{"ok":true,"data":{"subject":{"kind":"trial","nctId":"NCT03819296","title":"Role of Gut Microbiome and Fecal Transplant on Medication-Induced GI Complications in Patients With Cancer","sponsor":"M.D. Anderson Cancer Center","phases":["PHASE1"],"status":"RECRUITING","indication":{"slug":"nsclc","name":"Non-small cell lung cancer"},"disease":"non-small cell lung carcinoma"},"rows":[{"n":1,"question":"Is the biology right?","flags":[{"id":"somatic_driver","label":"Somatic driver evidence","value":"no","detail":"None of TNF, ITGA4, ITGB7 has somatic-mutation evidence in non-small cell lung carcinoma","rule":"Open Targets has somatic-mutation evidence for the target in this cancer","source":{"label":"Open Targets: TNF in non-small cell lung carcinoma","url":"https://platform.opentargets.org/evidence/ENSG00000232810/MONDO_0005233","date":"2026-11-11T23:13:40.839Z"},"context":[]},{"id":"human_genetic","label":"Human genetic evidence","value":"no","detail":"No germline or somatic evidence for TNF, ITGA4, ITGB7 in non-small cell lung carcinoma","rule":"Any germline or somatic human genetic evidence for the target in this cancer, counted apart from animal-model and literature evidence","source":{"label":"Open Targets: TNF in non-small cell lung carcinoma","url":"https://platform.opentargets.org/evidence/ENSG00000232810/MONDO_0005233","date":"2026-11-11T23:13:40.839Z"},"context":[]},{"id":"pediatric_target","label":"Pediatric target","value":"no","detail":"Not on the FDA list","rule":"Target is on FDA's Pediatric Molecular Target List (relevant targets); membership alone neither requires nor waives a study","source":{"label":"FDA Pediatric Molecular Target List (Listed as February 2026 on the FDA Pediatric Oncology page; the file served is 9.7.22_the_relevant_molecular_target_list.xlsx, whose Summary of Changes sheet is headed 'SEPTEMBER 2022 UPDATE' (footnote date 2022-09-01))","url":"https://www.fda.gov/media/191157/download?attachment","date":"2026-11-11T07:05:03Z"},"context":[]},{"id":"haematologic","label":"Haematologic cancer","value":"no","detail":"Solid tumour","rule":"From the indication, or the registry conditions when no indication matches","source":{"label":"ClinicalTrials.gov NCT03819296","url":"https://clinicaltrials.gov/study/NCT03819296","date":"2026-11-11T23:13:40.839Z"},"context":[{"figure":"Likelihood of approval from phase 1: 7.5% haematologic vs 4.6% solid","dataset":"BIO / Informa / QLS 2021","years":"2011–2020","caveat":"Population-level, not a prediction."}]}],"facts":[{"label":"TNF (via Infliximab)","text":"Evidence types in non-small cell lung carcinoma: literature, clinical; literature listed separately from human genetics. Datasources: clinical_precedence, europepmc.","source":{"label":"Open Targets: TNF in non-small cell lung carcinoma","url":"https://platform.opentargets.org/evidence/ENSG00000232810/MONDO_0005233","date":"2026-11-11T23:13:40.839Z"}},{"label":"ITGA4 (via Vedolizumab)","text":"Evidence types in non-small cell lung carcinoma: literature; literature listed separately from human genetics. Datasources: europepmc.","source":{"label":"Open Targets: ITGA4 in non-small cell lung carcinoma","url":"https://platform.opentargets.org/evidence/ENSG00000115232/MONDO_0005233","date":"2026-11-11T23:13:40.839Z"}},{"label":"ITGB7 (via Vedolizumab)","text":"Evidence types in non-small cell lung carcinoma: literature; literature listed separately from human genetics. Datasources: europepmc.","source":{"label":"Open Targets: ITGB7 in non-small cell lung carcinoma","url":"https://platform.opentargets.org/evidence/ENSG00000139626/MONDO_0005233","date":"2026-11-11T23:13:40.839Z"}}],"pending":[{"what":"Normal-tissue expression in vital organs","source":"Human Protein Atlas (ticket 36)"},{"what":"Pan-essential in cell lines","source":"DepMap (ticket 36)"},{"what":"Approved drug on this target","source":"Drugs@FDA (ticket 30)"}]},{"n":2,"question":"Can the result be trusted?","flags":[{"id":"randomised","label":"Randomised","value":"no","detail":"Single group","rule":"Registry allocation field","source":{"label":"ClinicalTrials.gov NCT03819296","url":"https://clinicaltrials.gov/study/NCT03819296","date":"2026-11-11T23:13:40.839Z"},"context":[]},{"id":"small_denominator","label":"Small denominator","value":"no","detail":"800 planned; each patient moves a rate by 100 ÷ 800 = 0.1 points","rule":"Enrolment under 30; the arithmetic is shown, not a benchmark","source":{"label":"ClinicalTrials.gov NCT03819296","url":"https://clinicaltrials.gov/study/NCT03819296","date":"2026-11-11T23:13:40.839Z"},"context":[]},{"id":"primary_os","label":"Primary endpoint is overall survival","value":"no","detail":"Difference in stool microbiome pattern; Incidence of adverse events (AE) of fecal microbiota transplantation (FMT) (Project 3)","rule":"A registered primary outcome measure names overall survival","source":{"label":"ClinicalTrials.gov NCT03819296","url":"https://clinicaltrials.gov/study/NCT03819296","date":"2026-11-11T23:13:40.839Z"},"context":[{"figure":"Non-OS primary endpoint: odds ratio 2.79 for a positive phase 3","dataset":"Otsuka 2021, 400 phase 3 oncology trials","years":"to 2020","caveat":"Shown with the next figure: a surrogate is easier to hit, and often a weak guide to survival."},{"figure":"52% of surrogate-to-OS correlations are low","dataset":"Prasad 2015","years":"published to 2014","caveat":"Shown with the figure above."}]},{"id":"results_overdue","label":"Results overdue","value":"no","detail":"Primary completion expected 2026-10-31; not yet due","rule":"Primary completion (actual) more than 12 months ago and no results posted to the registry","source":{"label":"ClinicalTrials.gov NCT03819296","url":"https://clinicaltrials.gov/study/NCT03819296","date":"2026-11-11T23:13:40.839Z"},"context":[]}],"facts":[],"pending":[{"what":"Treated and evaluable counts, assessor, confirmed response, follow-up and data cutoff","source":"Readout extraction (ticket 32)"},{"what":"Primary endpoint changed between registry versions","source":"Registry versions in the store (ticket 32)"}]},{"n":3,"question":"What must it beat?","flags":[],"facts":[],"pending":[{"what":"Control-arm result and approved therapies for the same segment, with label links","source":"Drugs@FDA, FDA labels and readouts (tickets 30, 32)"}]},{"n":4,"question":"Too crowded, or too late?","flags":[],"facts":[{"label":"Stopped on this target","text":"92 terminated, withdrawn or suspended trials of drugs against TNF; 7 give no reason. Reasons are quoted as the registry gives them on the target page.","source":{"label":"TNF: what already stopped","url":"/target/ENSG00000232810#stopped","date":"2026-11-11T23:13:40.849Z"}}],"pending":[{"what":"Programs on the target by phase and months behind the leader","source":"Programs and Drugs@FDA (ticket 33)"}]},{"n":5,"question":"Can it be approved, and stay approved?","flags":[{"id":"single_country","label":"Single-country","value":"yes","detail":"The only site is in United States","rule":"All listed sites are in one country; the share of US sites is shown","source":{"label":"ClinicalTrials.gov NCT03819296","url":"https://clinicaltrials.gov/study/NCT03819296?tab=locations","date":"2026-11-11T23:13:40.839Z"},"context":[]},{"id":"eu_pip","label":"EU paediatric investigation plan","value":"yes","detail":"EMEA-000645-PIP01-09-M09 (vedolizumab, Treatment of Crohn's disease;Treatment of ulcerative colitis): PM: decision on the application for modification of an agreed PIP, 18 Jul 2024; EMEA-000645-PIP04-20-M02 (vedolizumab, Treatment of pouchitis): PM: decision on the application for modification of an agreed PIP, 7 Sept 2023; EMEA-000645-PIP03-18 (vedolizumab, Prevention of acute graft-versus-host disease): P: decision agreeing on a investigation plan, with or without partial waiver(s) and or deferral(s), 14 Aug 2019; EMEA-000549-PIP01-09-M01 (infliximab, Ankylosing spondylitis;Juvenile idiopathic arthritis;Psoriatic arthritis;Rheumatoid arthritis;Treatment of Crohn's disease;Treatment of psoriasis;Treatment of ulcerative colitis): PM: decision on the application for modification of an agreed PIP, 5 Nov 2010; compliance positive 16 Sept 2011","rule":"An EMA PIP decision (agreement, modification or waiver) lists the drug as its active substance, exact name","source":{"label":"EMA data download (dated snapshot)","url":"https://www.ema.europa.eu/en/documents/report/medicines-output-paediatric_investigation_plans-output-json-report_en.json","date":"2026-11-11T09:12:26Z"},"context":[]},{"id":"eu_orphan","label":"EU orphan designation","value":"yes","detail":"EU/3/26/3236 positive 20 May 2026: Treatment of Kawasaki disease","rule":"An EU orphan designation lists the drug as its active substance (exact name) or belongs to a medicine that does; withdrawn and expired designations are listed with their status","source":{"label":"EMA EU/3/26/3236","url":"https://www.ema.europa.eu/en/medicines/human/orphan-designations/eu-3-26-3236","date":"2026-11-11T09:12:26Z"},"context":[]},{"id":"eu_authorised","label":"Authorised in the EU","value":"yes","detail":"Entyvio: authorised since 22 May 2014; Remicade: authorised since 13 Aug 1999; Inflectra: withdrawn since 10 Sept 2013; Veblocema: application withdrawn; +4 more","rule":"An EMA medicine record lists the drug as its active substance or INN, exact name; national-only authorisations are not in this file","source":{"label":"EMA data download (dated snapshot)","url":"https://www.ema.europa.eu/en/documents/report/medicines-output-medicines_json-report_en.json","date":"2026-11-11T09:12:26Z"},"context":[]},{"id":"fda_orphan","label":"FDA orphan designation","value":"not published","detail":"FDA's orphan designation database turns away automated requests, so this app does not read it; search it by hand at the link","rule":"Would be: an FDA orphan designation names the drug","source":{"label":"FDA orphan designations search","url":"https://www.accessdata.fda.gov/scripts/opdlisting/oopd/","date":""},"context":[]},{"id":"fda_ped_approval","label":"FDA pediatric oncology approval","value":"no","detail":"FDA's table lists no pediatric approval of Infliximab, Vedolizumab","rule":"FDA's Pediatric Oncology Drug Approvals table names the drug","source":{"label":"FDA Pediatric Oncology Drug Approvals (content current as of 2026-03-03)","url":"https://www.fda.gov/about-fda/oncology-center-excellence/pediatric-oncology-drug-approvals","date":"2026-11-11T23:13:40.857Z"},"context":[]},{"id":"studies_under_18","label":"Registered studies open to children","value":"yes","detail":"110 interventional studies of Infliximab, Vedolizumab include patients under 18; 25 are recruiting, not yet recruiting or active","rule":"The registry's age group includes Child (birth to 17 years), which also counts studies that set no minimum age","source":{"label":"ClinicalTrials.gov search","url":"https://clinicaltrials.gov/search?intr=%22Infliximab%22+OR+%22Vedolizumab%22&aggFilters=ages%3Achild%2CstudyType%3Aint","date":"2026-11-11T23:13:40.860Z"},"context":[]}],"facts":[{"label":"Caveat","text":"Site counts are not patients per country, and trials registered only outside ClinicalTrials.gov are not covered. Where the sites are is a fact about the record, not a judgement of its quality."},{"label":"Rare pediatric disease voucher","text":"FDA, content current as of 29 Apr 2026: “As of February 3, 2026, enactment of the Consolidated Appropriations Act, 2026, the rare pediatric disease PRV program will sunset after September 30, 2029. FDA may not award any PRVs under this program after September 30, 2029.” Voucher sale prices are not shown here; they appear only as company-reported news.","source":{"label":"FDA: Rare Pediatric Disease Designation and Priority Review Voucher Programs","url":"https://www.fda.gov/industry/medical-products-rare-diseases-and-conditions/rare-pediatric-disease-designation-and-priority-review-voucher-programs","date":"2026-11-11"}}],"pending":[{"what":"Precedent approvals for target, modality and endpoint; accelerated-approval status","source":"Drugs@FDA and FDA accelerated-approval tables (ticket 30)"}]},{"n":6,"question":"Can the sponsor finish?","flags":[],"facts":[{"label":"Sponsor","text":"M.D. Anderson Cancer Center (academic or other)","source":{"label":"ClinicalTrials.gov NCT03819296","url":"https://clinicaltrials.gov/study/NCT03819296","date":"2026-11-11T23:13:40.839Z"}},{"label":"principal investigator","text":"Yinghong Wang, M.D. Anderson Cancer Center","source":{"label":"Person page","url":"/person/Yinghong%20Wang?ind=nsclc","date":"2026-11-11T23:13:40.839Z"}}],"pending":[{"what":"Filed cash, quarterly spend and the runway arithmetic","source":"SEC XBRL company facts (ticket 37)"},{"what":"Sponsor's completed vs stopped oncology trials and results-reporting record","source":"Registry, by company (ticket 37)"}]}],"limits":"Public records cannot show: sales forecasts; a probability of success for this asset; full deal terms and net prices; FDA designations and action dates before approval (shown only as company-reported); clinical holds unless the company disclosed them; manufacturing; patents on unapproved drugs; whether preclinical findings have been replicated.","sources":[{"label":"ClinicalTrials.gov NCT03819296","url":"https://clinicaltrials.gov/study/NCT03819296","date":"2026-11-11T23:13:40.839Z"},{"label":"Open Targets Platform","url":"https://platform.opentargets.org","date":"2026-11-11T23:13:40.839Z"},{"label":"FDA Pediatric Molecular Target List (Listed as February 2026 on the FDA Pediatric Oncology page; the file served is 9.7.22_the_relevant_molecular_target_list.xlsx, whose Summary of Changes sheet is headed 'SEPTEMBER 2022 UPDATE' (footnote date 2022-09-01))","url":"https://www.fda.gov/media/191157/download?attachment","date":"2026-11-11T07:05:03Z"}]},"source":"ClinicalTrials.gov + Open Targets","fetchedAt":"2026-11-11T23:13:40.838Z"}