{
    "info": {
        "nct_id": "NCT06307548",
        "official_title": "Image Guided Surgery Followed by Intraoperative Photodynamic Therapy for Improving Local Tumor Control in Patients With Loco-Regionally Advanced or Recurrent Colorectal Cancer Undergoing Surgery - Phase I/II",
        "inclusion_criteria": "* Age ≥ 18 years of age\n* Patients with locally advanced or recurrent colorectal cancer undergoing surgery\n* Amenable to diagnostic CT and MR imaging\n* Have an Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 3\n* Participants of child-bearing potential must agree to use adequate contraceptive methods (e.g., hormonal or barrier method of birth control; abstinence) prior to study entry. Should a woman become pregnant or suspect she is pregnant while she or her partner is participating in this study, she should inform her treating physician immediately\n* Participant must understand the investigational nature of this study and sign an Independent Ethics Committee/Institutional Review Board approved written informed consent form prior to receiving any study related procedure\nHealthy volunteers allowed\nMust have minimum age of 18 Years",
        "exclusion_criteria": "* Pregnant or nursing female participants\n* Any condition which in the Investigator's opinion deems the participant an unsuitable candidate to receive the fluorescence-guided surgery with intraoperative PDT\n* Patients with porphyria, or with known hypersensitivity to porphyrins or porphyrin-like compounds\n* Patients who are not cleared to undergo surgery\n* Patients with any acute hepatitis or chronic liver dysfunction with baseline elevated liver function tests (i.e. Aspartate transaminase (AST)/alanine transaminase (ALT) ≥ 2.5 x upper limit of normal [ULN]) will be excluded from the study\n* Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements\n* Patients unwilling or unable to follow protocol requirements\n* Any condition which in the investigator's opinion deems the participant an unsuitable candidate to receive study drug and/or procedure",
        "miscellaneous_criteria": ""
    },
    "inclusion_lines": [
        {
            "identified_line": {
                "line": "* Age ≥ 18 years of age",
                "criterions": [
                    {
                        "exact_snippets": "Age ≥ 18 years of age",
                        "criterion": "age",
                        "requirement": {
                            "requirement_type": "value",
                            "expected_value": {
                                "operator": ">=",
                                "value": 18,
                                "unit": "years"
                            }
                        }
                    }
                ]
            },
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                "and_criteria": [
                    {
                        "exact_snippets": "Age ≥ 18 years of age",
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                            "expected_value": {
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                                "value": 18,
                                "unit": "years"
                            }
                        }
                    }
                ]
            }
        },
        {
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                "line": "* Patients with locally advanced or recurrent colorectal cancer undergoing surgery",
                "criterions": [
                    {
                        "exact_snippets": "locally advanced or recurrent colorectal cancer",
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                        "requirement": {
                            "requirement_type": "stage",
                            "expected_value": [
                                "locally advanced",
                                "recurrent"
                            ]
                        }
                    },
                    {
                        "exact_snippets": "undergoing surgery",
                        "criterion": "surgery",
                        "requirement": {
                            "requirement_type": "status",
                            "expected_value": "undergoing"
                        }
                    }
                ]
            },
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                        "requirement": {
                            "requirement_type": "stage",
                            "expected_value": [
                                "locally advanced",
                                "recurrent"
                            ]
                        }
                    },
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                        "exact_snippets": "undergoing surgery",
                        "criterion": "surgery",
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                            "expected_value": "undergoing"
                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "* Amenable to diagnostic CT and MR imaging",
                "criterions": [
                    {
                        "exact_snippets": "Amenable to diagnostic CT",
                        "criterion": "diagnostic CT imaging",
                        "requirement": {
                            "requirement_type": "amenability",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "Amenable to ... MR imaging",
                        "criterion": "MR imaging",
                        "requirement": {
                            "requirement_type": "amenability",
                            "expected_value": true
                        }
                    }
                ]
            },
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                        "exact_snippets": "Amenable to diagnostic CT",
                        "criterion": "diagnostic CT imaging",
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                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "Amenable to ... MR imaging",
                        "criterion": "MR imaging",
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                        }
                    }
                ]
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        },
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                "line": "* Have an Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 3",
                "criterions": [
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                        "exact_snippets": "Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 3",
                        "criterion": "ECOG performance status",
                        "requirement": {
                            "requirement_type": "performance status",
                            "expected_value": {
                                "operator": "<=",
                                "value": 3,
                                "unit": "N/A"
                            }
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                ]
            }
        },
        {
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                "line": "* Participants of child-bearing potential must agree to use adequate contraceptive methods (e.g., hormonal or barrier method of birth control; abstinence) prior to study entry. Should a woman become pregnant or suspect she is pregnant while she or her partner is participating in this study, she should inform her treating physician immediately",
                "criterions": [
                    {
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                        "criterion": "child-bearing potential",
                        "requirement": {
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                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "agree to use adequate contraceptive methods",
                        "criterion": "use of contraceptive methods",
                        "requirement": {
                            "requirement_type": "agreement",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "Should a woman become pregnant or suspect she is pregnant",
                        "criterion": "pregnancy status",
                        "requirement": {
                            "requirement_type": "status",
                            "expected_value": "not pregnant"
                        }
                    }
                ]
            },
            "logical_structure": {
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                                "exact_snippets": "Participants of child-bearing potential",
                                "criterion": "child-bearing potential",
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                                    "requirement_type": "presence",
                                    "expected_value": true
                                }
                            },
                            {
                                "exact_snippets": "agree to use adequate contraceptive methods",
                                "criterion": "use of contraceptive methods",
                                "requirement": {
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                                    "expected_value": true
                                }
                            }
                        ]
                    },
                    {
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                            "criterion": "pregnancy status",
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                            }
                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "* Participant must understand the investigational nature of this study and sign an Independent Ethics Committee/Institutional Review Board approved written informed consent form prior to receiving any study related procedure",
                "criterions": [
                    {
                        "exact_snippets": "Participant must understand the investigational nature of this study",
                        "criterion": "understanding of investigational nature",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "sign an Independent Ethics Committee/Institutional Review Board approved written informed consent form",
                        "criterion": "informed consent",
                        "requirement": {
                            "requirement_type": "signed",
                            "expected_value": true
                        }
                    }
                ]
            },
            "logical_structure": {
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                    {
                        "exact_snippets": "Participant must understand the investigational nature of this study",
                        "criterion": "understanding of investigational nature",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "sign an Independent Ethics Committee/Institutional Review Board approved written informed consent form",
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                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "Healthy volunteers allowed",
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                    {
                        "exact_snippets": "Healthy volunteers allowed",
                        "criterion": "volunteer health status",
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                            "requirement_type": "status",
                            "expected_value": "healthy"
                        }
                    }
                ]
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            "logical_structure": {
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                        "exact_snippets": "Healthy volunteers allowed",
                        "criterion": "volunteer health status",
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                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "Must have minimum age of 18 Years",
                "criterions": [
                    {
                        "exact_snippets": "minimum age of 18 Years",
                        "criterion": "age",
                        "requirement": {
                            "requirement_type": "minimum",
                            "expected_value": {
                                "operator": ">=",
                                "value": 18,
                                "unit": "Years"
                            }
                        }
                    }
                ]
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            "logical_structure": {
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                        "exact_snippets": "minimum age of 18 Years",
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                            "requirement_type": "minimum",
                            "expected_value": {
                                "operator": ">=",
                                "value": 18,
                                "unit": "Years"
                            }
                        }
                    }
                ]
            }
        }
    ],
    "exclusion_lines": [
        {
            "identified_line": {
                "line": "* Pregnant or nursing female participants",
                "criterions": [
                    {
                        "exact_snippets": "Pregnant",
                        "criterion": "pregnancy",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": false
                        }
                    },
                    {
                        "exact_snippets": "nursing female participants",
                        "criterion": "nursing",
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                            "expected_value": false
                        }
                    }
                ]
            },
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                    {
                        "exact_snippets": "Pregnant",
                        "criterion": "pregnancy",
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                            "requirement_type": "presence",
                            "expected_value": false
                        }
                    },
                    {
                        "exact_snippets": "nursing female participants",
                        "criterion": "nursing",
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                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "* Any condition which in the Investigator's opinion deems the participant an unsuitable candidate to receive the fluorescence-guided surgery with intraoperative PDT",
                "criterions": [
                    {
                        "exact_snippets": "Any condition which in the Investigator's opinion deems the participant an unsuitable candidate",
                        "criterion": "suitability for fluorescence-guided surgery with intraoperative PDT",
                        "requirement": {
                            "requirement_type": "opinion",
                            "expected_value": "Investigator's opinion"
                        }
                    }
                ]
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                    }
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                    {
                        "exact_snippets": "known hypersensitivity to ... porphyrin-like compounds",
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                        }
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                        }
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                        "exact_snippets": "known hypersensitivity to porphyrins",
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                        "exact_snippets": "known hypersensitivity to ... porphyrin-like compounds",
                        "criterion": "hypersensitivity to porphyrin-like compounds",
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                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "* Patients who are not cleared to undergo surgery",
                "criterions": [
                    {
                        "exact_snippets": "not cleared to undergo surgery",
                        "criterion": "surgical clearance",
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                            "requirement_type": "status",
                            "expected_value": false
                        }
                    }
                ]
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            "logical_structure": {
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                        "exact_snippets": "not cleared to undergo surgery",
                        "criterion": "surgical clearance",
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                            "requirement_type": "status",
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                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "* Patients with any acute hepatitis or chronic liver dysfunction with baseline elevated liver function tests (i.e. Aspartate transaminase (AST)/alanine transaminase (ALT) ≥ 2.5 x upper limit of normal [ULN]) will be excluded from the study",
                "criterions": [
                    {
                        "exact_snippets": "Patients with any acute hepatitis",
                        "criterion": "acute hepatitis",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": false
                        }
                    },
                    {
                        "exact_snippets": "chronic liver dysfunction",
                        "criterion": "chronic liver dysfunction",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": false
                        }
                    },
                    {
                        "exact_snippets": "baseline elevated liver function tests ... Aspartate transaminase (AST)/alanine transaminase (ALT) ≥ 2.5 x upper limit of normal [ULN]",
                        "criterion": "liver function tests",
                        "requirement": {
                            "requirement_type": "AST/ALT level",
                            "expected_value": {
                                "operator": ">=",
                                "value": 2.5,
                                "unit": "x ULN"
                            }
                        }
                    }
                ]
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                        "and_criteria": [
                            {
                                "exact_snippets": "Patients with any acute hepatitis",
                                "criterion": "acute hepatitis",
                                "requirement": {
                                    "requirement_type": "presence",
                                    "expected_value": false
                                }
                            },
                            {
                                "exact_snippets": "chronic liver dysfunction",
                                "criterion": "chronic liver dysfunction",
                                "requirement": {
                                    "requirement_type": "presence",
                                    "expected_value": false
                                }
                            }
                        ]
                    },
                    {
                        "exact_snippets": "baseline elevated liver function tests ... Aspartate transaminase (AST)/alanine transaminase (ALT) ≥ 2.5 x upper limit of normal [ULN]",
                        "criterion": "liver function tests",
                        "requirement": {
                            "requirement_type": "AST/ALT level",
                            "expected_value": {
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                                "unit": "x ULN"
                            }
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                    }
                ]
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        },
        {
            "identified_line": {
                "line": "* Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements",
                "criterions": [
                    {
                        "exact_snippets": "Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection",
                        "criterion": "intercurrent illness",
                        "requirement": {
                            "requirement_type": "control status",
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                            "requirement_type": "status",
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                                "active"
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                    {
                        "exact_snippets": "symptomatic congestive heart failure",
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                        "requirement": {
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                        }
                    },
                    {
                        "exact_snippets": "unstable angina pectoris",
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                            "requirement_type": "stability",
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                        }
                    },
                    {
                        "exact_snippets": "cardiac arrhythmia",
                        "criterion": "cardiac arrhythmia",
                        "requirement": {
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                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "psychiatric illness/social situations that would limit compliance with study requirements",
                        "criterion": "psychiatric illness/social situations",
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                            "expected_value": "limit"
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                                "exact_snippets": "Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection",
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        },
        {
            "identified_line": {
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                            "exact_snippets": "unwilling or unable to follow protocol requirements",
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                            "requirement_type": "opinion",
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    "miscellaneous_lines": [],
    "failed_inclusion": [],
    "failed_exclusion": [],
    "failed_miscellaneous": []
}