{
    "info": {
        "nct_id": "NCT00144131",
        "official_title": "Flexibility: A Study to Assess the Impact of Once Per Cycle Correction and Maintenance Dosing of Darbepoetin Alfa in Subjects With Non-Myeloid Malignancies With Anemia Due to Chemotherapy",
        "inclusion_criteria": "- Subjects with active non-myeloid malignancy(ies) including lymphocytic leukemias - Receiving chemotherapy and expected to receive at least 8 additional weeks of cyclic cytotoxic chemotherapy anticipated to be on a QW, every other week (Q2W) or every three weeks (Q3W) schedule - Anemia due to cancer and/or chemotherapy (screening Hb less than 11.0 g/dL) - Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2\nHealthy volunteers allowed\nMust have minimum age of 18 Years",
        "exclusion_criteria": "- Subjects with acute myelogenous leukemia (AML), chronic myelogenous leukemia (CML), or myelodysplastic syndromes (MDS) - Other underlying hematologic disorder, which could cause anemia, other than a non-myeloid malignancy - Active bleeding - Severe, unstable, active chronic inflammatory disease (e.g., ulcerative disease, peptic ulcer disease, rheumatoid arthritis) - Active, unstable systemic or chronic infection - Planned elective surgery during the study where significant blood loss is expected - Known iron deficiency (to be considered iron deficient a subject must have both of the following: a saturated transferrin less than 15% and ferritin less than 10 ng/mL at screening) - Unstable angina, or uncontrolled cardiac arrhythmia - Hypertension (diastolic blood pressure greater than 100 mmHg) - Inadequate renal and/or liver function (e.g., creatinine greater than 2 X upper limit of normal (ULN) and/or transaminase greater than 5 X ULN) - History of pure red blood cell aplasia - Known positive human immunodeficiency virus (HIV) test or acquired immune deficiency syndrome (AIDS) status - Known positive antibody response to any erythropoietic agent - Subject has known sensitivity to any erythropoietic agents, the study drug, or its excipients to be administered during this study",
        "miscellaneous_criteria": ""
    },
    "inclusion_lines": [
        {
            "identified_line": {
                "line": "- Subjects with active non-myeloid malignancy(ies) including lymphocytic leukemias - Receiving chemotherapy and expected to receive at least 8 additional weeks of cyclic cytotoxic chemotherapy anticipated to be on a QW, every other week (Q2W) or every three weeks (Q3W) schedule - Anemia due to cancer and/or chemotherapy (screening Hb less than 11.0 g/dL) - Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2",
                "criterions": [
                    {
                        "exact_snippets": "active non-myeloid malignancy(ies) including lymphocytic leukemias",
                        "criterion": "active non-myeloid malignancy",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "Receiving chemotherapy and expected to receive at least 8 additional weeks of cyclic cytotoxic chemotherapy",
                        "criterion": "chemotherapy treatment duration",
                        "requirement": {
                            "requirement_type": "duration",
                            "expected_value": {
                                "operator": ">=",
                                "value": 8,
                                "unit": "weeks"
                            }
                        }
                    },
                    {
                        "exact_snippets": "cyclic cytotoxic chemotherapy anticipated to be on a QW, every other week (Q2W) or every three weeks (Q3W) schedule",
                        "criterion": "chemotherapy schedule",
                        "requirement": {
                            "requirement_type": "schedule",
                            "expected_value": [
                                "QW",
                                "Q2W",
                                "Q3W"
                            ]
                        }
                    },
                    {
                        "exact_snippets": "Anemia due to cancer and/or chemotherapy (screening Hb less than 11.0 g/dL)",
                        "criterion": "anemia",
                        "requirement": {
                            "requirement_type": "hemoglobin level",
                            "expected_value": {
                                "operator": "<",
                                "value": 11.0,
                                "unit": "g/dL"
                            }
                        }
                    },
                    {
                        "exact_snippets": "Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2",
                        "criterion": "ECOG performance status",
                        "requirement": {
                            "requirement_type": "range",
                            "expected_value": {
                                "comparisons": [
                                    {
                                        "operator": ">=",
                                        "value": 0,
                                        "unit": "N/A"
                                    },
                                    {
                                        "operator": "<=",
                                        "value": 2,
                                        "unit": "N/A"
                                    }
                                ]
                            }
                        }
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "and_criteria": [
                            {
                                "and_criteria": [
                                    {
                                        "and_criteria": [
                                            {
                                                "exact_snippets": "active non-myeloid malignancy(ies) including lymphocytic leukemias",
                                                "criterion": "active non-myeloid malignancy",
                                                "requirement": {
                                                    "requirement_type": "presence",
                                                    "expected_value": true
                                                }
                                            },
                                            {
                                                "exact_snippets": "Receiving chemotherapy and expected to receive at least 8 additional weeks of cyclic cytotoxic chemotherapy",
                                                "criterion": "chemotherapy treatment duration",
                                                "requirement": {
                                                    "requirement_type": "duration",
                                                    "expected_value": {
                                                        "operator": ">=",
                                                        "value": 8,
                                                        "unit": "weeks"
                                                    }
                                                }
                                            }
                                        ]
                                    },
                                    {
                                        "exact_snippets": "cyclic cytotoxic chemotherapy anticipated to be on a QW, every other week (Q2W) or every three weeks (Q3W) schedule",
                                        "criterion": "chemotherapy schedule",
                                        "requirement": {
                                            "requirement_type": "schedule",
                                            "expected_value": [
                                                "QW",
                                                "Q2W",
                                                "Q3W"
                                            ]
                                        }
                                    }
                                ]
                            },
                            {
                                "exact_snippets": "Anemia due to cancer and/or chemotherapy (screening Hb less than 11.0 g/dL)",
                                "criterion": "anemia",
                                "requirement": {
                                    "requirement_type": "hemoglobin level",
                                    "expected_value": {
                                        "operator": "<",
                                        "value": 11.0,
                                        "unit": "g/dL"
                                    }
                                }
                            }
                        ]
                    },
                    {
                        "exact_snippets": "Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2",
                        "criterion": "ECOG performance status",
                        "requirement": {
                            "requirement_type": "range",
                            "expected_value": {
                                "comparisons": [
                                    {
                                        "operator": ">=",
                                        "value": 0,
                                        "unit": "N/A"
                                    },
                                    {
                                        "operator": "<=",
                                        "value": 2,
                                        "unit": "N/A"
                                    }
                                ]
                            }
                        }
                    }
                ]
            }
        },
        {
            "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"
                            }
                        }
                    }
                ]
            }
        }
    ],
    "exclusion_lines": [
        {
            "identified_line": {
                "line": "- Subjects with acute myelogenous leukemia (AML), chronic myelogenous leukemia (CML), or myelodysplastic syndromes (MDS) - Other underlying hematologic disorder, which could cause anemia, other than a non-myeloid malignancy - Active bleeding - Severe, unstable, active chronic inflammatory disease (e.g., ulcerative disease, peptic ulcer disease, rheumatoid arthritis) - Active, unstable systemic or chronic infection - Planned elective surgery during the study where significant blood loss is expected - Known iron deficiency (to be considered iron deficient a subject must have both of the following: a saturated transferrin less than 15% and ferritin less than 10 ng/mL at screening) - Unstable angina, or uncontrolled cardiac arrhythmia - Hypertension (diastolic blood pressure greater than 100 mmHg) - Inadequate renal and/or liver function (e.g., creatinine greater than 2 X upper limit of normal (ULN) and/or transaminase greater than 5 X ULN) - History of pure red blood cell aplasia - Known positive human immunodeficiency virus (HIV) test or acquired immune deficiency syndrome (AIDS) status - Known positive antibody response to any erythropoietic agent - Subject has known sensitivity to any erythropoietic agents, the study drug, or its excipients to be administered during this study",
                "criterions": [
                    {
                        "exact_snippets": "acute myelogenous leukemia (AML)",
                        "criterion": "acute myelogenous leukemia (AML)",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "chronic myelogenous leukemia (CML)",
                        "criterion": "chronic myelogenous leukemia (CML)",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "myelodysplastic syndromes (MDS)",
                        "criterion": "myelodysplastic syndromes (MDS)",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "Other underlying hematologic disorder, which could cause anemia, other than a non-myeloid malignancy",
                        "criterion": "underlying hematologic disorder",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": false
                        }
                    },
                    {
                        "exact_snippets": "Active bleeding",
                        "criterion": "active bleeding",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": false
                        }
                    },
                    {
                        "exact_snippets": "Severe, unstable, active chronic inflammatory disease (e.g., ulcerative disease, peptic ulcer disease, rheumatoid arthritis)",
                        "criterion": "chronic inflammatory disease",
                        "requirement": {
                            "requirement_type": "severity",
                            "expected_value": "severe"
                        }
                    },
                    {
                        "exact_snippets": "Severe, unstable, active chronic inflammatory disease (e.g., ulcerative disease, peptic ulcer disease, rheumatoid arthritis)",
                        "criterion": "chronic inflammatory disease",
                        "requirement": {
                            "requirement_type": "stability",
                            "expected_value": "unstable"
                        }
                    },
                    {
                        "exact_snippets": "Severe, unstable, active chronic inflammatory disease (e.g., ulcerative disease, peptic ulcer disease, rheumatoid arthritis)",
                        "criterion": "chronic inflammatory disease",
                        "requirement": {
                            "requirement_type": "activity",
                            "expected_value": "active"
                        }
                    },
                    {
                        "exact_snippets": "Active, unstable systemic or chronic infection",
                        "criterion": "systemic or chronic infection",
                        "requirement": {
                            "requirement_type": "stability",
                            "expected_value": "unstable"
                        }
                    },
                    {
                        "exact_snippets": "Active, unstable systemic or chronic infection",
                        "criterion": "systemic or chronic infection",
                        "requirement": {
                            "requirement_type": "activity",
                            "expected_value": "active"
                        }
                    },
                    {
                        "exact_snippets": "Planned elective surgery during the study where significant blood loss is expected",
                        "criterion": "planned elective surgery",
                        "requirement": {
                            "requirement_type": "timing",
                            "expected_value": "during the study"
                        }
                    },
                    {
                        "exact_snippets": "Planned elective surgery during the study where significant blood loss is expected",
                        "criterion": "planned elective surgery",
                        "requirement": {
                            "requirement_type": "expected blood loss",
                            "expected_value": "significant"
                        }
                    },
                    {
                        "exact_snippets": "Known iron deficiency ... saturated transferrin less than 15% and ferritin less than 10 ng/mL",
                        "criterion": "iron deficiency",
                        "requirement": {
                            "requirement_type": "saturated transferrin",
                            "expected_value": {
                                "operator": "<",
                                "value": 15,
                                "unit": "%"
                            }
                        }
                    },
                    {
                        "exact_snippets": "Known iron deficiency ... saturated transferrin less than 15% and ferritin less than 10 ng/mL",
                        "criterion": "iron deficiency",
                        "requirement": {
                            "requirement_type": "ferritin",
                            "expected_value": {
                                "operator": "<",
                                "value": 10,
                                "unit": "ng/mL"
                            }
                        }
                    },
                    {
                        "exact_snippets": "Unstable angina",
                        "criterion": "unstable angina",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": false
                        }
                    },
                    {
                        "exact_snippets": "uncontrolled cardiac arrhythmia",
                        "criterion": "uncontrolled cardiac arrhythmia",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": false
                        }
                    },
                    {
                        "exact_snippets": "Hypertension (diastolic blood pressure greater than 100 mmHg)",
                        "criterion": "hypertension",
                        "requirement": {
                            "requirement_type": "diastolic blood pressure",
                            "expected_value": {
                                "operator": ">",
                                "value": 100,
                                "unit": "mmHg"
                            }
                        }
                    },
                    {
                        "exact_snippets": "Inadequate renal and/or liver function ... creatinine greater than 2 X upper limit of normal (ULN)",
                        "criterion": "renal function",
                        "requirement": {
                            "requirement_type": "creatinine",
                            "expected_value": {
                                "operator": ">",
                                "value": 2,
                                "unit": "X ULN"
                            }
                        }
                    },
                    {
                        "exact_snippets": "Inadequate renal and/or liver function ... transaminase greater than 5 X ULN",
                        "criterion": "liver function",
                        "requirement": {
                            "requirement_type": "transaminase",
                            "expected_value": {
                                "operator": ">",
                                "value": 5,
                                "unit": "X ULN"
                            }
                        }
                    },
                    {
                        "exact_snippets": "History of pure red blood cell aplasia",
                        "criterion": "pure red blood cell aplasia",
                        "requirement": {
                            "requirement_type": "history",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "Known positive human immunodeficiency virus (HIV) test or acquired immune deficiency syndrome (AIDS) status",
                        "criterion": "HIV or AIDS status",
                        "requirement": {
                            "requirement_type": "test result",
                            "expected_value": "positive"
                        }
                    },
                    {
                        "exact_snippets": "Known positive antibody response to any erythropoietic agent",
                        "criterion": "antibody response to erythropoietic agent",
                        "requirement": {
                            "requirement_type": "test result",
                            "expected_value": "positive"
                        }
                    },
                    {
                        "exact_snippets": "Subject has known sensitivity to any erythropoietic agents, the study drug, or its excipients",
                        "criterion": "sensitivity to erythropoietic agents or study drug",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": true
                        }
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "or_criteria": [
                            {
                                "exact_snippets": "acute myelogenous leukemia (AML)",
                                "criterion": "acute myelogenous leukemia (AML)",
                                "requirement": {
                                    "requirement_type": "presence",
                                    "expected_value": true
                                }
                            },
                            {
                                "exact_snippets": "chronic myelogenous leukemia (CML)",
                                "criterion": "chronic myelogenous leukemia (CML)",
                                "requirement": {
                                    "requirement_type": "presence",
                                    "expected_value": true
                                }
                            },
                            {
                                "exact_snippets": "myelodysplastic syndromes (MDS)",
                                "criterion": "myelodysplastic syndromes (MDS)",
                                "requirement": {
                                    "requirement_type": "presence",
                                    "expected_value": true
                                }
                            }
                        ]
                    },
                    {
                        "exact_snippets": "Other underlying hematologic disorder, which could cause anemia, other than a non-myeloid malignancy",
                        "criterion": "underlying hematologic disorder",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": false
                        }
                    },
                    {
                        "exact_snippets": "Active bleeding",
                        "criterion": "active bleeding",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": false
                        }
                    },
                    {
                        "and_criteria": [
                            {
                                "exact_snippets": "Severe, unstable, active chronic inflammatory disease (e.g., ulcerative disease, peptic ulcer disease, rheumatoid arthritis)",
                                "criterion": "chronic inflammatory disease",
                                "requirement": {
                                    "requirement_type": "severity",
                                    "expected_value": "severe"
                                }
                            },
                            {
                                "exact_snippets": "Severe, unstable, active chronic inflammatory disease (e.g., ulcerative disease, peptic ulcer disease, rheumatoid arthritis)",
                                "criterion": "chronic inflammatory disease",
                                "requirement": {
                                    "requirement_type": "stability",
                                    "expected_value": "unstable"
                                }
                            },
                            {
                                "exact_snippets": "Severe, unstable, active chronic inflammatory disease (e.g., ulcerative disease, peptic ulcer disease, rheumatoid arthritis)",
                                "criterion": "chronic inflammatory disease",
                                "requirement": {
                                    "requirement_type": "activity",
                                    "expected_value": "active"
                                }
                            }
                        ]
                    },
                    {
                        "and_criteria": [
                            {
                                "exact_snippets": "Active, unstable systemic or chronic infection",
                                "criterion": "systemic or chronic infection",
                                "requirement": {
                                    "requirement_type": "stability",
                                    "expected_value": "unstable"
                                }
                            },
                            {
                                "exact_snippets": "Active, unstable systemic or chronic infection",
                                "criterion": "systemic or chronic infection",
                                "requirement": {
                                    "requirement_type": "activity",
                                    "expected_value": "active"
                                }
                            }
                        ]
                    },
                    {
                        "and_criteria": [
                            {
                                "exact_snippets": "Planned elective surgery during the study where significant blood loss is expected",
                                "criterion": "planned elective surgery",
                                "requirement": {
                                    "requirement_type": "timing",
                                    "expected_value": "during the study"
                                }
                            },
                            {
                                "exact_snippets": "Planned elective surgery during the study where significant blood loss is expected",
                                "criterion": "planned elective surgery",
                                "requirement": {
                                    "requirement_type": "expected blood loss",
                                    "expected_value": "significant"
                                }
                            }
                        ]
                    },
                    {
                        "and_criteria": [
                            {
                                "exact_snippets": "Known iron deficiency ... saturated transferrin less than 15% and ferritin less than 10 ng/mL",
                                "criterion": "iron deficiency",
                                "requirement": {
                                    "requirement_type": "saturated transferrin",
                                    "expected_value": {
                                        "operator": "<",
                                        "value": 15,
                                        "unit": "%"
                                    }
                                }
                            },
                            {
                                "exact_snippets": "Known iron deficiency ... saturated transferrin less than 15% and ferritin less than 10 ng/mL",
                                "criterion": "iron deficiency",
                                "requirement": {
                                    "requirement_type": "ferritin",
                                    "expected_value": {
                                        "operator": "<",
                                        "value": 10,
                                        "unit": "ng/mL"
                                    }
                                }
                            }
                        ]
                    },
                    {
                        "exact_snippets": "Unstable angina",
                        "criterion": "unstable angina",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": false
                        }
                    },
                    {
                        "exact_snippets": "uncontrolled cardiac arrhythmia",
                        "criterion": "uncontrolled cardiac arrhythmia",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": false
                        }
                    },
                    {
                        "exact_snippets": "Hypertension (diastolic blood pressure greater than 100 mmHg)",
                        "criterion": "hypertension",
                        "requirement": {
                            "requirement_type": "diastolic blood pressure",
                            "expected_value": {
                                "operator": ">",
                                "value": 100,
                                "unit": "mmHg"
                            }
                        }
                    },
                    {
                        "or_criteria": [
                            {
                                "exact_snippets": "Inadequate renal and/or liver function ... creatinine greater than 2 X upper limit of normal (ULN)",
                                "criterion": "renal function",
                                "requirement": {
                                    "requirement_type": "creatinine",
                                    "expected_value": {
                                        "operator": ">",
                                        "value": 2,
                                        "unit": "X ULN"
                                    }
                                }
                            },
                            {
                                "exact_snippets": "Inadequate renal and/or liver function ... transaminase greater than 5 X ULN",
                                "criterion": "liver function",
                                "requirement": {
                                    "requirement_type": "transaminase",
                                    "expected_value": {
                                        "operator": ">",
                                        "value": 5,
                                        "unit": "X ULN"
                                    }
                                }
                            }
                        ]
                    },
                    {
                        "exact_snippets": "History of pure red blood cell aplasia",
                        "criterion": "pure red blood cell aplasia",
                        "requirement": {
                            "requirement_type": "history",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "Known positive human immunodeficiency virus (HIV) test or acquired immune deficiency syndrome (AIDS) status",
                        "criterion": "HIV or AIDS status",
                        "requirement": {
                            "requirement_type": "test result",
                            "expected_value": "positive"
                        }
                    },
                    {
                        "exact_snippets": "Known positive antibody response to any erythropoietic agent",
                        "criterion": "antibody response to erythropoietic agent",
                        "requirement": {
                            "requirement_type": "test result",
                            "expected_value": "positive"
                        }
                    },
                    {
                        "exact_snippets": "Subject has known sensitivity to any erythropoietic agents, the study drug, or its excipients",
                        "criterion": "sensitivity to erythropoietic agents or study drug",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": true
                        }
                    }
                ]
            }
        }
    ],
    "miscellaneous_lines": [],
    "failed_inclusion": [],
    "failed_exclusion": [],
    "failed_miscellaneous": []
}