Raw JSON Patch
[
{
"op": "replace",
"path": "/protocolSection/identificationModule/secondaryIdInfos/0/domain",
"value": "Loxo Oncology, Inc"
},
{
"op": "add",
"path": "/protocolSection/identificationModule/secondaryIdInfos/1",
"value": {
"id": "2015-003582-28",
"type": "EUDRACT_NUMBER"
}
},
{
"op": "replace",
"path": "/protocolSection/identificationModule/briefTitle",
"value": "A Study to Test the Effect of the Drug Larotrectinib in Adults and Children With NTRK-fusion Positive Solid Tumors"
},
{
"op": "replace",
"path": "/protocolSection/identificationModule/officialTitle",
"value": "A Phase II Basket Study of the Oral TRK Inhibitor LOXO-101 in Subjects With NTRK Fusion-positive Tumors"
},
{
"op": "add",
"path": "/protocolSection/identificationModule/acronym",
"value": "NAVIGATE"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/startDateStruct/date",
"value": "2015-09-30"
},
{
"op": "add",
"path": "/protocolSection/statusModule/startDateStruct/type",
"value": "ACTUAL"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/primaryCompletionDateStruct/date",
"value": "2021-05-31"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/completionDateStruct/date",
"value": "2021-05-31"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/lastUpdateSubmitDate",
"value": "2019-02-25"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/lastUpdatePostDateStruct/date",
"value": "2019-02-27"
},
{
"op": "remove",
"path": "/protocolSection/sponsorCollaboratorsModule/collaborators"
},
{
"op": "add",
"path": "/protocolSection/oversightModule/isFdaRegulatedDrug",
"value": true
},
{
"op": "add",
"path": "/protocolSection/oversightModule/isFdaRegulatedDevice",
"value": false
},
{
"op": "replace",
"path": "/protocolSection/descriptionModule/briefSummary",
"value": "This research study is done to test how well different types of cancer respond to the drug called larotrectinib.\nThe cancer must have a change in a particular gene (NTRK1, NTRK2 or NTRK3).\nLarotrectinib is an experimental drug that blocks the actions of these NTRK genes in cancer cells and can therefore be used to treat cancer."
},
{
"op": "replace",
"path": "/protocolSection/descriptionModule/detailedDescription",
"value": "<p>The primary objective of this study is to investigate the efficacy of larotrectinib for the treatment of advanced solid tumors harboring a fusion of neurotrophic tyrosine receptor kinase (NTRK) of types 1-3 in children and adults.</p><p>Secondary objectives comprise the efficacy and safety of larotrectinib in different NTRK-tumor types.</p>"
},
{
"op": "replace",
"path": "/protocolSection/conditionsModule/conditions/0",
"value": "Solid Tumors Harboring NTRK Fusion"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/conditions/1"
},
{
"op": "replace",
"path": "/protocolSection/conditionsModule/keywords/0",
"value": "Non-small cell lung cancer"
},
{
"op": "replace",
"path": "/protocolSection/conditionsModule/keywords/1",
"value": "Thyroid cancer"
},
{
"op": "replace",
"path": "/protocolSection/conditionsModule/keywords/2",
"value": "Sarcoma"
},
{
"op": "replace",
"path": "/protocolSection/conditionsModule/keywords/3",
"value": "Colorectal cancer"
},
{
"op": "replace",
"path": "/protocolSection/conditionsModule/keywords/4",
"value": "Salivary gland cancer"
},
{
"op": "add",
"path": "/protocolSection/conditionsModule/keywords/5",
"value": "Biliary cancer"
},
{
"op": "add",
"path": "/protocolSection/conditionsModule/keywords/6",
"value": "Central nervous system (CNS) tumor"
},
{
"op": "add",
"path": "/protocolSection/conditionsModule/keywords/7",
"value": "Neurotrophic tyrosine receptor kinase (NTRK)"
},
{
"op": "add",
"path": "/protocolSection/conditionsModule/keywords/11",
"value": "Fusion Positive"
},
{
"op": "add",
"path": "/protocolSection/conditionsModule/keywords/12",
"value": "TRK fusion"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/keywords/17"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/keywords/17"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/keywords/17"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/keywords/17"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/keywords/17"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/keywords/17"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/keywords/17"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/keywords/17"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/keywords/17"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/keywords/17"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/keywords/17"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/keywords/17"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/keywords/17"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/keywords/17"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/keywords/17"
},
{
"op": "remove",
"path": "/protocolSection/conditionsModule/keywords/17"
},
{
"op": "replace",
"path": "/protocolSection/designModule/enrollmentInfo/count",
"value": 320
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/0/label",
"value": "Arm 1_NSCLC"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/0/type",
"value": "EXPERIMENTAL"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/0/description",
"value": "Patients with solid non-small cell lung cancer (NSCLC) harboring NTRK fusions"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/0/interventionNames/0",
"value": "Drug: BAY2757556 (Larotrectinib, Vitrakvi)"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/1/label",
"value": "Arm 2_Thyroid"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/1/type",
"value": "EXPERIMENTAL"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/1/description",
"value": "Patients with solid thyroid tumors harboring NTRK fusions"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/1/interventionNames/0",
"value": "Drug: BAY2757556 (Larotrectinib, Vitrakvi)"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/2/label",
"value": "Arm 3_Sarcoma"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/2/type",
"value": "EXPERIMENTAL"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/2/description",
"value": "Patients with soft-tissue sarcoma harboring NTRK fusions"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/2/interventionNames/0",
"value": "Drug: BAY2757556 (Larotrectinib, Vitrakvi)"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/3/label",
"value": "Arm 4_Colorectal"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/3/type",
"value": "EXPERIMENTAL"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/3/description",
"value": "Patients with solid colorectal tumors harboring NTRK fusions"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/3/interventionNames/0",
"value": "Drug: BAY2757556 (Larotrectinib, Vitrakvi)"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/4/label",
"value": "Arm 5_Salivary"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/4/type",
"value": "EXPERIMENTAL"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/4/description",
"value": "Patients with solid salivary tumors harboring NTRK fusions"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/4/interventionNames/0",
"value": "Drug: BAY2757556 (Larotrectinib, Vitrakvi)"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/5/label",
"value": "Arm 6_Biliary"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/5/type",
"value": "EXPERIMENTAL"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/5/description",
"value": "Patients with solid biliary tumors harboring NTRK fusions"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/5/interventionNames/0",
"value": "Drug: BAY2757556 (Larotrectinib, Vitrakvi)"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/6/label",
"value": "Arm 7_Primary CNS"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/6/type",
"value": "EXPERIMENTAL"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/6/description",
"value": "Patients with solid tumors in the primary central nervous system (CNS) harboring NTRK fusions"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/6/interventionNames/0",
"value": "Drug: BAY2757556 (Larotrectinib, Vitrakvi)"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/7/label",
"value": "Arm 8_Other tumors"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/7/type",
"value": "EXPERIMENTAL"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/7/description",
"value": "Patients with breast cancer, kidney cancer, squamous cell cancer of head or neck, melanoma or ovarian solid tumors harboring NTRK fusions."
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/7/interventionNames/0",
"value": "Drug: BAY2757556 (Larotrectinib, Vitrakvi)"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/8/label",
"value": "Arm 9_Solid tumors without confirmed NTRK fusion"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/8/type",
"value": "EXPERIMENTAL"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/8/description",
"value": "Patients eligible for arms 1 to 8, but with documented NTRK fusion from a laboratory where CLIA or equivalent certification cannot be confirmed by the sponsor at the time of consent."
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/8/interventionNames/0",
"value": "Drug: BAY2757556 (Larotrectinib, Vitrakvi)"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/interventions/0/name",
"value": "BAY2757556 (Larotrectinib, Vitrakvi)"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/interventions/0/description",
"value": "Larotrectinib will be administered orally as capsule or liquid solution at a dose of 100 mg twice daily in continuing 28-days cycles."
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/interventions/0/armGroupLabels/0",
"value": "Arm 1_NSCLC"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/interventions/0/armGroupLabels/1",
"value": "Arm 2_Thyroid"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/interventions/0/armGroupLabels/2",
"value": "Arm 3_Sarcoma"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/interventions/0/armGroupLabels/3",
"value": "Arm 4_Colorectal"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/interventions/0/armGroupLabels/4",
"value": "Arm 5_Salivary"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/interventions/0/armGroupLabels/5",
"value": "Arm 6_Biliary"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/interventions/0/armGroupLabels/6",
"value": "Arm 7_Primary CNS"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/interventions/0/armGroupLabels/7",
"value": "Arm 8_Other tumors"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/interventions/0/armGroupLabels/8",
"value": "Arm 9_Solid tumors without confirmed NTRK fusion"
},
{
"op": "add",
"path": "/protocolSection/armsInterventionsModule/interventions/0/otherNames",
"value": [
"LOXO-101"
]
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/primaryOutcomes/0/measure",
"value": "Best overall response rate by IRC"
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/primaryOutcomes/0/timeFrame",
"value": "Up to 68 months"
},
{
"op": "add",
"path": "/protocolSection/outcomesModule/primaryOutcomes/0/description",
"value": "Proportion of subjects with either complete response or partial response as determined by an independent radiology committee (IRC) using RECIST or RANO criteria."
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/0/measure",
"value": "Best overall response rate by investigator"
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/0/timeFrame",
"value": "Up to 68 months"
},
{
"op": "add",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/0/description",
"value": "Proportion of subjects with either complete response or partial response as determined by the treating investigator using RECIST or RANO criteria."
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/1/measure",
"value": "Duration of response (DOR) by IRC"
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/1/timeFrame",
"value": "Up to 68 months"
},
{
"op": "add",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/1/description",
"value": "Duration of response is the number of months from the start of confirmed complete response or partial response to disease progression or death.\nComplete response, partial response and disease progression are assessed by an independent radiology committee (IRC)."
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/2/measure",
"value": "Duration of response (DOR) by investigator"
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/2/timeFrame",
"value": "Up to 68 months"
},
{
"op": "add",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/2/description",
"value": "<p>Duration of response is the number of months from the start of confirmed complete response or partial response to disease progression or death.</p><p>Complete response, partial response and disease progression are assessed by the treating investigator.</p>"
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/3/measure",
"value": "Clinical benefit rate (CBR)"
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/3/timeFrame",
"value": "Up to 68 months"
},
{
"op": "add",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/3/description",
"value": "Proportion of subjects with best overall response of complete response, partial response or stable disease lasting 16 or more weeks following the initiation of larotrectinib."
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/4/measure",
"value": "Progression-free survival (PFS) after Larotrectinib"
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/4/description",
"value": "Number of months from initiation of larotrectinib to either disease progression or death due to any cause."
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/4/timeFrame",
"value": "Up to 68 months"
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/5/measure",
"value": "Overall survival time"
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/5/description",
"value": "Number of months from the initiation of larotrectinib to the date of death due to any cause."
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/5/timeFrame",
"value": "Up to 68 months"
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/6/measure",
"value": "Progression-free survival (PFS) after past cancer therapy"
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/6/description",
"value": "Number of months from initiation of the line of therapy preceding larotrectinib to either disease progression or death due to any cause."
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/6/timeFrame",
"value": "Up to 68 months"
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/7/measure",
"value": "Number of subjects with adverse events"
},
{
"op": "remove",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/7/description"
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/7/timeFrame",
"value": "Up to 68 months"
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/8/measure",
"value": "Number of subjects with serious adverse events"
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/8/timeFrame",
"value": "Up to 68 months"
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/9/measure",
"value": "Number of subjects with treatment-related adverse events"
},
{
"op": "replace",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/9/timeFrame",
"value": "Up to 68 months"
},
{
"op": "add",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/10",
"value": {
"measure": "Severity of adverse events",
"timeFrame": "Up to 68 months"
}
},
{
"op": "add",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/11",
"value": {
"measure": "Severity of serious adverse events",
"timeFrame": "Up to 68 months"
}
},
{
"op": "add",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/12",
"value": {
"measure": "Severity of treatment-related adverse events",
"timeFrame": "Up to 68 months"
}
},
{
"op": "add",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/13",
"value": {
"measure": "Duration of adverse events",
"timeFrame": "Up to 68 months"
}
},
{
"op": "add",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/14",
"value": {
"measure": "Duration of serious adverse events",
"timeFrame": "Up to 68 months"
}
},
{
"op": "add",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/15",
"value": {
"measure": "Duration of treatment-related adverse events",
"timeFrame": "Up to 68 months"
}
},
{
"op": "add",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/16",
"value": {
"measure": "Number of subjects with safety-relevant changes in clinical parameters or vital signs after drug administration",
"timeFrame": "Up to 68 months"
}
},
{
"op": "add",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/17",
"value": {
"measure": "Severity of safety-relevant changes in clinical parameters or vital signs after drug administration",
"timeFrame": "Up to 68 months"
}
},
{
"op": "add",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/18",
"value": {
"measure": "Proportion of subjects that has any tumor regression as a best response",
"timeFrame": "Up to 68 months"
}
},
{
"op": "add",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/19",
"value": {
"measure": "Concordance coefficient",
"timeFrame": "Up to 68 months",
"description": "Describes the concordance of prior molecular profiling that detected an NTRK fusion within the subject's tumor and a diagnostic test being evaluated by the sponsor."
}
},
{
"op": "replace",
"path": "/protocolSection/eligibilityModule/eligibilityCriteria",
"value": "<p>Inclusion Criteria:</p><ul><li>Locally-advanced or metastatic malignancy with an NTRK1, NTRK2, or NTRK3 gene fusion identified through molecular assays</li><li>Subjects must have received prior standard therapy appropriate for their tumor type and stage of disease, or in the opinion of the investigator, would be unlikely to tolerate or derive clinically meaningful benefit from appropriate standard of care therapy</li><li>Subjects must have at least one measurable lesion as defined by RECIST v1.1</li></ul><p>Exclusion Criteria:</p><ul><li>Prior progression while receiving approved or investigational tyrosine kinase inhibitors targeting TRK.\nSubjects who received less than 28 days of treatment and discontinued because of intolerance or toxicity are eligible.</li><li>Symptomatic or unstable brain metastases.\n(Note: Subjects with asymptomatic brain metastases are eligible to participate in the study.)\nSubjects with primary CNS tumors are eligible.</li><li>Active uncontrolled systemic bacterial, viral, or fungal infection, unstable cardiovascular disease, or other systemic disease that would limit compliance with study procedures.</li><li>Pregnancy or lactation.</li></ul>"
},
{
"op": "replace",
"path": "/protocolSection/contactsLocationsModule/centralContacts/0/name",
"value": "Bayer Clinical Trials Contact"
},
{
"op": "replace",
"path": "/protocolSection/contactsLocationsModule/centralContacts/0/phone",
"value": "(+)1-888-84 22937"
},
{
"op": "replace",
"path": "/protocolSection/contactsLocationsModule/centralContacts/0/email",
"value": "clinical-trials-contact@bayer.com"
},
{
"op": "remove",
"path": "/protocolSection/contactsLocationsModule/overallOfficials"
},
{
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"value": "<p>Availability of this study's data will be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing".\nThis pertains to scope, timepoint and process of data access.</p><p>As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research.\nThis applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014.</p><p>Interested researchers can use www.clinicalstudydatarequest.com to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research.\nInformation on the Bayer criteria for listing studies and other relevant information is provided in the Study sponsors section of the portal.</p>"
}
]