{
"info": {
"nct_id": "NCT01271582",
"official_title": "Investigation of Association Between UGT1A1 Polymorphisms and Irinotecan Toxicity in Korean Patients With Advanced Colorectal or Gastric Cancer Treated With FOLFIRI Regimen",
"inclusion_criteria": "Subjects should meet all of the following criteria to participate in the trial.\n\n* Histologically confirmed colorectal or gastric cancer patients who are chemonaive or failed to 1st line chemotherapy\n* Subjects who are expected to receive toxicity test at least once after FOLFIRI treatment.\n* Aged 18 years or older.\n* ECOG performance status of ≤ 2.\n* Anticipated life expectancy of ≥ 3 months.\n* Clinically acceptable function of bone marrow, kidney and liver function as below.\n\n 1. ANC ≥ 1500/mm3 and platelet count ≥ 100,000/mm3\n 2. Serum total bilirubin ≤ 1.5 x ULN, alkaline phosphatase ≤ 2.5 x ULN, Serum ALT and AST ≤ 2.5 x ULN (Serum ALT and AST ≤ 5 x ULN, if liver metastases are present)\n 3. Serum creatinine ≤ 1.5 mg/dL or CLcr > 60 ml/min\n* Subjects whose written informed consent can be obtained prior to their participation in the trial.\nHealthy volunteers allowed\nMust have minimum age of 18 Years",
"exclusion_criteria": "Subjects who meet any of the following criteria should not be included in the trial.\n\n* Pregnant or breast feeding women\n* Serious concurrent complication, severe active infection.\n* Subjects with chronic diarrhea, paralytic ileums, pulmonary fibrosis or pneumonia interstitialis\n* Subjects with epilepsia or severe psychiatric disorders.\n* Subjects who are regarded to be unsuitable for this trial by the investigator.\n* Subjects who are participating in other clinical trials\n* Subjects who have received prior chemotherapy including irinotecan.",
"miscellaneous_criteria": ""
},
"inclusion_lines": [
{
"identified_line": {
"line": "* Histologically confirmed colorectal or gastric cancer patients who are chemonaive or failed to 1st line chemotherapy",
"criterions": [
{
"exact_snippets": "Histologically confirmed colorectal or gastric cancer",
"criterion": "cancer type",
"requirement": {
"requirement_type": "presence",
"expected_value": [
"colorectal",
"gastric"
]
}
},
{
"exact_snippets": "chemonaive",
"criterion": "chemotherapy status",
"requirement": {
"requirement_type": "status",
"expected_value": "chemonaive"
}
},
{
"exact_snippets": "failed to 1st line chemotherapy",
"criterion": "chemotherapy status",
"requirement": {
"requirement_type": "status",
"expected_value": "failed to 1st line chemotherapy"
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"and_criteria": [
{
"exact_snippets": "Histologically confirmed colorectal or gastric cancer",
"criterion": "cancer type",
"requirement": {
"requirement_type": "presence",
"expected_value": [
"colorectal",
"gastric"
]
}
},
{
"or_criteria": [
{
"exact_snippets": "chemonaive",
"criterion": "chemotherapy status",
"requirement": {
"requirement_type": "status",
"expected_value": "chemonaive"
}
},
{
"exact_snippets": "failed to 1st line chemotherapy",
"criterion": "chemotherapy status",
"requirement": {
"requirement_type": "status",
"expected_value": "failed to 1st line chemotherapy"
}
}
]
}
]
}
]
}
},
{
"identified_line": {
"line": "* Subjects who are expected to receive toxicity test at least once after FOLFIRI treatment.",
"criterions": [
{
"exact_snippets": "expected to receive toxicity test",
"criterion": "toxicity test",
"requirement": {
"requirement_type": "frequency",
"expected_value": "at least once"
}
},
{
"exact_snippets": "after FOLFIRI treatment",
"criterion": "FOLFIRI treatment",
"requirement": {
"requirement_type": "sequence",
"expected_value": "before toxicity test"
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "expected to receive toxicity test",
"criterion": "toxicity test",
"requirement": {
"requirement_type": "frequency",
"expected_value": "at least once"
}
},
{
"exact_snippets": "after FOLFIRI treatment",
"criterion": "FOLFIRI treatment",
"requirement": {
"requirement_type": "sequence",
"expected_value": "before toxicity test"
}
}
]
}
},
{
"identified_line": {
"line": "* Aged 18 years or older.",
"criterions": [
{
"exact_snippets": "Aged 18 years or older",
"criterion": "age",
"requirement": {
"requirement_type": "minimum age",
"expected_value": {
"operator": ">=",
"value": 18,
"unit": "years"
}
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "Aged 18 years or older",
"criterion": "age",
"requirement": {
"requirement_type": "minimum age",
"expected_value": {
"operator": ">=",
"value": 18,
"unit": "years"
}
}
}
]
}
},
{
"identified_line": {
"line": "* ECOG performance status of ≤ 2.",
"criterions": [
{
"exact_snippets": "ECOG performance status of ≤ 2",
"criterion": "ECOG performance status",
"requirement": {
"requirement_type": "value",
"expected_value": {
"operator": "<=",
"value": 2,
"unit": "N/A"
}
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "ECOG performance status of ≤ 2",
"criterion": "ECOG performance status",
"requirement": {
"requirement_type": "value",
"expected_value": {
"operator": "<=",
"value": 2,
"unit": "N/A"
}
}
}
]
}
},
{
"identified_line": {
"line": "* Anticipated life expectancy of ≥ 3 months.",
"criterions": [
{
"exact_snippets": "Anticipated life expectancy of ≥ 3 months.",
"criterion": "life expectancy",
"requirement": {
"requirement_type": "duration",
"expected_value": {
"operator": ">=",
"value": 3,
"unit": "months"
}
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "Anticipated life expectancy of ≥ 3 months.",
"criterion": "life expectancy",
"requirement": {
"requirement_type": "duration",
"expected_value": {
"operator": ">=",
"value": 3,
"unit": "months"
}
}
}
]
}
},
{
"identified_line": {
"line": "* Clinically acceptable function of bone marrow, kidney and liver function as below.",
"criterions": [
{
"exact_snippets": "Clinically acceptable function of bone marrow",
"criterion": "bone marrow function",
"requirement": {
"requirement_type": "functionality",
"expected_value": "clinically acceptable"
}
},
{
"exact_snippets": "Clinically acceptable ... kidney",
"criterion": "kidney function",
"requirement": {
"requirement_type": "functionality",
"expected_value": "clinically acceptable"
}
},
{
"exact_snippets": "Clinically acceptable ... liver function",
"criterion": "liver function",
"requirement": {
"requirement_type": "functionality",
"expected_value": "clinically acceptable"
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "Clinically acceptable function of bone marrow",
"criterion": "bone marrow function",
"requirement": {
"requirement_type": "functionality",
"expected_value": "clinically acceptable"
}
},
{
"exact_snippets": "Clinically acceptable ... kidney",
"criterion": "kidney function",
"requirement": {
"requirement_type": "functionality",
"expected_value": "clinically acceptable"
}
},
{
"exact_snippets": "Clinically acceptable ... liver function",
"criterion": "liver function",
"requirement": {
"requirement_type": "functionality",
"expected_value": "clinically acceptable"
}
}
]
}
},
{
"identified_line": {
"line": "1. ANC ≥ 1500/mm3 and platelet count ≥ 100,000/mm3",
"criterions": [
{
"exact_snippets": "ANC ≥ 1500/mm3",
"criterion": "ANC",
"requirement": {
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 1500,
"unit": "mm3"
}
}
},
{
"exact_snippets": "platelet count ≥ 100,000/mm3",
"criterion": "platelet count",
"requirement": {
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 100000,
"unit": "mm3"
}
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "ANC ≥ 1500/mm3",
"criterion": "ANC",
"requirement": {
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 1500,
"unit": "mm3"
}
}
},
{
"exact_snippets": "platelet count ≥ 100,000/mm3",
"criterion": "platelet count",
"requirement": {
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 100000,
"unit": "mm3"
}
}
}
]
}
},
{
"identified_line": {
"line": "* Subjects whose written informed consent can be obtained prior to their participation in the trial.",
"criterions": [
{
"exact_snippets": "written informed consent can be obtained",
"criterion": "informed consent",
"requirement": {
"requirement_type": "obtainability",
"expected_value": true
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "written informed consent can be obtained",
"criterion": "informed consent",
"requirement": {
"requirement_type": "obtainability",
"expected_value": true
}
}
]
}
},
{
"identified_line": {
"line": "Healthy volunteers allowed",
"criterions": [
{
"exact_snippets": "Healthy volunteers allowed",
"criterion": "volunteer health status",
"requirement": {
"requirement_type": "status",
"expected_value": "healthy"
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "Healthy volunteers allowed",
"criterion": "volunteer health status",
"requirement": {
"requirement_type": "status",
"expected_value": "healthy"
}
}
]
}
},
{
"identified_line": {
"line": "Must have minimum age of 18 Years",
"criterions": [
{
"exact_snippets": "minimum age of 18 Years",
"criterion": "age",
"requirement": {
"requirement_type": "minimum",
"expected_value": {
"operator": ">=",
"value": 18,
"unit": "Years"
}
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "minimum age of 18 Years",
"criterion": "age",
"requirement": {
"requirement_type": "minimum",
"expected_value": {
"operator": ">=",
"value": 18,
"unit": "Years"
}
}
}
]
}
},
{
"identified_line": {
"line": "Subjects should meet all of the following criteria to participate in the trial.",
"criterions": []
},
"logical_structure": {
"and_criteria": []
}
}
],
"exclusion_lines": [
{
"identified_line": {
"line": "Subjects who meet any of the following criteria should not be included in the trial.",
"criterions": [
{
"exact_snippets": "Subjects who meet any of the following criteria should not be included in the trial.",
"criterion": "eligibility for trial inclusion",
"requirement": {
"requirement_type": "eligibility",
"expected_value": false
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "Subjects who meet any of the following criteria should not be included in the trial.",
"criterion": "eligibility for trial inclusion",
"requirement": {
"requirement_type": "eligibility",
"expected_value": false
}
}
]
}
},
{
"identified_line": {
"line": "* Pregnant or breast feeding women",
"criterions": [
{
"exact_snippets": "Pregnant",
"criterion": "pregnancy",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
},
{
"exact_snippets": "breast feeding",
"criterion": "breastfeeding",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
}
]
},
"logical_structure": {
"or_criteria": [
{
"exact_snippets": "Pregnant",
"criterion": "pregnancy",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
},
{
"exact_snippets": "breast feeding",
"criterion": "breastfeeding",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
}
]
}
},
{
"identified_line": {
"line": "* Serious concurrent complication, severe active infection.",
"criterions": [
{
"exact_snippets": "Serious concurrent complication",
"criterion": "concurrent complication",
"requirement": {
"requirement_type": "severity",
"expected_value": "serious"
}
},
{
"exact_snippets": "severe active infection",
"criterion": "active infection",
"requirement": {
"requirement_type": "severity",
"expected_value": "severe"
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "Serious concurrent complication",
"criterion": "concurrent complication",
"requirement": {
"requirement_type": "severity",
"expected_value": "serious"
}
},
{
"exact_snippets": "severe active infection",
"criterion": "active infection",
"requirement": {
"requirement_type": "severity",
"expected_value": "severe"
}
}
]
}
},
{
"identified_line": {
"line": "* Subjects with chronic diarrhea, paralytic ileums, pulmonary fibrosis or pneumonia interstitialis",
"criterions": [
{
"exact_snippets": "chronic diarrhea",
"criterion": "chronic diarrhea",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "paralytic ileums",
"criterion": "paralytic ileums",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "pulmonary fibrosis",
"criterion": "pulmonary fibrosis",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "pneumonia interstitialis",
"criterion": "pneumonia interstitialis",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
]
},
"logical_structure": {
"or_criteria": [
{
"exact_snippets": "chronic diarrhea",
"criterion": "chronic diarrhea",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "paralytic ileums",
"criterion": "paralytic ileums",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "pulmonary fibrosis",
"criterion": "pulmonary fibrosis",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "pneumonia interstitialis",
"criterion": "pneumonia interstitialis",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
]
}
},
{
"identified_line": {
"line": "* Subjects with epilepsia or severe psychiatric disorders.",
"criterions": [
{
"exact_snippets": "epilepsia",
"criterion": "epilepsia",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
},
{
"exact_snippets": "severe psychiatric disorders",
"criterion": "psychiatric disorders",
"requirement": {
"requirement_type": "severity",
"expected_value": "severe"
}
},
{
"exact_snippets": "severe psychiatric disorders",
"criterion": "psychiatric disorders",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
}
]
},
"logical_structure": {
"or_criteria": [
{
"and_criteria": [
{
"exact_snippets": "epilepsia",
"criterion": "epilepsia",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
}
]
},
{
"and_criteria": [
{
"exact_snippets": "severe psychiatric disorders",
"criterion": "psychiatric disorders",
"requirement": {
"requirement_type": "severity",
"expected_value": "severe"
}
},
{
"exact_snippets": "severe psychiatric disorders",
"criterion": "psychiatric disorders",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
}
]
}
]
}
},
{
"identified_line": {
"line": "* Subjects who are regarded to be unsuitable for this trial by the investigator.",
"criterions": [
{
"exact_snippets": "Subjects who are regarded to be unsuitable for this trial by the investigator.",
"criterion": "suitability for trial",
"requirement": {
"requirement_type": "determination",
"expected_value": "suitable"
}
}
]
},
"logical_structure": {
"not_criteria": {
"exact_snippets": "Subjects who are regarded to be unsuitable for this trial by the investigator.",
"criterion": "suitability for trial",
"requirement": {
"requirement_type": "determination",
"expected_value": "suitable"
}
}
}
},
{
"identified_line": {
"line": "* Subjects who are participating in other clinical trials",
"criterions": [
{
"exact_snippets": "Subjects who are participating in other clinical trials",
"criterion": "participation in other clinical trials",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
]
},
"logical_structure": {
"not_criteria": {
"exact_snippets": "Subjects who are participating in other clinical trials",
"criterion": "participation in other clinical trials",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
}
},
{
"identified_line": {
"line": "* Subjects who have received prior chemotherapy including irinotecan.",
"criterions": [
{
"exact_snippets": "Subjects who have received prior chemotherapy",
"criterion": "prior chemotherapy",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "including irinotecan",
"criterion": "irinotecan",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"and_criteria": [
{
"exact_snippets": "Subjects who have received prior chemotherapy",
"criterion": "prior chemotherapy",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "including irinotecan",
"criterion": "irinotecan",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
]
}
]
}
}
],
"miscellaneous_lines": [],
"failed_inclusion": [
{
"identified_line": {
"line": "2. Serum total bilirubin ≤ 1.5 x ULN, alkaline phosphatase ≤ 2.5 x ULN, Serum ALT and AST ≤ 2.5 x ULN (Serum ALT and AST ≤ 5 x ULN, if liver metastases are present)",
"criterions": [
{
"exact_snippets": "Serum total bilirubin ≤ 1.5 x ULN",
"criterion": "serum total bilirubin",
"requirement": {
"requirement_type": "level",
"expected_value": {
"operator": "<=",
"value": 1.5,
"unit": "x ULN"
}
}
},
{
"exact_snippets": "alkaline phosphatase ≤ 2.5 x ULN",
"criterion": "alkaline phosphatase",
"requirement": {
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"expected_value": {
"operator": "<=",
"value": 2.5,
"unit": "x ULN"
}
}
},
{
"exact_snippets": "Serum ALT and AST ≤ 2.5 x ULN",
"criterion": "serum ALT and AST",
"requirement": {
"requirement_type": "level",
"expected_value": {
"operator": "<=",
"value": 2.5,
"unit": "x ULN"
}
}
},
{
"exact_snippets": "Serum ALT and AST ≤ 5 x ULN, if liver metastases are present",
"criterion": "serum ALT and AST with liver metastases",
"requirement": {
"requirement_type": "level",
"expected_value": {
"operator": "<=",
"value": 5,
"unit": "x ULN"
}
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "Serum total bilirubin \u0010.5 x ULN",
"criterion": "serum total bilirubin",
"requirement": {
"requirement_type": "level",
"expected_value": {
"operator": "<=",
"value": 1.5,
"unit": "x ULN"
}
}
},
{
"exact_snippets": "alkaline phosphatase \u0010.5 x ULN",
"criterion": "alkaline phosphatase",
"requirement": {
"requirement_type": "level",
"expected_value": {
"operator": "<=",
"value": 2.5,
"unit": "x ULN"
}
}
},
{
"condition": {
"exact_snippets": "liver metastases are present",
"criterion": "liver metastases",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
"then_criteria": {
"exact_snippets": "Serum ALT and AST \u0015 x ULN, if liver metastases are present",
"criterion": "serum ALT and AST with liver metastases",
"requirement": {
"requirement_type": "level",
"expected_value": {
"operator": "<=",
"value": 5,
"unit": "x ULN"
}
}
},
"else_criteria": {
"exact_snippets": "Serum ALT and AST \u0010.5 x ULN",
"criterion": "serum ALT and AST",
"requirement": {
"requirement_type": "level",
"expected_value": {
"operator": "<=",
"value": 2.5,
"unit": "x ULN"
}
}
}
}
]
}
},
{
"identified_line": {
"line": "3. Serum creatinine ≤ 1.5 mg/dL or CLcr > 60 ml/min",
"criterions": [
{
"exact_snippets": "Serum creatinine ≤ 1.5 mg/dL",
"criterion": "serum creatinine",
"requirement": {
"requirement_type": "level",
"expected_value": {
"operator": "<=",
"value": 1.5,
"unit": "mg/dL"
}
}
},
{
"exact_snippets": "CLcr > 60 ml/min",
"criterion": "creatinine clearance (CLcr)",
"requirement": {
"requirement_type": "level",
"expected_value": {
"operator": ">",
"value": 60,
"unit": "ml/min"
}
}
}
]
},
"logical_structure": {
"or_criteria": [
{
"exact_snippets": "Serum creatinine \u0010.5 mg/dL",
"criterion": "serum creatinine",
"requirement": {
"requirement_type": "level",
"expected_value": {
"operator": "<=",
"value": 1.5,
"unit": "mg/dL"
}
}
},
{
"exact_snippets": "CLcr > 60 ml/min",
"criterion": "creatinine clearance (CLcr)",
"requirement": {
"requirement_type": "level",
"expected_value": {
"operator": ">",
"value": 60,
"unit": "ml/min"
}
}
}
]
}
}
],
"failed_exclusion": [],
"failed_miscellaneous": []
}