{
"info": {
"nct_id": "NCT03531320",
"official_title": "Open-Label, Multicenter Study of D07001-Softgel Capsules (Oral Gemcitabine Hydrochloride) in Subjects With Unresectable, Metastatic or Locally Advanced Gastrointestinal (GI) Cancer in Dose-Escalation Phase and in Subjects With Advanced Biliary Tract Cancer (BTC) Following Primary Chemotherapy or Combined Chemoradiotherapy (CCRT) in Dose-Expansion Phase",
"inclusion_criteria": "1. Provision of a signed and dated written Informed Consent Form (ICF) prior to any study specific procedures\n2. Male or female patients aged 18 years or older at screening (aged 20 years or older in Taiwan)\n3. Histopathological or cytologic diagnosis of unresectable, metastatic or locally advanced GI cancer (Part 1) or unresectable metastatic or locally advanced BTC (cholangiocarcinoma or gallbladder cancer; Part 2)\n4. Part 1 only: Refractory to or have relapsed from all standard therapies of advanced GI malignancy\n5. Part 2 only:\n\n 1. Achieved stable disease or better, based on the Investigator's assessment, in response to first line systemic therapy or CCRT, with continued stable disease or better based on imaging studies obtained as part of screening\n 2. Completed first line systemic therapy (with 2-8 cycles of chemotherapy with a gemcitabine based regimen) or CCRT, based on the local standard of care and preferences in the participating countries Note: No more than 30% of patients enrolled in Part 2 will have received CCRT\n6. No more than 60 days have elapsed between completion of the prior line of chemotherapy or CCRT and enrollment\n7. Part 2 only: Patient has not received intervening systemic therapy since first line treatment\n8. Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 0-2 in Part 1 and 0-1 in Part 2\n9. Life expectancy is >12 weeks\n10. Adequate bone marrow function, demonstrated by:\n\n 1. Absolute neutrophil count (ANC) ≥1,500 cell/mm3\n 2. Platelet count ≥100,000 cells/mm3\n 3. Hemoglobin ≥9 g/dL\n11. Adequate liver function, demonstrated by:\n\n 1. Aspartate transaminase (AST) and alanine transaminase (ALT) ≤2.5 x upper limit of normal (ULN), or ≤5.0 x ULN in the case of liver metastases\n 2. Total bilirubin ≤1.5 x ULN\n 3. Albumin ≥3.0 g/dL\n 4. International normalized ratio (INR) <1.5\n12. Adequate renal function, demonstrated by:\n\n 1. Serum creatinine ≤1.5 x ULN\n 2. Creatinine clearance ≥ 60 mL/min calculated by Cockcroft-Gault formula or directly measured with 24 hr urine collection\n13. If a woman of childbearing potential, the patient has a negative serum pregnancy test at screening and is not breastfeeding\n14. If a woman of childbearing potential, patient must use a medically acceptable form of contraception as 2 barrier methods (e.g., combination of condom, diaphragm, or intrauterine device), hormonal contraception (estrogen or progesterone agents) or 1 barrier method in combination with spermicide. Birth control is required 1 month prior to screening, for the duration of their study participation, and for 1 month after the end of the study; female partners of male patients must adhere to the same birth control methods.\n15. Patient is willing to comply with protocol-required visit schedule and visit requirements\nHealthy volunteers allowed\nMust have minimum age of 18 Years",
"exclusion_criteria": "1. Part 2 only: More than one prior chemotherapy regimen for unresectable metastatic or locally advanced BTC Note: prior radiation (with or without radiosensitizing doses of chemotherapy) or fluoropyrimidine chemotherapy are allowed as postsurgical adjuvant therapy.\n2. Part 2 only: Received any systemic therapy (chemotherapy, biologics, immunotherapy, or investigational agents) for metastatic disease other than gemcitabine based chemotherapy or CCRT for locally advanced BTC\n3. Diagnosis of active malignancy (other than GI cancer [Part 1] or BTC [Part 2]) within the past 2 years, except nonmelanoma skin carcinoma and carcinoma-in-situ of uterine cervix treated with curative intent\n4. Prior discontinuation of gemcitabine because of pulmonary or hepatic toxicity or hemolytic uremic syndrome (HUS) or hypersensitivity, allergic reaction, or intolerance\n5. Any GI disorder which would significantly impede absorption of an oral agent\n6. Known brain or leptomeningeal metastases\n7. Surgery or radiation therapy within the past 28 days\n8. Part 2 only: Evidence of disease progression, based on the Investigator's assessment, on the screening computed tomography (CT) scan or magnetic resonance imaging (MRI) scan\n9. Any active disease or condition that would not permit compliance with the protocol\n10. Residual toxicity from prior chemotherapy or CCRT that is Grade ≥2 (residual Grade 2 neuropathy and alopecia are permitted)\n11. Clinically significant cardiovascular disease (e.g., uncontrolled hypertension, unstable angina, congestive heart failure, or New York Heart Association [NYHA] Grade 2 or greater), or uncontrolled serious cardiac arrhythmia\n12. Patient has a history of drug or alcohol abuse within last year\n13. Patient has documented cerebrovascular disease\n14. Patient has a seizure disorder not controlled on medication (based on decision of Investigator)\n15. Patient received an investigational agent within 28 days of enrollment\n16. Patients with uncontrolled active viral, bacterial, or systemic fungal infection\n17. Patient has known human immunodeficiency virus (HIV) infection\n18. Patient has hepatitis B virus (HBV) and/or hepatitis C virus (HCV) infection in medical history. If positive results are not indicative of true active or chronic infection, the patient can enter the study after discussion and agreement between the Investigator and the Clinical Research Organization (CRO) Medical Monitor\n19. Patient has received yellow fever vaccine or other live attenuated vaccine(s) within the 4 weeks prior to screening\n20. Patient has any other serious medical condition that, in the Investigator's medical opinion, would preclude safe participation in, and compliance with, a clinical trial",
"miscellaneous_criteria": ""
},
"inclusion_lines": [
{
"identified_line": {
"line": "1. Provision of a signed and dated written Informed Consent Form (ICF) prior to any study specific procedures",
"criterions": [
{
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"criterion": "Informed Consent Form (ICF)",
"requirement": {
"requirement_type": "provision",
"expected_value": true
}
},
{
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"criterion": "Informed Consent Form (ICF)",
"requirement": {
"requirement_type": "signature",
"expected_value": true
}
},
{
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"criterion": "Informed Consent Form (ICF)",
"requirement": {
"requirement_type": "date",
"expected_value": true
}
}
]
},
"logical_structure": {
"and_criteria": [
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"criterion": "Informed Consent Form (ICF)",
"requirement": {
"requirement_type": "provision",
"expected_value": true
}
},
{
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"criterion": "Informed Consent Form (ICF)",
"requirement": {
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"expected_value": true
}
},
{
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"criterion": "Informed Consent Form (ICF)",
"requirement": {
"requirement_type": "date",
"expected_value": true
}
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},
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"line": "2. Male or female patients aged 18 years or older at screening (aged 20 years or older in Taiwan)",
"criterions": [
{
"exact_snippets": "Male or female patients",
"criterion": "gender",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "aged 18 years or older at screening",
"criterion": "age",
"requirement": {
"requirement_type": "minimum age",
"expected_value": {
"operator": ">=",
"value": 18,
"unit": "years"
}
}
},
{
"exact_snippets": "aged 20 years or older in Taiwan",
"criterion": "age in Taiwan",
"requirement": {
"requirement_type": "minimum age",
"expected_value": {
"operator": ">=",
"value": 20,
"unit": "years"
}
}
}
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"condition": {
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"criterion": "age in Taiwan",
"requirement": {
"requirement_type": "minimum age",
"expected_value": {
"operator": ">=",
"value": 20,
"unit": "years"
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"then_criteria": {
"and_criteria": [
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"criterion": "gender",
"requirement": {
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"expected_value": true
}
},
{
"exact_snippets": "aged 20 years or older in Taiwan",
"criterion": "age in Taiwan",
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"value": 20,
"unit": "years"
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"else_criteria": {
"and_criteria": [
{
"exact_snippets": "Male or female patients",
"criterion": "gender",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "aged 18 years or older at screening",
"criterion": "age",
"requirement": {
"requirement_type": "minimum age",
"expected_value": {
"operator": ">=",
"value": 18,
"unit": "years"
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}
}
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}
},
{
"identified_line": {
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"criterions": [
{
"exact_snippets": "Histopathological or cytologic diagnosis",
"criterion": "diagnosis method",
"requirement": {
"requirement_type": "method",
"expected_value": [
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"cytologic"
]
}
},
{
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"criterion": "GI cancer",
"requirement": {
"requirement_type": "stage",
"expected_value": [
"unresectable",
"metastatic",
"locally advanced"
]
}
},
{
"exact_snippets": "unresectable metastatic or locally advanced BTC (cholangiocarcinoma or gallbladder cancer; Part 2)",
"criterion": "BTC (cholangiocarcinoma or gallbladder cancer)",
"requirement": {
"requirement_type": "stage",
"expected_value": [
"unresectable",
"metastatic",
"locally advanced"
]
}
}
]
},
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{
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"expected_value": [
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"cytologic"
]
}
},
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}
}
]
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{
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"requirement": {
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]
}
},
{
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]
}
}
]
}
]
}
},
{
"identified_line": {
"line": "4. Part 1 only: Refractory to or have relapsed from all standard therapies of advanced GI malignancy",
"criterions": [
{
"exact_snippets": "Refractory to ... all standard therapies",
"criterion": "refractory to standard therapies",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "relapsed from all standard therapies",
"criterion": "relapsed from standard therapies",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "advanced GI malignancy",
"criterion": "advanced GI malignancy",
"requirement": {
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"expected_value": true
}
}
]
},
"logical_structure": {
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{
"exact_snippets": "Refractory to ... all standard therapies",
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"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "relapsed from all standard therapies",
"criterion": "relapsed from standard therapies",
"requirement": {
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"expected_value": true
}
}
]
},
{
"exact_snippets": "advanced GI malignancy",
"criterion": "advanced GI malignancy",
"requirement": {
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"expected_value": true
}
}
]
}
},
{
"identified_line": {
"line": "5. Part 2 only:",
"criterions": [
{
"exact_snippets": "Part 2 only",
"criterion": "trial part",
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"expected_value": "Part 2"
}
}
]
},
"logical_structure": {
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}
}
]
}
},
{
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"criterions": [
{
"exact_snippets": "Achieved stable disease or better, based on the Investigator's assessment, in response to first line systemic therapy or CCRT",
"criterion": "response to first line systemic therapy or CCRT",
"requirement": {
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"expected_value": [
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]
}
},
{
"exact_snippets": "continued stable disease or better based on imaging studies obtained as part of screening",
"criterion": "imaging studies",
"requirement": {
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"expected_value": [
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]
}
}
]
},
"logical_structure": {
"and_criteria": [
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"and_criteria": [
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"requirement": {
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"expected_value": [
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]
}
},
{
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"requirement": {
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},
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"criterions": [
{
"exact_snippets": "Completed first line systemic therapy",
"criterion": "first line systemic therapy",
"requirement": {
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"expected_value": true
}
},
{
"exact_snippets": "2-8 cycles of chemotherapy",
"criterion": "cycles of chemotherapy",
"requirement": {
"requirement_type": "range",
"expected_value": {
"comparisons": [
{
"operator": ">=",
"value": 2,
"unit": "cycles"
},
{
"operator": "<=",
"value": 8,
"unit": "cycles"
}
]
}
}
},
{
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"criterion": "chemotherapy regimen",
"requirement": {
"requirement_type": "type",
"expected_value": "gemcitabine based"
}
},
{
"exact_snippets": "CCRT",
"criterion": "CCRT",
"requirement": {
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"expected_value": true
}
}
]
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"and_criteria": [
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}
},
{
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"unit": "cycles"
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"requirement": {
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}
}
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}
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},
{
"identified_line": {
"line": "6. No more than 60 days have elapsed between completion of the prior line of chemotherapy or CCRT and enrollment",
"criterions": [
{
"exact_snippets": "No more than 60 days have elapsed between completion of the prior line of chemotherapy or CCRT and enrollment",
"criterion": "time elapsed since prior treatment",
"requirement": {
"requirement_type": "maximum duration",
"expected_value": {
"operator": "<=",
"value": 60,
"unit": "days"
}
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "No more than 60 days have elapsed between completion of the prior line of chemotherapy or CCRT and enrollment",
"criterion": "time elapsed since prior treatment",
"requirement": {
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"expected_value": {
"operator": "<=",
"value": 60,
"unit": "days"
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}
}
]
}
},
{
"identified_line": {
"line": "7. Part 2 only: Patient has not received intervening systemic therapy since first line treatment",
"criterions": [
{
"exact_snippets": "Patient has not received intervening systemic therapy since first line treatment",
"criterion": "intervening systemic therapy",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
}
]
},
"logical_structure": {
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{
"exact_snippets": "Patient has not received intervening systemic therapy since first line treatment",
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"requirement": {
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"expected_value": false
}
},
{
"exact_snippets": "Part 2 only",
"criterion": "trial part",
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}
}
]
}
},
{
"identified_line": {
"line": "8. Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 0-2 in Part 1 and 0-1 in Part 2",
"criterions": [
{
"exact_snippets": "Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 0-2 in Part 1",
"criterion": "ECOG Performance Status in Part 1",
"requirement": {
"requirement_type": "range",
"expected_value": {
"comparisons": [
{
"operator": ">=",
"value": 0,
"unit": "N/A"
},
{
"operator": "<=",
"value": 2,
"unit": "N/A"
}
]
}
}
},
{
"exact_snippets": "Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) ... 0-1 in Part 2",
"criterion": "ECOG Performance Status in Part 2",
"requirement": {
"requirement_type": "range",
"expected_value": {
"comparisons": [
{
"operator": ">=",
"value": 0,
"unit": "N/A"
},
{
"operator": "<=",
"value": 1,
"unit": "N/A"
}
]
}
}
}
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},
"logical_structure": {
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{
"and_criteria": [
{
"exact_snippets": "Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 0-2 in Part 1",
"criterion": "ECOG Performance Status in Part 1",
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"line": "9. Life expectancy is >12 weeks",
"criterions": [
{
"exact_snippets": "Life expectancy is >12 weeks",
"criterion": "life expectancy",
"requirement": {
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"expected_value": {
"operator": ">",
"value": 12,
"unit": "weeks"
}
}
}
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},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "Life expectancy is >12 weeks",
"criterion": "life expectancy",
"requirement": {
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"expected_value": {
"operator": ">",
"value": 12,
"unit": "weeks"
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}
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},
{
"identified_line": {
"line": "10. Adequate bone marrow function, demonstrated by:",
"criterions": [
{
"exact_snippets": "Adequate bone marrow function",
"criterion": "bone marrow function",
"requirement": {
"requirement_type": "adequacy",
"expected_value": true
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "Adequate bone marrow function",
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"expected_value": true
}
}
]
}
},
{
"identified_line": {
"line": "1. Absolute neutrophil count (ANC) ≥1,500 cell/mm3",
"criterions": [
{
"exact_snippets": "Absolute neutrophil count (ANC) ≥1,500 cell/mm3",
"criterion": "absolute neutrophil count (ANC)",
"requirement": {
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 1500,
"unit": "cell/mm3"
}
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "Absolute neutrophil count (ANC) ≥1,500 cell/mm3",
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"expected_value": {
"operator": ">=",
"value": 1500,
"unit": "cell/mm3"
}
}
}
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}
},
{
"identified_line": {
"line": "2. Platelet count ≥100,000 cells/mm3",
"criterions": [
{
"exact_snippets": "Platelet count ≥100,000 cells/mm3",
"criterion": "platelet count",
"requirement": {
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 100000,
"unit": "cells/mm3"
}
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "Platelet count ≥100,000 cells/mm3",
"criterion": "platelet count",
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"expected_value": {
"operator": ">=",
"value": 100000,
"unit": "cells/mm3"
}
}
}
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}
},
{
"identified_line": {
"line": "3. Hemoglobin ≥9 g/dL",
"criterions": [
{
"exact_snippets": "Hemoglobin ≥9 g/dL",
"criterion": "hemoglobin level",
"requirement": {
"requirement_type": "level",
"expected_value": {
"operator": ">=",
"value": 9,
"unit": "g/dL"
}
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "Hemoglobin ≥9 g/dL",
"criterion": "hemoglobin level",
"requirement": {
"requirement_type": "level",
"expected_value": {
"operator": ">=",
"value": 9,
"unit": "g/dL"
}
}
}
]
}
},
{
"identified_line": {
"line": "11. Adequate liver function, demonstrated by:",
"criterions": [
{
"exact_snippets": "Adequate liver function",
"criterion": "liver function",
"requirement": {
"requirement_type": "adequacy",
"expected_value": true
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "Adequate liver function",
"criterion": "liver function",
"requirement": {
"requirement_type": "adequacy",
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}
}
]
}
},
{
"identified_line": {
"line": "1. Aspartate transaminase (AST) and alanine transaminase (ALT) ≤2.5 x upper limit of normal (ULN), or ≤5.0 x ULN in the case of liver metastases",
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{
"exact_snippets": "Aspartate transaminase (AST) ... ≤2.5 x upper limit of normal (ULN), or ≤5.0 x ULN in the case of liver metastases",
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"requirement_type": "level",
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"comparisons": [
{
"operator": "<=",
"value": 2.5,
"unit": "x ULN"
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]
}
}
},
{
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"requirement_type": "level with liver metastases",
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"comparisons": [
{
"operator": "<=",
"value": 5.0,
"unit": "x ULN"
}
]
}
}
},
{
"exact_snippets": "alanine transaminase (ALT) ≤2.5 x upper limit of normal (ULN), or ≤5.0 x ULN in the case of liver metastases",
"criterion": "alanine transaminase (ALT)",
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"requirement_type": "level",
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"comparisons": [
{
"operator": "<=",
"value": 2.5,
"unit": "x ULN"
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}
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},
{
"exact_snippets": "alanine transaminase (ALT) ≤2.5 x upper limit of normal (ULN), or ≤5.0 x ULN in the case of liver metastases",
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"requirement_type": "level with liver metastases",
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{
"operator": "<=",
"value": 5.0,
"unit": "x ULN"
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}
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}
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},
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"and_criteria": [
{
"or_criteria": [
{
"and_criteria": [
{
"exact_snippets": "Aspartate transaminase (AST) ... ≤2.5 x upper limit of normal (ULN), or ≤5.0 x ULN in the case of liver metastases",
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{
"operator": "<=",
"value": 2.5,
"unit": "x ULN"
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}
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{
"exact_snippets": "alanine transaminase (ALT) ≤2.5 x upper limit of normal (ULN), or ≤5.0 x ULN in the case of liver metastases",
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"requirement_type": "level",
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"comparisons": [
{
"operator": "<=",
"value": 2.5,
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}
}
}
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},
{
"and_criteria": [
{
"exact_snippets": "Aspartate transaminase (AST) ... ≤2.5 x upper limit of normal (ULN), or ≤5.0 x ULN in the case of liver metastases",
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"requirement_type": "level with liver metastases",
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"comparisons": [
{
"operator": "<=",
"value": 5.0,
"unit": "x ULN"
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]
}
}
},
{
"exact_snippets": "alanine transaminase (ALT) ≤2.5 x upper limit of normal (ULN), or ≤5.0 x ULN in the case of liver metastases",
"criterion": "alanine transaminase (ALT)",
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"requirement_type": "level with liver metastases",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 5.0,
"unit": "x ULN"
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}
}
}
]
}
]
}
]
}
},
{
"identified_line": {
"line": "3. Albumin ≥3.0 g/dL",
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{
"exact_snippets": "Albumin ≥3.0 g/dL",
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"requirement_type": "level",
"expected_value": {
"operator": ">=",
"value": 3.0,
"unit": "g/dL"
}
}
}
]
},
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"and_criteria": [
{
"exact_snippets": "Albumin ≥3.0 g/dL",
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"requirement_type": "level",
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"operator": ">=",
"value": 3.0,
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}
}
]
}
},
{
"identified_line": {
"line": "4. International normalized ratio (INR) <1.5",
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{
"exact_snippets": "International normalized ratio (INR) <1.5",
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"requirement_type": "value",
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"operator": "<",
"value": 1.5,
"unit": "N/A"
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}
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]
},
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{
"exact_snippets": "International normalized ratio (INR) <1.5",
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"requirement_type": "value",
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"operator": "<",
"value": 1.5,
"unit": "N/A"
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}
}
]
}
},
{
"identified_line": {
"line": "12. Adequate renal function, demonstrated by:",
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{
"exact_snippets": "Adequate renal function",
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"requirement_type": "adequacy",
"expected_value": true
}
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]
},
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"and_criteria": [
{
"exact_snippets": "Adequate renal function",
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"requirement_type": "adequacy",
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}
]
}
},
{
"identified_line": {
"line": "1. Serum creatinine ≤1.5 x ULN",
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{
"exact_snippets": "Serum creatinine ≤1.5 x ULN",
"criterion": "serum creatinine",
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"requirement_type": "level",
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"operator": "<=",
"value": 1.5,
"unit": "x ULN"
}
}
}
]
},
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"and_criteria": [
{
"exact_snippets": "Serum creatinine ≤1.5 x ULN",
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"requirement_type": "level",
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"operator": "<=",
"value": 1.5,
"unit": "x ULN"
}
}
}
]
}
},
{
"identified_line": {
"line": "13. If a woman of childbearing potential, the patient has a negative serum pregnancy test at screening and is not breastfeeding",
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{
"exact_snippets": "woman of childbearing potential",
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"requirement_type": "presence",
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{
"exact_snippets": "negative serum pregnancy test",
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"requirement_type": "result",
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},
{
"exact_snippets": "not breastfeeding",
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"requirement_type": "status",
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]
},
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"condition": {
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"requirement_type": "presence",
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"and_criteria": [
{
"exact_snippets": "negative serum pregnancy test",
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"requirement_type": "result",
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},
{
"exact_snippets": "not breastfeeding",
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"requirement_type": "status",
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},
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}
},
{
"identified_line": {
"line": "14. If a woman of childbearing potential, patient must use a medically acceptable form of contraception as 2 barrier methods (e.g., combination of condom, diaphragm, or intrauterine device), hormonal contraception (estrogen or progesterone agents) or 1 barrier method in combination with spermicide. Birth control is required 1 month prior to screening, for the duration of their study participation, and for 1 month after the end of the study; female partners of male patients must adhere to the same birth control methods.",
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{
"exact_snippets": "2 barrier methods (e.g., combination of condom, diaphragm, or intrauterine device)",
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"requirement_type": "quantity",
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"operator": ">=",
"value": 2,
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}
},
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}
},
{
"exact_snippets": "1 barrier method in combination with spermicide",
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"requirement_type": "combination",
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}
},
{
"exact_snippets": "Birth control is required 1 month prior to screening",
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"requirement_type": "duration",
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},
{
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},
{
"exact_snippets": "for 1 month after the end of the study",
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},
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"exact_snippets": "female partners of male patients must adhere to the same birth control methods",
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},
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{
"or_criteria": [
{
"and_criteria": [
{
"exact_snippets": "patient must use a medically acceptable form of contraception",
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"operator": ">=",
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}
}
]
},
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},
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},
{
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},
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},
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]
},
"else_criteria": null
}
},
{
"identified_line": {
"line": "15. Patient is willing to comply with protocol-required visit schedule and visit requirements",
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"exact_snippets": "Patient is willing to comply with protocol-required visit schedule and visit requirements",
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}
},
{
"identified_line": {
"line": "Healthy volunteers allowed",
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"exact_snippets": "Healthy volunteers allowed",
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},
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{
"exact_snippets": "Healthy volunteers allowed",
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"requirement_type": "status",
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]
}
},
{
"identified_line": {
"line": "Must have minimum age of 18 Years",
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"exact_snippets": "minimum age of 18 Years",
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"requirement_type": "minimum",
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"operator": ">=",
"value": 18,
"unit": "Years"
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}
}
]
},
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"exact_snippets": "minimum age of 18 Years",
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"requirement_type": "minimum",
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"operator": ">=",
"value": 18,
"unit": "Years"
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}
}
]
}
}
],
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"identified_line": {
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{
"exact_snippets": "More than one prior chemotherapy regimen for unresectable metastatic or locally advanced BTC",
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"operator": ">",
"value": 1,
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}
},
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"exact_snippets": "prior radiation (with or without radiosensitizing doses of chemotherapy) ... are allowed as postsurgical adjuvant therapy",
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"requirement_type": "allowance",
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"exact_snippets": "fluoropyrimidine chemotherapy are allowed as postsurgical adjuvant therapy",
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"requirement_type": "allowance",
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]
},
"logical_structure": {
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"not_criteria": {
"and_criteria": [
{
"exact_snippets": "More than one prior chemotherapy regimen for unresectable metastatic or locally advanced BTC",
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"requirement_type": "quantity",
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"operator": ">",
"value": 1,
"unit": "regimen"
}
}
},
{
"not_criteria": {
"exact_snippets": "prior radiation (with or without radiosensitizing doses of chemotherapy) ... are allowed as postsurgical adjuvant therapy",
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"requirement_type": "allowance",
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}
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"not_criteria": {
"exact_snippets": "fluoropyrimidine chemotherapy are allowed as postsurgical adjuvant therapy",
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}
}
]
}
}
]
}
},
{
"identified_line": {
"line": "2. Part 2 only: Received any systemic therapy (chemotherapy, biologics, immunotherapy, or investigational agents) for metastatic disease other than gemcitabine based chemotherapy or CCRT for locally advanced BTC",
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{
"exact_snippets": "Received any systemic therapy (chemotherapy, biologics, immunotherapy, or investigational agents) for metastatic disease",
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"requirement_type": "presence",
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}
},
{
"exact_snippets": "other than gemcitabine based chemotherapy",
"criterion": "gemcitabine based chemotherapy",
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"requirement_type": "presence",
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}
},
{
"exact_snippets": "CCRT for locally advanced BTC",
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"requirement_type": "presence",
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}
}
]
},
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"and_criteria": [
{
"and_criteria": [
{
"exact_snippets": "Received any systemic therapy (chemotherapy, biologics, immunotherapy, or investigational agents) for metastatic disease",
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"requirement_type": "presence",
"expected_value": true
}
},
{
"not_criteria": {
"exact_snippets": "other than gemcitabine based chemotherapy",
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"requirement_type": "presence",
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}
}
]
},
{
"not_criteria": {
"exact_snippets": "CCRT for locally advanced BTC",
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"requirement_type": "presence",
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}
}
]
}
},
{
"identified_line": {
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"exact_snippets": "Prior discontinuation of gemcitabine because of pulmonary ... toxicity",
"criterion": "pulmonary toxicity",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "Prior discontinuation of gemcitabine because of ... hepatic toxicity",
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"requirement_type": "presence",
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}
},
{
"exact_snippets": "Prior discontinuation of gemcitabine because of ... hemolytic uremic syndrome (HUS)",
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"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "Prior discontinuation of gemcitabine because of ... hypersensitivity",
"criterion": "hypersensitivity",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "Prior discontinuation of gemcitabine because of ... allergic reaction",
"criterion": "allergic reaction",
"requirement": {
"requirement_type": "presence",
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},
{
"exact_snippets": "Prior discontinuation of gemcitabine because of ... intolerance",
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"requirement_type": "presence",
"expected_value": true
}
}
]
},
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"and_criteria": [
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"expected_value": true
}
},
{
"exact_snippets": "Prior discontinuation of gemcitabine because of pulmonary ... toxicity",
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]
},
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"and_criteria": [
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},
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"exact_snippets": "Prior discontinuation of gemcitabine because of ... hepatic toxicity",
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}
}
]
},
{
"and_criteria": [
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"exact_snippets": "Prior discontinuation of gemcitabine because of ... hemolytic uremic syndrome (HUS)",
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"requirement_type": "presence",
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}
},
{
"exact_snippets": "Prior discontinuation of gemcitabine because of ... hemolytic uremic syndrome (HUS)",
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"requirement_type": "cause",
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}
}
]
},
{
"and_criteria": [
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"exact_snippets": "Prior discontinuation of gemcitabine because of ... hypersensitivity",
"criterion": "hypersensitivity",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "Prior discontinuation of gemcitabine because of ... hypersensitivity",
"criterion": "gemcitabine discontinuation",
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}
]
},
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"and_criteria": [
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"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "Prior discontinuation of gemcitabine because of ... allergic reaction",
"criterion": "gemcitabine discontinuation",
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"expected_value": "allergic reaction"
}
}
]
},
{
"and_criteria": [
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"exact_snippets": "Prior discontinuation of gemcitabine because of ... intolerance",
"criterion": "intolerance",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "Prior discontinuation of gemcitabine because of ... intolerance",
"criterion": "gemcitabine discontinuation",
"requirement": {
"requirement_type": "cause",
"expected_value": "intolerance"
}
}
]
}
]
}
},
{
"identified_line": {
"line": "5. Any GI disorder which would significantly impede absorption of an oral agent",
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{
"exact_snippets": "GI disorder which would significantly impede absorption of an oral agent",
"criterion": "GI disorder",
"requirement": {
"requirement_type": "impact on absorption",
"expected_value": "significantly impede"
}
}
]
},
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"exact_snippets": "GI disorder which would significantly impede absorption of an oral agent",
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"requirement_type": "impact on absorption",
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}
}
}
},
{
"identified_line": {
"line": "6. Known brain or leptomeningeal metastases",
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{
"exact_snippets": "Known brain or leptomeningeal metastases",
"criterion": "brain metastases",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "Known brain or leptomeningeal metastases",
"criterion": "leptomeningeal metastases",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
}
]
},
"logical_structure": {
"or_criteria": [
{
"exact_snippets": "Known brain or leptomeningeal metastases",
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},
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}
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{
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],
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}