{
"info": {
"nct_id": "NCT01198548",
"official_title": "A Phase II Clinical Trial of High Dose Vitamin D3 Supplementation in Combination With FOLFOX + Bevacizumab in the 1st Line Treatment of Metastatic Colorectal Cancer",
"inclusion_criteria": "* Patients should have untreated metastatic colorectal cancer; prior adjuvant chemotherapy is allowed as long as the development of metastatic disease occurred more than 6 months from completion of adjuvant treatment\n* Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1\n* Platelets >= 100,000/mm^3\n* Absolute neutrophil count (ANC) >= 1,500/mm^3\n* Hemoglobin > 9 gm/dl\n* Calculated creatinine clearance > 40 ml/min according to the Cockcroft-Gault formula OR per 24 hour urine collection\n* Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) < 2.5 x institutional upper normal level if no liver metastases and < 5 x upper limit of normal (ULN) in the setting of liver metastases\n* Total bilirubin =< 1.5 x institutional upper normal level\n* Albumin >= 2.5 g/dl\n* Urine protein:creatinine (UPC) ratio < 1; in the event UPC is > 1, the patient will require a 24-hr urine protein and will be eligible if 24-hr urine collection has < 1,000 mg protein\n* Patients of child-hearing potential must agree to use acceptable contraceptive methods (e.g., double harrier) during treatment\n* Patient or legal representative must understand the investigational nature of this study and sign an Independent Ethics Committee/Institutional Review Board-approved written informed consent form prior to receiving any study-related procedure\n* Presence of measurable disease defined as a lesion >= 1 cm by computed tomography (CT); all sites of disease should be evaluated =< 3 weeks before treatment initiation\n* Baseline 25-D3 level of < 40 ng/ml\nHealthy volunteers allowed\nMust have minimum age of 18 Years\nMust have maximum age of 79 Years",
"exclusion_criteria": "* Patients may not be receiving any other investigational agents that are not included in this study\n* Patients with known brain metastases\n* History of other invasive cancers with the exception of the following: a. Curatively resected or treated non-melanoma skin cancer; b. Curatively treated cervical carcinoma in situ; c. Other primary solid tumors treated curatively and no treatment administered >= 2 years before enrollment, and in the investigator opinion, it is unlikely that there will be a recurrence =< 1 year post enrollment\n* History of allergic reactions attributed to compounds of similar chemical or biologic composition to oxaliplatin, 5-FU, leucovorin, bevacizumab, and vitamin D3 and other agents used in study\n* History of clinically significant bleeding within 6 months of enrollment\n* Clinically significant cardiovascular disease within 12 months prior to enrollment, including myocardial infarction, unstable angina, grade 2 or greater peripheral vascular disease, cerebrovascular accident, transient ischemic attack, congestive heart failure or arrhythmias not controlled by outpatient medication, percutaneous transluminal coronary angioplasty/stent\n* Pregnant women are excluded from this study; breastfeeding should be discontinued if the mother is treated on this study\n* Major surgery within 28 days prior to enrollment or still recovering from prior surgery\n* Known dihydropyrimidine dehydrogenase (DpD) deficiency\n* History or evidence upon physical examination of central nervous system (CNS) disease (e.g., primary brain tumor, seizures not controlled with standard medical therapy, any brain metastases, or history of stroke)\n* Serious, nonhealing wound, ulcer, or bone fracture\n* Uncontrolled hypertension (systolic blood pressure > 150 mmHg or diastolic blood pressure > 95 mmHg despite medications)\n* History of arterial thrombosis within the last 12 months\n* History of visceral arterial ischemia\n* Subjects unwilling or unable to comply with study requirements\n* Any condition that in the Investigator's opinion deems the patient an unsuitable candidate to receive study drug\n* Received an investigational agent within 30 clays prior to enrollment\n* Treatment with vitamin D replacement with doses exceeding an average of 1000 IU/day (vitamin D3) within 60 days prior to enrollment",
"miscellaneous_criteria": ""
},
"inclusion_lines": [
{
"identified_line": {
"line": "* Patients should have untreated metastatic colorectal cancer; prior adjuvant chemotherapy is allowed as long as the development of metastatic disease occurred more than 6 months from completion of adjuvant treatment",
"criterions": [
{
"exact_snippets": "untreated metastatic colorectal cancer",
"criterion": "metastatic colorectal cancer",
"requirement": {
"requirement_type": "treatment status",
"expected_value": "untreated"
}
},
{
"exact_snippets": "prior adjuvant chemotherapy is allowed",
"criterion": "prior adjuvant chemotherapy",
"requirement": {
"requirement_type": "allowance",
"expected_value": true
}
},
{
"exact_snippets": "development of metastatic disease occurred more than 6 months from completion of adjuvant treatment",
"criterion": "time since adjuvant treatment completion",
"requirement": {
"requirement_type": "time since completion",
"expected_value": {
"operator": ">",
"value": 6,
"unit": "months"
}
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"and_criteria": [
{
"exact_snippets": "untreated metastatic colorectal cancer",
"criterion": "metastatic colorectal cancer",
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"expected_value": "untreated"
}
},
{
"condition": {
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"criterion": "prior adjuvant chemotherapy",
"requirement": {
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"expected_value": true
}
},
"then_criteria": {
"exact_snippets": "development of metastatic disease occurred more than 6 months from completion of adjuvant treatment",
"criterion": "time since adjuvant treatment completion",
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"expected_value": {
"operator": ">",
"value": 6,
"unit": "months"
}
}
},
"else_criteria": null
}
]
}
]
}
},
{
"identified_line": {
"line": "* Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1",
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"exact_snippets": "Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1",
"criterion": "ECOG Performance Status",
"requirement": {
"requirement_type": "range",
"expected_value": {
"comparisons": [
{
"operator": ">=",
"value": 0,
"unit": "N/A"
},
{
"operator": "<=",
"value": 1,
"unit": "N/A"
}
]
}
}
}
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{
"exact_snippets": "Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1",
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"expected_value": {
"comparisons": [
{
"operator": ">=",
"value": 0,
"unit": "N/A"
},
{
"operator": "<=",
"value": 1,
"unit": "N/A"
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]
}
}
}
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},
{
"identified_line": {
"line": "* Platelets >= 100,000/mm^3",
"criterions": [
{
"exact_snippets": "Platelets >= 100,000/mm^3",
"criterion": "platelet count",
"requirement": {
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 100000,
"unit": "mm^3"
}
}
}
]
},
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"and_criteria": [
{
"exact_snippets": "Platelets >= 100,000/mm^3",
"criterion": "platelet count",
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"expected_value": {
"operator": ">=",
"value": 100000,
"unit": "mm^3"
}
}
}
]
}
},
{
"identified_line": {
"line": "* Absolute neutrophil count (ANC) >= 1,500/mm^3",
"criterions": [
{
"exact_snippets": "Absolute neutrophil count (ANC) >= 1,500/mm^3",
"criterion": "absolute neutrophil count (ANC)",
"requirement": {
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 1500,
"unit": "mm^3"
}
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "Absolute neutrophil count (ANC) >= 1,500/mm^3",
"criterion": "absolute neutrophil count (ANC)",
"requirement": {
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 1500,
"unit": "mm^3"
}
}
}
]
}
},
{
"identified_line": {
"line": "* Hemoglobin > 9 gm/dl",
"criterions": [
{
"exact_snippets": "Hemoglobin > 9 gm/dl",
"criterion": "hemoglobin",
"requirement": {
"requirement_type": "level",
"expected_value": {
"operator": ">",
"value": 9,
"unit": "gm/dl"
}
}
}
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"exact_snippets": "Hemoglobin > 9 gm/dl",
"criterion": "hemoglobin",
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"operator": ">",
"value": 9,
"unit": "gm/dl"
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}
}
]
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{
"identified_line": {
"line": "* Total bilirubin =< 1.5 x institutional upper normal level",
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"exact_snippets": "Total bilirubin =< 1.5 x institutional upper normal level",
"criterion": "total bilirubin",
"requirement": {
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"operator": "<=",
"value": 1.5,
"unit": "x institutional upper normal level"
}
}
}
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},
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{
"exact_snippets": "Total bilirubin =< 1.5 x institutional upper normal level",
"criterion": "total bilirubin",
"requirement": {
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"expected_value": {
"operator": "<=",
"value": 1.5,
"unit": "x institutional upper normal level"
}
}
}
]
}
},
{
"identified_line": {
"line": "* Albumin >= 2.5 g/dl",
"criterions": [
{
"exact_snippets": "Albumin >= 2.5 g/dl",
"criterion": "albumin level",
"requirement": {
"requirement_type": "level",
"expected_value": {
"operator": ">=",
"value": 2.5,
"unit": "g/dl"
}
}
}
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"and_criteria": [
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"exact_snippets": "Albumin >= 2.5 g/dl",
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"value": 2.5,
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}
}
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}
},
{
"identified_line": {
"line": "* Urine protein:creatinine (UPC) ratio < 1; in the event UPC is > 1, the patient will require a 24-hr urine protein and will be eligible if 24-hr urine collection has < 1,000 mg protein",
"criterions": [
{
"exact_snippets": "Urine protein:creatinine (UPC) ratio < 1",
"criterion": "UPC ratio",
"requirement": {
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"operator": "<",
"value": 1,
"unit": "N/A"
}
}
},
{
"exact_snippets": "24-hr urine collection has < 1,000 mg protein",
"criterion": "24-hr urine protein",
"requirement": {
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"expected_value": {
"operator": "<",
"value": 1000,
"unit": "mg"
}
}
}
]
},
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"condition": {
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"criterion": "UPC ratio",
"requirement": {
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"expected_value": {
"operator": "<",
"value": 1,
"unit": "N/A"
}
}
},
"then_criteria": null,
"else_criteria": {
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"operator": "<",
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"unit": "mg"
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}
}
}
},
{
"identified_line": {
"line": "* Patients of child-hearing potential must agree to use acceptable contraceptive methods (e.g., double harrier) during treatment",
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"criterion": "child-bearing potential",
"requirement": {
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"expected_value": true
}
},
{
"exact_snippets": "must agree to use acceptable contraceptive methods (e.g., double harrier) during treatment",
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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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"expected_value": true
}
},
{
"exact_snippets": "lesion >= 1 cm by computed tomography (CT)",
"criterion": "lesion size",
"requirement": {
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"value": 1,
"unit": "cm"
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}
},
{
"exact_snippets": "all sites of disease should be evaluated =< 3 weeks before treatment initiation",
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"requirement": {
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"operator": "<=",
"value": 3,
"unit": "weeks"
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}
}
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}
},
{
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"identified_line": {
"line": "* Baseline 25-D3 level of < 40 ng/ml",
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"exact_snippets": "Baseline 25-D3 level of < 40 ng/ml",
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"identified_line": {
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}
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}
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}
},
{
"identified_line": {
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{
"exact_snippets": "minimum age of 18 Years",
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}
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"exact_snippets": "minimum age of 18 Years",
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}
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"identified_line": {
"line": "Must have maximum age of 79 Years",
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"exact_snippets": "maximum age of 79 Years",
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"exact_snippets": "maximum age of 79 Years",
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"identified_line": {
"line": "* Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) < 2.5 x institutional upper normal level if no liver metastases and < 5 x upper limit of normal (ULN) in the setting of liver metastases",
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}
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"exact_snippets": "alanine aminotransferase (ALT) < 2.5 x institutional upper normal level if no liver metastases",
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],
"exclusion_lines": [
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"exact_snippets": "Patients may not be receiving any other investigational agents",
"criterion": "use of investigational agents",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
}
]
}
},
{
"identified_line": {
"line": "* Patients with known brain metastases",
"criterions": [
{
"exact_snippets": "known brain metastases",
"criterion": "brain metastases",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
]
},
"logical_structure": {
"not_criteria": {
"exact_snippets": "known brain metastases",
"criterion": "brain metastases",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
}
},
{
"identified_line": {
"line": "* History of other invasive cancers with the exception of the following: a. Curatively resected or treated non-melanoma skin cancer; b. Curatively treated cervical carcinoma in situ; c. Other primary solid tumors treated curatively and no treatment administered >= 2 years before enrollment, and in the investigator opinion, it is unlikely that there will be a recurrence =< 1 year post enrollment",
"criterions": [
{
"exact_snippets": "History of other invasive cancers",
"criterion": "history of invasive cancers",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
},
{
"exact_snippets": "Curatively resected or treated non-melanoma skin cancer",
"criterion": "non-melanoma skin cancer",
"requirement": {
"requirement_type": "treatment status",
"expected_value": "curatively resected or treated"
}
},
{
"exact_snippets": "Curatively treated cervical carcinoma in situ",
"criterion": "cervical carcinoma in situ",
"requirement": {
"requirement_type": "treatment status",
"expected_value": "curatively treated"
}
},
{
"exact_snippets": "Other primary solid tumors treated curatively and no treatment administered >= 2 years before enrollment",
"criterion": "other primary solid tumors",
"requirement": {
"requirement_type": "treatment status",
"expected_value": "curatively treated"
}
},
{
"exact_snippets": "Other primary solid tumors treated curatively and no treatment administered >= 2 years before enrollment",
"criterion": "other primary solid tumors",
"requirement": {
"requirement_type": "treatment administration time",
"expected_value": {
"operator": ">=",
"value": 2,
"unit": "years"
}
}
},
{
"exact_snippets": "in the investigator opinion, it is unlikely that there will be a recurrence =< 1 year post enrollment",
"criterion": "recurrence likelihood",
"requirement": {
"requirement_type": "likelihood of recurrence",
"expected_value": {
"operator": "<=",
"value": 1,
"unit": "year"
}
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"not_criteria": {
"exact_snippets": "History of other invasive cancers",
"criterion": "history of invasive cancers",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
}
},
{
"or_criteria": [
{
"exact_snippets": "Curatively resected or treated non-melanoma skin cancer",
"criterion": "non-melanoma skin cancer",
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"requirement_type": "treatment status",
"expected_value": "curatively resected or treated"
}
},
{
"exact_snippets": "Curatively treated cervical carcinoma in situ",
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"requirement": {
"requirement_type": "treatment status",
"expected_value": "curatively treated"
}
},
{
"and_criteria": [
{
"exact_snippets": "Other primary solid tumors treated curatively and no treatment administered >= 2 years before enrollment",
"criterion": "other primary solid tumors",
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"requirement_type": "treatment status",
"expected_value": "curatively treated"
}
},
{
"exact_snippets": "Other primary solid tumors treated curatively and no treatment administered >= 2 years before enrollment",
"criterion": "other primary solid tumors",
"requirement": {
"requirement_type": "treatment administration time",
"expected_value": {
"operator": ">=",
"value": 2,
"unit": "years"
}
}
},
{
"exact_snippets": "in the investigator opinion, it is unlikely that there will be a recurrence =< 1 year post enrollment",
"criterion": "recurrence likelihood",
"requirement": {
"requirement_type": "likelihood of recurrence",
"expected_value": {
"operator": "<=",
"value": 1,
"unit": "year"
}
}
}
]
}
]
}
]
}
},
{
"identified_line": {
"line": "* History of allergic reactions attributed to compounds of similar chemical or biologic composition to oxaliplatin, 5-FU, leucovorin, bevacizumab, and vitamin D3 and other agents used in study",
"criterions": [
{
"exact_snippets": "History of allergic reactions attributed to compounds of similar chemical or biologic composition to oxaliplatin",
"criterion": "allergic reactions to oxaliplatin",
"requirement": {
"requirement_type": "history",
"expected_value": true
}
},
{
"exact_snippets": "History of allergic reactions attributed to compounds of similar chemical or biologic composition to ... 5-FU",
"criterion": "allergic reactions to 5-FU",
"requirement": {
"requirement_type": "history",
"expected_value": true
}
},
{
"exact_snippets": "History of allergic reactions attributed to compounds of similar chemical or biologic composition to ... leucovorin",
"criterion": "allergic reactions to leucovorin",
"requirement": {
"requirement_type": "history",
"expected_value": true
}
},
{
"exact_snippets": "History of allergic reactions attributed to compounds of similar chemical or biologic composition to ... bevacizumab",
"criterion": "allergic reactions to bevacizumab",
"requirement": {
"requirement_type": "history",
"expected_value": true
}
},
{
"exact_snippets": "History of allergic reactions attributed to compounds of similar chemical or biologic composition to ... vitamin D3",
"criterion": "allergic reactions to vitamin D3",
"requirement": {
"requirement_type": "history",
"expected_value": true
}
},
{
"exact_snippets": "History of allergic reactions attributed to compounds of similar chemical or biologic composition to ... other agents used in study",
"criterion": "allergic reactions to other agents used in study",
"requirement": {
"requirement_type": "history",
"expected_value": true
}
}
]
},
"logical_structure": {
"or_criteria": [
{
"and_criteria": [
{
"exact_snippets": "History of allergic reactions attributed to compounds of similar chemical or biologic composition to oxaliplatin",
"criterion": "allergic reactions to oxaliplatin",
"requirement": {
"requirement_type": "history",
"expected_value": true
}
},
{
"exact_snippets": "History of allergic reactions attributed to compounds of similar chemical or biologic composition to ... 5-FU",
"criterion": "allergic reactions to 5-FU",
"requirement": {
"requirement_type": "history",
"expected_value": true
}
},
{
"exact_snippets": "History of allergic reactions attributed to compounds of similar chemical or biologic composition to ... leucovorin",
"criterion": "allergic reactions to leucovorin",
"requirement": {
"requirement_type": "history",
"expected_value": true
}
},
{
"exact_snippets": "History of allergic reactions attributed to compounds of similar chemical or biologic composition to ... bevacizumab",
"criterion": "allergic reactions to bevacizumab",
"requirement": {
"requirement_type": "history",
"expected_value": true
}
},
{
"exact_snippets": "History of allergic reactions attributed to compounds of similar chemical or biologic composition to ... vitamin D3",
"criterion": "allergic reactions to vitamin D3",
"requirement": {
"requirement_type": "history",
"expected_value": true
}
},
{
"exact_snippets": "History of allergic reactions attributed to compounds of similar chemical or biologic composition to ... other agents used in study",
"criterion": "allergic reactions to other agents used in study",
"requirement": {
"requirement_type": "history",
"expected_value": true
}
}
]
}
]
}
},
{
"identified_line": {
"line": "* History of clinically significant bleeding within 6 months of enrollment",
"criterions": [
{
"exact_snippets": "History of clinically significant bleeding within 6 months of enrollment",
"criterion": "clinically significant bleeding",
"requirement": {
"requirement_type": "history",
"expected_value": true
}
},
{
"exact_snippets": "History of clinically significant bleeding within 6 months of enrollment",
"criterion": "clinically significant bleeding",
"requirement": {
"requirement_type": "time frame",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 6,
"unit": "months"
}
]
}
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "History of clinically significant bleeding within 6 months of enrollment",
"criterion": "clinically significant bleeding",
"requirement": {
"requirement_type": "history",
"expected_value": true
}
},
{
"exact_snippets": "History of clinically significant bleeding within 6 months of enrollment",
"criterion": "clinically significant bleeding",
"requirement": {
"requirement_type": "time frame",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 6,
"unit": "months"
}
]
}
}
}
]
}
},
{
"identified_line": {
"line": "* Clinically significant cardiovascular disease within 12 months prior to enrollment, including myocardial infarction, unstable angina, grade 2 or greater peripheral vascular disease, cerebrovascular accident, transient ischemic attack, congestive heart failure or arrhythmias not controlled by outpatient medication, percutaneous transluminal coronary angioplasty/stent",
"criterions": [
{
"exact_snippets": "Clinically significant cardiovascular disease within 12 months prior to enrollment",
"criterion": "cardiovascular disease",
"requirement": {
"requirement_type": "severity",
"expected_value": "clinically significant"
}
},
{
"exact_snippets": "Clinically significant cardiovascular disease within 12 months prior to enrollment",
"criterion": "cardiovascular disease",
"requirement": {
"requirement_type": "time frame",
"expected_value": "within 12 months prior to enrollment"
}
},
{
"exact_snippets": "myocardial infarction",
"criterion": "myocardial infarction",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "unstable angina",
"criterion": "unstable angina",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "grade 2 or greater peripheral vascular disease",
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"requirement_type": "severity",
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"operator": ">=",
"value": 2,
"unit": "grade"
}
}
},
{
"exact_snippets": "cerebrovascular accident",
"criterion": "cerebrovascular accident",
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"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "transient ischemic attack",
"criterion": "transient ischemic attack",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "congestive heart failure",
"criterion": "congestive heart failure",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "arrhythmias not controlled by outpatient medication",
"criterion": "arrhythmias",
"requirement": {
"requirement_type": "control",
"expected_value": "not controlled by outpatient medication"
}
},
{
"exact_snippets": "percutaneous transluminal coronary angioplasty/stent",
"criterion": "percutaneous transluminal coronary angioplasty/stent",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"and_criteria": [
{
"exact_snippets": "Clinically significant cardiovascular disease within 12 months prior to enrollment",
"criterion": "cardiovascular disease",
"requirement": {
"requirement_type": "severity",
"expected_value": "clinically significant"
}
},
{
"exact_snippets": "Clinically significant cardiovascular disease within 12 months prior to enrollment",
"criterion": "cardiovascular disease",
"requirement": {
"requirement_type": "time frame",
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}
}
]
},
{
"or_criteria": [
{
"exact_snippets": "myocardial infarction",
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"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "unstable angina",
"criterion": "unstable angina",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "grade 2 or greater peripheral vascular disease",
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"requirement_type": "severity",
"expected_value": {
"operator": ">=",
"value": 2,
"unit": "grade"
}
}
},
{
"exact_snippets": "cerebrovascular accident",
"criterion": "cerebrovascular accident",
"requirement": {
"requirement_type": "presence",
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}
},
{
"exact_snippets": "transient ischemic attack",
"criterion": "transient ischemic attack",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "congestive heart failure",
"criterion": "congestive heart failure",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "arrhythmias not controlled by outpatient medication",
"criterion": "arrhythmias",
"requirement": {
"requirement_type": "control",
"expected_value": "not controlled by outpatient medication"
}
},
{
"exact_snippets": "percutaneous transluminal coronary angioplasty/stent",
"criterion": "percutaneous transluminal coronary angioplasty/stent",
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"requirement_type": "presence",
"expected_value": true
}
}
]
}
]
}
},
{
"identified_line": {
"line": "* Major surgery within 28 days prior to enrollment or still recovering from prior surgery",
"criterions": [
{
"exact_snippets": "Major surgery within 28 days prior to enrollment",
"criterion": "major surgery",
"requirement": {
"requirement_type": "time since surgery",
"expected_value": {
"operator": "<",
"value": 28,
"unit": "days"
}
}
},
{
"exact_snippets": "still recovering from prior surgery",
"criterion": "recovery from prior surgery",
"requirement": {
"requirement_type": "recovery status",
"expected_value": false
}
}
]
},
"logical_structure": {
"or_criteria": [
{
"exact_snippets": "Major surgery within 28 days prior to enrollment",
"criterion": "major surgery",
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"requirement_type": "time since surgery",
"expected_value": {
"operator": "<",
"value": 28,
"unit": "days"
}
}
},
{
"exact_snippets": "still recovering from prior surgery",
"criterion": "recovery from prior surgery",
"requirement": {
"requirement_type": "recovery status",
"expected_value": false
}
}
]
}
},
{
"identified_line": {
"line": "* Known dihydropyrimidine dehydrogenase (DpD) deficiency",
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{
"exact_snippets": "Known dihydropyrimidine dehydrogenase (DpD) deficiency",
"criterion": "dihydropyrimidine dehydrogenase (DpD) deficiency",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
]
},
"logical_structure": {
"not_criteria": {
"exact_snippets": "Known dihydropyrimidine dehydrogenase (DpD) deficiency",
"criterion": "dihydropyrimidine dehydrogenase (DpD) deficiency",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
}
},
{
"identified_line": {
"line": "* History or evidence upon physical examination of central nervous system (CNS) disease (e.g., primary brain tumor, seizures not controlled with standard medical therapy, any brain metastases, or history of stroke)",
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{
"exact_snippets": "History or evidence upon physical examination of central nervous system (CNS) disease",
"criterion": "central nervous system (CNS) disease",
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"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "primary brain tumor",
"criterion": "primary brain tumor",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "seizures not controlled with standard medical therapy",
"criterion": "seizures",
"requirement": {
"requirement_type": "control",
"expected_value": "not controlled with standard medical therapy"
}
},
{
"exact_snippets": "any brain metastases",
"criterion": "brain metastases",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "history of stroke",
"criterion": "history of stroke",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
]
},
"logical_structure": {
"or_criteria": [
{
"and_criteria": [
{
"exact_snippets": "History or evidence upon physical examination of central nervous system (CNS) disease",
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"requirement_type": "presence",
"expected_value": true
}
},
{
"or_criteria": [
{
"exact_snippets": "primary brain tumor",
"criterion": "primary brain tumor",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "seizures not controlled with standard medical therapy",
"criterion": "seizures",
"requirement": {
"requirement_type": "control",
"expected_value": "not controlled with standard medical therapy"
}
},
{
"exact_snippets": "any brain metastases",
"criterion": "brain metastases",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "history of stroke",
"criterion": "history of stroke",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
]
}
]
}
]
}
},
{
"identified_line": {
"line": "* Serious, nonhealing wound, ulcer, or bone fracture",
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{
"exact_snippets": "Serious, nonhealing wound",
"criterion": "wound",
"requirement": {
"requirement_type": "healing status",
"expected_value": "nonhealing"
}
},
{
"exact_snippets": "Serious, nonhealing wound",
"criterion": "wound",
"requirement": {
"requirement_type": "severity",
"expected_value": "serious"
}
},
{
"exact_snippets": "Serious, nonhealing ... ulcer",
"criterion": "ulcer",
"requirement": {
"requirement_type": "healing status",
"expected_value": "nonhealing"
}
},
{
"exact_snippets": "Serious, nonhealing ... ulcer",
"criterion": "ulcer",
"requirement": {
"requirement_type": "severity",
"expected_value": "serious"
}
},
{
"exact_snippets": "Serious, nonhealing ... bone fracture",
"criterion": "bone fracture",
"requirement": {
"requirement_type": "healing status",
"expected_value": "nonhealing"
}
},
{
"exact_snippets": "Serious, nonhealing ... bone fracture",
"criterion": "bone fracture",
"requirement": {
"requirement_type": "severity",
"expected_value": "serious"
}
}
]
},
"logical_structure": {
"or_criteria": [
{
"and_criteria": [
{
"exact_snippets": "Serious, nonhealing wound",
"criterion": "wound",
"requirement": {
"requirement_type": "healing status",
"expected_value": "nonhealing"
}
},
{
"exact_snippets": "Serious, nonhealing wound",
"criterion": "wound",
"requirement": {
"requirement_type": "severity",
"expected_value": "serious"
}
}
]
},
{
"and_criteria": [
{
"exact_snippets": "Serious, nonhealing ... ulcer",
"criterion": "ulcer",
"requirement": {
"requirement_type": "healing status",
"expected_value": "nonhealing"
}
},
{
"exact_snippets": "Serious, nonhealing ... ulcer",
"criterion": "ulcer",
"requirement": {
"requirement_type": "severity",
"expected_value": "serious"
}
}
]
},
{
"and_criteria": [
{
"exact_snippets": "Serious, nonhealing ... bone fracture",
"criterion": "bone fracture",
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"requirement_type": "healing status",
"expected_value": "nonhealing"
}
},
{
"exact_snippets": "Serious, nonhealing ... bone fracture",
"criterion": "bone fracture",
"requirement": {
"requirement_type": "severity",
"expected_value": "serious"
}
}
]
}
]
}
},
{
"identified_line": {
"line": "* Uncontrolled hypertension (systolic blood pressure > 150 mmHg or diastolic blood pressure > 95 mmHg despite medications)",
"criterions": [
{
"exact_snippets": "Uncontrolled hypertension",
"criterion": "hypertension",
"requirement": {
"requirement_type": "control",
"expected_value": false
}
},
{
"exact_snippets": "systolic blood pressure > 150 mmHg",
"criterion": "systolic blood pressure",
"requirement": {
"requirement_type": "value",
"expected_value": {
"operator": ">",
"value": 150,
"unit": "mmHg"
}
}
},
{
"exact_snippets": "diastolic blood pressure > 95 mmHg",
"criterion": "diastolic blood pressure",
"requirement": {
"requirement_type": "value",
"expected_value": {
"operator": ">",
"value": 95,
"unit": "mmHg"
}
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"and_criteria": [
{
"exact_snippets": "Uncontrolled hypertension",
"criterion": "hypertension",
"requirement": {
"requirement_type": "control",
"expected_value": false
}
},
{
"or_criteria": [
{
"exact_snippets": "systolic blood pressure > 150 mmHg",
"criterion": "systolic blood pressure",
"requirement": {
"requirement_type": "value",
"expected_value": {
"operator": ">",
"value": 150,
"unit": "mmHg"
}
}
},
{
"exact_snippets": "diastolic blood pressure > 95 mmHg",
"criterion": "diastolic blood pressure",
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"requirement_type": "value",
"expected_value": {
"operator": ">",
"value": 95,
"unit": "mmHg"
}
}
}
]
}
]
}
]
}
},
{
"identified_line": {
"line": "* History of arterial thrombosis within the last 12 months",
"criterions": [
{
"exact_snippets": "History of arterial thrombosis within the last 12 months",
"criterion": "arterial thrombosis",
"requirement": {
"requirement_type": "history",
"expected_value": true
}
},
{
"exact_snippets": "History of arterial thrombosis within the last 12 months",
"criterion": "arterial thrombosis",
"requirement": {
"requirement_type": "time frame",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 12,
"unit": "months"
}
]
}
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "History of arterial thrombosis within the last 12 months",
"criterion": "arterial thrombosis",
"requirement": {
"requirement_type": "history",
"expected_value": true
}
},
{
"exact_snippets": "History of arterial thrombosis within the last 12 months",
"criterion": "arterial thrombosis",
"requirement": {
"requirement_type": "time frame",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 12,
"unit": "months"
}
]
}
}
}
]
}
},
{
"identified_line": {
"line": "* History of visceral arterial ischemia",
"criterions": [
{
"exact_snippets": "History of visceral arterial ischemia",
"criterion": "visceral arterial ischemia",
"requirement": {
"requirement_type": "history",
"expected_value": true
}
}
]
},
"logical_structure": {
"not_criteria": {
"exact_snippets": "History of visceral arterial ischemia",
"criterion": "visceral arterial ischemia",
"requirement": {
"requirement_type": "history",
"expected_value": true
}
}
}
},
{
"identified_line": {
"line": "* Subjects unwilling or unable to comply with study requirements",
"criterions": [
{
"exact_snippets": "Subjects unwilling ... to comply with study requirements",
"criterion": "willingness to comply with study requirements",
"requirement": {
"requirement_type": "willingness",
"expected_value": true
}
},
{
"exact_snippets": "Subjects ... unable to comply with study requirements",
"criterion": "ability to comply with study requirements",
"requirement": {
"requirement_type": "ability",
"expected_value": true
}
}
]
},
"logical_structure": {
"or_criteria": [
{
"not_criteria": {
"exact_snippets": "Subjects unwilling ... to comply with study requirements",
"criterion": "willingness to comply with study requirements",
"requirement": {
"requirement_type": "willingness",
"expected_value": true
}
}
},
{
"not_criteria": {
"exact_snippets": "Subjects ... unable to comply with study requirements",
"criterion": "ability to comply with study requirements",
"requirement": {
"requirement_type": "ability",
"expected_value": true
}
}
}
]
}
},
{
"identified_line": {
"line": "* Any condition that in the Investigator's opinion deems the patient an unsuitable candidate to receive study drug",
"criterions": [
{
"exact_snippets": "Any condition that in the Investigator's opinion deems the patient an unsuitable candidate",
"criterion": "suitability for study drug",
"requirement": {
"requirement_type": "opinion",
"expected_value": "Investigator's discretion"
}
}
]
},
"logical_structure": {
"not_criteria": {
"exact_snippets": "Any condition that in the Investigator's opinion deems the patient an unsuitable candidate",
"criterion": "suitability for study drug",
"requirement": {
"requirement_type": "opinion",
"expected_value": "Investigator's discretion"
}
}
}
},
{
"identified_line": {
"line": "* Treatment with vitamin D replacement with doses exceeding an average of 1000 IU/day (vitamin D3) within 60 days prior to enrollment",
"criterions": [
{
"exact_snippets": "Treatment with vitamin D replacement",
"criterion": "vitamin D replacement treatment",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "doses exceeding an average of 1000 IU/day (vitamin D3)",
"criterion": "vitamin D3 dose",
"requirement": {
"requirement_type": "quantity",
"expected_value": {
"operator": ">",
"value": 1000,
"unit": "IU/day"
}
}
},
{
"exact_snippets": "within 60 days prior to enrollment",
"criterion": "time since vitamin D replacement treatment",
"requirement": {
"requirement_type": "time frame",
"expected_value": {
"operator": "<=",
"value": 60,
"unit": "days"
}
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"and_criteria": [
{
"exact_snippets": "Treatment with vitamin D replacement",
"criterion": "vitamin D replacement treatment",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "doses exceeding an average of 1000 IU/day (vitamin D3)",
"criterion": "vitamin D3 dose",
"requirement": {
"requirement_type": "quantity",
"expected_value": {
"operator": ">",
"value": 1000,
"unit": "IU/day"
}
}
}
]
},
{
"exact_snippets": "within 60 days prior to enrollment",
"criterion": "time since vitamin D replacement treatment",
"requirement": {
"requirement_type": "time frame",
"expected_value": {
"operator": "<=",
"value": 60,
"unit": "days"
}
}
}
]
}
},
{
"identified_line": {
"line": "* Received an investigational agent within 30 clays prior to enrollment",
"criterions": [
{
"exact_snippets": "Received an investigational agent within 30 days prior to enrollment",
"criterion": "investigational agent",
"requirement": {
"requirement_type": "time since last administration",
"expected_value": {
"operator": "<=",
"value": 30,
"unit": "days"
}
}
}
]
},
"logical_structure": {
"not_criteria": {
"exact_snippets": "Received an investigational agent within 30 days prior to enrollment",
"criterion": "investigational agent",
"requirement": {
"requirement_type": "time since last administration",
"expected_value": {
"operator": "<=",
"value": 30,
"unit": "days"
}
}
}
}
}
],
"miscellaneous_lines": [],
"failed_inclusion": [
{
"identified_line": {
"line": "* Calculated creatinine clearance > 40 ml/min according to the Cockcroft-Gault formula OR per 24 hour urine collection",
"criterions": [
{
"exact_snippets": "Calculated creatinine clearance > 40 ml/min",
"criterion": "creatinine clearance",
"requirement": {
"requirement_type": "calculation method",
"expected_value": [
"Cockcroft-Gault formula",
"24 hour urine collection"
]
}
},
{
"exact_snippets": "Calculated creatinine clearance > 40 ml/min",
"criterion": "creatinine clearance",
"requirement": {
"requirement_type": "value",
"expected_value": {
"operator": ">",
"value": 40,
"unit": "ml/min"
}
}
}
]
},
"logical_structure": {
"or_criteria": [
{
"and_criteria": [
{
"exact_snippets": "Calculated creatinine clearance > 40 ml/min",
"criterion": "creatinine clearance",
"requirement": {
"requirement_type": "calculation method",
"expected_value": "Cockcroft-Gault formula"
}
},
{
"exact_snippets": "Calculated creatinine clearance > 40 ml/min",
"criterion": "creatinine clearance",
"requirement": {
"requirement_type": "value",
"expected_value": {
"operator": ">",
"value": 40,
"unit": "ml/min"
}
}
}
]
},
{
"and_criteria": [
{
"exact_snippets": "Calculated creatinine clearance > 40 ml/min",
"criterion": "creatinine clearance",
"requirement": {
"requirement_type": "calculation method",
"expected_value": "24 hour urine collection"
}
},
{
"exact_snippets": "Calculated creatinine clearance > 40 ml/min",
"criterion": "creatinine clearance",
"requirement": {
"requirement_type": "value",
"expected_value": {
"operator": ">",
"value": 40,
"unit": "ml/min"
}
}
}
]
}
]
}
}
],
"failed_exclusion": [
{
"identified_line": {
"line": "* Pregnant women are excluded from this study; breastfeeding should be discontinued if the mother is treated on this study",
"criterions": [
{
"exact_snippets": "Pregnant women are excluded",
"criterion": "pregnancy",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
},
{
"exact_snippets": "breastfeeding should be discontinued",
"criterion": "breastfeeding",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
}
]
},
"logical_structure": {
"or_criteria": [
{
"exact_snippets": "Pregnant women are excluded",
"criterion": "pregnancy",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "breastfeeding should be discontinued",
"criterion": "breastfeeding",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
]
}
}
],
"failed_miscellaneous": []
}