{
    "info": {
        "nct_id": "NCT00968682",
        "official_title": "Detection of Cardiac Dysfunction in Patients Treated With Trastuzumab for HER-2 Positive Breast Cancer. The CADY Study",
        "inclusion_criteria": "Healthy volunteers allowed\nMust be FEMALE\nMust have minimum age of 18 Years",
        "exclusion_criteria": "1. Presence of a medical or psychiatric condition, which, in the opinion of the investigator, would potentially pose a risk to the patient by participating in this trial.\n2. Evidence of metastatic disease.\n3. Patients with uncontrolled hypertension (sustained systolic blood pressure >180mmHg or diastolic blood pressure >100mmHg), significant valvular disease (aortic or mitral regurgitation of 3 or 4+/ 4+ severity or stenosis of either valve), history of uncontrolled cardiac arrhythmias, prior symptomatic or asymptomatic myocardial infarction or angina pectoris requiring anti-anginal medication.\n4. Prior anthracycline or Trastuzumab therapy.\n5. Inability to give informed consent for any reason.",
        "miscellaneous_criteria": "Inclusion Criteria\n\n1. HER-2 positive breast cancer by immunohistochemistry and/or fluorescence in-situ hybridisation.\n2. Planned neoadjuvant and/or adjuvant treatment with chemotherapy and Trastuzumab either sequentially or in combination or single agent Trastuzumab.\n3. 18 years of age or older.\n4. Disease Stage I-III, whose treatment plan includes Trastuzumab either sequentially, in combination or as a single agent will be eligible for inclusion in the study.\n5. As this is a non-interventional study, patients enrolled in therapeutic clinical trials will also be eligible for inclusion.\n6. Treatment with curative intent.\n7. ECOG Performance status 0, 1 or 2.\n8. Adequate cardiac function, with MUGA or Echocardiograph > 50%.\n9. Written informed consent."
    },
    "inclusion_lines": [
        {
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                "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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                    {
                        "exact_snippets": "Healthy volunteers allowed",
                        "criterion": "volunteer health status",
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                            "expected_value": "healthy"
                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "Must be FEMALE",
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                    {
                        "exact_snippets": "Must be FEMALE",
                        "criterion": "gender",
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                            "requirement_type": "expected_value",
                            "expected_value": "female"
                        }
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "exact_snippets": "Must be FEMALE",
                        "criterion": "gender",
                        "requirement": {
                            "requirement_type": "expected_value",
                            "expected_value": "female"
                        }
                    }
                ]
            }
        },
        {
            "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"
                            }
                        }
                    }
                ]
            },
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                    {
                        "exact_snippets": "minimum age of 18 Years",
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                            "expected_value": {
                                "operator": ">=",
                                "value": 18,
                                "unit": "Years"
                            }
                        }
                    }
                ]
            }
        }
    ],
    "exclusion_lines": [
        {
            "identified_line": {
                "line": "1. Presence of a medical or psychiatric condition, which, in the opinion of the investigator, would potentially pose a risk to the patient by participating in this trial.",
                "criterions": [
                    {
                        "exact_snippets": "Presence of a medical or psychiatric condition",
                        "criterion": "medical or psychiatric condition",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": true
                        }
                    }
                ]
            },
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                    {
                        "and_criteria": [
                            {
                                "exact_snippets": "Presence of a medical or psychiatric condition",
                                "criterion": "medical or psychiatric condition",
                                "requirement": {
                                    "requirement_type": "presence",
                                    "expected_value": true
                                }
                            },
                            {
                                "exact_snippets": "in the opinion of the investigator, would potentially pose a risk to the patient by participating in this trial",
                                "criterion": "risk to the patient by participating in this trial",
                                "requirement": {
                                    "requirement_type": "opinion of the investigator",
                                    "expected_value": true
                                }
                            }
                        ]
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "2. Evidence of metastatic disease.",
                "criterions": [
                    {
                        "exact_snippets": "Evidence of metastatic disease",
                        "criterion": "metastatic disease",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": true
                        }
                    }
                ]
            },
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                "not_criteria": {
                    "exact_snippets": "Evidence of metastatic disease",
                    "criterion": "metastatic disease",
                    "requirement": {
                        "requirement_type": "presence",
                        "expected_value": true
                    }
                }
            }
        },
        {
            "identified_line": {
                "line": "3. Patients with uncontrolled hypertension (sustained systolic blood pressure >180mmHg or diastolic blood pressure >100mmHg), significant valvular disease (aortic or mitral regurgitation of 3 or 4+/ 4+ severity or stenosis of either valve), history of uncontrolled cardiac arrhythmias, prior symptomatic or asymptomatic myocardial infarction or angina pectoris requiring anti-anginal medication.",
                "criterions": [
                    {
                        "exact_snippets": "uncontrolled hypertension (sustained systolic blood pressure >180mmHg or diastolic blood pressure >100mmHg)",
                        "criterion": "hypertension",
                        "requirement": {
                            "requirement_type": "control",
                            "expected_value": "uncontrolled"
                        }
                    },
                    {
                        "exact_snippets": "uncontrolled hypertension (sustained systolic blood pressure >180mmHg or diastolic blood pressure >100mmHg)",
                        "criterion": "hypertension",
                        "requirement": {
                            "requirement_type": "systolic blood pressure",
                            "expected_value": {
                                "operator": ">",
                                "value": 180,
                                "unit": "mmHg"
                            }
                        }
                    },
                    {
                        "exact_snippets": "uncontrolled hypertension (sustained systolic blood pressure >180mmHg or diastolic blood pressure >100mmHg)",
                        "criterion": "hypertension",
                        "requirement": {
                            "requirement_type": "diastolic blood pressure",
                            "expected_value": {
                                "operator": ">",
                                "value": 100,
                                "unit": "mmHg"
                            }
                        }
                    },
                    {
                        "exact_snippets": "significant valvular disease (aortic or mitral regurgitation of 3 or 4+/ 4+ severity or stenosis of either valve)",
                        "criterion": "valvular disease",
                        "requirement": {
                            "requirement_type": "severity",
                            "expected_value": "significant"
                        }
                    },
                    {
                        "exact_snippets": "significant valvular disease (aortic or mitral regurgitation of 3 or 4+/ 4+ severity or stenosis of either valve)",
                        "criterion": "valvular disease",
                        "requirement": {
                            "requirement_type": "regurgitation",
                            "expected_value": {
                                "operator": ">=",
                                "value": 3,
                                "unit": "severity scale"
                            }
                        }
                    },
                    {
                        "exact_snippets": "significant valvular disease (aortic or mitral regurgitation of 3 or 4+/ 4+ severity or stenosis of either valve)",
                        "criterion": "valvular disease",
                        "requirement": {
                            "requirement_type": "stenosis",
                            "expected_value": "present"
                        }
                    },
                    {
                        "exact_snippets": "history of uncontrolled cardiac arrhythmias",
                        "criterion": "cardiac arrhythmias",
                        "requirement": {
                            "requirement_type": "control",
                            "expected_value": "uncontrolled"
                        }
                    },
                    {
                        "exact_snippets": "history of uncontrolled cardiac arrhythmias",
                        "criterion": "cardiac arrhythmias",
                        "requirement": {
                            "requirement_type": "history",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "prior symptomatic or asymptomatic myocardial infarction",
                        "criterion": "myocardial infarction",
                        "requirement": {
                            "requirement_type": "symptomatic",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "prior symptomatic or asymptomatic myocardial infarction",
                        "criterion": "myocardial infarction",
                        "requirement": {
                            "requirement_type": "asymptomatic",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "prior symptomatic or asymptomatic myocardial infarction",
                        "criterion": "myocardial infarction",
                        "requirement": {
                            "requirement_type": "history",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "angina pectoris requiring anti-anginal medication",
                        "criterion": "angina pectoris",
                        "requirement": {
                            "requirement_type": "medication requirement",
                            "expected_value": "anti-anginal medication"
                        }
                    }
                ]
            },
            "logical_structure": {
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                    {
                        "and_criteria": [
                            {
                                "and_criteria": [
                                    {
                                        "exact_snippets": "uncontrolled hypertension (sustained systolic blood pressure >180mmHg or diastolic blood pressure >100mmHg)",
                                        "criterion": "hypertension",
                                        "requirement": {
                                            "requirement_type": "control",
                                            "expected_value": "uncontrolled"
                                        }
                                    },
                                    {
                                        "or_criteria": [
                                            {
                                                "exact_snippets": "uncontrolled hypertension (sustained systolic blood pressure >180mmHg or diastolic blood pressure >100mmHg)",
                                                "criterion": "hypertension",
                                                "requirement": {
                                                    "requirement_type": "systolic blood pressure",
                                                    "expected_value": {
                                                        "operator": ">",
                                                        "value": 180,
                                                        "unit": "mmHg"
                                                    }
                                                }
                                            },
                                            {
                                                "exact_snippets": "uncontrolled hypertension (sustained systolic blood pressure >180mmHg or diastolic blood pressure >100mmHg)",
                                                "criterion": "hypertension",
                                                "requirement": {
                                                    "requirement_type": "diastolic blood pressure",
                                                    "expected_value": {
                                                        "operator": ">",
                                                        "value": 100,
                                                        "unit": "mmHg"
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                                                }
                                            }
                                        ]
                                    }
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                            },
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                                        }
                                    },
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                                                "criterion": "valvular disease",
                                                "requirement": {
                                                    "requirement_type": "regurgitation",
                                                    "expected_value": {
                                                        "operator": ">=",
                                                        "value": 3,
                                                        "unit": "severity scale"
                                                    }
                                                }
                                            },
                                            {
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                                                "criterion": "valvular disease",
                                                "requirement": {
                                                    "requirement_type": "stenosis",
                                                    "expected_value": "present"
                                                }
                                            }
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                                ]
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                        ]
                    },
                    {
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                                "criterion": "cardiac arrhythmias",
                                "requirement": {
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                                    "expected_value": "uncontrolled"
                                }
                            },
                            {
                                "exact_snippets": "history of uncontrolled cardiac arrhythmias",
                                "criterion": "cardiac arrhythmias",
                                "requirement": {
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                                    "expected_value": true
                                }
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                        ]
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                                        "requirement": {
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                                            "expected_value": true
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                                    },
                                    {
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                                        "criterion": "myocardial infarction",
                                        "requirement": {
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                                            "expected_value": true
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                                    }
                                ]
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                                "exact_snippets": "prior symptomatic or asymptomatic myocardial infarction",
                                "criterion": "myocardial infarction",
                                "requirement": {
                                    "requirement_type": "history",
                                    "expected_value": true
                                }
                            }
                        ]
                    },
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                            "expected_value": "anti-anginal medication"
                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "4. Prior anthracycline or Trastuzumab therapy.",
                "criterions": [
                    {
                        "exact_snippets": "Prior anthracycline ... therapy",
                        "criterion": "anthracycline therapy",
                        "requirement": {
                            "requirement_type": "prior treatment",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "Prior ... Trastuzumab therapy",
                        "criterion": "Trastuzumab therapy",
                        "requirement": {
                            "requirement_type": "prior treatment",
                            "expected_value": true
                        }
                    }
                ]
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                        "exact_snippets": "Prior anthracycline ... therapy",
                        "criterion": "anthracycline therapy",
                        "requirement": {
                            "requirement_type": "prior treatment",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "Prior ... Trastuzumab therapy",
                        "criterion": "Trastuzumab therapy",
                        "requirement": {
                            "requirement_type": "prior treatment",
                            "expected_value": true
                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "5. Inability to give informed consent for any reason.",
                "criterions": [
                    {
                        "exact_snippets": "Inability to give informed consent",
                        "criterion": "informed consent",
                        "requirement": {
                            "requirement_type": "ability",
                            "expected_value": true
                        }
                    }
                ]
            },
            "logical_structure": {
                "not_criteria": {
                    "exact_snippets": "Inability to give informed consent",
                    "criterion": "informed consent",
                    "requirement": {
                        "requirement_type": "ability",
                        "expected_value": true
                    }
                }
            }
        }
    ],
    "miscellaneous_lines": [
        {
            "identified_line": {
                "line": "1. HER-2 positive breast cancer by immunohistochemistry and/or fluorescence in-situ hybridisation.",
                "criterions": [
                    {
                        "exact_snippets": "HER-2 positive breast cancer",
                        "criterion": "HER-2 status",
                        "requirement": {
                            "requirement_type": "status",
                            "expected_value": "positive"
                        }
                    },
                    {
                        "exact_snippets": "immunohistochemistry",
                        "criterion": "immunohistochemistry",
                        "requirement": {
                            "requirement_type": "method",
                            "expected_value": "used"
                        }
                    },
                    {
                        "exact_snippets": "fluorescence in-situ hybridisation",
                        "criterion": "fluorescence in-situ hybridisation",
                        "requirement": {
                            "requirement_type": "method",
                            "expected_value": "used"
                        }
                    }
                ]
            },
            "logical_structure": {
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                    {
                        "and_criteria": [
                            {
                                "exact_snippets": "HER-2 positive breast cancer",
                                "criterion": "HER-2 status",
                                "requirement": {
                                    "requirement_type": "status",
                                    "expected_value": "positive"
                                }
                            },
                            {
                                "exact_snippets": "immunohistochemistry",
                                "criterion": "immunohistochemistry",
                                "requirement": {
                                    "requirement_type": "method",
                                    "expected_value": "used"
                                }
                            }
                        ]
                    },
                    {
                        "and_criteria": [
                            {
                                "exact_snippets": "HER-2 positive breast cancer",
                                "criterion": "HER-2 status",
                                "requirement": {
                                    "requirement_type": "status",
                                    "expected_value": "positive"
                                }
                            },
                            {
                                "exact_snippets": "fluorescence in-situ hybridisation",
                                "criterion": "fluorescence in-situ hybridisation",
                                "requirement": {
                                    "requirement_type": "method",
                                    "expected_value": "used"
                                }
                            }
                        ]
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "2. Planned neoadjuvant and/or adjuvant treatment with chemotherapy and Trastuzumab either sequentially or in combination or single agent Trastuzumab.",
                "criterions": [
                    {
                        "exact_snippets": "Planned neoadjuvant and/or adjuvant treatment with chemotherapy and Trastuzumab either sequentially or in combination",
                        "criterion": "planned neoadjuvant and/or adjuvant treatment",
                        "requirement": {
                            "requirement_type": "treatment type",
                            "expected_value": [
                                "chemotherapy",
                                "Trastuzumab"
                            ]
                        }
                    },
                    {
                        "exact_snippets": "Planned neoadjuvant and/or adjuvant treatment with chemotherapy and Trastuzumab either sequentially or in combination",
                        "criterion": "planned neoadjuvant and/or adjuvant treatment",
                        "requirement": {
                            "requirement_type": "treatment sequence",
                            "expected_value": [
                                "sequentially",
                                "in combination"
                            ]
                        }
                    },
                    {
                        "exact_snippets": "single agent Trastuzumab",
                        "criterion": "planned treatment",
                        "requirement": {
                            "requirement_type": "treatment type",
                            "expected_value": "single agent Trastuzumab"
                        }
                    }
                ]
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            "logical_structure": {
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                    {
                        "and_criteria": [
                            {
                                "and_criteria": [
                                    {
                                        "exact_snippets": "Planned neoadjuvant and/or adjuvant treatment with chemotherapy and Trastuzumab either sequentially or in combination",
                                        "criterion": "planned neoadjuvant and/or adjuvant treatment",
                                        "requirement": {
                                            "requirement_type": "treatment type",
                                            "expected_value": [
                                                "chemotherapy",
                                                "Trastuzumab"
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                                        }
                                    },
                                    {
                                        "exact_snippets": "Planned neoadjuvant and/or adjuvant treatment with chemotherapy and Trastuzumab either sequentially or in combination",
                                        "criterion": "planned neoadjuvant and/or adjuvant treatment",
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                                            "requirement_type": "treatment sequence",
                                            "expected_value": [
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                                "exact_snippets": "single agent Trastuzumab",
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                                    "requirement_type": "treatment type",
                                    "expected_value": "single agent Trastuzumab"
                                }
                            }
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                        "exact_snippets": "single agent Trastuzumab",
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                        "requirement": {
                            "requirement_type": "treatment type",
                            "expected_value": "single agent Trastuzumab"
                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "3. 18 years of age or older.",
                "criterions": [
                    {
                        "exact_snippets": "18 years of age or older",
                        "criterion": "age",
                        "requirement": {
                            "requirement_type": "minimum",
                            "expected_value": {
                                "operator": ">=",
                                "value": 18,
                                "unit": "years"
                            }
                        }
                    }
                ]
            },
            "logical_structure": {
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                    {
                        "exact_snippets": "18 years of age or older",
                        "criterion": "age",
                        "requirement": {
                            "requirement_type": "minimum",
                            "expected_value": {
                                "operator": ">=",
                                "value": 18,
                                "unit": "years"
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                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "4. Disease Stage I-III, whose treatment plan includes Trastuzumab either sequentially, in combination or as a single agent will be eligible for inclusion in the study.",
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                    {
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                        "criterion": "disease stage",
                        "requirement": {
                            "requirement_type": "range",
                            "expected_value": {
                                "comparisons": [
                                    {
                                        "operator": ">=",
                                        "value": 1,
                                        "unit": "N/A"
                                    },
                                    {
                                        "operator": "<=",
                                        "value": 3,
                                        "unit": "N/A"
                                    }
                                ]
                            }
                        }
                    },
                    {
                        "exact_snippets": "treatment plan includes Trastuzumab",
                        "criterion": "treatment plan",
                        "requirement": {
                            "requirement_type": "inclusion",
                            "expected_value": "Trastuzumab"
                        }
                    }
                ]
            },
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                    {
                        "exact_snippets": "Disease Stage I-III",
                        "criterion": "disease stage",
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                            "requirement_type": "range",
                            "expected_value": {
                                "comparisons": [
                                    {
                                        "operator": ">=",
                                        "value": 1,
                                        "unit": "N/A"
                                    },
                                    {
                                        "operator": "<=",
                                        "value": 3,
                                        "unit": "N/A"
                                    }
                                ]
                            }
                        }
                    },
                    {
                        "exact_snippets": "treatment plan includes Trastuzumab",
                        "criterion": "treatment plan",
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                ]
            }
        },
        {
            "identified_line": {
                "line": "5. As this is a non-interventional study, patients enrolled in therapeutic clinical trials will also be eligible for inclusion.",
                "criterions": [
                    {
                        "exact_snippets": "patients enrolled in therapeutic clinical trials",
                        "criterion": "enrollment in therapeutic clinical trials",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": true
                        }
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "exact_snippets": "patients enrolled in therapeutic clinical trials",
                        "criterion": "enrollment in therapeutic clinical trials",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": true
                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "6. Treatment with curative intent.",
                "criterions": [
                    {
                        "exact_snippets": "Treatment with curative intent.",
                        "criterion": "treatment intent",
                        "requirement": {
                            "requirement_type": "intent",
                            "expected_value": "curative"
                        }
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "exact_snippets": "Treatment with curative intent.",
                        "criterion": "treatment intent",
                        "requirement": {
                            "requirement_type": "intent",
                            "expected_value": "curative"
                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "7. ECOG Performance status 0, 1 or 2.",
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                    {
                        "exact_snippets": "ECOG Performance status 0, 1 or 2.",
                        "criterion": "ECOG Performance status",
                        "requirement": {
                            "requirement_type": "status",
                            "expected_value": [
                                "0",
                                "1",
                                "2"
                            ]
                        }
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "exact_snippets": "ECOG Performance status 0, 1 or 2.",
                        "criterion": "ECOG Performance status",
                        "requirement": {
                            "requirement_type": "status",
                            "expected_value": [
                                "0",
                                "1",
                                "2"
                            ]
                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "8. Adequate cardiac function, with MUGA or Echocardiograph > 50%.",
                "criterions": [
                    {
                        "exact_snippets": "Adequate cardiac function",
                        "criterion": "cardiac function",
                        "requirement": {
                            "requirement_type": "adequacy",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "MUGA or Echocardiograph > 50%",
                        "criterion": "MUGA or Echocardiograph",
                        "requirement": {
                            "requirement_type": "percentage",
                            "expected_value": {
                                "operator": ">",
                                "value": 50,
                                "unit": "%"
                            }
                        }
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "exact_snippets": "Adequate cardiac function",
                        "criterion": "cardiac function",
                        "requirement": {
                            "requirement_type": "adequacy",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "MUGA or Echocardiograph > 50%",
                        "criterion": "MUGA or Echocardiograph",
                        "requirement": {
                            "requirement_type": "percentage",
                            "expected_value": {
                                "operator": ">",
                                "value": 50,
                                "unit": "%"
                            }
                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "9. Written informed consent.",
                "criterions": [
                    {
                        "exact_snippets": "Written informed consent",
                        "criterion": "informed consent",
                        "requirement": {
                            "requirement_type": "form",
                            "expected_value": "written"
                        }
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "exact_snippets": "Written informed consent",
                        "criterion": "informed consent",
                        "requirement": {
                            "requirement_type": "form",
                            "expected_value": "written"
                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "Inclusion Criteria",
                "criterions": []
            },
            "logical_structure": {
                "and_criteria": []
            }
        }
    ],
    "failed_inclusion": [],
    "failed_exclusion": [],
    "failed_miscellaneous": []
}