{
    "info": {
        "nct_id": "NCT02362048",
        "official_title": "A Phase 2 Proof-of-Concept Study of ACP-196 Alone and in Combination With Pembrolizumab in Subjects With Advanced or Metastatic Pancreatic Cancer",
        "inclusion_criteria": "* Men and women ≥ 18 years of age\n* ECOG performance status of 0 or 1\n* Histologically or cytologically confirmed advanced pancreatic ductal adenocarcinoma that is unresectable or metastatic\n* Prior therapy with ≥ 1 systemic chemotherapy regimen for unresectable or metastatic pancreatic cancer or unwilling/unable to receive systemic chemotherapy\nHealthy volunteers allowed\nMust have minimum age of 18 Years",
        "exclusion_criteria": "* Prior malignancy (other than pancreatic cancer), except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, or other cancer from which the subject has been disease free for ≥ 2 years or which will not limit survival to < 2 years.\n* Known central nervous system (CNS) metastases and/or carcinomatous meningitis\n* Significant cardiovascular disease such as uncontrolled or symptomatic arrhythmias, congestive heart failure, or myocardial infarction within 6 months of screening\n* Malabsorption syndrome, disease significantly affecting gastrointestinal function, or resection of the stomach or small bowel, symptomatic inflammatory bowel disease, partial or complete bowel obstruction\n* Breastfeeding or pregnant",
        "miscellaneous_criteria": ""
    },
    "inclusion_lines": [
        {
            "identified_line": {
                "line": "* Men and women ≥ 18 years of age",
                "criterions": [
                    {
                        "exact_snippets": "Men and women",
                        "criterion": "gender",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": [
                                "male",
                                "female"
                            ]
                        }
                    },
                    {
                        "exact_snippets": "≥ 18 years of age",
                        "criterion": "age",
                        "requirement": {
                            "requirement_type": "minimum age",
                            "expected_value": {
                                "operator": ">=",
                                "value": 18,
                                "unit": "years"
                            }
                        }
                    }
                ]
            },
            "logical_structure": {
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                                "male",
                                "female"
                            ]
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                        "exact_snippets": "≥ 18 years of age",
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                            "expected_value": {
                                "operator": ">=",
                                "value": 18,
                                "unit": "years"
                            }
                        }
                    }
                ]
            }
        },
        {
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                "line": "* Histologically or cytologically confirmed advanced pancreatic ductal adenocarcinoma that is unresectable or metastatic",
                "criterions": [
                    {
                        "exact_snippets": "Histologically or cytologically confirmed",
                        "criterion": "confirmation method",
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                            "expected_value": [
                                "histologically",
                                "cytologically"
                            ]
                        }
                    },
                    {
                        "exact_snippets": "advanced pancreatic ductal adenocarcinoma",
                        "criterion": "pancreatic ductal adenocarcinoma",
                        "requirement": {
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                        }
                    },
                    {
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                        "criterion": "resectability",
                        "requirement": {
                            "requirement_type": "status",
                            "expected_value": false
                        }
                    },
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                        "criterion": "metastasis",
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                        }
                    }
                ]
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                        "and_criteria": [
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                                "and_criteria": [
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                                                "cytologically"
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                                    },
                                    {
                                        "exact_snippets": "advanced pancreatic ductal adenocarcinoma",
                                        "criterion": "pancreatic ductal adenocarcinoma",
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                                            "expected_value": "advanced"
                                        }
                                    }
                                ]
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        },
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                        }
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        },
        {
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                                "value": 18,
                                "unit": "Years"
                            }
                        }
                    }
                ]
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                                "unit": "Years"
                            }
                        }
                    }
                ]
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        }
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    "exclusion_lines": [
        {
            "identified_line": {
                "line": "* Prior malignancy (other than pancreatic cancer), except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, or other cancer from which the subject has been disease free for ≥ 2 years or which will not limit survival to < 2 years.",
                "criterions": [
                    {
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                        "criterion": "prior malignancy",
                        "requirement": {
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                            "expected_value": false
                        }
                    },
                    {
                        "exact_snippets": "adequately treated basal cell or squamous cell skin cancer",
                        "criterion": "adequately treated basal cell or squamous cell skin cancer",
                        "requirement": {
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                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "in situ cervical cancer",
                        "criterion": "in situ cervical cancer",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "other cancer from which the subject has been disease free for ≥ 2 years",
                        "criterion": "disease-free duration from other cancer",
                        "requirement": {
                            "requirement_type": "duration",
                            "expected_value": {
                                "operator": ">=",
                                "value": 2,
                                "unit": "years"
                            }
                        }
                    },
                    {
                        "exact_snippets": "other cancer ... which will not limit survival to < 2 years",
                        "criterion": "impact of other cancer on survival",
                        "requirement": {
                            "requirement_type": "survival limitation",
                            "expected_value": {
                                "operator": "<",
                                "value": 2,
                                "unit": "years"
                            }
                        }
                    }
                ]
            },
            "logical_structure": {
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                                    }
                                },
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                                            }
                                        },
                                        {
                                            "exact_snippets": "in situ cervical cancer",
                                            "criterion": "in situ cervical cancer",
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                                            }
                                        },
                                        {
                                            "exact_snippets": "other cancer from which the subject has been disease free for ≥ 2 years",
                                            "criterion": "disease-free duration from other cancer",
                                            "requirement": {
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                                                    "operator": ">=",
                                                    "value": 2,
                                                    "unit": "years"
                                                }
                                            }
                                        },
                                        {
                                            "exact_snippets": "other cancer ... which will not limit survival to < 2 years",
                                            "criterion": "impact of other cancer on survival",
                                            "requirement": {
                                                "requirement_type": "survival limitation",
                                                "expected_value": {
                                                    "operator": "<",
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                                                    "unit": "years"
                                                }
                                            }
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                                    ]
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                            ]
                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
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                "criterions": [
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                        "exact_snippets": "Known central nervous system (CNS) metastases",
                        "criterion": "central nervous system (CNS) metastases",
                        "requirement": {
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                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "carcinomatous meningitis",
                        "criterion": "carcinomatous meningitis",
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                        }
                    }
                ]
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                                "exact_snippets": "Known central nervous system (CNS) metastases",
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                                "requirement": {
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                                }
                            }
                        ]
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                    {
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                                "exact_snippets": "carcinomatous meningitis",
                                "criterion": "carcinomatous meningitis",
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                                }
                            }
                        ]
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "* Significant cardiovascular disease such as uncontrolled or symptomatic arrhythmias, congestive heart failure, or myocardial infarction within 6 months of screening",
                "criterions": [
                    {
                        "exact_snippets": "Significant cardiovascular disease ... uncontrolled or symptomatic arrhythmias",
                        "criterion": "cardiovascular disease",
                        "requirement": {
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                        }
                    },
                    {
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                        "criterion": "cardiovascular disease",
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                                "symptomatic arrhythmias"
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                        }
                    },
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                        "exact_snippets": "Significant cardiovascular disease ... congestive heart failure",
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                        "requirement": {
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                        }
                    },
                    {
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                        }
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                        "requirement": {
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                        }
                    },
                    {
                        "exact_snippets": "Significant cardiovascular disease ... myocardial infarction within 6 months of screening",
                        "criterion": "cardiovascular disease",
                        "requirement": {
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                                "unit": "months"
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                                "criterion": "cardiovascular disease",
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                                "exact_snippets": "Significant cardiovascular disease ... congestive heart failure",
                                "criterion": "cardiovascular disease",
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                                }
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                        ]
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                    {
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                                "exact_snippets": "Significant cardiovascular disease ... myocardial infarction within 6 months of screening",
                                "criterion": "cardiovascular disease",
                                "requirement": {
                                    "requirement_type": "severity",
                                    "expected_value": "significant"
                                }
                            },
                            {
                                "exact_snippets": "Significant cardiovascular disease ... myocardial infarction within 6 months of screening",
                                "criterion": "cardiovascular disease",
                                "requirement": {
                                    "requirement_type": "type",
                                    "expected_value": "myocardial infarction"
                                }
                            },
                            {
                                "exact_snippets": "Significant cardiovascular disease ... myocardial infarction within 6 months of screening",
                                "criterion": "cardiovascular disease",
                                "requirement": {
                                    "requirement_type": "time frame",
                                    "expected_value": {
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                                        "unit": "months"
                                    }
                                }
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                        ]
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "* Malabsorption syndrome, disease significantly affecting gastrointestinal function, or resection of the stomach or small bowel, symptomatic inflammatory bowel disease, partial or complete bowel obstruction",
                "criterions": [
                    {
                        "exact_snippets": "Malabsorption syndrome",
                        "criterion": "malabsorption syndrome",
                        "requirement": {
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                            "expected_value": false
                        }
                    },
                    {
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                        "requirement": {
                            "requirement_type": "severity",
                            "expected_value": "significant"
                        }
                    },
                    {
                        "exact_snippets": "resection of the stomach or small bowel",
                        "criterion": "resection of the stomach or small bowel",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": false
                        }
                    },
                    {
                        "exact_snippets": "symptomatic inflammatory bowel disease",
                        "criterion": "inflammatory bowel disease",
                        "requirement": {
                            "requirement_type": "symptomatic",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "partial or complete bowel obstruction",
                        "criterion": "bowel obstruction",
                        "requirement": {
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                            "expected_value": [
                                "partial",
                                "complete"
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                    }
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                        "criterion": "malabsorption syndrome",
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                        }
                    },
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                        "requirement": {
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                        }
                    },
                    {
                        "exact_snippets": "symptomatic inflammatory bowel disease",
                        "criterion": "inflammatory bowel disease",
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                        }
                    },
                    {
                        "exact_snippets": "partial or complete bowel obstruction",
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                                "complete"
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                    }
                ]
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        },
        {
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                    },
                    {
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                    },
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                        }
                    }
                ]
            }
        }
    ],
    "miscellaneous_lines": [],
    "failed_inclusion": [
        {
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                "line": "* ECOG performance status of 0 or 1",
                "criterions": [
                    {
                        "exact_snippets": "ECOG performance status of 0 or 1",
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                        "requirement": {
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                                "0",
                                "1"
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                        }
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        },
        {
            "identified_line": {
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                                "operator": ">=",
                                "value": 1,
                                "unit": "regimen"
                            }
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                    {
                        "exact_snippets": "unwilling/unable to receive systemic chemotherapy",
                        "criterion": "willingness/ability to receive systemic chemotherapy",
                        "requirement": {
                            "requirement_type": "willingness/ability",
                            "expected_value": false
                        }
                    }
                ]
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                                "exact_snippets": "Prior therapy with  1 systemic chemotherapy regimen for unresectable or metastatic pancreatic cancer",
                                "criterion": "prior systemic chemotherapy regimen",
                                "requirement": {
                                    "requirement_type": "quantity",
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                                        "unit": "regimen"
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                    {
                        "exact_snippets": "unwilling/unable to receive systemic chemotherapy",
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                        }
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    ],
    "failed_exclusion": [],
    "failed_miscellaneous": []
}