{
"info": {
"nct_id": "NCT01639001",
"official_title": "PHASE 3, RANDOMIZED, OPEN-LABEL STUDY OF THE EFFICACY AND SAFETY OF CRIZOTINIB VERSUS PEMETREXED/CISPLATIN OR PEMETREXED/CARBOPLATIN IN PREVIOUSLY UNTREATED EAST ASIAN PATIENTS WITH NON-SQUAMOUS CARCINOMA OF THE LUNG HARBORING A TRANSLOCATION OR INVERSION EVENT INVOLVING THE ANAPLASTIC LYMPHOMA KINASE (ALK) GENE LOCUS",
"inclusion_criteria": "* Histologically or cytologically proven diagnosis of locally advanced not suitable for local treatment, recurrent and metastatic non-squamous cell carcinoma of the lung.\n* Positive for translocation or inversion events involving the ALK gene locus.\n* No prior systemic treatment for locally advanced or metastatic disease. Patients with brain metastases only if treated and neurologically stable for at least 2 weeks and are not taking any medications contraindicated in Exclusion Criteria\n* Evidence of a personally signed and dated informed consent document and willingness and ability to comply with scheduled visits, treatment plans, laboratory tests, and other study procedures including completion of patient reported outcome [PRO] measures.\nHealthy volunteers allowed\nMust have minimum age of 18 Years\nMust have maximum age of 70 Years",
"exclusion_criteria": "* Current treatment on another therapeutic clinical trial.\n* Prior therapy directly targeting ALK.\n* Any of the following within the 3 months prior to starting study treatment: myocardial infarction, severe/unstable angina, coronary/peripheral artery bypass graft, congestive heart failure, or cerebrovascular accident including transient ischemic attack. Appropriate treatment with anticoagulants is permitted.\n* Ongoing cardiac dysrhythmias of NCI CTCAE Grade >=2, uncontrolled atrial fibrillation of any grade, or QTc interval >470 msec.\n* Pregnancy or breastfeeding.\n* Use of drugs or foods that are known potent CYP3A inducers/inhibitors Concurrent use of drugs that are CYP3A substrates with narrow therapeutic indices.\n* Known HIV infection\n* History of extensive disseminated/bilateral or known presence of Grade 3 or 4 interstitial fibrosis or interstitial lung disease, including a history of pneumonitis, hypersensitivity pneumonitis, interstitial pneumonia, interstitial lung disease, obliterative bronchiolitis, and pulmonary fibrosis, but not history of prior radiation pneumonitis.\n* Other severe acute or chronic medical conditions (including severe gastrointestinal conditions such as diarrhea or ulcer) or psychiatric conditions, or end-stage renal disease on hemodialysis, or laboratory abnormalities that would impart, in the judgment of the investigator and/or sponsor, excess risk associated with study participation or study drug administration, and which would, therefore, make the patient inappropriate for entry into this study.",
"miscellaneous_criteria": ""
},
"inclusion_lines": [
{
"identified_line": {
"line": "* Histologically or cytologically proven diagnosis of locally advanced not suitable for local treatment, recurrent and metastatic non-squamous cell carcinoma of the lung.",
"criterions": [
{
"exact_snippets": "Histologically or cytologically proven diagnosis",
"criterion": "diagnosis method",
"requirement": {
"requirement_type": "method",
"expected_value": [
"histologically",
"cytologically"
]
}
},
{
"exact_snippets": "locally advanced not suitable for local treatment",
"criterion": "cancer stage",
"requirement": {
"requirement_type": "stage",
"expected_value": "locally advanced"
}
},
{
"exact_snippets": "locally advanced not suitable for local treatment",
"criterion": "cancer stage",
"requirement": {
"requirement_type": "treatment suitability",
"expected_value": false
}
},
{
"exact_snippets": "recurrent",
"criterion": "cancer recurrence",
"requirement": {
"requirement_type": "recurrence",
"expected_value": true
}
},
{
"exact_snippets": "metastatic",
"criterion": "cancer metastasis",
"requirement": {
"requirement_type": "metastasis",
"expected_value": true
}
},
{
"exact_snippets": "non-squamous cell carcinoma of the lung",
"criterion": "cancer type",
"requirement": {
"requirement_type": "type",
"expected_value": "non-squamous cell carcinoma of the lung"
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"and_criteria": [
{
"or_criteria": [
{
"exact_snippets": "locally advanced not suitable for local treatment",
"criterion": "cancer stage",
"requirement": {
"requirement_type": "stage",
"expected_value": "locally advanced"
}
},
{
"exact_snippets": "recurrent",
"criterion": "cancer recurrence",
"requirement": {
"requirement_type": "recurrence",
"expected_value": true
}
},
{
"exact_snippets": "metastatic",
"criterion": "cancer metastasis",
"requirement": {
"requirement_type": "metastasis",
"expected_value": true
}
}
]
},
{
"exact_snippets": "locally advanced not suitable for local treatment",
"criterion": "cancer stage",
"requirement": {
"requirement_type": "treatment suitability",
"expected_value": false
}
}
]
},
{
"exact_snippets": "Histologically or cytologically proven diagnosis",
"criterion": "diagnosis method",
"requirement": {
"requirement_type": "method",
"expected_value": [
"histologically",
"cytologically"
]
}
},
{
"exact_snippets": "non-squamous cell carcinoma of the lung",
"criterion": "cancer type",
"requirement": {
"requirement_type": "type",
"expected_value": "non-squamous cell carcinoma of the lung"
}
}
]
}
},
{
"identified_line": {
"line": "* Positive for translocation or inversion events involving the ALK gene locus.",
"criterions": [
{
"exact_snippets": "Positive for translocation or inversion events involving the ALK gene locus.",
"criterion": "ALK gene locus",
"requirement": {
"requirement_type": "translocation or inversion events",
"expected_value": "positive"
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "Positive for translocation or inversion events involving the ALK gene locus.",
"criterion": "ALK gene locus",
"requirement": {
"requirement_type": "translocation or inversion events",
"expected_value": "positive"
}
}
]
}
},
{
"identified_line": {
"line": "* No prior systemic treatment for locally advanced or metastatic disease. Patients with brain metastases only if treated and neurologically stable for at least 2 weeks and are not taking any medications contraindicated in Exclusion Criteria",
"criterions": [
{
"exact_snippets": "No prior systemic treatment for locally advanced or metastatic disease",
"criterion": "prior systemic treatment",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
},
{
"exact_snippets": "brain metastases only if treated and neurologically stable for at least 2 weeks",
"criterion": "brain metastases",
"requirement": {
"requirement_type": "treatment",
"expected_value": true
}
},
{
"exact_snippets": "brain metastases only if treated and neurologically stable for at least 2 weeks",
"criterion": "brain metastases",
"requirement": {
"requirement_type": "neurological stability",
"expected_value": {
"operator": ">=",
"value": 2,
"unit": "weeks"
}
}
},
{
"exact_snippets": "not taking any medications contraindicated in Exclusion Criteria",
"criterion": "medications contraindicated in Exclusion Criteria",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "No prior systemic treatment for locally advanced or metastatic disease",
"criterion": "prior systemic treatment",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
},
{
"or_criteria": [
{
"exact_snippets": "brain metastases only if treated and neurologically stable for at least 2 weeks",
"criterion": "brain metastases",
"requirement": {
"requirement_type": "treatment",
"expected_value": true
}
},
{
"exact_snippets": "brain metastases only if treated and neurologically stable for at least 2 weeks",
"criterion": "brain metastases",
"requirement": {
"requirement_type": "neurological stability",
"expected_value": {
"operator": ">=",
"value": 2,
"unit": "weeks"
}
}
}
]
},
{
"exact_snippets": "not taking any medications contraindicated in Exclusion Criteria",
"criterion": "medications contraindicated in Exclusion Criteria",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
}
]
}
},
{
"identified_line": {
"line": "* Evidence of a personally signed and dated informed consent document and willingness and ability to comply with scheduled visits, treatment plans, laboratory tests, and other study procedures including completion of patient reported outcome [PRO] measures.",
"criterions": [
{
"exact_snippets": "Evidence of a personally signed and dated informed consent document",
"criterion": "informed consent document",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "willingness and ability to comply with scheduled visits",
"criterion": "compliance with scheduled visits",
"requirement": {
"requirement_type": "willingness and ability",
"expected_value": true
}
},
{
"exact_snippets": "willingness and ability to comply with ... treatment plans",
"criterion": "compliance with treatment plans",
"requirement": {
"requirement_type": "willingness and ability",
"expected_value": true
}
},
{
"exact_snippets": "willingness and ability to comply with ... laboratory tests",
"criterion": "compliance with laboratory tests",
"requirement": {
"requirement_type": "willingness and ability",
"expected_value": true
}
},
{
"exact_snippets": "willingness and ability to comply with ... other study procedures",
"criterion": "compliance with other study procedures",
"requirement": {
"requirement_type": "willingness and ability",
"expected_value": true
}
},
{
"exact_snippets": "willingness and ability to comply with ... completion of patient reported outcome [PRO] measures",
"criterion": "completion of patient reported outcome [PRO] measures",
"requirement": {
"requirement_type": "willingness and ability",
"expected_value": true
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"and_criteria": [
{
"exact_snippets": "Evidence of a personally signed and dated informed consent document",
"criterion": "informed consent document",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "willingness and ability to comply with scheduled visits",
"criterion": "compliance with scheduled visits",
"requirement": {
"requirement_type": "willingness and ability",
"expected_value": true
}
},
{
"exact_snippets": "willingness and ability to comply with ... treatment plans",
"criterion": "compliance with treatment plans",
"requirement": {
"requirement_type": "willingness and ability",
"expected_value": true
}
},
{
"exact_snippets": "willingness and ability to comply with ... laboratory tests",
"criterion": "compliance with laboratory tests",
"requirement": {
"requirement_type": "willingness and ability",
"expected_value": true
}
},
{
"exact_snippets": "willingness and ability to comply with ... other study procedures",
"criterion": "compliance with other study procedures",
"requirement": {
"requirement_type": "willingness and ability",
"expected_value": true
}
}
]
},
{
"exact_snippets": "willingness and ability to comply with ... completion of patient reported outcome [PRO] measures",
"criterion": "completion of patient reported outcome [PRO] measures",
"requirement": {
"requirement_type": "willingness and ability",
"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": {
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"expected_value": {
"operator": ">=",
"value": 18,
"unit": "Years"
}
}
}
]
}
},
{
"identified_line": {
"line": "Must have maximum age of 70 Years",
"criterions": [
{
"exact_snippets": "maximum age of 70 Years",
"criterion": "age",
"requirement": {
"requirement_type": "maximum",
"expected_value": {
"operator": "<=",
"value": 70,
"unit": "Years"
}
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "maximum age of 70 Years",
"criterion": "age",
"requirement": {
"requirement_type": "maximum",
"expected_value": {
"operator": "<=",
"value": 70,
"unit": "Years"
}
}
}
]
}
}
],
"exclusion_lines": [
{
"identified_line": {
"line": "* Current treatment on another therapeutic clinical trial.",
"criterions": [
{
"exact_snippets": "Current treatment on another therapeutic clinical trial.",
"criterion": "current treatment on another therapeutic clinical trial",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
]
},
"logical_structure": {
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"exact_snippets": "Current treatment on another therapeutic clinical trial.",
"criterion": "current treatment on another therapeutic clinical trial",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
}
},
{
"identified_line": {
"line": "* Prior therapy directly targeting ALK.",
"criterions": [
{
"exact_snippets": "Prior therapy directly targeting ALK",
"criterion": "prior therapy",
"requirement": {
"requirement_type": "target",
"expected_value": "ALK"
}
}
]
},
"logical_structure": {
"not_criteria": {
"exact_snippets": "Prior therapy directly targeting ALK",
"criterion": "prior therapy",
"requirement": {
"requirement_type": "target",
"expected_value": "ALK"
}
}
}
},
{
"identified_line": {
"line": "* Any of the following within the 3 months prior to starting study treatment: myocardial infarction, severe/unstable angina, coronary/peripheral artery bypass graft, congestive heart failure, or cerebrovascular accident including transient ischemic attack. Appropriate treatment with anticoagulants is permitted.",
"criterions": [
{
"exact_snippets": "myocardial infarction ... within the 3 months prior to starting study treatment",
"criterion": "myocardial infarction",
"requirement": {
"requirement_type": "time since event",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 3,
"unit": "months"
}
]
}
}
},
{
"exact_snippets": "severe/unstable angina ... within the 3 months prior to starting study treatment",
"criterion": "severe/unstable angina",
"requirement": {
"requirement_type": "time since event",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 3,
"unit": "months"
}
]
}
}
},
{
"exact_snippets": "coronary/peripheral artery bypass graft ... within the 3 months prior to starting study treatment",
"criterion": "coronary/peripheral artery bypass graft",
"requirement": {
"requirement_type": "time since event",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 3,
"unit": "months"
}
]
}
}
},
{
"exact_snippets": "congestive heart failure ... within the 3 months prior to starting study treatment",
"criterion": "congestive heart failure",
"requirement": {
"requirement_type": "time since event",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 3,
"unit": "months"
}
]
}
}
},
{
"exact_snippets": "cerebrovascular accident including transient ischemic attack ... within the 3 months prior to starting study treatment",
"criterion": "cerebrovascular accident including transient ischemic attack",
"requirement": {
"requirement_type": "time since event",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 3,
"unit": "months"
}
]
}
}
}
]
},
"logical_structure": {
"or_criteria": [
{
"and_criteria": [
{
"exact_snippets": "myocardial infarction ... within the 3 months prior to starting study treatment",
"criterion": "myocardial infarction",
"requirement": {
"requirement_type": "time since event",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 3,
"unit": "months"
}
]
}
}
}
]
},
{
"and_criteria": [
{
"exact_snippets": "severe/unstable angina ... within the 3 months prior to starting study treatment",
"criterion": "severe/unstable angina",
"requirement": {
"requirement_type": "time since event",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 3,
"unit": "months"
}
]
}
}
}
]
},
{
"and_criteria": [
{
"exact_snippets": "coronary/peripheral artery bypass graft ... within the 3 months prior to starting study treatment",
"criterion": "coronary/peripheral artery bypass graft",
"requirement": {
"requirement_type": "time since event",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 3,
"unit": "months"
}
]
}
}
}
]
},
{
"and_criteria": [
{
"exact_snippets": "congestive heart failure ... within the 3 months prior to starting study treatment",
"criterion": "congestive heart failure",
"requirement": {
"requirement_type": "time since event",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 3,
"unit": "months"
}
]
}
}
}
]
},
{
"and_criteria": [
{
"exact_snippets": "cerebrovascular accident including transient ischemic attack ... within the 3 months prior to starting study treatment",
"criterion": "cerebrovascular accident including transient ischemic attack",
"requirement": {
"requirement_type": "time since event",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 3,
"unit": "months"
}
]
}
}
}
]
}
]
}
},
{
"identified_line": {
"line": "* Ongoing cardiac dysrhythmias of NCI CTCAE Grade >=2, uncontrolled atrial fibrillation of any grade, or QTc interval >470 msec.",
"criterions": [
{
"exact_snippets": "Ongoing cardiac dysrhythmias of NCI CTCAE Grade >=2",
"criterion": "cardiac dysrhythmias",
"requirement": {
"requirement_type": "severity",
"expected_value": {
"operator": ">=",
"value": 2,
"unit": "NCI CTCAE Grade"
}
}
},
{
"exact_snippets": "uncontrolled atrial fibrillation of any grade",
"criterion": "atrial fibrillation",
"requirement": {
"requirement_type": "control",
"expected_value": "uncontrolled"
}
},
{
"exact_snippets": "QTc interval >470 msec",
"criterion": "QTc interval",
"requirement": {
"requirement_type": "length",
"expected_value": {
"operator": ">",
"value": 470,
"unit": "msec"
}
}
}
]
},
"logical_structure": {
"or_criteria": [
{
"and_criteria": [
{
"exact_snippets": "Ongoing cardiac dysrhythmias of NCI CTCAE Grade >=2",
"criterion": "cardiac dysrhythmias",
"requirement": {
"requirement_type": "severity",
"expected_value": {
"operator": ">=",
"value": 2,
"unit": "NCI CTCAE Grade"
}
}
}
]
},
{
"and_criteria": [
{
"exact_snippets": "uncontrolled atrial fibrillation of any grade",
"criterion": "atrial fibrillation",
"requirement": {
"requirement_type": "control",
"expected_value": "uncontrolled"
}
}
]
},
{
"and_criteria": [
{
"exact_snippets": "QTc interval >470 msec",
"criterion": "QTc interval",
"requirement": {
"requirement_type": "length",
"expected_value": {
"operator": ">",
"value": 470,
"unit": "msec"
}
}
}
]
}
]
}
},
{
"identified_line": {
"line": "* Pregnancy or breastfeeding.",
"criterions": [
{
"exact_snippets": "Pregnancy",
"criterion": "pregnancy",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
},
{
"exact_snippets": "breastfeeding",
"criterion": "breastfeeding",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
}
]
},
"logical_structure": {
"or_criteria": [
{
"exact_snippets": "Pregnancy",
"criterion": "pregnancy",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
},
{
"exact_snippets": "breastfeeding",
"criterion": "breastfeeding",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
}
]
}
},
{
"identified_line": {
"line": "* Use of drugs or foods that are known potent CYP3A inducers/inhibitors Concurrent use of drugs that are CYP3A substrates with narrow therapeutic indices.",
"criterions": [
{
"exact_snippets": "Use of drugs or foods that are known potent CYP3A inducers/inhibitors",
"criterion": "use of CYP3A inducers/inhibitors",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
},
{
"exact_snippets": "Concurrent use of drugs that are CYP3A substrates with narrow therapeutic indices",
"criterion": "use of CYP3A substrates with narrow therapeutic indices",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "Use of drugs or foods that are known potent CYP3A inducers/inhibitors",
"criterion": "use of CYP3A inducers/inhibitors",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
},
{
"exact_snippets": "Concurrent use of drugs that are CYP3A substrates with narrow therapeutic indices",
"criterion": "use of CYP3A substrates with narrow therapeutic indices",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
}
]
}
},
{
"identified_line": {
"line": "* Known HIV infection",
"criterions": [
{
"exact_snippets": "Known HIV infection",
"criterion": "HIV infection",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "Known HIV infection",
"criterion": "HIV infection",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
]
}
},
{
"identified_line": {
"line": "* Other severe acute or chronic medical conditions (including severe gastrointestinal conditions such as diarrhea or ulcer) or psychiatric conditions, or end-stage renal disease on hemodialysis, or laboratory abnormalities that would impart, in the judgment of the investigator and/or sponsor, excess risk associated with study participation or study drug administration, and which would, therefore, make the patient inappropriate for entry into this study.",
"criterions": [
{
"exact_snippets": "severe acute or chronic medical conditions",
"criterion": "severe acute or chronic medical conditions",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
},
{
"exact_snippets": "severe gastrointestinal conditions such as diarrhea or ulcer",
"criterion": "severe gastrointestinal conditions",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
},
{
"exact_snippets": "psychiatric conditions",
"criterion": "psychiatric conditions",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
},
{
"exact_snippets": "end-stage renal disease on hemodialysis",
"criterion": "end-stage renal disease on hemodialysis",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
},
{
"exact_snippets": "laboratory abnormalities",
"criterion": "laboratory abnormalities",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"or_criteria": [
{
"or_criteria": [
{
"or_criteria": [
{
"or_criteria": [
{
"and_criteria": [
{
"exact_snippets": "severe acute or chronic medical conditions",
"criterion": "severe acute or chronic medical conditions",
"requirement": {
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"expected_value": false
}
},
{
"exact_snippets": "severe gastrointestinal conditions such as diarrhea or ulcer",
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{
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{
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}