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NCT03735680

A Study to Evaluate ONM-100, an Intraoperative Fluorescence Imaging Agent for the Detection of Cancer

Version 8 to 9 · OncoNano Medicine, Inc.

Patch inspector

Version 8 to 9

25 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
arms_or_interventions_change
Value signals
[
  {
    "paths": [
      "/protocolSection/outcomesModule/primaryOutcomes/0/description",
      "/protocolSection/outcomesModule/primaryOutcomes/0/measure",
      "/protocolSection/outcomesModule/primaryOutcomes/0/reviewUnit",
      "/protocolSection/outcomesModule/primaryOutcomes/1/description",
      "/protocolSection/outcomesModule/primaryOutcomes/1/measure",
      "/protocolSection/outcomesModule/secondaryOutcomes/0/description",
      "/protocolSection/outcomesModule/secondaryOutcomes/0/measure",
      "/protocolSection/outcomesModule/secondaryOutcomes/1/description",
      "/protocolSection/outcomesModule/secondaryOutcomes/1/measure",
      "/protocolSection/outcomesModule/secondaryOutcomes/2/description",
      "/protocolSection/outcomesModule/secondaryOutcomes/2/measure",
      "/protocolSection/outcomesModule/secondaryOutcomes/3/description",
      "/protocolSection/outcomesModule/secondaryOutcomes/3/measure",
      "/protocolSection/outcomesModule/secondaryOutcomes/4/description",
      "/protocolSection/outcomesModule/secondaryOutcomes/4/measure",
      "/protocolSection/outcomesModule/secondaryOutcomes/5/description",
      "/protocolSection/outcomesModule/secondaryOutcomes/5/measure"
    ],
    "signal": "results_reconciliation_outcome_suppression",
    "category": "results_reconciliation",
    "severity": "low"
  }
]
Provenance
Source
ctgov_internal_history
Fetched
2026-06-18 18:57:37+00
Raw hash
cb2783010766f9096ce972f240e0909ed7abcb5229747858fc53b1ef7b8ed6cb
Payload
Source URL
Primary outcomes Outcome measures that define the trial's primary evidence target. Triage: Critical 5 ops
replace /protocolSection/outcomesModule/primaryOutcomes/0/measure
Triage: Critical
Primary Outcome Change Operation 5
Matched rules
  • primary_outcome_any_change Any add/remove/replace under primary outcome measures is critical review priority.
Before
Measure mean fluorescence intensity of histologically confirmed tumor vs normal tissue in patients undergoing routine surgery [Tumor to Background Ratio (TBR)]
After
Measure Mean Fluorescence Intensity of Histologically Confirmed Tumor vs Normal Tissue in Patients Undergoing Routine Surgery [Tumor to Background Ratio (TBR)]
add /protocolSection/outcomesModule/primaryOutcomes/0/description
Triage: Critical
Primary Outcome Change Operation 6
Matched rules
  • primary_outcome_any_change Any add/remove/replace under primary outcome measures is critical review priority.
After
<p>Part 1: Evaluate the dose(s) at which ONM-100 fluorescence imaging is feasible at 3±2 hours post dose.</p><p>Part 2: Verify the safety and diagnostic performance of ONM-100 compared to standard pathology at the dose(s) and imaging schedule(s) post dose selected from Part 1 for the detection of primary tumors and the metastatic lymph nodes in a variety of solid cancers (which could have included HNSCC, breast cancer, colorectal cancer, urothelial cancer, prostate cancer, ovarian cancer, and&#x2F;or non-small cell lung carcinoma [NSCLC]).</p><p>Part 3: Assess the safety and efficacy (sensitivity and positive predictive value [PPV] of ONM-100 for intraoperative imaging during HNSCC surgery.</p>
add /protocolSection/outcomesModule/primaryOutcomes/0/reviewUnit
Triage: Critical
Primary Outcome Change Operation 7
Matched rules
  • primary_outcome_any_change Any add/remove/replace under primary outcome measures is critical review priority.
After
{
  "resetReasons": [
    "More than one baseline or outcome measure appears to be described, and it is unclear which measure the reported data represent."
  ]
}
replace /protocolSection/outcomesModule/primaryOutcomes/1/measure
Triage: Critical
Primary Outcome Change Operation 8
Matched rules
  • primary_outcome_any_change Any add/remove/replace under primary outcome measures is critical review priority.
Before
Incidence rate of all treatment-emergent adverse events (TEAEs) from time of ONM-100 administration through Day 28
After
Incidence Rate of All Treatment-emergent Adverse Events (TEAEs) From Time of ONM-100 Administration Through Day 28
add /protocolSection/outcomesModule/primaryOutcomes/1/description
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.
After
Evaluate safety at the dose(s) used to assess imaging feasibility and select the dose(s) and imaging schedule(s) post dose that are safe and provide optimal imaging of solid tumors and metastatic lymph nodes; the dose and time post dose chosen for the detection of primary tumors and metastatic lymph nodes could be the same or different.
Design Trial model, phase, allocation, masking, arms, or interventions. Triage: High 1 ops
replace /protocolSection/armsInterventionsModule/interventions/0/description
Triage: High
Arm Intervention Change Operation 4
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
Before
A polymer micelle covalently conjugated to indocyanine green, an FDA-approved fluorophore
After
A polymer micelle covalently conjugated to indocyanine green.
Secondary outcomes Additional endpoints and outcome descriptions. Triage: High 12 ops
replace /protocolSection/outcomesModule/secondaryOutcomes/0/measure
Triage: High
Secondary Outcome Change Operation 10
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Evaluate pharmacokinetic parameters: Cmax
After
Evaluate Pharmacokinetic Parameters: Cmax
replace /protocolSection/outcomesModule/secondaryOutcomes/0/description
Triage: High
Secondary Outcome Change Operation 11
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Maximum plasma concentration [Cmax]
After
Evaluate the maximum plasma concentration (Cmax) of ONM-100 at the dose(s) and imaging schedule(s) post dose used to assess optimal imaging in Part 1 and Part 2.
replace /protocolSection/outcomesModule/secondaryOutcomes/1/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
Evaluate pharmacokinetic parameters: Tmax
After
Evaluate Pharmacokinetic Parameters: Tmax
replace /protocolSection/outcomesModule/secondaryOutcomes/1/description
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
Time to Cmax [Tmax]
After
Evaluate the time to Cmax (Tmax) of ONM-100 at the dose(s) and imaging schedule(s) post dose used to assess optimal imaging in Part 1 and Part 2.
replace /protocolSection/outcomesModule/secondaryOutcomes/2/measure
Triage: High
Secondary Outcome Change Operation 14
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Evaluate pharmacokinetic parameters: AUC
After
Evaluate Pharmacokinetic Parameters: AUC
replace /protocolSection/outcomesModule/secondaryOutcomes/2/description
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
Area under the time-concentration curve [AUC]
After
Evaluate the Area under the time-concentration curve [AUC] of ONM-100 at the dose(s) and imaging schedule(s) post dose used to assess optimal imaging in Part 1 and Part 2.
replace /protocolSection/outcomesModule/secondaryOutcomes/3/measure
Triage: High
Secondary Outcome Change Operation 16
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Evaluate pharmacokinetic parameters: CL
After
Evaluate Pharmacokinetic Parameters: CL
replace /protocolSection/outcomesModule/secondaryOutcomes/3/description
Triage: High
Secondary Outcome Change Operation 17
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Total body clearance [CL]
After
Evaluate Total body clearance [CL] of ONM-100 at the dose(s) and imaging schedule(s) post dose used to assess optimal imaging in Part 1 and Part 2.
replace /protocolSection/outcomesModule/secondaryOutcomes/4/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
Evaluate pharmacokinetic parameters: Vss
After
Evaluate Pharmacokinetic Parameters: Vz
replace /protocolSection/outcomesModule/secondaryOutcomes/4/description
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
Volume of distribution [Vss]
After
Evaluate the Volume of distribution [Vz] of ONM-100 at the dose(s) and imaging schedule(s) post dose used to assess optimal imaging in Part 1 and Part 2.
replace /protocolSection/outcomesModule/secondaryOutcomes/5/measure
Triage: High
Secondary Outcome Change Operation 20
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Evaluate pharmacokinetic parameters: t1&#x2F;2
After
Evaluate Pharmacokinetic Parameters: t1&#x2F;2
replace /protocolSection/outcomesModule/secondaryOutcomes/5/description
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
Terminal elimination half-life [t1&#x2F;2]
After
Evaluate the Terminal elimination half-life [t1&#x2F;2] of ONM-100 at the dose(s) and imaging schedule(s) post dose used to assess optimal imaging in Part 1 and Part 2.
Other registry fields Changes outside the current high-signal rule families. Triage: Uncategorized 7 ops
replace /protocolSection/statusModule/lastUpdateSubmitDate
Triage: Uncategorized
Uncategorized Operation 1
Before
2022-02-09
After
2023-01-16
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized
Uncategorized Operation 2
Before
2022-02-11
After
2023-02-13
add /protocolSection/statusModule/resultsFirstSubmitDate
Triage: Uncategorized
Uncategorized Operation 3
After
2023-01-16
replace /hasResults
Triage: Uncategorized
Uncategorized Operation 22
Before
false
After
true
add /resultsSection
Triage: Uncategorized
Uncategorized Operation 23
After
{
  "moreInfoModule": {
    "pointOfContact": {
      "email": "clinicaltrials@onconanomed.com",
      "phone": "682-285-1411",
      "title": "Vice President, Clinical Operations",
      "organization": "OncoNano Medicine, Inc."
    },
    "certainAgreement": {
      "piSponsorEmployee": false,
      "restrictiveAgreement": false
    }
  },
  "adverseEventsModule": {
    "timeFrame": "Adverse events were collected from the time of study drug administration throughout the course of the study. The total collection period for each subject was approximately one month.",
    "eventGroups": [
      {
        "id": "EG000",
        "title": "Patients Receiving ONM-100",
        "description": "<p>All patients in this arm will receive ONM-100 for injection and undergo intraoperative imaging.</p><p>ONM-100: A polymer micelle covalently conjugated to an ICG-like moiety.</p>",
        "otherNumAtRisk": 30,
        "deathsNumAtRisk": 30,
        "otherNumAffected": 30,
        "seriousNumAtRisk": 30,
        "deathsNumAffected": 0,
        "seriousNumAffected": 6
      }
    ],
    "otherEvents": [
      {
        "term": "Infusion-related reaction",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 17,
            "numAffected": 17
          }
        ],
        "organSystem": "Injury, poisoning and procedural complications",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Buttock injury",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 1,
            "numAffected": 1
          }
        ],
        "organSystem": "Injury, poisoning and procedural complications",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Neck injury",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 1,
            "numAffected": 1
          }
        ],
        "organSystem": "Injury, poisoning and procedural complications",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Wound",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 1,
            "numAffected": 1
          }
        ],
        "organSystem": "Injury, poisoning and procedural complications",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Vomiting",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 2,
            "numAffected": 2
          }
        ],
        "organSystem": "Gastrointestinal disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Abdominal pain",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 1,
            "numAffected": 1
          }
        ],
        "organSystem": "Gastrointestinal disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Constipation",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 1,
            "numAffected": 1
          }
        ],
        "organSystem": "Gastrointestinal disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Diarrhea",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 1,
            "numAffected": 1
          }
        ],
        "organSystem": "Gastrointestinal disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Nausea",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 1,
            "numAffected": 1
          }
        ],
        "organSystem": "Gastrointestinal disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Oral pain",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 1,
            "numAffected": 1
          }
        ],
        "organSystem": "Gastrointestinal disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Neck pain",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 3,
            "numAffected": 3
          }
        ],
        "organSystem": "Musculoskeletal and connective tissue disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Myalgia",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 2,
            "numAffected": 2
          }
        ],
        "organSystem": "Musculoskeletal and connective tissue disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Arthralgia",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 1,
            "numAffected": 1
          }
        ],
        "organSystem": "Musculoskeletal and connective tissue disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Muscle spasms",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 1,
            "numAffected": 1
          }
        ],
        "organSystem": "Musculoskeletal and connective tissue disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Musculoskeletal stiffness",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 1,
            "numAffected": 1
          }
        ],
        "organSystem": "Musculoskeletal and connective tissue disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Pain in extremity",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 1,
            "numAffected": 1
          }
        ],
        "organSystem": "Musculoskeletal and connective tissue disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Fatigue",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 1,
            "numAffected": 1
          }
        ],
        "organSystem": "General disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Injection site reaction",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 1,
            "numAffected": 1
          }
        ],
        "organSystem": "General disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Malaise",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 1,
            "numAffected": 1
          }
        ],
        "organSystem": "General disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Pain",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 1,
            "numAffected": 1
          }
        ],
        "organSystem": "General disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Pyrexia",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 1,
            "numAffected": 1
          }
        ],
        "organSystem": "General disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Nervous system disorders",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 4,
            "numAffected": 4
          }
        ],
        "organSystem": "General disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Dizziness",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 2,
            "numAffected": 2
          }
        ],
        "organSystem": "General disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Headache",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 2,
            "numAffected": 2
          }
        ],
        "organSystem": "General disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Sensory disturbance",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 1,
            "numAffected": 1
          }
        ],
        "organSystem": "General disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Procedural pain",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 1,
            "numAffected": 1
          }
        ],
        "organSystem": "Injury, poisoning and procedural complications",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      }
    ],
    "seriousEvents": [
      {
        "term": "Cellulitis",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 1,
            "numAffected": 1
          }
        ],
        "organSystem": "Skin and subcutaneous tissue disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Superficial Vein Thrombosis",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 1,
            "numAffected": 1
          }
        ],
        "organSystem": "Vascular disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Abscess Neck",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 1,
            "numAffected": 1
          }
        ],
        "organSystem": "Skin and subcutaneous tissue disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Thrombophlebitis",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 1,
            "numAffected": 1
          }
        ],
        "organSystem": "Vascular disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Tonsillar Hemorrhage",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 1,
            "numAffected": 1
          }
        ],
        "organSystem": "Respiratory, thoracic and mediastinal disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      },
      {
        "term": "Infusion Related Reaction",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 30,
            "numEvents": 2,
            "numAffected": 2
          }
        ],
        "organSystem": "Injury, poisoning and procedural complications",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "MedDRA (19.0)"
      }
    ],
    "armsReviewUnit": {
      "resetReasons": [
        "The arms/groups appear inconsistent with information in other parts of the record. Each arm/group should be described separately, or a valid explanation provided."
      ]
    },
    "frequencyThreshold": "0"
  },
  "outcomeMeasuresModule": {
    "outcomeMeasures": [
      {
        "type": "PRIMARY",
        "title": "Measure Mean Fluorescence Intensity of Histologically Confirmed Tumor vs Normal Tissue in Patients Undergoing Routine Surgery [Tumor to Background Ratio (TBR)]",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "3",
                "groupId": "OG000"
              },
              {
                "value": "3",
                "groupId": "OG001"
              },
              {
                "value": "2",
                "groupId": "OG002"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "ONM-100 at a Dose of 1 mg&#x2F;kg",
            "description": "All patients in this arm received a single IV administration of ONM-100 at 1 mg&#x2F;kg."
          },
          {
            "id": "OG001",
            "title": "ONM-100 at a Dose of 3 mg&#x2F;kg",
            "description": "All patients in this arm received a single IV administration of ONM-100 at 3 mg&#x2F;kg."
          },
          {
            "id": "OG002",
            "title": "ONM-100 at a Dose of 2 mg&#x2F;kg",
            "description": "All patients in this arm received a single IV administration of ONM-100 at 2 mg&#x2F;kg."
          }
        ],
        "classes": [
          {
            "categories": [
              {
                "measurements": [
                  {
                    "value": "2.858",
                    "spread": "2.2128",
                    "groupId": "OG000"
                  },
                  {
                    "value": "3.498",
                    "spread": "1.3717",
                    "groupId": "OG001"
                  },
                  {
                    "value": "2.608",
                    "spread": "2.5936",
                    "groupId": "OG002"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "MEAN",
        "timeFrame": "1 day",
        "reviewUnit": {
          "resetReasons": [
            "More than one baseline or outcome measure appears to be described, and it is unclear which measure the reported data represent."
          ]
        },
        "description": "<p>Part 1: Evaluate the dose(s) at which ONM-100 fluorescence imaging is feasible at 3±2 hours post dose.</p><p>Part 2: Verify the safety and diagnostic performance of ONM-100 compared to standard pathology at the dose(s) and imaging schedule(s) post dose selected from Part 1 for the detection of primary tumors and the metastatic lymph nodes in a variety of solid cancers (which could have included HNSCC, breast cancer, colorectal cancer, urothelial cancer, prostate cancer, ovarian cancer, and&#x2F;or non-small cell lung carcinoma [NSCLC]).</p><p>Part 3: Assess the safety and efficacy (sensitivity and positive predictive value [PPV] of ONM-100 for intraoperative imaging during HNSCC surgery.</p>",
        "unitOfMeasure": "units on a scale",
        "dispersionType": "Standard Deviation",
        "reportingStatus": "POSTED",
        "measureCategoriesReviewUnit": {
          "resetReasons": [
            "The Unit of Measure appears inconsistent with the Measure Title, the Measure Description, or both."
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        }
      },
      {
        "type": "PRIMARY",
        "title": "Incidence Rate of All Treatment-emergent Adverse Events (TEAEs) From Time of ONM-100 Administration Through Day 28",
        "denoms": [
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            "categories": [
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        "paramType": "COUNT_OF_PARTICIPANTS",
        "timeFrame": "28 days",
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        "unitOfMeasure": "Participants",
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        }
      },
      {
        "type": "SECONDARY",
        "title": "Evaluate Pharmacokinetic Parameters: Cmax",
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          {
            "categories": [
              {
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      {
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          {
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        ],
        "paramType": "GEOMETRIC_MEAN",
        "timeFrame": "6 days",
        "description": "Evaluate the Area under the time-concentration curve [AUC] of ONM-100 at the dose(s) and imaging schedule(s) post dose used to assess optimal imaging in Part 1 and Part 2.",
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                "groupId": "OG000"
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          {
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          {
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            "description": "Patients receiving a single IV administration of ONM-100 at 3 mg&#x2F;kg."
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        ],
        "classes": [
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        ],
        "paramType": "GEOMETRIC_MEAN",
        "timeFrame": "6 days",
        "description": "Evaluate Total body clearance [CL] of ONM-100 at the dose(s) and imaging schedule(s) post dose used to assess optimal imaging in Part 1 and Part 2.",
        "unitOfMeasure": "L&#x2F;hr",
        "dispersionType": "Geometric Coefficient of Variation",
        "reportingStatus": "POSTED",
        "populationDescription": "The PK analysis population comprised 19 patients for whom concentration data were available.\nDue to the sparse plasma concentrations for the majority of patients, with the exception of Cmax and Tmax, it was not possible to estimate all parameters for all patients."
      },
      {
        "type": "SECONDARY",
        "title": "Evaluate Pharmacokinetic Parameters: Vz",
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                "groupId": "OG000"
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                "value": "0",
                "groupId": "OG001"
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              {
                "value": "2",
                "groupId": "OG002"
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          {
            "id": "OG001",
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          },
          {
            "id": "OG002",
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        ],
        "classes": [
          {
            "categories": [
              {
                "measurements": [
                  {
                    "value": "3.78",
                    "spread": "33.9",
                    "groupId": "OG000"
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                  {
                    "value": "5.32",
                    "spread": "82.9",
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                ]
              }
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          }
        ],
        "paramType": "GEOMETRIC_MEAN",
        "timeFrame": "6 days",
        "description": "Evaluate the Volume of distribution [Vz] of ONM-100 at the dose(s) and imaging schedule(s) post dose used to assess optimal imaging in Part 1 and Part 2.",
        "unitOfMeasure": "L",
        "dispersionType": "Geometric Coefficient of Variation",
        "reportingStatus": "POSTED",
        "populationDescription": "The PK analysis population comprised 19 patients for whom concentration data were available.\nDue to sparse plasma concentrations for the majority of patients, with the exception of Cmax and Tmax, it was not possible to estimate all parameters for all patients."
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      {
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        "title": "Evaluate Pharmacokinetic Parameters: t1&#x2F;2",
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                  {
                    "value": "69.4",
                    "spread": "8.80",
                    "groupId": "OG002"
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              }
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        "description": "Evaluate the Terminal elimination half-life [t1&#x2F;2] of ONM-100 at the dose(s) and imaging schedule(s) post dose used to assess optimal imaging in Part 1 and Part 2.",
        "unitOfMeasure": "hr",
        "dispersionType": "Geometric Coefficient of Variation",
        "reportingStatus": "POSTED",
        "populationDescription": "The PK analysis population comprised 19 patients for whom concentration data were available.\nDue to the sparse plasma concentrations for the majority of patients, with the exception of Cmax and Tmax, it was not possible to estimate all parameters for all patients."
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  },
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        "id": "FG000",
        "title": "Patients Receiving ONM-100",
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    ],
    "periods": [
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    ],
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      {
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add /annotationSection
Triage: Uncategorized
Uncategorized Operation 24
After
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add /documentSection
Triage: Uncategorized
Uncategorized Operation 25
After
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    "value": "<p>Part 1: Evaluate the dose(s) at which ONM-100 fluorescence imaging is feasible at 3±2 hours post dose.</p><p>Part 2: Verify the safety and diagnostic performance of ONM-100 compared to standard pathology at the dose(s) and imaging schedule(s) post dose selected from Part 1 for the detection of primary tumors and the metastatic lymph nodes in a variety of solid cancers (which could have included HNSCC, breast cancer, colorectal cancer, urothelial cancer, prostate cancer, ovarian cancer, and&#x2F;or non-small cell lung carcinoma [NSCLC]).</p><p>Part 3: Assess the safety and efficacy (sensitivity and positive predictive value [PPV] of ONM-100 for intraoperative imaging during HNSCC surgery.</p>"
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    "path": "/protocolSection/outcomesModule/primaryOutcomes/0/reviewUnit",
    "value": {
      "resetReasons": [
        "More than one baseline or outcome measure appears to be described, and it is unclear which measure the reported data represent."
      ]
    }
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/primaryOutcomes/1/measure",
    "value": "Incidence Rate of All Treatment-emergent Adverse Events (TEAEs) From Time of ONM-100 Administration Through Day 28"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/primaryOutcomes/1/description",
    "value": "Evaluate safety at the dose(s) used to assess imaging feasibility and select the dose(s) and imaging schedule(s) post dose that are safe and provide optimal imaging of solid tumors and metastatic lymph nodes; the dose and time post dose chosen for the detection of primary tumors and metastatic lymph nodes could be the same or different."
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/0/measure",
    "value": "Evaluate Pharmacokinetic Parameters: Cmax"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/0/description",
    "value": "Evaluate the maximum plasma concentration (Cmax) of ONM-100 at the dose(s) and imaging schedule(s) post dose used to assess optimal imaging in Part 1 and Part 2."
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/1/measure",
    "value": "Evaluate Pharmacokinetic Parameters: Tmax"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/1/description",
    "value": "Evaluate the time to Cmax (Tmax) of ONM-100 at the dose(s) and imaging schedule(s) post dose used to assess optimal imaging in Part 1 and Part 2."
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/2/measure",
    "value": "Evaluate Pharmacokinetic Parameters: AUC"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/2/description",
    "value": "Evaluate the Area under the time-concentration curve [AUC] of ONM-100 at the dose(s) and imaging schedule(s) post dose used to assess optimal imaging in Part 1 and Part 2."
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/3/measure",
    "value": "Evaluate Pharmacokinetic Parameters: CL"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/3/description",
    "value": "Evaluate Total body clearance [CL] of ONM-100 at the dose(s) and imaging schedule(s) post dose used to assess optimal imaging in Part 1 and Part 2."
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/4/measure",
    "value": "Evaluate Pharmacokinetic Parameters: Vz"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/4/description",
    "value": "Evaluate the Volume of distribution [Vz] of ONM-100 at the dose(s) and imaging schedule(s) post dose used to assess optimal imaging in Part 1 and Part 2."
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/5/measure",
    "value": "Evaluate Pharmacokinetic Parameters: t1&#x2F;2"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/5/description",
    "value": "Evaluate the Terminal elimination half-life [t1&#x2F;2] of ONM-100 at the dose(s) and imaging schedule(s) post dose used to assess optimal imaging in Part 1 and Part 2."
  },
  {
    "op": "replace",
    "path": "/hasResults",
    "value": true
  },
  {
    "op": "add",
    "path": "/resultsSection",
    "value": {
      "moreInfoModule": {
        "pointOfContact": {
          "email": "clinicaltrials@onconanomed.com",
          "phone": "682-285-1411",
          "title": "Vice President, Clinical Operations",
          "organization": "OncoNano Medicine, Inc."
        },
        "certainAgreement": {
          "piSponsorEmployee": false,
          "restrictiveAgreement": false
        }
      },
      "adverseEventsModule": {
        "timeFrame": "Adverse events were collected from the time of study drug administration throughout the course of the study. The total collection period for each subject was approximately one month.",
        "eventGroups": [
          {
            "id": "EG000",
            "title": "Patients Receiving ONM-100",
            "description": "<p>All patients in this arm will receive ONM-100 for injection and undergo intraoperative imaging.</p><p>ONM-100: A polymer micelle covalently conjugated to an ICG-like moiety.</p>",
            "otherNumAtRisk": 30,
            "deathsNumAtRisk": 30,
            "otherNumAffected": 30,
            "seriousNumAtRisk": 30,
            "deathsNumAffected": 0,
            "seriousNumAffected": 6
          }
        ],
        "otherEvents": [
          {
            "term": "Infusion-related reaction",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 17,
                "numAffected": 17
              }
            ],
            "organSystem": "Injury, poisoning and procedural complications",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Buttock injury",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 1,
                "numAffected": 1
              }
            ],
            "organSystem": "Injury, poisoning and procedural complications",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Neck injury",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 1,
                "numAffected": 1
              }
            ],
            "organSystem": "Injury, poisoning and procedural complications",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Wound",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 1,
                "numAffected": 1
              }
            ],
            "organSystem": "Injury, poisoning and procedural complications",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Vomiting",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 2,
                "numAffected": 2
              }
            ],
            "organSystem": "Gastrointestinal disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Abdominal pain",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 1,
                "numAffected": 1
              }
            ],
            "organSystem": "Gastrointestinal disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Constipation",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 1,
                "numAffected": 1
              }
            ],
            "organSystem": "Gastrointestinal disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Diarrhea",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 1,
                "numAffected": 1
              }
            ],
            "organSystem": "Gastrointestinal disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Nausea",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 1,
                "numAffected": 1
              }
            ],
            "organSystem": "Gastrointestinal disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Oral pain",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 1,
                "numAffected": 1
              }
            ],
            "organSystem": "Gastrointestinal disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Neck pain",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 3,
                "numAffected": 3
              }
            ],
            "organSystem": "Musculoskeletal and connective tissue disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Myalgia",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 2,
                "numAffected": 2
              }
            ],
            "organSystem": "Musculoskeletal and connective tissue disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Arthralgia",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 1,
                "numAffected": 1
              }
            ],
            "organSystem": "Musculoskeletal and connective tissue disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Muscle spasms",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 1,
                "numAffected": 1
              }
            ],
            "organSystem": "Musculoskeletal and connective tissue disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Musculoskeletal stiffness",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 1,
                "numAffected": 1
              }
            ],
            "organSystem": "Musculoskeletal and connective tissue disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Pain in extremity",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 1,
                "numAffected": 1
              }
            ],
            "organSystem": "Musculoskeletal and connective tissue disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Fatigue",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 1,
                "numAffected": 1
              }
            ],
            "organSystem": "General disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Injection site reaction",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 1,
                "numAffected": 1
              }
            ],
            "organSystem": "General disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Malaise",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 1,
                "numAffected": 1
              }
            ],
            "organSystem": "General disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Pain",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 1,
                "numAffected": 1
              }
            ],
            "organSystem": "General disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Pyrexia",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 1,
                "numAffected": 1
              }
            ],
            "organSystem": "General disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Nervous system disorders",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 4,
                "numAffected": 4
              }
            ],
            "organSystem": "General disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Dizziness",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 2,
                "numAffected": 2
              }
            ],
            "organSystem": "General disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Headache",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 2,
                "numAffected": 2
              }
            ],
            "organSystem": "General disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Sensory disturbance",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 1,
                "numAffected": 1
              }
            ],
            "organSystem": "General disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Procedural pain",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 1,
                "numAffected": 1
              }
            ],
            "organSystem": "Injury, poisoning and procedural complications",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          }
        ],
        "seriousEvents": [
          {
            "term": "Cellulitis",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 1,
                "numAffected": 1
              }
            ],
            "organSystem": "Skin and subcutaneous tissue disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Superficial Vein Thrombosis",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 1,
                "numAffected": 1
              }
            ],
            "organSystem": "Vascular disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Abscess Neck",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 1,
                "numAffected": 1
              }
            ],
            "organSystem": "Skin and subcutaneous tissue disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Thrombophlebitis",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 1,
                "numAffected": 1
              }
            ],
            "organSystem": "Vascular disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Tonsillar Hemorrhage",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 1,
                "numAffected": 1
              }
            ],
            "organSystem": "Respiratory, thoracic and mediastinal disorders",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          },
          {
            "term": "Infusion Related Reaction",
            "stats": [
              {
                "groupId": "EG000",
                "numAtRisk": 30,
                "numEvents": 2,
                "numAffected": 2
              }
            ],
            "organSystem": "Injury, poisoning and procedural complications",
            "assessmentType": "NON_SYSTEMATIC_ASSESSMENT",
            "sourceVocabulary": "MedDRA (19.0)"
          }
        ],
        "armsReviewUnit": {
          "resetReasons": [
            "The arms/groups appear inconsistent with information in other parts of the record. Each arm/group should be described separately, or a valid explanation provided."
          ]
        },
        "frequencyThreshold": "0"
      },
      "outcomeMeasuresModule": {
        "outcomeMeasures": [
          {
            "type": "PRIMARY",
            "title": "Measure Mean Fluorescence Intensity of Histologically Confirmed Tumor vs Normal Tissue in Patients Undergoing Routine Surgery [Tumor to Background Ratio (TBR)]",
            "denoms": [
              {
                "units": "Participants",
                "counts": [
                  {
                    "value": "3",
                    "groupId": "OG000"
                  },
                  {
                    "value": "3",
                    "groupId": "OG001"
                  },
                  {
                    "value": "2",
                    "groupId": "OG002"
                  }
                ]
              }
            ],
            "groups": [
              {
                "id": "OG000",
                "title": "ONM-100 at a Dose of 1 mg&#x2F;kg",
                "description": "All patients in this arm received a single IV administration of ONM-100 at 1 mg&#x2F;kg."
              },
              {
                "id": "OG001",
                "title": "ONM-100 at a Dose of 3 mg&#x2F;kg",
                "description": "All patients in this arm received a single IV administration of ONM-100 at 3 mg&#x2F;kg."
              },
              {
                "id": "OG002",
                "title": "ONM-100 at a Dose of 2 mg&#x2F;kg",
                "description": "All patients in this arm received a single IV administration of ONM-100 at 2 mg&#x2F;kg."
              }
            ],
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "2.858",
                        "spread": "2.2128",
                        "groupId": "OG000"
                      },
                      {
                        "value": "3.498",
                        "spread": "1.3717",
                        "groupId": "OG001"
                      },
                      {
                        "value": "2.608",
                        "spread": "2.5936",
                        "groupId": "OG002"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "MEAN",
            "timeFrame": "1 day",
            "reviewUnit": {
              "resetReasons": [
                "More than one baseline or outcome measure appears to be described, and it is unclear which measure the reported data represent."
              ]
            },
            "description": "<p>Part 1: Evaluate the dose(s) at which ONM-100 fluorescence imaging is feasible at 3±2 hours post dose.</p><p>Part 2: Verify the safety and diagnostic performance of ONM-100 compared to standard pathology at the dose(s) and imaging schedule(s) post dose selected from Part 1 for the detection of primary tumors and the metastatic lymph nodes in a variety of solid cancers (which could have included HNSCC, breast cancer, colorectal cancer, urothelial cancer, prostate cancer, ovarian cancer, and&#x2F;or non-small cell lung carcinoma [NSCLC]).</p><p>Part 3: Assess the safety and efficacy (sensitivity and positive predictive value [PPV] of ONM-100 for intraoperative imaging during HNSCC surgery.</p>",
            "unitOfMeasure": "units on a scale",
            "dispersionType": "Standard Deviation",
            "reportingStatus": "POSTED",
            "measureCategoriesReviewUnit": {
              "resetReasons": [
                "The Unit of Measure appears inconsistent with the Measure Title, the Measure Description, or both."
              ]
            }
          },
          {
            "type": "PRIMARY",
            "title": "Incidence Rate of All Treatment-emergent Adverse Events (TEAEs) From Time of ONM-100 Administration Through Day 28",
            "denoms": [
              {
                "units": "Participants",
                "counts": [
                  {
                    "value": "30",
                    "groupId": "OG000"
                  }
                ]
              }
            ],
            "groups": [
              {
                "id": "OG000",
                "title": "Patients Receiving ONM-100",
                "description": "<p>All patients in this arm will receive ONM-100 for injection and undergo intraoperative imaging.</p><p>ONM-100: A polymer micelle covalently conjugated to IGC.</p>"
              }
            ],
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "26",
                        "groupId": "OG000"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "COUNT_OF_PARTICIPANTS",
            "timeFrame": "28 days",
            "description": "Evaluate safety at the dose(s) used to assess imaging feasibility and select the dose(s) and imaging schedule(s) post dose that are safe and provide optimal imaging of solid tumors and metastatic lymph nodes; the dose and time post dose chosen for the detection of primary tumors and metastatic lymph nodes could be the same or different.",
            "unitOfMeasure": "Participants",
            "reportingStatus": "POSTED",
            "measureCategoriesReviewUnit": {
              "resetReasons": [
                "The arms/groups appear inconsistent with information in other parts of the record. Each arm/group should be described separately, or a valid explanation provided."
              ]
            }
          },
          {
            "type": "SECONDARY",
            "title": "Evaluate Pharmacokinetic Parameters: Cmax",
            "denoms": [
              {
                "units": "Participants",
                "counts": [
                  {
                    "value": "9",
                    "groupId": "OG000"
                  },
                  {
                    "value": "4",
                    "groupId": "OG001"
                  },
                  {
                    "value": "6",
                    "groupId": "OG002"
                  }
                ]
              }
            ],
            "groups": [
              {
                "id": "OG000",
                "title": "ONM-100 at a Dose of 1 mg&#x2F;kg",
                "description": "All patients in this arm received a single IV administration of ONM-100 at 1 mg&#x2F;kg."
              },
              {
                "id": "OG001",
                "title": "ONM-100 at a Dose of 2 mg&#x2F;kg",
                "description": "All patients in this arm received a single IV administration of ONM-100 at 2 mg&#x2F;kg."
              },
              {
                "id": "OG002",
                "title": "ONM-100 at a Dose of 3 mg&#x2F;kg",
                "description": "All patients in this arm received a single IV administration of ONM-100 at 3 mg&#x2F;kg."
              }
            ],
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "26.5",
                        "spread": "16.0",
                        "groupId": "OG000"
                      },
                      {
                        "value": "52.2",
                        "spread": "13.0",
                        "groupId": "OG001"
                      },
                      {
                        "value": "79.5",
                        "spread": "30.0",
                        "groupId": "OG002"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "GEOMETRIC_MEAN",
            "timeFrame": "6 days",
            "description": "Evaluate the maximum plasma concentration (Cmax) of ONM-100 at the dose(s) and imaging schedule(s) post dose used to assess optimal imaging in Part 1 and Part 2.",
            "unitOfMeasure": "μg&#x2F;mL",
            "dispersionType": "Geometric Coefficient of Variation",
            "reportingStatus": "POSTED",
            "populationDescription": "The PK analysis population is comprised 19 patients for whom concentration data were available.\nDue to sparse plasma concentrations for the majority of patients, with the exception of Cmax and Tmax, it was not possible to estimate all parameters for all patients."
          },
          {
            "type": "SECONDARY",
            "title": "Evaluate Pharmacokinetic Parameters: Tmax",
            "denoms": [
              {
                "units": "Participants",
                "counts": [
                  {
                    "value": "9",
                    "groupId": "OG000"
                  },
                  {
                    "value": "4",
                    "groupId": "OG001"
                  },
                  {
                    "value": "6",
                    "groupId": "OG002"
                  }
                ]
              }
            ],
            "groups": [
              {
                "id": "OG000",
                "title": "ONM-100 at Dose of 1 mg&#x2F;kg",
                "description": "All patients in this arm received IV administration of ONM-100 at a dose of 1 mg&#x2F;kg."
              },
              {
                "id": "OG001",
                "title": "ONM-100 at a Dose of 2 mg&#x2F;kg",
                "description": "All patients in this arm received IV administration of ONM-100 at a dose of 2 mg&#x2F;kg."
              },
              {
                "id": "OG002",
                "title": "ONM-100 at a Dose of 3 mg&#x2F;kg",
                "description": "All patients in this arm received IV administration of ONM-100 at a dose of 3 mg&#x2F;kg."
              }
            ],
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "0.25",
                        "groupId": "OG000",
                        "lowerLimit": "0.22",
                        "upperLimit": "1.12"
                      },
                      {
                        "value": "0.31",
                        "groupId": "OG001",
                        "lowerLimit": "0.27",
                        "upperLimit": "7.35"
                      },
                      {
                        "value": "0.31",
                        "groupId": "OG002",
                        "lowerLimit": "0.23",
                        "upperLimit": "0.37"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "MEDIAN",
            "timeFrame": "6 days",
            "description": "Evaluate the time to Cmax (Tmax) of ONM-100 at the dose(s) and imaging schedule(s) post dose used to assess optimal imaging in Part 1 and Part 2.",
            "unitOfMeasure": "hr",
            "dispersionType": "Full Range",
            "reportingStatus": "POSTED",
            "populationDescription": "The PK analysis population comprised 19 patients for whom concentration data were available.\nDue to sparse plasma concentrations for the majority of patients, with the exception of Cmax and Tmax, it was not possible to estimate all parameters for all patients."
          },
          {
            "type": "SECONDARY",
            "title": "Evaluate Pharmacokinetic Parameters: AUC",
            "denoms": [
              {
                "units": "Participants",
                "counts": [
                  {
                    "value": "9",
                    "groupId": "OG000"
                  },
                  {
                    "value": "3",
                    "groupId": "OG001"
                  },
                  {
                    "value": "6",
                    "groupId": "OG002"
                  }
                ]
              }
            ],
            "groups": [
              {
                "id": "OG000",
                "title": "ONM-100 at a Dose of 1 mg&#x2F;kg",
                "description": "Patients receiving a single IV administration of ONM-100 at 1 mg&#x2F;kg."
              },
              {
                "id": "OG001",
                "title": "ONM-100 at a Dose of 2 mg&#x2F;kg",
                "description": "Patients received a single IV administration of ONM-100 at 2 mg&#x2F;kg."
              },
              {
                "id": "OG002",
                "title": "ONM-100 at a Dose of 3 mg&#x2F;kg",
                "description": "Patients receiving a single IV administration of ONM-100 at 3 mg&#x2F;kg."
              }
            ],
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "433",
                        "spread": "127",
                        "groupId": "OG000"
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                      {
                        "value": "1509",
                        "spread": "80.1",
                        "groupId": "OG001"
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                      {
                        "value": "2067",
                        "spread": "38.4",
                        "groupId": "OG002"
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                  }
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              }
            ],
            "paramType": "GEOMETRIC_MEAN",
            "timeFrame": "6 days",
            "description": "Evaluate the Area under the time-concentration curve [AUC] of ONM-100 at the dose(s) and imaging schedule(s) post dose used to assess optimal imaging in Part 1 and Part 2.",
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            "populationDescription": "The PK analysis population comprised 19 patients for whom concentration data were available.\nDue to sparse plasma concentrations for the majority of patients, with the exception of Cmax and Tmax, it was not possible to estimate all parameters for all patients."
          },
          {
            "type": "SECONDARY",
            "title": "Evaluate Pharmacokinetic Parameters: CL",
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                    "groupId": "OG000"
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                    "value": "0",
                    "groupId": "OG001"
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                  {
                    "value": "2",
                    "groupId": "OG002"
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                ]
              }
            ],
            "groups": [
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              {
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            ],
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              {
                "categories": [
                  {
                    "measurements": [
                      {
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                        "spread": "2.57",
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                        "spread": "70.5",
                        "groupId": "OG002"
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                    ]
                  }
                ]
              }
            ],
            "paramType": "GEOMETRIC_MEAN",
            "timeFrame": "6 days",
            "description": "Evaluate Total body clearance [CL] of ONM-100 at the dose(s) and imaging schedule(s) post dose used to assess optimal imaging in Part 1 and Part 2.",
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            "dispersionType": "Geometric Coefficient of Variation",
            "reportingStatus": "POSTED",
            "populationDescription": "The PK analysis population comprised 19 patients for whom concentration data were available.\nDue to the sparse plasma concentrations for the majority of patients, with the exception of Cmax and Tmax, it was not possible to estimate all parameters for all patients."
          },
          {
            "type": "SECONDARY",
            "title": "Evaluate Pharmacokinetic Parameters: Vz",
            "denoms": [
              {
                "units": "Participants",
                "counts": [
                  {
                    "value": "2",
                    "groupId": "OG000"
                  },
                  {
                    "value": "0",
                    "groupId": "OG001"
                  },
                  {
                    "value": "2",
                    "groupId": "OG002"
                  }
                ]
              }
            ],
            "groups": [
              {
                "id": "OG000",
                "title": "ONM-100 at Dose of 1 mg&#x2F;kg",
                "description": "All patients in this arm received IV administration of ONM-100 at a dose of 1 mg&#x2F;kg."
              },
              {
                "id": "OG001",
                "title": "ONM-100 at a Dose of 2 mg&#x2F;kg",
                "description": "All patients in this arm received IV administration of ONM-100 at a dose of 2 mg&#x2F;kg."
              },
              {
                "id": "OG002",
                "title": "ONM-100 at a Dose of 3 mg&#x2F;kg",
                "description": "All patients in this arm received IV administration of ONM-100 at a dose of 3 mg&#x2F;kg."
              }
            ],
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "3.78",
                        "spread": "33.9",
                        "groupId": "OG000"
                      },
                      {
                        "value": "5.32",
                        "spread": "82.9",
                        "groupId": "OG002"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "GEOMETRIC_MEAN",
            "timeFrame": "6 days",
            "description": "Evaluate the Volume of distribution [Vz] of ONM-100 at the dose(s) and imaging schedule(s) post dose used to assess optimal imaging in Part 1 and Part 2.",
            "unitOfMeasure": "L",
            "dispersionType": "Geometric Coefficient of Variation",
            "reportingStatus": "POSTED",
            "populationDescription": "The PK analysis population comprised 19 patients for whom concentration data were available.\nDue to sparse plasma concentrations for the majority of patients, with the exception of Cmax and Tmax, it was not possible to estimate all parameters for all patients."
          },
          {
            "type": "SECONDARY",
            "title": "Evaluate Pharmacokinetic Parameters: t1&#x2F;2",
            "denoms": [
              {
                "units": "Participants",
                "counts": [
                  {
                    "value": "2",
                    "groupId": "OG000"
                  },
                  {
                    "value": "0",
                    "groupId": "OG001"
                  },
                  {
                    "value": "2",
                    "groupId": "OG002"
                  }
                ]
              }
            ],
            "groups": [
              {
                "id": "OG000",
                "title": "ONM-100 at Dose of 1 mg&#x2F;kg",
                "description": "All patients in this arm received IV administration of ONM-100 at a dose of 1 mg&#x2F;kg."
              },
              {
                "id": "OG001",
                "title": "ONM-100 at a Dose of 2 mg&#x2F;kg",
                "description": "All patients in this arm received IV administration of ONM-100 at a dose of 2 mg&#x2F;kg."
              },
              {
                "id": "OG002",
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                "description": "All patients in this arm received IV administration of ONM-100 at a dose of 3 mg&#x2F;kg."
              }
            ],
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "49.0",
                        "spread": "36.7",
                        "groupId": "OG000"
                      },
                      {
                        "value": "69.4",
                        "spread": "8.80",
                        "groupId": "OG002"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "GEOMETRIC_MEAN",
            "timeFrame": "6 days",
            "description": "Evaluate the Terminal elimination half-life [t1&#x2F;2] of ONM-100 at the dose(s) and imaging schedule(s) post dose used to assess optimal imaging in Part 1 and Part 2.",
            "unitOfMeasure": "hr",
            "dispersionType": "Geometric Coefficient of Variation",
            "reportingStatus": "POSTED",
            "populationDescription": "The PK analysis population comprised 19 patients for whom concentration data were available.\nDue to the sparse plasma concentrations for the majority of patients, with the exception of Cmax and Tmax, it was not possible to estimate all parameters for all patients."
          }
        ]
      },
      "participantFlowModule": {
        "groups": [
          {
            "id": "FG000",
            "title": "Patients Receiving ONM-100",
            "description": "<p>All patients in this arm will receive ONM-100 for injection and undergo intraoperative imaging.</p><p>ONM-100: A polymer micelle covalently conjugated to IGC.</p>"
          }
        ],
        "periods": [
          {
            "title": "Overall Study",
            "milestones": [
              {
                "type": "STARTED",
                "achievements": [
                  {
                    "groupId": "FG000",
                    "numSubjects": "30"
                  }
                ]
              },
              {
                "type": "COMPLETED",
                "achievements": [
                  {
                    "groupId": "FG000",
                    "numSubjects": "27"
                  }
                ]
              },
              {
                "type": "NOT COMPLETED",
                "achievements": [
                  {
                    "groupId": "FG000",
                    "numSubjects": "3"
                  }
                ]
              }
            ],
            "dropWithdraws": [
              {
                "type": "Withdrawal by Subject",
                "reasons": [
                  {
                    "groupId": "FG000",
                    "numSubjects": "1"
                  }
                ]
              },
              {
                "type": "Patient unable or unwilling to continue",
                "reasons": [
                  {
                    "groupId": "FG000",
                    "numSubjects": "2"
                  }
                ]
              }
            ]
          }
        ],
        "reviewUnit": {
          "resetReasons": [
            "The arms/groups appear inconsistent with information in other parts of the record. Each arm/group should be described separately, or a valid explanation provided."
          ]
        }
      },
      "baselineCharacteristicsModule": {
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "30",
                "groupId": "BG000"
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          }
        ],
        "groups": [
          {
            "id": "BG000",
            "title": "Patients Receiving ONM-100",
            "description": "<p>All patients in this arm will receive ONM-100 for injection and undergo intraoperative imaging.</p><p>ONM-100: A polymer micelle covalently conjugated to an ICG-like moiety.</p>"
          }
        ],
        "measures": [
          {
            "title": "Age, Continuous",
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "60.5",
                        "spread": "8.46",
                        "groupId": "BG000"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "MEAN",
            "unitOfMeasure": "years",
            "dispersionType": "STANDARD_DEVIATION"
          },
          {
            "title": "Sex: Female, Male",
            "classes": [
              {
                "categories": [
                  {
                    "title": "Female",
                    "measurements": [
                      {
                        "value": "8",
                        "groupId": "BG000"
                      }
                    ]
                  },
                  {
                    "title": "Male",
                    "measurements": [
                      {
                        "value": "22",
                        "groupId": "BG000"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "COUNT_OF_PARTICIPANTS",
            "unitOfMeasure": "Participants"
          },
          {
            "title": "Ethnicity (NIH&#x2F;OMB)",
            "classes": [
              {
                "categories": [
                  {
                    "title": "Hispanic or Latino",
                    "measurements": [
                      {
                        "value": "3",
                        "groupId": "BG000"
                      }
                    ]
                  },
                  {
                    "title": "Not Hispanic or Latino",
                    "measurements": [
                      {
                        "value": "25",
                        "groupId": "BG000"
                      }
                    ]
                  },
                  {
                    "title": "Unknown or Not Reported",
                    "measurements": [
                      {
                        "value": "2",
                        "groupId": "BG000"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "COUNT_OF_PARTICIPANTS",
            "unitOfMeasure": "Participants"
          },
          {
            "title": "Race (NIH&#x2F;OMB)",
            "classes": [
              {
                "categories": [
                  {
                    "title": "American Indian or Alaska Native",
                    "measurements": [
                      {
                        "value": "0",
                        "groupId": "BG000"
                      }
                    ]
                  },
                  {
                    "title": "Asian",
                    "measurements": [
                      {
                        "value": "1",
                        "groupId": "BG000"
                      }
                    ]
                  },
                  {
                    "title": "Native Hawaiian or Other Pacific Islander",
                    "measurements": [
                      {
                        "value": "0",
                        "groupId": "BG000"
                      }
                    ]
                  },
                  {
                    "title": "Black or African American",
                    "measurements": [
                      {
                        "value": "5",
                        "groupId": "BG000"
                      }
                    ]
                  },
                  {
                    "title": "White",
                    "measurements": [
                      {
                        "value": "22",
                        "groupId": "BG000"
                      }
                    ]
                  },
                  {
                    "title": "More than one race",
                    "measurements": [
                      {
                        "value": "0",
                        "groupId": "BG000"
                      }
                    ]
                  },
                  {
                    "title": "Unknown or Not Reported",
                    "measurements": [
                      {
                        "value": "2",
                        "groupId": "BG000"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "COUNT_OF_PARTICIPANTS",
            "unitOfMeasure": "Participants"
          },
          {
            "title": "Region of Enrollment",
            "classes": [
              {
                "title": "United States",
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "30",
                        "groupId": "BG000"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "NUMBER",
            "unitOfMeasure": "participants"
          },
          {
            "title": "Patients receiving ONM-100",
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "30",
                        "groupId": "BG000"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "COUNT_OF_PARTICIPANTS",
            "unitOfMeasure": "Participants"
          }
        ],
        "reviewUnit": {
          "resetReasons": [
            "The arms/groups appear inconsistent with information in other parts of the record. Each arm/group should be described separately, or a valid explanation provided."
          ]
        }
      }
    }
  },
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      "annotationModule": {
        "unpostedAnnotation": {
          "unpostedEvents": [
            {
              "date": "2023-02-10",
              "type": "RESET"
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          "unpostedResponsibleParty": "OncoNano Medicine, Inc."
        }
      }
    }
  },
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