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{
  "resourceType" : "Bundle",
  "id" : "H2Q-MC-LZZT-Bundle-1",
  "type" : "transaction",
  "entry" : [
    {
      "fullUrl" : "ResearchStudy/H2Q-MC-LZZT-ResearchStudy",
      "resource" : {
        "resourceType" : "ResearchStudy",
        "id" : "H2Q-MC-LZZT-ResearchStudy",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: H2Q-MC-LZZT (USUAL), id: NCTA12313212 (OFFICIAL), PLAC: NCTA12313212 (SECONDARY), PUBCHEM: 60809</p><p><b>title</b>: Safety and Efficacy of the Xanomeline Transdermal Therapeutic System (TTS) in Patients with Mild to Moderate Alzheimer’s Disease</p><p><b>protocol</b>: <a href=\"PlanDefinition-H2Q-MC-LZZT-ProtocolDesign.html\">Generated Summary: url: http://example.org/br-and-r/soa/PlanDefinition/H2Q-MC-LZZT-ProtocolDesign; version: 0.1.1; status: active; date: May 26, 2021, 2:52:13 PM</a></p><p><b>status</b>: completed</p><p><b>primaryPurposeType</b>: <span title=\"Codes: \">treatment</span></p><p><b>phase</b>: <span title=\"Codes: \">phase-3</span></p><p><b>category</b>: <span title=\"Codes: {http://ncimeta.nci.nih.gov C98388}\">Interventional Study</span>, <span title=\"Codes: {http://ncimeta.nci.nih.gov C15417}\">Randomized Clinical Trial</span>, <span title=\"Codes: {http://ncimeta.nci.nih.gov C15228}\">Double Blind Study</span>, <span title=\"Codes: {http://ncimeta.nci.nih.gov C49648}\">Placebo Control</span>, <span title=\"Codes: {http://ncimeta.nci.nih.gov C82639}\">Parallel Study</span></p><p><b>focus</b>: <span title=\"Codes: {http://ncimeta.nci.nih.gov C152926}\">Xanomeline</span>, <span title=\"Codes: {http://ncimeta.nci.nih.gov C149996}\">Transdermal Patch Dosage Form</span>, <span title=\"Codes: {https://pubmed.ncbi.nlm.nih.gov 9109749}\">Effects of xanomeline, a selective muscarinic receptor agonist, on cognitive function and behavioral symptoms in Alzheimer disease</span></p><p><b>condition</b>: <span title=\"Codes: \">Alzheimer's Disease (Disorder)</span></p><p><b>contact</b>: Bob James, Ph.D.: ph: 555-555-5555(WORK)</p><h3>RelatedArtifacts</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table><p><b>keyword</b>: <span title=\"Codes: {https://id.nlm.nih.gov/mesh D018721}\">Selective M1 muscarinic agonists</span>, <span title=\"Codes: {https://id.nlm.nih.gov/mesh D000544}\">Alzheimer Disease</span>, <span title=\"Codes: {https://id.nlm.nih.gov/mesh D018721}\">Selective M1 muscarinic agonists</span></p><p><b>description</b>: ## Xanomeline (LY246708)\n### Protocol H2Q-MC-LZZT(c) \nSafety and Efficacy of the Xanomeline Transdermal Therapeutic System (TTS) in Patients with Mild to Moderate Alzheimer’s Disease</p><p><b>enrollment</b>: </p><ul><li><a href=\"Group-H2Q-MC-LZZT-ResearchStudy-Inclusion.html\">Generated Summary: type: person; </a></li><li><a href=\"Group-H2Q-MC-LZZT-ResearchStudy-Exclusion.html\">Generated Summary: type: person; </a></li></ul><p><b>sponsor</b>: <a href=\"Organization-EliLillyAndCompany.html\">Generated Summary: id: Eli Lilly and Company (OFFICIAL); <span title=\"Codes: \">crs</span></a></p><p><b>principalInvestigator</b>: <a href=\"Practitioner-SamGetWell.html\">Generated Summary: UPIN: ABC123 (OFFICIAL); active; Samuel Home ; Phone: 555-123-5467; gender: male</a></p><p><b>reasonStopped</b>: <span title=\"Codes: \">accrual-goal-met</span></p><blockquote><p><b>arm</b></p><p><b>name</b>: Placebo</p><p><b>type</b>: <span title=\"Codes: {http://ncimeta.nci.nih.gov C49648}\">C49648</span></p><p><b>description</b>: Placebo arm</p></blockquote><blockquote><p><b>arm</b></p><p><b>name</b>: Low-dose xanomeline arm</p><p><b>type</b>: <span title=\"Codes: {http://ncimeta.nci.nih.gov C174266}\">C174266</span></p><p><b>description</b>: Low-dose xanomeline arm (50 cm2 TTS Formulation E, 54 mg xanomeline)</p></blockquote><blockquote><p><b>arm</b></p><p><b>name</b>: High-dose xanomeline arm</p><p><b>type</b>: <span title=\"Codes: {http://ncimeta.nci.nih.gov C174266}\">C174266</span></p><p><b>description</b>: High-dose xanomeline arm (75 cm2 TTS Formulation E, 81 mg xanomeline)</p></blockquote><blockquote><p><b>objective</b></p><p><b>name</b>: To determine if there is a statistically significant relationship (overall Type 1 error rate, α=.05) between the change in both ADAS-Cog and CIBIC+ scores, and drug dose (0, 50 cm2 [54 mg], and 75 cm2 [81 mg]).</p><p><b>type</b>: <span title=\"Codes: \">primary</span></p></blockquote><blockquote><p><b>objective</b></p><p><b>name</b>: To document the safety profile of the xanomeline TTS.</p><p><b>type</b>: <span title=\"Codes: \">primary</span></p></blockquote><blockquote><p><b>objective</b></p><p><b>name</b>: To assess the dose-dependent improvement in behavior. Improved scores on the Revised Neuropsychiatric Inventory (NPI-X) will indicate improvement in these areas.</p><p><b>type</b>: <span title=\"Codes: \">secondary</span></p></blockquote><blockquote><p><b>objective</b></p><p><b>name</b>: To assess the dose-dependent improvements in activities of daily living. Improved scores on the Disability Assessment for Dementia (DAD) will indicate improvement in these areas.</p><p><b>type</b>: <span title=\"Codes: \">secondary</span></p></blockquote><blockquote><p><b>objective</b></p><p><b>name</b>: To assess the dose-dependent improvements in an extended assessment of cognition that integrates attention/concentration tasks. The Alzheimer’s Disease Assessment Scale-14 item Cognitive Subscale, hereafter referred to as ADAS-Cog (14), will be used for this assessment.</p><p><b>type</b>: <span title=\"Codes: \">secondary</span></p></blockquote><blockquote><p><b>objective</b></p><p><b>name</b>: To assess the treatment response as a function of Apo E genotype.</p><p><b>type</b>: <span title=\"Codes: \">secondary</span></p></blockquote></div>"
        },
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            "system" : "https://clinicaltrials.gov/show/",
            "value" : "NCTA12313212"
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            "type" : {
              "coding" : [
                {
                  "code" : "PLAC"
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            "value" : "NCTA12313212"
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          {
            "type" : {
              "coding" : [
                {
                  "code" : "PUBCHEM"
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              ]
            },
            "value" : "60809"
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        ],
        "title" : "Safety and Efficacy of the Xanomeline Transdermal Therapeutic System (TTS) in Patients with Mild to Moderate Alzheimer’s Disease",
        "protocol" : [
          {
            "reference" : "PlanDefinition/H2Q-MC-LZZT-ProtocolDesign"
          }
        ],
        "status" : "completed",
        "primaryPurposeType" : {
          "coding" : [
            {
              "code" : "treatment"
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        "phase" : {
          "coding" : [
            {
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        "category" : [
          {
            "coding" : [
              {
                "system" : "http://ncimeta.nci.nih.gov",
                "code" : "C98388",
                "display" : "Interventional Study"
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          {
            "coding" : [
              {
                "system" : "http://ncimeta.nci.nih.gov",
                "code" : "C15417",
                "display" : "Randomized Clinical Trial"
              }
            ]
          },
          {
            "coding" : [
              {
                "system" : "http://ncimeta.nci.nih.gov",
                "code" : "C15228",
                "display" : "Double Blind Study"
              }
            ]
          },
          {
            "coding" : [
              {
                "system" : "http://ncimeta.nci.nih.gov",
                "code" : "C49648",
                "display" : "Placebo Control"
              }
            ]
          },
          {
            "coding" : [
              {
                "system" : "http://ncimeta.nci.nih.gov",
                "code" : "C82639",
                "display" : "Parallel Study"
              }
            ]
          }
        ],
        "focus" : [
          {
            "coding" : [
              {
                "system" : "http://ncimeta.nci.nih.gov",
                "code" : "C152926",
                "display" : "Xanomeline"
              }
            ]
          },
          {
            "coding" : [
              {
                "system" : "http://ncimeta.nci.nih.gov",
                "code" : "C149996",
                "display" : "Transdermal Patch Dosage Form"
              }
            ]
          },
          {
            "coding" : [
              {
                "system" : "https://pubmed.ncbi.nlm.nih.gov",
                "code" : "9109749",
                "display" : "Effects of xanomeline, a selective muscarinic receptor agonist, on cognitive function and behavioral symptoms in Alzheimer disease"
              }
            ]
          }
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        "condition" : [
          {
            "coding" : [
              {
                "code" : "26929004",
                "display" : "Alzheimer's Disease (Disorder)"
              }
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        ],
        "contact" : [
          {
            "name" : "Bob James, Ph.D.",
            "telecom" : [
              {
                "system" : "phone",
                "value" : "555-555-5555",
                "use" : "work"
              }
            ]
          }
        ],
        "relatedArtifact" : [
          {
            "type" : "documentation",
            "label" : "Arch Neurol.1997;54(4):465-473",
            "display" : "Arch Neurol.1997;54(4):465-473",
            "citation" : "Bodick NC, Offen WW, Levey AI, et al. Effects of xanomeline, a selective muscarinic receptor agonist, on cognitive function and behavioral symptoms in Alzheimer disease. Arch Neurol. 1997;54(4):465-473. doi:10.1001/archneur.1997.00550160091022"
          },
          {
            "type" : "documentation",
            "label" : "Protocol H2Q-MC-LZZT(c)",
            "url" : "https://clinicaltrials.gov/show/NCTA12313212/Lzzt_protocol_redacted.pdf"
          }
        ],
        "keyword" : [
          {
            "coding" : [
              {
                "system" : "https://id.nlm.nih.gov/mesh",
                "code" : "D018721"
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            "text" : "Selective M1 muscarinic agonists"
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          {
            "coding" : [
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                "system" : "https://id.nlm.nih.gov/mesh",
                "code" : "D000544"
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            "text" : "Alzheimer Disease"
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          {
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              {
                "system" : "https://id.nlm.nih.gov/mesh",
                "code" : "D018721"
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            "text" : "Selective M1 muscarinic agonists"
          }
        ],
        "description" : "## Xanomeline (LY246708)\n### Protocol H2Q-MC-LZZT(c) \nSafety and Efficacy of the Xanomeline Transdermal Therapeutic System (TTS) in Patients with Mild to Moderate Alzheimer’s Disease",
        "enrollment" : [
          {
            "reference" : "Group/H2Q-MC-LZZT-ResearchStudy-Inclusion"
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          {
            "reference" : "Group/H2Q-MC-LZZT-ResearchStudy-Exclusion"
          }
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        "sponsor" : {
          "reference" : "Organization/EliLillyAndCompany"
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          "reference" : "Practitioner/SamGetWell"
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        "reasonStopped" : {
          "coding" : [
            {
              "code" : "accrual-goal-met"
            }
          ]
        },
        "arm" : [
          {
            "name" : "Placebo",
            "type" : {
              "coding" : [
                {
                  "system" : "http://ncimeta.nci.nih.gov",
                  "code" : "C49648"
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            "description" : "Placebo arm"
          },
          {
            "name" : "Low-dose xanomeline arm",
            "type" : {
              "coding" : [
                {
                  "system" : "http://ncimeta.nci.nih.gov",
                  "code" : "C174266"
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              ]
            },
            "description" : "Low-dose xanomeline arm (50 cm2 TTS Formulation E, 54 mg xanomeline)"
          },
          {
            "name" : "High-dose xanomeline arm",
            "type" : {
              "coding" : [
                {
                  "system" : "http://ncimeta.nci.nih.gov",
                  "code" : "C174266"
                }
              ]
            },
            "description" : "High-dose xanomeline arm (75 cm2 TTS Formulation E, 81 mg xanomeline)"
          }
        ],
        "objective" : [
          {
            "name" : "To determine if there is a statistically significant relationship (overall Type 1 error rate, α=.05) between the change in both ADAS-Cog and CIBIC+ scores, and drug dose (0, 50 cm2 [54 mg], and 75 cm2 [81 mg]).",
            "type" : {
              "coding" : [
                {
                  "code" : "primary"
                }
              ]
            }
          },
          {
            "name" : "To document the safety profile of the xanomeline TTS.",
            "type" : {
              "coding" : [
                {
                  "code" : "primary"
                }
              ]
            }
          },
          {
            "name" : "To assess the dose-dependent improvement in behavior. Improved scores on the Revised Neuropsychiatric Inventory (NPI-X) will indicate improvement in these areas.",
            "type" : {
              "coding" : [
                {
                  "code" : "secondary"
                }
              ]
            }
          },
          {
            "name" : "To assess the dose-dependent improvements in activities of daily living. Improved scores on the Disability Assessment for Dementia (DAD) will indicate improvement in these areas.",
            "type" : {
              "coding" : [
                {
                  "code" : "secondary"
                }
              ]
            }
          },
          {
            "name" : "To assess the dose-dependent improvements in an extended assessment of cognition that integrates attention/concentration tasks. The Alzheimer’s Disease Assessment Scale-14 item Cognitive Subscale, hereafter referred to as ADAS-Cog (14), will be used for this assessment.",
            "type" : {
              "coding" : [
                {
                  "code" : "secondary"
                }
              ]
            }
          },
          {
            "name" : "To assess the treatment response as a function of Apo E genotype.",
            "type" : {
              "coding" : [
                {
                  "code" : "secondary"
                }
              ]
            }
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "ResearchStudy"
      }
    }
  ]
}