{
"info": {
"nct_id": "NCT04699929",
"official_title": "A Open-Label, Phase I Dose Escalation Study to Evaluate the Safety, Tolerability,Efficacy and Pharmacokinetics of YH001 in Subjects With Advanced Solid Tumors",
"inclusion_criteria": "1. Male or female, aged ≥ 18 years;\n2. Patients with histologically or cytologically confirmed solid tumors who have failed standard of care or have no standard of care;\n3. Eastern Cooperative Oncology Group (ECOG) performance status score 0 or 1;\n4. Have life expectancy of at least 3 months based on investigator's judgement;\n5. Organ function levels must meet the following requirements:\n\n A:Hematology: absolute neutrophil count (ANC) ≥ 1.5 × 10^9/L, platelet count ≥ 100 x 10^9/L, hemoglobin (Hb) ≥ 100 g/L ; B:Liver: serum total bilirubin (TBIL) ≤ 1.5 × the upper limit of normal (ULN), aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 3 × ULN (patients with primary liver cancer or liver metastases: AST and/or ALT < 5 × ULN); C:Kidney: creatinine clearance (CrCL) ≥ 50 mL/min;\n6. International normalized ratio (INR) ≤ 1.5 × ULN, prothrombin time (PT) ≤ 1.5 × ULN, activated partial thromboplastin time (aPTT) ≤ 1.5 × ULN;\n7. All women of reproductive potential, men whose partner is a woman of reproductive potential, or their spouses should use adequate barrier contraception throughout the study and for 3 months after the last dose;\n8. Voluntary and agree to sign the informed consent and follow the study treatment protocol as well as follow-up plan.\nHealthy volunteers allowed\nMust have minimum age of 18 Years",
"exclusion_criteria": "1. Subjects with prior anti-CTLA-4 checkpoint inhibitors should be excluded;\n2. Patients with any other malignancy within the past 5 years or currently, except for completely cured non-melanoma skin cancer, carcinoma in situ of the cervix, and ductal carcinoma in situ of the breast;\n3. Received other anti-tumor therapies (such as chemotherapy, radiotherapy, surgery, endocrine therapy, targeted therapy, immunotherapy, etc.) within 4 weeks or 5 half-lives (whichever is longer) before the first dose, or received modern Chinese medicine preparations with anti-tumor effect approved by NMPA within 2 weeks prior to the first dose;\n4. Major surgery (excluding vascular access establishment surgery) was received within 4 weeks prior to the first dose;\n5. Has received immunosuppressive therapy within 4 weeks prior to the first dose. However, enrollment is permitted under the following circumstances:\n6. In the absence of active autoimmune disease, patients are allowed to receive inhaled or topical glucocorticoids, or other glucocorticoids at doses ≤ 10 mg/day prednisone equivalent.\n\n Patients with primary central nervous system (CNS) tumors, or symptomatic CNS tumors, or spinal cord compression, or carcinomatous meningitis; with the following exceptions:\n\n Patients with asymptomatic brain metastases (i.e., no progressive central nervous system symptoms due to brain metastatic sites, no need for corticosteroids, and lesion size ≤ 1.5 cm); Patients whose symptoms are controlled by treatment, i.e., their condition is stable and asymptomatic at least 4 weeks after treatment;\n7. Use of any other study drug within 4 weeks prior to the first dose, or participation in other clinical studies;\n8. Have received live or attenuated vaccines within 4 weeks prior to the first dose;\n9. Patients with known severe allergic reactions (≥ Grade 3) to the active ingredient and excipients of the investigational drug, other monoclonal antibodies or \"Immuno-oncology drugs;\n10. Toxic and side effects caused by prior anti-tumor therapy before the first dose did not recover to ≤ Grade 1 (CTCAE v5.0), except for alopecia and sensory neuropathy below Grade 2;\n11. History of interstitial pneumonia or non-infectious pneumonitis requiring corticosteroids, except for radiation therapy, or current presence of interstitial pneumonia or non-infectious pneumonitis;\n12. ≥ Grade 2 immune-related pneumonitis occurred during prior immunotherapy;\n13. History of ≥ Grade 3 immune-related adverse reactions or any adverse reactions leading to discontinuation of immunotherapy during prior immunotherapy;\n14. Past or existing active tuberculosis ;\n15. Patients with active auto-immune disease, history of auto-immune disease requiring systemic therapy, or history of auto-immune disease within 2 years prior to the first dose, with the following exceptions: leucoderma, childhood asthma/specific reactions, type I diabetes mellitus, hypothyroidism which can be treated with replacement therapy;\n16. Clinically uncontrollable disease, including, but not limited to, severe diabetes (fasting glucose > 250 mg/dl,1 mg/dl = 18 mmol/L), uncontrollable hypertension (systolic blood pressure ≥ 160 mmHg or diastolic blood pressure ≥ 100 mmHg), or other serious disease requiring systemic treatment;\n17. Patients with active infections, including active hepatitis B, active hepatitis C, and human immunodeficiency virus infection;\n18. Patients with active infection requiring intravenous infusion;\n19. Serious cardiovascular and cerebrovascular diseases, such as cerebrovascular rupture, stroke, myocardial infarction, unstable angina pectoris, congestive heart failure (New York Heart Association Grade ≥ II), severe uncontrolled arrhythmia, etc., occurred within 6 months prior to the first dose;\n20. Patients with clinically significant ECG abnormalities: QTcF ≥ 470 msec (corrected by Fridericia), or having history of congenital long QT syndrome, or taking any known QTc prolonging medication;\n21. Patients who have received allogeneic bone marrow transplant or organ transplant;\n22. Known psychiatric disorders, drug abuse, drug use, or alcohol dependence that may affect trial compliance;\n23. Other conditions that were considered not suitable for the study by the investigator.",
"miscellaneous_criteria": ""
},
"inclusion_lines": [
{
"line": "1. Male or female, aged ≥ 18 years;",
"criterions": [
{
"exact_snippets": "Male or female",
"criterion": "gender",
"requirements": [
{
"requirement_type": "presence",
"expected_value": [
"male",
"female"
]
}
]
},
{
"exact_snippets": "aged ≥ 18 years",
"criterion": "age",
"requirements": [
{
"requirement_type": "minimum age",
"expected_value": {
"operator": ">=",
"value": 18,
"unit": "years"
}
}
]
}
]
},
{
"line": "2. Patients with histologically or cytologically confirmed solid tumors who have failed standard of care or have no standard of care;",
"criterions": [
{
"exact_snippets": "histologically or cytologically confirmed solid tumors",
"criterion": "solid tumors",
"requirements": [
{
"requirement_type": "confirmation method",
"expected_value": [
"histologically",
"cytologically"
]
}
]
},
{
"exact_snippets": "failed standard of care",
"criterion": "standard of care",
"requirements": [
{
"requirement_type": "status",
"expected_value": "failed"
}
]
},
{
"exact_snippets": "no standard of care",
"criterion": "standard of care",
"requirements": [
{
"requirement_type": "availability",
"expected_value": false
}
]
}
]
},
{
"line": "3. Eastern Cooperative Oncology Group (ECOG) performance status score 0 or 1;",
"criterions": [
{
"exact_snippets": "Eastern Cooperative Oncology Group (ECOG) performance status score 0 or 1",
"criterion": "ECOG performance status score",
"requirements": [
{
"requirement_type": "value",
"expected_value": [
"0",
"1"
]
}
]
}
]
},
{
"line": "4. Have life expectancy of at least 3 months based on investigator's judgement;",
"criterions": [
{
"exact_snippets": "life expectancy of at least 3 months",
"criterion": "life expectancy",
"requirements": [
{
"requirement_type": "duration",
"expected_value": {
"operator": ">=",
"value": 3,
"unit": "months"
}
}
]
}
]
},
{
"line": "5. Organ function levels must meet the following requirements:",
"criterions": [
{
"exact_snippets": "Organ function levels",
"criterion": "organ function levels",
"requirements": [
{
"requirement_type": "levels",
"expected_value": "must meet the following requirements"
}
]
}
]
},
{
"line": "A:Hematology: absolute neutrophil count (ANC) ≥ 1.5 × 10^9/L, platelet count ≥ 100 x 10^9/L, hemoglobin (Hb) ≥ 100 g/L ; B:Liver: serum total bilirubin (TBIL) ≤ 1.5 × the upper limit of normal (ULN), aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 3 × ULN (patients with primary liver cancer or liver metastases: AST and/or ALT < 5 × ULN); C:Kidney: creatinine clearance (CrCL) ≥ 50 mL/min;",
"criterions": [
{
"exact_snippets": "absolute neutrophil count (ANC) ≥ 1.5 × 10^9/L",
"criterion": "absolute neutrophil count (ANC)",
"requirements": [
{
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 1.5,
"unit": "10^9/L"
}
}
]
},
{
"exact_snippets": "platelet count ≥ 100 x 10^9/L",
"criterion": "platelet count",
"requirements": [
{
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 100,
"unit": "10^9/L"
}
}
]
},
{
"exact_snippets": "hemoglobin (Hb) ≥ 100 g/L",
"criterion": "hemoglobin (Hb)",
"requirements": [
{
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 100,
"unit": "g/L"
}
}
]
},
{
"exact_snippets": "serum total bilirubin (TBIL) ≤ 1.5 × the upper limit of normal (ULN)",
"criterion": "serum total bilirubin (TBIL)",
"requirements": [
{
"requirement_type": "quantity",
"expected_value": {
"operator": "<=",
"value": 1.5,
"unit": "ULN"
}
}
]
},
{
"exact_snippets": "aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 3 × ULN",
"criterion": "aspartate aminotransferase (AST) and alanine aminotransferase (ALT)",
"requirements": [
{
"requirement_type": "quantity",
"expected_value": {
"operator": "<=",
"value": 3,
"unit": "ULN"
}
}
]
},
{
"exact_snippets": "patients with primary liver cancer or liver metastases: AST and/or ALT < 5 × ULN",
"criterion": "aspartate aminotransferase (AST) and alanine aminotransferase (ALT)",
"requirements": [
{
"requirement_type": "quantity",
"expected_value": {
"operator": "<",
"value": 5,
"unit": "ULN"
}
}
]
},
{
"exact_snippets": "creatinine clearance (CrCL) ≥ 50 mL/min",
"criterion": "creatinine clearance (CrCL)",
"requirements": [
{
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 50,
"unit": "mL/min"
}
}
]
}
]
},
{
"line": "6. International normalized ratio (INR) ≤ 1.5 × ULN, prothrombin time (PT) ≤ 1.5 × ULN, activated partial thromboplastin time (aPTT) ≤ 1.5 × ULN;",
"criterions": [
{
"exact_snippets": "International normalized ratio (INR) ≤ 1.5 × ULN",
"criterion": "International normalized ratio (INR)",
"requirements": [
{
"requirement_type": "value",
"expected_value": {
"operator": "<=",
"value": 1.5,
"unit": "× ULN"
}
}
]
},
{
"exact_snippets": "prothrombin time (PT) ≤ 1.5 × ULN",
"criterion": "prothrombin time (PT)",
"requirements": [
{
"requirement_type": "value",
"expected_value": {
"operator": "<=",
"value": 1.5,
"unit": "× ULN"
}
}
]
},
{
"exact_snippets": "activated partial thromboplastin time (aPTT) ≤ 1.5 × ULN",
"criterion": "activated partial thromboplastin time (aPTT)",
"requirements": [
{
"requirement_type": "value",
"expected_value": {
"operator": "<=",
"value": 1.5,
"unit": "× ULN"
}
}
]
}
]
},
{
"line": "7. All women of reproductive potential, men whose partner is a woman of reproductive potential, or their spouses should use adequate barrier contraception throughout the study and for 3 months after the last dose;",
"criterions": [
{
"exact_snippets": "All women of reproductive potential",
"criterion": "women of reproductive potential",
"requirements": [
{
"requirement_type": "contraception use",
"expected_value": true
}
]
},
{
"exact_snippets": "men whose partner is a woman of reproductive potential",
"criterion": "men with partners of reproductive potential",
"requirements": [
{
"requirement_type": "contraception use",
"expected_value": true
}
]
},
{
"exact_snippets": "their spouses should use adequate barrier contraception",
"criterion": "spouses",
"requirements": [
{
"requirement_type": "contraception use",
"expected_value": true
}
]
}
]
},
{
"line": "8. Voluntary and agree to sign the informed consent and follow the study treatment protocol as well as follow-up plan.",
"criterions": [
{
"exact_snippets": "Voluntary and agree to sign the informed consent",
"criterion": "informed consent",
"requirements": [
{
"requirement_type": "agreement",
"expected_value": true
}
]
},
{
"exact_snippets": "follow the study treatment protocol",
"criterion": "study treatment protocol",
"requirements": [
{
"requirement_type": "compliance",
"expected_value": true
}
]
},
{
"exact_snippets": "follow-up plan",
"criterion": "follow-up plan",
"requirements": [
{
"requirement_type": "compliance",
"expected_value": true
}
]
}
]
},
{
"line": "Healthy volunteers allowed",
"criterions": [
{
"exact_snippets": "Healthy volunteers allowed",
"criterion": "volunteer health status",
"requirements": [
{
"requirement_type": "status",
"expected_value": "healthy"
}
]
}
]
},
{
"line": "Must have minimum age of 18 Years",
"criterions": [
{
"exact_snippets": "minimum age of 18 Years",
"criterion": "age",
"requirements": [
{
"requirement_type": "minimum",
"expected_value": {
"operator": ">=",
"value": 18,
"unit": "Years"
}
}
]
}
]
}
],
"exclusion_lines": [
{
"line": "1. Subjects with prior anti-CTLA-4 checkpoint inhibitors should be excluded;",
"criterions": [
{
"exact_snippets": "prior anti-CTLA-4 checkpoint inhibitors",
"criterion": "prior anti-CTLA-4 checkpoint inhibitors",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
}
]
},
{
"line": "2. Patients with any other malignancy within the past 5 years or currently, except for completely cured non-melanoma skin cancer, carcinoma in situ of the cervix, and ductal carcinoma in situ of the breast;",
"criterions": [
{
"exact_snippets": "Patients with any other malignancy within the past 5 years",
"criterion": "other malignancy",
"requirements": [
{
"requirement_type": "time frame",
"expected_value": {
"operator": "<=",
"value": 5,
"unit": "years"
}
},
{
"requirement_type": "presence",
"expected_value": true
}
]
},
{
"exact_snippets": "currently",
"criterion": "other malignancy",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
},
{
"exact_snippets": "except for completely cured non-melanoma skin cancer",
"criterion": "non-melanoma skin cancer",
"requirements": [
{
"requirement_type": "status",
"expected_value": "completely cured"
}
]
},
{
"exact_snippets": "except for ... carcinoma in situ of the cervix",
"criterion": "carcinoma in situ of the cervix",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
},
{
"exact_snippets": "except for ... ductal carcinoma in situ of the breast",
"criterion": "ductal carcinoma in situ of the breast",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
}
]
},
{
"line": "3. Received other anti-tumor therapies (such as chemotherapy, radiotherapy, surgery, endocrine therapy, targeted therapy, immunotherapy, etc.) within 4 weeks or 5 half-lives (whichever is longer) before the first dose, or received modern Chinese medicine preparations with anti-tumor effect approved by NMPA within 2 weeks prior to the first dose;",
"criterions": [
{
"exact_snippets": "Received other anti-tumor therapies (such as chemotherapy, radiotherapy, surgery, endocrine therapy, targeted therapy, immunotherapy, etc.) within 4 weeks or 5 half-lives (whichever is longer) before the first dose",
"criterion": "anti-tumor therapies",
"requirements": [
{
"requirement_type": "time since last treatment",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 4,
"unit": "weeks"
}
]
}
},
{
"requirement_type": "time since last treatment",
"expected_value": "5 half-lives (whichever is longer)"
}
]
},
{
"exact_snippets": "received modern Chinese medicine preparations with anti-tumor effect approved by NMPA within 2 weeks prior to the first dose",
"criterion": "modern Chinese medicine preparations with anti-tumor effect",
"requirements": [
{
"requirement_type": "approval",
"expected_value": "approved by NMPA"
},
{
"requirement_type": "time since last treatment",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 2,
"unit": "weeks"
}
]
}
}
]
}
]
},
{
"line": "4. Major surgery (excluding vascular access establishment surgery) was received within 4 weeks prior to the first dose;",
"criterions": [
{
"exact_snippets": "Major surgery (excluding vascular access establishment surgery) was received within 4 weeks prior to the first dose",
"criterion": "major surgery",
"requirements": [
{
"requirement_type": "time since surgery",
"expected_value": {
"operator": "<=",
"value": 4,
"unit": "weeks"
}
}
]
}
]
},
{
"line": "5. Has received immunosuppressive therapy within 4 weeks prior to the first dose. However, enrollment is permitted under the following circumstances:",
"criterions": [
{
"exact_snippets": "Has received immunosuppressive therapy within 4 weeks prior to the first dose",
"criterion": "immunosuppressive therapy",
"requirements": [
{
"requirement_type": "time since last dose",
"expected_value": {
"operator": "<=",
"value": 4,
"unit": "weeks"
}
}
]
}
]
},
{
"line": "6. In the absence of active autoimmune disease, patients are allowed to receive inhaled or topical glucocorticoids, or other glucocorticoids at doses ≤ 10 mg/day prednisone equivalent.",
"criterions": [
{
"exact_snippets": "absence of active autoimmune disease",
"criterion": "active autoimmune disease",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
},
{
"exact_snippets": "allowed to receive inhaled or topical glucocorticoids",
"criterion": "glucocorticoid treatment",
"requirements": [
{
"requirement_type": "type",
"expected_value": [
"inhaled",
"topical"
]
}
]
},
{
"exact_snippets": "allowed to receive ... other glucocorticoids at doses ≤ 10 mg/day prednisone equivalent",
"criterion": "glucocorticoid treatment",
"requirements": [
{
"requirement_type": "dose",
"expected_value": {
"operator": "<=",
"value": 10,
"unit": "mg/day prednisone equivalent"
}
}
]
}
]
},
{
"line": "Patients with primary central nervous system (CNS) tumors, or symptomatic CNS tumors, or spinal cord compression, or carcinomatous meningitis; with the following exceptions:",
"criterions": [
{
"exact_snippets": "primary central nervous system (CNS) tumors",
"criterion": "primary CNS tumors",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
},
{
"exact_snippets": "symptomatic CNS tumors",
"criterion": "symptomatic CNS tumors",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
},
{
"exact_snippets": "spinal cord compression",
"criterion": "spinal cord compression",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
},
{
"exact_snippets": "carcinomatous meningitis",
"criterion": "carcinomatous meningitis",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
}
]
},
{
"line": "Patients with asymptomatic brain metastases (i.e., no progressive central nervous system symptoms due to brain metastatic sites, no need for corticosteroids, and lesion size ≤ 1.5 cm); Patients whose symptoms are controlled by treatment, i.e., their condition is stable and asymptomatic at least 4 weeks after treatment;",
"criterions": [
{
"exact_snippets": "asymptomatic brain metastases",
"criterion": "brain metastases",
"requirements": [
{
"requirement_type": "symptoms",
"expected_value": "asymptomatic"
}
]
},
{
"exact_snippets": "no progressive central nervous system symptoms due to brain metastatic sites",
"criterion": "central nervous system symptoms",
"requirements": [
{
"requirement_type": "progression",
"expected_value": false
}
]
},
{
"exact_snippets": "no need for corticosteroids",
"criterion": "corticosteroid requirement",
"requirements": [
{
"requirement_type": "necessity",
"expected_value": false
}
]
},
{
"exact_snippets": "lesion size ≤ 1.5 cm",
"criterion": "lesion size",
"requirements": [
{
"requirement_type": "size",
"expected_value": {
"operator": "<=",
"value": 1.5,
"unit": "cm"
}
}
]
},
{
"exact_snippets": "symptoms are controlled by treatment",
"criterion": "symptom control",
"requirements": [
{
"requirement_type": "control",
"expected_value": true
}
]
},
{
"exact_snippets": "condition is stable and asymptomatic at least 4 weeks after treatment",
"criterion": "condition stability",
"requirements": [
{
"requirement_type": "stability",
"expected_value": true
}
]
},
{
"exact_snippets": "condition is stable and asymptomatic at least 4 weeks after treatment",
"criterion": "asymptomatic condition",
"requirements": [
{
"requirement_type": "duration",
"expected_value": "at least 4 weeks after treatment"
}
]
}
]
},
{
"line": "7. Use of any other study drug within 4 weeks prior to the first dose, or participation in other clinical studies;",
"criterions": [
{
"exact_snippets": "Use of any other study drug within 4 weeks prior to the first dose",
"criterion": "use of other study drug",
"requirements": [
{
"requirement_type": "time frame",
"expected_value": {
"operator": "<=",
"value": 4,
"unit": "weeks"
}
}
]
},
{
"exact_snippets": "participation in other clinical studies",
"criterion": "participation in other clinical studies",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
}
]
},
{
"line": "8. Have received live or attenuated vaccines within 4 weeks prior to the first dose;",
"criterions": [
{
"exact_snippets": "Have received live or attenuated vaccines within 4 weeks prior to the first dose",
"criterion": "vaccination",
"requirements": [
{
"requirement_type": "type",
"expected_value": [
"live",
"attenuated"
]
},
{
"requirement_type": "time since vaccination",
"expected_value": {
"operator": "<",
"value": 4,
"unit": "weeks"
}
}
]
}
]
},
{
"line": "10. Toxic and side effects caused by prior anti-tumor therapy before the first dose did not recover to ≤ Grade 1 (CTCAE v5.0), except for alopecia and sensory neuropathy below Grade 2;",
"criterions": [
{
"exact_snippets": "Toxic and side effects caused by prior anti-tumor therapy before the first dose did not recover to ≤ Grade 1 (CTCAE v5.0)",
"criterion": "recovery from toxic and side effects",
"requirements": [
{
"requirement_type": "severity",
"expected_value": {
"operator": "<=",
"value": 1,
"unit": "Grade (CTCAE v5.0)"
}
}
]
},
{
"exact_snippets": "alopecia",
"criterion": "alopecia",
"requirements": [
{
"requirement_type": "severity",
"expected_value": "N/A"
}
]
},
{
"exact_snippets": "sensory neuropathy below Grade 2",
"criterion": "sensory neuropathy",
"requirements": [
{
"requirement_type": "severity",
"expected_value": {
"operator": "<",
"value": 2,
"unit": "Grade"
}
}
]
}
]
},
{
"line": "11. History of interstitial pneumonia or non-infectious pneumonitis requiring corticosteroids, except for radiation therapy, or current presence of interstitial pneumonia or non-infectious pneumonitis;",
"criterions": [
{
"exact_snippets": "History of interstitial pneumonia",
"criterion": "interstitial pneumonia",
"requirements": [
{
"requirement_type": "history",
"expected_value": true
}
]
},
{
"exact_snippets": "History of ... non-infectious pneumonitis requiring corticosteroids",
"criterion": "non-infectious pneumonitis",
"requirements": [
{
"requirement_type": "history",
"expected_value": true
},
{
"requirement_type": "treatment",
"expected_value": "corticosteroids"
}
]
},
{
"exact_snippets": "current presence of interstitial pneumonia",
"criterion": "interstitial pneumonia",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
},
{
"exact_snippets": "current presence of ... non-infectious pneumonitis",
"criterion": "non-infectious pneumonitis",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
}
]
},
{
"line": "12. ≥ Grade 2 immune-related pneumonitis occurred during prior immunotherapy;",
"criterions": [
{
"exact_snippets": "≥ Grade 2 immune-related pneumonitis occurred during prior immunotherapy",
"criterion": "immune-related pneumonitis",
"requirements": [
{
"requirement_type": "severity",
"expected_value": {
"operator": ">=",
"value": 2,
"unit": "Grade"
}
},
{
"requirement_type": "temporal",
"expected_value": "prior immunotherapy"
}
]
}
]
},
{
"line": "13. History of ≥ Grade 3 immune-related adverse reactions or any adverse reactions leading to discontinuation of immunotherapy during prior immunotherapy;",
"criterions": [
{
"exact_snippets": "History of ≥ Grade 3 immune-related adverse reactions",
"criterion": "immune-related adverse reactions",
"requirements": [
{
"requirement_type": "severity",
"expected_value": {
"operator": ">=",
"value": 3,
"unit": "Grade"
}
}
]
},
{
"exact_snippets": "any adverse reactions leading to discontinuation of immunotherapy during prior immunotherapy",
"criterion": "adverse reactions leading to discontinuation of immunotherapy",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
}
]
},
{
"line": "14. Past or existing active tuberculosis ;",
"criterions": [
{
"exact_snippets": "Past or existing active tuberculosis",
"criterion": "tuberculosis",
"requirements": [
{
"requirement_type": "status",
"expected_value": [
"past",
"existing"
]
},
{
"requirement_type": "activity",
"expected_value": "active"
}
]
}
]
},
{
"line": "15. Patients with active auto-immune disease, history of auto-immune disease requiring systemic therapy, or history of auto-immune disease within 2 years prior to the first dose, with the following exceptions: leucoderma, childhood asthma/specific reactions, type I diabetes mellitus, hypothyroidism which can be treated with replacement therapy;",
"criterions": [
{
"exact_snippets": "Patients with active auto-immune disease",
"criterion": "active auto-immune disease",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
},
{
"exact_snippets": "history of auto-immune disease requiring systemic therapy",
"criterion": "history of auto-immune disease requiring systemic therapy",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
},
{
"exact_snippets": "history of auto-immune disease within 2 years prior to the first dose",
"criterion": "history of auto-immune disease within 2 years",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
},
{
"exact_snippets": "exceptions: leucoderma, childhood asthma/specific reactions, type I diabetes mellitus, hypothyroidism which can be treated with replacement therapy",
"criterion": "auto-immune disease exceptions",
"requirements": [
{
"requirement_type": "presence",
"expected_value": [
"leucoderma",
"childhood asthma/specific reactions",
"type I diabetes mellitus",
"hypothyroidism which can be treated with replacement therapy"
]
}
]
}
]
},
{
"line": "16. Clinically uncontrollable disease, including, but not limited to, severe diabetes (fasting glucose > 250 mg/dl,1 mg/dl = 18 mmol/L), uncontrollable hypertension (systolic blood pressure ≥ 160 mmHg or diastolic blood pressure ≥ 100 mmHg), or other serious disease requiring systemic treatment;",
"criterions": [
{
"exact_snippets": "Clinically uncontrollable disease",
"criterion": "clinically uncontrollable disease",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
},
{
"exact_snippets": "severe diabetes (fasting glucose > 250 mg/dl",
"criterion": "severe diabetes",
"requirements": [
{
"requirement_type": "fasting glucose level",
"expected_value": {
"operator": ">",
"value": 250,
"unit": "mg/dl"
}
}
]
},
{
"exact_snippets": "uncontrollable hypertension (systolic blood pressure ≥ 160 mmHg",
"criterion": "uncontrollable hypertension",
"requirements": [
{
"requirement_type": "systolic blood pressure",
"expected_value": {
"operator": ">=",
"value": 160,
"unit": "mmHg"
}
}
]
},
{
"exact_snippets": "uncontrollable hypertension ... diastolic blood pressure ≥ 100 mmHg",
"criterion": "uncontrollable hypertension",
"requirements": [
{
"requirement_type": "diastolic blood pressure",
"expected_value": {
"operator": ">=",
"value": 100,
"unit": "mmHg"
}
}
]
},
{
"exact_snippets": "other serious disease requiring systemic treatment",
"criterion": "other serious disease requiring systemic treatment",
"requirements": [
{
"requirement_type": "presence",
"expected_value": true
}
]
}
]
},
{
"line": "17. Patients with active infections, including active hepatitis B, active hepatitis C, and human immunodeficiency virus infection;",
"criterions": [
{
"exact_snippets": "active infections",
"criterion": "active infections",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
},
{
"exact_snippets": "active hepatitis B",
"criterion": "active hepatitis B",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
},
{
"exact_snippets": "active hepatitis C",
"criterion": "active hepatitis C",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
},
{
"exact_snippets": "human immunodeficiency virus infection",
"criterion": "human immunodeficiency virus infection",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
}
]
},
{
"line": "18. Patients with active infection requiring intravenous infusion;",
"criterions": [
{
"exact_snippets": "active infection",
"criterion": "infection",
"requirements": [
{
"requirement_type": "status",
"expected_value": "active"
}
]
},
{
"exact_snippets": "requiring intravenous infusion",
"criterion": "intravenous infusion",
"requirements": [
{
"requirement_type": "necessity",
"expected_value": true
}
]
}
]
},
{
"line": "19. Serious cardiovascular and cerebrovascular diseases, such as cerebrovascular rupture, stroke, myocardial infarction, unstable angina pectoris, congestive heart failure (New York Heart Association Grade ≥ II), severe uncontrolled arrhythmia, etc., occurred within 6 months prior to the first dose;",
"criterions": [
{
"exact_snippets": "Serious cardiovascular and cerebrovascular diseases, such as cerebrovascular rupture, stroke, myocardial infarction, unstable angina pectoris, congestive heart failure (New York Heart Association Grade ≥ II), severe uncontrolled arrhythmia, etc.",
"criterion": "cardiovascular and cerebrovascular diseases",
"requirements": [
{
"requirement_type": "severity",
"expected_value": "serious"
}
]
},
{
"exact_snippets": "cerebrovascular rupture",
"criterion": "cerebrovascular rupture",
"requirements": [
{
"requirement_type": "occurrence",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 6,
"unit": "months"
}
]
}
}
]
},
{
"exact_snippets": "stroke",
"criterion": "stroke",
"requirements": [
{
"requirement_type": "occurrence",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 6,
"unit": "months"
}
]
}
}
]
},
{
"exact_snippets": "myocardial infarction",
"criterion": "myocardial infarction",
"requirements": [
{
"requirement_type": "occurrence",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 6,
"unit": "months"
}
]
}
}
]
},
{
"exact_snippets": "unstable angina pectoris",
"criterion": "unstable angina pectoris",
"requirements": [
{
"requirement_type": "occurrence",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 6,
"unit": "months"
}
]
}
}
]
},
{
"exact_snippets": "congestive heart failure (New York Heart Association Grade ≥ II)",
"criterion": "congestive heart failure",
"requirements": [
{
"requirement_type": "severity",
"expected_value": {
"operator": ">=",
"value": 2,
"unit": "New York Heart Association Grade"
}
},
{
"requirement_type": "occurrence",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 6,
"unit": "months"
}
]
}
}
]
},
{
"exact_snippets": "severe uncontrolled arrhythmia",
"criterion": "arrhythmia",
"requirements": [
{
"requirement_type": "severity",
"expected_value": "severe"
},
{
"requirement_type": "control",
"expected_value": false
},
{
"requirement_type": "occurrence",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 6,
"unit": "months"
}
]
}
}
]
}
]
},
{
"line": "20. Patients with clinically significant ECG abnormalities: QTcF ≥ 470 msec (corrected by Fridericia), or having history of congenital long QT syndrome, or taking any known QTc prolonging medication;",
"criterions": [
{
"exact_snippets": "clinically significant ECG abnormalities: QTcF ≥ 470 msec (corrected by Fridericia)",
"criterion": "QTcF interval",
"requirements": [
{
"requirement_type": "value",
"expected_value": {
"operator": ">=",
"value": 470,
"unit": "msec"
}
}
]
},
{
"exact_snippets": "history of congenital long QT syndrome",
"criterion": "congenital long QT syndrome",
"requirements": [
{
"requirement_type": "history",
"expected_value": true
}
]
},
{
"exact_snippets": "taking any known QTc prolonging medication",
"criterion": "QTc prolonging medication",
"requirements": [
{
"requirement_type": "current use",
"expected_value": true
}
]
}
]
},
{
"line": "21. Patients who have received allogeneic bone marrow transplant or organ transplant;",
"criterions": [
{
"exact_snippets": "Patients who have received allogeneic bone marrow transplant",
"criterion": "allogeneic bone marrow transplant",
"requirements": [
{
"requirement_type": "history",
"expected_value": true
}
]
},
{
"exact_snippets": "Patients who have received ... organ transplant",
"criterion": "organ transplant",
"requirements": [
{
"requirement_type": "history",
"expected_value": true
}
]
}
]
},
{
"line": "22. Known psychiatric disorders, drug abuse, drug use, or alcohol dependence that may affect trial compliance;",
"criterions": [
{
"exact_snippets": "Known psychiatric disorders",
"criterion": "psychiatric disorders",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
},
{
"exact_snippets": "drug abuse",
"criterion": "drug abuse",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
},
{
"exact_snippets": "drug use",
"criterion": "drug use",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
},
{
"exact_snippets": "alcohol dependence",
"criterion": "alcohol dependence",
"requirements": [
{
"requirement_type": "presence",
"expected_value": false
}
]
}
]
},
{
"line": "23. Other conditions that were considered not suitable for the study by the investigator.",
"criterions": [
{
"exact_snippets": "Other conditions that were considered not suitable for the study by the investigator.",
"criterion": "other conditions",
"requirements": [
{
"requirement_type": "suitability",
"expected_value": "not suitable for the study by the investigator"
}
]
}
]
}
],
"miscellaneous_lines": [],
"failed_inclusion": [],
"failed_exclusion": [
{
"line": "9. Patients with known severe allergic reactions (≥ Grade 3) to the active ingredient and excipients of the investigational drug, other monoclonal antibodies or \"Immuno-oncology drugs;",
"criterions": [
{
"exact_snippets": "known severe allergic reactions (≥ Grade 3) to the active ingredient and excipients of the investigational drug",
"criterion": "allergic reactions to investigational drug",
"requirements": [
{
"requirement_type": "severity",
"expected_value": {
"operator": ">=",
"value": 3,
"unit": "Grade"
}
}
]
},
{
"exact_snippets": "known severe allergic reactions (≥ Grade 3) to ... other monoclonal antibodies",
"criterion": "allergic reactions to monoclonal antibodies",
"requirements": [
{
"requirement_type": "severity",
"expected_value": {
"operator": ">=",
"value": 3,
"unit": "Grade"
}
}
]
},
{
"exact_snippets": "known severe allergic reactions (≥ Grade 3) to ... \"Immuno-oncology drugs\"",
"criterion": "allergic reactions to Immuno-oncology drugs",
"requirements": [
{
"requirement_type": "severity",
"expected_value": {
"operator": ">=",
"value": 3,
"unit": "Grade"
}
}
]
}
]
}
],
"failed_miscellaneous": []
}