{
"info": {
"nct_id": "NCT00842829",
"official_title": "A European Multicenter Open-Label Study of Breakthrough Cancer Pain: Assessment of Fentanyl Buccal Tablets Titration and Treatment in Opioid-Tolerant Patients",
"inclusion_criteria": "* The patient is willing to provide written informed consent to participate in this study.\n* The patient can be either an out-patient or an in-patient.\n* The patient has a histologically documented diagnosis of cancer.\n* The patient has stable background pain due to cancer.\n* The patient experiences up to 4 BTcP episodes per 24 hours.\n* As maintenance opioid therapy, the patient is currently taking 1 of the following: at least 60 mg of oral morphine/day, at least 25 mcg of transdermal fentanyl/hour, at least 30 mg of oxycodone/day, at least 8 mg of hydromorphone/day, of an equianalgesic dose of another opioid for a week or longer before administration of the first dose of study drug.\n* Women of childbearing potential, using a medically accepted, highly effective method of birth control and agree to continued use of this method for the duration of the study.\n* The patient must be willing and able to successfully self-administer the study drug and to fill in study documents.\nHealthy volunteers allowed\nMust have minimum age of 18 Years",
"exclusion_criteria": "* The patient is without maintenance opioid therapy.\n* The patient has uncontrolled or rapidly escalating pain as determined by the investigator.\n* The patient has known or suspected hypersensitivities, allergies, or other contraindications to the active drug or to any of the excipients of the study drug.\n* The patient has respiratory depression or chronic obstructive pulmonary disease, or any other medical condition predisposing to respiratory depression.\n* The patient has medical or psychiatric disease that, in the opinion of the investigator, would compromise collected data.\n* The patient is expected to have surgery during the study.\n* The patient is pregnant or lactating.\n* The patient has participated in a study involving an investigational drug in the prior 30 days.\n* The patient has received a monoamine oxidase inhibitor (MAOI) within 14 days before the first treatment with study drug.\n* The patient has any other medical condition or is receiving concomitant medication/therapy (e.g., regional nerve block) that could, in the opinion of the investigator, compromise the patient's safety or compliance with the study protocol, or compromise collected data.",
"miscellaneous_criteria": ""
},
"inclusion_lines": [
{
"identified_line": {
"line": "* The patient is willing to provide written informed consent to participate in this study.",
"criterions": [
{
"exact_snippets": "willing to provide written informed consent",
"criterion": "informed consent",
"requirement": {
"requirement_type": "willingness",
"expected_value": true
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "willing to provide written informed consent",
"criterion": "informed consent",
"requirement": {
"requirement_type": "willingness",
"expected_value": true
}
}
]
}
},
{
"identified_line": {
"line": "* The patient can be either an out-patient or an in-patient.",
"criterions": [
{
"exact_snippets": "The patient can be either an out-patient or an in-patient.",
"criterion": "patient status",
"requirement": {
"requirement_type": "status",
"expected_value": [
"out-patient",
"in-patient"
]
}
}
]
},
"logical_structure": {
"or_criteria": [
{
"exact_snippets": "The patient can be either an out-patient or an in-patient.",
"criterion": "patient status",
"requirement": {
"requirement_type": "status",
"expected_value": [
"out-patient",
"in-patient"
]
}
}
]
}
},
{
"identified_line": {
"line": "* The patient has a histologically documented diagnosis of cancer.",
"criterions": [
{
"exact_snippets": "histologically documented diagnosis of cancer",
"criterion": "cancer diagnosis",
"requirement": {
"requirement_type": "documentation",
"expected_value": "histologically"
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "histologically documented diagnosis of cancer",
"criterion": "cancer diagnosis",
"requirement": {
"requirement_type": "documentation",
"expected_value": "histologically"
}
}
]
}
},
{
"identified_line": {
"line": "* The patient has stable background pain due to cancer.",
"criterions": [
{
"exact_snippets": "stable background pain due to cancer",
"criterion": "background pain",
"requirement": {
"requirement_type": "stability",
"expected_value": "stable"
}
},
{
"exact_snippets": "stable background pain due to cancer",
"criterion": "background pain",
"requirement": {
"requirement_type": "cause",
"expected_value": "cancer"
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "stable background pain due to cancer",
"criterion": "background pain",
"requirement": {
"requirement_type": "stability",
"expected_value": "stable"
}
},
{
"exact_snippets": "stable background pain due to cancer",
"criterion": "background pain",
"requirement": {
"requirement_type": "cause",
"expected_value": "cancer"
}
}
]
}
},
{
"identified_line": {
"line": "* The patient experiences up to 4 BTcP episodes per 24 hours.",
"criterions": [
{
"exact_snippets": "up to 4 BTcP episodes per 24 hours",
"criterion": "BTcP episodes",
"requirement": {
"requirement_type": "frequency",
"expected_value": {
"operator": "<=",
"value": 4,
"unit": "episodes per 24 hours"
}
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "up to 4 BTcP episodes per 24 hours",
"criterion": "BTcP episodes",
"requirement": {
"requirement_type": "frequency",
"expected_value": {
"operator": "<=",
"value": 4,
"unit": "episodes per 24 hours"
}
}
}
]
}
},
{
"identified_line": {
"line": "* As maintenance opioid therapy, the patient is currently taking 1 of the following: at least 60 mg of oral morphine/day, at least 25 mcg of transdermal fentanyl/hour, at least 30 mg of oxycodone/day, at least 8 mg of hydromorphone/day, of an equianalgesic dose of another opioid for a week or longer before administration of the first dose of study drug.",
"criterions": [
{
"exact_snippets": "As maintenance opioid therapy, the patient is currently taking 1 of the following: at least 60 mg of oral morphine/day",
"criterion": "oral morphine",
"requirement": {
"requirement_type": "dosage",
"expected_value": {
"operator": ">=",
"value": 60,
"unit": "mg/day"
}
}
},
{
"exact_snippets": "As maintenance opioid therapy, the patient is currently taking 1 of the following: ... at least 25 mcg of transdermal fentanyl/hour",
"criterion": "transdermal fentanyl",
"requirement": {
"requirement_type": "dosage",
"expected_value": {
"operator": ">=",
"value": 25,
"unit": "mcg/hour"
}
}
},
{
"exact_snippets": "As maintenance opioid therapy, the patient is currently taking 1 of the following: ... at least 30 mg of oxycodone/day",
"criterion": "oxycodone",
"requirement": {
"requirement_type": "dosage",
"expected_value": {
"operator": ">=",
"value": 30,
"unit": "mg/day"
}
}
},
{
"exact_snippets": "As maintenance opioid therapy, the patient is currently taking 1 of the following: ... at least 8 mg of hydromorphone/day",
"criterion": "hydromorphone",
"requirement": {
"requirement_type": "dosage",
"expected_value": {
"operator": ">=",
"value": 8,
"unit": "mg/day"
}
}
},
{
"exact_snippets": "As maintenance opioid therapy, the patient is currently taking 1 of the following: ... of an equianalgesic dose of another opioid for a week or longer before administration of the first dose of study drug.",
"criterion": "equianalgesic dose of another opioid",
"requirement": {
"requirement_type": "duration",
"expected_value": "a week or longer"
}
}
]
},
"logical_structure": {
"or_criteria": [
{
"and_criteria": [
{
"exact_snippets": "As maintenance opioid therapy, the patient is currently taking 1 of the following: at least 60 mg of oral morphine/day",
"criterion": "oral morphine",
"requirement": {
"requirement_type": "dosage",
"expected_value": {
"operator": ">=",
"value": 60,
"unit": "mg/day"
}
}
},
{
"exact_snippets": "As maintenance opioid therapy, the patient is currently taking 1 of the following: ... of an equianalgesic dose of another opioid for a week or longer before administration of the first dose of study drug.",
"criterion": "equianalgesic dose of another opioid",
"requirement": {
"requirement_type": "duration",
"expected_value": "a week or longer"
}
}
]
},
{
"and_criteria": [
{
"exact_snippets": "As maintenance opioid therapy, the patient is currently taking 1 of the following: ... at least 25 mcg of transdermal fentanyl/hour",
"criterion": "transdermal fentanyl",
"requirement": {
"requirement_type": "dosage",
"expected_value": {
"operator": ">=",
"value": 25,
"unit": "mcg/hour"
}
}
},
{
"exact_snippets": "As maintenance opioid therapy, the patient is currently taking 1 of the following: ... of an equianalgesic dose of another opioid for a week or longer before administration of the first dose of study drug.",
"criterion": "equianalgesic dose of another opioid",
"requirement": {
"requirement_type": "duration",
"expected_value": "a week or longer"
}
}
]
},
{
"and_criteria": [
{
"exact_snippets": "As maintenance opioid therapy, the patient is currently taking 1 of the following: ... at least 30 mg of oxycodone/day",
"criterion": "oxycodone",
"requirement": {
"requirement_type": "dosage",
"expected_value": {
"operator": ">=",
"value": 30,
"unit": "mg/day"
}
}
},
{
"exact_snippets": "As maintenance opioid therapy, the patient is currently taking 1 of the following: ... of an equianalgesic dose of another opioid for a week or longer before administration of the first dose of study drug.",
"criterion": "equianalgesic dose of another opioid",
"requirement": {
"requirement_type": "duration",
"expected_value": "a week or longer"
}
}
]
},
{
"and_criteria": [
{
"exact_snippets": "As maintenance opioid therapy, the patient is currently taking 1 of the following: ... at least 8 mg of hydromorphone/day",
"criterion": "hydromorphone",
"requirement": {
"requirement_type": "dosage",
"expected_value": {
"operator": ">=",
"value": 8,
"unit": "mg/day"
}
}
},
{
"exact_snippets": "As maintenance opioid therapy, the patient is currently taking 1 of the following: ... of an equianalgesic dose of another opioid for a week or longer before administration of the first dose of study drug.",
"criterion": "equianalgesic dose of another opioid",
"requirement": {
"requirement_type": "duration",
"expected_value": "a week or longer"
}
}
]
}
]
}
},
{
"identified_line": {
"line": "* Women of childbearing potential, using a medically accepted, highly effective method of birth control and agree to continued use of this method for the duration of the study.",
"criterions": [
{
"exact_snippets": "Women of childbearing potential",
"criterion": "childbearing potential",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "using a medically accepted, highly effective method of birth control",
"criterion": "birth control method",
"requirement": {
"requirement_type": "effectiveness",
"expected_value": "highly effective"
}
},
{
"exact_snippets": "using a medically accepted, highly effective method of birth control",
"criterion": "birth control method",
"requirement": {
"requirement_type": "acceptance",
"expected_value": "medically accepted"
}
},
{
"exact_snippets": "agree to continued use of this method for the duration of the study",
"criterion": "birth control method usage",
"requirement": {
"requirement_type": "duration",
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}
}
]
},
"logical_structure": {
"and_criteria": [
{
"and_criteria": [
{
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"requirement_type": "presence",
"expected_value": true
}
},
{
"and_criteria": [
{
"exact_snippets": "using a medically accepted, highly effective method of birth control",
"criterion": "birth control method",
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}
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{
"exact_snippets": "using a medically accepted, highly effective method of birth control",
"criterion": "birth control method",
"requirement": {
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}
}
]
}
]
},
{
"exact_snippets": "agree to continued use of this method for the duration of the study",
"criterion": "birth control method usage",
"requirement": {
"requirement_type": "duration",
"expected_value": "for the duration of the study"
}
}
]
}
},
{
"identified_line": {
"line": "* The patient must be willing and able to successfully self-administer the study drug and to fill in study documents.",
"criterions": [
{
"exact_snippets": "willing and able to successfully self-administer the study drug",
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"expected_value": true
}
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{
"exact_snippets": "willing and able to successfully self-administer the study drug",
"criterion": "self-administration of study drug",
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"expected_value": true
}
},
{
"exact_snippets": "willing and able ... to fill in study documents",
"criterion": "completion of study documents",
"requirement": {
"requirement_type": "willingness",
"expected_value": true
}
},
{
"exact_snippets": "willing and able ... to fill in study documents",
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"requirement": {
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"expected_value": true
}
}
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"and_criteria": [
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"and_criteria": [
{
"exact_snippets": "willing and able to successfully self-administer the study drug",
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"expected_value": true
}
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"exact_snippets": "willing and able to successfully self-administer the study drug",
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"exact_snippets": "willing and able ... to fill in study documents",
"criterion": "completion of study documents",
"requirement": {
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"expected_value": true
}
},
{
"exact_snippets": "willing and able ... to fill in study documents",
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"requirement": {
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}
}
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},
{
"identified_line": {
"line": "Healthy volunteers allowed",
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{
"exact_snippets": "Healthy volunteers allowed",
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}
}
]
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"logical_structure": {
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"exact_snippets": "Healthy volunteers allowed",
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}
}
]
}
},
{
"identified_line": {
"line": "Must have minimum age of 18 Years",
"criterions": [
{
"exact_snippets": "minimum age of 18 Years",
"criterion": "age",
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"operator": ">=",
"value": 18,
"unit": "Years"
}
}
}
]
},
"logical_structure": {
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"exact_snippets": "minimum age of 18 Years",
"criterion": "age",
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"operator": ">=",
"value": 18,
"unit": "Years"
}
}
}
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}
}
],
"exclusion_lines": [
{
"identified_line": {
"line": "* The patient is without maintenance opioid therapy.",
"criterions": [
{
"exact_snippets": "without maintenance opioid therapy",
"criterion": "maintenance opioid therapy",
"requirement": {
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"expected_value": false
}
}
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"exact_snippets": "without maintenance opioid therapy",
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}
}
]
}
},
{
"identified_line": {
"line": "* The patient has known or suspected hypersensitivities, allergies, or other contraindications to the active drug or to any of the excipients of the study drug.",
"criterions": [
{
"exact_snippets": "known or suspected hypersensitivities, allergies, or other contraindications to the active drug",
"criterion": "hypersensitivities, allergies, or contraindications to the active drug",
"requirement": {
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"expected_value": true
}
},
{
"exact_snippets": "known or suspected hypersensitivities, allergies, or other contraindications ... to any of the excipients of the study drug",
"criterion": "hypersensitivities, allergies, or contraindications to excipients of the study drug",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
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"exact_snippets": "known or suspected hypersensitivities, allergies, or other contraindications to the active drug",
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"requirement": {
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"expected_value": true
}
},
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"exact_snippets": "known or suspected hypersensitivities, allergies, or other contraindications ... to any of the excipients of the study drug",
"criterion": "hypersensitivities, allergies, or contraindications to excipients of the study drug",
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"expected_value": true
}
}
]
}
},
{
"identified_line": {
"line": "* The patient has respiratory depression or chronic obstructive pulmonary disease, or any other medical condition predisposing to respiratory depression.",
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{
"exact_snippets": "The patient has respiratory depression",
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"requirement": {
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"expected_value": true
}
},
{
"exact_snippets": "chronic obstructive pulmonary disease",
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"expected_value": true
}
},
{
"exact_snippets": "any other medical condition predisposing to respiratory depression",
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}
}
]
},
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{
"exact_snippets": "The patient has respiratory depression",
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}
},
{
"exact_snippets": "chronic obstructive pulmonary disease",
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"expected_value": true
}
},
{
"exact_snippets": "any other medical condition predisposing to respiratory depression",
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}
}
]
}
},
{
"identified_line": {
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"criterions": [
{
"exact_snippets": "medical or psychiatric disease",
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}
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}
}
]
}
},
{
"identified_line": {
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"exact_snippets": "The patient is expected to have surgery during the study.",
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}
}
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},
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}
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},
{
"identified_line": {
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"exact_snippets": "The patient is pregnant",
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}
},
{
"exact_snippets": "lactating",
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},
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}
}
]
}
},
{
"identified_line": {
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},
{
"identified_line": {
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{
"exact_snippets": "The patient has received a monoamine oxidase inhibitor (MAOI) within 14 days before the first treatment with study drug.",
"criterion": "monoamine oxidase inhibitor (MAOI)",
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"value": 14,
"unit": "days"
}
}
}
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"exact_snippets": "The patient has received a monoamine oxidase inhibitor (MAOI) within 14 days before the first treatment with study drug.",
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"unit": "days"
}
}
}
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}
},
{
"identified_line": {
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"criterions": [
{
"exact_snippets": "The patient has any other medical condition",
"criterion": "other medical condition",
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"expected_value": true
}
},
{
"exact_snippets": "is receiving concomitant medication/therapy",
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}
}
]
},
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"and_criteria": [
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"exact_snippets": "The patient has any other medical condition",
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"expected_value": true
}
},
{
"exact_snippets": "that could, in the opinion of the investigator, compromise the patient's safety or compliance with the study protocol, or compromise collected data.",
"criterion": "compromise due to medical condition",
"requirement": {
"requirement_type": "investigator opinion",
"expected_value": true
}
}
]
},
{
"and_criteria": [
{
"exact_snippets": "is receiving concomitant medication/therapy",
"criterion": "concomitant medication/therapy",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "that could, in the opinion of the investigator, compromise the patient's safety or compliance with the study protocol, or compromise collected data.",
"criterion": "compromise due to medication/therapy",
"requirement": {
"requirement_type": "investigator opinion",
"expected_value": true
}
}
]
}
]
}
]
}
}
],
"miscellaneous_lines": [],
"failed_inclusion": [],
"failed_exclusion": [
{
"identified_line": {
"line": "* The patient has uncontrolled or rapidly escalating pain as determined by the investigator.",
"criterions": [
{
"exact_snippets": "uncontrolled or rapidly escalating pain",
"criterion": "pain",
"requirement": {
"requirement_type": "severity",
"expected_value": [
"uncontrolled",
"rapidly escalating"
]
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"and_criteria": [
{
"exact_snippets": "uncontrolled or rapidly escalating pain",
"criterion": "pain",
"requirement": {
"requirement_type": "severity",
"expected_value": "uncontrolled"
}
},
{
"exact_snippets": "uncontrolled or rapidly escalating pain",
"criterion": "pain",
"requirement": {
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"expected_value": "rapidly escalating"
}
}
]
}
]
}
}
],
"failed_miscellaneous": []
}