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NCT01275677

Chemotherapy With or Without Trastuzumab After Surgery in Treating Women With Invasive Breast Cancer

Version 907 to 908 · National Cancer Institute (NCI)

Patch inspector

Version 907 to 908

35 operations 4 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
enrollment_count_change
Value signals
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      "/protocolSection/outcomesModule/secondaryOutcomes/0/measure",
      "/protocolSection/outcomesModule/secondaryOutcomes/0/timeFrame",
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      "/protocolSection/outcomesModule/secondaryOutcomes/1/measure",
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    "signal": "results_reconciliation_outcome_suppression",
    "category": "results_reconciliation",
    "severity": "low"
  }
]
Provenance
Source
ctgov_internal_history
Fetched
2026-06-18 19:10:06+00
Raw hash
8ae354c2100c1d29e6d9fb13e8fb07e9474d2219e10d012602cf6e7be077a67c
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 9
Matched rules
  • primary_outcome_any_change Any add/remove/replace under primary outcome measures is critical review priority.
Before
IDFS
After
Percentage of Patients Alive and Free From Invasive Disease (IDFS)
replace /protocolSection/outcomesModule/primaryOutcomes/0/timeFrame
Triage: Critical
Primary Outcome Change Operation 10
Matched rules
  • primary_outcome_any_change Any add/remove/replace under primary outcome measures is critical review priority.
Before
Time to local, regional, or distant recurrence, second non-breast primary breast cancer, or death from any cause, assessed up to 10 years
After
5 years
add /protocolSection/outcomesModule/primaryOutcomes/0/description
Triage: Critical
Primary Outcome Change Operation 11
Matched rules
  • primary_outcome_any_change Any add/remove/replace under primary outcome measures is critical review priority.
After
Percentage of patients free from an invasive disease-free survival event where events include any invasive recurrence, contralateral invasive breast cancer, second non-breast primary cancer (excluding squamous or basal cell carcinoma of the skin), or death from any cause.
Design Trial model, phase, allocation, masking, arms, or interventions. Triage: High 1 ops
replace /protocolSection/designModule/enrollmentInfo/count
Triage: High
Enrollment Change Operation 8
Matched rules
  • enrollment_count_change Enrollment count changes can signal scope or feasibility shifts.
Before
3220
After
3270
Secondary outcomes Additional endpoints and outcome descriptions. Triage: High 20 ops
replace /protocolSection/outcomesModule/secondaryOutcomes/0/measure
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
DFS-DCIS
After
Percentage of Patients Alive and Disease-Free (DFS-DCIS)
replace /protocolSection/outcomesModule/secondaryOutcomes/0/timeFrame
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
Up to 10 years
After
5 years
add /protocolSection/outcomesModule/secondaryOutcomes/0/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.
After
Percentage of patients free from a disease-free survival event where events include local recurrence (invasive or DCIS), regional or distant recurrence, contralateral breast cancer (invasive or DCIS), second primary cancer (excluding squamous or basal cell carcinoma of the skin), or death from any cause.
replace /protocolSection/outcomesModule/secondaryOutcomes/1/measure
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
BCFS
After
Percentage of Patients Alive and Free From Breast Cancer (BCFS)
replace /protocolSection/outcomesModule/secondaryOutcomes/1/timeFrame
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
From randomization until local recurrence, or death from any cause, assessed up to 10 years
After
5 years
add /protocolSection/outcomesModule/secondaryOutcomes/1/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.
After
Percentage of patients free from a breast cancer-free survival event where events include local recurrence (invasive or DCIS), regional or distant recurrence, contralateral breast cancer (invasive or DCIS), or death from any cause.
replace /protocolSection/outcomesModule/secondaryOutcomes/2/measure
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
RFI
After
Percentage of Patients Alive and Recurrence-Free (RFI)
replace /protocolSection/outcomesModule/secondaryOutcomes/2/timeFrame
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
From randomization until invasive local, regional, or distant recurrence, or death from breast cancer, assessed up to 10 years
After
5 years
add /protocolSection/outcomesModule/secondaryOutcomes/2/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.
After
Percentage of patients free from a recurrence-free interval event where events include invasive local, regional, or distant recurrence, or death from breast cancer (censored for death from other causes).
replace /protocolSection/outcomesModule/secondaryOutcomes/3/measure
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
DRFI
After
Percentage of Patients Alive and Free From Distant Recurrence (DRFI)
replace /protocolSection/outcomesModule/secondaryOutcomes/3/timeFrame
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
From randomization until the first diagnosis of distant metastasis or death from breast cancer, assessed up to 10 years
After
5 years
add /protocolSection/outcomesModule/secondaryOutcomes/3/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.
After
Percentage of patients free from a distant recurrence-free interval event where events include distant recurrence or death from breast cancer (censored for deaths from other causes), regardless of occurrence of any intervening local or regional recurrences, contralateral breast cancers, or non-breast second primary cancer.
replace /protocolSection/outcomesModule/secondaryOutcomes/4/measure
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
OS
After
Percentage of Patients Alive (Overall Survival)
replace /protocolSection/outcomesModule/secondaryOutcomes/4/timeFrame
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
From randomization to death from any cause, assessed up to 10 years
After
5 years
add /protocolSection/outcomesModule/secondaryOutcomes/4/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.
After
Percentage of patients alive.
replace /protocolSection/outcomesModule/secondaryOutcomes/5/measure
Triage: High
Secondary Outcome Change Operation 27
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Incidence of adverse events using the National Cancer Institute CTCAE v4.0
After
Toxicity Assessed by Adverse Events
replace /protocolSection/outcomesModule/secondaryOutcomes/5/description
Triage: High
Secondary Outcome Change Operation 28
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
The frequency and severity of adverse events will be graded.
After
Percentage of patients who ever experienced grade 2 or higher toxicites.
replace /protocolSection/outcomesModule/secondaryOutcomes/5/timeFrame
Triage: High
Secondary Outcome Change Operation 29
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Up to 30 days
After
While on study therapy. Day 1 of first dose through 30 days after Day 1 of last dose.
replace /protocolSection/outcomesModule/secondaryOutcomes/6/measure
Triage: High
Secondary Outcome Change Operation 30
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Change in HER2 mRNA level
After
Change in HER2 mRNA Level
replace /protocolSection/outcomesModule/secondaryOutcomes/7/measure
Triage: High
Secondary Outcome Change Operation 31
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Fcgamma receptor polymorphism
After
Fcgamma Receptor Polymorphism
Other registry fields Changes outside the current high-signal rule families. Triage: Uncategorized 11 ops
replace /protocolSection/statusModule/statusVerifiedDate
Triage: Uncategorized
Uncategorized Operation 1
Before
2019-05
After
2020-09
replace /protocolSection/statusModule/lastUpdateSubmitDate
Triage: Uncategorized
Uncategorized Operation 2
Before
2019-05-01
After
2020-09-01
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized
Uncategorized Operation 3
Before
2019-05-03
After
2020-09-23
add /protocolSection/statusModule/resultsFirstSubmitDate
Triage: Uncategorized
Uncategorized Operation 4
After
2020-05-06
add /protocolSection/statusModule/resultsFirstSubmitQcDate
Triage: Uncategorized
Uncategorized Operation 5
After
2020-09-01
add /protocolSection/statusModule/resultsFirstPostDateStruct
Triage: Uncategorized
Uncategorized Operation 6
After
{
  "date": "2020-09-23",
  "type": "ACTUAL"
}
replace /protocolSection/descriptionModule/briefSummary
Triage: Uncategorized
Uncategorized Operation 7
Before
This randomized phase III clinical trial studies chemotherapy with or without trastuzumab after surgery to see how well they work in treating women with invasive breast cancer.
Drugs used in chemotherapy work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading.
Giving more than one drug (combination chemotherapy) and giving chemotherapy after surgery may kill more tumor cells.
Monoclonal antibodies, such as trastuzumab, can block cancer growth in different ways.
Some block the ability of tumor cells to grow and spread.
Others find tumor cells and help kill them or carry tumor-killing substances to them.
It is not yet known whether combination chemotherapy is more effective with trastuzumab in treating breast cancer.
After
This randomized phase III clinical trial studies chemotherapy with or without trastuzumab after surgery to see how well they work in treating women with HER2-low invasive breast cancer.
Drugs used in chemotherapy work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading.
Giving more than one drug (combination chemotherapy) and giving chemotherapy after surgery may kill more tumor cells.
Monoclonal antibodies, such as trastuzumab, can block cancer growth in different ways.
Some block the ability of tumor cells to grow and spread.
Others find tumor cells and help kill them or carry tumor-killing substances to them.
It is not yet known whether combination chemotherapy is more effective with trastuzumab in treating HER2-low breast cancer.
remove /annotationSection
Triage: Uncategorized
Uncategorized Operation 32
Before
{
  "annotationModule": {
    "unpostedAnnotation": {
      "unpostedEvents": [
        {
          "date": "2020-05-06",
          "type": "RELEASE"
        },
        {
          "date": "2020-05-29",
          "type": "RESET"
        },
        {
          "date": "2020-07-09",
          "type": "RELEASE"
        },
        {
          "date": "2020-07-31",
          "type": "RESET"
        }
      ],
      "unpostedResponsibleParty": "National Cancer Institute (NCI)"
    }
  }
}
replace /documentSection/largeDocumentModule/largeDocs/0/date
Triage: Uncategorized
Uncategorized Operation 33
Before
2011-01-18
After
2018-02-08
replace /hasResults
Triage: Uncategorized
Uncategorized Operation 34
Before
false
After
true
add /resultsSection
Triage: Uncategorized
Uncategorized Operation 35
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 first dose through 30 days after Day 1 of last dose.",
    "description": "B-47 used standard AE reporting based on the descriptions and grading scales found in the revised NCI Common Terminology Criteria for Adverse Events (CTCAE) version 4.0.\nThe total at-risk patient groups for adverse events reflect the number of patients who had an AE form or an AdEERS report submitted.\nThe at risk group for all-cause mortality reflects the number who submitted an AE form, an AdEERS report, or a follow-up form, (including follow-up by telephone only).",
    "eventGroups": [
      {
        "id": "EG000",
        "title": "Arm I (Chemotherapy)",
        "description": "Arm I (chemotherapy)",
        "otherNumAtRisk": 1615,
        "deathsNumAtRisk": 1622,
        "otherNumAffected": 1362,
        "seriousNumAtRisk": 1615,
        "deathsNumAffected": 48,
        "seriousNumAffected": 31
      },
      {
        "id": "EG001",
        "title": "Arm II (Chemotherapy, Trastuzumab)",
        "description": "Arm II (chemotherapy, trastuzumab)",
        "otherNumAtRisk": 1625,
        "deathsNumAtRisk": 1628,
        "otherNumAffected": 1418,
        "seriousNumAtRisk": 1625,
        "deathsNumAffected": 61,
        "seriousNumAffected": 96
      }
    ],
    "otherEvents": [
      {
        "term": "Alopecia",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 633
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 653
          }
        ],
        "organSystem": "Skin and subcutaneous tissue disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Anemia",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 222
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 327
          }
        ],
        "organSystem": "Blood and lymphatic system disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Arthralgia",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 161
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 233
          }
        ],
        "organSystem": "Musculoskeletal and connective tissue disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Bone pain",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 228
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 221
          }
        ],
        "organSystem": "Musculoskeletal and connective tissue disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Constipation",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 135
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 124
          }
        ],
        "organSystem": "Gastrointestinal disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Cough",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 80
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 136
          }
        ],
        "organSystem": "Respiratory, thoracic and mediastinal disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Diarrhea",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 228
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 324
          }
        ],
        "organSystem": "Gastrointestinal disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Fatigue",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 629
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 644
          }
        ],
        "organSystem": "General disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Headache",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 164
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 187
          }
        ],
        "organSystem": "Nervous system disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Hypertension",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 103
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 196
          }
        ],
        "organSystem": "Vascular disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Insomnia",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 108
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 128
          }
        ],
        "organSystem": "Psychiatric disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Lymphocyte count decreased",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 131
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 152
          }
        ],
        "organSystem": "Investigations",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Mucositis oral",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 240
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 238
          }
        ],
        "organSystem": "Gastrointestinal disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Myalgia",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 196
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 222
          }
        ],
        "organSystem": "Musculoskeletal and connective tissue disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Nausea",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 408
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 377
          }
        ],
        "organSystem": "Gastrointestinal disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Neutrophil count decreased",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 145
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 166
          }
        ],
        "organSystem": "Investigations",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Peripheral sensory neuropathy",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 279
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 321
          }
        ],
        "organSystem": "Nervous system disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Upper respiratory infection",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 78
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 133
          }
        ],
        "organSystem": "Infections and infestations",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Vomiting",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 141
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 129
          }
        ],
        "organSystem": "Gastrointestinal disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "White blood cell decreased",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 119
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 151
          }
        ],
        "organSystem": "Investigations",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Ejection fraction decreased",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 3
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 164
          }
        ],
        "organSystem": "Investigations",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      }
    ],
    "seriousEvents": [
      {
        "term": "Adult respiratory distress syndrome",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 0
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 1
          }
        ],
        "organSystem": "Respiratory, thoracic and mediastinal disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Alanine aminotransferase increased (ALT/SGPT)",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 0
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 1
          }
        ],
        "organSystem": "Investigations",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Aspartate aminotransferase increased (AST/SGOT)",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 0
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 1
          }
        ],
        "organSystem": "Investigations",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Asystole",
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          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 0
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 1
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        ],
        "organSystem": "Cardiac disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Blood and lymphatic system disorders - Other, specify",
        "stats": [
          {
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            "numAtRisk": 1615,
            "numAffected": 0
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          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 1
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      {
        "term": "Catheter related infection",
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          {
            "groupId": "EG000",
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            "numAffected": 0
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          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 1
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        "organSystem": "Infections and infestations",
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        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Colonic perforation",
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          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 1
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          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 0
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        ],
        "organSystem": "Gastrointestinal disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
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      {
        "term": "Delirium",
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          {
            "groupId": "EG000",
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          {
            "groupId": "EG001",
            "numAtRisk": 1625,
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        "term": "Depression",
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          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 3
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          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 4
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        ],
        "organSystem": "Psychiatric disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
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      {
        "term": "Diarrhea",
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        "term": "Disseminated intravascular coagulation",
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          {
            "groupId": "EG000",
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            "numAffected": 0
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          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 1
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        ],
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          {
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        "organSystem": "Respiratory, thoracic and mediastinal disorders",
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      {
        "term": "Erythema multiforme",
        "stats": [
          {
            "groupId": "EG000",
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            "numAffected": 0
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 1
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        ],
        "organSystem": "Skin and subcutaneous tissue disorders",
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      },
      {
        "term": "Heart failure",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 1
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          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 18
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        ],
        "organSystem": "Cardiac disorders",
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        "sourceVocabulary": "CTCAE v4.0"
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      {
        "term": "Hepatic failure",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 0
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 1
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        ],
        "organSystem": "Hepatobiliary disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Hepatitis viral",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 0
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 1
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        "organSystem": "Infections and infestations",
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        "sourceVocabulary": "CTCAE v4.0"
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      {
        "term": "Hypercalcemia",
        "stats": [
          {
            "groupId": "EG000",
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            "numAffected": 1
          },
          {
            "groupId": "EG001",
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      {
        "term": "Hyperglycemia",
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          {
            "groupId": "EG000",
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            "numAffected": 2
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          {
            "groupId": "EG001",
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        ],
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      },
      {
        "term": "Hypertension",
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          {
            "groupId": "EG000",
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            "numAffected": 0
          },
          {
            "groupId": "EG001",
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            "numAffected": 2
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        ],
        "organSystem": "Vascular disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
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      {
        "term": "Hypertriglyceridemia",
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          {
            "groupId": "EG000",
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            "numAffected": 0
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          {
            "groupId": "EG001",
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        ],
        "organSystem": "Metabolism and nutrition disorders",
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        "term": "Hyperuricemia",
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            "groupId": "EG000",
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          {
            "groupId": "EG001",
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            "numAffected": 0
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      {
        "term": "Hypocalcemia",
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            "groupId": "EG000",
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          {
            "groupId": "EG001",
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        ],
        "organSystem": "Metabolism and nutrition disorders",
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      {
        "term": "Hypokalemia",
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            "groupId": "EG000",
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          {
            "groupId": "EG001",
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            "numAffected": 6
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        ],
        "organSystem": "Metabolism and nutrition disorders",
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      },
      {
        "term": "Hypomagnesemia",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 0
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          {
            "groupId": "EG001",
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            "numAffected": 1
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        ],
        "organSystem": "Metabolism and nutrition disorders",
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      {
        "term": "Hyponatremia",
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          {
            "groupId": "EG000",
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            "numAffected": 0
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          {
            "groupId": "EG001",
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      {
        "term": "Hypotension",
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            "groupId": "EG000",
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            "groupId": "EG001",
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        "organSystem": "Vascular disorders",
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        "term": "Hypoxia",
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        "term": "Intracranial hemorrhage",
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            "groupId": "EG000",
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            "groupId": "EG001",
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        "organSystem": "Nervous system disorders",
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      {
        "term": "Lipase increased",
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            "groupId": "EG000",
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            "groupId": "EG001",
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      {
        "term": "Multi-organ failure",
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            "numAffected": 1
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        "organSystem": "General disorders",
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      {
        "term": "Myelodysplastic syndrome",
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      {
        "term": "Myocardial infarction",
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            "numAffected": 2
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        "organSystem": "Cardiac disorders",
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      {
        "term": "Pericardial effusion",
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          {
            "groupId": "EG001",
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      {
        "term": "Pneumothorax",
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            "groupId": "EG001",
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        "term": "Sepsis",
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            "groupId": "EG000",
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        "term": "Stroke",
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            "groupId": "EG000",
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      {
        "term": "Suicide attempt",
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            "groupId": "EG000",
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            "groupId": "EG001",
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            "numAffected": 3
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      {
        "term": "Thromboembolic event",
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            "groupId": "EG000",
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          {
            "groupId": "EG001",
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            "numAffected": 0
          }
        ],
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      {
        "term": "Typhlitis",
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            "groupId": "EG000",
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            "numAffected": 0
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          {
            "groupId": "EG001",
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          }
        ],
        "organSystem": "Gastrointestinal disorders",
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      },
      {
        "term": "Vaginal dryness",
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            "groupId": "EG000",
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          {
            "groupId": "EG001",
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        "organSystem": "Reproductive system and breast disorders",
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      {
        "term": "Ventricular tachycardia",
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            "groupId": "EG000",
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          {
            "groupId": "EG001",
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        "organSystem": "Cardiac disorders",
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      {
        "term": "Leukemia secondary to oncology chemotherapy",
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      {
        "term": "Ejection fraction decreased",
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            "groupId": "EG000",
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          {
            "groupId": "EG001",
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      {
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            "numAffected": 0
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        "organSystem": "Cardiac disorders",
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      {
        "term": "Upper gastrointestinal hemorrhage",
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        "organSystem": "Gastrointestinal disorders",
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      {
        "term": "Enterocolitis infectious",
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            "numAffected": 0
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          {
            "groupId": "EG001",
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            "numAffected": 2
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        "organSystem": "Infections and infestations",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Lung infection",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 1
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 1
          }
        ],
        "organSystem": "Infections and infestations",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Tricuspid valve disease",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 0
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 1
          }
        ],
        "organSystem": "Cardiac disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Mitral valve disease",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 0
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 1
          }
        ],
        "organSystem": "Cardiac disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Aortic valve disease",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 0
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 1
          }
        ],
        "organSystem": "Cardiac disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Vascular access complication",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 1
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 0
          }
        ],
        "organSystem": "Injury, poisoning and procedural complications",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Small intestine infection",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 1
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 0
          }
        ],
        "organSystem": "Infections and infestations",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Acute kidney injury",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 0
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 1
          }
        ],
        "organSystem": "Renal and urinary disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      },
      {
        "term": "Left ventricular systolic dysfunction",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 1615,
            "numAffected": 5
          },
          {
            "groupId": "EG001",
            "numAtRisk": 1625,
            "numAffected": 29
          }
        ],
        "organSystem": "Cardiac disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE v4.0"
      }
    ],
    "frequencyThreshold": "5"
  },
  "outcomeMeasuresModule": {
    "outcomeMeasures": [
      {
        "type": "PRIMARY",
        "title": "Percentage of Patients Alive and Free From Invasive Disease (IDFS)",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "1602",
                "groupId": "OG000"
              },
              {
                "value": "1598",
                "groupId": "OG001"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Arm I (Chemotherapy)",
            "description": "<p>GROUP IA: Patients receive docetaxel IV over 60 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 3 weeks for 6 cycles in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IB: Patients receive doxorubicin hydrochloride IV over 15 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 2 or 3 weeks for 4 cycles in the absence of disease progression or unacceptable toxicity.\nBeginning 2-3 weeks after last dose of doxorubicin hydrochloride and cyclophosphamide, patients also receive paclitaxel IV over 60 minutes once weekly for 12 doses in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p>"
          },
          {
            "id": "OG001",
            "title": "Arm II (Chemotherapy, Trastuzumab)",
            "description": "<p>GROUP IIA: Patients receive docetaxel and cyclophosphamide as in Group IA.\nPatients also receive trastuzumab IV over 30-90 minutes on day 1.\nCourses repeat every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IIB: Patients receive doxorubicin hydrochloride, cyclophosphamide, and paclitaxel as in Group IB.\nPatients also receive trastuzumab IV over 30-90 minutes weekly for 12 doses and then every 3 weeks for subsequent doses.\nTreatment repeats every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p><p>Trastuzumab: Given IV</p>"
          }
        ],
        "classes": [
          {
            "categories": [
              {
                "measurements": [
                  {
                    "value": "89.2",
                    "groupId": "OG000"
                  },
                  {
                    "value": "89.8",
                    "groupId": "OG001"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "NUMBER",
        "timeFrame": "5 years",
        "description": "Percentage of patients free from an invasive disease-free survival event where events include any invasive recurrence, contralateral invasive breast cancer, second non-breast primary cancer (excluding squamous or basal cell carcinoma of the skin), or death from any cause.",
        "unitOfMeasure": "percentage of patients",
        "reportingStatus": "POSTED",
        "populationDescription": "Includes all at-risk patients with clinical follow up"
      },
      {
        "type": "SECONDARY",
        "title": "Percentage of Patients Alive and Disease-Free (DFS-DCIS)",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "1602",
                "groupId": "OG000"
              },
              {
                "value": "1598",
                "groupId": "OG001"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Arm I (Chemotherapy)",
            "description": "<p>GROUP IA: Patients receive docetaxel IV over 60 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 3 weeks for 6 cycles in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IB: Patients receive doxorubicin hydrochloride IV over 15 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 2 or 3 weeks for 4 cycles in the absence of disease progression or unacceptable toxicity.\nBeginning 2-3 weeks after last dose of doxorubicin hydrochloride and cyclophosphamide, patients also receive paclitaxel IV over 60 minutes once weekly for 12 doses in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p>"
          },
          {
            "id": "OG001",
            "title": "Arm II (Chemotherapy, Trastuzumab)",
            "description": "<p>GROUP IIA: Patients receive docetaxel and cyclophosphamide as in Group IA.\nPatients also receive trastuzumab IV over 30-90 minutes on day 1.\nCourses repeat every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IIB: Patients receive doxorubicin hydrochloride, cyclophosphamide, and paclitaxel as in Group IB.\nPatients also receive trastuzumab IV over 30-90 minutes weekly for 12 doses and then every 3 weeks for subsequent doses.\nTreatment repeats every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p><p>Trastuzumab: Given IV</p>"
          }
        ],
        "classes": [
          {
            "categories": [
              {
                "measurements": [
                  {
                    "value": "89.1",
                    "groupId": "OG000"
                  },
                  {
                    "value": "89.6",
                    "groupId": "OG001"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "NUMBER",
        "timeFrame": "5 years",
        "description": "Percentage of patients free from a disease-free survival event where events include local recurrence (invasive or DCIS), regional or distant recurrence, contralateral breast cancer (invasive or DCIS), second primary cancer (excluding squamous or basal cell carcinoma of the skin), or death from any cause.",
        "unitOfMeasure": "percentage of patients",
        "reportingStatus": "POSTED",
        "populationDescription": "Includes all at-risk patients with clinical follow-up"
      },
      {
        "type": "SECONDARY",
        "title": "Percentage of Patients Alive and Free From Breast Cancer (BCFS)",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "1602",
                "groupId": "OG000"
              },
              {
                "value": "1598",
                "groupId": "OG001"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Arm I (Chemotherapy)",
            "description": "<p>GROUP IA: Patients receive docetaxel IV over 60 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 3 weeks for 6 cycles in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IB: Patients receive doxorubicin hydrochloride IV over 15 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 2 or 3 weeks for 4 cycles in the absence of disease progression or unacceptable toxicity.\nBeginning 2-3 weeks after last dose of doxorubicin hydrochloride and cyclophosphamide, patients also receive paclitaxel IV over 60 minutes once weekly for 12 doses in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p>"
          },
          {
            "id": "OG001",
            "title": "Arm II (Chemotherapy, Trastuzumab)",
            "description": "<p>GROUP IIA: Patients receive docetaxel and cyclophosphamide as in Group IA.\nPatients also receive trastuzumab IV over 30-90 minutes on day 1.\nCourses repeat every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IIB: Patients receive doxorubicin hydrochloride, cyclophosphamide, and paclitaxel as in Group IB.\nPatients also receive trastuzumab IV over 30-90 minutes weekly for 12 doses and then every 3 weeks for subsequent doses.\nTreatment repeats every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p><p>Trastuzumab: Given IV</p>"
          }
        ],
        "classes": [
          {
            "categories": [
              {
                "measurements": [
                  {
                    "value": "91.0",
                    "groupId": "OG000"
                  },
                  {
                    "value": "90.7",
                    "groupId": "OG001"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "NUMBER",
        "timeFrame": "5 years",
        "description": "Percentage of patients free from a breast cancer-free survival event where events include local recurrence (invasive or DCIS), regional or distant recurrence, contralateral breast cancer (invasive or DCIS), or death from any cause.",
        "unitOfMeasure": "percentage of patients",
        "reportingStatus": "POSTED",
        "populationDescription": "Includes all at-risk patients with clinical follow up"
      },
      {
        "type": "SECONDARY",
        "title": "Percentage of Patients Alive and Recurrence-Free (RFI)",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "1602",
                "groupId": "OG000"
              },
              {
                "value": "1598",
                "groupId": "OG001"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Arm I (Chemotherapy)",
            "description": "<p>GROUP IA: Patients receive docetaxel IV over 60 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 3 weeks for 6 cycles in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IB: Patients receive doxorubicin hydrochloride IV over 15 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 2 or 3 weeks for 4 cycles in the absence of disease progression or unacceptable toxicity.\nBeginning 2-3 weeks after last dose of doxorubicin hydrochloride and cyclophosphamide, patients also receive paclitaxel IV over 60 minutes once weekly for 12 doses in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p>"
          },
          {
            "id": "OG001",
            "title": "Arm II (Chemotherapy, Trastuzumab)",
            "description": "<p>GROUP IIA: Patients receive docetaxel and cyclophosphamide as in Group IA.\nPatients also receive trastuzumab IV over 30-90 minutes on day 1.\nCourses repeat every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IIB: Patients receive doxorubicin hydrochloride, cyclophosphamide, and paclitaxel as in Group IB.\nPatients also receive trastuzumab IV over 30-90 minutes weekly for 12 doses and then every 3 weeks for subsequent doses.\nTreatment repeats every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p><p>Trastuzumab: Given IV</p>"
          }
        ],
        "classes": [
          {
            "categories": [
              {
                "measurements": [
                  {
                    "value": "92.3",
                    "groupId": "OG000"
                  },
                  {
                    "value": "92.0",
                    "groupId": "OG001"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "NUMBER",
        "timeFrame": "5 years",
        "description": "Percentage of patients free from a recurrence-free interval event where events include invasive local, regional, or distant recurrence, or death from breast cancer (censored for death from other causes).",
        "unitOfMeasure": "percentage of patients",
        "reportingStatus": "POSTED",
        "populationDescription": "Includes all at-risk patients with clinical follow-up"
      },
      {
        "type": "SECONDARY",
        "title": "Percentage of Patients Alive and Free From Distant Recurrence (DRFI)",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "1602",
                "groupId": "OG000"
              },
              {
                "value": "1598",
                "groupId": "OG001"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Arm I (Chemotherapy)",
            "description": "<p>GROUP IA: Patients receive docetaxel IV over 60 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 3 weeks for 6 cycles in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IB: Patients receive doxorubicin hydrochloride IV over 15 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 2 or 3 weeks for 4 cycles in the absence of disease progression or unacceptable toxicity.\nBeginning 2-3 weeks after last dose of doxorubicin hydrochloride and cyclophosphamide, patients also receive paclitaxel IV over 60 minutes once weekly for 12 doses in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p>"
          },
          {
            "id": "OG001",
            "title": "Arm II (Chemotherapy, Trastuzumab)",
            "description": "<p>GROUP IIA: Patients receive docetaxel and cyclophosphamide as in Group IA.\nPatients also receive trastuzumab IV over 30-90 minutes on day 1.\nCourses repeat every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IIB: Patients receive doxorubicin hydrochloride, cyclophosphamide, and paclitaxel as in Group IB.\nPatients also receive trastuzumab IV over 30-90 minutes weekly for 12 doses and then every 3 weeks for subsequent doses.\nTreatment repeats every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p><p>Trastuzumab: Given IV</p>"
          }
        ],
        "classes": [
          {
            "categories": [
              {
                "measurements": [
                  {
                    "value": "93.6",
                    "groupId": "OG000"
                  },
                  {
                    "value": "92.7",
                    "groupId": "OG001"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "NUMBER",
        "timeFrame": "5 years",
        "description": "Percentage of patients free from a distant recurrence-free interval event where events include distant recurrence or death from breast cancer (censored for deaths from other causes), regardless of occurrence of any intervening local or regional recurrences, contralateral breast cancers, or non-breast second primary cancer.",
        "unitOfMeasure": "percentage of patients",
        "reportingStatus": "POSTED",
        "populationDescription": "Includes all at-risk patients with clinical follow-up"
      },
      {
        "type": "SECONDARY",
        "title": "Percentage of Patients Alive (Overall Survival)",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "1603",
                "groupId": "OG000"
              },
              {
                "value": "1602",
                "groupId": "OG001"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Arm I (Chemotherapy)",
            "description": "<p>GROUP IA: Patients receive docetaxel IV over 60 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 3 weeks for 6 cycles in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IB: Patients receive doxorubicin hydrochloride IV over 15 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 2 or 3 weeks for 4 cycles in the absence of disease progression or unacceptable toxicity.\nBeginning 2-3 weeks after last dose of doxorubicin hydrochloride and cyclophosphamide, patients also receive paclitaxel IV over 60 minutes once weekly for 12 doses in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p>"
          },
          {
            "id": "OG001",
            "title": "Arm II (Chemotherapy, Trastuzumab)",
            "description": "<p>GROUP IIA: Patients receive docetaxel and cyclophosphamide as in Group IA.\nPatients also receive trastuzumab IV over 30-90 minutes on day 1.\nCourses repeat every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IIB: Patients receive doxorubicin hydrochloride, cyclophosphamide, and paclitaxel as in Group IB.\nPatients also receive trastuzumab IV over 30-90 minutes weekly for 12 doses and then every 3 weeks for subsequent doses.\nTreatment repeats every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p><p>Trastuzumab: Given IV</p>"
          }
        ],
        "classes": [
          {
            "categories": [
              {
                "measurements": [
                  {
                    "value": "96.3",
                    "groupId": "OG000"
                  },
                  {
                    "value": "94.8",
                    "groupId": "OG001"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "NUMBER",
        "timeFrame": "5 years",
        "description": "Percentage of patients alive.",
        "unitOfMeasure": "percentage of patients alive",
        "reportingStatus": "POSTED",
        "populationDescription": "Includes all at-risk patients with follow-up"
      },
      {
        "type": "SECONDARY",
        "title": "Toxicity Assessed by Adverse Events",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "1615",
                "groupId": "OG000"
              },
              {
                "value": "1625",
                "groupId": "OG001"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Arm I (Chemotherapy)",
            "description": "<p>GROUP IA: Patients receive docetaxel IV over 60 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 3 weeks for 6 cycles in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IB: Patients receive doxorubicin hydrochloride IV over 15 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 2 or 3 weeks for 4 cycles in the absence of disease progression or unacceptable toxicity.\nBeginning 2-3 weeks after last dose of doxorubicin hydrochloride and cyclophosphamide, patients also receive paclitaxel IV over 60 minutes once weekly for 12 doses in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p>"
          },
          {
            "id": "OG001",
            "title": "Arm II (Chemotherapy, Trastuzumab)",
            "description": "<p>GROUP IIA: Patients receive docetaxel and cyclophosphamide as in Group IA.\nPatients also receive trastuzumab IV over 30-90 minutes on day 1.\nCourses repeat every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IIB: Patients receive doxorubicin hydrochloride, cyclophosphamide, and paclitaxel as in Group IB.\nPatients also receive trastuzumab IV over 30-90 minutes weekly for 12 doses and then every 3 weeks for subsequent doses.\nTreatment repeats every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p><p>Trastuzumab: Given IV</p>"
          }
        ],
        "classes": [
          {
            "categories": [
              {
                "measurements": [
                  {
                    "value": "90.9",
                    "groupId": "OG000"
                  },
                  {
                    "value": "94.1",
                    "groupId": "OG001"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "NUMBER",
        "timeFrame": "While on study therapy. Day 1 of first dose through 30 days after Day 1 of last dose.",
        "description": "Percentage of patients who ever experienced grade 2 or higher toxicites.",
        "unitOfMeasure": "percentage of patients",
        "reportingStatus": "POSTED",
        "populationDescription": "Includes all at-risk patients with clinical follow-up."
      },
      {
        "type": "SECONDARY",
        "title": "Change in HER2 mRNA Level",
        "timeFrame": "From baseline to 24 months",
        "description": "The interaction between treatment effect and HER2 mRNA level will be evaluated in the proportional hazards model, which would include an indicator for treatment group and the HER2 mRNA level as a continuous variable, and the corresponding interaction term.\nThe log-hazard ratio plot for the interaction term with 95% confidence intervals will be used to determine the cut-off of the HER2 mRNA level that would determine a subset of the patients who would benefit from the adjuvant trastuzumab therapy.",
        "reportingStatus": "NOT_POSTED",
        "denomUnitsSelected": "Participants",
        "anticipatedPostingDate": "2022-01"
      },
      {
        "type": "SECONDARY",
        "title": "Fcgamma Receptor Polymorphism",
        "timeFrame": "From baseline to up to 24 months",
        "description": "The polymorphism of the Fcgamma 158 receptor gene will be dichotomized as V&#x2F;V (valine) vs. other genotypes and the polymorphism of the Fcgamma 131 receptor gene will be dichotomized as H&#x2F;H (histidine) vs. other genotypes to evaluate an interaction between treatment group and Fcgamma polymorphism.\nThe Kaplan-Meier method105 will be used to estimate the distribution of the primary endpoints stratified by the dichotomized subgroups, and the log-rank test106 will be used to statistically compare the time-to-event distributions.",
        "reportingStatus": "NOT_POSTED",
        "denomUnitsSelected": "Participants",
        "anticipatedPostingDate": "2022-01"
      }
    ]
  },
  "participantFlowModule": {
    "groups": [
      {
        "id": "FG000",
        "title": "Arm I (Chemotherapy)",
        "description": "<p>GROUP IA: Patients receive docetaxel IV over 60 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 3 weeks for 6 cycles in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IB: Patients receive doxorubicin hydrochloride IV over 15 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 2 or 3 weeks for 4 cycles in the absence of disease progression or unacceptable toxicity.\nBeginning 2-3 weeks after last dose of doxorubicin hydrochloride and cyclophosphamide, patients also receive paclitaxel IV over 60 minutes once weekly for 12 doses in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p>"
      },
      {
        "id": "FG001",
        "title": "Arm II (Chemotherapy, Trastuzumab)",
        "description": "<p>GROUP IIA: Patients receive docetaxel and cyclophosphamide as in Group IA.\nPatients also receive trastuzumab IV over 30-90 minutes on day 1.\nCourses repeat every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IIB: Patients receive doxorubicin hydrochloride, cyclophosphamide, and paclitaxel as in Group IB.\nPatients also receive trastuzumab IV over 30-90 minutes weekly for 12 doses and then every 3 weeks for subsequent doses.\nTreatment repeats every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p><p>Trastuzumab: Given IV</p>"
      }
    ],
    "periods": [
      {
        "title": "Overall Study",
        "milestones": [
          {
            "type": "STARTED",
            "achievements": [
              {
                "groupId": "FG000",
                "numSubjects": "1630"
              },
              {
                "groupId": "FG001",
                "numSubjects": "1640"
              }
            ]
          },
          {
            "type": "COMPLETED",
            "achievements": [
              {
                "groupId": "FG000",
                "numSubjects": "1602"
              },
              {
                "groupId": "FG001",
                "numSubjects": "1598"
              }
            ]
          },
          {
            "type": "NOT COMPLETED",
            "achievements": [
              {
                "groupId": "FG000",
                "numSubjects": "28"
              },
              {
                "groupId": "FG001",
                "numSubjects": "42"
              }
            ]
          }
        ],
        "dropWithdraws": [
          {
            "type": "Not at risk for recurrence.",
            "reasons": [
              {
                "groupId": "FG000",
                "numSubjects": "1"
              },
              {
                "groupId": "FG001",
                "numSubjects": "1"
              }
            ]
          },
          {
            "type": "No follow-up",
            "reasons": [
              {
                "groupId": "FG000",
                "numSubjects": "26"
              },
              {
                "groupId": "FG001",
                "numSubjects": "37"
              }
            ]
          },
          {
            "type": "No clinical follow up.",
            "reasons": [
              {
                "groupId": "FG000",
                "numSubjects": "1"
              },
              {
                "groupId": "FG001",
                "numSubjects": "4"
              }
            ]
          }
        ]
      }
    ]
  },
  "baselineCharacteristicsModule": {
    "denoms": [
      {
        "units": "Participants",
        "counts": [
          {
            "value": "1630",
            "groupId": "BG000"
          },
          {
            "value": "1640",
            "groupId": "BG001"
          },
          {
            "value": "3270",
            "groupId": "BG002"
          }
        ]
      }
    ],
    "groups": [
      {
        "id": "BG000",
        "title": "Arm I (Chemotherapy)",
        "description": "Arm I (chemotherapy)"
      },
      {
        "id": "BG001",
        "title": "Arm II (Chemotherapy, Trastuzumab)",
        "description": "Arm II (chemotherapy, trastuzumab)"
      },
      {
        "id": "BG002",
        "title": "Total",
        "description": "Total of all reporting groups"
      }
    ],
    "measures": [
      {
        "title": "Age, Continuous",
        "classes": [
          {
            "categories": [
              {
                "measurements": [
                  {
                    "value": "52",
                    "spread": "10.4",
                    "groupId": "BG000"
                  },
                  {
                    "value": "52",
                    "spread": "10.4",
                    "groupId": "BG001"
                  },
                  {
                    "value": "52",
                    "spread": "10.4",
                    "groupId": "BG002"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "MEAN",
        "unitOfMeasure": "years",
        "dispersionType": "STANDARD_DEVIATION"
      },
      {
        "title": "Sex: Female, Male",
        "classes": [
          {
            "categories": [
              {
                "title": "Female",
                "measurements": [
                  {
                    "value": "1630",
                    "groupId": "BG000"
                  },
                  {
                    "value": "1640",
                    "groupId": "BG001"
                  },
                  {
                    "value": "3270",
                    "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": "8",
                    "groupId": "BG000"
                  },
                  {
                    "value": "6",
                    "groupId": "BG001"
                  },
                  {
                    "value": "14",
                    "groupId": "BG002"
                  }
                ]
              },
              {
                "title": "Asian",
                "measurements": [
                  {
                    "value": "63",
                    "groupId": "BG000"
                  },
                  {
                    "value": "61",
                    "groupId": "BG001"
                  },
                  {
                    "value": "124",
                    "groupId": "BG002"
                  }
                ]
              },
              {
                "title": "Native Hawaiian or Other Pacific Islander",
                "measurements": [
                  {
                    "value": "4",
                    "groupId": "BG000"
                  },
                  {
                    "value": "7",
                    "groupId": "BG001"
                  },
                  {
                    "value": "11",
                    "groupId": "BG002"
                  }
                ]
              },
              {
                "title": "Black or African American",
                "measurements": [
                  {
                    "value": "144",
                    "groupId": "BG000"
                  },
                  {
                    "value": "175",
                    "groupId": "BG001"
                  },
                  {
                    "value": "319",
                    "groupId": "BG002"
                  }
                ]
              },
              {
                "title": "White",
                "measurements": [
                  {
                    "value": "1370",
                    "groupId": "BG000"
                  },
                  {
                    "value": "1354",
                    "groupId": "BG001"
                  },
                  {
                    "value": "2724",
                    "groupId": "BG002"
                  }
                ]
              },
              {
                "title": "More than one race",
                "measurements": [
                  {
                    "value": "9",
                    "groupId": "BG000"
                  },
                  {
                    "value": "10",
                    "groupId": "BG001"
                  },
                  {
                    "value": "19",
                    "groupId": "BG002"
                  }
                ]
              },
              {
                "title": "Unknown or Not Reported",
                "measurements": [
                  {
                    "value": "32",
                    "groupId": "BG000"
                  },
                  {
                    "value": "27",
                    "groupId": "BG001"
                  },
                  {
                    "value": "59",
                    "groupId": "BG002"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "COUNT_OF_PARTICIPANTS",
        "unitOfMeasure": "Participants"
      },
      {
        "title": "Race&#x2F;Ethnicity, Customized",
        "classes": [
          {
            "title": "Mutually exclusive and exhaustive",
            "categories": [
              {
                "title": "Hispanic or Latino",
                "measurements": [
                  {
                    "value": "102",
                    "groupId": "BG000"
                  },
                  {
                    "value": "106",
                    "groupId": "BG001"
                  },
                  {
                    "value": "208",
                    "groupId": "BG002"
                  }
                ]
              },
              {
                "title": "Not Hispanic or Latino",
                "measurements": [
                  {
                    "value": "1488",
                    "groupId": "BG000"
                  },
                  {
                    "value": "1513",
                    "groupId": "BG001"
                  },
                  {
                    "value": "3001",
                    "groupId": "BG002"
                  }
                ]
              },
              {
                "title": "Unknown or Not Reported",
                "measurements": [
                  {
                    "value": "40",
                    "groupId": "BG000"
                  },
                  {
                    "value": "21",
                    "groupId": "BG001"
                  },
                  {
                    "value": "61",
                    "groupId": "BG002"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "COUNT_OF_PARTICIPANTS",
        "unitOfMeasure": "Participants"
      }
    ]
  }
}
Raw JSON Patch
[
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/statusVerifiedDate",
    "value": "2020-09"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdateSubmitDate",
    "value": "2020-09-01"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdatePostDateStruct/date",
    "value": "2020-09-23"
  },
  {
    "op": "add",
    "path": "/protocolSection/statusModule/resultsFirstSubmitDate",
    "value": "2020-05-06"
  },
  {
    "op": "add",
    "path": "/protocolSection/statusModule/resultsFirstSubmitQcDate",
    "value": "2020-09-01"
  },
  {
    "op": "add",
    "path": "/protocolSection/statusModule/resultsFirstPostDateStruct",
    "value": {
      "date": "2020-09-23",
      "type": "ACTUAL"
    }
  },
  {
    "op": "replace",
    "path": "/protocolSection/descriptionModule/briefSummary",
    "value": "This randomized phase III clinical trial studies chemotherapy with or without trastuzumab after surgery to see how well they work in treating women with HER2-low invasive breast cancer.\nDrugs used in chemotherapy work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading.\nGiving more than one drug (combination chemotherapy) and giving chemotherapy after surgery may kill more tumor cells.\nMonoclonal antibodies, such as trastuzumab, can block cancer growth in different ways.\nSome block the ability of tumor cells to grow and spread.\nOthers find tumor cells and help kill them or carry tumor-killing substances to them.\nIt is not yet known whether combination chemotherapy is more effective with trastuzumab in treating HER2-low breast cancer."
  },
  {
    "op": "replace",
    "path": "/protocolSection/designModule/enrollmentInfo/count",
    "value": 3270
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/primaryOutcomes/0/measure",
    "value": "Percentage of Patients Alive and Free From Invasive Disease (IDFS)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/primaryOutcomes/0/timeFrame",
    "value": "5 years"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/primaryOutcomes/0/description",
    "value": "Percentage of patients free from an invasive disease-free survival event where events include any invasive recurrence, contralateral invasive breast cancer, second non-breast primary cancer (excluding squamous or basal cell carcinoma of the skin), or death from any cause."
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/0/measure",
    "value": "Percentage of Patients Alive and Disease-Free (DFS-DCIS)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/0/timeFrame",
    "value": "5 years"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/0/description",
    "value": "Percentage of patients free from a disease-free survival event where events include local recurrence (invasive or DCIS), regional or distant recurrence, contralateral breast cancer (invasive or DCIS), second primary cancer (excluding squamous or basal cell carcinoma of the skin), or death from any cause."
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/1/measure",
    "value": "Percentage of Patients Alive and Free From Breast Cancer (BCFS)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/1/timeFrame",
    "value": "5 years"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/1/description",
    "value": "Percentage of patients free from a breast cancer-free survival event where events include local recurrence (invasive or DCIS), regional or distant recurrence, contralateral breast cancer (invasive or DCIS), or death from any cause."
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/2/measure",
    "value": "Percentage of Patients Alive and Recurrence-Free (RFI)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/2/timeFrame",
    "value": "5 years"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/2/description",
    "value": "Percentage of patients free from a recurrence-free interval event where events include invasive local, regional, or distant recurrence, or death from breast cancer (censored for death from other causes)."
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/3/measure",
    "value": "Percentage of Patients Alive and Free From Distant Recurrence (DRFI)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/3/timeFrame",
    "value": "5 years"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/3/description",
    "value": "Percentage of patients free from a distant recurrence-free interval event where events include distant recurrence or death from breast cancer (censored for deaths from other causes), regardless of occurrence of any intervening local or regional recurrences, contralateral breast cancers, or non-breast second primary cancer."
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/4/measure",
    "value": "Percentage of Patients Alive (Overall Survival)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/4/timeFrame",
    "value": "5 years"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/4/description",
    "value": "Percentage of patients alive."
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/5/measure",
    "value": "Toxicity Assessed by Adverse Events"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/5/description",
    "value": "Percentage of patients who ever experienced grade 2 or higher toxicites."
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/5/timeFrame",
    "value": "While on study therapy. Day 1 of first dose through 30 days after Day 1 of last dose."
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/6/measure",
    "value": "Change in HER2 mRNA Level"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/7/measure",
    "value": "Fcgamma Receptor Polymorphism"
  },
  {
    "op": "remove",
    "path": "/annotationSection"
  },
  {
    "op": "replace",
    "path": "/documentSection/largeDocumentModule/largeDocs/0/date",
    "value": "2018-02-08"
  },
  {
    "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 first dose through 30 days after Day 1 of last dose.",
        "description": "B-47 used standard AE reporting based on the descriptions and grading scales found in the revised NCI Common Terminology Criteria for Adverse Events (CTCAE) version 4.0.\nThe total at-risk patient groups for adverse events reflect the number of patients who had an AE form or an AdEERS report submitted.\nThe at risk group for all-cause mortality reflects the number who submitted an AE form, an AdEERS report, or a follow-up form, (including follow-up by telephone only).",
        "eventGroups": [
          {
            "id": "EG000",
            "title": "Arm I (Chemotherapy)",
            "description": "Arm I (chemotherapy)",
            "otherNumAtRisk": 1615,
            "deathsNumAtRisk": 1622,
            "otherNumAffected": 1362,
            "seriousNumAtRisk": 1615,
            "deathsNumAffected": 48,
            "seriousNumAffected": 31
          },
          {
            "id": "EG001",
            "title": "Arm II (Chemotherapy, Trastuzumab)",
            "description": "Arm II (chemotherapy, trastuzumab)",
            "otherNumAtRisk": 1625,
            "deathsNumAtRisk": 1628,
            "otherNumAffected": 1418,
            "seriousNumAtRisk": 1625,
            "deathsNumAffected": 61,
            "seriousNumAffected": 96
          }
        ],
        "otherEvents": [
          {
            "term": "Alopecia",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 633
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 653
              }
            ],
            "organSystem": "Skin and subcutaneous tissue disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Anemia",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 222
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 327
              }
            ],
            "organSystem": "Blood and lymphatic system disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Arthralgia",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 161
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 233
              }
            ],
            "organSystem": "Musculoskeletal and connective tissue disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Bone pain",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 228
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 221
              }
            ],
            "organSystem": "Musculoskeletal and connective tissue disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Constipation",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 135
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 124
              }
            ],
            "organSystem": "Gastrointestinal disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Cough",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 80
              },
              {
                "groupId": "EG001",
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                "numAffected": 136
              }
            ],
            "organSystem": "Respiratory, thoracic and mediastinal disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Diarrhea",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 228
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 324
              }
            ],
            "organSystem": "Gastrointestinal disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Fatigue",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 629
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 644
              }
            ],
            "organSystem": "General disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Headache",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 164
              },
              {
                "groupId": "EG001",
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                "numAffected": 187
              }
            ],
            "organSystem": "Nervous system disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Hypertension",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 103
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 196
              }
            ],
            "organSystem": "Vascular disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Insomnia",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 108
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 128
              }
            ],
            "organSystem": "Psychiatric disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Lymphocyte count decreased",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 131
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 152
              }
            ],
            "organSystem": "Investigations",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Mucositis oral",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 240
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 238
              }
            ],
            "organSystem": "Gastrointestinal disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Myalgia",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 196
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 222
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            ],
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          {
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              {
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              {
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            ],
            "organSystem": "Vascular disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Typhlitis",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 0
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 1
              }
            ],
            "organSystem": "Gastrointestinal disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Vaginal dryness",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 0
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 1
              }
            ],
            "organSystem": "Reproductive system and breast disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Ventricular tachycardia",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 0
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 1
              }
            ],
            "organSystem": "Cardiac disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Leukemia secondary to oncology chemotherapy",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 1
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 1
              }
            ],
            "organSystem": "Neoplasms benign, malignant and unspecified (incl cysts and polyps)",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Ejection fraction decreased",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 1
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 10
              }
            ],
            "organSystem": "Investigations",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Acute coronary syndrome",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 1
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 0
              }
            ],
            "organSystem": "Cardiac disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Upper gastrointestinal hemorrhage",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 0
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 1
              }
            ],
            "organSystem": "Gastrointestinal disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Enterocolitis infectious",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 0
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 2
              }
            ],
            "organSystem": "Infections and infestations",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Lung infection",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 1
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 1
              }
            ],
            "organSystem": "Infections and infestations",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Tricuspid valve disease",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 0
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 1
              }
            ],
            "organSystem": "Cardiac disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Mitral valve disease",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 0
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 1
              }
            ],
            "organSystem": "Cardiac disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Aortic valve disease",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 0
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 1
              }
            ],
            "organSystem": "Cardiac disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Vascular access complication",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 1
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 0
              }
            ],
            "organSystem": "Injury, poisoning and procedural complications",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Small intestine infection",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 1
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 0
              }
            ],
            "organSystem": "Infections and infestations",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Acute kidney injury",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 0
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 1
              }
            ],
            "organSystem": "Renal and urinary disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          },
          {
            "term": "Left ventricular systolic dysfunction",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 1615,
                "numAffected": 5
              },
              {
                "groupId": "EG001",
                "numAtRisk": 1625,
                "numAffected": 29
              }
            ],
            "organSystem": "Cardiac disorders",
            "assessmentType": "SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "CTCAE v4.0"
          }
        ],
        "frequencyThreshold": "5"
      },
      "outcomeMeasuresModule": {
        "outcomeMeasures": [
          {
            "type": "PRIMARY",
            "title": "Percentage of Patients Alive and Free From Invasive Disease (IDFS)",
            "denoms": [
              {
                "units": "Participants",
                "counts": [
                  {
                    "value": "1602",
                    "groupId": "OG000"
                  },
                  {
                    "value": "1598",
                    "groupId": "OG001"
                  }
                ]
              }
            ],
            "groups": [
              {
                "id": "OG000",
                "title": "Arm I (Chemotherapy)",
                "description": "<p>GROUP IA: Patients receive docetaxel IV over 60 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 3 weeks for 6 cycles in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IB: Patients receive doxorubicin hydrochloride IV over 15 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 2 or 3 weeks for 4 cycles in the absence of disease progression or unacceptable toxicity.\nBeginning 2-3 weeks after last dose of doxorubicin hydrochloride and cyclophosphamide, patients also receive paclitaxel IV over 60 minutes once weekly for 12 doses in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p>"
              },
              {
                "id": "OG001",
                "title": "Arm II (Chemotherapy, Trastuzumab)",
                "description": "<p>GROUP IIA: Patients receive docetaxel and cyclophosphamide as in Group IA.\nPatients also receive trastuzumab IV over 30-90 minutes on day 1.\nCourses repeat every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IIB: Patients receive doxorubicin hydrochloride, cyclophosphamide, and paclitaxel as in Group IB.\nPatients also receive trastuzumab IV over 30-90 minutes weekly for 12 doses and then every 3 weeks for subsequent doses.\nTreatment repeats every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p><p>Trastuzumab: Given IV</p>"
              }
            ],
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "89.2",
                        "groupId": "OG000"
                      },
                      {
                        "value": "89.8",
                        "groupId": "OG001"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "NUMBER",
            "timeFrame": "5 years",
            "description": "Percentage of patients free from an invasive disease-free survival event where events include any invasive recurrence, contralateral invasive breast cancer, second non-breast primary cancer (excluding squamous or basal cell carcinoma of the skin), or death from any cause.",
            "unitOfMeasure": "percentage of patients",
            "reportingStatus": "POSTED",
            "populationDescription": "Includes all at-risk patients with clinical follow up"
          },
          {
            "type": "SECONDARY",
            "title": "Percentage of Patients Alive and Disease-Free (DFS-DCIS)",
            "denoms": [
              {
                "units": "Participants",
                "counts": [
                  {
                    "value": "1602",
                    "groupId": "OG000"
                  },
                  {
                    "value": "1598",
                    "groupId": "OG001"
                  }
                ]
              }
            ],
            "groups": [
              {
                "id": "OG000",
                "title": "Arm I (Chemotherapy)",
                "description": "<p>GROUP IA: Patients receive docetaxel IV over 60 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 3 weeks for 6 cycles in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IB: Patients receive doxorubicin hydrochloride IV over 15 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 2 or 3 weeks for 4 cycles in the absence of disease progression or unacceptable toxicity.\nBeginning 2-3 weeks after last dose of doxorubicin hydrochloride and cyclophosphamide, patients also receive paclitaxel IV over 60 minutes once weekly for 12 doses in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p>"
              },
              {
                "id": "OG001",
                "title": "Arm II (Chemotherapy, Trastuzumab)",
                "description": "<p>GROUP IIA: Patients receive docetaxel and cyclophosphamide as in Group IA.\nPatients also receive trastuzumab IV over 30-90 minutes on day 1.\nCourses repeat every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IIB: Patients receive doxorubicin hydrochloride, cyclophosphamide, and paclitaxel as in Group IB.\nPatients also receive trastuzumab IV over 30-90 minutes weekly for 12 doses and then every 3 weeks for subsequent doses.\nTreatment repeats every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p><p>Trastuzumab: Given IV</p>"
              }
            ],
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "89.1",
                        "groupId": "OG000"
                      },
                      {
                        "value": "89.6",
                        "groupId": "OG001"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "NUMBER",
            "timeFrame": "5 years",
            "description": "Percentage of patients free from a disease-free survival event where events include local recurrence (invasive or DCIS), regional or distant recurrence, contralateral breast cancer (invasive or DCIS), second primary cancer (excluding squamous or basal cell carcinoma of the skin), or death from any cause.",
            "unitOfMeasure": "percentage of patients",
            "reportingStatus": "POSTED",
            "populationDescription": "Includes all at-risk patients with clinical follow-up"
          },
          {
            "type": "SECONDARY",
            "title": "Percentage of Patients Alive and Free From Breast Cancer (BCFS)",
            "denoms": [
              {
                "units": "Participants",
                "counts": [
                  {
                    "value": "1602",
                    "groupId": "OG000"
                  },
                  {
                    "value": "1598",
                    "groupId": "OG001"
                  }
                ]
              }
            ],
            "groups": [
              {
                "id": "OG000",
                "title": "Arm I (Chemotherapy)",
                "description": "<p>GROUP IA: Patients receive docetaxel IV over 60 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 3 weeks for 6 cycles in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IB: Patients receive doxorubicin hydrochloride IV over 15 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 2 or 3 weeks for 4 cycles in the absence of disease progression or unacceptable toxicity.\nBeginning 2-3 weeks after last dose of doxorubicin hydrochloride and cyclophosphamide, patients also receive paclitaxel IV over 60 minutes once weekly for 12 doses in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p>"
              },
              {
                "id": "OG001",
                "title": "Arm II (Chemotherapy, Trastuzumab)",
                "description": "<p>GROUP IIA: Patients receive docetaxel and cyclophosphamide as in Group IA.\nPatients also receive trastuzumab IV over 30-90 minutes on day 1.\nCourses repeat every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IIB: Patients receive doxorubicin hydrochloride, cyclophosphamide, and paclitaxel as in Group IB.\nPatients also receive trastuzumab IV over 30-90 minutes weekly for 12 doses and then every 3 weeks for subsequent doses.\nTreatment repeats every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p><p>Trastuzumab: Given IV</p>"
              }
            ],
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "91.0",
                        "groupId": "OG000"
                      },
                      {
                        "value": "90.7",
                        "groupId": "OG001"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "NUMBER",
            "timeFrame": "5 years",
            "description": "Percentage of patients free from a breast cancer-free survival event where events include local recurrence (invasive or DCIS), regional or distant recurrence, contralateral breast cancer (invasive or DCIS), or death from any cause.",
            "unitOfMeasure": "percentage of patients",
            "reportingStatus": "POSTED",
            "populationDescription": "Includes all at-risk patients with clinical follow up"
          },
          {
            "type": "SECONDARY",
            "title": "Percentage of Patients Alive and Recurrence-Free (RFI)",
            "denoms": [
              {
                "units": "Participants",
                "counts": [
                  {
                    "value": "1602",
                    "groupId": "OG000"
                  },
                  {
                    "value": "1598",
                    "groupId": "OG001"
                  }
                ]
              }
            ],
            "groups": [
              {
                "id": "OG000",
                "title": "Arm I (Chemotherapy)",
                "description": "<p>GROUP IA: Patients receive docetaxel IV over 60 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 3 weeks for 6 cycles in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IB: Patients receive doxorubicin hydrochloride IV over 15 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 2 or 3 weeks for 4 cycles in the absence of disease progression or unacceptable toxicity.\nBeginning 2-3 weeks after last dose of doxorubicin hydrochloride and cyclophosphamide, patients also receive paclitaxel IV over 60 minutes once weekly for 12 doses in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p>"
              },
              {
                "id": "OG001",
                "title": "Arm II (Chemotherapy, Trastuzumab)",
                "description": "<p>GROUP IIA: Patients receive docetaxel and cyclophosphamide as in Group IA.\nPatients also receive trastuzumab IV over 30-90 minutes on day 1.\nCourses repeat every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IIB: Patients receive doxorubicin hydrochloride, cyclophosphamide, and paclitaxel as in Group IB.\nPatients also receive trastuzumab IV over 30-90 minutes weekly for 12 doses and then every 3 weeks for subsequent doses.\nTreatment repeats every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p><p>Trastuzumab: Given IV</p>"
              }
            ],
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "92.3",
                        "groupId": "OG000"
                      },
                      {
                        "value": "92.0",
                        "groupId": "OG001"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "NUMBER",
            "timeFrame": "5 years",
            "description": "Percentage of patients free from a recurrence-free interval event where events include invasive local, regional, or distant recurrence, or death from breast cancer (censored for death from other causes).",
            "unitOfMeasure": "percentage of patients",
            "reportingStatus": "POSTED",
            "populationDescription": "Includes all at-risk patients with clinical follow-up"
          },
          {
            "type": "SECONDARY",
            "title": "Percentage of Patients Alive and Free From Distant Recurrence (DRFI)",
            "denoms": [
              {
                "units": "Participants",
                "counts": [
                  {
                    "value": "1602",
                    "groupId": "OG000"
                  },
                  {
                    "value": "1598",
                    "groupId": "OG001"
                  }
                ]
              }
            ],
            "groups": [
              {
                "id": "OG000",
                "title": "Arm I (Chemotherapy)",
                "description": "<p>GROUP IA: Patients receive docetaxel IV over 60 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 3 weeks for 6 cycles in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IB: Patients receive doxorubicin hydrochloride IV over 15 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 2 or 3 weeks for 4 cycles in the absence of disease progression or unacceptable toxicity.\nBeginning 2-3 weeks after last dose of doxorubicin hydrochloride and cyclophosphamide, patients also receive paclitaxel IV over 60 minutes once weekly for 12 doses in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p>"
              },
              {
                "id": "OG001",
                "title": "Arm II (Chemotherapy, Trastuzumab)",
                "description": "<p>GROUP IIA: Patients receive docetaxel and cyclophosphamide as in Group IA.\nPatients also receive trastuzumab IV over 30-90 minutes on day 1.\nCourses repeat every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IIB: Patients receive doxorubicin hydrochloride, cyclophosphamide, and paclitaxel as in Group IB.\nPatients also receive trastuzumab IV over 30-90 minutes weekly for 12 doses and then every 3 weeks for subsequent doses.\nTreatment repeats every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p><p>Trastuzumab: Given IV</p>"
              }
            ],
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "93.6",
                        "groupId": "OG000"
                      },
                      {
                        "value": "92.7",
                        "groupId": "OG001"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "NUMBER",
            "timeFrame": "5 years",
            "description": "Percentage of patients free from a distant recurrence-free interval event where events include distant recurrence or death from breast cancer (censored for deaths from other causes), regardless of occurrence of any intervening local or regional recurrences, contralateral breast cancers, or non-breast second primary cancer.",
            "unitOfMeasure": "percentage of patients",
            "reportingStatus": "POSTED",
            "populationDescription": "Includes all at-risk patients with clinical follow-up"
          },
          {
            "type": "SECONDARY",
            "title": "Percentage of Patients Alive (Overall Survival)",
            "denoms": [
              {
                "units": "Participants",
                "counts": [
                  {
                    "value": "1603",
                    "groupId": "OG000"
                  },
                  {
                    "value": "1602",
                    "groupId": "OG001"
                  }
                ]
              }
            ],
            "groups": [
              {
                "id": "OG000",
                "title": "Arm I (Chemotherapy)",
                "description": "<p>GROUP IA: Patients receive docetaxel IV over 60 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 3 weeks for 6 cycles in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IB: Patients receive doxorubicin hydrochloride IV over 15 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 2 or 3 weeks for 4 cycles in the absence of disease progression or unacceptable toxicity.\nBeginning 2-3 weeks after last dose of doxorubicin hydrochloride and cyclophosphamide, patients also receive paclitaxel IV over 60 minutes once weekly for 12 doses in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p>"
              },
              {
                "id": "OG001",
                "title": "Arm II (Chemotherapy, Trastuzumab)",
                "description": "<p>GROUP IIA: Patients receive docetaxel and cyclophosphamide as in Group IA.\nPatients also receive trastuzumab IV over 30-90 minutes on day 1.\nCourses repeat every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IIB: Patients receive doxorubicin hydrochloride, cyclophosphamide, and paclitaxel as in Group IB.\nPatients also receive trastuzumab IV over 30-90 minutes weekly for 12 doses and then every 3 weeks for subsequent doses.\nTreatment repeats every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p><p>Trastuzumab: Given IV</p>"
              }
            ],
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "96.3",
                        "groupId": "OG000"
                      },
                      {
                        "value": "94.8",
                        "groupId": "OG001"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "NUMBER",
            "timeFrame": "5 years",
            "description": "Percentage of patients alive.",
            "unitOfMeasure": "percentage of patients alive",
            "reportingStatus": "POSTED",
            "populationDescription": "Includes all at-risk patients with follow-up"
          },
          {
            "type": "SECONDARY",
            "title": "Toxicity Assessed by Adverse Events",
            "denoms": [
              {
                "units": "Participants",
                "counts": [
                  {
                    "value": "1615",
                    "groupId": "OG000"
                  },
                  {
                    "value": "1625",
                    "groupId": "OG001"
                  }
                ]
              }
            ],
            "groups": [
              {
                "id": "OG000",
                "title": "Arm I (Chemotherapy)",
                "description": "<p>GROUP IA: Patients receive docetaxel IV over 60 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 3 weeks for 6 cycles in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IB: Patients receive doxorubicin hydrochloride IV over 15 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 2 or 3 weeks for 4 cycles in the absence of disease progression or unacceptable toxicity.\nBeginning 2-3 weeks after last dose of doxorubicin hydrochloride and cyclophosphamide, patients also receive paclitaxel IV over 60 minutes once weekly for 12 doses in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p>"
              },
              {
                "id": "OG001",
                "title": "Arm II (Chemotherapy, Trastuzumab)",
                "description": "<p>GROUP IIA: Patients receive docetaxel and cyclophosphamide as in Group IA.\nPatients also receive trastuzumab IV over 30-90 minutes on day 1.\nCourses repeat every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IIB: Patients receive doxorubicin hydrochloride, cyclophosphamide, and paclitaxel as in Group IB.\nPatients also receive trastuzumab IV over 30-90 minutes weekly for 12 doses and then every 3 weeks for subsequent doses.\nTreatment repeats every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p><p>Trastuzumab: Given IV</p>"
              }
            ],
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "90.9",
                        "groupId": "OG000"
                      },
                      {
                        "value": "94.1",
                        "groupId": "OG001"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "NUMBER",
            "timeFrame": "While on study therapy. Day 1 of first dose through 30 days after Day 1 of last dose.",
            "description": "Percentage of patients who ever experienced grade 2 or higher toxicites.",
            "unitOfMeasure": "percentage of patients",
            "reportingStatus": "POSTED",
            "populationDescription": "Includes all at-risk patients with clinical follow-up."
          },
          {
            "type": "SECONDARY",
            "title": "Change in HER2 mRNA Level",
            "timeFrame": "From baseline to 24 months",
            "description": "The interaction between treatment effect and HER2 mRNA level will be evaluated in the proportional hazards model, which would include an indicator for treatment group and the HER2 mRNA level as a continuous variable, and the corresponding interaction term.\nThe log-hazard ratio plot for the interaction term with 95% confidence intervals will be used to determine the cut-off of the HER2 mRNA level that would determine a subset of the patients who would benefit from the adjuvant trastuzumab therapy.",
            "reportingStatus": "NOT_POSTED",
            "denomUnitsSelected": "Participants",
            "anticipatedPostingDate": "2022-01"
          },
          {
            "type": "SECONDARY",
            "title": "Fcgamma Receptor Polymorphism",
            "timeFrame": "From baseline to up to 24 months",
            "description": "The polymorphism of the Fcgamma 158 receptor gene will be dichotomized as V&#x2F;V (valine) vs. other genotypes and the polymorphism of the Fcgamma 131 receptor gene will be dichotomized as H&#x2F;H (histidine) vs. other genotypes to evaluate an interaction between treatment group and Fcgamma polymorphism.\nThe Kaplan-Meier method105 will be used to estimate the distribution of the primary endpoints stratified by the dichotomized subgroups, and the log-rank test106 will be used to statistically compare the time-to-event distributions.",
            "reportingStatus": "NOT_POSTED",
            "denomUnitsSelected": "Participants",
            "anticipatedPostingDate": "2022-01"
          }
        ]
      },
      "participantFlowModule": {
        "groups": [
          {
            "id": "FG000",
            "title": "Arm I (Chemotherapy)",
            "description": "<p>GROUP IA: Patients receive docetaxel IV over 60 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 3 weeks for 6 cycles in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IB: Patients receive doxorubicin hydrochloride IV over 15 minutes and cyclophosphamide IV over 30 minutes on day 1.\nTreatment repeats every 2 or 3 weeks for 4 cycles in the absence of disease progression or unacceptable toxicity.\nBeginning 2-3 weeks after last dose of doxorubicin hydrochloride and cyclophosphamide, patients also receive paclitaxel IV over 60 minutes once weekly for 12 doses in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p>"
          },
          {
            "id": "FG001",
            "title": "Arm II (Chemotherapy, Trastuzumab)",
            "description": "<p>GROUP IIA: Patients receive docetaxel and cyclophosphamide as in Group IA.\nPatients also receive trastuzumab IV over 30-90 minutes on day 1.\nCourses repeat every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>GROUP IIB: Patients receive doxorubicin hydrochloride, cyclophosphamide, and paclitaxel as in Group IB.\nPatients also receive trastuzumab IV over 30-90 minutes weekly for 12 doses and then every 3 weeks for subsequent doses.\nTreatment repeats every 3 weeks for 1 year in the absence of disease progression or unacceptable toxicity.</p><p>Cyclophosphamide: Given IV</p><p>Docetaxel: Given IV</p><p>Doxorubicin: Given IV</p><p>Doxorubicin Hydrochloride: Given IV</p><p>Laboratory Biomarker Analysis: Correlative studies</p><p>Paclitaxel: Given IV</p><p>Quality-of-Life Assessment: Ancillary studies</p><p>Trastuzumab: Given IV</p>"
          }
        ],
        "periods": [
          {
            "title": "Overall Study",
            "milestones": [
              {
                "type": "STARTED",
                "achievements": [
                  {
                    "groupId": "FG000",
                    "numSubjects": "1630"
                  },
                  {
                    "groupId": "FG001",
                    "numSubjects": "1640"
                  }
                ]
              },
              {
                "type": "COMPLETED",
                "achievements": [
                  {
                    "groupId": "FG000",
                    "numSubjects": "1602"
                  },
                  {
                    "groupId": "FG001",
                    "numSubjects": "1598"
                  }
                ]
              },
              {
                "type": "NOT COMPLETED",
                "achievements": [
                  {
                    "groupId": "FG000",
                    "numSubjects": "28"
                  },
                  {
                    "groupId": "FG001",
                    "numSubjects": "42"
                  }
                ]
              }
            ],
            "dropWithdraws": [
              {
                "type": "Not at risk for recurrence.",
                "reasons": [
                  {
                    "groupId": "FG000",
                    "numSubjects": "1"
                  },
                  {
                    "groupId": "FG001",
                    "numSubjects": "1"
                  }
                ]
              },
              {
                "type": "No follow-up",
                "reasons": [
                  {
                    "groupId": "FG000",
                    "numSubjects": "26"
                  },
                  {
                    "groupId": "FG001",
                    "numSubjects": "37"
                  }
                ]
              },
              {
                "type": "No clinical follow up.",
                "reasons": [
                  {
                    "groupId": "FG000",
                    "numSubjects": "1"
                  },
                  {
                    "groupId": "FG001",
                    "numSubjects": "4"
                  }
                ]
              }
            ]
          }
        ]
      },
      "baselineCharacteristicsModule": {
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "1630",
                "groupId": "BG000"
              },
              {
                "value": "1640",
                "groupId": "BG001"
              },
              {
                "value": "3270",
                "groupId": "BG002"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "BG000",
            "title": "Arm I (Chemotherapy)",
            "description": "Arm I (chemotherapy)"
          },
          {
            "id": "BG001",
            "title": "Arm II (Chemotherapy, Trastuzumab)",
            "description": "Arm II (chemotherapy, trastuzumab)"
          },
          {
            "id": "BG002",
            "title": "Total",
            "description": "Total of all reporting groups"
          }
        ],
        "measures": [
          {
            "title": "Age, Continuous",
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "52",
                        "spread": "10.4",
                        "groupId": "BG000"
                      },
                      {
                        "value": "52",
                        "spread": "10.4",
                        "groupId": "BG001"
                      },
                      {
                        "value": "52",
                        "spread": "10.4",
                        "groupId": "BG002"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "MEAN",
            "unitOfMeasure": "years",
            "dispersionType": "STANDARD_DEVIATION"
          },
          {
            "title": "Sex: Female, Male",
            "classes": [
              {
                "categories": [
                  {
                    "title": "Female",
                    "measurements": [
                      {
                        "value": "1630",
                        "groupId": "BG000"
                      },
                      {
                        "value": "1640",
                        "groupId": "BG001"
                      },
                      {
                        "value": "3270",
                        "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": "8",
                        "groupId": "BG000"
                      },
                      {
                        "value": "6",
                        "groupId": "BG001"
                      },
                      {
                        "value": "14",
                        "groupId": "BG002"
                      }
                    ]
                  },
                  {
                    "title": "Asian",
                    "measurements": [
                      {
                        "value": "63",
                        "groupId": "BG000"
                      },
                      {
                        "value": "61",
                        "groupId": "BG001"
                      },
                      {
                        "value": "124",
                        "groupId": "BG002"
                      }
                    ]
                  },
                  {
                    "title": "Native Hawaiian or Other Pacific Islander",
                    "measurements": [
                      {
                        "value": "4",
                        "groupId": "BG000"
                      },
                      {
                        "value": "7",
                        "groupId": "BG001"
                      },
                      {
                        "value": "11",
                        "groupId": "BG002"
                      }
                    ]
                  },
                  {
                    "title": "Black or African American",
                    "measurements": [
                      {
                        "value": "144",
                        "groupId": "BG000"
                      },
                      {
                        "value": "175",
                        "groupId": "BG001"
                      },
                      {
                        "value": "319",
                        "groupId": "BG002"
                      }
                    ]
                  },
                  {
                    "title": "White",
                    "measurements": [
                      {
                        "value": "1370",
                        "groupId": "BG000"
                      },
                      {
                        "value": "1354",
                        "groupId": "BG001"
                      },
                      {
                        "value": "2724",
                        "groupId": "BG002"
                      }
                    ]
                  },
                  {
                    "title": "More than one race",
                    "measurements": [
                      {
                        "value": "9",
                        "groupId": "BG000"
                      },
                      {
                        "value": "10",
                        "groupId": "BG001"
                      },
                      {
                        "value": "19",
                        "groupId": "BG002"
                      }
                    ]
                  },
                  {
                    "title": "Unknown or Not Reported",
                    "measurements": [
                      {
                        "value": "32",
                        "groupId": "BG000"
                      },
                      {
                        "value": "27",
                        "groupId": "BG001"
                      },
                      {
                        "value": "59",
                        "groupId": "BG002"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "COUNT_OF_PARTICIPANTS",
            "unitOfMeasure": "Participants"
          },
          {
            "title": "Race&#x2F;Ethnicity, Customized",
            "classes": [
              {
                "title": "Mutually exclusive and exhaustive",
                "categories": [
                  {
                    "title": "Hispanic or Latino",
                    "measurements": [
                      {
                        "value": "102",
                        "groupId": "BG000"
                      },
                      {
                        "value": "106",
                        "groupId": "BG001"
                      },
                      {
                        "value": "208",
                        "groupId": "BG002"
                      }
                    ]
                  },
                  {
                    "title": "Not Hispanic or Latino",
                    "measurements": [
                      {
                        "value": "1488",
                        "groupId": "BG000"
                      },
                      {
                        "value": "1513",
                        "groupId": "BG001"
                      },
                      {
                        "value": "3001",
                        "groupId": "BG002"
                      }
                    ]
                  },
                  {
                    "title": "Unknown or Not Reported",
                    "measurements": [
                      {
                        "value": "40",
                        "groupId": "BG000"
                      },
                      {
                        "value": "21",
                        "groupId": "BG001"
                      },
                      {
                        "value": "61",
                        "groupId": "BG002"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "COUNT_OF_PARTICIPANTS",
            "unitOfMeasure": "Participants"
          }
        ]
      }
    }
  }
]