{
"info": {
"nct_id": "NCT05322720",
"official_title": "A Phase II Clinical Study to Evaluate the Safety and Efficacy of Recombinant hLAG-3 Fusion Protein (EOC202) Injection Combined With Albumin-bound Paclitaxel in Treatment of the Patients With HR Positive, HER2 Negative Advanced Breast Cancer With Progression After Endocrine Therapy",
"inclusion_criteria": "1. Understanding and voluntarily signing the informed consent form;\n2. Female, age ≥ 18 years and <65 years;\n3. Histopathologically and molecular pathologically confirmed HR positive, HER2 negative breast cancer (based on the latest test result);\n\n Notes:\n\n Positive HR is defined as positive estrogen receptor (ER), negative or positive progesterone receptor (PR) (≥1% positive stained cells will be regarded as positive receptor); Negative HER2: negative immunohistochemical (IHC) result (0, 1+), or IHC result 2+ and negative result of in situ hybridization (ISH) amplification;\n4. Progression after endocrine therapy, being suitable for late-stage rescue chemotherapy, including the following conditions (meeting any one of them):\n\n Primary endocrine resistance: recurrence less than two years after adjuvant endocrine therapy, or progression of disease less than 6 months after late-stage 1st-line endocrine therapy. For the patients with primary endocrine resistance, no use of other systematic therapy except endocrine therapy in relapsed/progressive period (the combined use of CDK4/6 inhibitor, Everolimus or HDAC inhibitor with endocrine therapy is allowed). There were no more than 2 lines of systemic therapy for advanced disease previously.\n\n Secondary (acquired) endocrine resistance: recurrence more than 2 years after adjuvant endocrine therapy and within one year after discontinuation of it, or progression of disease ≥6 months after late-stage 1st-line endocrine therapy. For the patients with secondary (acquired) endocrine resistance, at least 1 line but no more than 3 lines of endocrine therapy for advanced disease are recommended (the combined use of CDK4/6 inhibitor, Everolimus or HDAC inhibitor with endocrine therapy is allowed), and the number of lines will not be calculated for adjuvant endocrine therapy. There were no more than 3 lines of systemic therapy for advanced disease previously.\n5. No use of chemotherapy for recurrent/metastatic breast cancer;\n6. At least one extracranial measurable lesion (RECIST 1.1);\n7. Peripheral blood absolute monocyte count (AMC) <0.25×109/L (tested by local laboratory, it is allowed to be repeated once if the AMC is ranged from 0.25~0.35×109/L at screening);\n8. Eastern Cooperative Oncology Group (ECOG) Performance Status score 0-1;\n9. Expected survival ≥3 months;\n10. Recovery of toxicity induced by previous therapy (except alopecia) to grade 1 (National Cancer Institute - Common Terminology Criteria for Adverse Events version 5.0 [NCI CTCAE v5.0]) or normal level;\n11. Good organ function within 1 week prior to the first dose of study drug:\n\n Hematology: no transfusion of platelet or any growth factor within 7 days prior to the screening visit, white blood cell count ≥3×109/L, absolute neutrophil count (ANC) ≥1.5×109/L, platelet count ≥100×109/L, hemoglobin ≥90 g/L; Hepatic function: serum total bilirubin ≤1.5× upper limit of normal (ULN), or total bilirubin ≤3×ULN in case of Gilbert's syndrome; aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤2.5×ULN, or AST and ALT≤5×ULN in case of hepatic metastasis; Renal function: serum creatinine ≤1.5×ULN.\n12. The female subjects of childbearing potential must have negative pregnancy test within 1 week prior to the first dose of study drug, and they and their spouses agree to take effective contraceptive measures during the study and within 6 months after the last dose\nHealthy volunteers allowed\nMust be FEMALE\nMust have minimum age of 18 Years\nMust have maximum age of 65 Years",
"exclusion_criteria": "1. Known uncontrollable or symptomatic central nervous system metastasis, including brain metastasis or meningeal metastasis, or symptoms suggestive of cancerous meningitis, leptomeningeal disease and/or progressive growth. Patients with a history of central nervous system metastasis or spinal cord compression are allowed to be enrolled if they have received definite local treatment (e.g., radiotherapy, surgical therapy), have discontinued anticonvulsant drugs and steroids for at least 4 weeks prior to the first dose of study drug and have stable clinical manifestations;\n2. Previous use of high-dose chemotherapy plus hemopoietic stem cell transplantation;\n3. Grade 4 operation performed within 4 weeks prior to the first dose of study drug, or grade 2 or 3 operation performed within 7 days prior to the first dose of study drug;\n4. Abnormal thyroid function that is poorly controlled after treatment;\n5. Chemotherapy, endocrine therapy or treatment with other investigational product within 4 weeks or 5 half-lives prior to the first dose of study drug (whichever is longer); or radiotherapy within 2 weeks prior to the first dose of study drug (except the palliative radiotherapy for non-target lesion, enrollment will be allowed if the toxicity is resolved);\n6. Serious or uncontrolled heart disease (New York Heart Association [NYHA] grade III-IV) within 6 months prior to the first dose of study drug, including myocardial infarction, severe/unstable angina pectoris, ≥grade 2 persistent arrhythmia in accordance with NCI CTCAE v5.0, atrial fibrillation of any grade, coronary/peripheral artery bypass grafting, symptomatic congestive heart failure; or presence of cerebrovascular accident, including transient ischemic attack, symptomatic pulmonary embolism, etc.;\n7. Presence of other malignant tumors within 5 years prior to the first dose of study drug (except for basal cell or squamous cell carcinoma of skin, superficial bladder cancer and carcinoma in situ of cervix, which have been cured);\n8. Other concomitant disease seriously hazardous to patient's safety or affecting completion of the study as judged by investigators, except for tumor;\n9. Presence of one of the following conditions: active infection considered by investigators that may affect patient's participation in the study or the study results; positive hepatitis B surface antigen, and hepatitis B virus (HBV) DNA copy > ULN (patients with HBV DNA copy reduced to normal range after antiviral therapy are allowed to be enrolled); positive hepatitis C virus antibody and hepatitis C virus (HCV) RNA copy >ULN; positive human immunodeficiency virus (HIV); or any serious infection requiring systematic treatment within 4 weeks prior to the first dose of study drug;\n10. Clinically significant abnormality indicated on electrocardiography (ECG), including but not limited to serious arrhythmia, prolonged QT interval (QTcF>470 ms, QTcF=QT/RR0.33); or presence of various conditions that may increase the risk of prolonged QT interval, e.g., known history of prolonged QTc, congenital long QT syndrome, Brugada syndrome, torsade de pointes, uncontrollable electrolyte disorder (e.g., calcemia, hypokalaemia and hypomagnesaemia, etc.);\n11. Previous diagnosis of autoimmune disease or requiring long-term use of systemic corticosteroids (dose >10 mg/day prednisone or equivalent) or other immunosuppressants within 4 weeks prior to the first dose of study drug; however, patients are allowed to be enrolled in the following conditions: in the absence of active autoimmune disease, inhaled or topical steroids, or adrenaline replacement therapy at the dose ≤10 mg/day Prednisone equivalent is allowed to be used;\n12. Treatment with systematic immunostimulatory drugs (including but not limited to interferon-α (IFN-α) and interleukin 2 (IL-2)) within 6 weeks or 5 half-lives prior to the first dose of study drug (whichever comes later);\n13. Vaccination with live attenuated vaccine, protein vaccine, mRNA or DNA vaccine within 4 weeks prior to the first dose of study drug, or expected to receive the above vaccines during the study;\n14. Previous allergy to macromolecular protein preparation or protein, or Quincke's edema (also known as angioneurotic edema), or known allergy to any component of the study drug;\n15. History of clear mental disorder, or history of psychotropic drug abuse, drug addiction or alcohol abuse;\n16. Received organ transplant;\n17. Women who are pregnant or breastfeeding;\n18. Having participated in any other drug clinical trial within 4 weeks prior to the first dose of study drug or currently receiving treatment in other clinical trials (except those who are participating in the follow-up of overall survival in one study);\n19. Patients with other conditions that are not suitable to participate in the clinical trial, as considered by the investigator.",
"miscellaneous_criteria": ""
},
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"criterions": [
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"operator": ">=",
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"unit": "years"
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"operator": "<",
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"unit": "years"
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"criterion": "HR status",
"requirement": {
"requirement_type": "status",
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}
},
{
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}
}
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{
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},
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"and_criteria": [
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"criterions": [
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"unit": "years"
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"requirement": {
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"expected_value": {
"operator": "<",
"value": 6,
"unit": "months"
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}
},
{
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"criterion": "systematic therapy use in relapsed/progressive period",
"requirement": {
"requirement_type": "use",
"expected_value": false
}
},
{
"exact_snippets": "the combined use of CDK4/6 inhibitor, Everolimus or HDAC inhibitor with endocrine therapy is allowed",
"criterion": "combined use of CDK4/6 inhibitor, Everolimus or HDAC inhibitor with endocrine therapy",
"requirement": {
"requirement_type": "use",
"expected_value": true
}
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{
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"criterion": "lines of systemic therapy for advanced disease",
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"operator": "<=",
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"unit": "lines"
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}
}
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"or_criteria": [
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"unit": "years"
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"operator": "<",
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"unit": "months"
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}
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"requirement": {
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"expected_value": false
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"exact_snippets": "the combined use of CDK4/6 inhibitor, Everolimus or HDAC inhibitor with endocrine therapy is allowed",
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}
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"unit": "N/A"
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"identified_line": {
"line": "7. Peripheral blood absolute monocyte count (AMC) <0.25×109/L (tested by local laboratory, it is allowed to be repeated once if the AMC is ranged from 0.25~0.35×109/L at screening);",
"criterions": [
{
"exact_snippets": "Peripheral blood absolute monocyte count (AMC) <0.25×109/L",
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"unit": "×10^9/L"
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{
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"unit": "×10^9/L"
}
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"then_criteria": {
"exact_snippets": "Peripheral blood absolute monocyte count (AMC) <0.25×109/L",
"criterion": "peripheral blood absolute monocyte count (AMC)",
"requirement": {
"requirement_type": "quantity",
"expected_value": {
"operator": "<",
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"unit": "×10^9/L"
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"else_criteria": {
"exact_snippets": "Peripheral blood absolute monocyte count (AMC) <0.25×109/L",
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"expected_value": {
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"unit": "×10^9/L"
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"line": "8. Eastern Cooperative Oncology Group (ECOG) Performance Status score 0-1;",
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{
"exact_snippets": "Eastern Cooperative Oncology Group (ECOG) Performance Status score 0-1",
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"requirement": {
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"comparisons": [
{
"operator": ">=",
"value": 0,
"unit": "N/A"
},
{
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"value": 1,
"unit": "N/A"
}
]
}
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}
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"logical_structure": {
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{
"exact_snippets": "Eastern Cooperative Oncology Group (ECOG) Performance Status score 0-1",
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"operator": ">=",
"value": 0,
"unit": "N/A"
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"value": 1,
"unit": "N/A"
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"line": "9. Expected survival ≥3 months;",
"criterions": [
{
"exact_snippets": "Expected survival ≥3 months",
"criterion": "expected survival",
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"operator": ">=",
"value": 3,
"unit": "months"
}
}
}
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"value": 3,
"unit": "months"
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"criterions": [
{
"exact_snippets": "Recovery of toxicity induced by previous therapy (except alopecia) to grade 1 (National Cancer Institute - Common Terminology Criteria for Adverse Events version 5.0 [NCI CTCAE v5.0]) or normal level",
"criterion": "toxicity recovery",
"requirement": {
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}
}
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"logical_structure": {
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{
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"criterion": "toxicity recovery",
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}
}
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}
},
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"line": "11. Good organ function within 1 week prior to the first dose of study drug:",
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{
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"expected_value": "good"
}
}
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},
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"criterions": [
{
"exact_snippets": "female subjects of childbearing potential",
"criterion": "female subjects of childbearing potential",
"requirement": {
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"expected_value": "negative"
}
},
{
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}
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"and_criteria": [
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}
},
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}
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"criterions": [
{
"exact_snippets": "Healthy volunteers allowed",
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}
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}
},
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"criterions": [
{
"exact_snippets": "Must be FEMALE",
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}
}
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"exact_snippets": "Must be FEMALE",
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}
}
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}
},
{
"identified_line": {
"line": "Must have minimum age of 18 Years",
"criterions": [
{
"exact_snippets": "minimum age of 18 Years",
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"expected_value": {
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"value": 18,
"unit": "Years"
}
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"logical_structure": {
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{
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"requirement": {
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"operator": ">=",
"value": 18,
"unit": "Years"
}
}
}
]
}
},
{
"identified_line": {
"line": "Must have maximum age of 65 Years",
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{
"exact_snippets": "maximum age of 65 Years",
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"requirement_type": "maximum",
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"operator": "<=",
"value": 65,
"unit": "Years"
}
}
}
]
},
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{
"exact_snippets": "maximum age of 65 Years",
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"operator": "<=",
"value": 65,
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}
}
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]
}
},
{
"identified_line": {
"line": "Notes:",
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{
"exact_snippets": "Tissue from tumor must be available",
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"expected_value": true
}
},
{
"exact_snippets": "Tissue from tumor ... > 2 cm in diameter.",
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"requirement_type": "size",
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"operator": ">",
"value": 2,
"unit": "cm"
}
}
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},
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{
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},
{
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"operator": ">",
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],
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{
"identified_line": {
"line": "1. Known uncontrollable or symptomatic central nervous system metastasis, including brain metastasis or meningeal metastasis, or symptoms suggestive of cancerous meningitis, leptomeningeal disease and/or progressive growth. Patients with a history of central nervous system metastasis or spinal cord compression are allowed to be enrolled if they have received definite local treatment (e.g., radiotherapy, surgical therapy), have discontinued anticonvulsant drugs and steroids for at least 4 weeks prior to the first dose of study drug and have stable clinical manifestations;",
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{
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},
{
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},
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},
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"exact_snippets": "received definite local treatment (e.g., radiotherapy, surgical therapy)",
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}
},
{
"exact_snippets": "discontinued anticonvulsant drugs and steroids for at least 4 weeks prior to the first dose of study drug",
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},
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{
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{
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},
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},
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},
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"exact_snippets": "progressive growth",
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"operator": "<=",
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"operator": "<=",
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"and_criteria": [
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"exact_snippets": "Abnormal thyroid function",
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},
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"value": 2,
"unit": "weeks"
}
}
},
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"exact_snippets": "radiotherapy within 2 weeks prior to the first dose of study drug (except the palliative radiotherapy for non-target lesion, enrollment will be allowed if the toxicity is resolved)",
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}
}
]
},
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"and_criteria": [
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"or_criteria": [
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}
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},
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"exact_snippets": "myocardial infarction",
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}
},
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"exact_snippets": "severe/unstable angina pectoris",
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}
},
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"exact_snippets": "≥grade 2 persistent arrhythmia in accordance with NCI CTCAE v5.0",
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"unit": "NCI CTCAE v5.0"
}
}
},
{
"exact_snippets": "atrial fibrillation of any grade",
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}
},
{
"exact_snippets": "coronary/peripheral artery bypass grafting",
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},
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"exact_snippets": "symptomatic congestive heart failure",
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},
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"exact_snippets": "presence of cerebrovascular accident, including transient ischemic attack",
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}
},
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"exact_snippets": "symptomatic pulmonary embolism",
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}
}
]
},
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"and_criteria": [
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"or_criteria": [
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"and_criteria": [
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},
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"exact_snippets": "coronary/peripheral artery bypass grafting",
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}
},
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"exact_snippets": "symptomatic congestive heart failure",
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}
}
]
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]
},
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},
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}
]
}
]
}
},
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},
{
"exact_snippets": "Other concomitant disease ... affecting completion of the study",
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}
}
]
},
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"and_criteria": [
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"exact_snippets": "Other concomitant disease seriously hazardous to patient's safety",
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}
},
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"exact_snippets": "Other concomitant disease ... affecting completion of the study",
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}
}
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}
]
}
},
{
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},
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}
},
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"operator": ">",
"value": 1,
"unit": "ULN"
}
}
},
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"expected_value": true
}
},
{
"exact_snippets": "hepatitis C virus (HCV) RNA copy >ULN",
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"unit": "ULN"
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}
},
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}
},
{
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]
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{
"exact_snippets": "hepatitis B virus (HBV) DNA copy > ULN",
"criterion": "hepatitis B virus (HBV) DNA copy",
"requirement": {
"requirement_type": "quantity",
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"operator": ">",
"value": 1,
"unit": "ULN"
}
}
}
]
},
{
"and_criteria": [
{
"exact_snippets": "positive hepatitis C virus antibody",
"criterion": "hepatitis C virus antibody",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "hepatitis C virus (HCV) RNA copy >ULN",
"criterion": "hepatitis C virus (HCV) RNA copy",
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"requirement_type": "quantity",
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"operator": ">",
"value": 1,
"unit": "ULN"
}
}
}
]
},
{
"exact_snippets": "active infection considered by investigators that may affect patient's participation in the study or the study results",
"criterion": "active infection",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "positive human immunodeficiency virus (HIV)",
"criterion": "human immunodeficiency virus (HIV)",
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"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "any serious infection requiring systematic treatment within 4 weeks prior to the first dose of study drug",
"criterion": "serious infection requiring systematic treatment",
"requirement": {
"requirement_type": "time frame",
"expected_value": "within 4 weeks prior to the first dose of study drug"
}
}
]
}
},
{
"identified_line": {
"line": "10. Clinically significant abnormality indicated on electrocardiography (ECG), including but not limited to serious arrhythmia, prolonged QT interval (QTcF>470 ms, QTcF=QT/RR0.33); or presence of various conditions that may increase the risk of prolonged QT interval, e.g., known history of prolonged QTc, congenital long QT syndrome, Brugada syndrome, torsade de pointes, uncontrollable electrolyte disorder (e.g., calcemia, hypokalaemia and hypomagnesaemia, etc.);",
"criterions": [
{
"exact_snippets": "Clinically significant abnormality indicated on electrocardiography (ECG)",
"criterion": "ECG abnormality",
"requirement": {
"requirement_type": "severity",
"expected_value": "clinically significant"
}
},
{
"exact_snippets": "serious arrhythmia",
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"requirement_type": "severity",
"expected_value": "serious"
}
},
{
"exact_snippets": "prolonged QT interval (QTcF>470 ms, QTcF=QT/RR0.33)",
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"requirement_type": "duration",
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"operator": ">",
"value": 470,
"unit": "ms"
}
}
},
{
"exact_snippets": "known history of prolonged QTc",
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"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "congenital long QT syndrome",
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"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "Brugada syndrome",
"criterion": "Brugada syndrome",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "torsade de pointes",
"criterion": "torsade de pointes",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "uncontrollable electrolyte disorder (e.g., calcemia, hypokalaemia and hypomagnesaemia, etc.)",
"criterion": "electrolyte disorder",
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"requirement_type": "control",
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}
}
]
},
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"or_criteria": [
{
"and_criteria": [
{
"exact_snippets": "Clinically significant abnormality indicated on electrocardiography (ECG)",
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},
{
"or_criteria": [
{
"exact_snippets": "serious arrhythmia",
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}
},
{
"exact_snippets": "prolonged QT interval (QTcF>470 ms, QTcF=QT/RR0.33)",
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"operator": ">",
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}
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]
}
]
},
{
"or_criteria": [
{
"exact_snippets": "known history of prolonged QTc",
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}
},
{
"exact_snippets": "congenital long QT syndrome",
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"requirement_type": "presence",
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}
},
{
"exact_snippets": "Brugada syndrome",
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"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "torsade de pointes",
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"requirement_type": "presence",
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}
},
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"exact_snippets": "uncontrollable electrolyte disorder (e.g., calcemia, hypokalaemia and hypomagnesaemia, etc.)",
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}
]
}
]
}
},
{
"identified_line": {
"line": "11. Previous diagnosis of autoimmune disease or requiring long-term use of systemic corticosteroids (dose >10 mg/day prednisone or equivalent) or other immunosuppressants within 4 weeks prior to the first dose of study drug; however, patients are allowed to be enrolled in the following conditions: in the absence of active autoimmune disease, inhaled or topical steroids, or adrenaline replacement therapy at the dose ≤10 mg/day Prednisone equivalent is allowed to be used;",
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{
"exact_snippets": "Previous diagnosis of autoimmune disease",
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"requirement_type": "diagnosis",
"expected_value": true
}
},
{
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"requirement_type": "duration",
"expected_value": "long-term"
}
},
{
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"requirement_type": "dose",
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"operator": ">",
"value": 10,
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}
}
},
{
"exact_snippets": "other immunosuppressants within 4 weeks prior to the first dose of study drug",
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"requirement_type": "time frame",
"expected_value": "within 4 weeks prior to the first dose of study drug"
}
},
{
"exact_snippets": "absence of active autoimmune disease",
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"requirement_type": "presence",
"expected_value": false
}
},
{
"exact_snippets": "inhaled or topical steroids",
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"requirement_type": "use",
"expected_value": true
}
},
{
"exact_snippets": "adrenaline replacement therapy at the dose ≤10 mg/day Prednisone equivalent",
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"requirement_type": "dose",
"expected_value": {
"operator": "<=",
"value": 10,
"unit": "mg/day Prednisone equivalent"
}
}
}
]
},
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"and_criteria": [
{
"or_criteria": [
{
"and_criteria": [
{
"exact_snippets": "Previous diagnosis of autoimmune disease",
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"requirement_type": "diagnosis",
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}
},
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"exact_snippets": "absence of active autoimmune disease",
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"requirement_type": "presence",
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}
]
},
{
"and_criteria": [
{
"exact_snippets": "requiring long-term use of systemic corticosteroids (dose >10 mg/day prednisone or equivalent)",
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"requirement_type": "duration",
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},
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"requirement_type": "dose",
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"operator": ">",
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}
},
{
"not_criteria": {
"exact_snippets": "inhaled or topical steroids",
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}
}
},
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"not_criteria": {
"exact_snippets": "adrenaline replacement therapy at the dose ≤10 mg/day Prednisone equivalent",
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"operator": "<=",
"value": 10,
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}
}
}
}
]
},
{
"exact_snippets": "other immunosuppressants within 4 weeks prior to the first dose of study drug",
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}
]
}
]
}
},
{
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"protein vaccine",
"mRNA",
"DNA vaccine"
]
}
},
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"requirement_type": "timeframe",
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{
"operator": "<=",
"value": 4,
"unit": "weeks"
}
]
}
}
},
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"requirement_type": "type",
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"live attenuated vaccine",
"protein vaccine",
"mRNA",
"DNA vaccine"
]
}
},
{
"exact_snippets": "expected to receive the above vaccines during the study",
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"requirement_type": "timeframe",
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}
}
]
},
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{
"and_criteria": [
{
"and_criteria": [
{
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}
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]
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}
},
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"DNA vaccine"
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}
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}
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}
]
}
},
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{
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"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "Quincke's edema (also known as angioneurotic edema)",
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}
},
{
"exact_snippets": "known allergy to any component of the study drug",
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"requirement_type": "presence",
"expected_value": true
}
}
]
},
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}
},
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}
]
}
},
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"requirement_type": "history",
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}
},
{
"exact_snippets": "history of psychotropic drug abuse",
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"requirement_type": "history",
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}
},
{
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"requirement_type": "history",
"expected_value": true
}
},
{
"exact_snippets": "history of ... alcohol abuse",
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"requirement_type": "history",
"expected_value": true
}
}
]
},
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},
{
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"requirement_type": "history",
"expected_value": true
}
},
{
"exact_snippets": "history of ... alcohol abuse",
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]
}
},
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"line": "16. Received organ transplant;",
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{
"exact_snippets": "Received organ transplant",
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}
}
]
},
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"exact_snippets": "Received organ transplant",
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}
]
}
},
{
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{
"exact_snippets": "Women who are pregnant",
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"requirement_type": "presence",
"expected_value": false
}
},
{
"exact_snippets": "breastfeeding",
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"requirement_type": "presence",
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},
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"exact_snippets": "Women who are pregnant",
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"expected_value": false
}
},
{
"exact_snippets": "breastfeeding",
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"requirement_type": "presence",
"expected_value": false
}
}
]
}
},
{
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"line": "18. Having participated in any other drug clinical trial within 4 weeks prior to the first dose of study drug or currently receiving treatment in other clinical trials (except those who are participating in the follow-up of overall survival in one study);",
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{
"exact_snippets": "Having participated in any other drug clinical trial within 4 weeks prior to the first dose of study drug",
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"requirement_type": "time since participation",
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"operator": "<=",
"value": 4,
"unit": "weeks"
}
}
},
{
"exact_snippets": "currently receiving treatment in other clinical trials",
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}
}
]
},
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"and_criteria": [
{
"exact_snippets": "Having participated in any other drug clinical trial within 4 weeks prior to the first dose of study drug",
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"requirement_type": "time since participation",
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"operator": "<=",
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}
}
},
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"not_criteria": {
"exact_snippets": "except those who are participating in the follow-up of overall survival in one study",
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"requirement_type": "presence",
"expected_value": true
}
}
}
]
},
{
"exact_snippets": "currently receiving treatment in other clinical trials",
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}
}
]
}
},
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{
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"criterion": "other conditions",
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},
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"exact_snippets": "other conditions that are not suitable to participate in the clinical trial",
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}
},
{
"exact_snippets": "as considered by the investigator",
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"requirement_type": "approval",
"expected_value": false
}
}
]
}
},
{
"identified_line": {
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{
"exact_snippets": "Previous use of high-dose chemotherapy",
"criterion": "high-dose chemotherapy",
"requirement": {
"requirement_type": "previous use",
"expected_value": true
}
},
{
"exact_snippets": "previous use of ... hemopoietic stem cell transplantation",
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"requirement": {
"requirement_type": "previous use",
"expected_value": true
}
}
]
},
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{
"and_criteria": [
{
"exact_snippets": "Previous use of high-dose chemotherapy",
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}
},
{
"exact_snippets": "previous use of ... hemopoietic stem cell transplantation",
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"requirement_type": "previous use",
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}
}
]
}
]
}
}
],
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{
"identified_line": {
"line": "Positive HR is defined as positive estrogen receptor (ER), negative or positive progesterone receptor (PR) (≥1% positive stained cells will be regarded as positive receptor); Negative HER2: negative immunohistochemical (IHC) result (0, 1+), or IHC result 2+ and negative result of in situ hybridization (ISH) amplification;",
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}
},
{
"exact_snippets": "negative or positive progesterone receptor (PR) (≥1% positive stained cells will be regarded as positive receptor)",
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"requirement_type": "presence",
"expected_value": [
"negative",
"positive"
]
}
},
{
"exact_snippets": "negative or positive progesterone receptor (PR) (≥1% positive stained cells will be regarded as positive receptor)",
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"requirement_type": "positive stained cells",
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"operator": ">=",
"value": 1,
"unit": "%"
}
}
},
{
"exact_snippets": "negative or positive progesterone receptor (PR) (≥1% positive stained cells will be regarded as positive receptor)",
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"requirement_type": "interpretation",
"expected_value": "positive receptor"
}
},
{
"exact_snippets": "Negative HER2: negative immunohistochemical (IHC) result (0, 1+)",
"criterion": "HER2",
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"requirement_type": "IHC result",
"expected_value": "negative"
}
},
{
"exact_snippets": "Negative HER2: negative immunohistochemical (IHC) result (0, 1+)",
"criterion": "HER2",
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"requirement_type": "IHC score",
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"0",
"1+"
]
}
},
{
"exact_snippets": "Negative HER2: ... IHC result 2+ and negative result of in situ hybridization (ISH) amplification",
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"requirement_type": "IHC result",
"expected_value": "2+"
}
},
{
"exact_snippets": "Negative HER2: ... IHC result 2+ and negative result of in situ hybridization (ISH) amplification",
"criterion": "HER2",
"requirement": {
"requirement_type": "ISH amplification",
"expected_value": "negative"
}
}
]
},
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{
"and_criteria": [
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"exact_snippets": "positive estrogen receptor (ER)",
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{
"or_criteria": [
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"and_criteria": [
{
"exact_snippets": "negative or positive progesterone receptor (PR) (≥1% positive stained cells will be regarded as positive receptor)",
"criterion": "progesterone receptor (PR)",
"requirement": {
"requirement_type": "presence",
"expected_value": "positive"
}
},
{
"exact_snippets": "negative or positive progesterone receptor (PR) (≥1% positive stained cells will be regarded as positive receptor)",
"criterion": "progesterone receptor (PR)",
"requirement": {
"requirement_type": "positive stained cells",
"expected_value": {
"operator": ">=",
"value": 1,
"unit": "%"
}
}
},
{
"exact_snippets": "negative or positive progesterone receptor (PR) (≥1% positive stained cells will be regarded as positive receptor)",
"criterion": "progesterone receptor (PR)",
"requirement": {
"requirement_type": "interpretation",
"expected_value": "positive receptor"
}
}
]
},
{
"exact_snippets": "negative or positive progesterone receptor (PR) (≥1% positive stained cells will be regarded as positive receptor)",
"criterion": "progesterone receptor (PR)",
"requirement": {
"requirement_type": "presence",
"expected_value": "negative"
}
}
]
}
]
},
{
"or_criteria": [
{
"and_criteria": [
{
"exact_snippets": "Negative HER2: negative immunohistochemical (IHC) result (0, 1+)",
"criterion": "HER2",
"requirement": {
"requirement_type": "IHC result",
"expected_value": "negative"
}
},
{
"exact_snippets": "Negative HER2: negative immunohistochemical (IHC) result (0, 1+)",
"criterion": "HER2",
"requirement": {
"requirement_type": "IHC score",
"expected_value": [
"0",
"1+"
]
}
}
]
},
{
"and_criteria": [
{
"exact_snippets": "Negative HER2: ... IHC result 2+ and negative result of in situ hybridization (ISH) amplification",
"criterion": "HER2",
"requirement": {
"requirement_type": "IHC result",
"expected_value": "2+"
}
},
{
"exact_snippets": "Negative HER2: ... IHC result 2+ and negative result of in situ hybridization (ISH) amplification",
"criterion": "HER2",
"requirement": {
"requirement_type": "ISH amplification",
"expected_value": "negative"
}
}
]
}
]
}
]
}
},
{
"identified_line": {
"line": "Secondary (acquired) endocrine resistance: recurrence more than 2 years after adjuvant endocrine therapy and within one year after discontinuation of it, or progression of disease ≥6 months after late-stage 1st-line endocrine therapy. For the patients with secondary (acquired) endocrine resistance, at least 1 line but no more than 3 lines of endocrine therapy for advanced disease are recommended (the combined use of CDK4/6 inhibitor, Everolimus or HDAC inhibitor with endocrine therapy is allowed), and the number of lines will not be calculated for adjuvant endocrine therapy. There were no more than 3 lines of systemic therapy for advanced disease previously.",
"criterions": [
{
"exact_snippets": "recurrence more than 2 years after adjuvant endocrine therapy",
"criterion": "recurrence after adjuvant endocrine therapy",
"requirement": {
"requirement_type": "time since therapy",
"expected_value": {
"operator": ">",
"value": 2,
"unit": "years"
}
}
},
{
"exact_snippets": "recurrence ... within one year after discontinuation of it",
"criterion": "recurrence after discontinuation of adjuvant endocrine therapy",
"requirement": {
"requirement_type": "time since discontinuation",
"expected_value": {
"operator": "<=",
"value": 1,
"unit": "year"
}
}
},
{
"exact_snippets": "progression of disease ≥6 months after late-stage 1st-line endocrine therapy",
"criterion": "progression of disease after late-stage 1st-line endocrine therapy",
"requirement": {
"requirement_type": "time since therapy",
"expected_value": {
"operator": ">=",
"value": 6,
"unit": "months"
}
}
},
{
"exact_snippets": "at least 1 line but no more than 3 lines of endocrine therapy for advanced disease are recommended",
"criterion": "lines of endocrine therapy for advanced disease",
"requirement": {
"requirement_type": "number of lines",
"expected_value": {
"comparisons": [
{
"operator": ">=",
"value": 1,
"unit": "lines"
},
{
"operator": "<=",
"value": 3,
"unit": "lines"
}
]
}
}
},
{
"exact_snippets": "no more than 3 lines of systemic therapy for advanced disease previously",
"criterion": "lines of systemic therapy for advanced disease",
"requirement": {
"requirement_type": "number of lines",
"expected_value": {
"operator": "<=",
"value": 3,
"unit": "lines"
}
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"or_criteria": [
{
"and_criteria": [
{
"exact_snippets": "recurrence more than 2 years after adjuvant endocrine therapy",
"criterion": "recurrence after adjuvant endocrine therapy",
"requirement": {
"requirement_type": "time since therapy",
"expected_value": {
"operator": ">",
"value": 2,
"unit": "years"
}
}
},
{
"exact_snippets": "recurrence ... within one year after discontinuation of it",
"criterion": "recurrence after discontinuation of adjuvant endocrine therapy",
"requirement": {
"requirement_type": "time since discontinuation",
"expected_value": {
"operator": "<=",
"value": 1,
"unit": "year"
}
}
}
]
},
{
"exact_snippets": "progression of disease ≥6 months after late-stage 1st-line endocrine therapy",
"criterion": "progression of disease after late-stage 1st-line endocrine therapy",
"requirement": {
"requirement_type": "time since therapy",
"expected_value": {
"operator": ">=",
"value": 6,
"unit": "months"
}
}
}
]
}
]
}
},
{
"identified_line": {
"line": "Hematology: no transfusion of platelet or any growth factor within 7 days prior to the screening visit, white blood cell count ≥3×109/L, absolute neutrophil count (ANC) ≥1.5×109/L, platelet count ≥100×109/L, hemoglobin ≥90 g/L; Hepatic function: serum total bilirubin ≤1.5× upper limit of normal (ULN), or total bilirubin ≤3×ULN in case of Gilbert's syndrome; aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤2.5×ULN, or AST and ALT≤5×ULN in case of hepatic metastasis; Renal function: serum creatinine ≤1.5×ULN.",
"criterions": [
{
"exact_snippets": "no transfusion of platelet or any growth factor within 7 days prior to the screening visit",
"criterion": "transfusion history",
"requirement": {
"requirement_type": "time since last transfusion",
"expected_value": {
"comparisons": [
{
"operator": ">=",
"value": 7,
"unit": "days"
}
]
}
}
},
{
"exact_snippets": "white blood cell count ≥3×109/L",
"criterion": "white blood cell count",
"requirement": {
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 3,
"unit": "×109/L"
}
}
},
{
"exact_snippets": "absolute neutrophil count (ANC) ≥1.5×109/L",
"criterion": "absolute neutrophil count (ANC)",
"requirement": {
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 1.5,
"unit": "×109/L"
}
}
},
{
"exact_snippets": "platelet count ≥100×109/L",
"criterion": "platelet count",
"requirement": {
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 100,
"unit": "×109/L"
}
}
},
{
"exact_snippets": "hemoglobin ≥90 g/L",
"criterion": "hemoglobin",
"requirement": {
"requirement_type": "quantity",
"expected_value": {
"operator": ">=",
"value": 90,
"unit": "g/L"
}
}
},
{
"exact_snippets": "serum total bilirubin ≤1.5× upper limit of normal (ULN), or total bilirubin ≤3×ULN in case of Gilbert's syndrome",
"criterion": "serum total bilirubin",
"requirement": {
"requirement_type": "quantity",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 1.5,
"unit": "×ULN"
}
]
}
}
},
{
"exact_snippets": "serum total bilirubin ≤1.5× upper limit of normal (ULN), or total bilirubin ≤3×ULN in case of Gilbert's syndrome",
"criterion": "serum total bilirubin",
"requirement": {
"requirement_type": "quantity in case of Gilbert's syndrome",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 3,
"unit": "×ULN"
}
]
}
}
},
{
"exact_snippets": "aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤2.5×ULN, or AST and ALT≤5×ULN in case of hepatic metastasis",
"criterion": "aspartate aminotransferase (AST) and alanine aminotransferase (ALT)",
"requirement": {
"requirement_type": "quantity",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 2.5,
"unit": "×ULN"
}
]
}
}
},
{
"exact_snippets": "aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤2.5×ULN, or AST and ALT≤5×ULN in case of hepatic metastasis",
"criterion": "aspartate aminotransferase (AST) and alanine aminotransferase (ALT)",
"requirement": {
"requirement_type": "quantity in case of hepatic metastasis",
"expected_value": {
"comparisons": [
{
"operator": "<=",
"value": 5,
"unit": "×ULN"
}
]
}
}
},
{
"exact_snippets": "serum creatinine ≤1.5×ULN",
"criterion": "serum creatinine",
"requirement": {
"requirement_type": "quantity",
"expected_value": {
"operator": "<=",
"value": 1.5,
"unit": "×ULN"
}
}
}
]
},
"logical_structure": {
"exact_snippets": "failed",
"criterion": "failed",
"requirement": {
"requirement_type": "failed",
"expected_value": "failed"
}
}
}
],
"failed_exclusion": [
{
"identified_line": {
"line": "7. Presence of other malignant tumors within 5 years prior to the first dose of study drug (except for basal cell or squamous cell carcinoma of skin, superficial bladder cancer and carcinoma in situ of cervix, which have been cured);",
"criterions": [
{
"exact_snippets": "Presence of other malignant tumors within 5 years prior to the first dose of study drug",
"criterion": "other malignant tumors",
"requirement": {
"requirement_type": "presence",
"expected_value": true
}
},
{
"exact_snippets": "Presence of other malignant tumors within 5 years prior to the first dose of study drug",
"criterion": "other malignant tumors",
"requirement": {
"requirement_type": "time frame",
"expected_value": "within 5 years prior to the first dose of study drug"
}
},
{
"exact_snippets": "except for basal cell or squamous cell carcinoma of skin",
"criterion": "basal cell or squamous cell carcinoma of skin",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
},
{
"exact_snippets": "superficial bladder cancer",
"criterion": "superficial bladder cancer",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
},
{
"exact_snippets": "carcinoma in situ of cervix, which have been cured",
"criterion": "carcinoma in situ of cervix",
"requirement": {
"requirement_type": "presence",
"expected_value": false
}
},
{
"exact_snippets": "carcinoma in situ of cervix, which have been cured",
"criterion": "carcinoma in situ of cervix",
"requirement": {
"requirement_type": "cure status",
"expected_value": "cured"
}
}
]
},
"logical_structure": {
"exact_snippets": "failed",
"criterion": "failed",
"requirement": {
"requirement_type": "failed",
"expected_value": "failed"
}
}
},
{
"identified_line": {
"line": "12. Treatment with systematic immunostimulatory drugs (including but not limited to interferon-α (IFN-α) and interleukin 2 (IL-2)) within 6 weeks or 5 half-lives prior to the first dose of study drug (whichever comes later);",
"criterions": [
{
"exact_snippets": "Treatment with systematic immunostimulatory drugs (including but not limited to interferon-α (IFN-α) and interleukin 2 (IL-2)) within 6 weeks or 5 half-lives prior to the first dose of study drug",
"criterion": "treatment with systematic immunostimulatory drugs",
"requirement": {
"requirement_type": "time since last treatment",
"expected_value": {
"comparisons": [
{
"operator": ">",
"value": 6,
"unit": "weeks"
},
{
"operator": ">",
"value": 5,
"unit": "half-lives"
}
]
}
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"and_criteria": [
{
"exact_snippets": "Treatment with systematic immunostimulatory drugs (including but not limited to interferon-α (IFN-α) and interleukin 2 (IL-2)) within 6 weeks or 5 half-lives prior to the first dose of study drug",
"criterion": "treatment with systematic immunostimulatory drugs",
"requirement": {
"requirement_type": "time since last treatment",
"expected_value": {
"comparisons": [
{
"operator": ">",
"value": 6,
"unit": "weeks"
}
]
}
}
},
{
"exact_snippets": "Treatment with systematic immunostimulatory drugs (including but not limited to interferon-α (IFN-α) and interleukin 2 (IL-2)) within 6 weeks or 5 half-lives prior to the first dose of study drug",
"criterion": "treatment with systematic immunostimulatory drugs",
"requirement": {
"requirement_type": "time since last treatment",
"expected_value": {
"comparisons": [
{
"operator": ">",
"value": 5,
"unit": "half-lives"
}
]
}
}
}
]
}
]
}
}
],
"failed_miscellaneous": []
}