{
"info": {
"nct_id": "NCT04083976",
"official_title": "A Phase 2 Study of Erdafitinib in Subjects With Advanced Solid Tumors and FGFR Gene Alterations",
"inclusion_criteria": "* Histologic demonstration of an unresectable, locally advanced, or metastatic solid tumor malignancy with an fibroblast growth factor receptor (FGFR) mutation or FGFR gene fusion\n* Measurable disease\n* Participant must have received at least one prior line of systemic therapy in the advanced, unresectable, or metastatic setting; or is a child or adolescent participant with a newly-diagnosed solid tumor and no acceptable standard therapies\n* Documented progression of disease, defined as any progression that requires a change in treatment, prior to full study screening\nHealthy volunteers allowed\nMust have minimum age of 6 Years",
"exclusion_criteria": "* Has had prior chemotherapy, targeted therapy, or treatment with an investigational anticancer agent within 15 days or less than or equal to (<=) 5 half-lives of the agent (whichever is longer) and up to a maximum of 30 days before the first dose of erdafitinib\n* The presence of FGFR gatekeeper and resistance mutations\n* Histologic demonstration of urothelial carcinoma\n* Hematologic malignancy (i.e., myeloid and lymphoid neoplasms\n* For non-small cell lung cancer participants only: pathogenic somatic mutations or gene fusions in the following genes: EGFR, ALK, ROS1, NTRK, BRAF V600E and KRAS\n* Active malignancies other than for disease requiring therapy",
"miscellaneous_criteria": ""
},
"inclusion_lines": [
{
"identified_line": {
"line": "* Measurable disease",
"criterions": [
{
"exact_snippets": "Measurable disease",
"criterion": "disease",
"requirement": {
"requirement_type": "measurability",
"expected_value": true
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "Measurable disease",
"criterion": "disease",
"requirement": {
"requirement_type": "measurability",
"expected_value": true
}
}
]
}
},
{
"identified_line": {
"line": "* Participant must have received at least one prior line of systemic therapy in the advanced, unresectable, or metastatic setting; or is a child or adolescent participant with a newly-diagnosed solid tumor and no acceptable standard therapies",
"criterions": [
{
"exact_snippets": "Participant must have received at least one prior line of systemic therapy in the advanced, unresectable, or metastatic setting",
"criterion": "prior systemic therapy",
"requirement": {
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 1,
"unit": "line"
}
}
},
{
"exact_snippets": "is a child or adolescent participant",
"criterion": "age group",
"requirement": {
"requirement_type": "category",
"expected_value": [
"child",
"adolescent"
]
}
},
{
"exact_snippets": "newly-diagnosed solid tumor",
"criterion": "solid tumor diagnosis",
"requirement": {
"requirement_type": "timing",
"expected_value": "newly-diagnosed"
}
},
{
"exact_snippets": "no acceptable standard therapies",
"criterion": "availability of standard therapies",
"requirement": {
"requirement_type": "availability",
"expected_value": false
}
}
]
},
"logical_structure": {
"or_criteria": [
{
"and_criteria": [
{
"exact_snippets": "Participant must have received at least one prior line of systemic therapy in the advanced, unresectable, or metastatic setting",
"criterion": "prior systemic therapy",
"requirement": {
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 1,
"unit": "line"
}
}
}
]
},
{
"and_criteria": [
{
"exact_snippets": "is a child or adolescent participant",
"criterion": "age group",
"requirement": {
"requirement_type": "category",
"expected_value": [
"child",
"adolescent"
]
}
},
{
"exact_snippets": "newly-diagnosed solid tumor",
"criterion": "solid tumor diagnosis",
"requirement": {
"requirement_type": "timing",
"expected_value": "newly-diagnosed"
}
},
{
"exact_snippets": "no acceptable standard therapies",
"criterion": "availability of standard therapies",
"requirement": {
"requirement_type": "availability",
"expected_value": false
}
}
]
}
]
}
},
{
"identified_line": {
"line": "* Documented progression of disease, defined as any progression that requires a change in treatment, prior to full study screening",
"criterions": [
{
"exact_snippets": "Documented progression of disease",
"criterion": "disease progression",
"requirement": {
"requirement_type": "documentation",
"expected_value": true
}
},
{
"exact_snippets": "progression that requires a change in treatment",
"criterion": "treatment change requirement",
"requirement": {
"requirement_type": "necessity",
"expected_value": true
}
},
{
"exact_snippets": "prior to full study screening",
"criterion": "timing of progression",
"requirement": {
"requirement_type": "timing",
"expected_value": "prior to full study screening"
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"and_criteria": [
{
"exact_snippets": "Documented progression of disease",
"criterion": "disease progression",
"requirement": {
"requirement_type": "documentation",
"expected_value": true
}
},
{
"exact_snippets": "progression that requires a change in treatment",
"criterion": "treatment change requirement",
"requirement": {
"requirement_type": "necessity",
"expected_value": true
}
}
]
},
{
"exact_snippets": "prior to full study screening",
"criterion": "timing of progression",
"requirement": {
"requirement_type": "timing",
"expected_value": "prior to full study screening"
}
}
]
}
},
{
"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 6 Years",
"criterions": [
{
"exact_snippets": "minimum age of 6 Years",
"criterion": "age",
"requirement": {
"requirement_type": "minimum",
"expected_value": {
"operator": ">=",
"value": 6,
"unit": "Years"
}
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "minimum age of 6 Years",
"criterion": "age",
"requirement": {
"requirement_type": "minimum",
"expected_value": {
"operator": ">=",
"value": 6,
"unit": "Years"
}
}
}
]
}
}
],
"exclusion_lines": [],
"miscellaneous_lines": [],
"failed_inclusion": [
{
"identified_line": {
"line": "* Histologic demonstration of an unresectable, locally advanced, or metastatic solid tumor malignancy with an fibroblast growth factor receptor (FGFR) mutation or FGFR gene fusion",
"criterions": [
{
"exact_snippets": "Histologic demonstration of an unresectable, locally advanced, or metastatic solid tumor malignancy",
"criterion": "solid tumor malignancy",
"requirement": {
"requirement_type": "stage",
"expected_value": [
"unresectable",
"locally advanced",
"metastatic"
]
}
},
{
"exact_snippets": "fibroblast growth factor receptor (FGFR) mutation",
"criterion": "FGFR mutation",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "FGFR gene fusion",
"criterion": "FGFR gene fusion",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"and_criteria": [
{
"or_criteria": [
{
"exact_snippets": "Histologic demonstration of an unresectable, locally advanced, or metastatic solid tumor malignancy",
"criterion": "solid tumor malignancy",
"requirement": {
"requirement_type": "stage",
"expected_value": "unresectable"
}
},
{
"exact_snippets": "Histologic demonstration of an unresectable, locally advanced, or metastatic solid tumor malignancy",
"criterion": "solid tumor malignancy",
"requirement": {
"requirement_type": "stage",
"expected_value": "locally advanced"
}
},
{
"exact_snippets": "Histologic demonstration of an unresectable, locally advanced, or metastatic solid tumor malignancy",
"criterion": "solid tumor malignancy",
"requirement": {
"requirement_type": "stage",
"expected_value": "metastatic"
}
}
]
},
{
"or_criteria": [
{
"exact_snippets": "fibroblast growth factor receptor (FGFR) mutation",
"criterion": "FGFR mutation",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "FGFR gene fusion",
"criterion": "FGFR gene fusion",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
]
}
]
}
]
}
}
],
"failed_exclusion": [
{
"identified_line": {
"line": "* Has had prior chemotherapy, targeted therapy, or treatment with an investigational anticancer agent within 15 days or less than or equal to (<=) 5 half-lives of the agent (whichever is longer) and up to a maximum of 30 days before the first dose of erdafitinib",
"criterions": [
{
"exact_snippets": "Has had prior chemotherapy",
"criterion": "prior chemotherapy",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "targeted therapy",
"criterion": "targeted therapy",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "treatment with an investigational anticancer agent",
"criterion": "treatment with an investigational anticancer agent",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "within 15 days or less than or equal to (<=) 5 half-lives of the agent (whichever is longer) and up to a maximum of 30 days before the first dose of erdafitinib",
"criterion": "time since last treatment",
"requirement": {
"requirement_type": "time since last treatment",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 15,
"unit": "days"
}
]
}
}
},
{
"exact_snippets": "within 15 days or less than or equal to (<=) 5 half-lives of the agent (whichever is longer) and up to a maximum of 30 days before the first dose of erdafitinib",
"criterion": "time since last treatment",
"requirement": {
"requirement_type": "time since last treatment",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 5,
"unit": "half-lives"
}
]
}
}
},
{
"exact_snippets": "within 15 days or less than or equal to (<=) 5 half-lives of the agent (whichever is longer) and up to a maximum of 30 days before the first dose of erdafitinib",
"criterion": "time since last treatment",
"requirement": {
"requirement_type": "time since last treatment",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 30,
"unit": "days"
}
]
}
}
}
]
},
"logical_structure": {
"exact_snippets": "failed",
"criterion": "failed",
"requirement": {
"requirement_type": "failed",
"expected_value": "failed"
}
}
},
{
"identified_line": {
"line": "* The presence of FGFR gatekeeper and resistance mutations",
"criterions": [
{
"exact_snippets": "presence of FGFR gatekeeper",
"criterion": "FGFR gatekeeper mutation",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "presence of ... resistance mutations",
"criterion": "resistance mutations",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
]
},
"logical_structure": {
"exact_snippets": "failed",
"criterion": "failed",
"requirement": {
"requirement_type": "failed",
"expected_value": "failed"
}
}
},
{
"identified_line": {
"line": "* Histologic demonstration of urothelial carcinoma",
"criterions": [
{
"exact_snippets": "Histologic demonstration of urothelial carcinoma",
"criterion": "urothelial carcinoma",
"requirement": {
"requirement_type": "demonstration",
"expected_value": "histologic"
}
}
]
},
"logical_structure": {
"exact_snippets": "failed",
"criterion": "failed",
"requirement": {
"requirement_type": "failed",
"expected_value": "failed"
}
}
},
{
"identified_line": {
"line": "* Hematologic malignancy (i.e., myeloid and lymphoid neoplasms",
"criterions": [
{
"exact_snippets": "Hematologic malignancy (i.e., myeloid and lymphoid neoplasms",
"criterion": "hematologic malignancy",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "myeloid",
"criterion": "myeloid neoplasms",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "lymphoid neoplasms",
"criterion": "lymphoid neoplasms",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
]
},
"logical_structure": {
"exact_snippets": "failed",
"criterion": "failed",
"requirement": {
"requirement_type": "failed",
"expected_value": "failed"
}
}
},
{
"identified_line": {
"line": "* For non-small cell lung cancer participants only: pathogenic somatic mutations or gene fusions in the following genes: EGFR, ALK, ROS1, NTRK, BRAF V600E and KRAS",
"criterions": [
{
"exact_snippets": "non-small cell lung cancer",
"criterion": "cancer type",
"requirement": {
"requirement_type": "type",
"expected_value": "non-small cell lung cancer"
}
},
{
"exact_snippets": "pathogenic somatic mutations or gene fusions",
"criterion": "genetic mutations or fusions",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "EGFR",
"criterion": "EGFR mutation or fusion",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "ALK",
"criterion": "ALK mutation or fusion",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "ROS1",
"criterion": "ROS1 mutation or fusion",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "NTRK",
"criterion": "NTRK mutation or fusion",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "BRAF V600E",
"criterion": "BRAF V600E mutation",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "KRAS",
"criterion": "KRAS mutation or fusion",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
]
},
"logical_structure": {
"exact_snippets": "failed",
"criterion": "failed",
"requirement": {
"requirement_type": "failed",
"expected_value": "failed"
}
}
},
{
"identified_line": {
"line": "* Active malignancies other than for disease requiring therapy",
"criterions": [
{
"exact_snippets": "Active malignancies other than for disease requiring therapy",
"criterion": "active malignancies",
"requirement": {
"requirement_type": "exclusion",
"expected_value": true
}
}
]
},
"logical_structure": {
"exact_snippets": "failed",
"criterion": "failed",
"requirement": {
"requirement_type": "failed",
"expected_value": "failed"
}
}
}
],
"failed_miscellaneous": []
}