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Evidence Record evt_NCT03414684_v19_v20_a51a4ffb904c. ClinicalTrials.gov NCT03414684, versions 19-20. Evidence version 1.","claims_not_supported":["That the amendment was scientifically unjustified.","That the change constitutes misconduct or wrongdoing.","That sponsor intent can be inferred from this registry change.","That the change caused or altered the trial's results.","That the change was or was not disclosed in a manuscript.","That TrialDiff determines regulatory compliance or non-compliance.","That co-occurrence with results posting proves the outcome edit was harmless, administrative, or substantively benign.","That event-class membership is a validated global review-priority ranking."],"claims_supported":["TrialDiff compared ClinicalTrials.gov record version 19 to version 20 for NCT03414684.","The JSON Patch for this comparison has hash e85386006c25445623dde5276120f646d2c4a3f7795b3633a7cc4957ba529861.","The active deterministic rule set hash was fc87f4f0a74bc789dbe4ba85893c2c96f55db62c22970be4e991288104291621.","The deterministic triage label was low; before timing 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Physician Discretion"},{"op":"remove","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/11/reviewUnit"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/12/timeFrame","value":"Assessed from the time measurement criteria are met for CR or PR by RECIST 1.1 (whichever is first recorded) to the time of first progression, up to 2.75 years"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/12/groups/1/title","value":"Arm B: Carboplatin, Then Nivolumab +&#x2F;- Nab-paclitaxel After Progression, Per Physician Discretion"},{"op":"remove","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/12/reviewUnit"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/13/description","value":"<p>TTOR defined as the time from randomization to the date of the first documented CR or PR by RECIST 1.1, whichever is first recorded.</p><p>PD-L1 positivity defined as \u22651% of the tumor cell population demonstrating unequivocal staining for PD-L1.</p>"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/13/timeFrame","value":"Assessed from randomization to the time of first response, up to 3.5 years"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/13/groups/1/title","value":"Arm B: Carboplatin, Then Nivolumab +&#x2F;- Nab-paclitaxel After Progression, Per Physician Discretion"},{"op":"remove","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/13/reviewUnit"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/14/description","value":"PFS defined as the time from the start of crossover treatment to the earlier of progression (on crossover therapy) or death due to any cause; participants alive without disease progression are censored at date of last disease evaluation."},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/14/timeFrame","value":"Assessed from the start of crossover therapy to the date of first documented progression on crossover therapy or the date of death from any cause, whichever came first, up to 2.8 years"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/14/groups/1/title","value":"Arm B: Carboplatin, Then Nivolumab +&#x2F;- Nab-paclitaxel After Progression, Per Physician Discretion"},{"op":"remove","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/14/reviewUnit"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/15/description","value":"ORR defined as the proportion of patients achieving a complete response (complete disappearance of all target and non-target lesions; no new lesions) or partial response (at least 30% decrease in the sum of the diameters of target lesions; persistence of one or more non-target lesion(s) and&#x2F;or maintenance of tumor marker level above the normal limits [i.e., &quot;non-CR&#x2F;non-PD&quot; in non-target lesions]; and no new lesions) based on RECIST 1.1.,\nduring crossover therapy"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/15/unitOfMeasure","value":"percent of patients"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/15/timeFrame","value":"Assessed from the start of crossover treatment until disease progression, intercurrent illness, unacceptable toxicity, noncompliance&#x2F;withdrawal, or general&#x2F;specific worsening of condition, up to 2.8 years"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/15/groups/1/title","value":"Arm B: Carboplatin, Then Nivolumab +&#x2F;- Nab-paclitaxel After Progression, Per Physician Discretion"},{"op":"remove","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/15/reviewUnit"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/16/unitOfMeasure","value":"percent of patients"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/16/timeFrame","value":"Assessed from the start of crossover treatment until disease progression, intercurrent illness, unacceptable toxicity, noncompliance&#x2F;withdrawal, or general&#x2F;specific worsening of condition, up to 2.8 years"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/16/groups/1/title","value":"Arm B: Carboplatin, Then Nivolumab +&#x2F;- Nab-paclitaxel After Progression, Per Physician Discretion"},{"op":"remove","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/16/reviewUnit"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/17/unitOfMeasure","value":"percent of patients"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/17/timeFrame","value":"Assessed from the start of crossover treatment until disease progression, intercurrent illness, unacceptable toxicity, noncompliance&#x2F;withdrawal, or general&#x2F;specific worsening of condition, up to 2.8 years"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/17/groups/1/title","value":"Arm B: Carboplatin, Then Nivolumab +&#x2F;- Nab-paclitaxel After Progression, Per Physician Discretion"},{"op":"remove","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/17/reviewUnit"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/18/timeFrame","value":"Assessed from the time measurement criteria are met for CR or PR by RECIST 1.1 (whichever is first recorded) on crossover therapy to the time of first progression on crossover therapy, up to 2.5 years"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/18/groups/1/title","value":"Arm B: Carboplatin, Then Nivolumab +&#x2F;- Nab-paclitaxel After Progression, Per Physician Discretion"},{"op":"remove","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/18/reviewUnit"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/19/timeFrame","value":"Assessed from the start of crossover therapy to the time of first response on crossover therapy, up to 2.8 years"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/19/groups/1/title","value":"Arm B: Carboplatin, Then Nivolumab +&#x2F;- Nab-paclitaxel After Progression, Per Physician Discretion"},{"op":"remove","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/19/reviewUnit"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/20/timeFrame","value":"Assessed from the start of crossover therapy until the date of death from any cause, up to 2.8 years"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/20/groups/1/title","value":"Arm B: Carboplatin, Then Nivolumab +&#x2F;- Nab-paclitaxel After Progression, Per Physician Discretion"},{"op":"remove","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/20/reviewUnit"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/21/title","value":"Progression-free Survival Among BRCA-mutant Patients"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/21/description","value":"<p>PFS defined as the time from randomization to the earlier of progression or death due to any cause; participants alive without disease progression are censored at date of last disease evaluation.</p><p>BRCA-mutant patients were those having BRCA1 or BRCA2 mutations.</p>"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/21/populationDescription","value":"A total of 2 patients in the ITT population had BRCA1 or BRCA2 mutations."},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/21/timeFrame","value":"Assessed from date of randomization until the date of first documented progression or date of death from any cause, whichever came first, up to 3.5 years"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/21/groups/1/title","value":"Arm B: Carboplatin, Then Nivolumab +&#x2F;- Nab-paclitaxel After Progression, Per Physician Discretion"},{"op":"replace","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/21/denoms/0/counts/1/value","value":"2"},{"op":"remove","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/21/reviewUnit"},{"op":"remove","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/21/measureCategoriesReviewUnit"},{"op":"add","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/21/paramType","value":"MEDIAN"},{"op":"add","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/21/dispersionType","value":"95% Confidence Interval"},{"op":"add","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/21/unitOfMeasure","value":"months"},{"op":"add","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/21/classes","value":[{"categories":[{"measurements":[{"comment":"Upper bound inestimable due to insufficient sample size&#x2F;number of events","groupId":"OG001","lowerLimit":"4.74","upperLimit":"NA","value":"4.74"}]}]}]},{"op":"add","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/22","value":{"classes":[{"categories":[{"measurements":[{"groupId":"OG001","lowerLimit":"1.3","upperLimit":"98.7","value":"50.0"}]}]}],"denoms":[{"counts":[{"groupId":"OG000","value":"0"},{"groupId":"OG001","value":"2"}],"units":"Participants"}],"description":"<p>ORR defined as the proportion of patients achieving a complete response (complete disappearance of all target and non-target lesions; no new lesions) or partial response (at least 30% decrease in the sum of the diameters of target lesions; persistence of one or more non-target lesion(s) and&#x2F;or maintenance of tumor marker level above the normal limits [i.e., &quot;non-CR&#x2F;non-PD&quot; in non-target lesions]; and no new lesions) based on RECIST 1.1.</p><p>BRCA-mutant patients were those with BRCA1 or BRCA2 mutations.</p>","dispersionType":"95% Confidence Interval","groups":[{"description":"<ul><li>Nivolumab is administered every three weeks intravenously</li><li>Nivolumab dosage is 360mg</li><li>Carboplatin is administered every three weeks intravenously</li><li>Carboplatin dosage is AUC 6</li></ul>","id":"OG000","title":"Arm A: Carboplatin + Nivolumab"},{"description":"<ul><li>Carboplatin is administered every three weeks intravenously</li><li><p>Carboplatin dosage is AUC 6</p><ul><li>Upon disease progression, patients on Arm B had the opportunity to cross over to receive single-agent nivolumab (pre-amendment), or combination nivolumab plus nab-paclitaxel (post-amendment); patients that were active on the original crossover treatment (nivolumab monotherapy) before the protocol amendment continued to receive nivolumab monotherapy after the amendment, rather than nivolumab plus nab-paclitaxel</li></ul></li></ul>","id":"OG001","title":"Arm B: Carboplatin, Then Nivolumab +&#x2F;- Nab-paclitaxel After Progression, Per Physician Discretion"}],"paramType":"NUMBER","populationDescription":"A total of 2 patients in the ITT population had BRCA1 or BRCA2 mutations.","reportingStatus":"POSTED","timeFrame":"Assessed from the start of treatment until disease progression, complete response (after at least 24 weeks of treatment), intercurrent illness, unacceptable toxicity, noncompliance&#x2F;withdrawal, or general&#x2F;specific worsening of condition, up to 3.5 years","title":"Objective Response Rate by RECIST 1.1 Among BRCA-mutant Patients","type":"SECONDARY","unitOfMeasure":"percent of patients"}},{"op":"add","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/23","value":{"denoms":[{"counts":[{"groupId":"OG000","value":"0"},{"groupId":"OG001","value":"0"}],"units":"Participants"}],"description":"<p>ORR by irRC defined as the proportion of patients achieving an immune-related complete response (complete disappearance of all target and non-target lesions; no new measurable&#x2F;unmeasurable lesions) or immune-related partial response (a decrease of the immune-related sum of product diameters [irSPD] of 50% or greater) based on irRC.</p><p>BRCA-mutant patients were those with BRCA1 or BRCA2 mutations.</p>","groups":[{"description":"<ul><li>Nivolumab is administered every three weeks intravenously</li><li>Nivolumab dosage is 360mg</li><li>Carboplatin is administered every three weeks intravenously</li><li>Carboplatin dosage is AUC 6</li></ul>","id":"OG000","title":"Arm A: Carboplatin + Nivolumab"},{"description":"<ul><li>Carboplatin is administered every three weeks intravenously</li><li><p>Carboplatin dosage is AUC 6</p><ul><li>Upon disease progression, patients on Arm B had the opportunity to cross over to receive single-agent nivolumab (pre-amendment), or combination nivolumab plus nab-paclitaxel (post-amendment); patients that were active on the original crossover treatment (nivolumab monotherapy) before the protocol amendment continued to receive nivolumab monotherapy after the amendment, rather than nivolumab plus nab-paclitaxel</li></ul></li></ul>","id":"OG001","title":"Arm B: Carboplatin, Then Nivolumab +&#x2F;- Nab-paclitaxel After Progression, Per Physician Discretion"}],"populationDescription":"There were 0 patients treated with immunotherapy (on Arm A) and had BRCA1 or BRCA2 mutations in the ITT population.","reportingStatus":"POSTED","timeFrame":"Assessed from the start of treatment until disease progression, complete response (after at least 24 weeks of treatment), intercurrent illness, unacceptable toxicity, noncompliance&#x2F;withdrawal, or general&#x2F;specific worsening of condition, up to 3.5 years","title":"Objective Response Rate by irRC Among BRCA-mutant Patients","type":"SECONDARY"}},{"op":"add","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/24","value":{"classes":[{"categories":[{"measurements":[{"comment":"Bounds inestimable due to insufficient sample size&#x2F;number of events","groupId":"OG001","lowerLimit":"NA","upperLimit":"NA","value":"24.4"}]}]}],"denoms":[{"counts":[{"groupId":"OG000","value":"0"},{"groupId":"OG001","value":"2"}],"units":"Participants"}],"description":"<p>OS defined as the time from randomization to death due to any cause, or censored at date last known alive.</p><p>BRCA-mutant patients were those with BRCA1 or BRCA2 mutations.</p>","dispersionType":"95% Confidence Interval","groups":[{"description":"<ul><li>Nivolumab is administered every three weeks intravenously</li><li>Nivolumab dosage is 360mg</li><li>Carboplatin is administered every three weeks intravenously</li><li>Carboplatin dosage is AUC 6</li></ul>","id":"OG000","title":"Arm A: Carboplatin + Nivolumab"},{"description":"<ul><li>Carboplatin is administered every three weeks intravenously</li><li><p>Carboplatin dosage is AUC 6</p><ul><li>Upon disease progression, patients on Arm B had the opportunity to cross over to receive single-agent nivolumab (pre-amendment), or combination nivolumab plus nab-paclitaxel (post-amendment); patients that were active on the original crossover treatment (nivolumab monotherapy) before the protocol amendment continued to receive nivolumab monotherapy after the amendment, rather than nivolumab plus nab-paclitaxel</li></ul></li></ul>","id":"OG001","title":"Arm B: Carboplatin, Then Nivolumab +&#x2F;- Nab-paclitaxel After Progression, Per Physician Discretion"}],"paramType":"MEDIAN","populationDescription":"A total of 2 patients in the ITT population had BRCA1 or BRCA2 mutations.","reportingStatus":"POSTED","timeFrame":"From date of randomization until the date of death from any cause, assessed up to 3.5 years","title":"Overall Survival Among BRCA-mutant Patients","type":"SECONDARY","unitOfMeasure":"months"}},{"op":"add","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/25","value":{"classes":[{"categories":[{"measurements":[{"groupId":"OG001","lowerLimit":"1.3","upperLimit":"98.7","value":"50.0"}]}]}],"denoms":[{"counts":[{"groupId":"OG000","value":"0"},{"groupId":"OG001","value":"2"}],"units":"Participants"}],"description":"<p>CBR defined as the percentage of patients achieving a complete response or partial response by RECIST 1.1, or stable disease lasting greater than or equal to 24 weeks.</p><p>BRCA-mutant patients were those with BRCA1 or BRCA2 mutations.</p>","dispersionType":"95% Confidence Interval","groups":[{"description":"<ul><li>Nivolumab is administered every three weeks intravenously</li><li>Nivolumab dosage is 360mg</li><li>Carboplatin is administered every three weeks 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treatment until disease progression, complete response (after at least 24 weeks of treatment), intercurrent illness, unacceptable toxicity, noncompliance&#x2F;withdrawal, or general&#x2F;specific worsening of condition, up to 3.5 years","title":"Clinical Benefit Rate Among BRCA-mutant Patients","type":"SECONDARY","unitOfMeasure":"percent of patients"}},{"op":"add","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/26","value":{"classes":[{"categories":[{"measurements":[{"comment":"Bounds inestimable due to insufficient sample size&#x2F;number of events","groupId":"OG001","lowerLimit":"NA","upperLimit":"NA","value":"2.04"}]}]}],"denoms":[{"counts":[{"groupId":"OG000","value":"0"},{"groupId":"OG001","value":"1"}],"units":"Participants"}],"description":"<p>DOR defined as the time measurement criteria are met for CR or PR by RECIST 1.1 (whichever is first recorded) until the first date that recurrent or progressive disease is objectively documented.\nPatients without events reported are censored at the last disease evaluation.</p><p>BRCA-mutant patients were those with BRCA1 or BRCA2 mutations.</p>","dispersionType":"95% Confidence Interval","groups":[{"description":"<ul><li>Nivolumab is administered every three weeks intravenously</li><li>Nivolumab dosage is 360mg</li><li>Carboplatin is administered every three weeks intravenously</li><li>Carboplatin dosage is AUC 6</li></ul>","id":"OG000","title":"Arm A: Carboplatin + Nivolumab"},{"description":"<ul><li>Carboplatin is administered every three weeks intravenously</li><li><p>Carboplatin dosage is AUC 6</p><ul><li>Upon disease progression, patients on Arm B had the opportunity to cross over to receive single-agent nivolumab (pre-amendment), or combination nivolumab plus nab-paclitaxel (post-amendment); patients that were active on the original crossover treatment (nivolumab monotherapy) before the protocol amendment continued to receive nivolumab monotherapy after the amendment, rather than nivolumab plus nab-paclitaxel</li></ul></li></ul>","id":"OG001","title":"Arm B: Carboplatin, Then Nivolumab +&#x2F;- Nab-paclitaxel After Progression, Per Physician Discretion"}],"paramType":"MEDIAN","populationDescription":"Only 1 patient in the ITT cohort that had a BRCA1 or BRCA2 mutation also achieved objective response.","reportingStatus":"POSTED","timeFrame":"Assessed from the time measurement criteria are met for CR or PR by RECIST 1.1 (whichever is first recorded) to the time of first progression, up to 3.5 years","title":"Duration of Response Among BRCA-mutant Patients","type":"SECONDARY","unitOfMeasure":"months"}},{"op":"add","path":"/resultsSection/outcomeMeasuresModule/outcomeMeasures/27","value":{"classes":[{"categories":[{"measurements":[{"comment":"Upper bound inestimable due to insufficient sample size&#x2F;number of 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nivolumab (pre-amendment), or combination nivolumab plus nab-paclitaxel (post-amendment); patients that were active on the original crossover treatment (nivolumab monotherapy) before the protocol amendment continued to receive nivolumab monotherapy after the amendment, rather than nivolumab plus nab-paclitaxel</li></ul></li></ul>","id":"OG001","title":"Arm B: Carboplatin, Then Nivolumab +&#x2F;- Nab-paclitaxel After Progression, Per Physician Discretion"}],"paramType":"MEDIAN","populationDescription":"A total of 2 patients in the ITT population had BRCA1 or BRCA2 mutations.","reportingStatus":"POSTED","timeFrame":"Assessed from randomization to the time of first response, up to 3.5 years","title":"Time to Objective Response Among BRCA-mutant Patients","type":"SECONDARY","unitOfMeasure":"months"}},{"op":"replace","path":"/resultsSection/adverseEventsModule/timeFrame","value":"Adverse event data were collected on the first day of each cycle of treatment, as well as at the end of treatment, for both arms, up to 3.5 years. Additionally, patients on Arm A and crossover patients (only) had an adverse events assessment 100 days (-15&#x2F;+30 days) after the last dose of nivolumab, up to 3.5 years."},{"op":"remove","path":"/resultsSection/adverseEventsModule/reviewUnit"},{"op":"remove","path":"/annotationSection"}],"provenance":{"from_snapshot_hash":"fbbd246670b4f76e23446c0c26cb932b89232471a2fc7a338f3a4b5d9c79beaf","materiality_event_hash":"796c27381343ae5a49118d674f8cc5b572c7113b561da06d22afe94238c68209","patch_hash":"e85386006c25445623dde5276120f646d2c4a3f7795b3633a7cc4957ba529861","patch_raw_hash":"0969afb2717c5694fcfb68ba376359f6833d021e026ac146a7c96b025d7a384f","patch_source":"ctgov_internal_history","patch_source_url":"https://clinicaltrials.gov/api/int/studies/NCT03414684/history/19?patchToVersion=20","to_snapshot_hash":"740c83671249aa210635362f8a86caa48300114ffb87fd1d802f9e7f607b9194"},"review_question":"What source document explains this registry amendment, and does it change interpretation of the trial record?","schema":"trialdiff.evidence_record","trial":{"clinicaltrials_gov_url":"https://clinicaltrials.gov/study/NCT03414684","nct_id":"NCT03414684"},"versions":{"from_version":19,"submitted_date":"2023-01-03","to_version":20}}