{
"info": {
"nct_id": "NCT00732420",
"official_title": "A Phase I Open-label Study of the Safety, Tolerability, and Pharmacokinetics of Two Schedules of Oral Topotecan in Combination With Pazopanib in Subjects With Advanced Solid Tumors",
"inclusion_criteria": "Healthy volunteers allowed\nMust have minimum age of 18 Years",
"exclusion_criteria": "",
"miscellaneous_criteria": "Inclusion Criteria -\n\n* signed, written informed consent.\n* at least 18 years of age.\n* ECOG performance status 0 or 1.\n* Subjects must have histologically or cytologically confirmed diagnosis of advanced cancer and a solid tumor malignancy that has relapsed or is refractory to standard therapy or for which there is no established therapy.\n* able to swallow and retain oral medications.\n* females are eligible to enter and participate in this study providing adequate established contraception is being practiced.\n\nExclusion Criteria\n\n* had chemotherapy or radiotherapy within 4 weeks (6 weeks for nitrosoureas or mitomycin C)\n* received an investigational drug within 30 days or 5 half-lives (whichever is longer).\n* received prior treatment with pazopanib/investigational anti-angiogenic compounds.\n* presence of uncontrolled infection.\n* pregnant or lactating.\n* poorly controlled hypertension (SBP of ? 140 mmHg, or DBP of ? 90 mmHg.\n* Class III or IV heart failure as defined by the New York Heart Association (NYHA) functional classification system.-\n* arterial thrombi, myocardial infarction, admission for unstable angina, uncontrolled or symptomatic arrhythmia, cardiac angioplasty, or stenting within the last 6 months.\n* any unresolved bowel obstruction or diarrhea ? Grade 1.\n* received an allogeneic bone marrow transplant.\n* known immediate or delayed hypersensitivity reaction or idiosyncrasy to drugs chemically related to pazopanib or topotecan.\n* any serious and/or unstable pre-existing medical, psychiatric, or other conditions that could interfere with subject's safety, obtaining informed consent or compliance with the study.\n* psychological, familial, sociological, or geographical conditions that do not permit compliance with the protocol.\n* clinical history, current alcohol or illicit drug use which, in the judgment of the investigator, would interfere with the subject's ability to comply with the dosing schedule and protocol-specified evaluations."
},
"inclusion_lines": [
{
"identified_line": {
"line": "Healthy volunteers allowed",
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"exact_snippets": "Healthy volunteers allowed",
"criterion": "volunteer health status",
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"expected_value": "healthy"
}
}
]
},
"logical_structure": {
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}
}
]
}
},
{
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{
"exact_snippets": "minimum age of 18 Years",
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"expected_value": {
"operator": ">=",
"value": 18,
"unit": "Years"
}
}
}
]
},
"logical_structure": {
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}
}
]
}
}
],
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"expected_value": true
}
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]
},
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"exact_snippets": "signed, written informed consent",
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"expected_value": true
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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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"line": "* Subjects must have histologically or cytologically confirmed diagnosis of advanced cancer and a solid tumor malignancy that has relapsed or is refractory to standard therapy or for which there is no established therapy.",
"criterions": [
{
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"criterion": "advanced cancer diagnosis",
"requirement": {
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]
}
},
{
"exact_snippets": "solid tumor malignancy",
"criterion": "solid tumor malignancy",
"requirement": {
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}
},
{
"exact_snippets": "relapsed or is refractory to standard therapy",
"criterion": "response to standard therapy",
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]
}
},
{
"exact_snippets": "no established therapy",
"criterion": "availability of established therapy",
"requirement": {
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"expected_value": false
}
}
]
},
"logical_structure": {
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{
"and_criteria": [
{
"exact_snippets": "histologically or cytologically confirmed diagnosis of advanced cancer",
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"expected_value": [
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"cytologically"
]
}
},
{
"exact_snippets": "solid tumor malignancy",
"criterion": "solid tumor malignancy",
"requirement": {
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}
}
]
},
{
"or_criteria": [
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},
{
"exact_snippets": "no established therapy",
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}
}
]
}
]
}
},
{
"identified_line": {
"line": "* able to swallow and retain oral medications.",
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{
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"criterion": "ability to swallow",
"requirement": {
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"expected_value": true
}
},
{
"exact_snippets": "retain oral medications",
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"requirement": {
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}
}
]
},
"logical_structure": {
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"exact_snippets": "able to swallow",
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"expected_value": true
}
},
{
"exact_snippets": "retain oral medications",
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}
}
]
}
},
{
"identified_line": {
"line": "* females are eligible to enter and participate in this study providing adequate established contraception is being practiced.",
"criterions": [
{
"exact_snippets": "females are eligible",
"criterion": "gender",
"requirement": {
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"expected_value": "female"
}
},
{
"exact_snippets": "adequate established contraception is being practiced",
"criterion": "contraception",
"requirement": {
"requirement_type": "practice",
"expected_value": true
}
}
]
},
"logical_structure": {
"condition": {
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"criterion": "gender",
"requirement": {
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}
},
"then_criteria": {
"exact_snippets": "adequate established contraception is being practiced",
"criterion": "contraception",
"requirement": {
"requirement_type": "practice",
"expected_value": true
}
},
"else_criteria": null
}
},
{
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"line": "* had chemotherapy or radiotherapy within 4 weeks (6 weeks for nitrosoureas or mitomycin C)",
"criterions": [
{
"exact_snippets": "had chemotherapy or radiotherapy within 4 weeks",
"criterion": "chemotherapy or radiotherapy",
"requirement": {
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"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 4,
"unit": "weeks"
}
]
}
}
},
{
"exact_snippets": "6 weeks for nitrosoureas or mitomycin C",
"criterion": "nitrosoureas or mitomycin C",
"requirement": {
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"expected_value": {
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{
"operator": "<=",
"value": 6,
"unit": "weeks"
}
]
}
}
}
]
},
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{
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{
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]
}
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"unit": "weeks"
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]
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}
},
{
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{
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"criterion": "investigational drug",
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"expected_value": true
}
},
{
"exact_snippets": "received prior treatment with ... investigational anti-angiogenic compounds",
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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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{
"exact_snippets": "pregnant",
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"expected_value": false
}
},
{
"exact_snippets": "lactating",
"criterion": "lactation status",
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}
}
]
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}
},
{
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"requirement": {
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"expected_value": false
}
}
]
}
},
{
"identified_line": {
"line": "* poorly controlled hypertension (SBP of ? 140 mmHg, or DBP of ? 90 mmHg.",
"criterions": [
{
"exact_snippets": "poorly controlled hypertension (SBP of ? 140 mmHg",
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"operator": "<=",
"value": 140,
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}
}
},
{
"exact_snippets": "poorly controlled hypertension ... DBP of ? 90 mmHg",
"criterion": "diastolic blood pressure (DBP)",
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}
}
}
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}
}
}
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},
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"line": "* Class III or IV heart failure as defined by the New York Heart Association (NYHA) functional classification system.-",
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]
}
}
]
},
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]
}
}
}
},
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"identified_line": {
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{
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"criterion": "arterial thrombi",
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}
},
{
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"value": 6,
"unit": "months"
}
}
},
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"value": 6,
"unit": "months"
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}
},
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"requirement": {
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}
},
{
"exact_snippets": "cardiac angioplasty",
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"expected_value": {
"operator": "<=",
"value": 6,
"unit": "months"
}
}
},
{
"exact_snippets": "stenting within the last 6 months",
"criterion": "stenting",
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}
}
}
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}
}
]
},
{
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"criterion": "cardiac angioplasty",
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}
}
]
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{
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"unit": "months"
}
}
}
]
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},
{
"identified_line": {
"line": "* any unresolved bowel obstruction or diarrhea ? Grade 1.",
"criterions": [
{
"exact_snippets": "unresolved bowel obstruction",
"criterion": "bowel obstruction",
"requirement": {
"requirement_type": "resolution",
"expected_value": false
}
},
{
"exact_snippets": "unresolved ... diarrhea",
"criterion": "diarrhea",
"requirement": {
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"expected_value": false
}
},
{
"exact_snippets": "diarrhea ? Grade 1",
"criterion": "diarrhea",
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"expected_value": "Grade 1"
}
}
]
},
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}
}
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"exact_snippets": "unresolved ... diarrhea",
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}
},
{
"exact_snippets": "diarrhea ? Grade 1",
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"expected_value": "Grade 1"
}
}
]
}
]
}
},
{
"identified_line": {
"line": "* received an allogeneic bone marrow transplant.",
"criterions": [
{
"exact_snippets": "received an allogeneic bone marrow transplant",
"criterion": "allogeneic bone marrow transplant",
"requirement": {
"requirement_type": "received",
"expected_value": true
}
}
]
},
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{
"exact_snippets": "received an allogeneic bone marrow transplant",
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"expected_value": true
}
}
]
}
},
{
"identified_line": {
"line": "* known immediate or delayed hypersensitivity reaction or idiosyncrasy to drugs chemically related to pazopanib or topotecan.",
"criterions": [
{
"exact_snippets": "known immediate or delayed hypersensitivity reaction ... to drugs chemically related to pazopanib",
"criterion": "hypersensitivity reaction to drugs related to pazopanib",
"requirement": {
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"expected_value": false
}
},
{
"exact_snippets": "known immediate or delayed hypersensitivity reaction ... to drugs chemically related to ... topotecan",
"criterion": "hypersensitivity reaction to drugs related to topotecan",
"requirement": {
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"expected_value": false
}
}
]
},
"logical_structure": {
"or_criteria": [
{
"exact_snippets": "known immediate or delayed hypersensitivity reaction ... to drugs chemically related to pazopanib",
"criterion": "hypersensitivity reaction to drugs related to pazopanib",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
},
{
"exact_snippets": "known immediate or delayed hypersensitivity reaction ... to drugs chemically related to ... topotecan",
"criterion": "hypersensitivity reaction to drugs related to topotecan",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
}
]
}
},
{
"identified_line": {
"line": "* any serious and/or unstable pre-existing medical, psychiatric, or other conditions that could interfere with subject's safety, obtaining informed consent or compliance with the study.",
"criterions": [
{
"exact_snippets": "serious and/or unstable pre-existing medical ... conditions",
"criterion": "pre-existing medical conditions",
"requirement": {
"requirement_type": "severity/stability",
"expected_value": "serious and/or unstable"
}
},
{
"exact_snippets": "serious and/or unstable pre-existing ... psychiatric ... conditions",
"criterion": "pre-existing psychiatric conditions",
"requirement": {
"requirement_type": "severity/stability",
"expected_value": "serious and/or unstable"
}
},
{
"exact_snippets": "serious and/or unstable pre-existing ... other conditions",
"criterion": "pre-existing other conditions",
"requirement": {
"requirement_type": "severity/stability",
"expected_value": "serious and/or unstable"
}
}
]
},
"logical_structure": {
"or_criteria": [
{
"and_criteria": [
{
"exact_snippets": "serious and/or unstable pre-existing medical ... conditions",
"criterion": "pre-existing medical conditions",
"requirement": {
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"expected_value": "serious and/or unstable"
}
},
{
"exact_snippets": "serious and/or unstable pre-existing medical ... conditions",
"criterion": "subject's safety",
"requirement": {
"requirement_type": "interference",
"expected_value": true
}
}
]
},
{
"and_criteria": [
{
"exact_snippets": "serious and/or unstable pre-existing ... psychiatric ... conditions",
"criterion": "pre-existing psychiatric conditions",
"requirement": {
"requirement_type": "severity/stability",
"expected_value": "serious and/or unstable"
}
},
{
"exact_snippets": "serious and/or unstable pre-existing ... psychiatric ... conditions",
"criterion": "subject's safety",
"requirement": {
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"expected_value": true
}
}
]
},
{
"and_criteria": [
{
"exact_snippets": "serious and/or unstable pre-existing ... other conditions",
"criterion": "pre-existing other conditions",
"requirement": {
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"expected_value": "serious and/or unstable"
}
},
{
"exact_snippets": "serious and/or unstable pre-existing ... other conditions",
"criterion": "subject's safety",
"requirement": {
"requirement_type": "interference",
"expected_value": true
}
}
]
}
]
}
},
{
"identified_line": {
"line": "* psychological, familial, sociological, or geographical conditions that do not permit compliance with the protocol.",
"criterions": [
{
"exact_snippets": "psychological ... conditions that do not permit compliance with the protocol",
"criterion": "psychological conditions",
"requirement": {
"requirement_type": "compliance",
"expected_value": false
}
},
{
"exact_snippets": "familial ... conditions that do not permit compliance with the protocol",
"criterion": "familial conditions",
"requirement": {
"requirement_type": "compliance",
"expected_value": false
}
},
{
"exact_snippets": "sociological ... conditions that do not permit compliance with the protocol",
"criterion": "sociological conditions",
"requirement": {
"requirement_type": "compliance",
"expected_value": false
}
},
{
"exact_snippets": "geographical conditions that do not permit compliance with the protocol",
"criterion": "geographical conditions",
"requirement": {
"requirement_type": "compliance",
"expected_value": false
}
}
]
},
"logical_structure": {
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{
"exact_snippets": "psychological ... conditions that do not permit compliance with the protocol",
"criterion": "psychological conditions",
"requirement": {
"requirement_type": "compliance",
"expected_value": false
}
},
{
"exact_snippets": "familial ... conditions that do not permit compliance with the protocol",
"criterion": "familial conditions",
"requirement": {
"requirement_type": "compliance",
"expected_value": false
}
},
{
"exact_snippets": "sociological ... conditions that do not permit compliance with the protocol",
"criterion": "sociological conditions",
"requirement": {
"requirement_type": "compliance",
"expected_value": false
}
},
{
"exact_snippets": "geographical conditions that do not permit compliance with the protocol",
"criterion": "geographical conditions",
"requirement": {
"requirement_type": "compliance",
"expected_value": false
}
}
]
}
},
{
"identified_line": {
"line": "* clinical history, current alcohol or illicit drug use which, in the judgment of the investigator, would interfere with the subject's ability to comply with the dosing schedule and protocol-specified evaluations.",
"criterions": [
{
"exact_snippets": "clinical history",
"criterion": "clinical history",
"requirement": {
"requirement_type": "interference with compliance",
"expected_value": true
}
},
{
"exact_snippets": "current alcohol or illicit drug use",
"criterion": "current alcohol or illicit drug use",
"requirement": {
"requirement_type": "interference with compliance",
"expected_value": true
}
}
]
},
"logical_structure": {
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{
"exact_snippets": "clinical history",
"criterion": "clinical history",
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"expected_value": true
}
},
{
"exact_snippets": "current alcohol or illicit drug use",
"criterion": "current alcohol or illicit drug use",
"requirement": {
"requirement_type": "interference with compliance",
"expected_value": true
}
}
]
}
},
{
"identified_line": {
"line": "Inclusion Criteria -",
"criterions": []
},
"logical_structure": {
"and_criteria": []
}
},
{
"identified_line": {
"line": "Exclusion Criteria",
"criterions": []
},
"logical_structure": {
"and_criteria": []
}
}
],
"failed_inclusion": [],
"failed_exclusion": [],
"failed_miscellaneous": [
{
"identified_line": {
"line": "* ECOG performance status 0 or 1.",
"criterions": [
{
"exact_snippets": "ECOG performance status 0 or 1",
"criterion": "ECOG performance status",
"requirement": {
"requirement_type": "value",
"expected_value": [
"0",
"1"
]
}
}
]
},
"logical_structure": {
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{
"exact_snippets": "ECOG performance status 0 or 1",
"criterion": "ECOG performance status",
"requirement": {
"requirement_type": "value",
"expected_value": "0"
}
},
{
"exact_snippets": "ECOG performance status 0 or 1",
"criterion": "ECOG performance status",
"requirement": {
"requirement_type": "value",
"expected_value": "1"
}
}
]
}
}
]
}