{
    "info": {
        "nct_id": "NCT00004176",
        "official_title": "A Phase II Evaluation of Ethyol as an Esophageal Mucosal Protectant in the Treatment of Limited Disease Small Cell Lung Cancer With Chemotherapy and Twice-Daily Radiation",
        "inclusion_criteria": "Healthy volunteers allowed\nMust have minimum age of 18 Years",
        "exclusion_criteria": "",
        "miscellaneous_criteria": "DISEASE CHARACTERISTICS: Histologically confirmed limited stage small cell lung cancer confined to one hemithorax Measurable disease No pleural effusion(s)\n\nPATIENT CHARACTERISTICS: Age: 18 and over Performance status: Karnofsky 60-100% Life expectancy: Not specified Hematopoietic: Neutrophil count at least 1,500/mm3 Platelet count at least 75,000/mm3 Hepatic: Bilirubin no greater than 2.0 mg/dL SGOT and alkaline phosphatase no greater than 2 times upper limit of normal Renal: Creatinine no greater than 1.5 mg/dL OR Creatinine clearance at least 60 mL/min Calcium normal (8.9-10.3 mg/dL) Cardiovascular: No history of congestive heart failure or myocardial infarction within the past 6 months No uncontrolled or unexplained rhythm disturbance or symptoms of unstable ischemic heart disease Other: Not pregnant Fertile patients must use effective contraception No prior or concurrent malignancy within the past 5 years, except: Basal or squamous cell skin cancer Carcinoma in situ of the cervix No concurrent infection No significant uncontrolled hyponatremia No other significant concurrent medical or psychiatric illness which would preclude compliance No antecedent hearing loss Afebrile for at least 3 days unless fever due to tumor or obstructive pneumonia\n\nPRIOR CONCURRENT THERAPY: Biologic therapy: No prior biologic therapy Chemotherapy: No prior chemotherapy Endocrine therapy: Not specified Radiotherapy: No prior radiotherapy Surgery: Not specified Other: No drugs that could potentiate nephrotoxicity of cisplatin (e.g., aminoglycosides or lithium)"
    },
    "inclusion_lines": [
        {
            "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": "N/A",
                            "expected_value": {
                                "operator": ">=",
                                "value": 18,
                                "unit": "Years"
                            }
                        }
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "exact_snippets": "minimum age of 18 Years",
                        "criterion": "age",
                        "requirement": {
                            "requirement_type": "N/A",
                            "expected_value": {
                                "operator": ">=",
                                "value": 18,
                                "unit": "Years"
                            }
                        }
                    }
                ]
            }
        }
    ],
    "exclusion_lines": [],
    "miscellaneous_lines": [
        {
            "identified_line": {
                "line": "DISEASE CHARACTERISTICS: Histologically confirmed limited stage small cell lung cancer confined to one hemithorax Measurable disease No pleural effusion(s)",
                "criterions": [
                    {
                        "exact_snippets": "Histologically confirmed limited stage small cell lung cancer",
                        "criterion": "small cell lung cancer",
                        "requirement": {
                            "requirement_type": "stage",
                            "expected_value": "limited"
                        }
                    },
                    {
                        "exact_snippets": "Histologically confirmed limited stage small cell lung cancer",
                        "criterion": "small cell lung cancer",
                        "requirement": {
                            "requirement_type": "confirmation",
                            "expected_value": "histologically"
                        }
                    },
                    {
                        "exact_snippets": "confined to one hemithorax",
                        "criterion": "cancer location",
                        "requirement": {
                            "requirement_type": "location",
                            "expected_value": "one hemithorax"
                        }
                    },
                    {
                        "exact_snippets": "Measurable disease",
                        "criterion": "disease measurability",
                        "requirement": {
                            "requirement_type": "measurability",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "No pleural effusion(s)",
                        "criterion": "pleural effusion",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": false
                        }
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "and_criteria": [
                            {
                                "exact_snippets": "Histologically confirmed limited stage small cell lung cancer",
                                "criterion": "small cell lung cancer",
                                "requirement": {
                                    "requirement_type": "stage",
                                    "expected_value": "limited"
                                }
                            },
                            {
                                "exact_snippets": "Histologically confirmed limited stage small cell lung cancer",
                                "criterion": "small cell lung cancer",
                                "requirement": {
                                    "requirement_type": "confirmation",
                                    "expected_value": "histologically"
                                }
                            }
                        ]
                    },
                    {
                        "exact_snippets": "confined to one hemithorax",
                        "criterion": "cancer location",
                        "requirement": {
                            "requirement_type": "location",
                            "expected_value": "one hemithorax"
                        }
                    },
                    {
                        "exact_snippets": "Measurable disease",
                        "criterion": "disease measurability",
                        "requirement": {
                            "requirement_type": "measurability",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "No pleural effusion(s)",
                        "criterion": "pleural effusion",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": false
                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "PRIOR CONCURRENT THERAPY: Biologic therapy: No prior biologic therapy Chemotherapy: No prior chemotherapy Endocrine therapy: Not specified Radiotherapy: No prior radiotherapy Surgery: Not specified Other: No drugs that could potentiate nephrotoxicity of cisplatin (e.g., aminoglycosides or lithium)",
                "criterions": [
                    {
                        "exact_snippets": "No prior biologic therapy",
                        "criterion": "prior biologic therapy",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": false
                        }
                    },
                    {
                        "exact_snippets": "No prior chemotherapy",
                        "criterion": "prior chemotherapy",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": false
                        }
                    },
                    {
                        "exact_snippets": "Not specified",
                        "criterion": "prior endocrine therapy",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": "not specified"
                        }
                    },
                    {
                        "exact_snippets": "No prior radiotherapy",
                        "criterion": "prior radiotherapy",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": false
                        }
                    },
                    {
                        "exact_snippets": "Not specified",
                        "criterion": "prior surgery",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": "not specified"
                        }
                    },
                    {
                        "exact_snippets": "No drugs that could potentiate nephrotoxicity of cisplatin (e.g., aminoglycosides or lithium)",
                        "criterion": "drugs that could potentiate nephrotoxicity of cisplatin",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": false
                        }
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "and_criteria": [
                            {
                                "exact_snippets": "No prior biologic therapy",
                                "criterion": "prior biologic therapy",
                                "requirement": {
                                    "requirement_type": "presence",
                                    "expected_value": false
                                }
                            },
                            {
                                "exact_snippets": "No prior chemotherapy",
                                "criterion": "prior chemotherapy",
                                "requirement": {
                                    "requirement_type": "presence",
                                    "expected_value": false
                                }
                            },
                            {
                                "exact_snippets": "No prior radiotherapy",
                                "criterion": "prior radiotherapy",
                                "requirement": {
                                    "requirement_type": "presence",
                                    "expected_value": false
                                }
                            },
                            {
                                "exact_snippets": "No drugs that could potentiate nephrotoxicity of cisplatin (e.g., aminoglycosides or lithium)",
                                "criterion": "drugs that could potentiate nephrotoxicity of cisplatin",
                                "requirement": {
                                    "requirement_type": "presence",
                                    "expected_value": false
                                }
                            }
                        ]
                    },
                    {
                        "or_criteria": [
                            {
                                "exact_snippets": "Not specified",
                                "criterion": "prior endocrine therapy",
                                "requirement": {
                                    "requirement_type": "presence",
                                    "expected_value": "not specified"
                                }
                            },
                            {
                                "exact_snippets": "Not specified",
                                "criterion": "prior surgery",
                                "requirement": {
                                    "requirement_type": "presence",
                                    "expected_value": "not specified"
                                }
                            }
                        ]
                    }
                ]
            }
        }
    ],
    "failed_inclusion": [],
    "failed_exclusion": [],
    "failed_miscellaneous": [
        {
            "identified_line": {
                "line": "PATIENT CHARACTERISTICS: Age: 18 and over Performance status: Karnofsky 60-100% Life expectancy: Not specified Hematopoietic: Neutrophil count at least 1,500/mm3 Platelet count at least 75,000/mm3 Hepatic: Bilirubin no greater than 2.0 mg/dL SGOT and alkaline phosphatase no greater than 2 times upper limit of normal Renal: Creatinine no greater than 1.5 mg/dL OR Creatinine clearance at least 60 mL/min Calcium normal (8.9-10.3 mg/dL) Cardiovascular: No history of congestive heart failure or myocardial infarction within the past 6 months No uncontrolled or unexplained rhythm disturbance or symptoms of unstable ischemic heart disease Other: Not pregnant Fertile patients must use effective contraception No prior or concurrent malignancy within the past 5 years, except: Basal or squamous cell skin cancer Carcinoma in situ of the cervix No concurrent infection No significant uncontrolled hyponatremia No other significant concurrent medical or psychiatric illness which would preclude compliance No antecedent hearing loss Afebrile for at least 3 days unless fever due to tumor or obstructive pneumonia",
                "criterions": [
                    {
                        "exact_snippets": "Age: 18 and over",
                        "criterion": "age",
                        "requirement": {
                            "requirement_type": "minimum",
                            "expected_value": {
                                "operator": ">=",
                                "value": 18,
                                "unit": "years"
                            }
                        }
                    },
                    {
                        "exact_snippets": "Performance status: Karnofsky 60-100%",
                        "criterion": "performance status",
                        "requirement": {
                            "requirement_type": "range",
                            "expected_value": {
                                "comparisons": [
                                    {
                                        "operator": ">=",
                                        "value": 60,
                                        "unit": "%"
                                    },
                                    {
                                        "operator": "<=",
                                        "value": 100,
                                        "unit": "%"
                                    }
                                ]
                            }
                        }
                    },
                    {
                        "exact_snippets": "Life expectancy: Not specified",
                        "criterion": "life expectancy",
                        "requirement": {
                            "requirement_type": "specification",
                            "expected_value": "not specified"
                        }
                    },
                    {
                        "exact_snippets": "Hematopoietic: Neutrophil count at least 1,500/mm3",
                        "criterion": "neutrophil count",
                        "requirement": {
                            "requirement_type": "minimum",
                            "expected_value": {
                                "operator": ">=",
                                "value": 1500,
                                "unit": "mm3"
                            }
                        }
                    },
                    {
                        "exact_snippets": "Platelet count at least 75,000/mm3",
                        "criterion": "platelet count",
                        "requirement": {
                            "requirement_type": "minimum",
                            "expected_value": {
                                "operator": ">=",
                                "value": 75000,
                                "unit": "mm3"
                            }
                        }
                    },
                    {
                        "exact_snippets": "Hepatic: Bilirubin no greater than 2.0 mg/dL",
                        "criterion": "bilirubin level",
                        "requirement": {
                            "requirement_type": "maximum",
                            "expected_value": {
                                "operator": "<=",
                                "value": 2.0,
                                "unit": "mg/dL"
                            }
                        }
                    },
                    {
                        "exact_snippets": "SGOT and alkaline phosphatase no greater than 2 times upper limit of normal",
                        "criterion": "SGOT and alkaline phosphatase levels",
                        "requirement": {
                            "requirement_type": "maximum",
                            "expected_value": "no greater than 2 times upper limit of normal"
                        }
                    },
                    {
                        "exact_snippets": "Renal: Creatinine no greater than 1.5 mg/dL",
                        "criterion": "creatinine level",
                        "requirement": {
                            "requirement_type": "maximum",
                            "expected_value": {
                                "operator": "<=",
                                "value": 1.5,
                                "unit": "mg/dL"
                            }
                        }
                    },
                    {
                        "exact_snippets": "Creatinine clearance at least 60 mL/min",
                        "criterion": "creatinine clearance",
                        "requirement": {
                            "requirement_type": "minimum",
                            "expected_value": {
                                "operator": ">=",
                                "value": 60,
                                "unit": "mL/min"
                            }
                        }
                    },
                    {
                        "exact_snippets": "Calcium normal (8.9-10.3 mg/dL)",
                        "criterion": "calcium level",
                        "requirement": {
                            "requirement_type": "range",
                            "expected_value": {
                                "comparisons": [
                                    {
                                        "operator": ">=",
                                        "value": 8.9,
                                        "unit": "mg/dL"
                                    },
                                    {
                                        "operator": "<=",
                                        "value": 10.3,
                                        "unit": "mg/dL"
                                    }
                                ]
                            }
                        }
                    },
                    {
                        "exact_snippets": "Cardiovascular: No history of congestive heart failure or myocardial infarction within the past 6 months",
                        "criterion": "history of congestive heart failure or myocardial infarction",
                        "requirement": {
                            "requirement_type": "absence",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "No uncontrolled or unexplained rhythm disturbance or symptoms of unstable ischemic heart disease",
                        "criterion": "uncontrolled or unexplained rhythm disturbance or symptoms of unstable ischemic heart disease",
                        "requirement": {
                            "requirement_type": "absence",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "Other: Not pregnant",
                        "criterion": "pregnancy",
                        "requirement": {
                            "requirement_type": "absence",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "Fertile patients must use effective contraception",
                        "criterion": "contraception use in fertile patients",
                        "requirement": {
                            "requirement_type": "necessity",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "No prior or concurrent malignancy within the past 5 years, except: Basal or squamous cell skin cancer Carcinoma in situ of the cervix",
                        "criterion": "prior or concurrent malignancy within the past 5 years",
                        "requirement": {
                            "requirement_type": "absence",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "No concurrent infection",
                        "criterion": "concurrent infection",
                        "requirement": {
                            "requirement_type": "absence",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "No significant uncontrolled hyponatremia",
                        "criterion": "significant uncontrolled hyponatremia",
                        "requirement": {
                            "requirement_type": "absence",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "No other significant concurrent medical or psychiatric illness which would preclude compliance",
                        "criterion": "significant concurrent medical or psychiatric illness",
                        "requirement": {
                            "requirement_type": "absence",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "No antecedent hearing loss",
                        "criterion": "antecedent hearing loss",
                        "requirement": {
                            "requirement_type": "absence",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "Afebrile for at least 3 days unless fever due to tumor or obstructive pneumonia",
                        "criterion": "afebrile status",
                        "requirement": {
                            "requirement_type": "duration",
                            "expected_value": "at least 3 days"
                        }
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "and_criteria": [
                            {
                                "exact_snippets": "Age: 18 and over",
                                "criterion": "age",
                                "requirement": {
                                    "requirement_type": "minimum",
                                    "expected_value": {
                                        "operator": ">=",
                                        "value": 18,
                                        "unit": "years"
                                    }
                                }
                            },
                            {
                                "exact_snippets": "Performance status: Karnofsky 60-100%",
                                "criterion": "performance status",
                                "requirement": {
                                    "requirement_type": "range",
                                    "expected_value": {
                                        "comparisons": [
                                            {
                                                "operator": ">=",
                                                "value": 60,
                                                "unit": "%"
                                            },
                                            {
                                                "operator": "<=",
                                                "value": 100,
                                                "unit": "%"
                                            }
                                        ]
                                    }
                                }
                            },
                            {
                                "exact_snippets": "Hematopoietic: Neutrophil count at least 1,500/mm3",
                                "criterion": "neutrophil count",
                                "requirement": {
                                    "requirement_type": "minimum",
                                    "expected_value": {
                                        "operator": ">=",
                                        "value": 1500,
                                        "unit": "mm3"
                                    }
                                }
                            },
                            {
                                "exact_snippets": "Platelet count at least 75,000/mm3",
                                "criterion": "platelet count",
                                "requirement": {
                                    "requirement_type": "minimum",
                                    "expected_value": {
                                        "operator": ">=",
                                        "value": 75000,
                                        "unit": "mm3"
                                    }
                                }
                            },
                            {
                                "exact_snippets": "Hepatic: Bilirubin no greater than 2.0 mg/dL",
                                "criterion": "bilirubin level",
                                "requirement": {
                                    "requirement_type": "maximum",
                                    "expected_value": {
                                        "operator": "<=",
                                        "value": 2.0,
                                        "unit": "mg/dL"
                                    }
                                }
                            },
                            {
                                "exact_snippets": "SGOT and alkaline phosphatase no greater than 2 times upper limit of normal",
                                "criterion": "SGOT and alkaline phosphatase levels",
                                "requirement": {
                                    "requirement_type": "maximum",
                                    "expected_value": "no greater than 2 times upper limit of normal"
                                }
                            },
                            {
                                "or_criteria": [
                                    {
                                        "exact_snippets": "Renal: Creatinine no greater than 1.5 mg/dL",
                                        "criterion": "creatinine level",
                                        "requirement": {
                                            "requirement_type": "maximum",
                                            "expected_value": {
                                                "operator": "<=",
                                                "value": 1.5,
                                                "unit": "mg/dL"
                                            }
                                        }
                                    },
                                    {
                                        "exact_snippets": "Creatinine clearance at least 60 mL/min",
                                        "criterion": "creatinine clearance",
                                        "requirement": {
                                            "requirement_type": "minimum",
                                            "expected_value": {
                                                "operator": ">=",
                                                "value": 60,
                                                "unit": "mL/min"
                                            }
                                        }
                                    }
                                ]
                            },
                            {
                                "exact_snippets": "Calcium normal (8.9-10.3 mg/dL)",
                                "criterion": "calcium level",
                                "requirement": {
                                    "requirement_type": "range",
                                    "expected_value": {
                                        "comparisons": [
                                            {
                                                "operator": ">=",
                                                "value": 8.9,
                                                "unit": "mg/dL"
                                            },
                                            {
                                                "operator": "<=",
                                                "value": 10.3,
                                                "unit": "mg/dL"
                                            }
                                        ]
                                    }
                                }
                            },
                            {
                                "exact_snippets": "Cardiovascular: No history of congestive heart failure or myocardial infarction within the past 6 months",
                                "criterion": "history of congestive heart failure or myocardial infarction",
                                "requirement": {
                                    "requirement_type": "absence",
                                    "expected_value": true
                                }
                            },
                            {
                                "exact_snippets": "No uncontrolled or unexplained rhythm disturbance or symptoms of unstable ischemic heart disease",
                                "criterion": "uncontrolled or unexplained rhythm disturbance or symptoms of unstable ischemic heart disease",
                                "requirement": {
                                    "requirement_type": "absence",
                                    "expected_value": true
                                }
                            },
                            {
                                "exact_snippets": "Other: Not pregnant",
                                "criterion": "pregnancy",
                                "requirement": {
                                    "requirement_type": "absence",
                                    "expected_value": true
                                }
                            },
                            {
                                "exact_snippets": "Fertile patients must use effective contraception",
                                "criterion": "contraception use in fertile patients",
                                "requirement": {
                                    "requirement_type": "necessity",
                                    "expected_value": true
                                }
                            },
                            {
                                "exact_snippets": "No prior or concurrent malignancy within the past 5 years, except: Basal or squamous cell skin cancer Carcinoma in situ of the cervix",
                                "criterion": "prior or concurrent malignancy within the past 5 years",
                                "requirement": {
                                    "requirement_type": "absence",
                                    "expected_value": true
                                }
                            },
                            {
                                "exact_snippets": "No concurrent infection",
                                "criterion": "concurrent infection",
                                "requirement": {
                                    "requirement_type": "absence",
                                    "expected_value": true
                                }
                            },
                            {
                                "exact_snippets": "No significant uncontrolled hyponatremia",
                                "criterion": "significant uncontrolled hyponatremia",
                                "requirement": {
                                    "requirement_type": "absence",
                                    "expected_value": true
                                }
                            },
                            {
                                "exact_snippets": "No other significant concurrent medical or psychiatric illness which would preclude compliance",
                                "criterion": "significant concurrent medical or psychiatric illness",
                                "requirement": {
                                    "requirement_type": "absence",
                                    "expected_value": true
                                }
                            },
                            {
                                "exact_snippets": "No antecedent hearing loss",
                                "criterion": "antecedent hearing loss",
                                "requirement": {
                                    "requirement_type": "absence",
                                    "expected_value": true
                                }
                            }
                        ]
                    },
                    {
                        "condition": {
                            "exact_snippets": "Afebrile for at least 3 days unless fever due to tumor or obstructive pneumonia",
                            "criterion": "afebrile status",
                            "requirement": {
                                "requirement_type": "duration",
                                "expected_value": "at least 3 days"
                            }
                        },
                        "then_criteria": null,
                        "else_criteria": null
                    }
                ]
            }
        }
    ]
}