcomes (PROs), and physical function assessments. RESULTS: Ninety-two (54%) patients reported the ability to independently walk 4 m and 100 (59%) to wash 'today'. The median number of days patients reported the ability to walk 4 m and wash were 6 (IQR 0-7) and 7 (0-7) days ('last week'); and 27 (5-30) and 26 (10-30) days ('last month'). In the last week, 32% of patients were unable to walk 4 m on every day and 10% could walk on 1-3 days; 30% were unable to wash on every day and 10% could wash on 1-3 days. In the last months, 14% of patients were unable to walk 4 m on every day and 10% could only walk on 1-10 days; 12% were unable to wash on every day and 11% could wash on 1-10 days. In patients who could walk 'today' average 4 m gait speed was 0.78 ± 0.28 m/s. Patients who reported impaired walking and washing experienced more symptoms (dyspnoea, exertion, and oedema) and decreased physical function (higher Eastern Cooperative Oncology Group Performance Status, and lower Karnofsky Performance Status and hand-grip strength [unable vs. able to walk 'today': 205 ± 87 vs. 252 ± 78 Newton, P = 0.001; unable vs. able to wash 'today': 204 ± 86 vs. 250 ± 80 Newton, P = 0.001]). During the 27 months of observation, 152 (90%) patients died (median survival 46 days). In multivariable Cox proportional hazards regression analyses, all tested parameters were independent predictors of survival: walking 4 m 'today' (HR 0.63, P = 0.015), 'last week' (per 1 day: HR 0.93, P = 0.011), 'last month' (per 1 day: HR 0.98, P = 0.012), 4 m gait speed (per 1 m/s: HR 0.45, P = 0.002), and washing 'today' (HR 0.67, P = 0.024), 'last week (per 1 day HR 0.94, p=0.019), and 'last month' (per 1 day HR 0.99, P = 0.040). Patients unable to walk and wash experienced the shortest survival and most reduced functional status. CONCLUSIONS: In patients with pre-terminal cancer, the self-reported ability to walk 4 m and wash were independent predictors of survival and associated with decreased functional status.

Synthesis and crystal structure of a one-dimensional chain-like strontium(II) coordination polymer built of N-methyldi-ethano-lamine and isobutyrate ligands.

The one-dimensional coordination polymer (I) [Sr(ib)2(H2mda)] n (Hib = isobutyric acid, C4H8O2, and H2mda = N-methyldi-ethano-lamine, C5H13NO2), namely, catena-poly[[(N-methyldi-ethano-lamine-κ3 O,N,O')strontium(II)]-di-µ2-isobutyrato-κ3 O,O':O;κ3 O:O,O'], was prepared by the one-pot aerobic reaction of [Zr6O4(OH)4(ib)12(H2O)]·3Hib with Sr(NO3)2 and H2mda in the presence of MnCl2 and Et3N in aceto-nitrile. The use of MnCl2 is key to the isolation of I as high-quality colorless crystals in good yield. The mol-ecular solid-state structure of I was determined by single-crystal X-ray diffraction. Compound I crystallizes in the monoclinic space group P21/c and shows a one-dimensional polymeric chain structure. Each monomeric unit of this coordination polymer consists of a central SrII ion in the NO8 coordination environment of two deprotonated ib- ligands and one fully protonated H2mda ligand. The C and O atoms of the H2mda ligand were refined as disordered over two sets of sites with site occupancies of 0.619 (3) and 0.381 (3). Compound I shows thermal stability up to 130°C in air.

Conductive Self-Assembled Monolayers of Paramagnetic {CoII Co 4 III } and { Co 4 II Co 2 III } Coordination Clusters on Gold Surfaces.

Two polynuclear cobalt(II,III) complexes, [Co5(N3)4(N-n-bda)4(bza·SMe)2] (1) and [Co6(N3)4(N-n-bda)2(bza·SMe)5(MeOH)4]Cl (2), where Hbza·SMe = 4-(methylthio)benzoic acid and N-n-H2bda = N-n-butyldiethanolamine, were synthesized and fully characterized by various techniques. Compound 1 exhibits an unusual, approximately C 2-symmetric {CoII Co 4 III } core of two isosceles Co3 triangles with perpendicularly oriented planes, sharing a central, high-spin CoII ion residing in a distorted tetrahedral coordination environment. This central CoII ion is connected to four outer, octahedrally coordinated low-spin CoIII ions via oxo bridges. Compound 2 comprises a semi-circular { Co 4 II Co 2 III } motif of four non-interacting high-spin CoII and two low-spin CoIII centers in octahedral coordination environments. Self-assembled monolayers (SAMs) of 1 and 2 were physisorbed on template-stripped gold surfaces contacted by an eutectic gallium-indium (EGaIn) tip. The acquired current density-voltage (I-V) data revealed that the cobalt-based SAMs are more electrically robust than those of the previously reported dinuclear {CuIILnIII} complexes with Ln = Gd, Tb, Dy, or Y (Schmitz et al., 2018a). In addition, between 170 and 220°C, the neutral, mixed-valence compound 1 undergoes a redox modification, yielding a {Co5}-based coordination cluster (1-A) with five non-interacting, high-spin octahedral CoII centers as indicated by SQUID magnetometry analysis in combination with X-ray photoelectron spectroscopy and infrared spectroscopy. Solvothermal treatment of 1 results in a high-nuclearity coordination cluster, [Co10(N3)2(N-n-bda)6(bza·SMe)6] (3), containing 10 virtually non-interacting high-spin CoII centers.

An MR guidewire based on micropultruded fiber-reinforced material.

A novel fiber-reinforced material for the realization of MR guidewires, made using a newly-developed production process, is presented. The MR-safe artificial material provides a high stiffness and torque and allows the production, in a large range of sizes, of nonmetallic MR guidewires with similar mechanical properties as conventional metallic guidewires. Based on this material, a passively visualized MR guidewire has been developed, and was found to conform to existing standards on mechanical stability. Handling and steerability were evaluated in animal studies and were found to be comparable with conventional metallic guidewires. X-ray visibility is provided by a BaSO(4)- and tungsten-doped jacket. A hydrophilic coating improves sliding properties and hemocompatibility.

Supramolecular 3d-4f single-molecule magnet architectures.

The nanosized self-assemblies {[{LnIII}{H2O⊂CrLn}]2(H2O)} (Ln = Dy, 1 and Tb, 2) based on new 3d-4f mixed-metal coordination topologies are formed via extensive intramolecular hydrogen bonding that is directed by enclosed water molecules. Compounds 1 and 2 show single-molecule magnet characteristics manifested by hysteresis loops up to 1.6 K (Ueff = 8.3 cm-1) and 1 K (Ueff = 3.4 cm-1), respectively.

A regioselective Huisgen reaction inside a Keplerate polyoxomolybdate nanoreactor.

A 1,3-dipolar cycloaddition reaction taking place quantitatively between propiolic acid "guests" and azide functions previously attached to binding sites within the cavity of a {Mo(132)}-type Keplerate reproducibly gives a 2 : 1 ratio of 1,4- and 1,5-triazoles.

Preclinical evaluation of a novel fiber compound MR guidewire in vivo.

PURPOSE: Interventional magnetic resonance imaging requires dedicated and MR-compatible devices. The guidewire is a key item for intravascular interventions. Mechanical stability, good visibility during real-time imaging, and RF safety are essential. A novel fiber-compound MR guidewire (GW) was evaluated in different MR-guided interventional scenarios. MATERIALS AND METHODS: The GW (diameter 0.032") consists of a fiber-compound produced using a micropultrusion technique doped with iron particles and a 10-cm Nitinol tip. Several iron splints are additionally attached at regular distances to visualize GW-movement. A protective polymer jacket with hydrophilic coating covers the core material. As approved by the government committee on animal investigations, the GW was evaluated in 5 pigs. Under complete MR-guidance, catheterization of the carotid and renal arteries, segmental arteries of the kidneys, the contralateral inguinal artery, and the left ventricle was performed using real-time gradient echo sequences in a 1.5 Tesla scanner. Different interventional applications including balloon dilatation, stent deployment, and embolization of small vessels were investigated. The time to probe the vessels under magnetic resonance imaging guidance and visibility of the GW are assessed. Handling and visibility under fluoroscopy were compared with a standard Nitinol guidewire as a benchmark. RESULTS: On real-time magnetic resonance imaging, the iron-induced artifacts enabled a distinct visualization of the GW shaft and of its markings with a mean size of 2.6 mm and 5.4 mm, respectively. This facilitated fast navigation to the target vessels (averages: renal arteries 16 seconds, carotid artery 5 seconds, and contralateral inguinal artery 42 seconds.) with an exact depiction of the respective vessel. All interventional procedures were performed successfully. No GW-related side effects as kinking or breakage of the wire or GW induced blood-clotting were observed. All interventionalists assessed handling of the GW to be nearly equal in terms of stiffness, flexibility, and guidance compared with a standard Nitinol guidewire. X-ray visibility was less distinct but still diagnostically good. CONCLUSION: With the aid of the GW, different fully real-time MR-guided endovascular interventions become feasible.