{
"info": {
"nct_id": "NCT00599131",
"official_title": "A Phase II Organ Preservation Trial Using Cetuximab and Radiation Therapy in Advanced Laryngeal Cancer Patients Who Have Responded to One Cycle of Induction Chemotherapy With Taxotere, Cisplatin, 5-Fluorouracil (TPF), and Cetuximab",
"inclusion_criteria": "* Patients must have pathologically confirmed, previously untreated, resectable, squamous cell carcinoma of the larynx.\n* Disease must be Stage III or IV.\n* Tumor must be potentially surgically resectable and curable with conventional surgery and radiation therapy.\n* Patients must undergo pre-treatment endoscopic tumor staging and CT scanning.\n* ECOG Performance status 0-2\n* Pre-treatment laboratory criteria:\n* WBC > or = to 3500/ul, granulocyte > or = to 1500/ul.\n* Platelet count > or equal to 100,000/ul.\n* Calculated or measured creatinine clearance > or = to 60 cc/min.\n* Total Bilirubin < or = to 1.5 X ULN.\n* AST and ALT < or = to 2.5 X ULN.\n* Patients must give documented informed consent to participate in this study.\nHealthy volunteers allowed\nMust have minimum age of 18 Years",
"exclusion_criteria": "* Prior head and neck malignancy or history of other prior non-head and neck malignancy within the past 3 years.\n* Prior head and neck radiation or prior chemotherapy.\n* Documented evidence of distant metastases.\n* Active infection.\n* Pregnancy or lactation. Patients must agree to use adequate contraception (hormonal or barrier method of birth control) prior to study entry, for the duration of study participation and for 3 months after discontinuing therapy.\n* Any medical or psychiatric illness which in the opinion of the principal investigator would compromise the patients ability to tolerate this treatment.\n* Patients residing in prison.\n* Age < 18 years.\n* Patients with psychiatric/social situations that would limit compliance with study requirements are not eligible.\n* Patients with prior radiation to the head and neck.\n* Patients with prior anti-epidermal growth-factor receptor antibody therapy or therapy with a tyrosine-kinase inhibitor.\n* Patients with Grade > 2 peripheral neuropathy.\n* Any history of severe hypersensitivity reaction to docetaxel or other drugs formulated with polysorbate 80.",
"miscellaneous_criteria": ""
},
"inclusion_lines": [
{
"identified_line": {
"line": "* Patients must have pathologically confirmed, previously untreated, resectable, squamous cell carcinoma of the larynx.",
"criterions": [
{
"exact_snippets": "pathologically confirmed",
"criterion": "pathological confirmation",
"requirement": {
"requirement_type": "confirmation",
"expected_value": true
}
},
{
"exact_snippets": "previously untreated",
"criterion": "treatment history",
"requirement": {
"requirement_type": "treatment status",
"expected_value": "untreated"
}
},
{
"exact_snippets": "resectable",
"criterion": "resectability",
"requirement": {
"requirement_type": "resectability",
"expected_value": true
}
},
{
"exact_snippets": "squamous cell carcinoma of the larynx",
"criterion": "cancer type",
"requirement": {
"requirement_type": "specific type",
"expected_value": "squamous cell carcinoma of the larynx"
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "pathologically confirmed",
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}
},
{
"exact_snippets": "previously untreated",
"criterion": "treatment history",
"requirement": {
"requirement_type": "treatment status",
"expected_value": "untreated"
}
},
{
"exact_snippets": "resectable",
"criterion": "resectability",
"requirement": {
"requirement_type": "resectability",
"expected_value": true
}
},
{
"exact_snippets": "squamous cell carcinoma of the larynx",
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}
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}
},
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"identified_line": {
"line": "* WBC > or = to 3500/ul, granulocyte > or = to 1500/ul.",
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{
"exact_snippets": "WBC > or = to 3500/ul",
"criterion": "WBC",
"requirement": {
"requirement_type": "quantity",
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"operator": ">=",
"value": 3500,
"unit": "ul"
}
}
},
{
"exact_snippets": "granulocyte > or = to 1500/ul",
"criterion": "granulocyte",
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"operator": ">=",
"value": 1500,
"unit": "ul"
}
}
}
]
},
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{
"exact_snippets": "WBC > or = to 3500/ul",
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"operator": ">=",
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"unit": "ul"
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"exact_snippets": "granulocyte > or = to 1500/ul",
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"operator": ">=",
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"unit": "ul"
}
}
}
]
}
},
{
"identified_line": {
"line": "* Platelet count > or equal to 100,000/ul.",
"criterions": [
{
"exact_snippets": "Platelet count > or equal to 100,000/ul.",
"criterion": "platelet count",
"requirement": {
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 100000,
"unit": "ul"
}
}
}
]
},
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"and_criteria": [
{
"exact_snippets": "Platelet count > or equal to 100,000/ul.",
"criterion": "platelet count",
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"operator": ">=",
"value": 100000,
"unit": "ul"
}
}
}
]
}
},
{
"identified_line": {
"line": "* Calculated or measured creatinine clearance > or = to 60 cc/min.",
"criterions": [
{
"exact_snippets": "creatinine clearance > or = to 60 cc/min",
"criterion": "creatinine clearance",
"requirement": {
"requirement_type": "value",
"expected_value": {
"operator": ">=",
"value": 60,
"unit": "cc/min"
}
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "creatinine clearance > or = to 60 cc/min",
"criterion": "creatinine clearance",
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"operator": ">=",
"value": 60,
"unit": "cc/min"
}
}
}
]
}
},
{
"identified_line": {
"line": "* Total Bilirubin < or = to 1.5 X ULN.",
"criterions": [
{
"exact_snippets": "Total Bilirubin < or = to 1.5 X ULN.",
"criterion": "total bilirubin",
"requirement": {
"requirement_type": "level",
"expected_value": {
"operator": "<=",
"value": 1.5,
"unit": "X ULN"
}
}
}
]
},
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"and_criteria": [
{
"exact_snippets": "Total Bilirubin < or = to 1.5 X ULN.",
"criterion": "total bilirubin",
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"operator": "<=",
"value": 1.5,
"unit": "X ULN"
}
}
}
]
}
},
{
"identified_line": {
"line": "* AST and ALT < or = to 2.5 X ULN.",
"criterions": [
{
"exact_snippets": "AST ... < or = to 2.5 X ULN",
"criterion": "AST",
"requirement": {
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"expected_value": {
"operator": "<=",
"value": 2.5,
"unit": "X ULN"
}
}
},
{
"exact_snippets": "ALT < or = to 2.5 X ULN",
"criterion": "ALT",
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"requirement_type": "level",
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"operator": "<=",
"value": 2.5,
"unit": "X ULN"
}
}
}
]
},
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"exact_snippets": "AST ... < or = to 2.5 X ULN",
"criterion": "AST",
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"operator": "<=",
"value": 2.5,
"unit": "X ULN"
}
}
},
{
"exact_snippets": "ALT < or = to 2.5 X ULN",
"criterion": "ALT",
"requirement": {
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"operator": "<=",
"value": 2.5,
"unit": "X ULN"
}
}
}
]
}
},
{
"identified_line": {
"line": "* Patients must give documented informed consent to participate in this study.",
"criterions": [
{
"exact_snippets": "Patients must give documented informed consent",
"criterion": "informed consent",
"requirement": {
"requirement_type": "documentation",
"expected_value": true
}
}
]
},
"logical_structure": {
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{
"exact_snippets": "Patients must give documented informed consent",
"criterion": "informed consent",
"requirement": {
"requirement_type": "documentation",
"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"
}
}
]
},
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"and_criteria": [
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"exact_snippets": "Healthy volunteers allowed",
"criterion": "volunteer health status",
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"expected_value": "healthy"
}
}
]
}
},
{
"identified_line": {
"line": "Must have minimum age of 18 Years",
"criterions": [
{
"exact_snippets": "minimum age of 18 Years",
"criterion": "age",
"requirement": {
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"expected_value": {
"operator": ">=",
"value": 18,
"unit": "Years"
}
}
}
]
},
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{
"exact_snippets": "minimum age of 18 Years",
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"requirement": {
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"value": 18,
"unit": "Years"
}
}
}
]
}
}
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}
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}
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{
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"unit": "years"
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}
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"unit": "years"
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}
]
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"identified_line": {
"line": "* Prior head and neck radiation or prior chemotherapy.",
"criterions": [
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"criterion": "head and neck radiation",
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"requirement_type": "prior treatment",
"expected_value": true
}
},
{
"exact_snippets": "prior chemotherapy",
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}
}
]
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}
},
{
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}
}
]
}
},
{
"identified_line": {
"line": "* Documented evidence of distant metastases.",
"criterions": [
{
"exact_snippets": "Documented evidence of distant metastases.",
"criterion": "distant metastases",
"requirement": {
"requirement_type": "documentation",
"expected_value": true
}
}
]
},
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"criterion": "distant metastases",
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}
}
}
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"identified_line": {
"line": "* Active infection.",
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{
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"criterion": "infection",
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"expected_value": true
}
}
]
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"criterion": "infection",
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}
}
}
},
{
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{
"exact_snippets": "Pregnancy",
"criterion": "pregnancy",
"requirement": {
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"expected_value": false
}
},
{
"exact_snippets": "lactation",
"criterion": "lactation",
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"expected_value": false
}
},
{
"exact_snippets": "Patients must agree to use adequate contraception (hormonal or barrier method of birth control)",
"criterion": "contraception use",
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}
},
{
"exact_snippets": "prior to study entry",
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"requirement": {
"requirement_type": "timing",
"expected_value": "prior to study entry"
}
},
{
"exact_snippets": "for the duration of study participation",
"criterion": "contraception use",
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}
},
{
"exact_snippets": "for 3 months after discontinuing therapy",
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}
}
]
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"or_criteria": [
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"and_criteria": [
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}
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}
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"identified_line": {
"line": "* Patients residing in prison.",
"criterions": [
{
"exact_snippets": "Patients residing in prison",
"criterion": "residence",
"requirement": {
"requirement_type": "location",
"expected_value": "prison"
}
}
]
},
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"expected_value": "prison"
}
}
}
},
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"identified_line": {
"line": "* Age < 18 years.",
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{
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"criterion": "age",
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"operator": "<",
"value": 18,
"unit": "years"
}
}
}
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"identified_line": {
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{
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}
}
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}
}
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},
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}
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},
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{
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"expected_value": true
}
},
{
"exact_snippets": "therapy with a tyrosine-kinase inhibitor",
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]
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},
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"identified_line": {
"line": "* Patients with Grade > 2 peripheral neuropathy.",
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{
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"operator": ">",
"value": 2,
"unit": "Grade"
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}
}
]
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}
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}
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{
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},
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},
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"expected_value": true
}
},
{
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}
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]
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}
}
],
"miscellaneous_lines": [],
"failed_inclusion": [
{
"identified_line": {
"line": "* Disease must be Stage III or IV.",
"criterions": [
{
"exact_snippets": "Disease must be Stage III or IV.",
"criterion": "disease stage",
"requirement": {
"requirement_type": "stage",
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"Stage III",
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]
}
}
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"criterion": "failed",
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"expected_value": "failed"
}
}
},
{
"identified_line": {
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"criterions": [
{
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"criterion": "tumor resectability",
"requirement": {
"requirement_type": "potential resectability",
"expected_value": true
}
},
{
"exact_snippets": "Tumor must be ... curable with conventional surgery and radiation therapy",
"criterion": "tumor curability",
"requirement": {
"requirement_type": "curability",
"expected_value": [
"conventional surgery",
"radiation therapy"
]
}
}
]
},
"logical_structure": {
"exact_snippets": "failed",
"criterion": "failed",
"requirement": {
"requirement_type": "failed",
"expected_value": "failed"
}
}
},
{
"identified_line": {
"line": "* Patients must undergo pre-treatment endoscopic tumor staging and CT scanning.",
"criterions": [
{
"exact_snippets": "Patients must undergo pre-treatment endoscopic tumor staging",
"criterion": "endoscopic tumor staging",
"requirement": {
"requirement_type": "procedure",
"expected_value": "pre-treatment"
}
},
{
"exact_snippets": "Patients must undergo ... CT scanning",
"criterion": "CT scanning",
"requirement": {
"requirement_type": "procedure",
"expected_value": "pre-treatment"
}
}
]
},
"logical_structure": {
"exact_snippets": "failed",
"criterion": "failed",
"requirement": {
"requirement_type": "failed",
"expected_value": "failed"
}
}
},
{
"identified_line": {
"line": "* ECOG Performance status 0-2",
"criterions": [
{
"exact_snippets": "ECOG Performance status 0-2",
"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": {
"exact_snippets": "failed",
"criterion": "failed",
"requirement": {
"requirement_type": "failed",
"expected_value": "failed"
}
}
},
{
"identified_line": {
"line": "* Pre-treatment laboratory criteria:",
"criterions": [
{
"exact_snippets": "Pre-treatment laboratory criteria",
"criterion": "pre-treatment laboratory criteria",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
]
},
"logical_structure": {
"exact_snippets": "failed",
"criterion": "failed",
"requirement": {
"requirement_type": "failed",
"expected_value": "failed"
}
}
}
],
"failed_exclusion": [
{
"identified_line": {
"line": "* Any medical or psychiatric illness which in the opinion of the principal investigator would compromise the patients ability to tolerate this treatment.",
"criterions": [
{
"exact_snippets": "Any medical or psychiatric illness",
"criterion": "medical or psychiatric illness",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "Any medical or psychiatric illness",
"criterion": "medical or psychiatric illness",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "in the opinion of the principal investigator would compromise the patients ability to tolerate this treatment",
"criterion": "compromise ability to tolerate treatment",
"requirement": {
"requirement_type": "opinion",
"expected_value": "principal investigator"
}
}
]
}
}
],
"failed_miscellaneous": []
}