{
"info": {
"nct_id": "NCT00072462",
"official_title": "International Breast Cancer Intervention Study II (IBIS-II) (DCIS)",
"inclusion_criteria": "Healthy volunteers allowed\nMust be FEMALE\nMust have minimum age of 40 Years\nMust have maximum age of 70 Years",
"exclusion_criteria": "",
"miscellaneous_criteria": "DISEASE CHARACTERISTICS:\n\n* Diagnosis of ductal carcinoma in situ within the past 6 months\n\n * Locally excised with tumor-free margins at least 1 mm\n* Hormone receptor status:\n\n * Estrogen or progesterone receptor positive\n\n * Equal to or greater than 5% positive cells\n\nPATIENT CHARACTERISTICS:\n\nAge\n\n* 40 to 70\n\nSex\n\n* Female\n\nMenopausal status\n\n* Postmenopausal, defined as meeting at least 1 of the following criteria:\n\n * Over age 60\n * Prior bilateral oophorectomy\n * Age 60 or under with a uterus AND amenorrhea for at least the past 12 months\n * Age 60 or under without a uterus AND follicle-stimulating hormone greater than 20 IU/L\n\nPerformance status\n\n* Not specified\n\nLife expectancy\n\n* At least 10 years\n\nHematopoietic\n\n* Not specified\n\nHepatic\n\n* Not specified\n\nRenal\n\n* Not specified\n\nCardiovascular\n\n* No prior deep vein thrombosis\n* No prior transient ischemic attack\n* No prior cerebrovascular accident\n\nPulmonary\n\n* No prior pulmonary embolism\n\nOther\n\n* No unexplained postmenopausal bleeding\n* No other cancer within the past 5 years except nonmelanoma skin cancer or carcinoma in situ of the cervix\n* No other concurrent medical condition that would preclude study therapy, place the patient at unusual risk, or confound study results\n* No evidence of osteoporosis\n* Fragility fractures within the spine allowed if T-score level is greater than -4 and consist of no more than 2 fractures\n* Psychologically and physically suitable for 5 years of study therapy\n\nPRIOR CONCURRENT THERAPY:\n\nBiologic therapy\n\n* Not specified\n\nChemotherapy\n\n* Not specified\n\nEndocrine therapy\n\n* No prior or concurrent tamoxifen use lasting more than 6 months unless treatment was completed more than 5 years ago. Women in IBIS-I can join if off trial therapy for at least 5 years.\n* No prior or concurrent raloxifene use lasting more than 6 months unless treatment was completed more than 5 years ago.\n* No other prior or concurrent selective estrogen-receptor modulator use lasting more than 6 months unless treatment was completed more than 5 years ago\n* No concurrent systemic estrogen-based hormone replacement therapy, including vaginal estrogen preparations\n\nRadiotherapy\n\n* Not specified\n\nSurgery\n\n* See Disease Characteristics\n* No prior mastectomy\n* No planned prophylactic mastectomy\n\nOther\n\n* At least 3 months since prior unapproved or experimental agents\n* No concurrent anticoagulants"
},
"inclusion_lines": [
{
"line": "Healthy volunteers allowed",
"criterions": [
{
"exact_snippets": "Healthy volunteers allowed",
"criterion": "volunteer health status",
"requirements": [
{
"requirement_type": "status",
"expected_value": "healthy"
}
]
}
]
},
{
"line": "Must be FEMALE",
"criterions": [
{
"exact_snippets": "Must be FEMALE",
"criterion": "gender",
"requirements": [
{
"requirement_type": "expected_value",
"expected_value": "female"
}
]
}
]
},
{
"line": "Must have minimum age of 40 Years",
"criterions": [
{
"exact_snippets": "minimum age of 40 Years",
"criterion": "age",
"requirements": [
{
"requirement_type": "minimum",
"expected_value": {
"operator": ">=",
"value": 40,
"unit": "Years"
}
}
]
}
]
},
{
"line": "Must have maximum age of 70 Years",
"criterions": [
{
"exact_snippets": "maximum age of 70 Years",
"criterion": "age",
"requirements": [
{
"requirement_type": "maximum",
"expected_value": {
"operator": "<=",
"value": 70,
"unit": "Years"
}
}
]
}
]
}
],
"exclusion_lines": [],
"miscellaneous_lines": [
{
"line": "DISEASE CHARACTERISTICS:",
"criterions": [
{
"exact_snippets": "DISEASE CHARACTERISTICS",
"criterion": "disease characteristics",
"requirements": [
{
"requirement_type": "N/A",
"expected_value": "N/A"
}
]
}
]
},
{
"line": "* Diagnosis of ductal carcinoma in situ within the past 6 months",
"criterions": [
{
"exact_snippets": "Diagnosis of ductal carcinoma in situ",
"criterion": "ductal carcinoma in situ",
"requirements": [
{
"requirement_type": "diagnosis",
"expected_value": true
}
]
},
{
"exact_snippets": "within the past 6 months",
"criterion": "time since diagnosis",
"requirements": [
{
"requirement_type": "time frame",
"expected_value": {
"operator": "<=",
"value": 6,
"unit": "months"
}
}
]
}
]
},
{
"line": "* Locally excised with tumor-free margins at least 1 mm",
"criterions": [
{
"exact_snippets": "Locally excised",
"criterion": "tumor excision",
"requirements": [
{
"requirement_type": "method",
"expected_value": "local"
}
]
},
{
"exact_snippets": "tumor-free margins at least 1 mm",
"criterion": "tumor-free margins",
"requirements": [
{
"requirement_type": "size",
"expected_value": {
"operator": ">=",
"value": 1,
"unit": "mm"
}
}
]
}
]
},
{
"line": "* Hormone receptor status:",
"criterions": [
{
"exact_snippets": "Hormone receptor status",
"criterion": "hormone receptor status",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
}
]
},
{
"line": "* Estrogen or progesterone receptor positive",
"criterions": [
{
"exact_snippets": "Estrogen ... receptor positive",
"criterion": "estrogen receptor",
"requirements": [
{
"requirement_type": "status",
"expected_value": "positive"
}
]
},
{
"exact_snippets": "progesterone receptor positive",
"criterion": "progesterone receptor",
"requirements": [
{
"requirement_type": "status",
"expected_value": "positive"
}
]
}
]
},
{
"line": "* Equal to or greater than 5% positive cells",
"criterions": [
{
"exact_snippets": "Equal to or greater than 5% positive cells",
"criterion": "positive cells",
"requirements": [
{
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 5,
"unit": "%"
}
},
{
"requirement_type": "presence",
"expected_value": true
}
]
}
]
},
{
"line": "Age",
"criterions": [
{
"exact_snippets": "Age",
"criterion": "age",
"requirements": [
{
"requirement_type": "N/A",
"expected_value": "N/A"
}
]
}
]
},
{
"line": "* 40 to 70",
"criterions": [
{
"exact_snippets": "40 to 70",
"criterion": "age",
"requirements": [
{
"requirement_type": "range",
"expected_value": {
"comparisons": [
{
"operator": ">=",
"value": 40,
"unit": "years"
},
{
"operator": "<=",
"value": 70,
"unit": "years"
}
]
}
}
]
}
]
},
{
"line": "Sex",
"criterions": [
{
"exact_snippets": "Sex",
"criterion": "sex",
"requirements": [
{
"requirement_type": "N/A",
"expected_value": "N/A"
}
]
}
]
},
{
"line": "* Female",
"criterions": [
{
"exact_snippets": "Female",
"criterion": "gender",
"requirements": [
{
"requirement_type": "value",
"expected_value": "female"
}
]
}
]
},
{
"line": "Menopausal status",
"criterions": [
{
"exact_snippets": "Menopausal status",
"criterion": "menopausal status",
"requirements": [
{
"requirement_type": "N/A",
"expected_value": "N/A"
}
]
}
]
},
{
"line": "* Postmenopausal, defined as meeting at least 1 of the following criteria:",
"criterions": [
{
"exact_snippets": "Postmenopausal",
"criterion": "menopausal status",
"requirements": [
{
"requirement_type": "status",
"expected_value": "postmenopausal"
}
]
}
]
},
{
"line": "* Over age 60",
"criterions": [
{
"exact_snippets": "Over age 60",
"criterion": "age",
"requirements": [
{
"requirement_type": "value",
"expected_value": {
"operator": ">",
"value": 60,
"unit": "years"
}
}
]
}
]
},
{
"line": "* Prior bilateral oophorectomy",
"criterions": [
{
"exact_snippets": "Prior bilateral oophorectomy",
"criterion": "bilateral oophorectomy",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
}
]
},
{
"line": "* Age 60 or under with a uterus AND amenorrhea for at least the past 12 months",
"criterions": [
{
"exact_snippets": "Age 60 or under",
"criterion": "age",
"requirements": [
{
"requirement_type": "maximum",
"expected_value": {
"operator": "<=",
"value": 60,
"unit": "years"
}
}
]
},
{
"exact_snippets": "with a uterus",
"criterion": "uterus presence",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
},
{
"exact_snippets": "amenorrhea for at least the past 12 months",
"criterion": "amenorrhea",
"requirements": [
{
"requirement_type": "duration",
"expected_value": {
"operator": ">=",
"value": 12,
"unit": "months"
}
}
]
}
]
},
{
"line": "* Age 60 or under without a uterus AND follicle-stimulating hormone greater than 20 IU/L",
"criterions": [
{
"exact_snippets": "Age 60 or under",
"criterion": "age",
"requirements": [
{
"requirement_type": "value",
"expected_value": {
"operator": "<=",
"value": 60,
"unit": "years"
}
}
]
},
{
"exact_snippets": "without a uterus",
"criterion": "uterus",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
},
{
"exact_snippets": "follicle-stimulating hormone greater than 20 IU/L",
"criterion": "follicle-stimulating hormone",
"requirements": [
{
"requirement_type": "level",
"expected_value": {
"operator": ">",
"value": 20,
"unit": "IU/L"
}
}
]
}
]
},
{
"line": "Performance status",
"criterions": [
{
"exact_snippets": "Performance status",
"criterion": "performance status",
"requirements": [
{
"requirement_type": "N/A",
"expected_value": "N/A"
}
]
}
]
},
{
"line": "Life expectancy",
"criterions": [
{
"exact_snippets": "Life expectancy",
"criterion": "life expectancy",
"requirements": [
{
"requirement_type": "N/A",
"expected_value": "N/A"
}
]
}
]
},
{
"line": "* At least 10 years",
"criterions": [
{
"exact_snippets": "At least 10 years",
"criterion": "age",
"requirements": [
{
"requirement_type": "N/A",
"expected_value": {
"operator": ">=",
"value": 10,
"unit": "years"
}
}
]
}
]
},
{
"line": "Hematopoietic",
"criterions": [
{
"exact_snippets": "Hematopoietic",
"criterion": "hematopoietic system",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
}
]
},
{
"line": "Hepatic",
"criterions": [
{
"exact_snippets": "Hepatic",
"criterion": "hepatic function",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
}
]
},
{
"line": "Renal",
"criterions": [
{
"exact_snippets": "Renal",
"criterion": "renal function",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
}
]
},
{
"line": "Cardiovascular",
"criterions": [
{
"exact_snippets": "Cardiovascular",
"criterion": "cardiovascular condition",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
}
]
},
{
"line": "* No prior deep vein thrombosis",
"criterions": [
{
"exact_snippets": "No prior deep vein thrombosis",
"criterion": "deep vein thrombosis",
"requirements": [
{
"requirement_type": "history",
"expected_value": false
}
]
}
]
},
{
"line": "* No prior transient ischemic attack",
"criterions": [
{
"exact_snippets": "No prior transient ischemic attack",
"criterion": "transient ischemic attack",
"requirements": [
{
"requirement_type": "history",
"expected_value": false
}
]
}
]
},
{
"line": "* No prior cerebrovascular accident",
"criterions": [
{
"exact_snippets": "No prior cerebrovascular accident",
"criterion": "cerebrovascular accident",
"requirements": [
{
"requirement_type": "history",
"expected_value": false
}
]
}
]
},
{
"line": "Pulmonary",
"criterions": [
{
"exact_snippets": "Pulmonary",
"criterion": "pulmonary condition",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
}
]
},
{
"line": "* No prior pulmonary embolism",
"criterions": [
{
"exact_snippets": "No prior pulmonary embolism",
"criterion": "pulmonary embolism",
"requirements": [
{
"requirement_type": "history",
"expected_value": false
}
]
}
]
},
{
"line": "* No unexplained postmenopausal bleeding",
"criterions": [
{
"exact_snippets": "No unexplained postmenopausal bleeding",
"criterion": "postmenopausal bleeding",
"requirements": [
{
"requirement_type": "explanation",
"expected_value": true
}
]
}
]
},
{
"line": "* No other cancer within the past 5 years except nonmelanoma skin cancer or carcinoma in situ of the cervix",
"criterions": [
{
"exact_snippets": "No other cancer within the past 5 years",
"criterion": "other cancer",
"requirements": [
{
"requirement_type": "time since diagnosis",
"expected_value": {
"operator": ">=",
"value": 5,
"unit": "years"
}
}
]
},
{
"exact_snippets": "except nonmelanoma skin cancer",
"criterion": "nonmelanoma skin cancer",
"requirements": [
{
"requirement_type": "exclusion",
"expected_value": true
}
]
},
{
"exact_snippets": "except ... carcinoma in situ of the cervix",
"criterion": "carcinoma in situ of the cervix",
"requirements": [
{
"requirement_type": "exclusion",
"expected_value": true
}
]
}
]
},
{
"line": "* No other concurrent medical condition that would preclude study therapy, place the patient at unusual risk, or confound study results",
"criterions": [
{
"exact_snippets": "No other concurrent medical condition that would preclude study therapy",
"criterion": "concurrent medical condition",
"requirements": [
{
"requirement_type": "impact on study therapy",
"expected_value": "does not preclude"
}
]
},
{
"exact_snippets": "No other concurrent medical condition that would ... place the patient at unusual risk",
"criterion": "concurrent medical condition",
"requirements": [
{
"requirement_type": "risk to patient",
"expected_value": "does not place at unusual risk"
}
]
},
{
"exact_snippets": "No other concurrent medical condition that would ... confound study results",
"criterion": "concurrent medical condition",
"requirements": [
{
"requirement_type": "impact on study results",
"expected_value": "does not confound"
}
]
}
]
},
{
"line": "* No evidence of osteoporosis",
"criterions": [
{
"exact_snippets": "No evidence of osteoporosis",
"criterion": "osteoporosis",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
}
]
},
{
"line": "* Fragility fractures within the spine allowed if T-score level is greater than -4 and consist of no more than 2 fractures",
"criterions": [
{
"exact_snippets": "Fragility fractures within the spine allowed",
"criterion": "fragility fractures within the spine",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
},
{
"exact_snippets": "T-score level is greater than -4",
"criterion": "T-score level",
"requirements": [
{
"requirement_type": "value",
"expected_value": {
"operator": ">",
"value": -4,
"unit": "N/A"
}
}
]
},
{
"exact_snippets": "no more than 2 fractures",
"criterion": "number of fractures",
"requirements": [
{
"requirement_type": "quantity",
"expected_value": {
"operator": "<=",
"value": 2,
"unit": "N/A"
}
}
]
}
]
},
{
"line": "* Psychologically and physically suitable for 5 years of study therapy",
"criterions": [
{
"exact_snippets": "Psychologically ... suitable for 5 years of study therapy",
"criterion": "psychological suitability",
"requirements": [
{
"requirement_type": "suitability",
"expected_value": true
}
]
},
{
"exact_snippets": "physically suitable for 5 years of study therapy",
"criterion": "physical suitability",
"requirements": [
{
"requirement_type": "suitability",
"expected_value": true
}
]
}
]
},
{
"line": "PRIOR CONCURRENT THERAPY:",
"criterions": [
{
"exact_snippets": "PRIOR CONCURRENT THERAPY",
"criterion": "prior concurrent therapy",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
}
]
},
{
"line": "Biologic therapy",
"criterions": [
{
"exact_snippets": "Biologic therapy",
"criterion": "biologic therapy",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
}
]
},
{
"line": "Chemotherapy",
"criterions": [
{
"exact_snippets": "Chemotherapy",
"criterion": "chemotherapy",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
}
]
},
{
"line": "Endocrine therapy",
"criterions": [
{
"exact_snippets": "Endocrine therapy",
"criterion": "endocrine therapy",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
}
]
},
{
"line": "* No prior or concurrent tamoxifen use lasting more than 6 months unless treatment was completed more than 5 years ago. Women in IBIS-I can join if off trial therapy for at least 5 years.",
"criterions": [
{
"exact_snippets": "No prior or concurrent tamoxifen use lasting more than 6 months",
"criterion": "tamoxifen use",
"requirements": [
{
"requirement_type": "duration",
"expected_value": {
"operator": "<=",
"value": 6,
"unit": "months"
}
}
]
},
{
"exact_snippets": "unless treatment was completed more than 5 years ago",
"criterion": "tamoxifen use",
"requirements": [
{
"requirement_type": "completion time",
"expected_value": {
"operator": ">",
"value": 5,
"unit": "years"
}
}
]
},
{
"exact_snippets": "Women in IBIS-I can join if off trial therapy for at least 5 years",
"criterion": "IBIS-I trial therapy",
"requirements": [
{
"requirement_type": "off therapy duration",
"expected_value": {
"operator": ">=",
"value": 5,
"unit": "years"
}
}
]
}
]
},
{
"line": "* No prior or concurrent raloxifene use lasting more than 6 months unless treatment was completed more than 5 years ago.",
"criterions": [
{
"exact_snippets": "No prior or concurrent raloxifene use lasting more than 6 months",
"criterion": "raloxifene use duration",
"requirements": [
{
"requirement_type": "duration",
"expected_value": {
"operator": "<=",
"value": 6,
"unit": "months"
}
}
]
},
{
"exact_snippets": "unless treatment was completed more than 5 years ago",
"criterion": "raloxifene treatment completion",
"requirements": [
{
"requirement_type": "completion time",
"expected_value": {
"operator": ">",
"value": 5,
"unit": "years"
}
}
]
}
]
},
{
"line": "* No other prior or concurrent selective estrogen-receptor modulator use lasting more than 6 months unless treatment was completed more than 5 years ago",
"criterions": [
{
"exact_snippets": "No other prior or concurrent selective estrogen-receptor modulator use lasting more than 6 months",
"criterion": "selective estrogen-receptor modulator use",
"requirements": [
{
"requirement_type": "duration",
"expected_value": {
"operator": "<=",
"value": 6,
"unit": "months"
}
}
]
},
{
"exact_snippets": "unless treatment was completed more than 5 years ago",
"criterion": "completion of treatment",
"requirements": [
{
"requirement_type": "time since completion",
"expected_value": {
"operator": ">",
"value": 5,
"unit": "years"
}
}
]
}
]
},
{
"line": "* No concurrent systemic estrogen-based hormone replacement therapy, including vaginal estrogen preparations",
"criterions": [
{
"exact_snippets": "No concurrent systemic estrogen-based hormone replacement therapy",
"criterion": "systemic estrogen-based hormone replacement therapy",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
},
{
"exact_snippets": "No concurrent ... vaginal estrogen preparations",
"criterion": "vaginal estrogen preparations",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
}
]
},
{
"line": "Radiotherapy",
"criterions": [
{
"exact_snippets": "Radiotherapy",
"criterion": "radiotherapy",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
}
]
},
{
"line": "Surgery",
"criterions": [
{
"exact_snippets": "Surgery",
"criterion": "surgery",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
}
]
},
{
"line": "* See Disease Characteristics",
"criterions": [
{
"exact_snippets": "Disease Characteristics",
"criterion": "disease characteristics",
"requirements": [
{
"requirement_type": "N/A",
"expected_value": "See Disease Characteristics"
}
]
}
]
},
{
"line": "* No prior mastectomy",
"criterions": [
{
"exact_snippets": "No prior mastectomy",
"criterion": "mastectomy",
"requirements": [
{
"requirement_type": "prior occurrence",
"expected_value": false
}
]
}
]
},
{
"line": "* No planned prophylactic mastectomy",
"criterions": [
{
"exact_snippets": "No planned prophylactic mastectomy",
"criterion": "prophylactic mastectomy",
"requirements": [
{
"requirement_type": "planned",
"expected_value": false
}
]
}
]
},
{
"line": "* At least 3 months since prior unapproved or experimental agents",
"criterions": [
{
"exact_snippets": "At least 3 months since prior unapproved or experimental agents",
"criterion": "time since prior unapproved or experimental agents",
"requirements": [
{
"requirement_type": "time since last administration",
"expected_value": {
"operator": ">=",
"value": 3,
"unit": "months"
}
}
]
}
]
},
{
"line": "* No concurrent anticoagulants",
"criterions": [
{
"exact_snippets": "No concurrent anticoagulants",
"criterion": "concurrent anticoagulants",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
}
]
}
],
"failed_inclusion": [],
"failed_exclusion": [],
"failed_miscellaneous": [
{
"line": "PATIENT CHARACTERISTICS:",
"criterions": []
},
{
"line": "* Not specified",
"criterions": []
},
{
"line": "* Not specified",
"criterions": []
},
{
"line": "* Not specified",
"criterions": []
},
{
"line": "* Not specified",
"criterions": []
},
{
"line": "Other",
"criterions": []
},
{
"line": "* Not specified",
"criterions": []
},
{
"line": "* Not specified",
"criterions": []
},
{
"line": "* Not specified",
"criterions": []
},
{
"line": "Other",
"criterions": []
}
]
}