ESMO-Magnitude of Clinical Benefit Scale for haematological malignancies (ESMO-MCBS:H) version 1.0.

BACKGROUND: The European Society for Medical Oncology (ESMO)-Magnitude of Clinical Benefit Scale (MCBS) has been accepted as a robust tool to evaluate the magnitude of clinical benefit reported in trials for oncological therapies. However, the ESMO-MCBS hitherto has only been validated for solid tumours. With the rapid development of novel therapies for haematological malignancies, we aimed to develop an ESMO-MCBS version that is specifically designed and validated for haematological malignancies. METHODS: ESMO and the European Hematology Association (EHA) initiated a collaboration to develop a version for haematological malignancies (ESMO-MCBS:H). The process incorporated five landmarks: field testing of the ESMO-MCBS version 1.1 (v1.1) to identify shortcomings specific to haematological diseases, drafting of the ESMO-MCBS:H forms, peer review and revision of the draft based on re-scoring (resulting in a second draft), assessment of reasonableness of the scores generated, final review and approval by ESMO and EHA including executive boards. RESULTS: Based on the field testing results of 80 haematological trials and extensive review for feasibility and reasonableness, five amendments to ESMO-MCBS were incorporated in the ESMO-MCBS:H addressing the identified shortcomings. These concerned mainly clinical trial endpoints that differ in haematology versus solid oncology and the very indolent nature of nevertheless incurable diseases such as follicular lymphoma, which hampers presentation of mature data. In addition, general changes incorporated in the draft version of the ESMO-MCBS v2 were included, and specific forms for haematological malignancies generated. Here we present the final approved forms of the ESMO-MCBS:H, including instructions. CONCLUSION: The haematology-specific version ESMO-MCBS:H allows now full applicability of the scale for evaluating the magnitude of clinical benefit derived from clinical studies in haematological malignancies.

HeH+ Collisions with H2: Rotationally Inelastic Cross Sections and Rate Coefficients from Quantum Dynamics at Interstellar Temperatures.

We report for the first time an accurate ab initio potential energy surface for the HeH+-H2 system in four dimensions (4D) treating both diatomic species as rigid rotors. The computed ab initio potential energy point values are fitted using an artificial neural network method and used in quantum close coupling calculations for different initial states of both rotors, in their ground electronic states, over a range of collision energies. The state-to-state cross section results are used to compute the rate coefficients over a range of temperatures relevant to interstellar conditions. By comparing the four dimensional quantum results with those obtained by a reduced-dimensions approach that treats the H2 molecule as an averaged, nonrotating target, it is shown that the reduced dimensionality results are in good accord with the four dimensional results as long as the HeH+ molecule is not initially rotationally excited. By further comparing the present rate coefficients with those for HeH+-H and for HeH+-He, we demonstrate that H2 molecules are the most effective collision partners in inducing rotational excitation in HeH+ cation at interstellar temperatures. The rotationally inelastic rates involving o-H2 and p-H2 excitations are also obtained and they turn out to be, as in previous systems, orders of magnitude smaller than those involving the cation. The results for the H2 molecular partner clearly indicate its large energy-transfer efficiency to the HeH+ system, thereby confirming its expected importance within the kinetics networks involving HeH+ in interstellar environments.

Efficiency of rovibrational cooling of HeH+ by collisions with He: Cross sections and rate coefficients from quantum dynamics.

By extending an earlier study [Gianturco et al., J. Chem. Phys. 154, 054311 (2021)] on the purely rotational excitation of HeH+ by He atoms, we report in this paper integral cross sections and rate coefficients for rovibrational excitation and de-excitation processes in HeH+ due to collisions with He. The data were obtained using a new ab initio potential energy surface that includes the vibrational degree of freedom. The results are compared with those computed using the earlier potential energy surface by Panda and Sathyamurthy [J. Phys. Chem. A 107, 7125 (2003)] that additionally accounts for the proton-exchange reaction between HeH+ and He. It is shown that the exchange channel contributes nearly as much as the inelastic channel to the vibrational excitation and de-excitation processes and that the total rate constants pertaining to the purely inelastic processes are largely of the same magnitude as those obtained when both inelastic and reactive channels are included in the dynamics. The inelastic rovibrational rate coefficients involving this astrophysical cation are also found to be much larger than those obtained for anions present in similar interstellar environments.

Dynamics of HeHHe+ Rotational State Changes Induced by Collision with He: A Possible New Path in Early Universe Chemistry.

Ab initio calculations are employed to generate the rigid rotor (RR) potential energy surface (PES) describing the interaction of the linear molecular cation HeHHe+, at its equilibrium geometry, with the neutral He atom. The resulting interaction is employed to investigate the efficiency of rotational state-changing collisions at the temperatures relevant to the early universe conditions, where the latter molecule has been postulated to exist, albeit not yet observed. The inelastic rate coefficients are found to be fairly large and are compared with those found for another important cation just recently observed in the interstellar medium: the HeH+ polar molecule. The possibility for this cation to provide new options to energy dissipation routes under early universe conditions after the recombination era is briefly discussed.

Biases in study design, implementation, and data analysis that distort the appraisal of clinical benefit and ESMO-Magnitude of Clinical Benefit Scale (ESMO-MCBS) scoring.

BACKGROUND: The European Society for Medical Oncology-Magnitude of Clinical Benefit Scale (ESMO-MCBS) is a validated, widely used tool developed to score the clinical benefit from cancer medicines reported in clinical trials. ESMO-MCBS scores assume valid research methodologies and quality trial implementation. Studies incorporating flawed design, implementation, or data analysis may generate outcomes that exaggerate true benefit and are not generalisable. Failure to either indicate or penalise studies with bias undermines the intention and diminishes the integrity of ESMO-MCBS scores. This review aimed to evaluate the adequacy of the ESMO-MCBS to address bias generated by flawed design, implementation, or data analysis and identify shortcomings in need of amendment. METHODS: As part of a refinement of the ESMO-MCBS, we reviewed trial design, implementation, and data analysis issues that could bias the results. For each issue of concern, we reviewed the ESMO-MCBS v1.1 approach against standards derived from Helsinki guidelines for ethical human research and guidelines from the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use, the Food and Drugs Administration, the European Medicines Agency, and European Network for Health Technology Assessment. RESULTS: Six design, two implementation, and two data analysis and interpretation issues were evaluated and in three, the ESMO-MCBS provided adequate protections. Seven shortcomings in the ability of the ESMO-MCBS to identify and address bias were identified. These related to (i) evaluation of the control arm, (ii) crossover issues, (iii) criteria for non-inferiority, (iv) substandard post-progression treatment, (v) post hoc subgroup findings based on biomarkers, (vi) informative censoring, and (vii) publication bias against quality-of-life data. CONCLUSION: Interpretation of the ESMO-MCBS scores requires critical appraisal of trials to understand caveats in trial design, implementation, and data analysis that may have biased results and conclusions. These will be addressed in future iterations of the ESMO-MCBS.

Energy-transfer quantum dynamics of HeH+ with He atoms: Rotationally inelastic cross sections and rate coefficients.

Two different ab initio potential energy surfaces are employed to investigate the efficiency of the rotational excitation channels for the polar molecular ion HeH+ interacting with He atoms. We further use them to investigate the quantum dynamics of both the proton-exchange reaction and the purely rotational inelastic collisions over a broad range of temperatures. In current modeling studies, this cation is considered to be one of the possible cooling sources under early universe conditions after the recombination era and has recently been found to exist in the interstellar medium. The results from the present calculations are able to show the large efficiency of the state-changing channels involving rotational states of this cation. In fact, we find them to be similar in size and behavior to the inelastic and reaction rate coefficients obtained in previous studies, where H atoms were employed as projectiles. The same rotational excitation processes, occurring when free electrons are the collision partners of this cation, are also compared with the present findings. The relative importance of the reactive, proton-exchange channel and the purely inelastic channels is also analyzed and discussed. The rotational de-excitation processes are also investigated for the cooling kinetics of the present cation under cold trap conditions with He as the buffer gas. The implications of the present results for setting up more comprehensive numerical models to describe the chemical evolution networks in different environments are briefly discussed.

On the Formation of Interstellar CH- Anions: Exploring Mechanism and Rates for CH2 Reacting with H.

We present accurate ab initio calculations on the structural properties of a gas-phase reaction of possible interest for Saturn's outer atmosphere chemistry, in which the CH2 molecule has been detected. In the present study, that molecule is made to react with the H- anion to form the CH- species, one considered as a possible intermediate in ionic processes networks. The results indicate that this reaction is markedly exothermic and proceeds with the formation of an intermediate, which occurs via only a shallow barrier below the reagents and progresses directly to the product region. The corresponding rate coefficients of reactions are also computed by making use of the variational transition state theory modeling and found to efficiently lead to the formation of the final anion even at the lower temperatures of interstellar medium conditions.

Modeling state-selective photodetachment in cold ion traps: Rotational state "crowding" in small anions.

Using accurate ab initio calculations of the interaction forces, we employ a quantum mechanical description of the collisional state-changing processes that occur in a cold ion trap with He as a buffer gas. We generate the corresponding inelastic rates for rotational transitions involving three simple molecular anions OH-(1Σ), MgH-(1Σ), and C2H-(1Σ) colliding with the helium atoms of the trap. We show that the rotational constants of these molecular anions are such that within the low-temperature regimes of a cold ion trap (up to about 50 K), a different proportion of molecular states are significantly populated when loading helium as a buffer gas in the trap. By varying the trap operating conditions, population equilibrium at the relevant range of temperatures is reached within different time scales. In the modeling of the photodetachment experiments, we analyze the effects of varying the chosen values for photodetachment rates as well as the laser photon fluxes. Additionally, the changing of the collision dynamics under different buffer gas densities is examined and the best operating conditions, for the different anions, for yielding higher populations of specific rotational states within the ion traps are extracted. The present modeling thus illustrates possible preparation of the trap conditions for carrying out more efficiently state-selected experiments with the trapped anions.

Modeling Ionic Reactions at Interstellar Temperatures: The Case of NH2- + H2 ⇔ NH3 + H.

Structural features and enthalpy details are presented for the title reactions, both for the exothermic (forward) path to NH3 formation and for the endothermic (reverse) reaction to NH2- formation. Both pathways have relevance for the nitrogen chemistry in the interstellar medium (ISM). They are also helpful to document the possible role of H- in molecular clouds at temperatures well below room temperature. The structural calculations are carried out using different ab initio methods and are further employed to obtain the reaction rates down to the interstellar temperatures detected in earlier experiments. The reaction rates are obtained from the computed minimum energy path (MEP) using the variational transition-state theory (VTST) approach. The results indicate very good accord with experiment results at room temperature, while measured low temperature data down to 8 K are well described using an appropriately modified VTST approach. This is done by employing a temperature-dependent scaling, from room temperature conditions down to the lower ISM temperatures, which acknowledges the noncanonical behavior of the fast, barrierless exothermic reaction. The reasons for this behavior and the need for improving on the VTST method when used away from room temperatures are discussed.

Near-threshold photodissociation of cool OH+ to O + H+ and O+ + H.

We have measured the spectrum of laser photodissociation of OH+ molecular ions to O + H+ and O+ + H fragments for photon energies of 38 100-40 900 cm-1. The OH+ ions were stored as a fast beam (5.50 MeV) in the storage ring TSR for several seconds to achieve rovibrational cooling into the lowest rotations N'' = 0-11 of the vibrational ground state X3Σ-(v'' = 0), close to room temperature (≈300 K). The many resonances in the spectra reveal the energies, widths, and O/O+ branching ratios of 44 predissociating quasibound levels (Feshbach resonances) that lie between the fine-structure states of the O fragment and belong to the last, near-threshold vibrational states v' = 9 and 10 of the A3Π electronic state. For the A3Π0,1 substates, isolated levels with v' = 11 are observed and attributed to double-well distortions of these curves due to nonadiabatic interactions. Another five isolated levels are assigned to the v' = 0 and 1 states of the shallow 15Σ- electronic state, borrowing oscillator strength from nearby A3Π levels. Together, the near-threshold levels deliver a new value D0 = 40 253.8(1.1) cm-1 for the dissociation energy of OH+. Through a two-step photodissociation process, 72 levels from the lower bound states A3Π(v' = 7-8) appear as well and are rotationally analyzed. The level energies are used to construct improved A3Π and 15Σ- Born-Oppenheimer potentials. The totality of the spectral data (energies, widths, intensities, and branching ratios) can provide tight constraints for the potentials and nonadiabatic interactions assumed in future coupled-channel calculations of OH+ photodissociation or of the related charge-exchange reaction O + H+ → O+ + H.

Rotational 'cooling' and 'heating' of OH+(3Σ-) by collisions with He: quantum dynamics revealing propensity rules under ion trap conditions.

Multichannel scattering calculations are presented for the low-energy collisions of the OH+ cation and He atoms, using an ab initio evaluation of the interaction potential, which had been obtained in earlier work, and a time-independent, multichannel treatment of the quantum dynamics carried out in this study using our in-house scattering code ASPIN. Given the presence of spin-rotation coupling effects, within an essentially electrostatic formulation of the interaction forces with He atoms in the trap, the ensuing propensity rules which control the relative size of the state-changing cross sections and of the corresponding inelastic rates, also computed at the most likely temperatures in an ion trap, are presented and analysed in detail.

Modeling Quantum Kinetics in Ion Traps: State-changing Collisions for OH+ (3Σ- ) Ions with He as a Buffer Gas.

We present quantum scattering calculations for rotational state-changing cross sections and rates, up to about 50 K of ion translational temperatures, for the OH+ molecular ion in collision with He atoms as the buffer gas in the trap. The results are obtained both by using the correct spin-rotation coupling of angular momenta and also within a recoupling scheme that treats the molecular target as a pseudo-(1Σ+ ) state, and then compares our findings with similar data for the OH- (1Σ+ ) molecular partner under the same conditions. This comparison intends to link the cation behaviour to the one found earlier for the molecular anion. The full calculations including the spin-rotation angular momenta coupling effects have been recently reported (L. González-Sánchez and R. Wester and F.A. Gianturco, Mol.Phys.2018, DOI 10.1080/00268976.2018.1442597) with the aim of extracting specific propensity rules controlling the size of the cross sections. The present study is instead directed to modelling trap cooling dynamics by further obtaining the solutions of the corresponding kinetics equations under different trap schemes so that, using the presently computed rates can allow us to indicate specific optimal conditions for the experimental setup of the collisional rotational cooling in an ion trap for the system under study.

Rotationally inelastic collisions of H2+ ions with He buffer gas: Computing cross sections and rates.

We present quantum calculations for the inelastic collisions between H2+ molecules, in rotationally excited internal states, and He atoms. This work is motivated by the possibility of experiments in which the molecular ions are stored and translationally cooled in an ion trap and a He buffer gas is added for deactivation of the internal rotational population, in particular at low (cryogenic) translational temperatures. We carry out an accurate representation of the forces at play from an ab initio description of the relevant potential energy surface, with the molecular ion in its ground vibrational state, and obtain the cross sections for state-changing rotationally inelastic collisions by solving the coupled channel quantum scattering equations. The presence of hyperfine and fine structure effects in both ortho- and para-H2+ molecules is investigated and compared to the results where such a contribution is disregarded. An analysis of possible propensity rules that may predict the relative probabilities of inelastic events involving rotational state-changing is also carried out, together with the corresponding elastic cross sections from several initial rotational states. Temperature-dependent rotationally inelastic rates are then computed and discussed in terms of relative state-changing collisional efficiency under trap conditions. The results provide the essential input data for modeling different aspects of the experimental setups which can finally produce internally cold molecular ions interacting with a buffer gas.

Atomically resolved phase transition of fullerene cations solvated in helium droplets.

Helium has a unique phase diagram and below 25 bar it does not form a solid even at the lowest temperatures. Electrostriction leads to the formation of a solid layer of helium around charged impurities at much lower pressures in liquid and superfluid helium. These so-called 'Atkins snowballs' have been investigated for several simple ions. Here we form HenC60+ complexes with n exceeding 100 via electron ionization of helium nanodroplets doped with C60. Photofragmentation of these complexes is measured by merging a tunable narrow-bandwidth laser beam with the ions. A switch from red- to blueshift of the absorption frequency of HenC60+ on addition of He atoms at n=32 is associated with a phase transition in the attached helium layer from solid to partly liquid (melting of the Atkins snowball). Elaborate molecular dynamics simulations using a realistic force field and including quantum effects support this interpretation.

Forming NCO(-) in Dense Molecular Clouds: Possible Gas-Phase Chemical Paths From Quantum Calculations.

The existence of NCO(-) anions in the interstellar medium (ISM) has been suggested and searched for over the years but without any formal definitive sighting of that molecule. We discuss in this work the possible formation of either NCO(-) directly or of NCO neutral as a precursor to NCO(-) formation by electron attachment. We follow simple, gas-phase chemical reactions for which the general features are obtained from accurate quantum calculations. The results are shedding some additional light on the likely presence of this anion in the ISM environment, drawing further information from the specific features of the considered reactions on the additional chemical options that exist for its formation.

Nucleophilic substitution with two reactive centers: The CN(-) + CH3I case.

The nucleophilic substitution reaction CN(-) + CH3I allows for two possible reactive approaches of the reactant ion onto the methyl halide, which lead to two different product isomers. Stationary point calculations predict a similar shape of the potential and a dominant collinear approach for both attacks. In addition, an H-bonded pre-reaction complex is identified as a possible intermediate structure. Submerged potential energy barriers hint at a statistical formation process of both CNCH3 and NCCH3 isomers at the experimental collision energies. Experimental angle- and energy differential cross sections show dominant direct rebound dynamics and high internal excitation of the neutral product. No distinct bimodal distributions can be extracted from the velocity images, which impedes the indication of a specific preference towards any of the product isomers. A forward scattering simulation based on the experimental parameters describes accurately the experimental outcome and shows how the possibility to discriminate between the two isomers is mainly hindered by the large product internal excitation.

Formation of cyanopolyyne anions in the interstellar medium: the possible role of permanent dipoles.

The possibility of attaching near-threshold electrons to N-terminated carbon chains, like those observed in the outer envelopes of carbon-rich stars, is examined via accurate quantum chemistry orbital structures evaluation and quantum scattering analysis of the corresponding extra-electron wavefunctions at meV energies. It is shown that the differences in the signs and sizes of the permanent dipole moments which exist for both the neutral and anionic species of the C(n)N series of molecules play a significant role in suggesting or excluding possible energy paths to permanent anion formations of cyanopolyynes, for which the cases with n from 1 to 7 are examined in more detail.

Nucleophilic substitution dynamics: comparing wave packet calculations with experiment.

The reactive collision of chloride anions and methyl iodide molecules forming iodide anions and methyl chloride is a typical example of a concerted bimolecular nucleophilic substitution (SN2) reaction. We present wave packet dynamics calculations to investigate quantum effects in the collinear gas phase reaction. A new type of reduced coordinate system is introduced to allow for an efficient solution of the time-dependent Schrödinger equation on an ab initio potential energy surface. The reduced coordinates were designed to study the direct rebound mechanism under the Walden inversion. Especially the suppressed direct rebound mechanism at low collision energies, the quantum effects of the initial state preparation and the influence of the CH3 inversion mode are addressed. The internal energy distributions of the molecular product are evaluated from the wave packet calculations and compared to experimental results obtained with crossed-beam velocity map ion imaging. The observed reactivity is discussed in light of a dynamical barrier, a concept that is illustrated by the wave packet dynamics.

Designing optical free-form surfaces for extended sources.

LED lighting has been a strongly growing field for the last decade. The outstanding features of LED, like compactness and low operating temperature take the control of light distributions to a new level. Key for this is the development of sophisticated optical elements that distribute the light as intended. The optics design method known as tailoring relies on the point source assumption. This assumption holds as long as the optical element is large compared to the LED chip. With chip sizes of 1 mm² this is of no concern if each chip is endowed with its own optic. To increase the power of a luminaire, LED chips are arranged to form light engines that reach several cm in diameter. In order to save costs and space it is often desirable to use a single optical element for the light engine. At the same time the scale of the optics must not be increased in order to trivially keep the point source assumption valid. For such design tasks point source algorithms are of limited usefulness. New methods that take into account the extent of the light source have to be developed. We present two such extended source methods. The first method iteratively adapts the target light distribution that is fed into a points source method while the second method employs a full phase space description of the optical system.

Differential scattering cross-sections for the different product vibrational States in the ion-molecule reaction Ar(+)+N2.

The charge transfer reaction Ar(+)+N(2)→Ar+N(2)(+) has been investigated in a crossed-beam experiment in combination with three-dimensional velocity map imaging. Angular-differential state-to-state cross sections were determined as a function of the collision energy. We found that scattering into the first excited vibrational level dominates as expected, but only for scattering in the forward direction. Higher vibrational excitations up to v'=6 have been observed for larger scattering angles. For decreasing collision energy, scattering into higher scattering angles becomes increasingly important for all kinematically allowed quantum states. Our detailed measurements indicate that a quantitative agreement between experiment and theory for this basic ion-molecule reaction now comes within reach.