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NCT00769379

Radiation Therapy With or Without Trastuzumab in Treating Women With Ductal Carcinoma In Situ Who Have Undergone Lumpectomy

Version 1590 to 1591 · National Cancer Institute (NCI)

Patch inspector

Version 1590 to 1591

29 operations 3 path groups ctgov_internal_history
ClinicalTrials.gov
Severity is deterministic uncalibrated triage metadata, not validated review priority. Operation-level severity is inferred from deterministic path rules. Rule matches shown per operation are approximate previews (they skip the pipeline's suppression passes); the authoritative classification is the stored event record.
Plain-language summary

Manual review pending.

Rules fired

None recorded.

Value signals
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      "/protocolSection/outcomesModule/secondaryOutcomes/0/measure",
      "/protocolSection/outcomesModule/secondaryOutcomes/0/timeFrame",
      "/protocolSection/outcomesModule/secondaryOutcomes/1/description",
      "/protocolSection/outcomesModule/secondaryOutcomes/1/measure",
      "/protocolSection/outcomesModule/secondaryOutcomes/1/timeFrame",
      "/protocolSection/outcomesModule/secondaryOutcomes/2/description",
      "/protocolSection/outcomesModule/secondaryOutcomes/2/measure",
      "/protocolSection/outcomesModule/secondaryOutcomes/2/timeFrame",
      "/protocolSection/outcomesModule/secondaryOutcomes/3/description",
      "/protocolSection/outcomesModule/secondaryOutcomes/3/measure",
      "/protocolSection/outcomesModule/secondaryOutcomes/3/timeFrame",
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      "/protocolSection/outcomesModule/secondaryOutcomes/4/measure",
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    ],
    "signal": "results_reconciliation_outcome_suppression",
    "category": "results_reconciliation",
    "severity": "low"
  }
]
Provenance
Source
ctgov_internal_history
Fetched
2026-06-18 18:56:54+00
Raw hash
c87aa9fac7b2d88d04f1fa5a86722a6f597e23fedb187e3a3e623ad2bf46205b
Payload
Source URL
Primary outcomes Outcome measures that define the trial's primary evidence target. Triage: Critical 3 ops
replace /protocolSection/outcomesModule/primaryOutcomes/0/measure
Triage: Critical
Primary Outcome Change Operation 7
Matched rules
  • primary_outcome_any_change Any add/remove/replace under primary outcome measures is critical review priority.
Before
Time from randomization to ipsilateral invasive breast cancer, ipsilateral skin cancer recurrence, or ipsilateral DCIS
After
Ipsilateral Invasive Breast Cancer, Ipsilateral Skin Cancer Recurrence, or Ipsilateral DCIS-Free Survival
replace /protocolSection/outcomesModule/primaryOutcomes/0/description
Triage: Critical
Primary Outcome Change Operation 8
Matched rules
  • primary_outcome_any_change Any add/remove/replace under primary outcome measures is critical review priority.
Before
Time to IIBCR-SCR-DCIS will be compared across treatment arms using cumulative incidence curves, Cox proportional hazard models, and the Kaplan-Meier method.
After
Patients who are free from Ipsilateral Invasive Breast Cancer, Ipsilateral Skin Cancer Recurrence or Ipsilateral DCIS as estimated by (1- cumulative incidence) x 100%.
replace /protocolSection/outcomesModule/primaryOutcomes/0/timeFrame
Triage: Critical
Primary Outcome Change Operation 9
Matched rules
  • primary_outcome_any_change Any add/remove/replace under primary outcome measures is critical review priority.
Before
Up to 10 years
After
5 years
Secondary outcomes Additional endpoints and outcome descriptions. Triage: High 17 ops
replace /protocolSection/outcomesModule/secondaryOutcomes/0/measure
Triage: High
Secondary Outcome Change Operation 10
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Invasive or DCIS disease-free survival
After
Invasive or DCIS Disease-free Survival
replace /protocolSection/outcomesModule/secondaryOutcomes/0/description
Triage: High
Secondary Outcome Change Operation 11
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Events for analysis of IDFS-DCIS include: local recurrence in the ipsilateral breast following lumpectomy, regional recurrence, distant recurrence, contralateral breast cancer, second primary cancer (other than squamous and basal cell carcinoma of the skin, melanoma in situ, and carcinoma in situ of the colon and cervix), or death from any cause prior to recurrence or second primary cancer.
Invasive breast cancer, ipsilateral recurrence, and contralateral breast cancer will be compared across treatment arms using cumulative incidence functions.
After
Events for analysis of IDFS-DCIS include: local recurrence in the ipsilateral breast following lumpectomy, regional recurrence, distant recurrence, contralateral breast cancer, second primary cancer (other than squamous and basal cell carcinoma of the skin, melanoma in situ, and carcinoma in situ of the colon and cervix), or death from any cause prior to recurrence or second primary cancer.
Invasive breast cancer, ipsilateral recurrence, and contralateral breast cancer will be compared across treatment arms using cumulative incidence functions.
Percentage of patients by a Kaplan-Meier analysis who are free of invasive or DCIS disease
replace /protocolSection/outcomesModule/secondaryOutcomes/0/timeFrame
Triage: High
Secondary Outcome Change Operation 12
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Up to 10 years
After
5 years
replace /protocolSection/outcomesModule/secondaryOutcomes/1/measure
Triage: High
Secondary Outcome Change Operation 13
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Invasive or DCIS recurrence-free interval
After
Invasive or DCIS Recurrence-free Interval
replace /protocolSection/outcomesModule/secondaryOutcomes/1/description
Triage: High
Secondary Outcome Change Operation 14
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Cox proportional hazards models will be used to evaluate the effect of treatment on time to event.
The distributions of time to event will be estimated by the Kaplan-Meier method for each treatment group and will be compared between treatments by simple and stratified log-rank tests.
Compared across treatment arms using cumulative incidence functions.
After
Cox proportional hazards models will be used to evaluate the effect of treatment on time to event.
The distributions of time to event will be estimated by the Kaplan-Meier method for each treatment group and will be compared between treatments by simple and stratified log-rank tests.
Compared across treatment arms using cumulative incidence functions.Percentage of patients who are invasive or DCIS recurrence free estimated by (1-cumulative incidence) x 100%.
replace /protocolSection/outcomesModule/secondaryOutcomes/1/timeFrame
Triage: High
Secondary Outcome Change Operation 15
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Time from randomization to first diagnosis of a local, regional or distant recurrence regardless of any intervening contralateral or other second primary cancer, assessed up to 10 years
After
5 years
replace /protocolSection/outcomesModule/secondaryOutcomes/2/measure
Triage: High
Secondary Outcome Change Operation 16
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Invasive regional or distant recurrence
After
Invasive Regional or Distant-Free Recurrence
replace /protocolSection/outcomesModule/secondaryOutcomes/2/description
Triage: High
Secondary Outcome Change Operation 17
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Cox proportional hazards models will be used to evaluate the effect of treatment on time to event.
The distributions of time to event will be estimated by the Kaplan-Meier method for each treatment group and will be compared between treatments by simple and stratified log-rank tests.
Compared across treatment arms using cumulative incidence functions.
After
<p>Percentage of patients who are free of invasive regional or distant recurrence as estimated by</p><p>(1 - cumulative incidence) x 100%.</p>
replace /protocolSection/outcomesModule/secondaryOutcomes/2/timeFrame
Triage: High
Secondary Outcome Change Operation 18
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Time from randomization to first diagnosis of regional or distant recurrence, assessed up to 10 years
After
5 years
replace /protocolSection/outcomesModule/secondaryOutcomes/3/measure
Triage: High
Secondary Outcome Change Operation 19
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Contralateral breast cancer (invasive or DCIS)
After
Contralateral Breast Cancer (Invasive or DCIS) - Free Survival
replace /protocolSection/outcomesModule/secondaryOutcomes/3/description
Triage: High
Secondary Outcome Change Operation 20
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Cox proportional hazards models will be used to evaluate the effect of treatment on time to event.
The distributions of time to event will be estimated by the Kaplan-Meier method for each treatment group and will be compared between treatments by simple and stratified log-rank tests.
Compared across treatment arms using cumulative incidence functions.
After
<p>Percentage of patients free of Contralateral Breast Cancer (Invasive or DCIS) as estimated by</p><p>(1- cumulative incidence) x 100%.</p>
replace /protocolSection/outcomesModule/secondaryOutcomes/3/timeFrame
Triage: High
Secondary Outcome Change Operation 21
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Time from randomization to first diagnosis of contralateral invasive or DCIS breast cancer, assessed up to 10 years
After
5 years
replace /protocolSection/outcomesModule/secondaryOutcomes/4/measure
Triage: High
Secondary Outcome Change Operation 22
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Overall survival
After
Overall Survival
replace /protocolSection/outcomesModule/secondaryOutcomes/4/description
Triage: High
Secondary Outcome Change Operation 23
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Cox proportional hazards models will be used to evaluate the effect of treatment on time to event.
The distributions of time to event will be estimated by the Kaplan-Meier method for each treatment group and will be compared between treatments by simple and stratified log-rank tests.
Compared across treatment arms using cumulative incidence functions.
After
Percentage of patients surviving as estimated by a Kaplan-Meier
replace /protocolSection/outcomesModule/secondaryOutcomes/4/timeFrame
Triage: High
Secondary Outcome Change Operation 24
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Time from randomization to death from any cause, assessed up to 10 years
After
5 years
replace /protocolSection/outcomesModule/secondaryOutcomes/5/measure
Triage: High
Secondary Outcome Change Operation 25
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Incidence of post-treatment amenorrhea (absence of menstrual period for at least 12 months) in women who were premenopausal at the time of study entry
After
Incidence of Post-treatment Amenorrhea in Women Who Were Premenopausal at the Time of Study Entry Premenopausal at the Time of Study Entry
replace /protocolSection/outcomesModule/secondaryOutcomes/5/description
Triage: High
Secondary Outcome Change Operation 26
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Amenorrhea will be summarized by treatment arm in terms of incidence rates and the ranges, medians, and quantiles of duration.
After
Proportion of patients who were pre-menopausal at randomization and who self-reported as not having menstrual periods afterwards
Other registry fields Changes outside the current high-signal rule families. Triage: Uncategorized 9 ops
replace /protocolSection/statusModule/statusVerifiedDate
Triage: Uncategorized
Uncategorized Operation 1
Before
2020-08
After
2022-01
replace /protocolSection/statusModule/lastUpdateSubmitDate
Triage: Uncategorized
Uncategorized Operation 2
Before
2020-11-04
After
2022-01-31
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized
Uncategorized Operation 3
Before
2020-11-05
After
2022-02-23
add /protocolSection/statusModule/resultsFirstSubmitDate
Triage: Uncategorized
Uncategorized Operation 4
After
2021-03-23
add /protocolSection/statusModule/resultsFirstSubmitQcDate
Triage: Uncategorized
Uncategorized Operation 5
After
2022-01-31
add /protocolSection/statusModule/resultsFirstPostDateStruct
Triage: Uncategorized
Uncategorized Operation 6
After
{
  "date": "2022-02-23",
  "type": "ACTUAL"
}
remove /annotationSection
Triage: Uncategorized
Uncategorized Operation 27
Before
{
  "annotationModule": {
    "unpostedAnnotation": {
      "unpostedEvents": [
        {
          "date": "2021-03-23",
          "type": "RELEASE"
        },
        {
          "date": "2021-04-20",
          "type": "RESET"
        },
        {
          "date": "2021-07-15",
          "type": "RELEASE"
        },
        {
          "date": "2021-08-05",
          "type": "RESET"
        },
        {
          "date": "2021-12-09",
          "type": "RELEASE"
        },
        {
          "date": "2022-01-06",
          "type": "RESET"
        }
      ],
      "unpostedResponsibleParty": "National Cancer Institute (NCI)"
    }
  }
}
replace /hasResults
Triage: Uncategorized
Uncategorized Operation 28
Before
false
After
true
add /resultsSection
Triage: Uncategorized
Uncategorized Operation 29
After
{
  "moreInfoModule": {
    "pointOfContact": {
      "email": "langerj@nrgoncology.org",
      "phone": "412-339-5300",
      "title": "Director, Department of Regulatory Affairs",
      "organization": "NRG Oncology"
    },
    "certainAgreement": {
      "restrictionType": "LTE60",
      "piSponsorEmployee": false,
      "restrictiveAgreement": true
    }
  },
  "adverseEventsModule": {
    "timeFrame": "All Cause Mortality-5 years: Adverse Events: While on study therapy, Day 1 of 1st dose through 30 days after Day 1 of last dose.",
    "description": "All Cause mortality at 5-years is the proportion of all patients with follow-up information who have died within the first 5 years after randomization.\nAdverse event proportions only include patients who had reported AE forms during the period of 30 days after their 1st last dose of protocol therapy.",
    "eventGroups": [
      {
        "id": "EG000",
        "title": "Standard WBI",
        "description": "standard WBI",
        "otherNumAtRisk": 998,
        "deathsNumAtRisk": 1005,
        "otherNumAffected": 292,
        "seriousNumAtRisk": 998,
        "deathsNumAffected": 11,
        "seriousNumAffected": 3
      },
      {
        "id": "EG001",
        "title": "WBI, Trastuzumab",
        "description": "WBI, trastuzumab",
        "otherNumAtRisk": 990,
        "deathsNumAtRisk": 993,
        "otherNumAffected": 254,
        "seriousNumAtRisk": 990,
        "deathsNumAffected": 10,
        "seriousNumAffected": 9
      }
    ],
    "otherEvents": [
      {
        "term": "Fatigue",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 998,
            "numAffected": 80
          },
          {
            "groupId": "EG001",
            "numAtRisk": 990,
            "numAffected": 77
          }
        ],
        "organSystem": "General disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Dermatitis radiation",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 998,
            "numAffected": 261
          },
          {
            "groupId": "EG001",
            "numAtRisk": 990,
            "numAffected": 208
          }
        ],
        "organSystem": "Injury, poisoning and procedural complications",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      }
    ],
    "seriousEvents": [
      {
        "term": "Atrial flutter",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 998,
            "numAffected": 0
          },
          {
            "groupId": "EG001",
            "numAtRisk": 990,
            "numAffected": 1
          }
        ],
        "organSystem": "Cardiac disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Cardiac troponin I increased",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 998,
            "numAffected": 1
          },
          {
            "groupId": "EG001",
            "numAtRisk": 990,
            "numAffected": 0
          }
        ],
        "organSystem": "Investigations",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Cholecystitis",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 998,
            "numAffected": 0
          },
          {
            "groupId": "EG001",
            "numAtRisk": 990,
            "numAffected": 1
          }
        ],
        "organSystem": "Hepatobiliary disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Dehydration",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 998,
            "numAffected": 0
          },
          {
            "groupId": "EG001",
            "numAtRisk": 990,
            "numAffected": 1
          }
        ],
        "organSystem": "Metabolism and nutrition disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Hyperglycemia",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 998,
            "numAffected": 0
          },
          {
            "groupId": "EG001",
            "numAtRisk": 990,
            "numAffected": 1
          }
        ],
        "organSystem": "Metabolism and nutrition disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Hypotension",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 998,
            "numAffected": 0
          },
          {
            "groupId": "EG001",
            "numAtRisk": 990,
            "numAffected": 1
          }
        ],
        "organSystem": "Vascular disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Injury, poisoning and procedural complications - Other, specify",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 998,
            "numAffected": 0
          },
          {
            "groupId": "EG001",
            "numAtRisk": 990,
            "numAffected": 1
          }
        ],
        "organSystem": "Injury, poisoning and procedural complications",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Myocardial infarction",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 998,
            "numAffected": 1
          },
          {
            "groupId": "EG001",
            "numAtRisk": 990,
            "numAffected": 0
          }
        ],
        "organSystem": "Cardiac disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, specify",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 998,
            "numAffected": 0
          },
          {
            "groupId": "EG001",
            "numAtRisk": 990,
            "numAffected": 1
          }
        ],
        "organSystem": "Neoplasms benign, malignant and unspecified (incl cysts and polyps)",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Thromboembolic event",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 998,
            "numAffected": 0
          },
          {
            "groupId": "EG001",
            "numAtRisk": 990,
            "numAffected": 1
          }
        ],
        "organSystem": "Vascular disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Urinary tract infection",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 998,
            "numAffected": 0
          },
          {
            "groupId": "EG001",
            "numAtRisk": 990,
            "numAffected": 1
          }
        ],
        "organSystem": "Infections and infestations",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Vertigo",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 998,
            "numAffected": 0
          },
          {
            "groupId": "EG001",
            "numAtRisk": 990,
            "numAffected": 1
          }
        ],
        "organSystem": "Ear and labyrinth disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Leukemia secondary to oncology chemotherapy",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 998,
            "numAffected": 1
          },
          {
            "groupId": "EG001",
            "numAtRisk": 990,
            "numAffected": 0
          }
        ],
        "organSystem": "Neoplasms benign, malignant and unspecified (incl cysts and polyps)",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Treatment related secondary malignancy",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 998,
            "numAffected": 2
          },
          {
            "groupId": "EG001",
            "numAtRisk": 990,
            "numAffected": 1
          }
        ],
        "organSystem": "Neoplasms benign, malignant and unspecified (incl cysts and polyps)",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Lung infection",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 998,
            "numAffected": 0
          },
          {
            "groupId": "EG001",
            "numAtRisk": 990,
            "numAffected": 1
          }
        ],
        "organSystem": "Infections and infestations",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      }
    ],
    "frequencyThreshold": "5"
  },
  "outcomeMeasuresModule": {
    "outcomeMeasures": [
      {
        "type": "PRIMARY",
        "title": "Ipsilateral Invasive Breast Cancer, Ipsilateral Skin Cancer Recurrence, or Ipsilateral DCIS-Free Survival",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "1005",
                "groupId": "OG000"
              },
              {
                "value": "993",
                "groupId": "OG001"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Arm I (Standard WBI)",
            "description": "<p>Patients undergo standard WBI over 5-6 weeks.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
          },
          {
            "id": "OG001",
            "title": "Arm II (WBI, Trastuzumab)",
            "description": "<p>Patients receive trastuzumab IV over 30-90 minutes once in weeks 1 and 4. Patients also undergo WBI as in Arm I.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Trastuzumab: Given IV</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
          }
        ],
        "classes": [
          {
            "categories": [
              {
                "measurements": [
                  {
                    "value": "95.1",
                    "groupId": "OG000",
                    "lowerLimit": "93.8",
                    "upperLimit": "96.5"
                  },
                  {
                    "value": "96.1",
                    "groupId": "OG001",
                    "lowerLimit": "94.9",
                    "upperLimit": "97.3"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "NUMBER",
        "timeFrame": "5 years",
        "description": "Patients who are free from Ipsilateral Invasive Breast Cancer, Ipsilateral Skin Cancer Recurrence or Ipsilateral DCIS as estimated by (1- cumulative incidence) x 100%.",
        "unitOfMeasure": "percentage of patients event free",
        "dispersionType": "95% Confidence Interval",
        "reportingStatus": "POSTED"
      },
      {
        "type": "SECONDARY",
        "title": "Invasive or DCIS Disease-free Survival",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "1005",
                "groupId": "OG000"
              },
              {
                "value": "993",
                "groupId": "OG001"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Arm I (Standard WBI)",
            "description": "<p>Patients undergo standard WBI over 5-6 weeks.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
          },
          {
            "id": "OG001",
            "title": "Arm II (WBI, Trastuzumab)",
            "description": "<p>Patients receive trastuzumab IV over 30-90 minutes once in weeks 1 and 4. Patients also undergo WBI as in Arm I.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Trastuzumab: Given IV</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
          }
        ],
        "classes": [
          {
            "categories": [
              {
                "measurements": [
                  {
                    "value": "88.4",
                    "groupId": "OG000",
                    "lowerLimit": "86.3",
                    "upperLimit": "90.4"
                  },
                  {
                    "value": "90.6",
                    "groupId": "OG001",
                    "lowerLimit": "88.8",
                    "upperLimit": "92.5"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "NUMBER",
        "timeFrame": "5 years",
        "description": "Events for analysis of IDFS-DCIS include: local recurrence in the ipsilateral breast following lumpectomy, regional recurrence, distant recurrence, contralateral breast cancer, second primary cancer (other than squamous and basal cell carcinoma of the skin, melanoma in situ, and carcinoma in situ of the colon and cervix), or death from any cause prior to recurrence or second primary cancer.\nInvasive breast cancer, ipsilateral recurrence, and contralateral breast cancer will be compared across treatment arms using cumulative incidence functions.\nPercentage of patients by a Kaplan-Meier analysis who are free of invasive or DCIS disease",
        "unitOfMeasure": "percentage of patients event free",
        "dispersionType": "95% Confidence Interval",
        "reportingStatus": "POSTED"
      },
      {
        "type": "SECONDARY",
        "title": "Invasive or DCIS Recurrence-free Interval",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "1005",
                "groupId": "OG000"
              },
              {
                "value": "993",
                "groupId": "OG001"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Arm I (Standard WBI)",
            "description": "<p>Patients undergo standard WBI over 5-6 weeks.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
          },
          {
            "id": "OG001",
            "title": "Arm II (WBI, Trastuzumab)",
            "description": "<p>Patients receive trastuzumab IV over 30-90 minutes once in weeks 1 and 4. Patients also undergo WBI as in Arm I.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Trastuzumab: Given IV</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
          }
        ],
        "classes": [
          {
            "categories": [
              {
                "measurements": [
                  {
                    "value": "94.4",
                    "groupId": "OG000",
                    "lowerLimit": "92.9",
                    "upperLimit": "95.8"
                  },
                  {
                    "value": "95.8",
                    "groupId": "OG001",
                    "lowerLimit": "94.5",
                    "upperLimit": "97.1"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "NUMBER",
        "timeFrame": "5 years",
        "description": "Cox proportional hazards models will be used to evaluate the effect of treatment on time to event.\nThe distributions of time to event will be estimated by the Kaplan-Meier method for each treatment group and will be compared between treatments by simple and stratified log-rank tests.\nCompared across treatment arms using cumulative incidence functions.Percentage of patients who are invasive or DCIS recurrence free estimated by (1-cumulative incidence) x 100%.",
        "unitOfMeasure": "percentage of patients event free",
        "dispersionType": "95% Confidence Interval",
        "reportingStatus": "POSTED"
      },
      {
        "type": "SECONDARY",
        "title": "Invasive Regional or Distant-Free Recurrence",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "1005",
                "groupId": "OG000"
              },
              {
                "value": "993",
                "groupId": "OG001"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Arm I (Standard WBI)",
            "description": "<p>Patients undergo standard WBI over 5-6 weeks.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
          },
          {
            "id": "OG001",
            "title": "Arm II (WBI, Trastuzumab)",
            "description": "<p>Patients receive trastuzumab IV over 30-90 minutes once in weeks 1 and 4. Patients also undergo WBI as in Arm I.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Trastuzumab: Given IV</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
          }
        ],
        "classes": [
          {
            "categories": [
              {
                "measurements": [
                  {
                    "value": "99.9",
                    "groupId": "OG000",
                    "lowerLimit": "99.7",
                    "upperLimit": "100.0"
                  },
                  {
                    "value": "99.9",
                    "groupId": "OG001",
                    "lowerLimit": "99.7",
                    "upperLimit": "100.0"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "NUMBER",
        "timeFrame": "5 years",
        "description": "<p>Percentage of patients who are free of invasive regional or distant recurrence as estimated by</p><p>(1 - cumulative incidence) x 100%.</p>",
        "unitOfMeasure": "percentage of patients event free",
        "dispersionType": "95% Confidence Interval",
        "reportingStatus": "POSTED"
      },
      {
        "type": "SECONDARY",
        "title": "Contralateral Breast Cancer (Invasive or DCIS) - Free Survival",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "1005",
                "groupId": "OG000"
              },
              {
                "value": "993",
                "groupId": "OG001"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Arm I (Standard WBI)",
            "description": "<p>Patients undergo standard WBI over 5-6 weeks.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
          },
          {
            "id": "OG001",
            "title": "Arm II (WBI, Trastuzumab)",
            "description": "<p>Patients receive trastuzumab IV over 30-90 minutes once in weeks 1 and 4. Patients also undergo WBI as in Arm I.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Trastuzumab: Given IV</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
          }
        ],
        "classes": [
          {
            "categories": [
              {
                "measurements": [
                  {
                    "value": "97.9",
                    "groupId": "OG000",
                    "lowerLimit": "97.0",
                    "upperLimit": "98.8"
                  },
                  {
                    "value": "98.4",
                    "groupId": "OG001",
                    "lowerLimit": "97.6",
                    "upperLimit": "99.2"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "NUMBER",
        "timeFrame": "5 years",
        "description": "<p>Percentage of patients free of Contralateral Breast Cancer (Invasive or DCIS) as estimated by</p><p>(1- cumulative incidence) x 100%.</p>",
        "unitOfMeasure": "percentage of patients event free",
        "dispersionType": "95% Confidence Interval",
        "reportingStatus": "POSTED"
      },
      {
        "type": "SECONDARY",
        "title": "Overall Survival",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "1005",
                "groupId": "OG000"
              },
              {
                "value": "993",
                "groupId": "OG001"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Arm I (Standard WBI)",
            "description": "<p>Patients undergo standard WBI over 5-6 weeks.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
          },
          {
            "id": "OG001",
            "title": "Arm II (WBI, Trastuzumab)",
            "description": "<p>Patients receive trastuzumab IV over 30-90 minutes once in weeks 1 and 4. Patients also undergo WBI as in Arm I.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Trastuzumab: Given IV</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
          }
        ],
        "classes": [
          {
            "categories": [
              {
                "measurements": [
                  {
                    "value": "98.9",
                    "groupId": "OG000",
                    "lowerLimit": "98.2",
                    "upperLimit": "99.5"
                  },
                  {
                    "value": "99.0",
                    "groupId": "OG001",
                    "lowerLimit": "98.3",
                    "upperLimit": "99.6"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "NUMBER",
        "timeFrame": "5 years",
        "description": "Percentage of patients surviving as estimated by a Kaplan-Meier",
        "unitOfMeasure": "percentage of patients surviving",
        "dispersionType": "95% Confidence Interval",
        "reportingStatus": "POSTED"
      },
      {
        "type": "SECONDARY",
        "title": "Incidence of Post-treatment Amenorrhea in Women Who Were Premenopausal at the Time of Study Entry Premenopausal at the Time of Study Entry",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "126",
                "groupId": "OG000"
              },
              {
                "value": "121",
                "groupId": "OG001"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Arm I (Standard WBI)",
            "description": "<p>Patients undergo standard WBI over 5-6 weeks.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
          },
          {
            "id": "OG001",
            "title": "Arm II (WBI, Trastuzumab)",
            "description": "<p>Patients receive trastuzumab IV over 30-90 minutes once in weeks 1 and 4. Patients also undergo WBI as in Arm I.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Trastuzumab: Given IV</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
          }
        ],
        "classes": [
          {
            "categories": [
              {
                "measurements": [
                  {
                    "value": "63",
                    "groupId": "OG000"
                  },
                  {
                    "value": "72",
                    "groupId": "OG001"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "NUMBER",
        "timeFrame": "18 months",
        "description": "Proportion of patients who were pre-menopausal at randomization and who self-reported as not having menstrual periods afterwards",
        "unitOfMeasure": "percentage of participants",
        "reportingStatus": "POSTED",
        "populationDescription": "All patients who reported being postmenopausal at randomization who later self-reported as yes or no to whether or not they had menstrual periods."
      }
    ]
  },
  "participantFlowModule": {
    "groups": [
      {
        "id": "FG000",
        "title": "Arm I (Standard WBI)",
        "description": "<p>Patients undergo standard WBI over 5-6 weeks.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
      },
      {
        "id": "FG001",
        "title": "Arm II (WBI, Trastuzumab)",
        "description": "<p>Patients receive trastuzumab IV over 30-90 minutes once in weeks 1 and 4. Patients also undergo WBI as in Arm I.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Trastuzumab: Given IV</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
      }
    ],
    "periods": [
      {
        "title": "Overall Study",
        "milestones": [
          {
            "type": "STARTED",
            "achievements": [
              {
                "groupId": "FG000",
                "numSubjects": "1008"
              },
              {
                "groupId": "FG001",
                "numSubjects": "1006"
              }
            ]
          },
          {
            "type": "COMPLETED",
            "achievements": [
              {
                "groupId": "FG000",
                "numSubjects": "1005"
              },
              {
                "groupId": "FG001",
                "numSubjects": "993"
              }
            ]
          },
          {
            "type": "NOT COMPLETED",
            "achievements": [
              {
                "groupId": "FG000",
                "numSubjects": "3"
              },
              {
                "groupId": "FG001",
                "numSubjects": "13"
              }
            ]
          }
        ],
        "dropWithdraws": [
          {
            "type": "No follow up data mapped to Other.",
            "reasons": [
              {
                "groupId": "FG000",
                "numSubjects": "3"
              },
              {
                "groupId": "FG001",
                "numSubjects": "13"
              }
            ]
          }
        ]
      }
    ]
  },
  "baselineCharacteristicsModule": {
    "denoms": [
      {
        "units": "Participants",
        "counts": [
          {
            "value": "1008",
            "groupId": "BG000"
          },
          {
            "value": "1006",
            "groupId": "BG001"
          },
          {
            "value": "2014",
            "groupId": "BG002"
          }
        ]
      }
    ],
    "groups": [
      {
        "id": "BG000",
        "title": "Standard WBI",
        "description": "Standard WBI (Radiation Therapy)"
      },
      {
        "id": "BG001",
        "title": "WBI, Trastuzumab",
        "description": "WBI, trastuzumab (Radiation Therapy + Trastuzumab x 2 doses.\nDose 1: 8 mg&#x2F;kg IV Dose 2: 6 mg&#x2F;kg IV-given 3 weeks after dose 1"
      },
      {
        "id": "BG002",
        "title": "Total",
        "description": "Total of all reporting groups"
      }
    ],
    "measures": [
      {
        "title": "Age, Continuous",
        "classes": [
          {
            "categories": [
              {
                "measurements": [
                  {
                    "value": "56",
                    "spread": "9.3",
                    "groupId": "BG000"
                  },
                  {
                    "value": "56",
                    "spread": "8.7",
                    "groupId": "BG001"
                  },
                  {
                    "value": "56",
                    "spread": "9.0",
                    "groupId": "BG002"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "MEAN",
        "unitOfMeasure": "years",
        "dispersionType": "STANDARD_DEVIATION"
      },
      {
        "title": "Sex: Female, Male",
        "classes": [
          {
            "categories": [
              {
                "title": "Female",
                "measurements": [
                  {
                    "value": "1008",
                    "groupId": "BG000"
                  },
                  {
                    "value": "1006",
                    "groupId": "BG001"
                  },
                  {
                    "value": "2014",
                    "groupId": "BG002"
                  }
                ]
              },
              {
                "title": "Male",
                "measurements": [
                  {
                    "value": "0",
                    "groupId": "BG000"
                  },
                  {
                    "value": "0",
                    "groupId": "BG001"
                  },
                  {
                    "value": "0",
                    "groupId": "BG002"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "COUNT_OF_PARTICIPANTS",
        "unitOfMeasure": "Participants"
      },
      {
        "title": "Race (NIH&#x2F;OMB)",
        "classes": [
          {
            "categories": [
              {
                "title": "American Indian or Alaska Native",
                "measurements": [
                  {
                    "value": "5",
                    "groupId": "BG000"
                  },
                  {
                    "value": "5",
                    "groupId": "BG001"
                  },
                  {
                    "value": "10",
                    "groupId": "BG002"
                  }
                ]
              },
              {
                "title": "Asian",
                "measurements": [
                  {
                    "value": "33",
                    "groupId": "BG000"
                  },
                  {
                    "value": "43",
                    "groupId": "BG001"
                  },
                  {
                    "value": "76",
                    "groupId": "BG002"
                  }
                ]
              },
              {
                "title": "Native Hawaiian or Other Pacific Islander",
                "measurements": [
                  {
                    "value": "4",
                    "groupId": "BG000"
                  },
                  {
                    "value": "4",
                    "groupId": "BG001"
                  },
                  {
                    "value": "8",
                    "groupId": "BG002"
                  }
                ]
              },
              {
                "title": "Black or African American",
                "measurements": [
                  {
                    "value": "59",
                    "groupId": "BG000"
                  },
                  {
                    "value": "58",
                    "groupId": "BG001"
                  },
                  {
                    "value": "117",
                    "groupId": "BG002"
                  }
                ]
              },
              {
                "title": "White",
                "measurements": [
                  {
                    "value": "893",
                    "groupId": "BG000"
                  },
                  {
                    "value": "885",
                    "groupId": "BG001"
                  },
                  {
                    "value": "1778",
                    "groupId": "BG002"
                  }
                ]
              },
              {
                "title": "More than one race",
                "measurements": [
                  {
                    "value": "4",
                    "groupId": "BG000"
                  },
                  {
                    "value": "1",
                    "groupId": "BG001"
                  },
                  {
                    "value": "5",
                    "groupId": "BG002"
                  }
                ]
              },
              {
                "title": "Unknown or Not Reported",
                "measurements": [
                  {
                    "value": "10",
                    "groupId": "BG000"
                  },
                  {
                    "value": "10",
                    "groupId": "BG001"
                  },
                  {
                    "value": "20",
                    "groupId": "BG002"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "COUNT_OF_PARTICIPANTS",
        "unitOfMeasure": "Participants"
      },
      {
        "title": "Race&#x2F;Ethnicity, Customized",
        "classes": [
          {
            "title": "Latino",
            "categories": [
              {
                "measurements": [
                  {
                    "value": "45",
                    "groupId": "BG000"
                  },
                  {
                    "value": "47",
                    "groupId": "BG001"
                  },
                  {
                    "value": "92",
                    "groupId": "BG002"
                  }
                ]
              }
            ]
          },
          {
            "title": "Non-Latino",
            "categories": [
              {
                "measurements": [
                  {
                    "value": "925",
                    "groupId": "BG000"
                  },
                  {
                    "value": "920",
                    "groupId": "BG001"
                  },
                  {
                    "value": "1845",
                    "groupId": "BG002"
                  }
                ]
              }
            ]
          },
          {
            "title": "Unknown",
            "categories": [
              {
                "measurements": [
                  {
                    "value": "38",
                    "groupId": "BG000"
                  },
                  {
                    "value": "39",
                    "groupId": "BG001"
                  },
                  {
                    "value": "77",
                    "groupId": "BG002"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "COUNT_OF_PARTICIPANTS",
        "unitOfMeasure": "Participants"
      }
    ]
  }
}
Raw JSON Patch
[
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/statusVerifiedDate",
    "value": "2022-01"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdateSubmitDate",
    "value": "2022-01-31"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdatePostDateStruct/date",
    "value": "2022-02-23"
  },
  {
    "op": "add",
    "path": "/protocolSection/statusModule/resultsFirstSubmitDate",
    "value": "2021-03-23"
  },
  {
    "op": "add",
    "path": "/protocolSection/statusModule/resultsFirstSubmitQcDate",
    "value": "2022-01-31"
  },
  {
    "op": "add",
    "path": "/protocolSection/statusModule/resultsFirstPostDateStruct",
    "value": {
      "date": "2022-02-23",
      "type": "ACTUAL"
    }
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/primaryOutcomes/0/measure",
    "value": "Ipsilateral Invasive Breast Cancer, Ipsilateral Skin Cancer Recurrence, or Ipsilateral DCIS-Free Survival"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/primaryOutcomes/0/description",
    "value": "Patients who are free from Ipsilateral Invasive Breast Cancer, Ipsilateral Skin Cancer Recurrence or Ipsilateral DCIS as estimated by (1- cumulative incidence) x 100%."
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/primaryOutcomes/0/timeFrame",
    "value": "5 years"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/0/measure",
    "value": "Invasive or DCIS Disease-free Survival"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/0/description",
    "value": "Events for analysis of IDFS-DCIS include: local recurrence in the ipsilateral breast following lumpectomy, regional recurrence, distant recurrence, contralateral breast cancer, second primary cancer (other than squamous and basal cell carcinoma of the skin, melanoma in situ, and carcinoma in situ of the colon and cervix), or death from any cause prior to recurrence or second primary cancer.\nInvasive breast cancer, ipsilateral recurrence, and contralateral breast cancer will be compared across treatment arms using cumulative incidence functions.\nPercentage of patients by a Kaplan-Meier analysis who are free of invasive or DCIS disease"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/0/timeFrame",
    "value": "5 years"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/1/measure",
    "value": "Invasive or DCIS Recurrence-free Interval"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/1/description",
    "value": "Cox proportional hazards models will be used to evaluate the effect of treatment on time to event.\nThe distributions of time to event will be estimated by the Kaplan-Meier method for each treatment group and will be compared between treatments by simple and stratified log-rank tests.\nCompared across treatment arms using cumulative incidence functions.Percentage of patients who are invasive or DCIS recurrence free estimated by (1-cumulative incidence) x 100%."
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/1/timeFrame",
    "value": "5 years"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/2/measure",
    "value": "Invasive Regional or Distant-Free Recurrence"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/2/description",
    "value": "<p>Percentage of patients who are free of invasive regional or distant recurrence as estimated by</p><p>(1 - cumulative incidence) x 100%.</p>"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/2/timeFrame",
    "value": "5 years"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/3/measure",
    "value": "Contralateral Breast Cancer (Invasive or DCIS) - Free Survival"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/3/description",
    "value": "<p>Percentage of patients free of Contralateral Breast Cancer (Invasive or DCIS) as estimated by</p><p>(1- cumulative incidence) x 100%.</p>"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/3/timeFrame",
    "value": "5 years"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/4/measure",
    "value": "Overall Survival"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/4/description",
    "value": "Percentage of patients surviving as estimated by a Kaplan-Meier"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/4/timeFrame",
    "value": "5 years"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/5/measure",
    "value": "Incidence of Post-treatment Amenorrhea in Women Who Were Premenopausal at the Time of Study Entry Premenopausal at the Time of Study Entry"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/5/description",
    "value": "Proportion of patients who were pre-menopausal at randomization and who self-reported as not having menstrual periods afterwards"
  },
  {
    "op": "remove",
    "path": "/annotationSection"
  },
  {
    "op": "replace",
    "path": "/hasResults",
    "value": true
  },
  {
    "op": "add",
    "path": "/resultsSection",
    "value": {
      "moreInfoModule": {
        "pointOfContact": {
          "email": "langerj@nrgoncology.org",
          "phone": "412-339-5300",
          "title": "Director, Department of Regulatory Affairs",
          "organization": "NRG Oncology"
        },
        "certainAgreement": {
          "restrictionType": "LTE60",
          "piSponsorEmployee": false,
          "restrictiveAgreement": true
        }
      },
      "adverseEventsModule": {
        "timeFrame": "All Cause Mortality-5 years: Adverse Events: While on study therapy, Day 1 of 1st dose through 30 days after Day 1 of last dose.",
        "description": "All Cause mortality at 5-years is the proportion of all patients with follow-up information who have died within the first 5 years after randomization.\nAdverse event proportions only include patients who had reported AE forms during the period of 30 days after their 1st last dose of protocol therapy.",
        "eventGroups": [
          {
            "id": "EG000",
            "title": "Standard WBI",
            "description": "standard WBI",
            "otherNumAtRisk": 998,
            "deathsNumAtRisk": 1005,
            "otherNumAffected": 292,
            "seriousNumAtRisk": 998,
            "deathsNumAffected": 11,
            "seriousNumAffected": 3
          },
          {
            "id": "EG001",
            "title": "WBI, Trastuzumab",
            "description": "WBI, trastuzumab",
            "otherNumAtRisk": 990,
            "deathsNumAtRisk": 993,
            "otherNumAffected": 254,
            "seriousNumAtRisk": 990,
            "deathsNumAffected": 10,
            "seriousNumAffected": 9
          }
        ],
        "otherEvents": [
          {
            "term": "Fatigue",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 998,
                "numAffected": 80
              },
              {
                "groupId": "EG001",
                "numAtRisk": 990,
                "numAffected": 77
              }
            ],
            "organSystem": "General disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Dermatitis radiation",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 998,
                "numAffected": 261
              },
              {
                "groupId": "EG001",
                "numAtRisk": 990,
                "numAffected": 208
              }
            ],
            "organSystem": "Injury, poisoning and procedural complications",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          }
        ],
        "seriousEvents": [
          {
            "term": "Atrial flutter",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 998,
                "numAffected": 0
              },
              {
                "groupId": "EG001",
                "numAtRisk": 990,
                "numAffected": 1
              }
            ],
            "organSystem": "Cardiac disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Cardiac troponin I increased",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 998,
                "numAffected": 1
              },
              {
                "groupId": "EG001",
                "numAtRisk": 990,
                "numAffected": 0
              }
            ],
            "organSystem": "Investigations",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Cholecystitis",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 998,
                "numAffected": 0
              },
              {
                "groupId": "EG001",
                "numAtRisk": 990,
                "numAffected": 1
              }
            ],
            "organSystem": "Hepatobiliary disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Dehydration",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 998,
                "numAffected": 0
              },
              {
                "groupId": "EG001",
                "numAtRisk": 990,
                "numAffected": 1
              }
            ],
            "organSystem": "Metabolism and nutrition disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Hyperglycemia",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 998,
                "numAffected": 0
              },
              {
                "groupId": "EG001",
                "numAtRisk": 990,
                "numAffected": 1
              }
            ],
            "organSystem": "Metabolism and nutrition disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Hypotension",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 998,
                "numAffected": 0
              },
              {
                "groupId": "EG001",
                "numAtRisk": 990,
                "numAffected": 1
              }
            ],
            "organSystem": "Vascular disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Injury, poisoning and procedural complications - Other, specify",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 998,
                "numAffected": 0
              },
              {
                "groupId": "EG001",
                "numAtRisk": 990,
                "numAffected": 1
              }
            ],
            "organSystem": "Injury, poisoning and procedural complications",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Myocardial infarction",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 998,
                "numAffected": 1
              },
              {
                "groupId": "EG001",
                "numAtRisk": 990,
                "numAffected": 0
              }
            ],
            "organSystem": "Cardiac disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, specify",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 998,
                "numAffected": 0
              },
              {
                "groupId": "EG001",
                "numAtRisk": 990,
                "numAffected": 1
              }
            ],
            "organSystem": "Neoplasms benign, malignant and unspecified (incl cysts and polyps)",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Thromboembolic event",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 998,
                "numAffected": 0
              },
              {
                "groupId": "EG001",
                "numAtRisk": 990,
                "numAffected": 1
              }
            ],
            "organSystem": "Vascular disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Urinary tract infection",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 998,
                "numAffected": 0
              },
              {
                "groupId": "EG001",
                "numAtRisk": 990,
                "numAffected": 1
              }
            ],
            "organSystem": "Infections and infestations",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Vertigo",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 998,
                "numAffected": 0
              },
              {
                "groupId": "EG001",
                "numAtRisk": 990,
                "numAffected": 1
              }
            ],
            "organSystem": "Ear and labyrinth disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Leukemia secondary to oncology chemotherapy",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 998,
                "numAffected": 1
              },
              {
                "groupId": "EG001",
                "numAtRisk": 990,
                "numAffected": 0
              }
            ],
            "organSystem": "Neoplasms benign, malignant and unspecified (incl cysts and polyps)",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Treatment related secondary malignancy",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 998,
                "numAffected": 2
              },
              {
                "groupId": "EG001",
                "numAtRisk": 990,
                "numAffected": 1
              }
            ],
            "organSystem": "Neoplasms benign, malignant and unspecified (incl cysts and polyps)",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Lung infection",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 998,
                "numAffected": 0
              },
              {
                "groupId": "EG001",
                "numAtRisk": 990,
                "numAffected": 1
              }
            ],
            "organSystem": "Infections and infestations",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          }
        ],
        "frequencyThreshold": "5"
      },
      "outcomeMeasuresModule": {
        "outcomeMeasures": [
          {
            "type": "PRIMARY",
            "title": "Ipsilateral Invasive Breast Cancer, Ipsilateral Skin Cancer Recurrence, or Ipsilateral DCIS-Free Survival",
            "denoms": [
              {
                "units": "Participants",
                "counts": [
                  {
                    "value": "1005",
                    "groupId": "OG000"
                  },
                  {
                    "value": "993",
                    "groupId": "OG001"
                  }
                ]
              }
            ],
            "groups": [
              {
                "id": "OG000",
                "title": "Arm I (Standard WBI)",
                "description": "<p>Patients undergo standard WBI over 5-6 weeks.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
              },
              {
                "id": "OG001",
                "title": "Arm II (WBI, Trastuzumab)",
                "description": "<p>Patients receive trastuzumab IV over 30-90 minutes once in weeks 1 and 4. Patients also undergo WBI as in Arm I.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Trastuzumab: Given IV</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
              }
            ],
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "95.1",
                        "groupId": "OG000",
                        "lowerLimit": "93.8",
                        "upperLimit": "96.5"
                      },
                      {
                        "value": "96.1",
                        "groupId": "OG001",
                        "lowerLimit": "94.9",
                        "upperLimit": "97.3"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "NUMBER",
            "timeFrame": "5 years",
            "description": "Patients who are free from Ipsilateral Invasive Breast Cancer, Ipsilateral Skin Cancer Recurrence or Ipsilateral DCIS as estimated by (1- cumulative incidence) x 100%.",
            "unitOfMeasure": "percentage of patients event free",
            "dispersionType": "95% Confidence Interval",
            "reportingStatus": "POSTED"
          },
          {
            "type": "SECONDARY",
            "title": "Invasive or DCIS Disease-free Survival",
            "denoms": [
              {
                "units": "Participants",
                "counts": [
                  {
                    "value": "1005",
                    "groupId": "OG000"
                  },
                  {
                    "value": "993",
                    "groupId": "OG001"
                  }
                ]
              }
            ],
            "groups": [
              {
                "id": "OG000",
                "title": "Arm I (Standard WBI)",
                "description": "<p>Patients undergo standard WBI over 5-6 weeks.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
              },
              {
                "id": "OG001",
                "title": "Arm II (WBI, Trastuzumab)",
                "description": "<p>Patients receive trastuzumab IV over 30-90 minutes once in weeks 1 and 4. Patients also undergo WBI as in Arm I.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Trastuzumab: Given IV</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
              }
            ],
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "88.4",
                        "groupId": "OG000",
                        "lowerLimit": "86.3",
                        "upperLimit": "90.4"
                      },
                      {
                        "value": "90.6",
                        "groupId": "OG001",
                        "lowerLimit": "88.8",
                        "upperLimit": "92.5"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "NUMBER",
            "timeFrame": "5 years",
            "description": "Events for analysis of IDFS-DCIS include: local recurrence in the ipsilateral breast following lumpectomy, regional recurrence, distant recurrence, contralateral breast cancer, second primary cancer (other than squamous and basal cell carcinoma of the skin, melanoma in situ, and carcinoma in situ of the colon and cervix), or death from any cause prior to recurrence or second primary cancer.\nInvasive breast cancer, ipsilateral recurrence, and contralateral breast cancer will be compared across treatment arms using cumulative incidence functions.\nPercentage of patients by a Kaplan-Meier analysis who are free of invasive or DCIS disease",
            "unitOfMeasure": "percentage of patients event free",
            "dispersionType": "95% Confidence Interval",
            "reportingStatus": "POSTED"
          },
          {
            "type": "SECONDARY",
            "title": "Invasive or DCIS Recurrence-free Interval",
            "denoms": [
              {
                "units": "Participants",
                "counts": [
                  {
                    "value": "1005",
                    "groupId": "OG000"
                  },
                  {
                    "value": "993",
                    "groupId": "OG001"
                  }
                ]
              }
            ],
            "groups": [
              {
                "id": "OG000",
                "title": "Arm I (Standard WBI)",
                "description": "<p>Patients undergo standard WBI over 5-6 weeks.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
              },
              {
                "id": "OG001",
                "title": "Arm II (WBI, Trastuzumab)",
                "description": "<p>Patients receive trastuzumab IV over 30-90 minutes once in weeks 1 and 4. Patients also undergo WBI as in Arm I.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Trastuzumab: Given IV</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
              }
            ],
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "94.4",
                        "groupId": "OG000",
                        "lowerLimit": "92.9",
                        "upperLimit": "95.8"
                      },
                      {
                        "value": "95.8",
                        "groupId": "OG001",
                        "lowerLimit": "94.5",
                        "upperLimit": "97.1"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "NUMBER",
            "timeFrame": "5 years",
            "description": "Cox proportional hazards models will be used to evaluate the effect of treatment on time to event.\nThe distributions of time to event will be estimated by the Kaplan-Meier method for each treatment group and will be compared between treatments by simple and stratified log-rank tests.\nCompared across treatment arms using cumulative incidence functions.Percentage of patients who are invasive or DCIS recurrence free estimated by (1-cumulative incidence) x 100%.",
            "unitOfMeasure": "percentage of patients event free",
            "dispersionType": "95% Confidence Interval",
            "reportingStatus": "POSTED"
          },
          {
            "type": "SECONDARY",
            "title": "Invasive Regional or Distant-Free Recurrence",
            "denoms": [
              {
                "units": "Participants",
                "counts": [
                  {
                    "value": "1005",
                    "groupId": "OG000"
                  },
                  {
                    "value": "993",
                    "groupId": "OG001"
                  }
                ]
              }
            ],
            "groups": [
              {
                "id": "OG000",
                "title": "Arm I (Standard WBI)",
                "description": "<p>Patients undergo standard WBI over 5-6 weeks.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
              },
              {
                "id": "OG001",
                "title": "Arm II (WBI, Trastuzumab)",
                "description": "<p>Patients receive trastuzumab IV over 30-90 minutes once in weeks 1 and 4. Patients also undergo WBI as in Arm I.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Trastuzumab: Given IV</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
              }
            ],
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "99.9",
                        "groupId": "OG000",
                        "lowerLimit": "99.7",
                        "upperLimit": "100.0"
                      },
                      {
                        "value": "99.9",
                        "groupId": "OG001",
                        "lowerLimit": "99.7",
                        "upperLimit": "100.0"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "NUMBER",
            "timeFrame": "5 years",
            "description": "<p>Percentage of patients who are free of invasive regional or distant recurrence as estimated by</p><p>(1 - cumulative incidence) x 100%.</p>",
            "unitOfMeasure": "percentage of patients event free",
            "dispersionType": "95% Confidence Interval",
            "reportingStatus": "POSTED"
          },
          {
            "type": "SECONDARY",
            "title": "Contralateral Breast Cancer (Invasive or DCIS) - Free Survival",
            "denoms": [
              {
                "units": "Participants",
                "counts": [
                  {
                    "value": "1005",
                    "groupId": "OG000"
                  },
                  {
                    "value": "993",
                    "groupId": "OG001"
                  }
                ]
              }
            ],
            "groups": [
              {
                "id": "OG000",
                "title": "Arm I (Standard WBI)",
                "description": "<p>Patients undergo standard WBI over 5-6 weeks.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
              },
              {
                "id": "OG001",
                "title": "Arm II (WBI, Trastuzumab)",
                "description": "<p>Patients receive trastuzumab IV over 30-90 minutes once in weeks 1 and 4. Patients also undergo WBI as in Arm I.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Trastuzumab: Given IV</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
              }
            ],
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "97.9",
                        "groupId": "OG000",
                        "lowerLimit": "97.0",
                        "upperLimit": "98.8"
                      },
                      {
                        "value": "98.4",
                        "groupId": "OG001",
                        "lowerLimit": "97.6",
                        "upperLimit": "99.2"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "NUMBER",
            "timeFrame": "5 years",
            "description": "<p>Percentage of patients free of Contralateral Breast Cancer (Invasive or DCIS) as estimated by</p><p>(1- cumulative incidence) x 100%.</p>",
            "unitOfMeasure": "percentage of patients event free",
            "dispersionType": "95% Confidence Interval",
            "reportingStatus": "POSTED"
          },
          {
            "type": "SECONDARY",
            "title": "Overall Survival",
            "denoms": [
              {
                "units": "Participants",
                "counts": [
                  {
                    "value": "1005",
                    "groupId": "OG000"
                  },
                  {
                    "value": "993",
                    "groupId": "OG001"
                  }
                ]
              }
            ],
            "groups": [
              {
                "id": "OG000",
                "title": "Arm I (Standard WBI)",
                "description": "<p>Patients undergo standard WBI over 5-6 weeks.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
              },
              {
                "id": "OG001",
                "title": "Arm II (WBI, Trastuzumab)",
                "description": "<p>Patients receive trastuzumab IV over 30-90 minutes once in weeks 1 and 4. Patients also undergo WBI as in Arm I.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Trastuzumab: Given IV</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
              }
            ],
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "98.9",
                        "groupId": "OG000",
                        "lowerLimit": "98.2",
                        "upperLimit": "99.5"
                      },
                      {
                        "value": "99.0",
                        "groupId": "OG001",
                        "lowerLimit": "98.3",
                        "upperLimit": "99.6"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "NUMBER",
            "timeFrame": "5 years",
            "description": "Percentage of patients surviving as estimated by a Kaplan-Meier",
            "unitOfMeasure": "percentage of patients surviving",
            "dispersionType": "95% Confidence Interval",
            "reportingStatus": "POSTED"
          },
          {
            "type": "SECONDARY",
            "title": "Incidence of Post-treatment Amenorrhea in Women Who Were Premenopausal at the Time of Study Entry Premenopausal at the Time of Study Entry",
            "denoms": [
              {
                "units": "Participants",
                "counts": [
                  {
                    "value": "126",
                    "groupId": "OG000"
                  },
                  {
                    "value": "121",
                    "groupId": "OG001"
                  }
                ]
              }
            ],
            "groups": [
              {
                "id": "OG000",
                "title": "Arm I (Standard WBI)",
                "description": "<p>Patients undergo standard WBI over 5-6 weeks.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
              },
              {
                "id": "OG001",
                "title": "Arm II (WBI, Trastuzumab)",
                "description": "<p>Patients receive trastuzumab IV over 30-90 minutes once in weeks 1 and 4. Patients also undergo WBI as in Arm I.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Trastuzumab: Given IV</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
              }
            ],
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "63",
                        "groupId": "OG000"
                      },
                      {
                        "value": "72",
                        "groupId": "OG001"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "NUMBER",
            "timeFrame": "18 months",
            "description": "Proportion of patients who were pre-menopausal at randomization and who self-reported as not having menstrual periods afterwards",
            "unitOfMeasure": "percentage of participants",
            "reportingStatus": "POSTED",
            "populationDescription": "All patients who reported being postmenopausal at randomization who later self-reported as yes or no to whether or not they had menstrual periods."
          }
        ]
      },
      "participantFlowModule": {
        "groups": [
          {
            "id": "FG000",
            "title": "Arm I (Standard WBI)",
            "description": "<p>Patients undergo standard WBI over 5-6 weeks.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
          },
          {
            "id": "FG001",
            "title": "Arm II (WBI, Trastuzumab)",
            "description": "<p>Patients receive trastuzumab IV over 30-90 minutes once in weeks 1 and 4. Patients also undergo WBI as in Arm I.</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Trastuzumab: Given IV</p><p>Whole Breast Irradiation: Undergo standard whole breast irradiation</p>"
          }
        ],
        "periods": [
          {
            "title": "Overall Study",
            "milestones": [
              {
                "type": "STARTED",
                "achievements": [
                  {
                    "groupId": "FG000",
                    "numSubjects": "1008"
                  },
                  {
                    "groupId": "FG001",
                    "numSubjects": "1006"
                  }
                ]
              },
              {
                "type": "COMPLETED",
                "achievements": [
                  {
                    "groupId": "FG000",
                    "numSubjects": "1005"
                  },
                  {
                    "groupId": "FG001",
                    "numSubjects": "993"
                  }
                ]
              },
              {
                "type": "NOT COMPLETED",
                "achievements": [
                  {
                    "groupId": "FG000",
                    "numSubjects": "3"
                  },
                  {
                    "groupId": "FG001",
                    "numSubjects": "13"
                  }
                ]
              }
            ],
            "dropWithdraws": [
              {
                "type": "No follow up data mapped to Other.",
                "reasons": [
                  {
                    "groupId": "FG000",
                    "numSubjects": "3"
                  },
                  {
                    "groupId": "FG001",
                    "numSubjects": "13"
                  }
                ]
              }
            ]
          }
        ]
      },
      "baselineCharacteristicsModule": {
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "1008",
                "groupId": "BG000"
              },
              {
                "value": "1006",
                "groupId": "BG001"
              },
              {
                "value": "2014",
                "groupId": "BG002"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "BG000",
            "title": "Standard WBI",
            "description": "Standard WBI (Radiation Therapy)"
          },
          {
            "id": "BG001",
            "title": "WBI, Trastuzumab",
            "description": "WBI, trastuzumab (Radiation Therapy + Trastuzumab x 2 doses.\nDose 1: 8 mg&#x2F;kg IV Dose 2: 6 mg&#x2F;kg IV-given 3 weeks after dose 1"
          },
          {
            "id": "BG002",
            "title": "Total",
            "description": "Total of all reporting groups"
          }
        ],
        "measures": [
          {
            "title": "Age, Continuous",
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "56",
                        "spread": "9.3",
                        "groupId": "BG000"
                      },
                      {
                        "value": "56",
                        "spread": "8.7",
                        "groupId": "BG001"
                      },
                      {
                        "value": "56",
                        "spread": "9.0",
                        "groupId": "BG002"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "MEAN",
            "unitOfMeasure": "years",
            "dispersionType": "STANDARD_DEVIATION"
          },
          {
            "title": "Sex: Female, Male",
            "classes": [
              {
                "categories": [
                  {
                    "title": "Female",
                    "measurements": [
                      {
                        "value": "1008",
                        "groupId": "BG000"
                      },
                      {
                        "value": "1006",
                        "groupId": "BG001"
                      },
                      {
                        "value": "2014",
                        "groupId": "BG002"
                      }
                    ]
                  },
                  {
                    "title": "Male",
                    "measurements": [
                      {
                        "value": "0",
                        "groupId": "BG000"
                      },
                      {
                        "value": "0",
                        "groupId": "BG001"
                      },
                      {
                        "value": "0",
                        "groupId": "BG002"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "COUNT_OF_PARTICIPANTS",
            "unitOfMeasure": "Participants"
          },
          {
            "title": "Race (NIH&#x2F;OMB)",
            "classes": [
              {
                "categories": [
                  {
                    "title": "American Indian or Alaska Native",
                    "measurements": [
                      {
                        "value": "5",
                        "groupId": "BG000"
                      },
                      {
                        "value": "5",
                        "groupId": "BG001"
                      },
                      {
                        "value": "10",
                        "groupId": "BG002"
                      }
                    ]
                  },
                  {
                    "title": "Asian",
                    "measurements": [
                      {
                        "value": "33",
                        "groupId": "BG000"
                      },
                      {
                        "value": "43",
                        "groupId": "BG001"
                      },
                      {
                        "value": "76",
                        "groupId": "BG002"
                      }
                    ]
                  },
                  {
                    "title": "Native Hawaiian or Other Pacific Islander",
                    "measurements": [
                      {
                        "value": "4",
                        "groupId": "BG000"
                      },
                      {
                        "value": "4",
                        "groupId": "BG001"
                      },
                      {
                        "value": "8",
                        "groupId": "BG002"
                      }
                    ]
                  },
                  {
                    "title": "Black or African American",
                    "measurements": [
                      {
                        "value": "59",
                        "groupId": "BG000"
                      },
                      {
                        "value": "58",
                        "groupId": "BG001"
                      },
                      {
                        "value": "117",
                        "groupId": "BG002"
                      }
                    ]
                  },
                  {
                    "title": "White",
                    "measurements": [
                      {
                        "value": "893",
                        "groupId": "BG000"
                      },
                      {
                        "value": "885",
                        "groupId": "BG001"
                      },
                      {
                        "value": "1778",
                        "groupId": "BG002"
                      }
                    ]
                  },
                  {
                    "title": "More than one race",
                    "measurements": [
                      {
                        "value": "4",
                        "groupId": "BG000"
                      },
                      {
                        "value": "1",
                        "groupId": "BG001"
                      },
                      {
                        "value": "5",
                        "groupId": "BG002"
                      }
                    ]
                  },
                  {
                    "title": "Unknown or Not Reported",
                    "measurements": [
                      {
                        "value": "10",
                        "groupId": "BG000"
                      },
                      {
                        "value": "10",
                        "groupId": "BG001"
                      },
                      {
                        "value": "20",
                        "groupId": "BG002"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "COUNT_OF_PARTICIPANTS",
            "unitOfMeasure": "Participants"
          },
          {
            "title": "Race&#x2F;Ethnicity, Customized",
            "classes": [
              {
                "title": "Latino",
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "45",
                        "groupId": "BG000"
                      },
                      {
                        "value": "47",
                        "groupId": "BG001"
                      },
                      {
                        "value": "92",
                        "groupId": "BG002"
                      }
                    ]
                  }
                ]
              },
              {
                "title": "Non-Latino",
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "925",
                        "groupId": "BG000"
                      },
                      {
                        "value": "920",
                        "groupId": "BG001"
                      },
                      {
                        "value": "1845",
                        "groupId": "BG002"
                      }
                    ]
                  }
                ]
              },
              {
                "title": "Unknown",
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "38",
                        "groupId": "BG000"
                      },
                      {
                        "value": "39",
                        "groupId": "BG001"
                      },
                      {
                        "value": "77",
                        "groupId": "BG002"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "COUNT_OF_PARTICIPANTS",
            "unitOfMeasure": "Participants"
          }
        ]
      }
    }
  }
]